MARCH 2019 Newsletter

California Nurse-Midwives Association

MARCH 2019 | Newsletter

To view as google doc click HERE


  1. California Birth Center Association Bill

  2. SB 1109: Controlled substances. Schedule II Drugs: Opioids

  3. Birth Certificate Accuracy Project

  4. CNMs as MAT (Medication Assisted Treatment) Providers

  5. BORN Mentor Program

  6. SNM Scholarship Opportunity

  7. UC San Diego Transgender Health Care Symposium

  8. Cal Poly Pomona Invites You To Attend

  9. CNMA Student Corner: SNMs Seeking Clinical Sites

  10. Orange County, California Birth Center Business Opportunity

  11. Midwives for Haiti

  12. Cannabis + Pregnancy? A Survey

  13. Questions? News? Want to get involved?

An Update about Lobby Day 2019, Including Registration, Will Be Sent Out Later This Week!


1. California Birth Center Association Bill

Greetings to CNMA members and all CNMs in California. We hope you read and enjoy this newsletter! I want to personally follow up on the letter we sent regarding the California Birth Center Association bill. Since that time, we have had a conversation with CBCA leadership and are trying to work through our concerns on each side of this issue.

If this bill continues through the legislature, we will continue having conversations and hope for a collaborative approach. CNMA must ensure that any bill affecting CNMs is in the best interest of all, ensuring there is no detriment to midwives in any given settings. As importantly, it is our duty to ensure legislation improves access for the women we care for without creating any unforeseen barriers to care. We take this responsibility very seriously and with a great deal of thoughtful consideration while incorporating many viewpoints from CNMs in all types of practices. Many of CNMAs Board members who now work exclusively in hospitals have worked in out of hospital setting and/or delivered our own children in birth centers or at home. We are committed to doing everything we can to make out of hospital options available to more women through legislative options, legal options, and in policy-making.

Please contact us if you have any questions or concerns, or if you have important feedback you feel is important.


Kathleen Belzer

CNMA President



2. SB 1109: Controlled substances. Schedule II Drugs: Opioids

Recently, SB1109 passed which mandates that all CNMs have training in neonatal abstinence syndrome and addiction. Because of this, we are working closely with the BRN to fulfill this requirement. It is our understanding at this time that when a CNM renews their DEA registration, it will be mandatory to provide proof of completion of this coursework. The course material has been developed, has been approved by the BRN, and we are working to make it available online as soon as possible. Every CNM should plan on doing this extra CE course before expiration of one’s DEA number in order to fulfill these new obligations. Also, when CNMs come to California and need to do the entire Schedule II course in order to acquire a furnishing and DEA number, this curriculum will be available along with the existing CE coursework. As we have more updates, we will keep you informed in a timely manner.

Thank you for your patience and understanding on this issue.

Kathleen Belzer

CNMA President


3. Birth Certificate Accuracy Project

As part of CNMA's push to ensure that birth certificates accurately reflect CNM birth attendants in every hospital, we are creating the CNMA Birth Certificate Accuracy Task Force. We are still looking for interested CNM leaders, or any interested CNM, to be part of this task force.

If you would like to participate, or know of someone who would be a good fit for such a project, please let us know. We would love to have CNM leads from across the state as well as others familiar with this problem who are motivated to assist with this project.

Please contact Holly Smith at advocacy@cnma.org.


4. CNMs as MAT (Medication Assisted Treatment) Providers

In October 2018, the SUPPORT Act was signed into federal law. This law allows a five year waiver for CNMs to provide MAT for treatment of substance use disorders. More information on this law can be found here and here. This is brand new federal law, and therefore the SAMHSA website has not yet been updated to include CNMs. More guidance will be forthcoming. Of note, because CNMs in California are supervised, the law requires that the supervising physician also be a provider with the necessary waiver (e.g. who has completed the appropriate training to provide this treatment). Those interested in providing this treatment can find a preliminary guidance from ACNM here.

If you have questions please contact us at advocacy@cnma.org