• ana.rapoport

https://www.cnma.org/news/categories/newsletter

https://docs.google.com/document/d/1vWrIzZje5X194nD-Uh8_3LEuDwTp6UYvjNJwQntCNyI/edit?usp=sharing


Register for the CNMA Annual Meeting

LAO Report and SB 1237

How you can continue to support SB1237 from home

CNMA welcomes our new RJ/AR Committee Chair and Co-Chair

California Health Care Foundation: Health Care Leadership Program

Educational Opportunities

Legislation to Watch For

A Message of Encouragement

Questions? News? Want to get involved?

Register for the CNMA Annual Meeting


Annual Meeting with be held August 28-30, 2020

Early Birth Registration is OPEN

https://www.cnma.org/event-info/cnma-annual-meeting

Hayes Mansion

San Jose, CA


Early Bird Pricing: $250

Tickets to Saturday CNMA Fundraiser: $75

Sunday Brunch: $45


All birth workers are invited to participate. Please reserve your room through Hayes Mansion. They are giving the board, and you the attendees a deal on room rates. Room Reservations: https://book.passkey.com/e/50067013 good through 7/30/2020


Will be offering two days of content, topics include:

Transgender healthcare continued

Medication Abortion Management updates

PreP/PEP evaluation and management

Perinatal Mood and Anxiety Disorders

Evaluation of Induction Methods and the ARRIVE trial


Sunday 8/30/2020: Me and White Supremacy kick off breakfast. $45, includes breakfast and the workbook and 6 weeks of a closed online group with guidance that will allow us to explore the ways our own biases perpetuate White Supremacy in our own lives, practices and the larger communities we live and work in.


Please email jillcauley4@gmail.com if you have information you'd like to present, skills workshop you'd like to run or are considered an expert on any of the following topics:

Reproductive endocrinology

Abnormal Uterine bleeding

Menopause

PCOS management


Thank you and we look forward to serving our midwifery community with an exciting and informational annual meeting!


Jillian Cauley, CNM


LAO Report and SB 1237:


You have probably seen the recently released Legislative Analyst Report on removal of supervision for nurse-midwives in CA. While we do not 100% agree with all of the recommendations made at the end of the report, it is overall a positive assessment and any legislation regarding this topic will rely on the powerful findings of this report, which make a strong case for why physician supervision is unnecessary. We hope this will be a powerful foundation for legislative discourse about SB 1237. If you don’t have time to do a deep dive, at least look at the Executive Summary, Recommendations and Conclusion.


In terms of SB 1237, the Justice and Equity in Maternity Care Act, the future of the legislature is unknown at this time. However, it is hoped that there will be at least a smaller legislative package this year. CNMA is very grateful that Senator Dodd is committed to moving our bill forward and prioritizing this issue.


How you can continue to support SB1237 (Justice & Equity in Maternity Care Act) from home


As you may already know, the California Legislature is in recess until at least April 13th. SB 1237, the Justice and Equity in Maternity Care Act, was originally set to be heard in the Senate B&P Committee on March 30, but that has now been postponed due to the COVID-19 crisis and recess of the Legislature. We recognize that during these unprecedented times it can be challenging to find bandwidth for any extra tasks in your life. While we are not doing in person visits or gatherings to push forward our bill to remove physician supervision, the bill author’s office, our lobbyists and health policy team are working hard to continue to educate our legislators about the importance of supervision removal. If you have the time, please ask your friends and colleagues to send a letter to the Senate Business & Professions Committee in support of our bill. The links to the template letters are below, and include a template “outreach email,” letters for your MD colleagues, supportive organizations, fellow CNMs, and RNs or others individuals. Also included are fact sheets to help supporters better understand the bill. You can also find all of these letters and fact sheets on the CNMA website at: https://www.cnma.org/sb1237. Once the legislature is back in session, things will begin moving quickly once again, so we ask that you send these letters of support as soon as you have a spare moment.


OUTREACH EMAIL TEMPLATE

MD SUPPORT LETTER

ORGANIZATION SUPPORT LETTER CNM SUPPORT LETTER

OTHER PERSONS SUPPORT LETTER FACT SHEET SB1237

FACT SHEET - CNMS in CA


CNMAs welcomes our new RJ/AR Committee Chair and Co-Chair


CNMA is thrilled to announce the Reproductive Justice Anti-Racism Committee has chosen their new Chair and Co-Chair.


The chair holds a voting position on the CNMA board of directors. Both members will attend meetings with the Board of Directors to support CNMA in our aim to address structural racism within CNMA and develop and support opportunities to redress the harm caused by racism within midwifery and our larger community. You can see the current bylaws for the RJ/AR group here.


Please join us in welcoming Jyesha Wren and Ana Delgdo in their new roles at chair and vice-chair of the committee.


Jyesha provides full scope midwifery care at Highland Hospital in Oakland California where she is working, in collaboration with an interdisciplinary team, to develop a new program called BElovedBIRTH Black Centering: Group Perinatal Care by, for, and with Black People. She has written extensively on anti-racism and racism-based disparities. Check out her bio here to learn more.


Ana provides full scope midwifery care at Zuckerbug San Francisco General Hospital where she is the Assistant Director of Inpatient Obstetrics and the Co-Director for Equity, Diversity and Inclusion for the UCSF ZSFG OBGYN division, where she is also Clinical Professor. Check out her bio here to learn more.


As a reminder CNMA is offering free membership to Midwives of Color


Participation by midwives of color (MOC) in CNMA is vital to the progress of midwifery in California and demands our urgent support. As a small gesture to encourage more MOC to join CNMA, CNMA is waiving the $200 California affiliate fee for new California members who identify as MOC and join ACNM & CNMA. CNMA asked ACNM to also support more participation of MOC at the national level via similar financial incentives and they have announced they will be offering scholarships for MOC in joining ACNM. So while new MOC members will still be responsible for a portion of the ACNM national membership fee under this



initiative, the California affiliate will waive the entire affiliate fee. This offer will be in effect for all of 2020 and may be extended pending funding. Of note, this offer applies to all MOC newly signing up, so even if you have been a member in the past but your membership has lapsed, this offer applies. Please contact our membership Chair, Emily Carter, at ercarterrn@gmail.com to receive your coupon code. ACNM will grant 50% off, then California will waive the remainder of the affiliate dues with the coupon code.


California Health Care Foundation: Health Care Leadership Program


California Health Care Foundation (CHCF) Health Care Leadership Program, is a part-time, two-year fellowship for clinically trained health care leaders serving communities throughout California. The program's goal is to improve the health of Californians by developing and sustaining a network of diverse health care leaders who will shape practice and policy within our health care system.


Learn more and apply here: http://healthforce.ucsf.edu/CHCF

Application period: April 15 - June 12, 2020

Questions? Watch a short video about the program which includes interviews with current fellows at their recent seminar in Sacramento, visit our website, or contact us directly!

Educational Opportunities:


Safety First: Addressing the Maternal Health Crisis


Thursday, April 9 - Better Birth: Promoting Alternatives to Conventional Maternity


Legislature to watch for:


  • AB 732 - Accountability, Dignity, Safety. Reproductive Dignity for Incarcerated People Act.

  • SB 885 - Leading the way in expanding STD Care and Coverage for low-income Californians

  • AB 1973 - Equity in Access for All. Eliminating Financial Barriers to Abortion Services



A Message of encouragement


This was written by Dorothy James, the Administrative expert who assisted in the formation of the California Nurse-Midwives Foundation. It speaks to how we can overcome our fear and come together as a people in an unprecedented way. We can either let this beat us or we can beat it by deciding to be brave and shining above during this time. - Kathleen Belzer, CNMA President.


It is in times like this wherein we fulfill our purposes. The problem cannot be solved at the level of the problem but when we rise-up and shine our lights we will see that this is an OPPORTUNITY to perfect our being and TO TAKE HUMANITY TO THE NEXT LEVEL. I’m asking ALL...to identify where you can assist family, friends, people and communities in need at this time... I have set forth below just a few opportunities that I see and I’m sure you can see even more and further with your talents and gifts.


Medical: The health care providers are being strained right now. How can we help with the crisis and/or help with organizing and assisting individuals with other health problems?


Education: Elementary, Middle & High Schools will be closed for the next many weeks. I am sure there will be a need to assist parents with connecting children/kids with their teachers and

lessons via internet, conferencing, etc. Can you create a way in which children can continue to learn through this challenge? Our children will learn how to deal with challenges such as this through the manner in which we conduct ourselves.


Food/Meals: How can we get healthy and fresh food to those in need and to those who cannot afford to stock-up and grab food and toilet paper off the shelves of the markets from everyone else? Essentially, please are grabbing more than their share of essential items. This attitude of greed is spiking its ugly head in every area of our existence. What and how can we help families, friends, and community?


Transportation: Uber and Lyft are overwhelmed - how can we help? During the bus boycott of the civil right movement, it was the community pulling together taking shifts to offer rides to those needing transportation to various places.


Spiritual/Mental Assistance: How about going online and/or sending encouraging messages that can lift people out of their fear.


Love and peace,

Dorothy James


Questions? News? Want to get involved?

Email us at info@cnma.org

That's all for this month's issue. Catch you next time!

-CNMA MEDIA TEAM

Visit us at cnma.org


This newsletter will be archived on our website at cnma.org/news

  • ana.rapoport

https://docs.google.com/document/d/1rDGegt_ADAqn4Oi0jTlBWwMlFpwWec1OQNDK496TkvE/edit?usp=sharing


SB 1237

Register for Lobby Day

New Schedule 2 Launched!

Are you on social media?

New University of California Program Aims to Increase Specialized Mental Health Care Providers

My Birth Matters Campaign

JOB OPPORTUNITIES

APPLY FOR HRSA funding by 3/3

Did you miss the National Academy Webinar: Assessing Health Outcomes by Birth Settings?

Register for the CNMA Annual Meeting

Upcoming Events

Questions? News? Want to get involved?

SB 1237


As you likely know by now, CNMA is sponsoring SB 1237 to remove physician supervision and other barriers to midwifery care in California. We are thrilled to partner with Black Women for Wellness Action Project as cosponsor on this bill. We worked with them on SB 464, the Dignity in Pregnancy and Childbirth Act. They are powerful and well-poised to speak to issues of health inequities and disparities in maternal health. Our author, Senator Bill Dodd, has been a champion of nurse-midwives and other advanced practice nurses for years. He has asked Assemblymember Autumn Burke to be principal coauthor of the bill. We hope to bring in additional coauthors as we gain momentum. We are also hopeful for the support of our coalition partners in the California Coalition of Reproductive Freedom. It truly feels like we’ve arrived and we can take a deep breath now, but nothing could be farther from the truth! This is where the real work begins!! It’s analogous to going through pregnancy and childbirth with the thought, ‘Wow, that was incredible, thankfully my work is done’. As anyone who has raised children knows, after giving birth is when the real work begins!!


We can only change the current regulations with the support of nurse-midwives and their clients in every district. Stay tuned as we provide streamlined strategies of outreach to legislators during critical times in the process. We also need every one of you to follow us and repost on social media! Please also share our fantastic video widely. We now have a robust social media team with great strategies to move our agenda forward and provide excellent education about midwifery.

.

We will once again have opposition from CMA but our organization has built strong and powerful alliances. CMA is formidable, but we have the power of justice and equity on our side! We need to judiciously communicate our message to our legislators and to the public. We hope you will be engaged in this process and we look forward to seeing you at Lobby Day on April 15th. Please take the time to read our newsletters and CNMA communication blasts!! It will be critical, now more than ever.


Sincerely, Kathleen Belzer, CNMA President.

cnma.org/sb1237

https://www.youtube.com/watch?v=CB7eGZkN1f0&t=2s

Register for Lobby Day


\WHEN: April 15, 2020 8am-5pm,

WHERE: Sacramento. More information forthcoming

WHY: The California Nurse-Midwives Association and Black Women for Wellness, a Los Angeles based advocacy organization, have announced the introduction of Senate Bill 1237 (Dodd/Burke) which aims to improve access to high-quality, high-value maternity care across California, and is being put forward as a strategy to counter the obstetrician workforce crisis, which is projected to be at a critical low in some counties by the year 2025, and to curb disparities in outcomes for Black women and infants. Despite significantly reducing the maternal mortality rate in California, experts from the California Maternal Quality Care Collaborative report that Black women in California still die at a rate that is 3-4 times higher than White women during pregnancy, childbirth and postpartum. Furthermore, babies born to black women were more than three times as likely to die of a preterm birth-related issue as babies born to white women in 2017. National and international organizations including the March of Dimes and the World Health Organization have stated that improved access to midwives, and scaling up of the profession, is one of the necessary and innovative strategies to reduce and eventually eliminate racial disparities in maternal and infant outcomes.


Learn more and register here.

New Schedule 2 Course with Risk of Addiction/Neonatal Abstinence Syndrome Curriculum is Launched!


Our updated Schedule 2 Course with Risk of Addiction/Neonatal Abstinence Syndrome Curriculum is now available at CNMA.org/courses. This curriculum is mandated by SB 1109. Every CNM in California needs to complete CEUs that contain the risk of addiction/NAS curriculum to be in compliance. This high-quality course has important current information for everyone in practice. You will receive a certificate for 3 CEUs which needs to be provided to the BRN. We have made every effort to make the course affordable. It is $75 for members and $125 for nonmembers.


Kathleen Belzer, CNMA President

Are you on social media?


Facebook? Instagram? Twitter?

Whatever platform you are on, please follow @cnmamidwives. There will be lots of important updates to come and it is important that you help spread the word about our new bill and educate your friends and family about the importance of midwifery care.


To Repost on Facebook @cnmamidwives:

To Share on Instagram @cnmamidwives:


To Retweet on Twitter @cnmamidwives :

New University of California Program Aims to Increase Specialized Mental Health Care Providers


Have you ever wished you could treat your patient’s Mental Health needs without needing to refer out? Please see this wonderful opportunity to gain expertise in Mental Health through the CHCF and the University of CA. Because midwifery centers on active listening, respecting self-determination and is based on a holistic model of care, midwifery provides the perfect foundation for addressing mental health issues.


Press Release

Excerpt from the Final Report of the California Future Health Workforce Commission

My Birth Matters Campaign


“My Birth Matters is to help medically low-risk, first-time pregnant women and birthing people have informed and meaningful conversations with their healthcare providers about C-Sections and avoid those that are not absolutely necessary.” Beccah Rothschild, MPA- Consultant to California Health Care Foundation for the My Birth Matters campaign


For those of you looking for new or additional ways to use the My Birth Matters materials, below is a list of some methods that your colleagues across California and the country are using.


  • Add to your website and health education resource library/inventory: Link to the entire My Birth Matters campaign or certain videos on your website and in your resource library -- and, consider including the materials in your resource inventories for providers.

  • Show videos: Looking for new videos to show in your waiting rooms? Need to switch out videos you've already shown on social media for something new? The My Birth Matters videos are each between 1- 2 minutes in length and perfect for quickly sharing information and making an impact.

  • Publish newsletter articles: Include My Birth Matters messaging in your member, patient, and/or provider hardcopy and e-newsletters. Not sure what to write? Contact me and I'll write an article for you, complete with artwork. Already published an article? Consider

  • publishing another one for those who weren't previously pregnant or didn't previously see it.

  • Mail brochures and hang posters: Send the My Birth Matters poster (one-sided) or brochure (two-sided) to newly pregnant women and birthing people, hand them out as part of pre-natal packets, and hang them on walls where pregnant people gather.

  • Post to social media: To engage your social media followers on the topic of C-sections, we have pre-written Facebook and Twitter posts -- along with graphics-- that you're welcome to use. You can find them on pages 4 - 5 of our Communications Toolkit. Please use the #MyBirthMatters hashtag.

  • Include in outreach phone calls: Does your team make outreach phone calls to pregnant patients, members, or clients? Page 3 of our Communications Toolkit has talking points that you can add to your scripts.

  • Share via apps: My Birth Matters is integrated into Wildflower's Family Health app. Let your pregnant patients and members know about it, and consider adding it to your organization's app.

JOB OPPORTUNITIES


Job title: Full scope practice in coastal CA, Santa Cruz

Apply at Dignity Health Jobs

APPLY FOR HRSA funding by 3/3


Apply by 3/3 for #HRSA’s federa lfunding available for eligible health professions and #nursing schools. Check your eligibility and apply! Learn more at http://bit.ly/2tzy1Qi

Did you miss the National Academy Webinar: Assessing Health Outcomes by Birth Settings?


You can read the report here.

Register for the CNMA Annual Meeting


Annual Meeting with be held August 28-30, 2020

Early Birth Registration is OPEN

https://www.cnma.org/event-info/cnma-annual-meeting

Hayes Mansion

San Jose, CA


Early Bird Pricing: $250

Tickets to Saturday CNMA Fundraiser: $75

Sunday Brunch: $45


All birth workers are invited to participate. Please reserve your room through Hayes Mansion. They are giving the board, and you the attendees a deal on room rates. Room Reservations: https://book.passkey.com/e/50067013 good through 7/30/2020

Will be offering two days of content, topics include:

  • Transgender healthcare continued

  • Medication Abortion Management updates

  • PreP/PEP evaluation and management

  • Perinatal Mood and Anxiety Disorders

  • Evaluation of Induction Methods and the ARRIVE trial

Sunday 8/30/2020: Me and White Supremacy kick off breakfast. $45, includes breakfast and the workbook and 6 weeks of a closed online group with guidance that will allow us to explore the ways our own biases perpetuate White Supremacy in our own lives, practices and the larger communities we live and work in.


Please email jillcauley4@gmail.com if you have information you'd like to present, skills workshop you'd like to run or are considered an expert on any of the following topics:

  • Reproductive endocrinology

  • Abnormal Uterine bleeding

  • Menopause

  • PCOS management

Thank you and we look forward to serving our midwifery community with an exciting and informational annual meeting!


Jillian Cauley, CNM

Upcoming Events


The inaugural Black Women's Maternal Health Conference will take place in Cedar Rapids, IA on April 17, 2020 during Black Maternal Health Week.


Black Women's Maternal Health Conference - University of Iowa Roy J. and Lucille A. Carver College of Medicine - Continuing Education (CE)

Questions? News? Want to get involved?


Email us at info@cnma.org

That's all for this month's issue. Catch you next time!


-CNMA MEDIA TEAM

Visit us at cnma.org

This newsletter will be archived on our website at cnma.org/news

  • ana.rapoport

Updated: Feb 4

California Nurse-Midwives Association

https://www.cnma.org/news/categories/newsletter

View in Goole Drive


CNMA President’s Call to Action!! 2

CNMA Lobby Day April 15th!! 3

CNMA ANNUAL MEETING SAVE THE DATE 3

CNMA Updated Schedule 2 Course 4

Perinatal Psychiatry Consultation Service - Free to ALL perinatal providers in CA 4

CNMA Free Membership for Midwives of Color 5

Did you miss the talk by Indra Lusero on Midwifery Regulations, Access and Health Equity? 5

We want your input!! 6

Webinar: Promoting Midwifery and High Value Care in Medi-Cal 6

Yale School of Nursing Candidate School for Nurses and Midwives 7

Upcoming Events in the Bay 8

Questions? News? Want to get involved? 9


CNMA President’s Call to Action!!


Over the past year, we have executed a strategic plan to put ourselves in a strong position to sponsor legislation to remove barriers to midwifery care. By far, the biggest barrier that exists to the practice of midwifery in CA is physician supervision, or better termed, 'physician permission to practice.' As all of you are acutely aware, there is national attention on the maternal mortality crisis, especially as it relates to black individuals and individuals from other marginalized communities. Removing 'permission to practice' in California is a real strategy to addressing this crisis. Removing this barrier will improve access, keep CNMs practicing midwifery and not leaving the state or practicing as RNs, ensure CNMs can practice where there is greatest need and not only where they can find supervision. It will also give more birthing people the option of receiving the excellent care of CNMs. We all know that midwifery care improves outcomes by decreasing unnecessary medical interventions and C/S, addressing race-based disparities, decreasing spiraling costs, improving breastfeeding rates and improving patient satisfaction.


CNMA has worked tirelessly to put ourselves in this strong position. We’ve formed strong coalitions, started a foundation, hired a strategist, co-sponsored SB 464 as a first step at addressing Racism, been a strong presence at the Capital, met with the Governor’s office three times, built up our financial coffers, started an initiative to offer free membership for midwives of color and asked ACNM to join our effort, revamped our communications platforms, collaborated with the CHCF and the PBGH. We are also completing a video project highlighting the benefits of nurse-midwives. We now have a newly hired lobbyist, Lighthouse Public Affairs, to assist us with our efforts. We also have a commitment from Black Women for Wellness to co-sponsor our bill. Given all that we have accomplished, each one of you remains the most important influencer on the ground!! Now is the time for all CNMs to ‘Lean In’!


Over the recent past, we have decreased the dues for students and offered a reduced rate for retired CNMs. We will begin offering free membership for a year for CNMs and students of color. I do understand that there are those who feel disenfranchised and even stop practicing as CNMs due to the constraints delineated, but we need everyone in this fight. It is difficult to ask powerful supporters to assist us when our own membership and level of engagement has decreased. As you know, we are an all volunteer organization and we can’t do this without the support of everyone! Please either join CNMA or if you are somehow opposed to full membership, consider going to CNMA.org and make a donation.

We are up against strong opposition, BUT there are currently very powerful organizations that we are engaging with who will be compelling influencers in the legislature. In addition, AB890 (NP bill) is gaining momentum with legislators and we hope to ride that tide!! THE TIME IS NOW. If you feel like your support doesn’t matter and things will never change, you are mistaken!! There is movement toward removal of barriers for all health care providers. This is especially true as it relates to maternal health.


Stay tuned as we fine tune our communications strategy. We will ask all members to be active on social media platforms with messaging to come.


With Gratitude,


Kathleen Belzer

CNMA President.


CNMA Lobby Day April 15th!!


SAVE THE DATE!! Put this year’s Lobby Day in Sacramento on your calendar, we would love to see you there. This is an important year, do not miss out on this! We need your help, and your legislator needs to hear from. Don’t underestimate what your voice means to your legislator. More information and registration link forthcoming. Put it in your calendar now!


CNMA ANNUAL MEETING SAVE THE DATE


Annual Meeting with be held August 28-30, 2020

Registration Opens April 1, 2020


Hayes Mansion

San Jose, CA


All birth workers are invited to participate.

Please reserve your room through Hayes Mansion. They are giving the board, and you the attendees a deal on room rates. Weblink for reservations to be sent out soon.


Here's a link to view the hotel and amenities


Will be offering two days of content, including kicking off a Me and White Supremacy closed work group on Sunday morning, limited to 20 participants.

Agenda for the days to be determined.


Please email jillcauley4@gmail.com if you have information you'd like to present, skills workshop you'd like to run or are considered an expert on any of the following topics:


- Reproductive endocrinology

- Abnormal Uterine bleeding

- Menopause

- PCOS management


Thank you and we look forward to serving our midwifery community with an exciting and informational annual meeting!


Jillian Cauley, CNM


CNMA Updated Schedule 2 Course


The updated Schedule II Drug Course will be available for all California CNMs to take as of 3/1/2020. The course provides the necessary content in relation to Risks of Addiction and Neonatal Abstinence Syndrome to ensure you are in compliance with SB 1109. Thank you for your patience as we worked with the BRN to make this a reality!


Kathleen Belzer, CNMA President.


Perinatal Psychiatry Consultation Service - Free to ALL perinatal providers in CA


Dignity Health piloted a perinatal psychiatry consultation service beginning January 2019 with Dignity Health Medical Foundation group members in California. In late September Dignity Health opened the consultation service to any and all perinatal providers in California.


It is often difficult to find timely referral to a perinatal expert when there is an urgent need. Now you can have free expert advice in a timely manner to address your client’s needs.


Attached, please find more information:

· The Perinatal Psychiatry Consultation Service flyer

· Frequently Asked Questions document




CNMA Free Membership for Midwives of Color


Participation by midwives of color (MOC) in CNMA is vital to the progress of midwifery in California and demands our urgent support. As a small gesture to encourage more MOC to join CNMA, CNMA will be waiving the $200 California affiliate fee for new California members who identify as MOC and join ACNM. CNMA asked ACNM to also support more participation of MOC at the national level via similar financial incentives and they have announced they will be offering scholarships for MOC in joining ACNM. So while new MOC members will still be responsible for a portion of the ACNM national membership fee under this initiative, the California affiliate will waive the entire affiliate fee. This offer will be in effect for all of 2020 and may be extended pending funding. Of note, this offer applies to all MOC newly signing up, so even if you have been a member in the past but your membership has lapsed, this offer applies. Please contact our membership Chair, Emily Carter, at ercarterrn@gmail.com to receive your coupon code. ACNM will grant 50% off, then California will waive the remainder of the affiliate dues with the coupon code.


Did you miss the talk by Indra Lusero on Midwifery Regulations, Access and Health Equity?


On January 15th, the Nurse-Midwives of Zuckerberg San Francisco General, and the UCSF Nurse-Midwifery Education Program hosted a presentation & discussion regarding midwifery regulation, access, and its impact on health equity with Indra Lusero, a Staff Attorney with National Advocates for Pregnant Women and a reproductive justice entrepreneur who founded Elephant Circle, a Birth Justice capacity-building organization, and the Birth Rights Bar Association, a membership association for lawyers working on issues related to childbirth. During their two hour presentation and panel discussion, Indra tied the regulation and control of midwifery in the US to the legacy of racism, particularly anti-Black racism, in the US and the overall desire to control reproductive freedoms for birthing people. Indra presented data and accompanying strategies for linking increased midwifery access to reproductive justice, and laid out some strategies for us to consider in our next legislative cycle. If you would like the link to the presentation, please email advocacy@cnma.org and put INDRA LUSERO in the subject line.


We want your input!!


The newly formed California Nurse-Midwives Foundation wants to hear from you regarding priorities as we get off the ground. Please fill out this survey to make sure we are addressing what is most important to California CNMs. You do not need to be a CNMA member to fill out the survey. Please forward widely.


Please submit no later than February 16th.


https://forms.gle/sHurPxrsY9CEd3w58


Webinar: Promoting Midwifery and High Value Care in Medi-Cal


Increasing midwifery utilization is a key strategy to improve maternal quality, affordability, and the patient experience. Join PBGH on February 10 for a webinar on how health plans can promote access to midwives in Medi-Cal.


https://www.eventbrite.com/e/webinar-promoting-midwifery-high-value-care-in-medi-cal-tickets-88907979159


Is your Job Affected by AB 5?


Hello CNMs of California,


As you may know, AB 5 became law earlier this year. This is what has been called the "gig economy" bill that severely limits the use of independent contractors and requires most independent contractors to become employees of the organization or small business (or hospital, or clinic) if they don't meet certain specific criteria. Physicians were exempted from this bill, but advanced practice nurses were not. We do not yet know the full impact of this on nurse-midwives. We do know, however, that a few nurse-midwives in the central valley have lost their jobs and remain in limbo as the hospital decides if they will become direct hires. We've also heard concerns from some out of hospital CNMs who have small business worries.

We are wondering if you are anyone else you know is affected by this new law at the present time, or potentially affected. If so, we want to talk to you. We would also like to hear from out-of-hospital CNMs as to potential impact, e.g. do you currently utilize W-9 contractors in your practice and what questions and concerns do you have?


We are currently working with a coalition of APRNs, the California Hospital Association, and our lobbyists to determine how we can address this, and hopeful for a 2nd bill to be introduced that would exempt CNMs and other APRNs from this new law. Your responses are needed in order to bolster the argument as to why CNMs should be exempt.


If you'd like to read more on gig economy law, you can do so here and here. You can find out more on the "test" to determine whether an independent contractor must actually be an employee here. You can find the actual bill language here.

We look forward to hearing from you. Please email: advocacy@cnma.org


Holly Smith, CNM

CNMA Health Policy Chair


Yale School of Nursing Candidate School for Nurses and Midwives


Have you thought about running for elected office? Do you have a nurse and/or midwife friend/colleague that has? Mark your calendar for May 27-30, 2020 and be one of the 50 nurses and midwives to attend the Yale Candidate School for Nurses and Midwives!


At Yale School of Nursing, we seek to:


  • Inspire nurses and midwives to run for office, particularly down ballot races

  • Provide training and support to help nurses and midwives who run win

  • Promote a culture within nursing and midwifery where we support our colleagues who enter politics

  • Add to what we know about nurses and midwives in elected office


The Yale Campaign School for Nurses will be:

  • Non-partisan

  • Targeted specifically to nurses and midwives

  • Practical – with advice and information you can use

  • Interactive

  • Focused on state and local races

The agenda will include:

  • Developing a campaign plan

  • Building a campaign team

  • Understanding party politics

  • Creating your narrative

  • Navigating campaign finance and fundraising

  • Interacting with the Media

  • Building a grass-roots network through field organizing

  • Utilizing digital/online organizing

The faculty will include campaign experts and nurses who have run for office.The school will be limited to 50 participants to allow for interactive Q & A with experts. The program will begin Wednesday evening with an opening reception. Thursday and Friday will be long days – just like a campaign! We will conclude Saturday at 5pm. Tuition: $595. Limited scholarships will be available.


Upcoming Events in the Bay


February 10th - Promoting Midwifery & High Value Care in Medi- Cal

12:00pm - 1:00pm PST

Online – Register Today!


February 13th - NSRH Rotations: Liberating Healthcare


April 23- Supporting Trans Birthers In-Person with Trystan Reese


Advancing Reproductive and Sexual Health in Medicaid

  • Overview of the Medicaid Program (January 30, 2020) – Register here

  • Medicaid Eligibility (February 13, 2020) – Register here

  • Reproductive and Sexual Health Services Under Full-Scope Medicaid (February 27, 2020) – Register here

  • Reproductive and Sexual Health Services Through Expanded Medicaid Programs (March 10, 2020) – Register here

  • Barriers to Reproductive and Sexual Health Care (March 24, 2020) – Register here

Questions? News? Want to get involved?

Email us at info@cnma.org


That's all for this month's issue. Catch you next time!


-CNMA MEDIA TEAM

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