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CNMA Newsletter- Jan 1, 2022


Message from the President

Happy New Year!


Welcome to 2022. With all that happened in 2020 and 2021, I feel cautious optimism tempered by a tiny bit of anxiety and plenty of tenacity. We’ve been witnessing the awakening of our nation to the realities of inequity and injustice that pervade our society. We’ve seen the crumbling of systems of oppression, some spontaneous and some at the hands of staunch advocates. We’ve been engaged in the work of creating and humanizing, and in helping to shape a more just and equitable society. Make no mistake, the work is only beginning. But we’re making headway like never before.


As you read through this month’s newsletter, you’ll notice the state and national health policy recaps–we’ve seen so many successes in 2021! I hope this brief reality check offers you energy, inspiration, and fierce hope.

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



California Health Policy


Happy New Year! We have lots to celebrate from 2021, including the Midwifery Workforce Training Act in SB 65, our work on Governor Newsom's Future of Abortion Council (see final report here), and our selection as one of the state teams participating in the Institute for Medicaid Innovation's Midwifery Learning Collaborative. We are heading into a busy year of more legislation and policy work, so stay tuned for more to come. CNMA would like to thank those who helped our policy work along through grassroots efforts, phone calls, emails, and more (we can't do this work without you!), and for the work of our Health Policy Committee.



National Health Policy


  • H.R. 5487, the Stillbirth Health Improvement and Education (SHINE) for Autumn Act passed the House, 408 – 18, on December 8. Rep. Jaime Herrera Beutler (R-WA-03) introduced the bill with the intent to lower the U.S. stillbirth rate by providing critical resources to state and federal health departments, improving data collection, and increasing education and awareness around the issue of stillbirth in the United States.

  • On December 7, Vice President Kamala Harris hosted the Maternal Health Day of Action.

  • H.R.951, the Maternal Vaccination Act, passed the House on November 30. The bill would establish a national campaign to raise awareness and increase rates of maternal vaccinations.

  • On November 30, President Joe Biden signed S. 796, The Protecting Moms Who Served Act. The bill mandates improvements to maternity care in the Veterans’ Health Administration.

  • The Biden-Harris administration’s Title X Family Planning Program rule went into effect in November. The new rule will restore access to family planning services and replace a 2019 Trump administration introduced rule that effectively barred any facility or program that provides abortions or abortion referrals from receiving federal funds through the Family Planning Program.

Abortion

In December 2021, the FDA announced that the REMS must be modified by removing the in-person dispensing requirement. Removing the in-person dispensing requirement will allow, for example, dispensing of mifepristone by mail via certified prescribers or pharmacies, in addition to in-person dispensing in clinics, medical offices, and hospitals as currently outlined in the Mifepristone Rems Program. Take a listen here. https://www.npr.org/transcripts/1064951611


Breastfeeding

On October 22, the U.S. House passed H.R. 3110, Providing Urgent Maternal Protections (PUMP) for Nursing Mothers Act by 276 to 149. The bill would extend required break times for nursing mothers to salaried workers. The strong bipartisan support bodes well for a successful vote in the Senate.


Budget and Appropriations

On November 19, the House passed 220 – 213, the Build Back Better Act (H.R. 5376)—a budget reconciliation bill.



Practice Updates



ACNM Scope of Practice Document

ACNM is excited to announce the release of the revision of the ACNM Scope of Practice Document, "Definition of Midwifery and Scope of Practice of Certified Nurse-Midwives and Certified Midwives." The Scope of Practice (SOP) enumerates the primary clinical functions that define the breadth and depth of midwifery.


2021 Practice Guidelines for PrEP

The CDC has just released updated Clinical Practice Guidelines to incorporate recent FDA PrEP medication approvals and to clarify specific aspects of clinical care. Get the latest science and information to effectively prescribe PrEP for HIV prevention.


DEA Guidance

Pursuant to 28 CFR 50.26 and 50.27, newly approved guidance has been posted to the Guidance Document Portal and Question & Answers sections on the Drug Enforcement Administration (DEA) Diversion Control Division website. The guidance is also accessible on the Department of Justice Guidance Portal.


Volunteer Opportunities


Support Survivors of Forced Sterilization

The California Coalition for Women Prisoners and California Latinas for Reproductive Justice are looking for clinicians to support survivors of forced sterilization by reviewing medical charts in search of information relating to sterilizations, tubal ligations, hysterectomies, etc., in addition to patient consent, or lack thereof. If you're interested, click here to sign up


ACNM Clinical Standards and Documents (CSD) Committee

Volunteers work to write and revise ACNM documents that affect midwifery practice. Members are responsible for participating in revisions, updates, editing, and creation of new documents. The majority of committee work occurs via email and online platforms. For more information, please email Karen Jefferson at kjefferson@acnm.org.


ACNM Division of Global Health (DGE) Chair

The ACNM DGE is composed of active and involved ACNM member volunteers who, as global citizens, promote understanding of the reciprocal benefits of working with diverse communities around the world. The DGE is seeking a Chair - If interested, please send CV and Cover Letter to Robyn Churchil at rchurchill@acnm.org by February 15, 2022.


Postpartum Support International California Chapter Board Member

PSI State Chapters advance the mission of PSI on the state level and help to build systems that support families while also increasing access to education and treatment for perinatal mental health. Chapter leaders work to raise awareness, create resources, and advocate for change. For more information, contact jen@sugarnightnight.com.



Call for Submissions: Postpartum Support International


The 35th Annual Postpartum Support International Conference will take place in New Orleans, LA, July 13-17, 2022. Both didactic and experiential proposals for breakouts will be accepted, in addition to the poster submissions. The annual PSI conference provides an opportunity to meet, learn together, and share ideas with others involved in the field of perinatal mood and anxiety disorders (PMADs). Submissions are due by January 6, 2022.


Education, Trainings, and Webinars


CNMA Supports the Dignity in Pregnancy and Childbirth e-Training

It’s a startling fact that, in 2021, Black birthing women are four to six times as likely to die from pregnancy and birth-related causes as other racial and ethnic groups. To help perinatal providers learn more about the implicit biases that are among the key causes of this disparity, CNMA supports using the Dignity in Pregnancy and Childbirth e-training course. This one-hour, no-cost course – funded by the California Health Care Foundation – also meets the requirements of Senate Bill 464, which mandates that all perinatal providers in California take an evidence-based implicit bias training. Register for the course and learn more here.


Othering & Belonging Institute Summer Fellowship

The Othering & Belonging Institute Summer Fellowship is a paid research experience for individuals seeking to develop their research skills by engaging with the Institute’s multidisciplinary research, analysis, policy, and strategic narrative work. The purpose of the fellowship is to build the capacity and network of the next generation of researchers and community leaders who are committed to social and racial justice by providing mentorship and hands-on experience with social science research. Learn more and apply by January 14, 2022.


Gold Midwifery Online Conference

The GOLD Midwifery Online Conference will take place February 1 - March 31, 2022. GOLD Midwifery 2022 offers 16.5 Hours of continuing education. MEAC Midwifery CEUs (0.1 Equivalent to 1 NARM CEU), ACNM CEUs, ACM CPD Recognised Hours, and CERPs are applied for. Register here.


2020 Mom/PSI

Registration is open for the 2020 Mom/PSI 8 class bi-weekly course in maternal mental health, starting Monday, February 28, 2022. Classes are two hours and prepare clinicians for the PSI board test for the new specialty designation in Perinatal Mental Health. Scholarships are limited to United States applicants only. Read more here.


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


Share with Women


The newest Share with Women handouts address bacterial vaginosis, chlamydia and gonorrhea, genital herpes, hepatitis C, pertussis, sexually transmitted infections, tuberculosis, and vulvovaginal candidiasis. More than 110 midwifery-authored patient education handouts are available at www.sharewithwomen.org. All of the Share with Women collection is free to read and download so midwives can share these handouts with patients.



Nurse Corps Loan Repayment Program


The Nurse Corps Loan Repayment Program (Nurse Corps LRP) application cycle is now open through January 13, 2022. This year, there is special funding for nurse practitioners specializing in women’s health. The Nurse Corps LRP has allocated up to $5 million for applicants working as women’s health nurse practitioners (NPs), certified nurse midwives, or certified RNs in obstetrics and gynecology. The purpose of this special funding is to expand the nursing workforce to critical shortage facilities to provide care to women. Eligible applicants are encouraged to attend the Nurse Corps Technical Assistance Webinar on Thursday, January 6 from 11:30 AM - 1 PM PST.



Job Opportunities


Kaiser Napa Solano

The Certified Nurse Midwives of Kaiser Napa Solano are hiring an additional midwife, and we are eager to diversify our workforce. Our practice is honored to care for birthing people and families from diverse socioeconomic, cultural and ethnic backgrounds. We attend births at our hospitals in Vallejo and Vacaville. Vallejo is one of the most diverse cities in California and we serve a large Medi-Cal population. The midwives also provide 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 a very diverse group of physician and nursing colleagues. Kaiser is committed to creating a culture of inclusion and a diverse workforce. With the support of our leadership, we will consider a new graduate for this position. Please reach out to Anne Vosler, CNM at Anne.T.Vosler@kp.org if you want to learn more, and thank you for considering!


ACNM Director of Education

The Education Director is responsible for reporting to the CEO, this role will lead the development and delivery of a strong curriculum of professional development programs for ACNM members. Principal focus will be developing high-quality interactive learning experiences for in-person, virtual and hybrid programs and courses for a clinical caregiver audience. Working closely with subject matter experts, volunteer member committees, staff content leads and other stakeholders, the Director of Education will oversee all phases of program and course design using best practices from learning sciences, instructional design, learning technologies and project management to deliver exceptional quality programs and courses. Learn more and apply here.

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



Medi-Cal Rx

The Medi-Cal Rx Monthly Bulletin for December is now 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.


Beginning January 1,2022, Magellan Medicaid Administration, Inc. (MMA) assumed operations for Medi-Cal Rx on behalf of the State of California Department of Health Care Services (DHCS). Pharmacy providers and prescribers now must be enrolled as Medi-Cal participating providers in order to provide pharmacy benefits to Medi-Cal beneficiaries, including submitting Medi-Cal Rx pharmacy PAs and claims. Confirm your Medi-Cal enrollment via the California Health and Human Services Open Data Portal under Profile of Enrolled Medi-Cal Fee-for-Service (FFS) Providers. and access the Provider Application and Validation for Enrollment (PAVE) website to begin the process of becoming a Medi-Cal provider. You can find application instructions and requirements through the Application Information by Provider Type

Page. If you haven’t done so already,



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!


 

Comments? Questions? Want to get involved?

Email us at info@cnma.org




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