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What to expect as SB 1237 moves through the California Legislature

Are you a CNMA member?

Scholarship Opportunity

Vote in the BOD Elections!

NO Budget Cuts for Martin Luther King, Jr. Community Hospital

Birthing Justice Response CA COVID -19

COVID -19 Impact on Health Care Workers

The CNMA store is OPEN!

Job Postings

Questions? News? Want to get involved?




What to expect as SB 1237 moves through the California Legislature


As the Justice and Equity in Maternity Care Act is working its way through the California legislature, here’s an update on what you can expect over the coming months, and more importantly, key points when we’ll be asking you to call and write letters to your representatives about SB-1237 again.


  1. Senate Bill-1237 was introduced in the Senate by Bill Dodd on February 20, 2020.

  2. Committee Hearings in the Senate

  3. Senate Business and Professions Committee passed and referred the bill to the Appropriations Committee on May 18, 2020.

  4. Senate Appropriations Committee sent the bill to the Suspense file on June 9, 2020 (this is the normal process for any bill with any associated cost), then voted to approve on June 18, 2020.

  5. Senate Floor passed the bill on June 26, 2020

  6. The bill now moves to the Assembly.

  7. Committee Hearings in the Assembly

  8. Assembly Business and Professions Committee (We will need you to call and and write to members of the Assembly B&P committee, especially Chairperson Evan Low!)

  9. Assembly Appropriations Committee (We will need you to call and write to members of the Assembly Appropriations committee, especially Chairperson Lorena Gonzalez!)

  10. Floor vote in the Assembly (We will need you to call and write to your assemblyperson!)

  11. If the bill passes the Assembly with amendments, it will go back to the Senate where the amended version of the bill will need to be approved again. (We may need you to call and write to your senator again)

  12. Once both houses have approved the bill, it goes to the governor’s desk to be signed. At this point, the governor can either sign or veto the bill.

  13. If signed, most bills become law effective January 1st the following year.

You can learn more about the legislative process in California here, and about our bill specifically here. And in the meantime, thank you for all of your advocacy and support as we work to remove physician supervision for midwives, and increase access to midwifery care for women in our state!


Are you a CNMA member?

Get 30% off Affiliate Dues for new or renewing membership!!!

CNMA understands that now is a difficult time for many. We want to help ease some of the financial burden of membership by offering you a 30% discount on your affiliate dues if you join or renew your membership until July 31st. Visit ACNMs website, and use the code CNMA30 at checkout. Your support will help us move forward our legislative efforts and continue in our quest to improve maternal health and reduce disparities in the state of California for those that desperately need our care and want more options in childbirth. Membership is free for BIPOC midwives. Use code CA2020.

Scholarship Opportunity

If you are a California-based student midwife or aspiring student midwife and you belong to a group or groups underrepresented in midwifery (BIPOC or LGBTQ or gender non-conforming), you are eligible for a one-time scholarship for you to use in any way you choose to help you towards your education journey. The California Nurse-Midwives Foundation invites you to apply by filling out the quick application and emailing it to info@californianursemidwivesfoundation.org.

Vote in the BOD Elections!

Cast your vote today, deadline to vote is July 25th! Learn more about our candidates here!

NO Budget Cuts for Martin Luther King, Jr. Community Hospital!!!



This is a HUGE shout out to all of you who created a grassroots firestorm and helped avert the closure of MLK Jr Community Hospital in LA. Our advocacy really works and can make the difference!! Your voices are being heard now more than ever. Continue to use those voices to demand justice, to advocate for midwives and the reproductive rights of all people, and to remove physician supervision once and for all!! Thank you everyone!



Birthing Justice Response CA COVID -19

On average, there are over 1000 live births everyday in California, and that hasn't stopped during the COVID-19 epidemic. Advocates, health professionals and doulas are working to re-imagine perinatal care both during COVID-19 and beyond that centers our most vulnerable communities.


As a way to uplift and protect women/birthing people's bodily autonomy, understand the issues that are most impacted, and push for a more just future for all, we want to hear from you. The survey found here is designed to capture the stories of pregnant people as well as people who have recently given birth. Please use the form to share your story, you do not need to provide your name or contact information if you do not feel comfortable and we will not share any identifiable information.


Forward this survey to your clients and patients. We need their voices!!

COVID -19 Impact on Health Care Workers


Scientists from the UC Davis Environmental Health Sciences Center (EHSC) are conducting a research survey on how COVID-19 has impacted workers. If you’ve been working during this


pandemic, are unemployed or are now doing your job remotely, we’d like to invite you to participate in this study:https://is.gd/COVID19WorkerSurvey


The purpose of the study is to better understand how this disaster has affected your job, workplace and home life. EHSC collaborates with unions, agencies and non-profits to help identify the health impacts and unmet needs of communities. What they learn will help employers and policymakers implement changes to ensure workplaces are safer.


This survey averages about 15-20 minutes to complete. All the information collected will be kept confidential and stored on secure servers at UC Davis. This research is funded by the National Institutes of Health and recruiting nationwide. Please share widely! Thank you.


The CNMA store is OPEN!

Support CNMA legislative efforts in style!


www.cnma.org/store















Job Postings


TELEHEALTH PRACTITIONER WITH A FOCUS IN WOMEN'S HEALTH


Job Title: Advanced Practitioner, Telehealth

Job Description: Seeking a part time or full time advanced practitioner with a background in women's health, obstetrics, adult, or family care to join a team of telehealth medical providers. Computer skills required as well as a comprehensive knowledge of women's health issues in the ageing adult. Our practice is expanding across the US and is especially seeking a provider who


is licensed within the NLC who can practice across state lines as a midwife, physician's assistant, or nurse practitioner with a furnishing license. The provider would be responsible for assessing patients via an online intake, evaluating appropriateness of patients for a prescription for medical treatment of menopause, writing initial and recurring prescriptions on a monthly basis, and intermittent monitoring of patients over a customized EHR system. Unique platform with capability of managing high volumes of patients. 20+h/week contractor position, flexible hours, work from home!


Employment Type: Contractor, 15-20h/week

Industry: Telehealth, Medicine, Women's Healthcare Services


About Us: We are a unique and modern asynchronous telehealth medical group working with an EHR-based patient-provider platform with no phone calls or video interfacing providing menopause care to women across the United States. We are based in San Francisco, CA and carry a mostly female team of women and mothers with incredible leadership and energy for patient care.


About you: You are passionate about women's health and expanding access to healthcare for the aging adult female population. You are competent with the internet and online based technologies, including platforms like Google (gmail, google docs), Zoom, Slack, and more, and are able to distance train easily. You are licensed in a pact/ NLC state with an active, unobstructed license to furnish and provide care. Ideally, you have worked with a multitude of EHR services in the past and are well versed in the nuance of email based messaging with patients within the context of an EHR. Female providers with a diverse background who specialize in women's health are preferred.


--------


The County of San Mateo is hiring a Nurse Practitioner


The County of San Mateo is hiring a Nurse Practitioner for the ambulatory OB/Gyn clinics in San Mateo County. We currently have benefitted part time, full time and unbenefitted extra-help positions open.


The ideal candidate would have excellent clinical and communication skills with a desire to provide high quality, evidenced based women’s health care to a low resource population.

License and certification as an FNP or WHNP with furnishing privileges required and a minimum of 2 years recent experience delivering prenatal, postpartum and gynecologic care including

placement of LARC’s, screening and treatment of STI’s, well woman exams, menstrual irregularities.


In addition, CNM or L&D RN experience and Spanish language skills are preferred.

Here is the link to apply.


Email jbirdsong@smcgov.org with a copy of your resume and cover letter.

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: Jun 2

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

https://bit.ly/3gDlRd3




Update on SB1237 - The Equity & Justice in Maternity Care Act

Take Action!!

Annual Meeting Update

Is it time to renew your CNMA Membership??

Blossom Birth And Family Presents

Do you need PPE??

Birthing Justice Response CA COVID -19

CMQCC Needs your Help

Virtual Doula Service

Questions? News? Want to get involved?


Update on SB1237 - The Equity & Justice in Maternity Care Act


SB 1237 PASSED Senate Business & Professions Committee on May 18! Huge thanks to everyone who called in to support our bill and wrote letters of support. There were so many that the operator had trouble keeping up with the amount of calls coming in!


We are thrilled to announce that Senator Holly Mitchell has joined as a co-author of SB-1237! Just as we do, the Senator feels strongly that midwifery access is critical to improving outcomes, equity, and access, and that physician supervision removal is a key first step.


We also have two new co-sponsors of our bill: NARAL Pro-Choice California and United Nurse’s Association of California/Union of Health Care Professionals (UNAC).

Additionally we have a HUGE coalition of support who wrote letters on our behalf, including: Black Women for Wellness (co-sponsor), California Nurse Midwives Association (co-sponsor), United Nurses Associations of California/Union of Health Care Professionals (co-sponsor), NARAL Pro-Choice California (co-sponsor), 2020 Mom, Academy of Lactation Policy and Practice INC, American Association of Birth Centers, American Civil Liberties Union/northern California/southern California/san Diego and Imperial Counties, American College of Nurse-midwives, Association of Women's Health and Neonatal Nursing, Beach Cities Midwifery & Women's Health Care, Best Start Birth Center Black Wellness & Prosperity Center, California Association of Nurse Anesthetists (CANA), California Black Women's Health Project, California Latinas for Reproductive Justice, California Women's Law Center, Center on Reproductive Rights and Justice (CRRJ), Citizens for Choice, Every Neighborhood Partnership, Feminist Majority Foundation, Grow Midwives, Healthimpact, Healthy Children Project, INC, If/when/how: Lawyering for Reproductive Justice, Midwives Alliance North America, Momsrising, National Council of Jewish Women (NCJW) CA, National Council of Jewish Women Los Angeles, National Health Law Program, New Birth Services, Pacific Business Group on Health, The Praxis Project, Training in Early Abortion for Comprehensive Healthcare, Urge: Unite for Reproductive & Gender Equity, and Western Center on Law & Poverty, INC.


What’s Next: The bill will be heard in Senate Appropriations today, June 1. We previously sent out an Action Alert for this, and as a reminder you can find constantly updated information on how you can personally support SB 1237 here.


If we make it out of the Senate Appropriations Committee we will need EVERYONE’S support to pass the Senate Floor (which we expect will occur sometime between June 22-26). Action alerts are coming soon.


You can read the bill here, and see fact sheets and all other information here.


If you have any questions at all, or concerns, please do not hesitate to email advocacy@cnma.org

Take Action!!

CNMA has a new action alert page on our website (www.cnma.org/today) Go here to stay up to date on the latest on our bill and what you can do to support! We will post here when we need letters of support or calls to legislators!

Annual Meeting Update


Fellow midwives,


After much discussion we have decided our annual meeting is being delayed until March 2021. We'll continue to be in touch regarding specific dates. We all decided that we as a midwifery community will really be needing to connect in person and so decided against any virtual conference.


As an organization in the middle of legislative efforts that would normally have been supported by this meeting, we are strongly encouraging you all to donate whatever you can to support the organization financially through this year. We know things are tight for everyone and want to acknowledge your ongoing support.


We look forward to bringing you a fabulous meeting early next year once it's safer for us to convene and give one another hugs!


Jillian, Heide and Elizabeth - Annual Meeting Planning Committee

Is it time to renew your CNMA Membership?? Have a co-worker who need to join?


Use code is CNMA30, and gives 30% off affiliate dues (new or renewing) until 07/31/20!!! We need your support now more than ever!! https://www.midwife.org/Join-ACNM

Blossom Birth And Family Presents


Inviting birthing families, come learn about the spectrum of safe birthing options that are available to you in the Bay Area!


This free monthly information session will provide an opportunity for birthing families in the San Francisco Bay Area to connect with local midwives and learn more about midwifery based options available to them. Blossom is hosting this session in response to the increased

interest in out of hospital (community based) birthing options during the current pandemic.

Kathleen Belzer will be a panelist on June 2nd. If you have specific knowledge in community-based birth, please go to the link below so Californians can hear from CNMs!


For more information and to register, please head to:

https://www.blossombirthandfamily.org/considering-community-birth.html


Facebook Event Page: https://www.facebook.com/events/299847574337651/


For Midwives:

We invite Bay Area Midwives to join our panel, please use this form to sign up for dates that work best for you (also please share this with your community birth clients who might be willing to participate): https://forms.gle/AQ5AeiJHuG9sRfqs7


Blossom Birth and Family based in Palo Alto, CA has been serving the San Francisco Bay Area for over 20 years. Blossom is an independent, community based 501(C)3 non-profit organization with a mission is to connect new and expectant families with services, resources and support for a healthy, informed and confident pregnancy and parenting journey.

https://www.blossombirthandfamily.org/

Do you need PPE??

Blossom Birth and Family has PPE and will continue to work towards gathering more as needed! Please reach out to Mora Oommen at morablossom@gmail.com, or fill out this form so she can gather all the info in one place: https://forms.gle/o9YFTJ3ZutqQXFS99

Birthing Justice Response CA COVID -19

On average, there are over 1000 live births everyday in California, and that hasn't stopped during the COVID-19 epidemic. Advocates, health professionals and doulas are working to re-imagine perinatal care both during COVID-19 and beyond that centers our most vulnerable communities.


As a way to uplift and protect women/birthing people's bodily autonomy, understand the issues that are most impacted, and push for a more just future for all, we want to hear from you. The survey found here is designed to capture the stories of pregnant people as well as people who have recently given birth. Please use the form to share your story, you do not need to provide your name or contact information if you do not feel comfortable and we will not share any identifiable information.

CMQCC Needs your Help


AMR project from CDPH—an in-depth review of maternal deaths due to hemorrhage, starting with 2014 cases through 2018. We are in need of a nurse-midwife to complete our committee and thought you would be the best person to direct us to possible candidates. We are interested to see what opportunities for improvement can be identified in these cases, since they capture the time frame before and after statewide implementation of hemorrhage bundles. We expect to have about 50 cases to review in the years 2014-2018, and 8-10 reviewers from across California. We plan a total of 3 review meetings (zoom or in-person) beginning in July or August, with the first meeting an orientation/brainstorm to ensure we are collecting data that can address our research questions. (These plans are subject to COVID-related developments). Travel expenses associated with CA-PAMR meetings will be reimbursed but there is no other remuneration.


Contact Christine H. Morton, PhD if interested: cmorton@stanford.edu | 650-995-4550

Virtual Doula Service


We know that these are uncertain and frightening times for expectant mothers. In spite of this, women can still have their support team with them during birth, even given the visitor restrictions currently in place. Because birth is not a time when anyone should feel isolated or unprepared, some birth workers who are passionate about supporting families virtually have decided to step up to fill the gap and help birthing people get the preparation and support they need. Karma Brazell, a childbirth educator with 30 years of experience, decided to start up Birth Class Anywhere and is offering low-cost, live, online childbirth classes. Christine Torres, an experienced doula, has decided to take her services virtual as well. Through private virtual coaching, New Birth Services can offer professional level, guided support that will help empower women and their partners as they navigate the process of giving birth in the midst of a pandemic. We know that a lockdown wasn’t part of anyone's birth plan, but that doesn’t mean that women should have to go through this without the necessary support.


For more information, please see the links below:

https://www.instagram.com/birthclassanywhere/

www.newbirthserices.com

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


  • 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