When thinking about the ‘relationship between midwives and physician’s as defineMPA’s mandated supervision requirement in the 1993 LMPA’s, I’d like to ask legislators and other policy-makers one important question: “Does classifying the legacy (traditional, non-nurse) practice of midwifery as a medically-supervised discipline carry out the plainly stated Legislative Intent of the LMPA (SB 350) and Senator Figueroa’s… Continue reading The California Legislature Finds & Declares ~ Intent language of LMPA (SB 350) and SB 1479 (Figueroa-amendment)
Category: AB1308, new regs & new legislative efforts
self-evident but anything to do with Senate B&P hearings in spring of 2013
Text of AB 1308 — a shocker!
AMENDED IN ASSEMBLY MARCH 21, 2013 California Legislature—2013–14 Regular Session ASSEMBLY BILLNo. 1308 Introduced by Assembly Member Bonilla February 22, 2013 An act begin insert to amend Sections 2507 and 2508 of the Business and Professions Code,end insert relating to professions and vocations. LEGISLATIVE COUNSEL’S DIGEST AB 1308, as amended, Bonilla. Midwifery. Existing law, the Licensed Midwifery Practice… Continue reading Text of AB 1308 — a shocker!
holding for rational basis w/ logical criteria for classifying btw non-physician practitioners as “physician-extenders”
Cal govt. code section 11349.1 that requires regulations to conform to the following 6 criteria: necessity, authority, clarity, consistency, reference, and non-duplication http://transform.childbirthconnection.org/reports/liability/ Fact Sheet #1 for Stakeholders from Maternity Care and Liability Report * Problem: The liability system poorly serves maternity care providers, childbearing women and families, and those who pay for maternity care.… Continue reading holding for rational basis w/ logical criteria for classifying btw non-physician practitioners as “physician-extenders”
My comments on yesterday’s Mfry Council meeting and ACOG’s proposed bill (AB 1308)
This is a re-posting of the last half of yesterday’s report on the Council meeting. I am troubled by ACOG’s proposals for a couple of reasons As many of you know, I organized a professional liability insurance consortium that covered 55 LMs and CNMs providing OOH birth in three states (Ca, NM, Fla) for three… Continue reading My comments on yesterday’s Mfry Council meeting and ACOG’s proposed bill (AB 1308)
Midwifery Council Report ~ March 14th ~ ACOG introduces Bill to amend LMPA: changes in LMAR & require malpractice insurance for CaLMs
Sunset Review reports provided by Medical Board staff, ACOG lobbyist, and the CMA TIme line for Sunset Review bill ~ language not available until April, must be passed by June 6th ACOG introduces AB 1308 to amend LMPA and ideas for malpractice coverage of midwives under the Affordable Care Act 2009 (Obama care) Faith Gibson… Continue reading Midwifery Council Report ~ March 14th ~ ACOG introduces Bill to amend LMPA: changes in LMAR & require malpractice insurance for CaLMs
Sunset Review Committee makes “relationship btw midwives & physicians” one of its top 4 priorities
Good news for CaLMs — we had a great (and unexpected!) outcome at yesterday’s hearing. We’d been lead to believe that the Senate B&P Committee was not willing to take on any “controversial” issues, which altogether eliminated addressing the midwife-physician supervision problem. For the first 5 1/2 hours of the hearing there was not a single… Continue reading Sunset Review Committee makes “relationship btw midwives & physicians” one of its top 4 priorities
Politics & Economics of non-physicain primary-care practitioners (NPs, CNMs LMs) ~ part 1
The following is background information on the politics of multi-disciplinary healthcare that includes the independent practice of nurse practitioners, CNMs and LMs. It is an excerpt from a much longer essay that explores why our current healthcare system: Doesn’t work for so many of us . . . answer: because what we have now is a… Continue reading Politics & Economics of non-physicain primary-care practitioners (NPs, CNMs LMs) ~ part 1
Cal Affordable MaternityCare Act of 2013 ~ making the legislation itself an effective vehicle for telling our story
The goal for the C.A.M. Care Act of 2013: * Affordable maternity care in California by making physiologically-based midwifery care in birth centers and other non-medical settings easily available to Medicaid-MediCal eligible women by licensed midwives. What does this means? Promoting legislation that: ** Includes the independent practice of licensed midwifery in the Medicaid-AIM reimbursement scheme… Continue reading Cal Affordable MaternityCare Act of 2013 ~ making the legislation itself an effective vehicle for telling our story
Sunset Review of Midwifery Issues: Background Supervision ~ part 1
Excepts from my communications with employee GV Ayers of the B&P Committee of California Legislature: When it comes to the legal, legislative and political history of obstetrical supervision of midwifery, I am the idiot savant. In preparation with for a meeting in 2007 with then-Attorney General Jerry Brown on this topic, I created a document… Continue reading Sunset Review of Midwifery Issues: Background Supervision ~ part 1
Physician Supervision Clause in California nurse & direct-entry mfry legislation — ~ part 2 (of 5)
Link to part 1 Historical background of California midwifery legislation in relation to physician supervision: The 1993 LMPA repealed the original 1917 provision for the state-regulated practice of midwifery by non-medical, non-nurse practitioners. From its implementation in 1918 to the 1981 retirement of the last midwife certified under the original provision, there were 217 direct-entry midwives who… Continue reading Physician Supervision Clause in California nurse & direct-entry mfry legislation — ~ part 2 (of 5)