Return to Advocacy > ACNM Policy Updates

ACNM Policy Update - 1/7/2016

Federal Issues

1. ACNM Submits Comments on Draft 2017 Letter to Issuers

2. Recording of CMS Maternal Health Quality Panel Discussion Available

3. Childbirth Connection and Choices in Childbirth Release Materials on Medicaid Coverage for Doulas

4. KFF Releases Infographic on Increases in Employer Sponsored Insurance Premiums

5. Vote for Home Birth!


1. ACNM Submits Comments on Draft 2017 Letter to Issuers

ACNM has submitted comments in response to the Draft 2017 Letter to Issuers in the Federally Facilitate Marketplace. This document outlines proposed policies the Centers for Medicare and Medicaid Services (CMS) intends to put in place in that specific arena. As of this writing there are more than 8 million people receiving coverage through a marketplace plan, which is expected to rise to around 10 million. ACNM’s comments focused on the need to include CNMs and CMs in these plan networks and provided information about the distinct type of services offered by midwives and their value to plans.

2. Recording of CMS Maternal Health Quality Panel Discussion Available

The Centers for Medicare and Medicaid Services (CMS) has made available a recording and slides associated with a panel discussion on maternal and infant health held at its recent quality conference. To access the materials, you will need to register first. Registration is free. The panelists discussed CMS’ current efforts in this area, including efforts to improve the use of postpartum visits and LARC.

3. Childbirth Connection and Choices in Childbirth Release Materials on Medicaid Coverage for Doulas

Childbirth Connection and Choices in Childbirth have released a set of materials aimed at encouraging states to provide coverage for doulas under their Medicaid programs. The materials include a full issue brief, an executive summary, an infographic, a news release and a link to a Cochrane review. The brief documents how widespread access to doula support would improve outcomes for women and babies, enhance women's experience of care, and reduce the cost of care. It clarifies that this high-value form of care warrants widespread Medicaid and private insurance coverage, and points to many pathways for achieving this. Interested individuals can use these materials to advocate on behalf of doula coverage by any payer.

4. KFF Releases Infographic on Increases in Employer Sponsored Insurance Premiums

The Kaiser Family Foundation (KFF) has released an infographic that charts recent trends in employer-sponsored health insurance premiums. It shows that between 1999 and 2015, premiums increased by 203 percent, outpacing both inflation and workers’ earnings. However, growth of premiums for family coverage slowed toward the end of that time period, from an average of 11 percent a year between 1999 and 2005, to 5 percent between 2005 and 2015. In recent years, deductibles rose faster than both premiums and wages, with the average premium for single and family coverage increasing 4 percent between 2014 and 2015. There is considerable variation in the premiums at different firms; 8 percent of covered workers are enrolled in a family plan worth more than $24,000 and 4 percent are in plans worth less than $10,000 annually.

5. Vote for Home Birth!

Many of you may be aware that the New England Journal of Medicine recently published a study of the safety of home birth. In a somewhat related article, the NEJM published two reactions to a specific case study, one advocating for home birth, the other for hospital birth. In a sidebar to these two approaches, the journal asks readers to vote on whether they would “support home delivery as a reasonable option for this patient,” or whether they would “recommend delivery in a hospital setting.” The poll is located on the right side of the page. Take a look at the hypothetical case and cast your vote in the poll!



Should you have questions about state issues, please contact Cara Kinzelman, ACNM's Associate Director of State Government Affairs at[email protected]or 240-485-1841.

If you have questions regarding federal issues, please contact Jesse Bushman, ACNM’s Director of Advocacy and Government Affairs at[email protected]or 240-485-1843.


Not an ACNM member? You can access all of the member benefits, including receipt of every ACNM Policy Update, byjoining today.

Want to take action or get involved? Contact ACNM'sGovernment Affairs Committee.

Don't have the time or energy to get involved, but still want to contribute? Support theMidwives-PAC.





American College of Nurse-Midwives.
8403 Colesville Rd, Suite 1550 | Silver Spring MD 20910
Phone: 240-485-1800 | Fax: 240-485-1818
Follow Us


space