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Idaho Midwifery Council |
Previous Legislative updates |
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Legislative Updates The following legislative updates are listed in chronological order, from latest to earliest:
Legislative Report Summer 2007 I hope you are all having a wonderful summer. It is always too short in my book. I am, as always, way busier with life than seems humanly possible. But, I somehow manage to live my life to the fullest. Currently, the legislative committee is working with the Idaho Perinatal Project to iron out some of their issues with Senate Bill 1145, our voluntary licensure bill. They have formed a very midwife friendly subcommittee. We are all hopeful that we can make changes to the bill that we all like and that they will endorse. To date, we have been able to settle many of their concerns regarding insurance reimbursement, malpractice, immunity, and several others. However, the IMC legislative committee and the IMC board are also working on revisions to the bill so that we can move forward next legislative session. As always, we value your input. We are currently asking for every midwife in the state to please have their clients send short letters to their legislators asking for their support of S1145 and why it is important to them. I am also setting up meetings with legislators. If you have a family that is willing to help, please have them email me. I am trying to cover every legislator from Salmon-Pocatello and all the way to the Boise area. I have already had a wonderful meeting with Senator Bair (Blackfoot). He is on the Health & Welfare committee. I was able to answer some of his questions and concerns regarding last year’s bill. We now have his full support. We need midwives to keep encouraging the clients to become members of Idahoans for Midwives and, at the very least to allow us to add their email addresses to the database. This is very important. We need to grow the membership/database by 600 names this year. Some of you have very busy practices, so I think we can accomplish this if we all work hard. If you need more information on IFM, please send me an email and I will forward it to Caralee Anderton. If you haven’t been involved, please consider helping. This bill is for everyone. I am always available to help set up meetings, send out information, or answer questions. If you are not able to help with our lobbying effort, please consider making a sizeable donation to IMC for legislation. Thank you so
much for your continued support! Legislative Report Spring 2007 It is Wednesday morning. I am sitting here at my desk contemplating what I would like to say to everyone. There is so much to say. But first and foremost, I want to say thank you to all of you that had your clients, families, and friends contact Senators to get the bill passed. Let me tell you, I was at the capitol. They were all getting lots and lots of emails. They had stacks of them. We were making our presence and our wishes known. I learned a tremendous amount being in the halls and offices of the Idaho state capitol. Pat Holmberg, our volunteer lobbyist, was a great teacher. Words cannot express my gratitude and appreciation for all of her effort and hard work. We were able to speak with most of the Senators on the health & welfare committee. Most of them were supportive of the idea of voluntary licensure for midwives. Some of them will want mandatory licensure but I don’t think that that issue is going to be a big battle in the future. As matter of fact, I don’t think the medications we were asking for or the voluntary nature of our bill are the biggest issues. The biggest issues were that we had not tried to work with the medical associations prior to presenting this bill and some of the wording in the bill itself. After I returned home, I have received several very nice emails from some of the Senators in the health & welfare committee, praising our efforts and telling us not to be discouraged and to keep moving forward. Our sponsor, Senator Keough, is also committed to helping us move forward next year as well. Lastly, and very important is that some of the Idaho Perinatal Project board members are also wanting to help us get our bill passed. They came out in opposition to the bill as it was written but not against licensure itself. As a matter of fact, a little birdie told me that one of the docs on the IPP board had siblings born at home with the help of a midwife. We have a lot of support already. Where do we go from here? There is so much that needs to be done. When this legislative session ends there are several things that need to happen.
It is my sincere hope that we all have a wonderful spring. And that we will all be filled with a renewed sense of hope for our legislative endeavors. If you would like to help or would like to talk to me personally about legislation, please feel free to contact me. Michelle Bartlett, CPM. Senate Bill 1145: Note from Michelle Bartlett Thank you so much
for all of your support this year. Our bill was not able to make it out of
committee. However, our bill was the most talked about piece of proposed
legislation thanks to all of your letters, post cards, faxes and emails. The
senators on the Health & Welfare committee were impressed by all of our
support.
The date of Senate Bill 1145, the Idaho Voluntary Midwifery Licensure Act, has been set for Monday, February 26, at 3:00 p.m. in room 437. Be there if at all possible.
Senator Shawn Keough has notified us that Senate Bill 1145, Midwifery Voluntary License Act, was introduced today, February 12, by the Senate Health and Welfare Committee. Chairman Senator Patti Ann Lodge will schedule the bill for a hearing in the near future, perhaps as early as next week. The Health and Welfare Committee meets Monday, Tuesday, and Wednesday. The full text of the bill is available for viewing and downloading at
http://www3.
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October 2006 Note from Barb Rawlings Hello fellow midwives and friends,
I am taking this opportunity to send you my warmest wishes for a healthy,
happy and successful new year and to ask for your help. 2007 could be a
big year for us Idaho midwives and we all need to work together to create
success. I have several points to cover:
1) PLEASE send client contact information to Idahoans for Midwives.
These women are eager to help us by organizing supporters but they can't
do it if we don't sent them that info. Also consider joining, donating $
for their expenses, and don't forget to sign new clients up, give out
newsletters, add them to the data base. PLEASE help in these ways.
2) If you haven't rejoined IMC yet, please do so as the new membership
year begins Jan.1. Send $25 to IMC c/o Kendra Scarlett, Rt.1, Box 2755
Bonners Ferry, ID 83805
3) Submit stories, articles, information, jokes etc. to the IMC
newsletter, deadline Jan.5, '07 for the winter issue. Send to
paulawiens@earthlink.net
4) Get out and talk to the legislators in your region. Take a happy
client or 2 and let them tell why they loved their home birth. If you
need talking points, contact us and we will send them to you. They need
to know we are here and what we want.
5) If you are not sending birth announcement post cards to your
legislators please begin doing so. It really gets their attention.
6) Either begin or continue submitting your practice stats to MANA
Division of Research. This will be important information for us as we
move forward. You do not have to be a MANA member or a CPM to do this and
you enter online. They have made it very easy for us. The DOR is
establishing a database for Idaho. This part is important:
IF YOU DO COLLECT STATS IN THIS WAY, ARE YOU WILLING TO HAVE THEM ADDED TO THE IDAHO DATABASE? THERE WILL BE NO SEPARATE INFO, ONLY AS A GROUP, SO YOUR INDIVIDUAL STATS WILL REMAIN CONFIDENTIAL.
Please let me know asap if you are willing to participate in this way
so we can being the process.
Thanks for the wonderful work you do to help families in Idaho. We are an
awesome group and I appreciate being part of it. Let me know your needs
and wants so we can all work together to create success and happiness in
2007!
HAPPY NEW YEAR! BE SAFE AND LAUGH LOTS.
Love,
Barb
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October 2006 Note from Barb Rawlings
Fall 2006 Note from Barb Rawlings
Good morning friends,
Return to previous page
Spring 2006 Legislative Committee
Michelle Bartlett, Idaho Falls & Inga Arts, Hayden
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Things are moving along nicely with legislative planning. The IMC is working very hard and we are getting much done. Ø Thank you to Nancy Draznin for her work on a map depicting both the Idaho Midwifery Council’s regions and Idaho’s legislative districts. This map will be helpful for midwives trying to reach their legislators. Ø Postcards with the message “A New Constituent Has Been Born!” are available to send to legislators. They will be available at the conference in July or you may contact Paula Wiens to receive a master copy. Ø Packets of legislative information will soon be mailed to midwives across the state. Ø There will be a legislative workshop at the summer conference. This workshop will be very informative and helpful to us. Please plan on attending. Ø We have a new midwifery consumer support group! Thank you to Caralee Anderton for being willing to step up to the plate. Ø Inga continues to build the IMC database. Your help is needed for this very important project. Please send contact information to Inga Arts. The legislative committee is currently seeking volunteers to get projects done that will enable us to pass positive midwifery legislation in the year 2007. Many of the tasks are small and could be done in a short period of time. Please contact Michelle Bartlett if you are willing to help. |
Midwives make presentation to the board of the Idaho Perinatal ProjectOn February 1, 2006 Paula Wiens and Barbara Rawlings made a presentation to the Board of the Idaho Perinatal Project, having been invited to speak about the practice of midwifery in Idaho and how the Idaho Midwifery Council would want to see regulation if it were to happen. Our power point presentation was informative, impressive, well received and appreciated. The meeting was enlightening for both sides, we educated them about who we are and how we work, our long history, the CPM process and our proposal for regulation. We heard about their concerns regarding liability and the current problems that they face in their communities. Everyone felt it was productive and that we have taken a valuable first step. We continue to keep the lines of communication open and agree there is a lot of work to be done. The most recent word from Dr. Blea, IPP board chair, is that the IPP has taken no further steps at this time. We continue to do our research and plan to move forward, keeping other potentially supportive groups informed. Included in the newsletter are three fact sheets that were presented to the IPP board.
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PROPOSAL TO LICENSE THE CPM IN IDAHO FACT SHEET ABOUT OUR PROPOSAL Ø We propose to license the Certified Professional Midwife (CPM) Ø Our proposal would allow midwives who have earned the CPM credential from the North American Registry of Midwives (NARM) to become licensed to provide out-of-hospital maternity care for healthy women experiencing normal pregnancies.
Ø
NARM is approved as a
nationally accredited certifying agency by the National Commission for
Certifying Agencies and the National Organization for Competency Assurance,
the agencies that also authorize the American College of Nurse Midwives CNM
credential.
Ø
NARM certification
includes a rigorous educational and training process that requires a minimum
of three to five years to complete; verification of knowledge and skills
through the successful completion of a written exam and a hands-on skills
assessment process; continuing education, peer review and re-certification
every three years. View at: www.narm.org.
Ø
The American Public Health
Association (APHA) recognizes the NARM training and skills assessment
process as the basis for a national certification program for licensing
midwives who provide out-of-hospital maternity services.
Ø
Our proposal requires
Licensed Midwives (LM) to follow the standards of the National Association
of Certified Professional Midwives (NACPM), which limits the CPM scope of
practice to the primary maternity care of healthy women experiencing normal
pregnancies. View at:
www.nacpm.net/documents
Ø
Our proposal requires the
LM to provide clients with detailed information about their skills,
experience, education and training, as well as their current malpractice
insurance status.
Ø
Our proposal mandates that
other healthcare providers who consult with or accept transfer of care from
a LM do not assume liability for the LM’s actions or omissions. BENEFITS OF LICENSING THE CPM IN IDAHO Ø Idaho’s midwives serve a disproportionate number of low-income, rural, un-/underinsured families and other populations that have few affordable maternity-care options available to them. Licensure of the CPM will help ensure that there are enough trained midwives to provide safe care for Idaho’s underserved populations. Ø Licensure of the CPM would provide a mechanism for families who choose out-of-hospital birth to verify the training, skills, and educational credentials of their midwife. Ø Licensure of the CPM offers protection to Idaho physicians who collaborate with midwives and ensures that families who choose out-of-hospital birth will be provided with continuity of care when it becomes necessary. Ø Licensure of the CPM would clarify the legal status of midwives and assure that they can consult with other providers and transport clients into medical care without fear of legal repercussion. Ø According to the APHA, births attended by midwives in out-of-hospital settings significantly reduce the costs of maternity care. Ø In June 2005, the British Medical Journal published the latest study in a large body of medical research showing that out-of-hospital birth for healthy women using CPM’s results in outcomes equal to those of a comparable cohort of women giving birth in hospitals, but with much lower rates of avoidable and costly interventions. View at: http://bmj.bmjjournals.com/cgi/content/full/330/7505/1416?ehom Ø Licensure of the CMP protects the right of Idaho’s women and families to safely and confidently choose both their caregiver and their place of birth.
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to previous page Midwives, apprentices, and supporters of midwifery, please go to this link and read ACOG's statement of policy regarding lay midwives. Lay midwives include all midwives who have not been certified through the American Midwifery Certification Board (ACMB), formerly known as the ACNM Certification Council: http://acog.org/departments/perinatalHIV/sop0602.cfm Legislative Action Needed It is very likely that midwifery legislation will be introduced in the 2007
legislative session in Boise. Here is how midwives and supporters can
help. We all need each other. We can be strong together. We have to be
self-motivated to participate.
Michelle Bartlett, Idaho Falls & Inga Arts, Hayden Dear Friends,
Board members recently received the NARM publication, Planning for
Legislation. This handbook is an excellent resource for us as we
look into legislation here in Idaho. Also a Legislative Committee has
been formed. Co-chairs are Michelle Bartlett, CPM, and Inga Arts, CPM.
Fall 2005 The Idaho Perinatal Project is in the process of studying midwifery in Idaho, looking at reasons for home birth transports, and reviewing the ways in which other states regulate direct-entry midwifery. IMC has offered resources and information regarding the CPM credential, NARM, MANA, and CFM contacts and intends to continue to build a relationship of cooperation so we can have continued input, stay informed, and remain involved in every level of this process.
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