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March 14, 2010
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Women Want Their Midwives!

Midwives Included in PA Law to Lower Malpractice Premiums
By Shawn Farley
ACNM Communications Manager
(This article appears in the January/February 2004 issue of Quickening)

photo courtesy of I. George Bilyk

Pennsylvania nurse-midwives recently scored a major political victory; officially recognized by the state as high risk health care providers, and included in a new law to reduce liability insurance costs for obstetric providers and other health care professionals.
Pennsylvania Governor, Edward G. Rendell, added nurse-midwives to the group of obstetricians, neurosurgeons, orthopedic surgeons, emergency room physicians, and family practitioners who attend births in rural areas, who are allowed to forgo paying any MCARE (Medical Care Availability and Reduction of Error act of 2002) assessments for 2003 and 2004. All other physicians will have 50% of their Mcare bills forgiven.

The 100% abatement for the high risk group was added to PA House Bill 44, passed into law by the state legislature in December, recognizing nurse-midwives as high risk providers and the only non-physicians excluded from paying Mcare premiums. All Pennsylvania health care providers had been mandated to contribute to Mcare, the state run program which provides catastrophic coverage over and above their joint underwriting authority insurance. The new law could save nurse-midwives as much as $7,700 per year in premiums.

Governor Rendell says that the 100% abatement will reduce overall malpractice insurance costs for health care providers in high risk specialties by an average of 20-33 percent. Providers must sign an agreement to practice in Pennsylvania for one year after the abatement ends and have had no more than three claims filed against them in the past five years to receive the new benefit. The law is intended as a short term resolution to the professional liability crisis in Pennsylvania while nurse-midwives join other health care providers and the state to seek a permanent solution.




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