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Board of Optometry: workforce stable but scope, telehealth and glaucoma treatment under review
Summary
The Board of Optometry told the Committee on Health licensure numbers are stable (about 226 optometrists) but the board is evaluating scope expansions (including glaucoma treatment), telehealth rules, and ways to attract and retain practitioners who accept public insurance.
Dr. Lisa Johnson, chair of the District of Columbia Board of Optometry, told the committee that the board’s licensure census stood at about 226 optometrists and that complaint volumes were low (two complaints in FY25, both resolved). The board said it is updating application reference forms and planning regulatory work in FY26 to consider scope expansions and a telehealth policy.
"Permitting optometrists to practice using their full training and skill sets will support earlier optical treatment, thus decreasing delays and further potential loss of vision," Johnson said, describing the board’s intent to evaluate glaucoma treatment authority and telehealth parameters with a review scheduled for April 2026 and finalization by July 2026.
Committee members raised concerns about provider distribution and Medicaid/Alliance participation; the board and DC Health said workforce surveys ask practice location and that data could be provided. The board acknowledged vacancies on its membership and said it is working with MOTA to vet applicants and refill seats to avoid quorum issues.
