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


5. BORN Mentor Program

CNMA is continuing with its second year of the BORN mentorship program. Since its inception, we have matched 26 students with mentors. Excitedly, we are in a position in which we have more students requesting mentors than we have available. This is a flexible partnership and is dependent on the mentee and mentor. Time commitment can be as easy as being available via text, phone, email, or FaceTime once a month! CNMA is looking for more mentors from the community to help meet the program’s student counterparts.

If you are interested in participating as a Mentor, please email with the following information about yourself:

  • Your location (City/Town)

  • Area of expertise: home birth, birth center, hospital

  • Email and Phone contact information

If you are interested in participating as a Mentee, please email with the following information about yourself:

  • School/program

  • Expected Graduation Date

  • Location and location you hope to practice after graduation

  • Where you plan to work (in hospital, birth center, home)

  • Contact information

Please contact Mar at cnmastudentrep@gmail.com if you would like to participate!


6. SNM Scholarship Opportunity

CNMA is pleased to announce that we will be offering five $500 scholarships to students in order to attend the ACNM conference in Washington DC. Please see the link below to the application. We are offering this scholarship to students based on need who would otherwise not be able to attend ACNM and we will highlight applicants who are under-represented in the midwifery profession. We strive to support these students in attending our professional organization's meeting, so please pass this application on to students that you feel would be interested. The deadline for application will be March 30, 2019.

Application available here, or email us at info@cnma.org

Please send completed applications to: rebeccagarrettbrown@yahoo.com.


7. UC San Diego Transgender Health Care Symposium

On behalf of Dr. Ankita Kadakia with support from the Vice Chancellor for Health Sciences Office, the Academy of Clinician Scholars Kaiser Award and collaboration from Pacific AIDS Education and Training Center would like to invite you to attend the upcoming UC San Diego Transgender Health Care Symposium, to be held on Saturday, March 9, 2019 at the T. Denny Sanford Medical Education and Telemedicine Center in La Jolla, California.

The goal of this half day symposium is to increase provider awareness to transgender health care issues by education geared towards primary care providers and those interested in transgender health care. Topics include gender neutral terminology, hormone therapy and gender confirmation surgeries, mental health issues in transgender health care, as well as primary care health issues for transgender patients, fertility and reproduction, and pediatric and adolescent transgender health care.

DATE/TIME: Saturday March 9th, 2019

7:00 am- 1:00 pm

LOCATION: UC San Diego School of Medicine campus, T. Denny Sanford Medical Education and Telemedicine Center, lower level auditorium

MEALS: Breakfast, coffee, and light snacks


The University of California San Diego School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. AMA: The University of California San Diego School of Medicine designates this live activity for a maximum of 4.25AMA PRA Category 1 Credits™.

You can reserve your spot for course by emailing bimamura@ucsd.edu

Feel free to contact Dr Ankita S. Kadakia directly by phone at 858-822-4770 or email if you have any questions or concerns.


8. Cal Poly Pomona Invites You To Attend