ACNM Policy Update - 3/26/2014
1. CQMC Submits
Comments on Joint Commission Perinatal Care Certification Program
On March 26, the Coalition for Quality Maternity Care (CQMC), led by ACNM, submitted comments in response to a proposal from The Joint Commission for a Perinatal Care Certification Program. The Joint Commission is the body that accredits approximately 82 percent of the hospitals in the country. The proposed certification is meant to provide an independent evaluation of an organizationís prenatal, intrapartum, and postpartum care services, while more fully addressing all stages of this specialty service.
The CQMCís comments were largely focused on ensuring that certified programs were able not only to address complications as they arise, but to foster normal physiologic birth as a matter of course. The comments emphasized the need to follow an evidence based approach, to adequately inform and educate patients and to fully involve all staff, not simply physicians, in the development and operation of the program.
Colorado H.1117 concerns the creation of the Colorado Premature Birth Commission. The aim of the Commission is to reduce the incidence of premature births in Colorado. Preventive strategies would include identifying and strengthening existing comprehensive evidence-based approaches while at the same time considering new and promising approaches to prevent premature birth. The bill has passed both chambers as of March 19.
Florida H.7071 would implement the advanced practice registered nurse (APRN) credential and establish a pathway for independent APRN practice, among other things. The bill was introduced on March 4.
Georgia S.273 would require the Department of Public Health to establish the Maternal Mortality Review Committee to review maternal deaths, among other things. The bill became eligible for the Governor's consideration on March 5.
Iowa S.2120 authorizes the use of the professional title and the abbreviation A.R.N.P. by Advanced Registered Nurse Practitioners. The bill became eligible for the Governorís consideration on March 20.
Kansas H.2516 would add CNMs to the Health Care Stabilization Fund, ensuring that CNMs have access to liability insurance. The bill has passed both chambers as of March 19.
Minnesota H.3217 is an APRN independent practice bill, which states in part that, "It shall be an unlawful trade practice for any profession to be allowed to control the consumer public's access to another profession by requiring the profession to secure an agreement or permission from the competing profession in order to serve the public." The bill was introduced on March 19.
Mississippi H.1289 creates the Commission on the Future of Medicaid and Health Care in Mississippi. The bill provides for the membership of the commission and specifies the Medicaid and other health topics and matters for the commission to study and make recommendations on, with the goal of ensuring access, increasing quality and controlling costs of the Medicaid and other health programs. The bill became eligible for the Governor's consideration on March 11.
New Mexico S.69 directs the Office on African American Affairs to create a pilot program in Bernalillo County to address African American infant mortality and maternal health. The bill was signed into law on March 12.
Washington S.6268 requires health carriers to offer transparency tools for members with certain price and quality information; directs a stakeholder committee to identify and recommend statewide measures of health performance; and requires state agencies to use the measures to inform and set benchmarks for their purchasing. The bill became eligible for the Governor's consideration on March 7.
Should you have questions about federal issues, please contact Jesse Bushman, ACNMís Director of Advocacy and Government Affairs at [email protected] or 240-485-1843.
Should you have questions about state issues, please contact Cara Kinzelman, ACNMís Manager of State Government Affairs at [email protected] or 240-485-1841.