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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.


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


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