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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