California Nurse-Midwives Association

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Talking Points for Legislators/Aides

In-district meetings will be a great opportunity to bring AB 2682 to legislators' attention with some of the talking points below.  An approach we might recommend would be to let the legislators know why we are sponsoring AB 2682, and ask them if we can keep them updated on our efforts.  It will be a great opportunity to gauge their interest in the topic, capture any questions they have, and read their body language and general reaction for signs of support, neutrality, or opposition. 

TALKING POINTS (you may only have 15-30 minutes):

==>Introduce yourselves, where you currently work, what you do in your current job, where you went to school (Masters degree?).

==>Discuss the midwifery model of care, why you are a midwife, why midwifery is important to you and the women who you serve. 

What does AB 2682 accomplish?

  • Removal of the word "supervision" from CNM statute
  • CNMs have always worked collaboratively and always will work collaboratively with physicians
  • "Supervision" language has a negative economic impact by limiting what services a CNM is educationally prepared to offer, by limiting availability in rural areas with few to no OB providers.  
  • "Supervision" language does NOT improve safety or patient outcomes 
  • Clarify what "supervision" is and isn't-- does not mean physical presence, chart review, or shared visits. A patient may be seen by the CNM during PNC, during labor and birth, and NEVER meet the physician. CNM still responsible for own management decisions. Collaboration means that CNM consults/refers to physician when indicated by risk factors. 
  • AB 2682 would still require standardized procedures be in place for nurse-midwives that want a license to furnish/prescribe. Standardized procedures must be developed with a physician.

What is midwifery? 

Childbirth is a normal process and not a disease. Women with access to midwifery care are better off than those without. Everyone deserves access to midwifery care. 

What is the midwifery model of care

Concisely stated from the 2014 Lancet series on Midwifery: "skilled, knowledgeable, and compassionate care of women, newborns, and families from before pregnancy through the postpartum and newborn period. The authors further clarify that quality midwifery optimizes biological, psychological, and social processes at this time; focuses on prevention; prevents and manages complications; arranges for other needed care; respects women’s views; and enhances their ability to take care of themselves and their families."

==>Discuss the places in your community where there are midwifery practices.

==>Briefly advise them on the differences and similarities between licensed midwives and certified nurse-midwives in California (provide CNMA Fact Sheet and CA CNM/LM comparison table).

==>Talking points on removal of the word "supervision" from statute:

(near the middle or end of the meeting)

(Respond to any questions about these benefits with facts and metrics, as available)

(Do they think that constituents will be interested in these improvements?)

Can we anticipate your support for AB 2682? [this is the main “ask”] 

Can we get the name of your lead health care staff in Sacramento for our lobbyists?

(If they had any questions) We’ll get back to you with more information in response to your questions

==>Invite them to visit your place of work and see what a midwifery practice looks like. (This will need to eventually be cleared with your manager, but is often great political outreach.)

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