CNMA Newsletter | August 2022

Welcome to National Breastfeeding Month!

August is National Breastfeeding Month, and as you know, midwifery care is associated with improved outcomes, including increased breastfeeding rates. As an IBCLC, helping nursing parents to meet their infant feeding goals is something that’s always been a high priority for me. Just like all we do to support families in midwifery, it’s about helping them define what success looks like for themselves, and then helping them get there. Whether you are supporting your patients or clients to breastfeed or chest feed, whether they’re exclusive pumping or combo feeding, we’re here to support them. And that is worth celebrating. To all my midwives out there, Happy National Breastfeeding Month!

As always, I’m available by email at parisbury@gmail.com and by text at (805) 415-2553.

In the spirit of service,

Paris Maloof-Bury, CNM, IBCLC

President, California Nurse-Midwives Association

CNMA Upcoming Election

The CNMA annual election is coming soon, where you will have the opportunity to vote on proposed updates to the CNMA Bylaws, and to elect incoming Board Members. But first we need some candidates! If you’re interested in joining our highly productive team (and bulking up your CV in the process), now’s the time to jump in! Thinking about running, but not sure you’ve got what it takes? We’re committed to mentoring new board members in their role and setting you up for success. The following offices are up for election this Summer: President, Representative from an Under-Represented Group, Reproductive Justice & Anti-Racism Chair, Southern California Representative, and Treasurer. Please email Paris Maloof-Bury or Alison Young by August 15, 2022 if you are interested in running.

Board of Directors: Call for Nominations

President

The role of President is usually preceded by a year of onboarding as President-Elect. However, due to an unprecedented withdrawal of two consecutive midwives having to withdraw consecutively from their commitment to serve in this role, we are accepting nominations for President. The role will include two years serving as President, followed by one year as Immediate Past President, during which time they will serve as a resource and mentor to the new President.

1. Voting member of the Board.

2. Preside at all Board meetings.

3. Preside at all Affiliate meetings with proper notification to members of meetings and agendas.

4. Appoint standing committee and task force Chairpersons.

5. Designate and appoint Affiliate representatives to State external organizations.

6. Coordinate communications between the Affiliate, the Regional Representative, and ACNM.

7. Declare election results and communicate those results to the Regional Representative and to ACNM.

8. The President, in consultation with the Treasurer, is empowered to jointly approve expenditures under and up to a predetermined amount in accordance with the Standard Rules and Operating Procedures developed by the Board of Directors.

9. Attend monthly virtual Board meetings.

Representative from Under-Represented Group

1. Voting member of the Board.

2. Attend monthly virtual Board meetings.

3. Acts as liaison and represents the interests of a community under-represented in midwifery and/or on the CNMA Board

4. Two year term, may serve up to two consecutive terms.

Reproductive Justice & Anti-Racism Chair

1. Voting member of the Board.

2. Attend monthly virtual Board meetings.

3. Responsible for guiding CNMA in our aim to become an organization committed to the reproductive-justice framework and to become and anti-racist organization.

4. Acts as liaison between the Board and the Reproductive Justice Anti-Racism Committee.

5. Chairs and directs the activities of the Reproductive Justice & Anti-Racism Committee

6. Two year term, may serve up to two consecutive terms.

Southern California Representative

1. Voting member of the Board.

2. Attend monthly virtual Board meetings.

3. Develop relationships with the members of the region.

4. Establish two-way communication with regional chapter chairs and members to update them on affiliate issues; and bring chapters’ and members’ issues, comments, needs, and requests from regional members to the Board.

5. Should attend their own chapter meetings.

6. Help lead and organize in-district visits and advocacy efforts.

7. Stay involved and participate in events in their region as a representative of CNMA.

8. Two year term, may serve up to two consecutive terms.

Treasurer

1. Perform all duties commonly incident to and vested in the office of Treasurer of a corporation, as well as all duties delegated by the President, including, but not limited to the administration of the fiscal and financial policies of the Affiliate.

2. Supervise the maintenance of accurate corporate books.

3. Act as custodian of the funds of the Affiliate and as signatory to the Corporation’s bank account in order to issue the checks and drafts of the Corporation as directed by the Board.

4. Present itemized financial reports at each meeting of the Affiliate.

5. Maintain a list of members with ACNM and Affiliate dues currently paid.

6. The Treasurer, in consultation with the President, is empowered to jointly approve expenditures under and up to a predetermined amount in accordance with the Standard Rules and Operating Procedures developed by the Board of Directors.

Proposed Updates to CNMA Bylaws

The following proposed updates to the bylaws will be voted on in the upcoming election:

Article III. Membership and Privileges, Section B. Classification, Qualifications and Privileges of Members, subsection 1. shall be amended to include the new classification of Active Retired Members in alignment with the ACNM updated bylaws, as follows:

Active and Active Retired members (as defined by ACNM) in the Affiliate may make motions, vote and hold office.

Article III. Membership and Privileges, Section E. Membership Dues, subsection 5. shall be amended to define membership dues for Active Retired Members in alignment with the ACNM updated bylaws, as follows:

Active Retired membership (as defined by ACNM) dues shall be in the amount of $50.

Article VI. Board of Directors, Section E. Terms of Office of the Voting Members of the Board of Directors, subsection 1. shall be amended to extend the terms of offices to include an additional year as “Immediate Past”member to allow mentorship of incoming board members. The language would be updated as follows:

All members of the Board of Directors shall be elected to serve a term of 2 years in voting capacity, plus one year as “Immediate Past” member (i.e., Immediate Past Northern California Representative”). Each member shall serve in voting capacity until their term is completed or a successor is elected and assumes Office. Once their successor has assumed office, each member will transition to the role of “Immediate Past” member, and serve to mentor the incoming member, offer support and guidance, serve as a source of continuity, and ensure historical context for important issues pertaining to their role.

California Health Policy and Professional Practice

CNMA is continuing to make progress with our 2022 legislative agenda. For more information, go to www.CNMA.org/advocacy for legislative updates.

Does your practice need help with policies and protocols now that physician supervision is no longer required by law? CNMA is here to help! Email advocacy@cnma.org with your questions or to set up a meeting with our team.

Volunteer Opportunities

AMCB Research Committee

The AMCB Research Committee is a diverse group of subject matter experts (CMs & CNMs) who represent midwives of different races, ethnicities, genders, practice settings, clinical experiences, locations, etc. The committee conducts a task analysis survey of newly certified CNMs/CMs to ensure that the national certification examination reflects current entry-level midwifery practice. This committee is also responsible for conducting internal research relevant to the mission of the corporation and approving external research projects. For more information, please click here. To be considered for a position on the Research Committee, please submit your CV or resume, two references, Consent to Serve, Confidentiality Affidavit, and Conflict of Interest to Lori Havens, Manager of Data and Research, by August 15, 2022.

AWHONN Post-Birth Warning Signs Save Your Life Handout Patient Evaluations Research Call for Applicants

Would you like to collaborate with AWHONN on a research study to seek input from the patient’s perspective and feedback about the Save Your Life handout and its benefits as a resource for discharge education? We are looking for a Principal Investigator (PI) and Co-Investigator (Co-I). The timeline for this project is approximately 10 months which includes: onboarding, identification, recruitment of patients and possible revision of the AWHONN PBWS SYL Handout. Apply by August 19, 2022.

ACNM Midwives-Political Action Committee (PAC) Student Representatives

ACNM is actively recruiting for two ACNM Midwives-Political Action Committee (PAC) student representatives! PAC is the fundraising arm of ACNM legislative efforts. Fundraising money is used primarily as campaign donations to targeted legislators - those who have historically supported midwifery and women's health initiatives. As a PAC student rep, you would be an integral part of this fundraising team. This position is a great way to network with midwives throughout the US and can be a perfect (and easy!) component of your leadership development and understanding of midwifery-relevant policy. For more information, please contact Caitlin Mayhew.

ACNM Foundation Board of Trustees

The A.C.N.M. Foundation Board of Trustees is seeking new mission-oriented board candidates who will enhance board expertise in areas that advance our strategic priorities and who reflect the diversity of the ACNM membership. Read the full announcement on Bulletin Board!

Scholarships, Fellowships, and Grants

CNMF Back to School Scholarships for Student Midwives

California Student Midwives are our first priority. We would like to get funding into your hands to support the success of your education and help you thrive during your program. CNMF invests in the diversification of midwifery care and understands that the barriers to completing your program are unique to you. CNMF prioritizes communities historically excluded from midwifery in our funding (BIPOC, LGBTQ+). We encourage you to use our simple one page application to request funds! Our funding averages to $500 per student. If additional funding is needed, we will consider it on an individual basis. Apply now!

Birth Justice Rapid Response Fund

The National Birth Equity Collaborative (NBEC), in partnership with The Praxis Project, SisterSong, Groundswell Fund, and Ms. Foundation for Women, announced the launch of a multi-million dollar Birth Justice Rapid Response Fund (Birth Justice RRF), with funding from the Robert Wood Johnson Foundation. The intent of the fund is to provide organizations with financial resources to support community power building and promote birth justice efforts in Black, Indigenous, and People of Color (BIPOC) communities including Black, Brown, Indigenous, Latine/x, Asian-American/Pacific Islander (AAPI)); transgender, gender-nonconforming, nonbinary, and queer people of color; low-income women of color; and/or low-income transgender, gender-nonconforming, nonbinary, and queer people of color. The Birth Justice RRF will launch in three waves with the first beginning in summer 2022. The fund will award a total of $500,000 in each wave, with individual awards up to $50,000. Click here to learn more about this funding opportunity and application requirements.

2022 Wayachi Seed Grant ($5,000) - for BIPOC/People of Color Applicants

Wayachi Seed Grant project proposals must have a primary focus on meeting the direct needs of Black, Indigenous, and People of Color (BIPOC). BIPOC applicants from diverse backgrounds are encouraged to apply, including midwives, students, retirees, community groups, advocates, and other health professionals who work with under-resourced BIPOC communities. Applications are due by October 9th, 2022.

Education, Trainings, and Webinars

CNMA Abortion Workshop

Save the date! CNMA will be offering an abortion workshop the day BEFORE the annual meeting on Saturday, November 5, 2022. More information coming soon!

CNMA Annual Meeting

This year’s annual meeting will be held at the iconic Madonna Inn in San Luis Obispo on Sunday, November 6, 2022, 7:30 am - 5:30pm. Both in person and virtual options available.

Current topics include Advanced Practice Nurses in Abortion Care, Environmental influences on the developing fetus, Outpatient Induction, and Maneuvers for Vaginal Breech delivery.

• 8 CEs provided

• Breakfast and Lunch provided

• Evening dance party!

• Vaccinated hugs!

Come join us, vaccinated and masked, for a day of camaraderie, learning, and being together in solidarity as we learn, network and grow as providers.

Visit cnma.org/2022 for registration and more information about the meeting.

And…Print and post the Annual Meeting Flier HERE!

Respectful Maternity Care Research Study

Respectful Maternity Care (RMC) is a critical element needed to improve the quality of care and reduce maternal morbidity and mortality. AWHONN’s Respectful Maternity Care Program, developed by a team of expert nurse scientists and clinicians, is designed to provide health care professionals in maternity settings with the tools necessary to integrate respectful maternity care into their area of work or influence. We are seeking 10-12 obstetric clinical sites across the country to collaborate with AWHONN on a study including the adoption of the Respectful Maternity Program to measure nurse and patient perceptions of change. Please join us on August 2 at 11 AM PST for an informational session presented by Catherine M. Hill, MSN, APRN, FNP-BC. No nursing contact hours are available for this informational webinar. The webinar will be recorded for those unable to attend.

Medi-Cal for Midwives, with Tesa Kurin, LM

This weekly series will cover everything you need to know to get started as a Medi-Cal professional: The application process, business requirements, documentation, and more. You will get step by step guides to filling out billing forms for professional services and facility claims, including access to the billing code list most commonly used in Midwifery care and how to bill transfers. You’ll gain access to templates for LOAs, referrals, letters for clients and more. I'm going to share with you all my "learned the hard way" lessons and how I run my clinic model. I will share how my practice is doing financially with this payment method, what I would do again and what I would change. Need your billing back end set up? We have the perfect solution for you. In less than 24 hours we can set up your back up billing on client care. You will be able to create claims in less than 5 minutes, saving time and money. Every week we will end with a 30 min Q & A session. Every registered practice will receive a 1-hour complimentary private session to discuss your practice needs, concerns, and struggles. Wednesdays from 6:30-8:30 PST, August 3, 2022 - August 31, 2022.

Register here.

Take Ten Steps Up for Breastfeeding

On August 3, 2022 from 8:00 - 9:30 AM, please join the Global Breastfeeding Collective at a webinar about the Ten Steps to Breastfeeding to celebrate World Breastfeeding Week. At the event, you will learn about tools and resources to help adopt baby-friendly, evidence-based practices to support breastfeeding in health systems, and be inspired by stories about the Ten Steps in action.

Register here.

Enhanced Lactation Support for Small and Nutritionally At-Risk Infants

Immediately following Take Ten Steps Up for Breastfeeding, the MAMI Global Network (Management of small & nutritionally At-risk Infants under six months & their Mothers), and the Infant Feeding in Emergencies (IFE) Core Group will share two more steps you can take to save lives: Enhanced Lactation Support for Small and Nutritionally At Risk infants <6mo: Learn more about the MAMI Care Pathway and 10 Years of Progress: Protecting the Diets of Infants and Young Children in Emergencies. August 3, 2022, 9:30-10:00 AM PST.

Register here.

The Time is Now: Ensuring Reproductive Health Access, Justice and Equity Beyond Roe v. Wade

Please join the Los Angeles County Women’s Health Equity Coalition for our summer webinar on sexual and reproductive health, including abortion. The Supreme Court of the United States has reversed 50 years of legal precedent and eliminated the Constitutional right to abortion care. Overnight, millions of people in states hostile to reproductive health services lost access to abortion care and California could see an almost 3,000% increase in people driving to our state to access abortion services. Given that Los Angeles County is a major metropolitan transportation hub, it is highly anticipated that people from across the country will come to Los Angeles to obtain the abortion care and other reproductive health services they will not be able to access in their home states or counties. The time is NOW. We must prepare and ensure that reproductive health care and abortion services in Los Angeles County becomes equitably accessible for all. Register today! Who Should Attend: Reproductive health stakeholders, funders, community-based organizations, advocates, legislative staff, health care providers and other health professionals, and community health workers. Aug 4, 2022 09:30 AM - 12:30 PM.

Register here.

Black Women For Wellness Reproductive Justice Conference

Join us from August 5th- August 19th virtually for Black Reproductive Justice Month. There will be a series of workshops, conversations, panels, and in-person events as we explore ways to broaden best practices addressing maternal health, environmental justice, public policy, and reproductive health in the Black community. This year due to a generous sponsorship donation we are able to host the conference for free and all attendees can receive up to 15 CHES credits. Learn more and register here!

The 'Perfect' Baby?: The Dangers of Gene Editing in Assisted Reproduction

Gene editing technology like CRISPR may have potential to treat diseases, but does editing future generations go too far? Join renowned bioethicist Françoise Baylis, reproductive justice activist Nourbese Flint, and disability rights scholar and activist Karen Nakamura on Tuesday, August 9, 2022 from 10am to 11am PT for a conversation about the societal and ethical implications of human gene editing in the context of assisted reproductive technology. This free, online discussion will be moderated by Osagie Obasogie, professor of law and bioethics at UC Berkeley. You'll also hear from Meghna Mukherjee and Nairi Shirinian, the authors of the recently published report, "Engineering for Perfection: The False Promises of Gene Editing in Assisted Reproduction".

Register here.

Intrapartum Guidelines for Nurse-Midwives

Intrapartum clinical practice guidelines for midwives can improve the quality of care and patient outcomes. Such improvements, however, often relate to the level of rigor in guideline development, to assure quality and utilize the most recent and best evidence. This presentation will explore the process of appraising guidelines and guideline development. At the conclusion of this session, participants will be able to: state the importance of clinical guidelines, understand the process of appraising guidelines, and know how to develop a guideline. Wednesday, August 10, 2022, 4-5 PM PST. 1 CE. $14.99 (Students), $24.99 (Members), $29.99 (Student Non-Members), $49.99 (Non-Members).

Learn More. Register Here.

Pelvic Health Physical Therapy in Preconception, Pregnancy, and Postpartum

What is pelvic health physical therapy and how can it help my patients? Pelvic health physical therapy can be beneficial for those patients who have diagnosed dysfunction of the pelvis, but it can also be helpful for individuals without dysfunction or pain, trying to stay active and be informed about their bodies. At the end of this presentation, attendees will have a further understanding of pelvic health physical therapy and the common treatments and benefits for patients; preconception, during pregnancy, and postpartum. At the conclusion of this presentation, participants will be able to: describe what pelvic health physical therapy is and why it is important to see a specialist instead of just taking care of it on your own; screen a patient for pelvic floor dysfunction, so that they understand one component of determining when a patient is appropriate for pelvic health physical therapy; describe how pelvic health physical therapy can benefit patients pre-conception, during pregnancy, and postpartum; and understand what a treatment plan looks like for pelvic health physical therapy. Wednesday, August 17, 2022, 4-5 PM PST. 1 CE. $14.99 (Students), $24.99 (Members), $29.99 (Student Non-Members), $49.99 (Non-Members).

Learn more. Register here.

Sexuality: Creating A Safe Space for our Patients

Patients who have a history of ongoing pelvic pain, dyspareunia, vaginismus, or have experienced some degree of sexual trauma are often disassociated from their bodies. They come into appointments often emotionally afraid, physically guarded and potentially resistant to internal exams. This webinar will explore ways to decrease patient anxiety and provide ways midwives can help patients be present in their bodies. It will also give participants some tools in helping patients navigate sexual challenges in general. At the conclusion of this presentation, participants will be able to: understand the psychosocial profile of a sexual trauma survivor, demonstrate the essential components in creating a "climate of safety" before an internal exam, outline the five stages of emotions and how to work with flashbacks and disassociation, list ways to help sexual trauma survivors be fully present and embodied during an exam, describe common sexual challenges patients experience and ways of navigating these challenges, relate how our own comfort level with the topic of sexuality can impact our effectiveness and ability to create safety for the patient, and explore ways midwives can refresh and re-energize themselves after working with patients with a history of sexual trauma. Wednesday, August 31, 2022, 4-5 PM PST. 1 CE. $14.99 (Students), $24.99 (Members), $29.99 (Student Non-Members), $49.99 (Non-Members).

Learn more. Register here.

68th ACNM Annual Meeting and Exhibition Call for Abstracts

The American College of Nurse-Midwives (ACNM) Annual Meeting & Exhibition is the premier opportunity for midwives, students, and other women’s health care providers to polish professional and clinical skills. Submissions for general abstracts are now open! Abstracts are invited that demonstrate a link to the theme “Reimagine and Rebuild – Midwifery Insights for the Future of Healthcare.” We welcome submissions that describe innovative approaches to clinical, professional, business, leadership, and education issues in midwifery.

Apply by September 7.

Maternal Mental Health Web-Based Certificate Training

Together with Postpartum Support International, 2020 Mom has developed a Maternal Mental Health Certificate Training for Mental Health and Clinical Professionals. Classes kick off on September 12th. Clinicians are invited to this online MMH training course, which includes eight live sessions, small group discussions, supplemental reading materials, 16 continuing education credits (where applicable), and a certificate of completion. All classes are live from 10am-12pm PT, on Mondays. All presentations are recorded and available to registered participants.

Learn more and register.

2022 AABC Birth Institute

Join us in San Diego, California for the 2022 AABC Birth Institute: Birth Centers Rising on the Tides of Change, September 15-18, 2022. The AABC Birth Institute is the gathering place for freestanding birth centers, alongside midwifery units, midwives, doulas, physicians, entrepreneurs, and all others dedicated to expanding equitable, evidence-based care in all communities. This year’s keynote speakers include Kayden X Coleman (AKA Papa Seahorse), Jennie Joseph, LM, CPM, RM (UK), Dr. Heather Clarke DNP, CNM, APRN, LM, FACNM, and Diana Jolles, PhD CNM, FACNM. This year the AABC Birth Institute offers even more opportunities for networking. This is an opportunity to meet with your peers and discuss important issues you're facing. This year the focus of the meeting is staffing and retention of providers, clinical and non-clinical staff.

Learn more here.

ACNM Midwifery Works! Call for Abstracts

ACNM invites you to submit an abstract for Midwifery Works! The Midwifery Works! Meeting will be held at the Hilton Lake Las Vegas Resort & Spa in Henderson, NV, October 6-9, 2022. Midwifery Works! is a major professional development conference produced by ACNM and designed by the Midwifery Business Network. This highly affordable conference is focused on helping midwives acquire and enhance their management skills. This meeting inspires Midwifery professionals to dive deeper into the skills you need for a successful and impactful midwifery career. Click here to submit your session abstract!

7th Edition of the TEACH Abortion Training Curriculum

The 7th Edition of the TEACH Abortion Training Curriculum is now available for free or donation on the TEACH website. This curriculum is the result of the collective work of many people. We are deeply grateful for every contribution. Every individual that shared their comments and critiques shaped and transformed this curriculum into the version we present to you today. In this Edition, we have focused on:

• Integrating reproductive justice principles throughout the chapters and exercises

• Exercises and tools to guide trainers and learners on self-reflection of their identities and how these many impact the learning climate, patient care, and clinical environment

• Telemedicine MAB implementation, evidence, and processes

• Self-managed abortion, particularly self-managed medication abortion

• Updates on pain management for people who use opioids

• Updates on pregnancy of unknown location

• Updates on new contraception options

• Policy and legal considerations for a changing landscape

Comprehensive Newborn Care Guide for Midwives

The Comprehensive Newborn Assessment Course for Midwives will walk you through the physical examination from head to toe. You’ll learn how much we can discover just by looking at a baby. We will talk about common client educational topics and routine newborn screenings, as well as the business side of newborn care like policies, billing, and consents.With lifetime access to over 20 hours of content and resources, whether you are a newer midwife or well seasoned in your services, this course is the perfect educational opportunity for you to keep newborn babies healthy in the days and weeks after they are born! Register here.

COVID Care Tips for Midwives

This course contains over 5hrs of videos, content, policies, guidelines, and resources to care for mothers and babies in your midwifery practice. We have two amazing instructors that joined forces to make this course available to everyone: Rhanishia Smith, FNP & Dr. Jill Chasse, PhD, DrPH, IMD, MSpsy, CCTS-P. Register here.

To view previously listed educational opportunities, please visit our website at https://www.cnma.org/courses.

Job Opportunities

Kaiser Napa Solano

The Certified Nurse Midwives of Kaiser Napa Solano have the opportunity to expand our service by hiring an experienced midwife into a hospitalist Per Diem position. Our practice is honored to care for birthing people and families from diverse socioeconomic, cultural and ethnic backgrounds. We attend births at the Kaiser Hospitals in both Vallejo and Vacaville. Vallejo is one of the most diverse cities in California, and we serve a large Medi-Cal population. The midwifery group also provides prenatal care, postpartum visits, and Centering Pregnancy in Vallejo, Vacaville, Fairfield and Napa. We are a close and supportive group and are fortunate to have excellent working relationships with our physician and nursing colleagues. Kaiser is committed to creating a culture of inclusion and a diverse workforce. Please reach out to Anne Vosler, CNM at Anne.T.Vosler@kp.org if you want to learn more, and thank you for considering! Kaiser jobs website: Working at Kaiser Permanente - Kaiser Permanente (kaiserpermanentejobs.org) Search for Kaiser Permanente Job Code: 1079604.

Mission Bernal Women’s Clinic (Sutter Health, CPMC)

The Mission Bernal Women's Clinic is posting for both a full time and a per diem CNM position. We are looking for full scope CNM coverage including gyn care, abortion care, prenatal services and centering-style prenatal groups. The Mission Bernal Women's Clinic (Sutter Health, CPMC) is a long-standing collaborative practice of midwives and OBGYNs located in the Mission District of San Francisco with 24-7 midwifery services. In-patient services are located at the CPMC Van Ness Campus, which is a high-risk center that includes MFM services and a Level 3 NICU. The hospital offers extensive patient education resources through our Newborn Connections program and is in the process of obtaining Baby Friendly Designation. We serve a diverse patient population that includes many monolingual Spanish speaking patients. We are looking for two midwives to join our wonderful and close-knit midwife/OBGYN team. Apply here and here.

Medi-Cal Rx

The Medi-Cal Rx Monthly Bulletin for July is available. The monthly bulletin consists of alerts and notices posted to the Bulletins & News page on the Medi-Cal Rx Web Portal. Sign up for the Medi-Cal Rx Subscription Service to be notified when new information is posted. Additional information is available below:

• Electronic Claims Agreement – Submission Deadline Extended

• Update: Implementation of Phase I, Wave III – Reinstatement of Prior Authorizations for 11 Drug Classes

• Inappropriate Treatment Delays and Denials for HIV PrEP and PEP

• Two-Week Reminder: Electronic Claims Agreement – Submission Deadline Extended to July 31, 2022

• One-Week Countdown – Reinstatement of Reject Code 88

• Prescriber Advantages of Using CoverMyMeds® for Medi-Cal Rx Prior Authorization Requests

• Update: Postponement of Implementation of NCPDP Reject Code 80

• Changes to Medical Supplies Reimbursement Methodology, Effective July 1, 2022

• Second Booster Dose for Targeted Populations

• Medi-Cal Rx Training Catalog

• Now Active – Reinstatement of Reject Code 88

Midwife Crush Mondays!

Do you know an amazing Midwife who is doing revolutionary work? We want to feature them on our social media platforms!

CNMA is looking for submissions for our new social media series “Midwife Crush Monday” where we highlight the stories of trailblazing midwives across the industry who are making a difference in the midwifery profession. You can even submit yourself!

Here’s what we’re looking for:

• Midwife’s name (include pronouns)

• Affiliated organization(s)

• Why you became a midwife (and anything awesome you’d like to brag about)

• Headshot/Photo if available

• Bonus: Please include social media handles for tagging!

Please send submissions to sm@cnma.org for consideration!

CNMA Newsletter: June 2022

Message from the President

Hello and welcome to our CNMA monthly Newsletter!

As always, we’ve included plenty of information on the latest job opportunities and continuing education. But this month’s newsletter also includes several calls to action. As you know, we’ve been making tremendous progress in our state, and the momentum is powerful!

There has never been a more exciting time to be a midwife in California, with so many opportunities not only to practice with autonomy and integrity, and also to shape and grow reproductive and maternity healthcare for millions of people in our state. How will you contribute to this progress? What is your calling?

For some of you, perhaps it’s time to step up and join the leadership of CNMA; election season is almost here, and now is the time to throw your hat in the ring! Or maybe now’s the time to finally open up your practice to students–perhaps a little financial incentive will help you to make that leap possible! Or maybe you’re super proud about the innovative work you’re doing and want to share it with the rest of us at the CNMA Annual Meeting in November–and we want to learn from you! If any of these opportunities speak to you, keep reading–there are more details below. And if that’s not enough, hopefully the exciting updates on the California Prenatal Screening Program will make the newsletter worth the read.

As always, I’m available by email at parisbury@gmail.com and by text at (805) 415-2553.

In the spirit of service,

Paris Maloof-Bury, CNM, IBCLC

President, California Nurse-Midwives Association

CNMA Board of Directors: Call for Nominations

The CNMA annual election is coming soon, but first we need some candidates! If you’re interested in joining our highly productive team (and bulking up your CV in the process), now’s the time to jump in! Thinking about running, but not sure you’ve got what it takes? We’re committed to mentoring new board members in their role and setting you up for success. The following offices are up for election this Summer: Representative from an Under-Represented Group, Reproductive Justice & Anti-Racism Chair, Southern California Representative, and Treasurer. Please email Paris Maloof-Bury or Alison Young if you are interested in running.

Representative from Under-Represented Group

1. Voting member of the Board.

2. Attend monthly virtual Board meetings.

3. Acts as liaison and represents the interests of a community under-represented in midwifery and/or on the CNMA Board

4. Two year term, may serve up to two consecutive terms.

Reproductive Justice & Anti-Racism Chair

1. Voting member of the Board.

2. Attend monthly virtual Board meetings.

3. Responsible for guiding CNMA in our aim to become an organization committed to the reproductive-justice framework and to become and anti-racist organization.

4. Acts as liaison between the Board and the Reproductive Justice Anti-Racism Committee.

5. Chairs and directs the activities of the Reproductive Justice & Anti-Racism Committee

6. Two year term, may serve up to two consecutive terms.

Southern California Representative

1. Voting member of the Board.

2. Attend monthly virtual Board meetings.

3. Develop relationships with the members of the region.

4. Establish two-way communication with regional chapter chairs and members to update them on affiliate issues; and bring chapters’ and members’ issues, comments, needs, and requests from regional members to the Board.

5. Should attend their own chapter meetings.

6. Help lead and organize in-district visits and advocacy efforts.

7. Stay involved and participate in events in their region as a representative of CNMA.

8. Two year term, may serve up to two consecutive terms.

Treasurer

1. Perform all duties commonly incident to and vested in the office of Treasurer of a corporation, as well as all duties delegated by the President, including, but not limited to the administration of the fiscal and financial policies of the Affiliate.

2. Supervise the maintenance of accurate corporate books.

3. Act as custodian of the funds of the Affiliate and as signatory to the Corporation’s bank account in order to issue the checks and drafts of the Corporation as directed by the Board.

4. Present itemized financial reports at each meeting of the Affiliate.

5. Maintain a list of members with ACNM and Affiliate dues currently paid.

6. The Treasurer, in consultation with the President, is empowered to jointly approve expenditures under and up to a predetermined amount in accordance with the Standard Rules and Operating Procedures developed by the Board of Directors.

California Health Policy

Legislative Updates

The last week of May was the final week to move bills off of the Assembly Floor and we have great news! Our bill – AB 2529 (Davies/Calderon), the bill that would make midwifery education programs eligible to apply for state funding like NPs, PAs, RNs, and physicians already have access to through the Song Brown Act – passed the Assembly Floor with zero "no" votes! That means this bill has bipartisan support and is now moving onto the Senate! Thanks for all the support and calls thus far and, as always, you can stay updated at www.cnma.org/advocacy. In addition, all 13 Future of Abortion (FAB) Council Bills continue to move through the Legislature. Find out more about these bills at www.CaFABCouncil.org

The California Budget

The Governor's revised budget, called the "May Revise," has been released and we continue to be encouraged that the CNM Medi-Cal provider rate reductions that were enacted by AB 97 will be reversed, and that the Midwifery Workforce Training Act will also be funded. The Budget must be passed by June 15, and we will keep you updated via the www.cnma.org/advocacy page. You can find the Governor's May Revise here.

Midwifery Integration and SB 1237:

Please contact advocacy@cnma.org if you or your practice needs any help revising your policies and protocols to reflect the changes in nurse-midwifery scope of practice that occured due to SB 1237, the bill that removed physician supervision in 2020. The CNMA Health Policy team is ready to meet with you one-on-one to ensure your policies and protocols give the CNMs at your practice the ability to practice to the full extent of the law.

Martin Luther King Community Hospital in LA at risk of closing maternity services!

CNMA recently learned that MLK Community Hospital is at risk of losing their maternity services at the end of July! Their FQHC partner simply cannot afford the losses they’re incurring any longer, and will no longer be able to provide OB and midwifery services there. However, CNMA is supporting a bill – AB 2426 – that would direct funding and resources to MLK Community Hospital, and to community based care, and also offset their current losses. We’ve been told that the passage of this bill would ensure that maternity services at MLK continue. We’re happy to report that this bill passed the Assembly last week and is now moving onto the Senate! You can find out more here.

Those of you in the LA area know that MLK is an important safety net hospital and medical home for thousands of residents who otherwise couldn’t access care. Their maternity program is a shining light, not just in the LA area, but throughout California. Their patient-centered, community-focused approach with an integrated physician and midwife practice provides 24/7 care and has led them to deliver one of the lowest cesarean rates in the state (sometimes the very lowest), and they continue to lead by example on how to reduce racial disparities in birth outcomes. It would be a HUGE loss to the community if maternity services were discontinued.

We know many of you were very involved when maternity services at MLK were near closure back in 2020; but with successful community mobilization, it was saved. CNMA will keep everyone up to date on what is happening with this bill and community organizing around this issue at cnma.org/advocacy. Please reach out to advocacy@cnma.org with questions.

Midwifery Workforce Development and Educational Support

Funding Available for New Preceptors and Clinical Sites!

California has a midwifery workforce shortage, and they only way to grow more midwives is to open up more clinical placement sites. The California Nurse-Midwives Foundation recognizes that this often comes at a cost, whether accepting students as an individual preceptor or advocating to allow for precepting at your institution. We partnered with Anthem and currently have funding available to support precepting and mentoring. These efforts will target under-represented individuals in the profession of midwifery. This grant was earmarked for those in distance-learning programs, but we know that opening up preceptor sites ultimately helps all students in all programs, and more importantly, the communities we serve. We prioritize funding preceptors who identify as Black, Indigenous, and People of Color. Our students and the communities we serve urgently need your assistance. This is a pilot and further funding may become available. If you need funding to open up as a preceptor or to become a short-term mentor (perhaps after precepting the student), please use this simple one-page application. The funds can cover such things as administrative time, orientation time, a reduced schedule template, or time dedicated to ongoing student mentorship. You may also apply to cover the cost of advocating to allow for precepting with leadership at your institution. We hope this one-time stipend will help YOU to create the changes needed in your practice or institution to PERMANENTLY open up to midwifery students. California thanks you!

CalGenetic Online Portal–Prenatal Screening Program (PNS)

Effective May 16th, 2022, licensees of the Board of Registered Nursing (including certified nurse-midwives) are now able to independently register to use the Genetic Disease Screening Program’s CalGenetic Online Portal and are no longer required to have authority delegated by a California physician to utilize portal applications. CNMs are strongly encouraged to register as independent users for the Genetic Disease Screening Program’s CalGenetic Portal, starting. The CalGenetic Online Portal currently includes access to the PNS Program Results application. Beginning September 2022, the Portal will also host a new PNS Program Orders application, in conjunction with the launch of the redesigned PNS Program. The new PNS Program will include two separate screening tests: cell free DNA (cfDNA) screening for chromosome abnormalities and Maternal Serum Alpha Fetoprotein (MSAFP) screening for neural tube defects. Registration on the CalGenetics Portal will enable some providers to submit electronic patient orders for cfDNA and MSAFP prenatal screening when the new program is launched. Only one user account is required per person to access both the PNS Results application and the upcoming PNS Orders application in the CalGenetic Online Portal. Please sign up for the upcoming webinars, review the training video materials, and direct questions to pns@cdph.ca.gov.

Patient/Parent Resources

NEW: National Maternal Mental Health Hotline!

The National Maternal Mental Health Hotline is LIVE! Parents and partners can call or text the Hotline at 1-833-943-5746 anytime for help. The Hotline, funded by the U.S. Health Resources and Services Administration (HRSA) and powered by Postpartum Support International, is available 24/7, 365 days a year, in English or Spanish and other languages by request. At PSI we are so excited about this first-of-its-kind resource and grateful to HRSA for their leadership and support to make this a reality. Staffed by licensed and credentialed perinatal mental health and healthcare providers, childbirth professionals, and certified peer specialists, the Hotline provides immediate and informed access to support, understanding, brief intervention, and resources to all pregnant, postpartum, and post-loss individuals AND their partners and families. You do not need a diagnosis to reach out for help – we are here for you. Help More Parents by sharing this critical resource on your social media accounts, through email, or post the number in your office. You never know who may be in need of this life-saving resource. Learn more by reading this announcement from the Department of Health and Human Services.

California Department of Public Health Infant Formula Webpage

The California Department of Public Health just launched the Infant Formula webpage (also in Spanish) to provide the latest information about the shortage, the benefits of breastfeeding, and how to get lactation support. The goal is to connect California families in need of formula to helpful resources and provide helpful information to providers and community leaders. Social media assets are also available on the site. It is important to remember that even if an individual provider promotes breastfeeding, not all women can breastfeed.

Scholarships, Fellowships, and Grants

Lisa Ross Memorial Scholarship

The Lisa Ross Memorial Scholarship, named in honor of Lisa Ross, an early pioneer in the development of birth centers, covers the registration fee for the AABC Birth Institute, the annual convention of the American Association of Birth Centers, as well as a $500 stipend for travel and lodging if attending in-person. In 2022, the Birth Institute will be held in San Diego, California. To be eligible for the scholarship an individual must demonstrate financial need and fit into at least one of the following categories: clinical or administrative staff member employed in a birth center; clinical or administrative staff of an AABC Developing Birth Center Member; or full-time student midwife wanting to work in a birth center. Special consideration will be given to applicants attending the Birth Institute for the first time. Learn more and apply by June 17, 2022.

Education, Trainings, and Webinars

CNMA Annual Meeting–Call for Presenters and Save the Date

Save the date! The CNMA Annual Meeting will take place on November 6 at the Madonna Inn in San Luis Obispo! If you are interested in presenting, please contact Jillian Cauley. More info will be coming soon!

Congressional Briefing–Moms in Crisis: How the Pandemic & Formula Shortage Fed the Maternal

Mental Health Crisis

Learn about the pandemic-driven rise in maternal mental health conditions, effects of the infant formula crisis on moms' mental health, and federal approaches to reduce mortality through systematic change, prevention, intervention and treatment at every level. The briefing is sponsored by Maternal Mental Health Leadership Alliance, 2020 Mom, and Shades of Blue Project; in partnership with March of Dimes, Mental Health America and the American College of Obstetricians and Gynecologists. In conjunction with the Congressional Mental Health, Bipartisan Maternity Care & Black Maternal Health Caucuses. June 8, 2022 9:30-10:30 AM PST. Register here.

Postpartum Support International: Maternal Mental Health 101

Join this complimentary webinar on Thursday, June 9, 2022 from 10:30-12 noon PST, hosted by 2020 Mom and presented by Postpartum Support International. During the webinar, you will learn about the various Maternal Mental Health Disorders, their differences, risk factors, and treatment options. Those who register will receive a link to the recording.

Addressing treatment gaps in MMH: A Fireside chat on new initiatives from the APA and ACOG

Join us on June 20, 2022 at 10 am PST for a Fireside chat with Diana Clarke, MD of the American Psychological Association (APA) and ACOG’s Tiffany Moore Simas, MD, discussing the APA’s new Maternal Mental Health (MMH) initiatives to close treatment gaps in MMH and highlighting ACOG/UMASS’s new MMH Toolkit. We will unpack the APA’s initiatives which include: a needs assessment regarding the intersection of maternal substance use and mental health; updating and expanding existing psychiatric recommendations for the mental health care of pregnant women; and creating educational & training recommendations for behavioral health clinicians. We will also review the ACOG endorsed, Lifeline for Moms Perinatal Mental Health Tool Kit, which provides: recommended obstetric provider actions; screening algorithms; and "Clinical Pearls" to support detection, assessment, and treatment. During this fireside chat, we will address what this means not only to providers, but to insurers/payors, government leaders, and patients. Register now.

The Midwife as Surgical First Assistant

ACNM has a full schedule of The Midwife as Surgical First Assistant (First Assist) Virtual Clinical Labs available through December 2022! First Assist focuses on training midwives to participate and provide continuity of care for patients during a cesarean section. This course is designed specifically for midwives and addresses promotion of vaginal birth, shared decision-making and informed consent, and functioning as an active member of the perioperative team. Thursday, June 23 (7:00 AM - 1:00 PM, PT). Registration deadline is Wednesday, June 15, 2022 to secure your materials!

Diagnosing and Dismantling Obstetric Racism in Birthing Hospitals

Please join Dr. Karen A. Scott, MD, MPH, FACOG for the series: Diagnosing and Dismantling Obstetric Racism in Birthing Hospitals. The purpose of the 3 foundational experiential learning modules are to introduce the concept of obstetric racism and its impact on Black pregnant, birthing, and postpartum people; recognize the importance of listening to, amplifying, and integrating the perspectives of Black women and other Black birthing people; and provide tools and guidance for challenging racism in San Francisco's birthing hospitals. After the trainings, the audience will be able to explain the challenges in diagnosing and dismantling obstetric racism through hospital-centered knowledge, beliefs, and practices; utilize three concepts to re-imagine the unique lived experiences and activism of Black women and people in society and in hospital births; and describe strategies to amplify patient narratives and community wisdom in testing for quality, safety, and equity in hospital birth settings. Tuesday 6/28/2022, 12-1:15p; Thursday 7/14/2022, 12-1:15p; and Wednesday 7/27/2022, 12-1:15p. Register here.

2022 AWHONN National Convention

With a little more than a month to go, the 2022 AWHONN Convention taking place, June 25-29 at the Gaylord Hotel and Convention Center, will be the ultimate nursing Convention of the summer. In-Person or In-House — The Choice Is Yours: AWHONN is excited to offer the option to participate in the 2022 AWHONN Convention without you having to take away from work or travel. Attendees who register for our Live Stream/On-Demand program will be able to view some of the most popular sessions from the main stage, as well as receive on-demand access to sessions through August 22, 2022. Check out the full list of sessions.

ACNM’s Diversity and Inclusion Conference

Learn from experts who will demonstrate how to guide, influence, and manage change to create inclusive experiences. Topics will include creating a culture of inclusion, inclusive sexual health, race as a social construct, implicit bias, reproductive justice, LGBTQ/nonbinary care, and proudly announcing our Opening Keynote Speaker... Nikole Hannah-Jones! Registration includes access to two days of virtual content, with a pre-conference day of workshops available to add-on. Pre-conference August 7, 2022; Event August 8-9, 2022.

To view previously listed educational opportunities, please visit our website at https://www.cnma.org/courses.

Job Opportunities

ARIA (Anti-Racism In Action)

The California Nurse-Midwives Association’s Reproductive Justice and Anti-racism (RJAR) Committee in conjunction with the California Nurse-Midwives Foundation (CNMF) are actively recruiting a Program Lead to coordinate our program ARIA (Anti-Racism in Action). We are looking for a dynamic and self-motivated applicant with experience and dedication to health equity in midwifery and birthwork. This individual will apply Reproductive Justice and Anti-racism principles to help us live our values through organizing, community building, and retention efforts geared towards Midwives of Color (MOC). Black, Indigenous, and People of Color Midwives, birthworkers, and community members are strongly encouraged to apply. CNMA RJAR is a BIPOC lead committee that houses both BIPOC members and white allies committed to dismantling white supremacy in birthwork. Please review the job description and email a cover letter and resume/CV to California Nurse Midwives Foundation by June 15, 2022.

Best Start Birth Center

Best Start Birth Center is seeking part-time & full time CNMs, and offering fellowship opportunity(s) for local CNMs. This will be a dream job for the right midwife! This is an excellent opportunity to learn and improve Natural Childbirth skills. Ideal candidates will have a desire to provide individualized and high-quality freestanding birth center care. Position entails OB/GYN clinic, being “on-call”, triaging patients, providing prenatal care, and delivering babies in a freestanding birth center. Must have current AMCB certification, California RN License, California CNM License, California Furnishing License, BLS and NRP Certification. Proficiency in Spanish is preferred but not required. New graduates will be considered! Send CV to Karen Roslie.

Golden Oak Midwives

Golden Oak Midwives is growing! To meet our community’s needs and support GO midwives’ work/life balance, we are adding a Full-time Certified Nurse Midwife (CNM) to our thriving practice. We’re excited to hire a midwife who deeply believes in the midwifery model of care and desires to practice their craft while balancing evidenced-based care. The new CNM will work a mix of weekend & weekday call shifts and spend one full day in the office per week. The ideal candidate will have both in-hospital and out-of-hospital birth experience; be able to precept students; and be a midwife dedicated to working with diverse populations reflective of the Oakland/East Bay Area. This position is competitively compensated based on six to eight 24-hour call shifts per month. The position also includes four clinic days/month. Candidates must be willing to work official holidays should they fall on their call schedule. Malpractice coverage will be paid by Golden Oak. Please email resume and individualized cover letter to community@gomidwives.com. We will respond to all applications. Further questions, please contact us at community@gomidwives.com.

Kaiser Roseville

Over the last year the Kaiser Roseville CNM group has grown from 14 to 27 CNMs. We are looking for just a few more amazing midwives to complete our team. Experienced CNMs preferred, with consideration for new graduates.

Apply and learn more here, or email Marni Barrs, CNM Chief, at Marni.M.Barrs@kp.org for more information.

Sutter Santa Cruz

Sutter in Santa Cruz is hiring two fulltime CNMs. Six months experience required, bilingual (Spanish) preferred. Successful completion required upon hire or within 3 months of hire of a CNM First Assistant at Cesarean Section Course. Learn more and apply here.

Medi-Cal Rx

The Medi-Cal Rx Monthly Bulletin for May is available. The monthly bulletin consists of alerts and notices posted to the Bulletins & News page on the Medi-Cal Rx Web Portal. Sign up for the Medi-Cal Rx Subscription Service to be notified when new information is posted. Additional information is available below:

• Reminder: Fiscal Year Two-Week Fee-For Service Hold for Specific Provider Payments

• Medi-Cal Rx Checkwrite Schedule – State Fiscal Year 2021-22; Hold Notation Update

• Changes to the Family PACT Pharmacy Formulary part 2

• Changes to the Family PACT Pharmacy Formulary

• Submitting Quality Data to the California Immunization Registry (CAIR2)

• Medi-Cal Rx Updated FAQs

• Submitting a Claim – Best Practices

• Prior Authorization Submission Reminders

• Medical Supplies Update: New Pharmacy Benefit, Blood Pressure Monitors and Blood Pressure Cuffs, Effective June 1, 2022

• Medical Supplies Update: Update to the Maximum Allowable Product Cost (MAPC) for Female Condoms, Effective July 1, 2022

• Addition of Blood Pressure Monitors and Blood Pressure Cuffs to Medi-Cal Rx

• Diabetic Supplies – Therapeutic Continuous Glucose Monitoring (CGM) Systems

Midwife Crush Mondays!

Do you know an amazing Midwife who is doing revolutionary work? We want to feature them on our social media platforms!

CNMA is looking for submissions for our new social media series “Midwife Crush Monday” where we highlight the stories of trailblazing midwives across the industry who are making a difference in the midwifery profession. You can even submit yourself!

Here’s what we’re looking for:

• Midwife’s name (include pronouns)

• Affiliated organization(s)

• Why you became a midwife (and anything awesome you’d like to brag about)

• Headshot/Photo if available

• Bonus: Please include social media handles for tagging!

Please send submissions to sm@cnma.org for consideration!

CNMA Newsletter: March 2022

Welcome to Women's History Month!

As we work toward making midwifery care more accessible, we are reminded of the words “with woman,” and that is especially true this month.

As our Board of Directors has been working on our strategic plan, we’ve revised our Mission Statement, created a Vision Statement, and identified our Core Values as an organization. It was important to us that these foundational documents be inclusive and reflect both who we are and who we aspire to be.

CNMA Mission Statement: With Midwives. With Communities.

CNMA Vision Statement: An equitable California where all people have access to safe, evidence-based, trauma-informed reproductive healthcare through the advancement of the midwifery profession by:

• Promoting respectful healthcare that improves the health and well-being of individuals, mothers and birthing people, newborns, and families

• Eradicating health disparities by challenging the practices, behaviors, and in actions that further perpetuate them

• Practicing cultural humility

• Acknowledging the history of white supremacy in midwifery and healthcare and its continued negative impacts by condemning racism and promoting equity

• Creating a diverse midwifery workforce that meets the needs of the community with racial, ethnic, and linguistic concordance

• Remaining accountable to each other, to midwives, and to the people for whom we advocate, educate, and care

CNMA Values: Equity, Community, Diversity, Accountability, Respect, Evidence-Based Practice, and Service.

In California, we’re making history as we work to re-diversify our workforce and create inclusive spaces through clinical and advocacy work. We’ve got a long way to go, but I’m proud of how far we’ve come and can’t wait to see what we do next!

As always, I’m available by email at parisbury@gmail.com and by text at (805) 415-2553.

In the spirit of service,

Paris Maloof-Bury, CNM, IBCLC

President, California Nurse-Midwives Association

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California Health Policy

CNMA’s Health Policy Priorities

1. Reversing the 10% Medi-Cal rate reduction (put into place in 2011) for birth centers and midwifery care (other practitioners were also affected): We continue to work through the budget process on getting this rate reduction reversed. We have formed a coalition with others affected by this (audiologists, non-emergency medical transportation providers, and more), and we are optimistic that we will see a reversal of this rate reduction in this year's final Budget Act (June 2022).

2. Funding the Midwifery Workforce Training Act enacted last year through SB 65: We met recently with top officials at Cal HHS and they are highly supportive of funding the MWTA. A lot can change between now and the final budget, so we will continue to meet with them and the workforce workgroup at HCAI (previously OSHPD), as well as rally the support of our SB 65 coalition partners, to ensure the MWTA is in fact a specific line item in the final budget. Additionally, we are sponsoring a bill (see below) that would allow midwifery programs to apply for and receive funding through Song Brown, something we have not been eligible for in the past even though primary care physician training programs, NP, PA, and RN programs have been eligible. We hope this will allow for midwifery programs to continue to apply for midwifery education funding in the future, well beyond the lifespan of the MWTA.

3. Funding the community birth data collection from SB 1237: CNMA submitted a stakeholder proposal to the Senate Budget Subcommittee responsible for hearing such requests. We hope the momentum around midwifery and doula care in this year's budget will help to propel this forward as well.

Midwifery, Doula, and Nurse Practitioner Bills in the Legislature

AB 2529 (Davis/Calderon): We are sponsoring this bill! If enacted, this bill will allow midwifery programs to apply for and receive funding through the Song Brown Act. More on the Song Brown Act here. Currently the language of the bill is very basic, and will soon be amended to reflect how we envision midwives fitting into this program.

SB 1375 (Atkins): This bill would allow NPs who have completed the transition to practice requirements required for independent practice (in AB 890, passed in 2020) to perform aspiration abortion without Standardized Procedures. This would bring the abortion requirements for NPs in alignment with their current law for independent practice and would be a huge advancement for reproductive health care by NPs in California.

AB 1767 (Boerner Horvath): This bill would create a stand alone Licensed Midwifery Board for LMs in California (currently they are licensed and regulated by the Medical Board of California). This concept is in alignment with US MERA and ICM standards.

CNMA Annual Advocacy Day and Reproductive Freedom Week

SAVE THE DATE! CNMA Annual Advocacy Day to Join Forces with CCRF's Reproductive Freedom Week (April 11-15)

This year, instead of our annual lobby day, we are encouraging all midwives to flex our lobbying muscles by joining in the California Coalition for Reproductive Freedom's (CCRF) annual Reproductive Freedom Week (RFW). RFW is a fun and exciting way to make a difference in shaping policies that impact reproductive health, rights, and justice in California. There will be many virtual lobbying opportunities to fit your schedule. The event is geared toward people who are new to advocacy work, and is an opportunity to build confidence and get comfortable in the lobbying sphere, while making a difference!

For over 10 years, CCRF has hosted Reproductive Freedom Day in Sacramento. In recent years, in order to increase local participation and involve those who cannot make the trip to Sacramento, they decided to shift their advocacy efforts from the Capitol to the districts. Now called "Reproductive Freedom Week," this forum allows people in all regions of California the opportunity to learn about cutting edge policy issues in the reproductive health, rights, and justice movement, and experience advocacy first hand.

CNMA has been actively involved in RFW for many years now. Participating in reproductive freedom week is so impactful. The intimate forum provides the opportunity to help our legislators and our allies to more deeply understand the midwife role. It is also a powerful opportunity to advocate for important structural changes to help benefit the people we serve and our profession. We are often the only clinicians in the lobbying space and our anecdotes and insight can be very powerful!

Mark your calendar for this year's virtual RFW, April 11-15!

CNMA will host a short advocacy webinar a few weeks before RFW, including a lobbying & policy update, as well as an orientation on RFW to help everyone get the most out of their experience. Keep an eye out for that training date!

RN Day at the Capitol

This event is for all nurses in California interested in learning about the connection between nursing and politics, policy and legislation, and how it impacts our profession in a friendly and easy-to-understand venue. The goal of this conference is to provide the tools nurses need to effectively participate in the legislative process and support the nursing agenda throughout the state of California. Strengthening the voice of nursing can and will protect and enhance the nursing profession as well as nursing's position in political and regulatory arenas. April 25 9 AM - 12:30 PM. Register here.

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Call for Proposals

State University of New York Plattsburgh Virtual International Conference

The Institute for Ethics in Public Life is soliciting proposals for the presentation Reproductive Justice: Not just abortion, not just women. Presentations will be done using ZOOM technology. You have the option to present live or through a recorded session. Total amount of time allotted per presentation is 45 minutes. For more information, visit their Facebook page.

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Consumer-Facing Education

Every Mother Counts: Choices in Childbirth: Essential Conversations for Pregnancy, Birth, and Beyond Videos

Every Mom Counts has launched the Choices in Childbirth series! This is a FREE educational hub for pregnancy, birth, and beyond–including films, worksheets, and helpful advice to guide every stage of the maternity care journey. We congratulate Every Mom Counts and all those involved in this project, like our own midwife members, Karie Stewart and Emily Yeast, and can’t wait to see the impact it has for birthing people and their families nationwide.

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Education, Trainings, and Webinars

Increasing Nurses’ Participation in Legislative Policymaking (4-Part series)

Join the American Nurses Association/California and four government relations and nursing experts with nearly a century of experience to discuss recommendations from the Future of Nursing 2020-2030 Report. Leverage Public Health Expertise March 2 at 10 AM, Expertise in Health Equity March 9 at 11 AM, Nursing Expertise in Policy Reform March 23 at 10 AM, and Adequate funding for Public Health March 30 at 11 AM.

The Midwife’s Role in Helping Families with Perinatal Trauma

The Midwife's Role in Helping Families with Perinatal Trauma LIVE webinar, with presenters Lois Trezise and Kate White, will will review the role of the midwife in perinatal trauma care and outline a model of care that includes taking a trauma-sensitive history, application of autonomic nervous system responses, integration of prenatal bonding, stress management and connection with the unborn baby, understanding the impact of birth interventions on the family nervous system and what to do about it. It will also include recommendations for birth story review with families postpartum. Register here. Thursday, March 3, 2022, at 4:00 P.M. PST $14.99 Students | $24.99 Members | $24.99 Student Non-Members | $49.99 Non-Members

Advanced Doula Skills Training

SisterSong presents The Advanced Doula Skills Training course, which provides continuing education for practicing doulas supporting birthing families from marginalized communities during COVID-19. The training is designed to educate participants who identify as Black, Indigenous, or Person of color with fundamental knowledge associated with birth, as well as baseline health parameters to ensure safe and powerful birth experiences for all. March 4-6. Register here.

National Health Law Program 2022 Virtual Health Advocates Conference

Join us for the National Health Law Program's Virtual Health Advocates Conference. This premier online gathering brings together top health advocates, attorneys, and policymakers from across the country to discuss some of the most pressing Medicaid, Affordable Care Act, and other health policy issues and challenges that affect access to care and health equity for low-income individuals and families. Conference attendance is limited to individuals involved in health advocacy. March 14-15, $195.

Breech without Borders San Francisco Breech Workshops

Breech Without Borders will be offering breech training at 3 San Francisco locations from March 14-19. All SF workshop attendees are also invited to a special session Thursday evening: 2 hours of breech birth video analysis with Dr. Hayest (recorded for those who cannot attend live). $400 for physicians, $350 for midwives, and $300 for students/residents. Registration is limited to 4 people per group in each two hour block. Register here.

Natera Webinar #IHadAMiscarriage: Let’s help end the stigma

Jessica Zucker is a clinical psychologist specializing in reproductive and maternal mental health. Her perspective on her life’s work changed when she experienced a miscarriage at 16 weeks. In this 30-minute webinar, hear from Dr. Zucker on her experience as a psychologist and patient, critical care elements for women after loss, and the impact of miscarriage genetic testing. Tuesday or Wednesday, March 15 at 12 PM PST or March 16 at 10 AM PST. Register here.

Learn About the Life of a Claim at IRC Office Hours

Join Industry Relations Committee (IRC) members on Wednesday, March 16th at 9:00 AM PST for IRC Office Hours. IRC leaders Arden Schwenker and Lee Katherine Ayerhart will review the life of a claim to help members better understand the claims process. As always, the session will also include information about AABC tools and resources available to assist members with contracting and payment and an opportunity to brainstorm the issues members are challenged with. Registration and AABC membership are required.

Maternal Mental Health 101

This complimentary webinar is hosted by 2020 Mom and presented by Postpartum Support International. During the webinar, you will learn about the various Maternal Mental Health Disorders, the differences between them, risk factors, and treatment options. Thursday, March 17th, 10:30 am-12 noon PST. Register here.

AWHONN 2022 Convention

Join us for the 2022 AWHONN Convention at the Gaylord Rockies Resort & Convention Center in Aurora, CO, June 25-29, as we explore how to construct methods of translating diversity, equity, and inclusion concepts into education, research, practice, and leadership globally, facilitate education that promotes choice within safe care parameters, and develop empowerment approaches that contribute to the health of women and newborns worldwide. 38.5 CEUs available. Early bird registration ends March 31.

To view previously listed educational opportunities, please visit our website at https://www.cnma.org/courses.

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Scholarships and Fellowships

AWHONN Emerging Leaders Program

The call for applications to the 2022-2023 Emerging Leaders Program, which will take place from June 2022 – June 2023, is now open. AWHONN is focusing our Emerging Leaders Program on developing leaders to support our organizational commitment to diversity, inclusion, and equity. The Emerging Leaders Program is an intensive leadership development opportunity that offers individuals a chance to refine their leadership purpose and acumen and develop strategies to transform themselves, AWHONN, and the nursing profession. Apply by Friday, March 11, 2022.

2020 Mom Nonprofit State Policy Fellows

2020 Mom is inviting nonprofit “backbone” organization leaders with a formal position in their organization to join our next cohort of the Nonprofit State Policy Fellows program. The aim of the program is to assist these organizations in developing a foundation for state regulatory and statutory policy change to close gaps in maternal mental health in their states.

Learn more and apply by April 1.

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Job Opportunities

Bay Area Maternity: Full Time CNM

Bay Area Maternity is a full scope, collaborative Midwifery Group, seeking a full time certified nurse midwife. At Bay Area Maternity (BAM) you will join a team of healthcare professionals and advocates who share your passion for helping women and families. From our Midwives, Physicians, and Medical Assistants to our financial professionals, IT, and business team – we all work together to help our BAM clients experience a level of care second to none. Full Time is 3.5 days of clinic work, and shared on-call time. To apply, please send your CV to providercareers@svmdmed.org.

Circle City Midwifery & Women’s Health Services: CNM

Circle City Midwifery & Women’s Health Services is seeking a nurse-midwife interested in a full-scope practice position in a vibrant, fast growing service in Southern California. Circle City Midwifery has regenerated Beach Cities Midwifery under new management and ownership. We promote the true midwifery model of care in a collaborative practice environment with outstanding physician and hospital support. The midwife provides care in the hospital and freestanding birth center with option for home birth. The full scope position includes office hours and shared call schedule with sufficient time to provide comprehensive care. Position start date April 1, 2022. Candidate must have current active License and Certification in California to be considered for this positio. Please email interest along with CV/resume to: B. J. Snell, PhD, CNM, FACNM bj@beachcitiesmidwifery.com.

CommuniCare Health Centers: Per Diem CNM

Please join our supportive, midwifery-led FQHC practice! We are seeking a CNM with minimum 1 year full scope midwifery work experience for our open part-time (0.7FTE) staff position and our open per diem positions to cover clinic at our 3 sites in Yolo County and call at Sutter Davis Hospital. At this time, we cannot consider new grads for these positions. We look forward to hearing from you! CommuniCare Health Centers is a Federally Qualified Health Center providing comprehensive, patient-centered perinatal, primary care services including medical, dental, substance abuse treatment, behavioral health, and outreach services to low income, multicultural, uninsured and underinsured patients in Yolo County and the surrounding community. The midwife works as part of a multidisciplinary team that includes health educators, nutritionists, lactation consultants, social workers, midwives, physicians, nurses, and other staff. The Midwife also works in collaboration with Sutter Medical Group OB/GYNs, and Sutter Davis Hospital to provide full scope midwifery services. Services are provided at three Communicare clinic sites and Sutter Davis Hospital. Apply here, and direct any questions to Kristen Cates, CNM and Cathy McGovern, CNM, Associate Perinatal Directors at Communicare Health Centers.

Frontier Nursing University: Department Chair of Midwifery and Women’s Health

This certified nurse-midwife leader must demonstrate a commitment to FNU’s mission and values while leading a department of 60+ faculty members and 900+ nurse-midwifery students. There is a strong preference for applicants residing in central Kentucky, but remote location with the ability to do frequent travel will be considered. FNU encourages applications from underrepresented/underserved groups, women, the disabled, protected veterans and all other qualified applicants. For a full list of responsibilities and duties and to apply, visit the job posting.

UCSF/Zuckerberg San Francisco Midwifery Service- 2 CNM positions

The UCSF/Zuckerberg San Francisco General Midwifery Service and the UCSF Nurse-Midwifery Education Program are excited to announce 2 open positions (80-100% effort, each). The CNMs who join our team will primarily be in the clinical service and have the opportunity to blend this dynamic clinical practice (AP/IP/PP) with participation as a core midwifery faculty member in the School of Nursing. We ask for a minimum of 2 years of clinical experience (AP/IP) and offer mentorship to candidates whose professional goals align with education however who may not yet have experience as faculty members. Our desired start date is July 2022. We celebrate the strengths and futures of the families and students at ZSFG and UCSF and invite you to join us in upholding our collective responsibility to center equity in midwifery care and education. For review of the job description and application process, please visit https://aprecruit.ucsf.edu/JPF03802. If after this review you have questions about the positions, please contact Kara Myers at kara.myers@ucsf.edu.

To view previously listed jobs or to add an available position to the list, please visit our website at https://www.cnma.org/jobs.

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Medi-Cal Rx

The Medi-Cal Rx Monthly Bulletin for February is available. The monthly bulletin consists of alerts and notices posted to the Bulletins & News page on the Medi-Cal Rx Web Portal. Sign up for the Medi-Cal Rx Subscription Service to be notified when new information is posted. Additional information is available below:

• Daily Office Hour Sessions

• Information on Drug Price Overrides and Prior Authorization Instructions

• Revised Prior Authorization Policy for Pharmacy Providers

• Revised Prior Authorization Policy for Prescribers

• Medi-Cal Rx Policy Updates

• Revised Prior Authorization Policy for Prescribers

• Clarification of Temporary Prior Authorization (PA) Policy Change

• Pharmacy Professional Dispensing Fee Provider Self-Attestation

• Medi-Cal Rx Approved NDC List

• Reject Code 606 – Temporary Suspension

• Medi-Cal Rx Weekly Wrap-Up for February 6 – 11

• The new Drug Use Review (DUR) article, Professional Organizations Push for Recall of Buprenorphine Dental Warning

• Medi-Cal Rx Drug Lookup Tool and Contract Drugs List Tips

• Medi-Cal Rx Provider Portal Troubleshooting and Support

• Remdesivir (Veklury) for Outpatient Treatment of COVID-19

• Required Documentation for Claim and Prior Authorization Support

• Medi-Cal Rx Beneficiary Tips

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Midwife Crush Mondays!

Do you know an amazing Midwife who is doing revolutionary work? We want to feature them on our social media platforms!

CNMA is looking for submissions for our new social media series “Midwife Crush Monday” where we highlight the stories of trailblazing midwives across the industry who are making a difference in the midwifery profession. You can even submit yourself!

Here’s what we’re looking for:

• Midwife’s name (include pronouns)

• Affiliated organization(s)

• Why you became a midwife (and anything awesome you’d like to brag about)

• Headshot/Photo if available

• Bonus: Please include social media handles for tagging!

Please send submissions to sm@cnma.org for consideration!

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Questions? Comments? Want to get involved? Email us at info@cnma.org