California Nurse-Midwives Association

CNMA is proud to announce legislation that will promote the same high quality, 

collaborative care that nurse-midwives have always provided, 

but without the barriers of supervisory language. 

Calling all midwives to join us on Lobby Day April 14 to help AB1306 get passed, 

and see the growth of midwifery in California! 

Visit our In-District Advocacy Page for resources and advice on how to advocate for AB1306 in your home district.

We are also please to announce a new website dedicated to AB1306

Equity.  Current regulations make it difficult for nurse-midwives to practice equitable, team-based care. In effective team-based care, each provider is integral to the team and each is able to offer the full scope of what they have to offer, which ultimately provides better health care overall. The “supervision” concept creates a sense of hierarchy that is antithetical to effective team-based care. As providers tethered to physicians, CNMs are unable to promote midwifery care without supervisory permission. Physician supervision also fosters interprofessional tension because of the erroneous idea that the physician is legally responsible for the CNM’s actions.      

Visibility.  Midwives are often invisible within the healthcare system by not being counted/included as providers by insurance companies or hospitals. Currently, Medi-Cal and private health plans do not track where CNMs work and what we do. That means our impact is often invisible to policy makers, insurance companies, and the general public—but not to budget administrators, who may well eliminate a CNM “line item” because our worth is not known.                                                                                    

Economic Stability.  Removal of the word “supervision” would expand market opportunities for CNMs and the physicians with whom we collaborate. It will also make it easier for a CNM to obtain hospital privileges and become a full hospital staff member; to work with physicians who are no longer fearful of liability issues; to start a midwife-owned private practice; and to contract with health plans. Likewise, it will be easier for hospitals to hire the appropriate number of CNMs and physicians required for optimal patient care rather than basing hiring decisions on supervision ratios. Removal of supervisory requirements does not, of course, preclude a CNM from working within a physician or hospital group if she or he so chooses.  

CNMA Lobby Day 2015

Tuesday, April 14, 2015 in Sacramento

9am-5:00pm: Lobby Day at the State Capitol

Registration Fee (including lunch): CNMA Member $40, Non-Member $60, Student $20

Not an ACNM/CNMA Member and would like to be? 

FREE Lobby Day registration if you join ACNM/CNMA between now and April 1

Join today at

5:00pm-6:30pm: Legislative Reception 
($15 additional fee, drinks and snacks will be served)
Spend a day with your midwife colleagues and representatives,
advocating for autonomous practice of CNMs.  
Together our voices will be heard.

Register NOW!

Come a day early and join the Sacramento/Davis CNMA chapter for a CNMA fundraiser at the Sacramento Rivercats baseball game Monday night, April 13, 7:05 first pitch.  Bring your friends and family for a fun night out at the ballgame! The Rivercats are the Minor League AAA Affiliate for the San Francisco Giants. $30 game tickets.  

Register at the same time you register for Lobby Day.  

Unable to attend Lobby Day but would like to join us for the fundraiser, register online at
Invite friends, family, colleagues, midwife supporters.  
All are welcome!

Questions or comments about this website?  Please email Maria Kammerer at

The CNMA works to improve women's health through midwifery. Help us accomplish our maternal legislative goals by donating NOW! Click here to learn more about how we improve the health of women and their families.


Annual Meeting Awards

This year the CNMA recognized the following midwives for their contributions to our midwifery in California:

Health Policy/Legislation
Kim Dau, CNM

Outstanding Preceptor
Ginny Gladwin, CNM

President's Choice Award
Maria Kammerer, CNM

Keep Calm buttons now available!


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