NACPM’s Legislative Agenda to Increase Access to Care

NACPM has spent the past two years doing research and carefully laying the initial groundwork to secure these goals. Currently, the Board is consulting with policy advisors and experts to develop a comprehensive plan for national participation of CPMs in health care reform policy forums, and to initiate legislation to amend the federal Social Security Act to include the services of CPMs. This is a critical element of a strategy for securing reimbursement from Medicaid and Medicare, as well as from private insurers. Susan Jenkins’ article describes these federal and state/federal plans and the process of including CPMs as providers.

Last fall, NACPM sponsored a presentation at the American Public Health Association’s (APHA) annual meeting in Boston by Jo Anne Myers-Ciecko, MPH, Connie Koshewa, CPM, MPH, LM, and Erin Sweeney, CPM, LM, on the national situation for Medicaid reimbursement for midwives. Five years ago, APHA adopted a resolution that called for increasing access to out-of-hospital maternity services, including expanding access for underserved populations and eliminating barriers to reimbursement for direct-entry midwives. The above-mentioned presentation at APHA was one in a series of small scale research projects to identify and understand the challenges encountered as the midwifery community endeavors to put the APHA resolution into action. We again refer you to Susan Jenkins’ article which describes this presentation and its implications for the NACPM Strategy for Increased Access to Midwifery Care.

The NACPM Board will present this proposed strategic plan in the fall of 2007, and will solicit feedback from members, from our sister organizations and from Citizens for Midwifery. The Board believes that success of this initiative will:

  • Increase work opportunities for CPMs
  • Support the success of state legislative effort
  • Encourage greater numbers of midwifery students and enrollment in midwifery schools and programs
  • Support the work of our sister organizations
  • And most importantly, increase women’s access to midwifery care