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The Midwife Solution: Advancing Midwifery for Women's Health
  • Home
  • About Us
  • Legislative News
  • Blog
  • Resources
    • Videos
    • Articles
    • In the News
  • Our Accomplishments
    • MA Midwife Summit
    • Honoring Native People

Legislative Priorities - TAKE ACTION

Find My Legislator

Your Voice Truly Matters. You have the power to be a maternal and child health advocate by supporting current legislation: To increase access to certified nurse midwives' services (H1127/S697) and Enhancing sustainability for birth centers and the midwifery workforce (H1117/S784). 


By contacting your elected officials and supporting this crucial legislation, you are taking powerful action towards positive change.


Policy changes are one of the most impactful ways we can improve access to care and advance birth and reproductive justice. Together we can make a real difference in the lives of those affected.


To Find your Legislator, enter a location or click on the map, you can also scroll to bottom of page to enter your address 

Current Legislation

H1127/S697 An Act to Increase Access to Nurse-Midwifery Services

Synopsis –

  • Passage of this bill would require 100% reimbursement for services provided by Certified Nurse Midwives:
  • The commission shall provide to any active or retired employee of the  commonwealth insured under the group insurance commission coverage for  services rendered by a certified nurse midwife designated to engage in  the practice of nurse-midwifery by the board of registration in nursing  pursuant to section 80C of chapter 112, and the payment rate for a service provided by a certified nurse-midwife that is within the scope  of the certified nurse-midwife’s authorization to practice shall be equal to the payment rate for the same service if performed by a  physician.


Follow the status of this bill here:

MA House of Representatives https://malegislature.gov/Bills/194/H1127

MA Senate https://malegislature.gov/Bills/194/S697


 

H1117/S784 An Act Promoting and Enhancing the Sustainability of 

Birth Centers and the Midwifery Workforce

Synopsis –

  • Passage of this bill would require establishment of a separate fund for midwifery workforce development in the Commonwealth
  • (a)There shall be established and set up on the books of the commonwealth a separate fund known as the Midwifery Workforce Development Fund. The fund shall be administered by the secretary of the executive office of health and human services in consultation with the advisory committee established pursuant to subsection (d); provided, that the secretary may delegate administration of part or all of the fund to an organization representing certified professional midwives. There shall be credited to  the fund: (i) revenue from appropriations or other money authorized by  the general court and specifically designated to be credited to the  fund; (ii) federal grants and other federal funds designated for  maternal health; (iii) interest earned on such revenues; and (iv) all  other funds from public and private sources credited or transferred into  the fund, including gifts, public or private grants, settlements and  donations. Any unexpended balance in the fund at the end of a fiscal year shall not revert to the General Fund and shall remain available for expenditure in subsequent fiscal years. No expenditure made from the fund shall cause the fund to become deficient at any point. Any fiscal year-end balance in the fund that is subject to appropriation shall not be subject to section 5C of chapter 29. The fund shall not be subject to appropriation.


Follow the status of this bill here:
MA House of Representatives https://malegislature.gov/Bills/194/H1117 

MA Senate https://malegislature.gov/Bills/194/S784

Legislative News

A Persistent Fight for Fair Childbirth in Massachusetts

Boston University School of Public Health (4/25/24)


This story, written by DrPH student Omonyele Adjognon and senior COM student Lauren Fox, examines the longstanding challenges to opening and operating freestanding, midwife-assisted birth centers in Massachusetts and updates the arduous journey of Boston University School of Public Health alum Nashira Baril (SPH’06) and her fight to open the Neighborhood Birth Center in Roxbury. Read more

Midwife Access Bill a Success

Massachusetts Legislature (8/15/24)


H4999 An Act promoting access to midwifery care and out-of-hospital birth options passed in informal sessions and signed by Governor Maura Healey

A few highlights of the bill regarding midwives and birth centers:

  • Establishes a pathway to licensure for Certified Professional Midwives (CPMs)
  • Creates a majority-CPM board of midwifery to oversee CPM licensure
  • Empowers the board of midwifery to develop rules and regulations including clinical criteria around low risk pregnancies.
  • No malpractice insurance mandate in statute, and the board "may" set any such requirements.
  • Authorizes CPMs to obtain, carry, and administer medications within their clinical scope of practice.
  • Requires MassHealth to cover CPM care.
  • Requires the Department of Public Health to update regulations governing freestanding birth centers, with input from birth center stakeholders and aligned with AABC standards
  • Allows CPMs and Nurse Midwives to serve as clinical directors for freestanding birth centers (previously, only physicians could hold this role).
  • Allows CPMs to serve as birth attendants in freestanding birth centers (previously, only Nurse Midwives or physicians could hold this role).
  • Requires that MassHealth reimburse Nurse Midwives at the same rate as physicians for the same services.  Read more



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