Legislative Updates for 2016



Reform statutes and regulations to conform to the National Council of State Boards of Nursing’s Consensus Model for APRN Regulation. When APRNs are permitted to practice to the full extent of their education and training, they provide equal, and in some cases, better care1. In coordination with the three other APRN roles, certified registered nurse anesthetist (CRNA), clinical nurse specialist (CNS), and certified nurse practitioner (CNP), CNMs are advocating for progress towards implementing the full Consensus Model in Virginia. In Virginia, 70 counties do not have CNM care.

The Federal Trade Commission has endorsed APRN independent practice2 as “a key component of our nation’s strategy to deliver effective health care efficiently and, in particular, to fill gaps in primary care access.” The FTC further observed that “based on substantial evidence and experience, expert bodies have concluded that APRNs are safe and effective as independent providers of many health care services within the scope of their training, licensure, certification, and current practice.”


Support and sustain programs, like FAMIS Moms, Comprehensive Health Improvement Program (CHIP), and Healthy Virginia Families, to provide quality prenatal, maternity, post-partum and other medical services to in-need pregnant women. These programs provide essential services to low-income pregnant women that are important for the short and long-term health of them and their babies.


Support the implementation of the Affordable Care Act’s Medicaid expansion option to provide coverage to over 400,000 Virginians who lack healthcare coverage.


Support prevention efforts and comprehensive treatment access for pregnant women dealing with substance abuse. Oppose efforts to further criminalize substance abuse by pregnant women, as it discourages such women from seeking help and treatment.


In response to national maternity provider shortages, it has become more necessary to increase access to midwifery care.

For more information, contact your local certified nurse-midwife,
Jessica Jordan, CNM, Va Affiliate President, at (804) 677-5442 or
Mary Ellen Bouchard, CNM, Legislative Chair, at (203)215-4685 or

1Journal of Nursing Economic$, Sept/Oct 2011
2Policy Perspectives: Competition and the Regulation of Advanced Practice Registered Nurses, Federal Trade Commission, March 2014

ACNM Advocacy Links

Current Legislation affecting Midwifery-Led care in Virginia

Communicating with Legislators: How to’s

¨ Click here for a great video on Midwifery Advocacy. It was made by the lobbyist for our sisters in the Virginia Midwives Alliance and has helpful information for ALL Virginia Midwives!

¨ Contact your national legislators to co-sponsor and support legisĀ­lation!

Resources to Advocate for Midwifery-Led Care

Tools You Can Use

What is Our Moment of Truth™?

Brought to you by the midwives of ACNM, Our Moment of Truth™ is an initiative to improve women’s health and maternity care in the United States by re-introducing midwives and midwifery care as important options that should be the norm for women’s health care services.

Resources from Our Moment of Truth™ can be shared freely with family, friends, and colleagues to help those you care about to discover their full range of options and help us create a new understanding of midwifery care in the United States.

The American College of Nurse-Midwives Healthy Birth Initiative™ has created several tools to support and promote the value of healthy, spontaneous labor and birth. They are:

For women: Normal, Healthy Childbirth for Women & Families: What You Need to Know is a free handout that explains what parents and their babies can expect from a normal, healthy birth and what they can do to maximize their chances of having a healthy, physiologic birth while minimizing their chances of experiencing unnecessary medical interventions during childbirth. Available in both ENGLISH and SPANISH language versions.


For maternity care providers:, which stands for Tools for Optimizing the Outcomes of Labor Safely, is an interactive online toolkit that presents the evidence and offers targeted resources, protocols, and other materials to assist clinicians and health care systems in implementing best practices that promote physiologic birth. Click to download a handy 2 page PDF handout that can be shared with others to introduce them to the website and its resources.


For hospital policymakers, payers and other organizations: Birth Matters is a handout for quality administrators that explains how implementing an evidence-based strategy focused on physiologic birth increases the well-being of families and prevents rare, adverse outcomes for hospital systems.


Virginia's Professional Organizations & Resources

Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN) Virginia Chapter

American Academy of Pediatrics (AAP), VA Chapter

Virginia Midwives Alliance (Certified Professional Midwives)

American Congress of Obstetricians & Gynecologists (ACOG), Virginia Section

Society for Maternal-Fetal Medicine

March of Dimes, Virginia Chapter

BirthMatters Virginia

March of Dimes (Preterm Birth report card)

Cost of Having a Baby Report provides compelling financial evidence for the need to support midwifery-led care as a significant catalyst of economic stewardship of healthcare spending.

AWHONN Perinatal Quality Measures Process The actions of nurses have a significant impact on patient outcomes; therefore, a vital component of improving health care is to measure the quality of nursing care. This resource links to Women's Health and Perinatal Nursing Care Quality (NCQ) measures by The Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN).

Nursing Quality Measurement (AWHONN) Link to PDF download of AWHONN's position statement on nurse-sensitive quality. These are currently the recommended perinatal quality indicators proposed for adoption by the National Quality Forum Perinatal Measures.

Quality Patient Care in Labor and Delivery: A Call to Action Link to the PDF white paper developed by SMFM, ACOG, ACOOG, AAFP, ACNM, AAP, and AWHONN supporting normal physiologic birth and patient-centered care.

Transforming Communication and Safety Culture in Intrapartum Care: A Multi-Organization Blueprint Link to PDF download from the Journal of Midwifery and Women's Health. Link to website developed by the Council on Patient Safety in Women's Health Care, who's mission is to continually improve patient safety in women’s health care through multidisciplinary collaboration that drives culture change.

Click to view additional resources available in the Framework for Quality Improvement Resource Toolbox, or search our resource library by clicking here.