Talking Points for Legislators/Aides
In-district meetings will be a great opportunity to bring AB 1306 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 1306, 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):
yourselves, where you currently work, what you do in your current job, where you went to school (Masters degree?).
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 1306 accomplish?
RECENT AMENDMENTS TAKEN IN SENATE B+P ON 6/27/16
- 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.
- California law prohibits corporate entities from providing healthcare; this is referred to as the "corporate practice of medicine ban" (CPM). This ban prohibits hospitals from directly hiring physicians, with some exemptions (teaching hospitals, county hospitals). The CA Medical Association is strongly in favor of the CPM ban and the CA Hospital Association strongly opposes it.
- The purpose of AB 1306 is to improve health care for women in California, but it has been used as a pawn in a bigger battle between the medical association and hospital association over the CPM ban.
- We can, and we should have a broader discussion over the corporate practice of medicine. However, this bill shouldn’t become a hostage in that fight, and nurse-midwives shouldn’t be pushed aside while political heavyweights battle for the upper hand.
- AB 1306 DOES put in place clear language that prohibits a corporation, including a hospital, from interfering in care decisions and prohibit retaliation. This is not the CPM ban, per se, but shares the core principles of the CPM ban to protect patient safety.
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."
the places in your community where there are midwifery practices.
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).
points on removal of the word "supervision" from statute:
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
Can we anticipate your support for AB 1306? [this is the
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