OCTOBER 2019 | CNMA Newsletter

California Nurse-Midwives Association

OCTOBER 2019 | Newsletter



2019 CNMA Annual Meeting on October 5th in DTLA

Silent Auction and Annual Fundraiser October 4th in DTLA

Membership Drive

SB 464

Message from ACNM re: CNMs and Medication Assisted Treatment (MAT)

Anti-Racism and Reproductive Justice Committee

CNMA Welcomes the Newest Board Members

CNMA Bylaws

CNMA’s Project Meet the Midwives

Questions? News? Want to get involved?

2019 Midwifery Week is September 29th- October 5th

2019 CNMA Annual Meeting on October 5th in DTLA

We are excited to see many of you at the 2019 Annual Meeting, being held in Los Angeles this year on October 5th. October 1st is the LAST DAY TO REGISTER!

There will be an opportunity for up to 4 CEUs, incredible guest speakers, including Dr Karen A Scott from UCSF, and many exciting updates about this year’s accomplishments and upcoming plans for a new bill.

On Friday, October 4th, we will have our annual fundraiser for CNMA. Tickets are only $20 and are also available on the event page. Even if you can’t attend, purchasing a ticket or participating in the online silent auction are great ways to contribute and support CNMA for 2020!

Visit the event page at cnma.org/2019 to register!

Silent Auction and Annual Fundraiser October 4th in DTLA

Hello fellow Midwives! Online bidding for silent auction items will begin Monday morning at 8am and continue through Thursday night at 9pm. The auction will remain LIVE through the fundraiser and our conference on Saturday, save certain items which will end on Friday night at our wine and cheese social.

There are some AMAZING items, so I encourage you to take a look and keep checking back. If you don't see anything that interests you but you still want to help out, you can make a donation through this site as well. Funds will go towards helping us meet our goals of moving forward legislation for midwives, and improving access to midwives throughout the state of California.

Auction link: www.32auctions.com/CNMA

Tickets for the annual fundraiser ($20) available here: cnma.org/2019

Membership Drive

Hello California Midwives! CNMA is happy to announce our 2019 Fall membership drive!

We will be offering a 20% discount to the CNMA portion of your ACNM dues when you join during the months of October and November!

Increasing our membership numbers is critical as we begin planning for future legislation!! We are now only one of four states that still has physician supervision. We will not give up until we change this because until we change this, there will remain often insurmountable barriers to women accessing midwifery care. Under the current system, there are huge barriers to CNMs setting up and maintaining independent practices. Physician supervision is truly translated to physician permission to allow CNMs to practice, and determine how and where they may practice. CNM practices can be shut down on a whim by the hospitals and physicians that back them up. This is not theoretical, it is happening to CNMs now. Please help us in our struggle to change this so we can address access issues and improve the disparities in maternal health that exist for women of color and women from marginalized communities. Your membership is an invaluable way to contribute your time, attention, and professionalism to CNMA as we fight for all of our rights to improve practice laws bring down barriers for patient care in California!

SB 464

SB 464 (Mitchell) – Dignity in Pregnancy and Childbirth Act

SB 464 (Mitchell), also known as the Dignity in Pregnancy and Childbirth Act, has passed every hurdle and is now on Governor Newsom's desk. This bill was co-sponsored by CNMA, ACT for Women and Girls, Black Women for Wellness, NARAL Pro Choice California, and Western Center on Law and Poverty. SB 464 will require all hospitals and alternative birth centers in California to provide evidence-based implicit bias training to all healthcare providers involved in perinatal services. The bill will also require the California Department of Public Health to track and publish maternal mortality and morbidity rates, including information about the underlying causes and the racial or ethnic demographics of patients. Finally, the bill will adopt the U.S. standard death certificate format regarding pregnancy to better capture information about maternal mortality.

Find updated information on the bill here.

Find the actual bill language here.

If you have questions, please contact Holly Smith, CNM, Health Policy Chair, at advocacy@cnma.org or hollyMsmith77@gmail.com

Message from ACNM re: CNMs and Medication Assisted Treatment (MAT), September 5, 2019

"Today, the Substance Abuse and Mental Health Services Administration (SAMHSA) announced that they are now accepting applications from Certified Nurse-Midwives (CNMs) interested in applying to become DATA-waived prescribers of medication assisted treatment (MAT) in office-based settings. Click here to apply now!

Signed into law on October 24, 2018, The Substance Use Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act (SUPPORT Act) expands prescriptive authority of MAT to CNMs for a period of five years through October 1, 2023.

For CNMs to be eligible to apply for a MAT waiver from the SAMHSA they must complete 24 hours of required training that covers the following topics: opioid maintenance and detoxification; clinical use of all Food and Drug Administration-approved drugs for MAT; patient assessment; treatment planning; psychosocial services; staff roles; and diversion control. CNMs who complete the required training will receive CE/CME credits and will have the ability to prescribe MAT to up to 30 patients for the first year.

CNMs may prescribe MAT in states where they have prescriptive authority for schedule III drugs, consistent with state law. A CNM must provide MAT in accordance with their professional state specific scope of practice, state laws and regulations, and the policies of their respective institution/ facility. Additionally, if a CNM practices in a state that requires a supervisory or collaborative practice agreement with a physician the physician must be a SAMHSA DATA-waived provider and the practice agreement must indicate that the physician has authorized a CNM to provide MAT per the supervisory or collaborative practice agreement.

The SUPPORT Act expands the ability CNMs to treat up to 30 patients in the first year of waiver receipt if they demonstrate the ability to provide medication-assisted treatment (MAT) in a "qualified practice setting." A qualified practice setting is a practice setting that:

provides professional coverage for patient medical emergencies during hours when the practitioner's practice is closed;

provides access to case-management services for patients including referral and follow-up services for programs that provide, or financially support, the provision of services such as medical, behavioral, social, housing, employment, educational, or other related services;

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