Viewing entries tagged
health

Comment

Organ, Eye, and Tissue Donation Education Amendment Act of 2019

Organ, Eye, and Tissue Donation Education Amendment Act of 2019

Introduced: January 22, 2019

Co-introducers: Councilmember Anita Bonds

BILL TEXT

Summary: To amend the Healthy Schools Act of 2009 to require that District of Columbia Public Schools and Public Charter Schools provide education on the process of making an anatomical gift, including information about the life-saving and life-enhancing effects of organ, eye, and tissue donation to help students become better informed.

Comment

Comment

Grosso champions greater access to D.C.’s medical marijuana program

For Immediate Release:
January 22, 2019
 
Contact:
Matthew Nocella, 202.724.8105 - mnocella@dccouncil.us

Grosso champions greater access to D.C.’s medical marijuana program

Washington, D.C. – Councilmember David Grosso (I-At Large) today introduced legislation that would further improve access to the District of Columbia’s medical marijuana program for residents as another method of reducing opioid-related deaths.

“We are all concerned with the ongoing tragedy of D.C. residents dying from opioid overdoses and this legislation provides another tool to address that crisis: greater access to the District’s medical marijuana program,” said Grosso.

Since 2014, over 800 people have died as result of opioid-related overdoses, according to the D.C. Chief Medical Examiner. Two hundred and seventy-nine of those deaths were reported in 2017 alone, more than triple those reported in 2014.

Under the Medical Marijuana Patient Health and Accessibility Improvement Amendment Act of 2019 patients would be granted provisional registration and same-day access to medical marijuana like any other medicine.

Additionally, dispensaries would be allowed to establish safe use facilities so that patients can consume medical marijuana outside of their home, which would address the challenge that many patients face of having nowhere to consume.

Finally, the legislation also removes the plant count limit on cultivation centers to address ongoing supply issues and seeks to rectify negative impacts of the racist War on Drugs by allowing more residents affected by the misguided criminalization of marijuana to be employed in these businesses.

“Medical marijuana has been shown to be a viable alternative to the prescription of opioid painkillers, which can set people down the path to addiction,” Grosso said. “While we have made significant improvements to our medical marijuana program here in D.C., we can do more to improve access for patients and reduce opioid reliance and overdose.”

A study in JAMA Internal Medicine found that medical marijuana programs reduce opioid overdose death rates by as much as 25 percent. Americans for Safe Access also reported lower prescription rates of painkillers in states with medical marijuana programs.

Grosso also views the legislation as an appropriate response the negative effects of congressional interference with D.C.’s local efforts to regulate marijuana.

“D.C. residents are being diverted from the medical marijuana program to the unregulated, easy to access, underground market,” Grosso said. “That is posing real problems for the small business owners in the medical marijuana community, and our whole medical marijuana system could be in jeopardy if we don’t take action.”

Councilmembers Vincent Gray and Brianne Nadeau joined Grosso as co-introducers of the legislation.

###

Comment

Comment

Grosso re-introduces bill to assess public health impacts of new development

For Immediate Release:
January 22, 2019
 
Contact:
Matthew Nocella, 202.286.1987 - mnocella@dccouncil.us

Grosso re-introduces bill to assess public health impacts of new development

Washington, D.C. – Councilmember David Grosso (I-At Large) today proposed legislation that would promote healthier individuals and communities by requiring new development projects to receive an analysis of its health impacts before proceeding.

“New housing and transportation can have profound impacts on the health and well-being of individuals and communities, yet these impacts are often not sufficiently evaluated,” said Grosso. “As the District of Columbia continues to grow, with new development projects emerging every day, it is imperative that we assess how these projects positively or negatively affect the health of our residents.”

The Health Impact Assessment Program Establishment Act of 2019 creates a health impact assessment program within the Department of Health to evaluate the potential health effects of proposed projects on individuals and communities and to support healthy communities, healthy community design, and development that promotes physical and mental health by encouraging healthy behaviors, quality of life, social connectedness, safety, and equity.

Through this legislation DOH will be able to examine all projects that require an environmental impact statement–such as those relating to new construction, roadway changes, and others–to determine their impact on physical activity, mental health, food and nutritional choice, noise levels, accessibility for individuals with disabilities, and a host of other factors.

“I am committed to improving the health and wellness of every D.C. resident,” Grosso said. “Implementing this comprehensive approach here in D.C. would help to promote sustainable development, improve and reduce health inequities, encourage cross-sector collaboration, and inspire a greater appreciation for public health in the policymaking process.”

Councilmembers Brianne K. Nadeau, Vince Gray, Elissa Silverman, and Anita Bonds joined Grosso as co-introducers of the legislation.

###

Comment

Comment

Health Impact Assessment Program Establishment Act of 2019

Health Impact Assessment Program Establishment Act of 2019

Introduced: January 22, 2019

Co-introducers: Councilmembers Vincent Gray, Brianne K. Nadeau

BILL TEXT | PRESS RELEASE | FACT SHEET

Summary: 

Councilmember Grosso's Introduction Statement:

Thank you Chairman Mendelson. This morning, along with my colleagues, Councilmembers Vincent Gray and Brianne Nadeau, I am introducing the Health Impact Assessment Program Establishment Act of 2019.

Research indicates that there are myriad factors outside of the traditional health scope that shape health-related behaviors.  Economic sectors such as housing and transportation can have profound impacts on the health and well-being of individuals and communities and yet these impacts are often not sufficiently evaluated.

As the District of Columbia continues to grow, it is imperative that we assess how development and other projects positively or negatively affect the health of our residents, particularly in light of the enormous health disparities across the city by ward and by race.

Under this legislation, a Health Impact Assessment Program will be established within the Department of Health to ensure that we are properly evaluating the potential health effects of construction and development projects on our residents and the communities they call home.

Health impact assessments rely on quantitative, qualitative and participatory techniques, to determine health impacts, the distribution of those impacts within communities and identify mitigation strategies to address adverse effects.

Through this legislation D.C. Health will be able to examine projects such as those relating to new construction, mixed-use development, use modifications, changes to roadways, traffic calming solutions and more to determine their impact on physical activity, mental health, food and nutritional choice, noise levels, accessibility for individuals with disabilities, and a host of other factors.

Implementing this comprehensive approach here in the District of Columbia would help to promote sustainable development, improve and reduce health inequities, encourage cross-sectoral collaboration, and inspire a greater appreciation for public health in the policymaking process.

I am committed to improving the health and wellness of every D.C. resident and this legislation is an important step toward accomplishing that goal.

Comment

Comment

Dept. of Corrections response leaves unanswered questions on employees in medical marijuana programs

In November, Councilmember Grosso sent a letter to the Department of Corrections to inquire about the Department’s policy and practices for drug and alcohol testing of employees. Specifically, the councilmember was interested in whether or not DOC was taking into account employees’ enrollment in medical marijuana programs as part of such testing.

“If an employee, for example, is undergoing treatment for cancer and is prescribed medical marijuana by a doctor to help with the side effects of treatment, it seems unreasonable and inappropriate that the employee would be penalized, or even subject to termination, because of seeking such medical care,” Grosso wrote.

After a delayed response, Director Quincy Booth laid out DOC’s practices and procedures and its adherence to District law. However, the response sidestepped a question specifically aimed at how DOC takes into account an employees enrollment in the medical marijuana program, instead focusing on how DOC complies, as other D.C. agencies do, with the impact of Initiative 71.

Initiative 71 dealt with recreational, not medical, marijuana.

The D.C. Department of Human Resources specifically sets out an exception for medical marijuana in District Personnel Manual Instruction No. 4-34, similar to exceptions for other prescription drugs

Councilmember Grosso will follow up with the Department of Corrections and the Committee on Judiciary and Public Safety to ensure District government employees in the medical marijuana program are treated equally to those who require other prescription drugs for medical purposes.

Read Councilmember Grosso’s letter and DOC’s responses below.

Comment

Comment

Councilmembers Grosso and Nadeau seek clarity on services for transgender youth in CFSA's care

On Oct. 4, Councilmember David Grosso, chairperson of the Committee on Education, and Councilmember Brianne K. Nadeau, chairperson of the Committee on Human Services, sent a letter to the Child and Family Services Agency (CFSA) seeking clarification of its policies regarding the provision of medical services to transgender youth in the agency’s care.

“The governor of California recently signed legislation in that state…setting the appropriate care for youth in foster care to receive gender-affirming health care, including mental health care. Media outlets praised the state as being the first to ensure these rights for transgender youth,” the two councilmembers wrote. “However, it is our belief that this should have already been policy in the District of Columbia based on the provisions of our Human Rights Act and its interpretation, particularly with regards to the Mayor’s Order from February 27, 2014 prohibiting discrimination in health insurance based on gender identity or expression.”

CFSA Director Brenda Donald responded to Grosso and Nadeau on Oct. 19, reaffirming its commitment to provide youth in its care with all appropriate medical and mental health services, including related to maters of sexual orientation and gender identity.

“In the District of Columbia, youth in the care of CFSA have a right to be provided with timely, adequate, and appropriate medical and mental health services from health care professionals, which includes medical care, behavioral health care, and counseling,” Donald wrote.

“CFSA’s practice is to support and ensure that transgender youth obtain and have access to gender-affirming healthcare, gender affirming mental healthcare, and any other support and services they might need. Should a youth express an interest in undergoing gender reassignment surgery with their social worker, health care professional, or foster parent, CFSA would treat such request as we would any medical request. The agency will refer the youth to the appropriate medical and mental health services, establish what is medically covered, and determine the best way forward to ensure that all medical needs are met. If a youth requests reassignment surgery, CFSA must ensure that the youth receives the appropriate mental health support. The Department of Health Care Finance (DHCF) will cover sex reassignment procedures for beneficiaries with an established diagnosis of gender dysphoria.”

Read the full letter to CFSA, and their response to Councilmembers Grosso and Nadeau, below.

Comment

Comment

Grosso proposes bill to assess public health impacts of new development

For Immediate Release:
October 16, 2018
 
Contact:
Matthew Nocella, 202.286.1987 - mnocella@dccouncil.us

Grosso proposes bill to assess public health impacts of new development

Washington, D.C. – Councilmember David Grosso (I-At Large) today proposed legislation that would promote healthier individuals and communities by requiring new development projects to receive an analysis of its health impacts before proceeding.

“New housing and transportation can have profound impacts on the health and well-being of individuals and communities, yet these impacts are often not sufficiently evaluated,” said Grosso. “As the District of Columbia continues to grow, with new development projects emerging every day, it is imperative that we assess how these projects positively or negatively affect the health of our residents.”

The Health Impact Assessment Program Establishment Act of 2018 creates a health impact assessment program within the Department of Health to evaluate the potential health effects of proposed projects on individuals and communities and to support healthy communities, healthy community design, and development that promotes physical and mental health by encouraging healthy behaviors, quality of life, social connectedness, safety, and equity.

Through this legislation DOH will be able to examine all projects that require an environmental impact statement–such as those relating to new construction, roadway changes, and others–to determine their impact on physical activity, mental health, food and nutritional choice, noise levels, accessibility for individuals with disabilities, and a host of other factors.

“I am committed to improving the health and wellness of every D.C. resident,” Grosso said. “Implementing this comprehensive approach here in D.C. would help to promote sustainable development, improve and reduce health inequities, encourage cross-sectoral collaboration, and inspire a greater appreciation for public health in the policymaking process.”

Councilmembers Brianne K. Nadeau, Vince Gray, and Brandon Todd joined Grosso as co-introducers of the legislation.

###

Comment

Comment

Grosso expresses concerns over Providence Hospital closure

On September 26, 2018, Councilmember David Grosso sent a letter to the Department of Health about his concerns regarding the planned closure of Providence Hospital’s acute care services and to better understand DOH’s role during the transition.

“Ascension’s decision to close acute-care services at Providence Hospital is devastating as three-quarters of patients accessing care at Providence are D.C. residents primarily coming from Wards 5, 7, and 8,” wrote Grosso. “This loss of much needed medical care on the east side of the city greatly limits access and may exacerbate already troubling health outcomes for our residents in these communities.”

On October 3, the Department of Health respond with a letter outlining their role. Both can be found below.

Comment

Comment

Grosso inquires about access to home and hospital instruction services for students

On July 11, 2018, Councilmember David Grosso, chairperson of the Committee on Education and member of the Committee on Health, sent a letter to interim D.C. Public Schools Chancellor Amanda Alexander expressing concern that some children may not be receiving Home and Hospital Instruction Program (HIPP) services which are aimed at supporting students with physical disability and/or health impairment who are confined to home or hospital for three or more weeks.

"...there seems to be a lack of information and transparency about the process for determining a child's eligibility for HIPP and for appealing that decision," he wrote.

UPDATE: Grosso provided a list of questions to DCPS and received a response on August 3rd from DCPS which can be found here and below, along with the HHIP program manual and original letter from Councilmember Grosso.

Comment

Comment

Councilmembers David Grosso and Robert White introduce legislation to improve LGBTQ health data

For Immediate Release:
June 5, 2018
 
Contact:
Matthew Nocella, 202.724.8105 - mnocella@dccouncil.us

Councilmembers David Grosso and Robert White introduce legislation to improve LGBTQ health data

Washington, D.C. – Today Councilmembers David Grosso (I-At Large) and Robert White (D-At-Large) introduced a bill to improve the documentation by D.C. agencies of health outcomes and behavioral risk factors of the lesbian, gay, bisexual, transgender and questioning (LGBTQ) community, as the federal government prepares to limit its collection of this critical public health data.

“At a time when the federal government is retreating from its responsibility to protect everyone’s human rights, D.C. must do everything it can to ensure those rights,” said Councilmember David Grosso. “We have a responsibility to meet the unique health needs of our LGBTQ residents.  Requiring our agencies to collect this critical public health data will better inform our policymaking and improve the health outcomes of all District residents.”

“We celebrate Pride in June, but we must go beyond words and parades to affirm and support our LGBTQ friends and neighbors. We need to push back on these proposals by the Trump administration that would impact their health by pretending they don’t exist,” said Councilmember Robert White.

The LGBTQ Health Data Collection Amendment Act of 2018 would require the District Department of Health to collect demographic data on sexual orientation and gender identity through its annual Behavioral Risk Factor Surveillance Survey (BRFSS).

The BRFSS is a cross-sectional telephone survey conducted by state health departments in all 50 states and the District of Columbia with technical and methodological assistance provided by the Center for Disease Control.

It would also require the Office of the State Superintendent of Education to collect information on the sexual orientation, gender identity, and gender expression of respondents to the school-based Youth Risk Behavior Surveillance System (YRBSS). YRBSS monitors six types of health-risk behaviors that contribute to the leading causes of death and disability among youth and adults.

“Having a better understanding of how our students identify and the impact their sexual orientation or gender identity has on their behavior and risk factors will enable schools to better serve our students’ non-academic health needs,” Grosso, chairperson of the Committee on Education, said. “When those needs are met, we know they are better prepared to succeed academically.”

All levels of government rely on the data from these surveys when making policy choices to address public health issues. Recently, Trump administration officials with the Center for Disease Controls hinted that they would discontinue the collection of this data.

Additionally, the bill would require that the data collected be used in the annual report on the health of the District’s LGBTQ community, a collaborative effort of the Department of Health and the Office of LGBTQ Affairs.

###

Comment

Comment

LGBTQ Health Data Collection Amendment Act of 2018

LGBTQ Health Data Collection Amendment Act of 2018

Introduced: June 5, 2018

Co-introducers: Chairman Phil Mendelson, Councilmembers Robert White, Vincent Gray, Anita Bonds, Brianne Nadeau, Charles Allen, Elissa Silverman, Kenyan McDuffie, Mary Cheh, Brandon Todd, Jack Evans, Trayon White. 

BILL TEXT | PRESS RELEASE

Summary: To amend the Department of Health Functions Clarification Act of 2001 to require the Department of Health to collect information on the sexual orientation, gender identity, and gender expression of respondents to the Behavioral Risk Factor Surveillance System; and to amend the State Education Office Establishment Act of 2000 to require the Office of the State Superintendent of Education to collect information on the sexual orientation, gender identity, and gender expression of respondents to the Youth Risk Behavior Surveillance System.

Councilmember Grosso's Introduction Statement:

Thank you Mr. Chairman. Today, Councilmember Robert White and I are introducing the Lesbian, Gay, Bisexual, Transgender and Questioning Health Data Amendment Act of 2018. We are joined by Councilmembers Vincent Gray, Anita Bonds, Brianne Nadeau, Charles Allen, Elissa Silverman, Kenyan McDuffie, Mary Cheh, and Brandon Todd as co-introducers.

This is a very simple bill—it requires the Department of Health and the Office of the State Superintendent of Education to gather demographic data on sexual orientation and gender identity as part of their public health surveys of adults and students, respectively, in D.C.
Some members will recall this issue came up with regards to DOH a few years ago, and I introduced similar legislation then.

The Department did commit to gather the data, but only every other year, and new developments at the federal level threaten the progress that has been made.

This is data that OSSE is, in contrast, already collecting, and I don’t anticipate it causing any problem for them.

Understanding how our students identify and how that relates to their behavior or risk factors enables us to better serve students’ non-academic health needs.

When those needs are met, we know they are better prepared to succeed academically.

At a time when the federal government is retreating from its responsibility to protect everyone’s human rights, we must ensure that D.C. is doing everything it can to ensure those rights.

Part of that is documenting the health disparities that affect our LGBTQ neighbors so that we can target interventions to end those disparities. 

Comment

Comment

DOH, DBH responds to Grosso letter regarding safe injection sites to combat the opioid crisis

Councilmember David Grosso received a letter from Department of Health Director Dr. LaQuandra Nesbitt and Department of Behavioral Health Director Dr. Tanya Royster in response to his Sept. 19 letter urging exploration of supervised injection facilities (SIFs) as part of a comprehensive public health approach to combating the opioid crisis and saving lives in the District of Columbia.

DOH/DBH's letter details Dr. Nesbitt's findings from a recent site-visit to a SIF in Vancouver. SIFs there have led to a decrease in opioid-related deaths and, to date, have not experienced an overdose related death on-premises. 

DOH and DBH noted that the success of such facilities has been made possible by coordination between local and federal authorities in Canada, which could present a barrier to implementation in the District of Columbia.

However, the Opioid Working Group is committed to reducing harm and deaths associated with the opioid crisis and will consider what would be required to implement SIFs in D.C. as it develops the Opioid Strategic Plan over the next few months.

You can read the response letter and the original letter sent by Councilmember Grosso below.

Comment

1 Comment

Abortion Provider Non-Discrimination Amendment Act of 2017

Abortion Provider Non-Discrimination Amendment Act of 2017

Introduced: November 7, 2017

Co-introducers: Councilmembers Brianne K. Nadeau, Jack Evans, Charles Allen, Robert C. White, Jr., Anita Bonds

FACT SHEET | BILL TEXT | PRESS RELEASE

Summary: To amend the Human Rights Act of 1977 to prohibit discrimination against health care professionals by a health care provider, based on the professional’s participation in, willingness to participate in, or support for abortion or sterilization procedures, or public statements related to abortion or sterilization procedures.

Councilmember Grosso's Introduction Statement:

Despite the protection provided by Roe versus Wade, elected officials in state houses across the country and up on Capitol Hill are trying to make it effectively impossible to access abortion services.

This includes a climate of demonization of the medical professionals who provide these services.

A doctor, nurse, or other health practitioner should not have to fear for their job based on their support for the right to choose or their willingness to participate in abortion services.

In fact, discrimination based on an employee’s participation in abortion – or willingness to do so – has been illegal under federal law since 1976.

But there are gaps in the federal law, which has led a number of states to legislate additional protections.

The District of Columbia does not done so, but this legislation would fix that.

It is a rather simple bill, adding protections under our Human Rights Act for health professionals who speak publicly about abortion, or who have a second job providing abortion services.

At a time when speaking out about the importance of access to abortion is critical, we had an incident here in D.C. last year in which a hospital tried to silence a doctor who was an outspoken defender of reproductive rights.

This sort of retaliation, or the firing of healthcare professionals for treating a woman seeking an abortion as has happened elsewhere, is inappropriate and discriminatory.

With over 45,000 people employed in the healthcare industry in the District of Columbia, we need to protect these individuals from employment discrimination like this.

While only a few of those would be likely to need the protection of this bill, we pride ourselves as a jurisdiction that staunchly defends the right to an abortion, and we should ensure that no nurse or doctor fears that they will lose their jobs or careers because of participation in abortion services or advocacy.

1 Comment

Comment

Grosso proposes bills to deal with opioid crisis, improve public health as Council returns from summer recess

For Immediate Release:
September 19, 2017
 
Contact:
Matthew Nocella, 202.724.8105 - mnocella@dccouncil.us

Grosso proposes bills to deal with opioid crisis, improve public health as Council returns from summer recess

Washington, D.C. – Today Councilmember David Grosso (I-At Large) introduced two bills to address the opioid crisis in the District of Columbia.

“For decades we have attempted to use criminal penalties to solve drug addiction and its associated consequences,” Grosso said.  “This ‘War on Drugs’ has failed and in recent years, D.C. has adopted a public health and evidence-based approach to reduce harm and help people find appropriate treatment.  My proposals continue that approach.”

Last year, D.C. reported 216 opioid-related deaths—nearly triple the number reported in 2014. Grosso’s proposals would remove penalties for possession of certain drug paraphernalia and promote access to the medical marijuana program, both of which have been shown to reduce overdoses.

The Safe Access for Public Health Amendment Act of 2017, allows for access to new technology that enables drug users to test their own drugs to avoid overdosing and supports harm reduction efforts for injection drug use by improving access to clean syringes to reduce the transmission of HIV/AIDS and Hepatitis C.

The bill achieves this greater access by removing criminal penalties for possession for personal use of syringes and drug testing kits, and expanding the areas in which D.C.’s successful needle exchange program can operate.

“There is no scientific basis for criminalizing paraphernalia possession,” Grosso said. “It only increases the likelihood of harm to those who are struggling with addiction and continues the failed policies of the War on Drugs that has had a disproportionate impact on our African-American communities.”

Councilmember Vincent Gray joined Grosso in co-introducing this bill. Grosso joined Gray in co-introducing two other opioid focused bills: Opioid Abuse Treatment Act of 2017 and the Opioid Overdose Prevention Act of 2017.

The Medical Marijuana Improvement Amendment Act of 2017 reduces two major barriers to the city’s medical marijuana program: the requirement for a doctor referral and long wait times to get a registration card.

Under the bill, patients would be granted provisional registration and same-day access to medical marijuana like any other medicine. Patients without a primary care physician, or with one who does not wish to recommend medical marijuana, would be able to self-certify.

“Medical marijuana has been shown to be a viable alternative to the prescription of opioid painkillers, which can set people down the path to addiction,” Grosso said. “While we have made significant improvements to our medical marijuana program here in D.C., there is more we can do to improve access for patients and reduce opioid reliance and overdose.”

A study in JAMA Internal Medicine found that medical marijuana programs reduce opioid overdose death rates by as much as 25 percent.  Americans for Safe Access also reported lower prescription rates of painkillers in states with medical marijuana programs.

Grosso believes D.C. can go even further to combat the opioid crisis.  In a letter sent to Department of Health Director Dr. LaQuandra Nesbitt today, the councilmember asked her to examine how D.C. might set up supervised injection sites where injection drug users could be monitored to prevent overdose and be connected to treatment.  He also believes DOH should find a way to allow Narcan, the opioid overdose prevention medication, to be obtained over-the-counter at any pharmacy in the District of Columbia.

“I hope that Dr. Nesbitt and her team will find a way forward,” Grosso said.

###

Comment

Comment

Public School Health Services Amendment Act of 2017

Public School Health Services Amendment Act of 2017

Introduced: January 10, 2017

Co-introducers: Councilmembers Brianne Nadeau, Jack Evans, Charles Allen, Mary Cheh, Vincent Gray, Elissa Silverman, Trayon White, Anita Bonds

Summary: To amend the District of Columbia Public School Nurse Assignment Act of 1987 to increase the minimum hours per week of registered public school nurse services at elementary and secondary public and public charter schools to 40 hours per week.

Councilmember Grosso's Introduction Statement:

Thank you Chairman Mendelson.

This morning along with Councilmembers Nadeau, Evans, Allen, Cheh, Gray, Silverman, T. White, and Bonds, I am introducing the “Public School Health Services Amendment Act of 2017.”

This legislation amends the District of Columbia Public School Nurse Assignment Act of 1987 to increase the minimum hours per week of registered public school nurse services at public and public charter schools to 40 hours per week.

As most of you know, last year, the Deputy Mayor for Education sent a letter to LEA leaders announcing the Department of Health’s new model for the school health services program. Under the new program, registered nurses will continue to provide clinical care for all children with special health care needs who require daily medications or treatment. Additional health professionals and community navigators will work with families, schools, and students’ primary care providers to make sure students receive well-child exams and the preventive services they need to be healthy. 

However, the school nurse service levels were to be reset for all schools at a minimum of 20 hours each week. Schools may receive more nursing coverage depending on the medical needs of student population based on a risk-based health needs assessment.

While families and the public were supportive of adding more allied health professionals to schools to help with care coordination, including community navigators to connect families with local assets, parents were alarmed at the idea that there would not always be a qualified health professional on site to assess and triage sick and injured children or provide emergency care as needed. Simply calling 911 or working parents anytime a child presents with a potential health problem should not be our schools default.

Due to these concerns, the Council was successful in delaying in reduction in nurse services to school year 2017-2018. However, there still needs to be a public conversation about whether the District should be reducing school nursing hours or rather aligning itself with the American Academy of Pediatrics and the Centers for Disease Control and Prevention, which both recommend having at least one full-time nurse in every school.

During a public roundtable on school health services last year, witnesses testified for five and a half hours about their concerns regarding the new program, particularly fear of losing full-time school nurses services. Many asked the Council to introduce legislation to increase the statutory minimum school nursing service level to 40 hours per week. To those constituents I say, we heard you. For me, this is about giving our families a piece of mind. Ensuring that there is always a qualified health professional at our public schools is a safety net.

I welcome any and all co-sponsors.

 

Comment

Comment

Grosso starts new term with renewed focus on students

For Immediate Release: 
January 10, 2017
 
Contact:
Matthew Nocella, (202) 724-8105

Grosso starts new term with renewed focus on students

Washington, DC – At the first legislative meeting of Council Period 22, Councilmember David Grosso introduced legislation to increase the health and financial resources that will put youth in the District of Columbia in the best position to succeed.

“Education continues to be my top priority on the Council,” said Grosso, who returns as chairperson of the Committee on Education. “Ensuring our students’ well-being and providing financial equity to our students is vital to their educational achievement.”

First, Councilmember Grosso introduced the “Public School Health Services Amendment Act of 2017” to provide students access to a full-time registered nurse at their school.

Last year, the Department of Health attempted to implement a new model for school health services which would have resulted in school nurse service levels being reset to a minimum of 20 hours each week.

Many parents were alarmed at the idea that there would not always be a qualified health professional on site to assess and triage sick and injured children or to provide emergency care as needed. The Council subsequently delayed implementation of the program for the remainder of the 2016-2017 school year.

The legislation introduced today would permanently increase the minimum hours per week of registered public school nurse services to 40 hours per week.

“For me, this is about giving our families piece of mind,” Grosso said. “Ensuring that there is always a qualified health professional at our public schools is a safety net.”

He also introduced the “Early Learning Equity in Funding Amendment Act of 2017” to infuse more equity into early learning funding.

Thousands of three- and four-year olds receive Pre-K3 and Pre-K4 educational services from community-based early childhood development centers and homes. Although these organizations, like D.C.’s local education agencies, teach a quality comprehensive curriculum to ensure kindergarten readiness and meet the District’s early learning and development standards, the District has not provided them with the same financial resources that we provide to DCPS and public charter schools.

The bill qualifies these organizations for additional funding by adding pre-kindergarten students receiving education services at community-based organizations in the definition of “at-risk”. It also establishes a pilot program to provide a facility allowance to high-quality child development centers and child development homes that meet certain criteria.

“Access to high-quality and affordable early care and learning is a growing concern for families in the District of Columbia, especially as the number of residents with young children continues to rise,” Grosso said. “More equitable funding invested in our youth at these early stages of development sets them up for later educational success.”

###

Comment

Comment

DOH updates Grosso on opioid overdoses, LGBTQ policies, and other health issues

In August, Councilmember Grosso sent a lengthy letter outlining a number of concerns to Department of Health Director Nesbitt. The letter covered the agency’s response to the increase in opioid overdoses, changes to home visiting programs, updates on LGBTQ health policies, health impact assessments, and the agency’s medical marijuana program.

On September 13, Grosso received a response from Nesbitt, which you can view below along with Grosso’s original letter. This past week brought further progress on some issues, as the Council’s Committee on Health and Human Services passed the Substance Abuse and Opioid Overdoes Prevention Amendment Act of 2016 and the mayor announced the doubling of the amount of cannabis medical marijuana program participants may request in a month. Grosso, a member of the Committee on Health and Human Services, will continue to monitor these topics and push DOH to improve its policies and programs, and make them known to the public.

Councilmember Grosso's original inquiry letter:

Comment

Comment

Grosso and Department of Health exchange letters on LGBTQ health

In May, Councilmember Grosso wrote to Director of the Department of Health Dr. Nesbitt regarding implementation of his bill LGBTQ Cultural Competency Continuing Education Amendment Act of 2015, which became law on April 6, 2016, as well as other LGBTQ health issues including data collection under the BRFSS and a local survey. On June 10, the Director responded. You can read both letters below:

Councilmember Grosso's letter:

Director Nesbitt's response:

Comment

Comment

Grosso exchange with Department of Health Care Finance on Medicaid for returning citizens

Earlier this year, Councilmember Grosso's staff began researching policy issues for D.C. residents who are Medicaid recipients and become incarcerated. According to the National Council of State Legislatures, D.C. and many other states terminate an individual's Medicaid when that person is sentenced to prison--but under Medicaid rules, the government could also suspend the individual's Medicaid until their release. Grosso wrote to Director Wayne Turnage of the Department of Health Care Finance (which handles D.C.'s Medicaid policies) about this issue, and got a very informative letter in response. This included the revelation that DHCF had recently amended this policy to the best practice of suspending, not terminating, Medicaid. Good news for public health and public safety. You can read the letters below:

Comment

Comment

Grosso Calls on Obama Administration to Cease Raids Targeting Central American Immigrant Communities

For Immediate Release
January 29, 2016

Contact: Keenan Austin
(202) 724-8105

Grosso Calls on Obama Administration to Cease Raids Targeting Central American Immigrant Communities

Washington, D.C.—Today, D.C. Councilmember David Grosso (I-At Large) released the following statement on the recent Immigration and Customs Enforcement (ICE) raids and deportations targeting Central American immigrant communities:

“Today I am calling on President Barack Obama and Department of Homeland Security Secretary Jeh Johnson to cease the policy of targeting Central American immigrant communities for detention and deportation. As a young man I traveled to Honduras and El Salvador to accompany refugees seeking to return to their homes and I saw firsthand the violence affecting these communities. I know that that the legacy of that war and instability continues today.

As the Chairman on the Committee of Education, I am particularly concerned about the impact of these raids and deportations on our students and their families, filling them with fear and causing emotional distress. Trauma, whether stemming from families being raided by ICE, gun violence plaguing our streets, or economic inequality that keeps children in poverty, stand as a significant barrier to the success of the students in our schools; I have made addressing such adversity a top priority for the Committee. Families, unaccompanied minors, and workers fleeing violence and persecution in Central America need our support and care, not fear of detention and removal.

Just last summer I stood with immigrant communities and Congresswoman Norton to oppose fear-mongering and draconian legislation proposed in Congress to overturn local policies in D.C. and other jurisdictions which seek to protect human rights of immigrants. Migration is a fundamental human right recognized by the United Nations. Our federal government should focus its efforts on fixing our broken immigration system, not on breaking up families and sowing panic. President Obama should cease these ill-conceived actions immediately. In D.C. we stand for the human rights of everyone, including of our immigrant neighbors regardless of legal status.”

###

Comment