Return to Advocacy - American College of Nurse-Midwives > Issue Areas

Implementation of the Affordable Care Act

Issue Summary


Signed into law on March 23, 2010, the Affordable Care Act (ACA) contains numerous provisions impacting a wide range of health care related issues.  The overarching goals of the legislation were to increase the number of people with insurance coverage, improve the design of existing policies, and increase the quality of care provided in the U.S., all while taking significant steps to control costs.

Key issues for midwives include:
  • Increasing Medicare reimbursement for midwives to 100% of that received by physicians
  • Requiring Medicaid programs to provide coverage for birth center services and the services of providers working in birth centers
  • Expansion of the eligibility criteria for Medicaid  
  • Creation of the new Health Insurance Marketplaces and requirements related to plans offered through the Marketplaces
  • Defining the "essential health benefits" (EHB) that must be covered by insurers both inside and outside of the Marketplaces
  • Providing assistance for education of midwives 

Available Literature and Resources



Government Resources
Non-Governmental Resources

ACNM Resources

Advocacy


  • On June 10, 2014, ACNM submitted comments to CMS regarding implementation of the provider non-discrimination language contained in the ACA (6/10/2014)
  • On February 25, 2014, ACNM submitted comments to CMS regarding plan network adequacy determinations (2/25/14)
  • On January 21, 2014, the Coalition for Quality Maternity Care (CQMC), led by ACNM, submitted a comment letter to CMS regarding proposed plans for a Quality Rating System to be used to evaluate health plans offered through the Health Insurance Marketplace.
  • ACNM Response to Concerns over Provider Anti-Discrimination Language in the ACA (8/26/2013)
  • ACNM Signs onto Letter Opposing Blunt Amendment.  The Amendment would allow employers to refuse coverage for any service on religious or moral grounds.
  • ACNM Signs onto Letter Urging Coverage of Contraceptives under the ACA (November 17, 2011) 

Archives


2010 American College of Nurse-Midwives. All Rights Reserved. 8403 Colesville Rd, Suite 1550 Silver Spring MD 20910 Phone: 240-485-1800 Fax: 240-485-1818
space