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  MIDWIVES' ASSOCIATION OF WASHINGTON STATE
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Our Bill & Policy Agenda

2022 Legislative Agenda Summary
More Info for Members & Supporters
Recording of Bill Hearing: Watch 55:31-1:25:38
Legislative & Policy Agenda 2022       ONE PAGE DOWNLOAD

Our bill SSB 5765 to authorize Licensed Midwives to prescribe contraceptives and manage common conditions of pregnancy passed the WA State Senate and House this 2022 legislative session!
Rationale:
 
When people who have just had a baby must attend an extra appointment to get a contraceptive prescription or insertion they are less likely to use effective methods or any method.  As Licensed Midwives do not currently have the authority to prescribe all contraceptive types, their patients risk delay and loss to follow-up, which significantly impacts already vulnerable and marginalized populations. Barriers have been identified as cost or insurance obstacles, time, inconvenience, transportation barriers, or new provider trust issues. SB 5765 would enable the Licensed Midwives’ “Legend Drug and Devices” to be updated. SB 5765 will:
  • Decrease morbidity associated with untreated conditions
  • Ensure families have the tools to plan their family size & space their pregnancies
  • Reduce costs and barriers to care by eliminating unnecessary additional visits with another provider
  • Enable the prevention & efficient treatment of common conditions identified by midwives such as breast infections, urinary tract infections, nausea & vomiting 
  • Increase midwifery integration into the healthcare system 
  • Expand patient choice of practitioner who can meet their routine perinatal needs, particularly in medically underserved rural and urban areas
  • Improve use of services and affect the size and demographics of the workforce without negatively impacting quality of care​

We are grateful the licensing fee cap is maintained through this biennium. 

MAWS also supports:
  • Support SB 5702: Insurance coverage of human breast milk from a milk bank while babies are hospitalized. 
    • Many health benefits and long term savings to the healthcare system!
  • Support HB 1651: Allowing providers to bill separately for immediate postpartum contraception.
    • Currently only covered at final postpartum visit
  • Support HB 1730/SB 5647: Insurance Coverage of Fertility treatments for those who need them to become pregnant
  • Support HB 1881: Access to reimbursement for Doulas
    • To increase the availability of this evidence-based care that improves outcomes!
  • Support HB 1947/SB 5838: Providing a monthly diaper subsidy for families receiving TANF
  • Support: Access to Community Health Workers for Relational Health
    • Connecting families with social determinant of health needs to postpartum services
  • Invest in Perinatal Support though the Washington’s Parent Support Warm Line so un- and underserved expectant and new parents have greater and more equitable access to mental health services through peer- to-peer engagement and increased public awareness. (No bill, advocating to be included in the state budget)​

Published by the Midwives’ Association of Washington State (MAWS) 2022
For more information, please contact: Jen Segadelli, MAWS President info@washingtonmidwives.org or
Amber Ulvenes, MAWS Lobbyist, at (360) 280-0384 amber@ulvenesconsulting.com

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LM (Licensed Midwife) Fact Sheet
Policy briefs, Evidence & Arguments for Scaling Up Midwifery to Improve Perinatal Outcomes
Clinical Guidelines

References:
  1. Zerden ML, Tang JH, Stuart GS, Norton DR, Verbiest SB, Brody S. Barriers to receiving long-acting reversible contraception in the postpartum period. Women's Health Issues. 2015;25(6):616-621. doi:10.1016/j.whi.2015.06.004
  2. Segadelli J. The provision of contraceptive services by Licensed Midwives in Washington state: Proposed statutory and regulatory language for expanding the scope of practice [master’s thesis]. Kenmore, WA: Bastyr University, 2016.
  3. Effland, K. J., Hays, K. E., Zell, B. A., Lawal, T. K., & Koontz, M. (2020). Medication access and midwifery integration: An example of community midwifery advocacy for access in Washington State, USA. Birth. https://onlinelibrary.wiley.com/doi/full/10.1111/birt.12523 
  4. Beal MW, Batzli ME, Hoyt A. Regulation of certified nurse‐midwife scope of practice: Change in the professional practice index, 2000 to 2015. J Midwifery Womens Health. 2015;60(5):510‐518. https://doi.org/10.1111/jmwh.12362
    Wiley Online Library PubMed Web of Science®Google Scholar
  5. Kuo YF, Loresto FL Jr, Rounds LR, Goodwin JS. States with the least restrictive regulations experienced the largest increase in patients seen by nurse practitioners. Health Aff. 2013;32(7):1236‐1243. https://doi.org/10.1377/hlthaff.2013.0072
    Crossref PubMed Web of Science®Google Scholar
  6. Markowitz S, Adams EK, Lewitt MJ, Dunlop AL. Competitive effects of scope of practice restrictions: Public health or public harm? J Health Econ. 2017;55:201‐218. https://doi.org/10.1016/j.jhealeco.2017.07.004
    Crossref PubMed Web of Science®Google Scholar
  7. Neff DF, Yoon SH, Steiner RL, et al. The impact of nurse practitioner regulations on population access to care. Nurs Outlook. 2018;66(4):379‐385. https://doi.org/10.1016/j.outlook.2018.03.001
    Crossref PubMed Web of Science®Google Scholar
  8. Perry JJ. State‐granted practice authority: Do nurse practitioners vote with their feet? Nurs Res Pract. 2012;2012:482178. https://doi.org/10.1155/2012/482178
    PubMed Google Scholar
  9. Ranchoff BL, Declercq ER. The scope of midwifery practice regulations and the availability of the certified nurse‐midwifery and certified midwifery workforce, 2012–2016. J Midwifery Womens Health. 2020;65(1):119‐130.
    Wiley Online Library PubMed Web of Science®Google Scholar
  10. Yang YT, Attanasio LB, Kozhimannil KB. State​ scope of practice laws, nurse‐midwifery workforce, and childbirth procedures and outcomes. Womens Health Issues. 2016;26(3):262‐267. https://doi.org/10.1016/j.whi.2016.02.003
  11. Effland, K. J., Hays, K., Zell, B. A., Lawal, T., Grantham, R. L., & Koontz, M. (2021). Increasing access to medications and devices for the care of low-risk childbearing families: An analysis of existing law and strategies for advocacy. Journal of Midwifery & Women’s Health. 66(5), 604-623. https://doi.org/10.1111/jmwh.13275 ​​
Back to Lobby Day Information for 2022
Sunrise Review: Research & Justification
Public Comment on Sunrise Review
Land Acknowledgement 
MAWS acknowledges that we live and work on the unceded ancestral lands of the Coast Salish tribes and pay our respects to all of the ancestral homelands and traditional territories of Indigenous peoples who have been here since time immemorial. We recognize that this land touches on the shared waters of tribes and bands within the Duwamish, Puyallup, Suquamish, Tulalip and Muckleshoot nations. We recognize we are grateful to be guests in these lands and commit to show solidarity for the continued fight for Indigenous sovereignty. ​
  • HOME
  • NEWS
  • ABOUT
    • Mission, Vision, Values
    • Board of Directors
    • Contact Us
  • WHAT WE DO
    • Advocacy/Midwife Lobby Day >
      • Annual Midwife Lobby Day >
        • Information for Members & Supporters
        • Our Bill & Policy Agenda 2022
        • Reports from Past Years
      • Initiatives and Programs
    • Conferences >
      • Conference 2021
      • Past Years
    • Quality Management Program
    • Provider Directory
  • RESOURCES
    • COVID-19 Response
    • Scholarly Articles
    • For Midwives >
      • Clinical Guidelines
      • Position Statements
      • Quality Management Program & Peer Review
      • Data Collection
      • Smooth Transitions
      • Partners
    • For Families
    • For Aspiring Midwives
    • For Other Healthcare Professionals
    • About Disparities, Anti-Oppression, and Anti-Racism
  • JOIN US
    • Get Involved
    • Internship Opportunities
  • FIND A MIDWIFE
  • STORE