• Brittany Edwards

CNMA Newsletter - September 2022

Message from the President

Hello fellow midwives, student midwives, aspiring midwives, and midwife supporters!

This month’s newsletter has so much good information that I hope you’ll take the time to check out. We have updates from the California Prenatal Screening Program, huge wins in health policy, tons of educational opportunities, and lots of opportunities to volunteer. We also have some new resources for you to share with your patients. You’ll find details below on the upcoming CNMA Annual Meeting and on the Pre-Meeting Abortion Workshop, too! Finally, please take some time to vote; the CNMA annual election is happening now, and we have a diverse and talented slate of midwives running to serve and to lead our organization–I am honored and humbled to be among them.

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 and Professional Practice

We are finally at the end of the Legislative session for 2021-2022! By the time you read this, the session will be officially over! As most of you know, the California legislative calendar runs for two years. CNMA, along with our coalition partners, have scored huge wins in the 2021-2022 session, including:

  • The SB 65 Momnibus Act (Skinner) in 2021 that established the Midwifery Workforce Training Act (among other improvements in maternity care policy)

  • And the Budget Act of 2022 which funded the aforementioned Midwifery Workforce Training Act of 2021 and allows midwifery education programs (both LM and CNM) to apply for funding under California's Song Brown Act, and removes the 10% Medi-Cal rate reduction for birth centers and midwifery professional service.

  • The entire package of bills created by the California Future of Abortion Council (FAB Council) has passed through the Legislature! This includes, AB 1918 which improves and expands the reproductive health care education pipeline by creating a California Reproductive Service Corps, and SB 1375, which removes standardized procedures for both CNMs and NPs performing aspiration abortion. We now await the governor’s signature (which must happen by the end of September). CNMA is a proud member of the FAB Council, and look forward to sharing in this important work again next year.

Join us at the CNMA Annual meeting in November for a full Health Policy Round-Up.

Do you have suggestions for our legislative actions next year? Let us know at advocacy@cnma.org

National Health Policy: ACNM Off the Hill Advocacy Week

This September will be our 12th Off the Hill Advocacy Week! Three times a year, coinciding with Georgetown's On the Hill day, midwives and midwifery students organize visits to the local offices of their federal legislators. These efforts empower midwives and student midwives around the country to be politically savvy through advocacy skills and allow them to lead in policy and politics.

This Off the Hill Week, we are so excited to be advocating for the Maximizing Optimal Maternity Services (MOMs) Act, a bill that would secure permanent funding for midwifery education (CNM, CM and CPM) programs.

As appointments cannot be made in person, we encourage you to reach out to your Member of Congress’ office and ask to set up a zoom meeting.

The issue of provider shortages and the need to build up the midwifery and healthcare workforce is especially important now. Now is the time to make some noise for this bill!

  • Check out these links to find your Representative and your Senators.

  • Encourage other midwives and student midwives from your affiliate or school to go with you! There's power in numbers and it makes it a lot less intimidating to have others with you. Zoom makes it especially easy to meet even if you are not all together!

  • To sign up to participate in Off the Hill Week please fill out this spreadsheet with your name and email and information about your visit.

  • Check out our meeting “How to Guide/Talking Points” for all the information you need for your visit!

The Off the Hill Prep Folder contains videos, talking points, and much more to prepare for your visit including a pre-recorded zoom session with information on the bill and a Mock Visit. Check it out! Please note that bill information will be updated as things change. Learn more here!



Survey of California Nurse Practitioners and Nurse Midwives!

The 2022 California Nurse Practitioners and Nurse Midwives survey is underway, and 4,000 nurses have been invited to participate. If you received an invitation, we encourage you to complete the survey! You may complete the survey online or fill out the paper survey that was mailed to you. This research is being conducted by the University of California, San Francisco, with support from the California Health Care Foundation and an advisory board made up of California’s nurse practitioner and nurse midwifery leaders. We want to hear about your practice, and your opinions about important regulatory matters, and other critical workforce issues. The information you provide will help guide public policy and planning for California’s future health care needs!

Spring Fertility’s 1st Annual Nurse-Midwife Open House

Please join us for Spring Fertility's 1st Annual Nurse Midwife Open House, held virtually September 21st! Medical Director, Dr. Monica Pasternak will present on Fertility Counseling & Updates on Preconception Genetic Screening. Following the presentation, we’ll have plenty of time for Q&A, and we look forward to a robust open discussion. Because we know it’s not the same as gathering in person, we’ll also send each individual a special swag bag created just for you to enjoy during this special event. So please be sure to register here so we have ample time to get this to you. You can learn more about Spring Fertility and our approach to patient care here.​​​”


California Prenatal Screening Program

On September 19th, The California Prenatal Screening (PNS) Program is moving from an integrated biochemical screening to two types of screening: Cell-free DNA (cfDNA) from 10 weeks until term, and MSAFP from 15-21 weeks. Screening for Smith-Lemli-Opitz syndrome (SLOS) and Nuchal Translucency ultrasound will no longer be included as part of the PNS program. Midwives will all be able to access the portal directly and place their own orders. A special webinar outlining the PNS program changes and including a Q&A with midwives is available here.

Below are some of the important web pages to guide you in the new process: