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CNMA Newsletter – June 2026



SAVE THE DATE for CNMA's 2026 Annual Meeting this September!

 

Join us for the 2026 CNMA Annual Meeting and Retreat coming up soon on September 19-20, 2026 at the Ventura Buddhist Center in beautiful Ventura, California. Earn ACNM CEs while reconnecting with old friends, networking with new friends, and soaking in all the energy and inspiration!


Legislative Action & Advocacy

CNMA Lobby Day Tuesday, June 3rd 2026

CNMA hosted our first in person lobby day since 2017! It was a fun filled day full of connections and great conversations with California legislators. We hope you will join us next year! 



Legislative updates

  • AB1696 - Stefani - MW Emergency Services Bill

    • Passed out of the Assembly Floor, we’re now headed to the Senate! 

    • AB 1696 would bring existing emergency services code for nurse-midwives in alignment with existing law. This bill clarifies that nurse-midwives do not require physician supervision when the nurse-midwife is providing care within the scope of their licensure, as established in SB 1237 (Dodd 2020).

    • Fact Sheet: AB 1696 (Stefani) Midwives Fact Sheet.pdf

  • AB 1973 -  Aguiar-Curry -  Abortion Modernization Bill 

    • Passed out of the Assembly Floor, we’re now headed to the Senate! 

    • Although California has taken significant steps in recent years to enshrine and protect access to reproductive healthcare, legal barriers remain that limit how and when certain clinicians can provide abortion care. AB 1973 allows advanced practice clinicians (APCs) to provide abortion services to the full extent of their training and competence by removing outdated and restrictive language in state law. At a time when abortion access is under attack nationwide, this bill ensures California is utilizing its skilled reproductive health care workforce to meet patient needs.

    • Fact Sheet: 2026.03.05 - AB 1973 (Aguiar-Curry) Fact Sheet - Modernizing Reproductive Health Care Workforce - FINAL.pdf

  • CNMA has taken support positions on 8 reproductive health rights and justice bills. There are many more moving through the legislature. Want to help make a difference in CAs health care system? Join LAAC and help with important activities such as bill review!  Email advocacy@cnma.org to join the team! 


Budget updates

Midwifery in the News

Click the link below to read this relevant article.




Membership Opportunities


CNMA Membership: Supporting You, Your Practice, and Your Patients


Whether you're a student still early in your training, recently board-certified and navigating your first year of independent practice, an established CNM with decades of experience, or a midwife considering what comes next in your career—CNMA is here to support you. You can join or renew at cnma.org/membership, and if you have questions about membership or just want to talk through what it offers, reach out to us at membership@cnma.org.

CNMA's membership work is built on a simple idea: California midwives are caring professionals who want to connect with each other, grow in their practice, and make a meaningful difference for the patients and families they serve. That's what CNMA is here to support—at every stage of your career, and in every setting where you practice.

That shows up in concrete ways. For students, it means early visibility into what CNMA does, mentorship connections with practicing midwives, and access to professional development, scholarship, and advocacy resources. For newly certified CNMs, it means a thoughtful welcome, connection to peer community, and clarity about how CNMA is working to shape the legislative and practice environment you're entering. For established practitioners—especially those in rural, birth center, or home birth settings—it means a professional community you can count on, real-time advocacy updates, and the knowledge that CNMA is fighting for the scope of practice, reimbursement equity, and maternal health outcomes your patients depend on. For midwives in transition, it means resources tailored to where you are and membership options that recognize different career paths.

Beyond that, membership connects you to something larger: peer-to-peer learning through ACNM Connect, the CNMA Annual Meeting and the ACNM Annual Meeting—the largest gathering of CNMs and CMs in the country—access to peer-reviewed research, clinical practice guidelines, and a national advocacy platform that reaches the FDA, CDC, NIH, and organizations shaping maternal health policy at the highest levels.

If you've been on the fence, have questions about what membership includes, or just want to talk about what's on your mind as a practicing California midwife, we'd welcome the conversation. Join or renew at cnma.org/membership, or reach out to us directly at membership@cnma.org.


Call for Clinical Star Award Nominations

ACNM is seeking nominations for Clinical Star Awards recognizing both individual midwives and midwifery practices that have provided 25 or more years of clinical service in California or elsewhere in Region 7!

Clinical Star Awards honor midwives who are members of ACNM and have demonstrated excellence in clinical practice, mentorship, and service to the profession over 25 or more years. We also encourage nominations of established midwifery practices that have made lasting contributions to their communities over 25 years or more.

Winning clinical stars and clinical star practices will be recognized at the ACNM Annual Meeting in Kansas City, Missouri from October 9–13, 2026.

Please consider nominating a deserving colleague or practice and help us celebrate the enduring impact of midwifery in our region!  Nominations are open now!


CNMA Open Board Positions

 

CNMA has several open opportunities remaining in 2026 and encourages members who are interested to consider applying!


Current openings include:


Representatives from Under-Represented Groups (two positions open)

Representatives from under-represented groups (including but not limited to BIPOC, disabled, LGBTQ, rural, poor, home birth and free-standing birth center midwives) shall:

  • Attend monthly BOD meetings

  • Ideally have a well-developed understanding of the Reproductive Justice Framework

  • Be in community and connection with the members of the under-represented community/communities whose voice they are elevating. Bring awareness to the specific needs of these communities to the BOD and act as a voice for the members to the BOD

  • Attend their local chapter meetings, when possible

  • Take initiative to be involved in events in their region and to develop relationships with the members of the region

  • Possibly be involved with fundraising to support CNMA aims


Voting Status: They are voting members of the BODTerm: 3 year term: 2 years as Representative from an under-represented group, followed by one year as Immediate Past Representative (the "Immediate Past" role is non-voting)


Regional Representative –  Central CA

Regional Representatives (one each from Southern CA, Northern CA and Central CA) shall:

  • Attend monthly BOD meetings

  • Keep in touch with the regional chapters so the regional director is up to date

  • Act as a voice for the members to the BOD

  • Establish two-way communication with regional chapter chairs and members to update them on affiliate issues, as well as bring issues, comments, needs and requests from regional members to the BOD

  • Take initiative regarding events in their region and develop relationships with the members of the region, including participation at local chapter meetings, when possible

  • They are encouraged to be involved in fundraising efforts in their region

  • Take a leadership role in organizing in-district visits when it comes to grassroots advocacy/legislation


Voting Status: Regional Reps are voting members of the BODTerm: 3 year term: 2 years as Regional Rep, followed by one year as Immediate Past Regional Rep (the "Immediate Past" role is non-voting)


Reproductive Justice Anti-Racism Committee Chair

The Reproductive Justice Anti-Racism Committee Chair shall:

  • Participate in monthly RJ/AR meetings

  • Attend monthly BOD meetings and advise the BOD on issues related to Reproductive Justice & Anti-Racism

  • Provide Quarterly communication with CNMA members regarding committee activity

  • Interface with American College of Nurse-Midwives and their current committees focusing on racial and reproductive justice issues

  • Coordinate collaboration with other professional groups on issues related to anti-racism and racism-based health disparities work


Voting Status: RJ/AR Chair is a voting member of the BODTerm: 3 year term: 2 years as RJAR committee chair, followed by one year as Immediate Past RJAR Committee Chair (the "Immediate Past" role is non-voting)


White Antiracism Chair 

Started in 2009 in response to a call for action from and for CNMA white identifying BOD members to be supporting, educating and working on antiracism within our organization in an effort to be a more antiracist organization and also to take the burden of work off our colleagues of color to educate and support us. Affinity groups have long been a supportive part of antiracism work.We are looking for someone to lead this group. No experience required. Only humility and dedication to social justice. 


Nominating Committee  (two positions open)

It is a 3-year term with a 2-term limit. The time commitment for the nominating committee is limited each year – the responsibilities include finding eligible candidates for all open board positions and conducting the election – creating and sending out ballots electronically, and then counting the ballots. This process will take place in the second half of the calendar year, with the search for candidates to take place before the November 1st date when ballots will be sent out.


Bylaws Consultant 

 

Interested in joining the Board of Directors?

Please contact the CNMA President for more information:

Amita Graham, (1-415-516-5407), president@cnma.org


A New Place To Bring Your Questions: All Things Membership on ACNM Connect


The ACNM has a new Community Interest Group built around a simple idea: every midwife should have somewhere to turn when she has a question and isn't sure where it goes.

California midwives carry a particular load — navigating practice in a state with high costs and complex systems, sustaining careers in rural and underserved counties where professional community is hardest to find. And California is home to many midwifery students enrolled in distance learning programs across the country, working toward their credential without a local campus or cohort around them — often searching for preceptors and professional community in the state where they actually live. All Things Membership is a place to bring all of it: a question about funding or scholarships, a workplace situation you're navigating, something that should have an answer at the ACNM and doesn't, or a problem you just need to think through out loud with midwives who understand.

When you post, others can weigh in — and the ACNM Membership Committee is part of the conversation, making sure nothing falls through. If your question needs to reach someone at the ACNM, they'll carry it there and stay with it until you have an answer.

If you're an ACNM member, the group is open to you now!



Education, Trainings, Webinars, and More


10th Annual Reproductive Mental Health Conference

This year's course will include topics on menopause, sexual health, body image, environmental toxins, perinatal Asian mental health and much more.

Date: November 13, 2026

Location: Pritzker Auditorium at UCSF Mission Bay

675 18th St, San Francisco, CA 94107

Onsite and Remote Learning Options

The course will be offered as a live conference. Registrants have the option to attend in person or to tune in remotely via zoom live stream during programming hours (Pacific Time). Login instructions along with the digital syllabus will be shared with attendees before the meeting. You must tune in to the live conference (in person or remotely) to claim CME.

Course Directors:

Patricia A. Robertson, MD, Anna Glezer, MD, Gowri Aragam, MD

Planning Committee Members

Theresia Oklan, PhD, PMH-C, Ali Starling, CNM



On-Demand Webinars and Other Resources 


Announcing the Reproductive Health Services Corps Accelerator Program



In addition to the amazing virtual and in-person abortion trainings offered regularly by CNMA. We wanted you know about another exciting new program TEACH is launching! We're thrilled to announce the launch of the RHSC Accelerator Program @ TEACH, a groundbreaking initiative funded by the Reproductive Health Services Corps grant. This program is designed for existing healthcare providers (MD, DO, NP, CNM, PA) within California seeking to expand their skills and offer comprehensive reproductive health services, including abortion care.


Key Program Benefits:

  • Customized Training: Tailored to your specific needs and goals.

  • Financial Support: Funding available to help you complete your training

  • Comprehensive Curriculum: Access to didactic components for providing medical and procedural abortions, and options counseling 

  • Clinical Rotation Opportunities: Gain hands-on experience in a supportive environment.

  • On-Site Training: We can host training sessions at your practice for your team.


Ready to take the next step?

Rural providers and those who represent and care for underserved communities will be given top priority.   

Bethany Golden & Megan Kumar

Co-Directors Reproductive Health Services Corps @ TEACH. 


ReproHH: Free, On-Demand, Clinician-to-Clinician Support for Reproductive Health


We are thrilled to announce the launch of ReproHH: a FREE, confidential hotline for healthcare providers nationwide! Whether you’re a clinician or a community health worker, you can now connect with specialists based out of the University of California, San Francisco (UCSF) to discuss your sexual and reproductive health questions - all by phone. ReproHH’s team of physicians is here as a trusted partner to minimize the need for referrals to specialists, avoid unnecessary treatments, and enhance healthcare outcomes.

Call ReproHH today at 1-844-ReproHH (1-844-737-7644).

ReproHH is available Monday – Friday, 8 am - 4 pm PT (11 am – 7 pm ET), excluding holidays.

Learn more and review our terms of service at reprohh.ucsf.edu


Job Opportunities


Two Openings at the Black Midwifery Fellowship


We are sharing 2 midwifery fellowship openings for the Black Midwifery Fellowship (BMF) in California.  The BMF is a comprehensive full scope post graduate midwifery fellowship open to all with a focus on abortion training.  More information about the fellowship, job description, requirements & how to apply can be found on our website here. Questions? submit here! 


A few highlights below: 

The BMF in California is a one-year non-renewable fellowship recruiting two certified nurse-midwives (CNM) positions as clinical instructors at the University of California San Francisco (UCSF) School of Medicine. Salary is expected to be $129,850 for 70% FTE effort (average of 28 hours a week). Fellows are paid and eligible for benefits in accordance with university policy. The incoming candidates will provide full scope nurse-midwifery clinical care including antepartum, intrapartum, postpartum, family planning services, with a focus in abortion. The BMF is led by exceptional advanced practice providers and features practice-based learning, didactic education, mentorship and scholarly projects. The program is designed for new graduates (within 24 months of program completion) to expand the knowledge and skills acquired during graduate or doctoral training. Throughout the course of the fellowship year, a fellow can expect ongoing mentorship and engagement in self-assessment and performance feedback framed in practice-based knowledge, skills and attitudes. The program is a one-year commitment expected to run from Summer/Fall 2026-2027. Each fellow is expected to complete midwifery-based training with didactic and focused clinical rotations. 


The name of our fellowship is a legacy tribute to Black Midwives in the United States. Prior to the Civil War abortion and contraceptive care were legal, and Black Midwives provided community-based care inclusive of abortion care and reproductive health care to all communities. Post legalized enslavement there was a public and national smearing campaign of Black Midwives in the obstetric field as physicians sought capital gain, recognition, and a professional monopoly. These actions excluded the advancement and continued work of Black Midwives in this country as a trusted provider, especially in Black communities. Additionally, midwifery governing organizations barred Black people from membership, further severing Black Midwives from their own communities. With the loss of Black Midwifery, there was also loss of cultural safety, respect, wisdom, truth-telling, and the nurturance that Black midwives provide to communities. Today, less than 9% of US midwives are Black. There is no way to correct the harms of these actions, though there is repair work to be done now. The Black Midwifery Fellowship in California is one form of this. 



SF Birth Center Opportunity


Hello friends and colleagues,


I am planning to step down from my role as Director and midwife at the SF Birth Center at the end of 2026. As we begin thinking about the next phase of the birth center, we are looking for someone who is passionate about the birth center model of care and who has an entrepreneurial spirit—someone who might be interested in picking up the baton and building a practice for the next decade (and beyond).

This is not a traditional job announcement. Rather than a salaried position, this is an invitation to explore what you are interested in creating and how you might bring your vision to life. While we certainly have ideas about what a birth center practice might look like, the future direction would be shaped by your vision.


Importantly, this is not something you would need to build from scratch. The right person or team would be supported in two key ways:


  1. Mentorship and operational support. My team and I will support and mentor you as you develop your vision, sharing our experience about what has worked in the past, the current state and national landscape for birth centers, the health insurance environment, business considerations, and more. The practice already has many core systems in place, including communication platforms, charting, administrative processes, and hospital relationships.

  2. Facility and foundation support. The SF Birth Center facility is owned by the SF Birth Center Foundation, a 501(c)(3) nonprofit with two primary roles. First, it manages the facility itself, holding the lease and overseeing needs such as cleaning, supplies, and improvements. Equally important, the board of directors is active and successful in fundraising and community engagement. In addition to supporting the facility, the foundation can help supplement certain aspects of care at the birth center and support special projects aligned with its mission.


If this resonates with you, or if you simply have questions, please feel free to reach out. And if you know someone who might be interested, I would be grateful if you shared this with them.


With joy and affection,


Nancy Myrick, CNMA

Director

San Francisco Birth Center

415-902-7969



Attention All LA County CNMs: Planned Parenthood Pasadena and San Gabriel Valley is Hiring!


Come join our group of rad clinicians who are providing inclusive reproductive health care in Northeast LA and the SGV.  Our visits are wide-ranging: contraception, STIs and infection checks, well-person exams, breast concerns, gender-affirming care, medication abortion and ultrasound, and procedural abortion.  We provide Pep and Prep, syphilis treatment, colposcopy and we offer LARC placement with IV sedation or nitrous oxide (coming soon!)


We provide thorough onboarding and have a tight-knit, supportive clinician group with midwifery leadership.  PPPSGV's care is trauma-informed and patient-centered, with autonomy at the core.  We are looking for a float clinician who likes something different each day.  


More info found HERE!


Questions?  email Sarah Egan, CNM, Director of Medical Services at segan@pppsgv.org.

(Want the scoop? email Mary Kern, CNM, FNP at mkern@pppsgv.org)



Birth Center Opportunities for New Grads


Practicing in a supportive birth center alongside experienced midwives can be transformative, building skills and confidence. All of the birth centers listed below (some located in rural areas) offer Fellowships or hiring opportunities for new graduates wishing to practice full-scope midwifery in a birth center setting.  Please reach out for more information. Full disclosure: The listing below is a preliminary draft and does not contain the full information on the possibilities of each site. When you make contact, ask each site lots of questions, such as, 'Is there a stipend?' Do you offer loan repayment? Is the ability to speak Spanish an absolute requirement, or do you also have translators? How flexible is the timing and length of the Fellowship? 

For any questions regarding this list, please contact Melanie Cabezas Phipps at mphippsm@gmail.com.


Birth centers offering Fellowships or hiring new graduates:

Acorn Community Birth and Wellness Center in Fallbrook, CA.  We are a CPM/CNM practice in the process of obtaining CABC accreditation and are always open to new midwives who would like to work at a higher-volume birth center serving a diverse ethnic and socio-economic population.  We are Medicaid providers and, as such, see a greater diversity of immigrant, BIPOC, LGBTQ+, and lower socio-economic communities.  Located between San Diego and Riverside Counties.  Contact Cristi Lewis LM, CPM, Executive Director, at midwives@acornbirthcenter.com.


Astoria Birth Center & Family Medicine, a rural practice on the Oregon coast. Contact: Rebeckah Orton


The Birth Center in Newark, Delaware. Contact Julia Paulus


El Rio Health in Tucson, Arizona. Federally Qualified Health Center (FHQC) with a Fellowship program. We attend births in a hospital that has a CABC-accredited Alongside Midwifery Unit adjacent to an L&D unit, a good experience for physiologic birth, water births, newborn care, and early discharge. Contact: Greta Gill at GretaG@elrio.org

 

Full Circle Birth Center in Kasson, Minnesota. Contact: AnneMarie Schwanke


Holy Family Services Birth Center, located in the Rio Grande Valley of Texas. Fellowships are available to new graduates or seasoned nurse-midwives who wish to gain experience in out-of-hospital births and solidify their midwifery training.  We are an HRSA-designated site, which allows eligible staff to qualify for the Nurse Corps Loan Repayment Program. Fellows serve for a minimum of 6 months - 2 years and are provided with stipends and housing. Contact: Brandi Kennedy at 956-969-2538.


The Midwife Center, Pittsburgh, PA. Contact: Emily McGahey, CNM


Nativiti Family Birth Center in The Woodlands, Texas (Houston suburb). We are open to hiring new grads and would love to offer fellowship opportunities (do not have that program at this time but would be open). Contact admin@nativiti.com Jami Hain, CNM


New Birth Wellness Center/New Birth Midwifery in Chaska, Minnesota. Contact: Jennifer Hall


Tender Gifts Birth & Wellness Center in Fort Collins and Grand Junction, Colorado. Contact: Althea Hrdlichka, hello@tendergiftsbirth.com, 866.218.5769


Twin Cities Birth Center + Women's Health Clinic, St. Paul, MN. 9-month fellowship program for CNMs and CPMs. Paid fellowship with health benefits, an education stipend, and paid time off. Contact: stephanie@twincitiesbc.com


Additional Information


Legal Aid at Work: Training on Paid Leave and Accommodations for Pregnant People


Hi everyone,


Thank you so much for joining Legal Aid at Work for our training on Paid Leave and Accommodations for Pregnant People, New Parents, and Family Caregivers in 2025. A recording of our training is available in  English here, and in Spanish here, and the slides are available here.


Please feel free to refer low-paid patients and clients working in California to our Work and Family Helpline at 800-880-8047,  confidential advice on workplace protections related to pregnancy, caregiving, or health conditions. Additionally, providers and community partners may call our helpline for technical assistance, or to request a training.


Email Katie (kwutchiett@legalaidatwork.org) or Natalia (ngottschalk@legalaidatwork.org) with questions or requests..


Here are some of the materials we highlighted:



You can also visit our website for additional factsheets on workplace rights for NICU families, foster parents, LGBTQ+ families, federal employees, family caregivers, dads, those experiencing reproductive loss, survivors of domestic violence, and more. Printed copies of our materials can be requested here.


Our goal is to make sure that families, especially those who are paid low wages, can access the leave and accommodations they need for their health and their family’s health without having to sacrifice their jobs or income. Don’t hesitate to reach out if there’s anything we can do to partner in this work!


All our best,


LAAW’s Work and Family Team


(Franchesca, Julia, Katie, Natalia, Sela, Sharon, Shazzy, and Victoria)


Volunteer Opportunities


Did You Have a Hard Time Finding a Preceptor?


To our new California midwifery grads: CONGRATULATIONS on finishing your midwifery program!  We are so proud and happy for you. Please remind yourself often of the great significance of your accomplishment and give yourself a big hug.  


CNMA’s Workforce Development and Educational Support (Co-chairs Melanie Cabezas Phipps and Kim Dau) are aware that many midwifery students, particularly those in distance-learning programs, have expressed (and continue to express) frustration, delays, and stress in finding preceptors. This is not a new issue, and we are actively working to improve the situation. California is the state with the most midwives of any state in our nation, so our work here impacts the entire profession. Let’s organize to change things so that our current and future students don't have to go through what so many of us did. With your help, we can make a difference. 


Tell us your narratives. If you had difficulty finding preceptors, please share your experience with us by emailing Melanie at mphippsm@gmail.com. What issues did you have? What happened, what could have happened and didn't (or did), what should have happened, what worked/didn't work, how would you like to see things change? Your thoughts, suggestions, and insights are greatly appreciated. All responses are kept in confidence. 



Medi-Cal Rx


Sign up for the Medi-Cal Rx Subscription Service to be notified when new information is posted! See additional bulletins and news updates below:


  1. Coming Soon: Basaglar® (Insulin Glargine) to Be Removed from the Medi-Cal Rx Contract Drugs List, Effective August 9, 2026

  2. Reminder: Include ICD-10-CM Diagnosis Codes on Pharmacy Claims

  3. Medi-Cal Rx Monthly Bulletin for June

  4. Changes to Medicare Coordination of Benefits Process, Effective May 29, 2026

  5. Mass Adjustment for Member Eligibility Data That Impacted Claim Funding for Claims Submitted March 10, 2022, through October 5, 2025 – Second Group

  6. Mass Adjustment for Incremental Fills for DEA Schedule II Drugs for Impacted Claims with a Date of Service from January 1, 2022, through September 30, 2024

  7. Mass Adjustment for Member Eligibility Data that Impacted Claim Funding for Claims Submitted March 10, 2022, through October 5, 2025

  8. Medi-Cal Rx Checkwrite Schedule – State Fiscal Year 2026-27 Available

  9. Coming Soon: Changes to Medicare Part D COB Process

  10. Medi-Cal Rx Monthly Bulletin for May



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! 


You're receiving this communication because you are a current or former member of the ACNM/CNMA or because you signed up from the CNMA website.

 

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Copyright © CNMA 2026. 746 Washington Blvd, Marina Del Rey, CA 90292. All rights reserved.


 
 
 

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The California Nurse Midwife Association (CNMA) is the professional organization representing Certified Nurse-Midwives and Certified Midwives in the state of California.

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CONTACTS

 

Questions on continuing education courses, including documentation for tuition reimbursement? Contact ce@cnma.org.

 

Questions related to midwifery policy and practice? Contact advocacy@cnma.org.

 

Membership questions? Contact membership@cnma.org.

General questions not covered above? Contact 

communications@cnma.org.

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