ACNM Policy Update - 4/22/2014
ACNM Submits Comments to Federal Trade Commission Regarding Competition in
a Momentous Step in North Carolina
3. Selected State
Legislative Developments from Georgia,
Hawaii, Kansas, Kentucky, Maine, Maryland, Missouri, Ohio, Rhode Island
1. ACNM Submits
Comments to Federal Trade Commission Regarding Competition in Health Care
On April 21, ACNM submitted comments
to the Federal Trade Commission (FTC) in response to a solicitation
by the FTC for comment regarding competition in health care.
The FTC held a workshop in late March to examine this topic. ACNM
national office staff participated in the workshop and had opportunity to
discuss with FTC staff the nature of the competitive barriers faced by
As many of you are aware, the FTC recently issued a policy position
examining barriers to practice faced by APRNs. The Commission is clearly
aware of how statutory and regulatory barriers impact the ability of the APRN
community to provide care and makes very strong recommendations to state
legislators that they be removed or minimized.
In our comments, ACNM focused on non-regulatory barriers, such as the
provisions of hospital bylaws, requirements of malpractice insurers or the
economic incentives to bill under another provider's number.
2. Celebrating a
Momentous Step in North Carolina
North Carolina’s Joint
Legislative Oversight Committee on Health and Human Services unanimously passed
the recommendation of the midwifery subcommittee to endorse language that would
authorize autonomous CNM practice following a 24 months/2400 hours transition
to practice period, which may be overseen by either an MD or CNM. The vote
paves the way for legislation to be introduced in either the 2014 or 2015
session. This significant step on the road to independent practice represents
years of hard work and dedication by the North Carolina affiliate, and serves as
an inspiration to all the midwives who are working diligently for meaningful
policy changes in their home states. Congratulations to North Carolina!
3. Selected State
Legislative Developments from Georgia, Hawaii, Kansas, Kentucky, Maine, Maryland, Missouri,
Ohio, Rhode Island
Georgia S.273 requires the Department of Public Health to establish a
Maternal Mortality Review Committee. The bill became law on April 16.
Hawaii S.2491 replaces references to advanced practice registered nurse
recognition with advanced practice registered nurse licensure to align Hawaii's
law with national standards. The purpose of the bill is to eliminate a barrier
to licensure in other state boards that question the equivalency of Hawaii
advanced practice registered nurse recognition to the standard of advanced
practice registered nurse licensure. The bill became eligible for the
Governor's consideration on April 10.
Kansas H.2516 allows CNMs to participate in the Health Care
Stabilization Fund, which will ensure that all CNMs have access to liability
insurance. The bill became law on April 17.
Kentucky H.47 adds advanced practice registered nurse to those who may
submit a statement of disability for an accessible parking placard. The bill
became law on April 10.
Maine H.881 expands Medicaid coverage for family planning services to
adults and adolescents who have incomes less than or equal to 200% of the
nonfarm income official poverty line as defined by the federal Office of
Management and Budget. The bill became eligible for the Governor's
consideration on April 16.
Maine H.962 requires the Joint Committee of the Legislature having
jurisdiction over insurance and financial services matters to solicit the
services of one or more consultants to propose design options for creating a
universal system of health care in the state in compliance with the federal
Patient Protection and Affordable Care Act. The bill became eligible for the
Governor's consideration on April 16.
Maryland H.27 prohibits the use of a physical restraint on an inmate
while the inmate is in labor or during delivery. The bill became law on April
(MO HealthNet) has proposed a new rule stating that early elective deliveries,
or deliveries before thirty-nine (39) weeks gestation without a medical
indication, shall not be reimbursed. Non-payment includes services billed by
the delivering physicians/provider and the delivering institution. The goal of
this payment policy is to improve health outcomes for both the mother and
Ohio H.315 requires hospital reporting to the Department of Health
regarding newborns diagnosed as opioid dependent. The bill became law on April
Rhode Island S.2878 would prohibit a group health plan and a health
insurance issuer from discriminating with respect to participation under the
plan or coverage against any health care provider who is acting within the
scope of that provider's license or certification under applicable state law.
The bill was introduced on April 9.
Should you have questions about federal issues, please contact Jesse Bushman,
ACNM’s Director of Advocacy and Government Affairs at [email protected] or
Should you have questions
about state issues, please contact Cara Kinzelman, ACNM’s Manager of State
Government Affairs at [email protected]
Don’t forget to register
for the ACNM 59th Annual Meeting & Exposition. Details are available
at the conference website. The deadline for the advance registration discount is
May 7. Also, hotel rates will significantly rise as of April 28. So take
advantage of ACNM's contracted rate as soon as you're able.
Want to take action or
get involved? Contact ACNM's Government
Don't have the time or
energy to get involved, but still want to contribute? Support the Midwives-PAC.