Not that this directly answers your question, but have you seen the MAMA campaign?<br><br><a href="http://www.mamacampaign.org/" target="_blank">http://www.mamacampaign.org/</a><br><br>
The goal is federal recognition of CPMs as Medicaid providers.<br><br>
They have the best info (aside from asking insiders, and I don't know if there are any here).
What do you mean by insider?<br><br>
I'm not a medical professional, but I do work for medicare and medicaid. Re: midwifery, some of the health care bill reform drafts have included recognizing birth centers as providers.<br><br>
We don't bother tracking things like that too closely because it changes from day to day, and we're already pretty busy. So....I imagine reform will affect my profession, but I don't know exactly to what extent yet. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/thumb.gif" style="border:0px solid;" title="thumbs up">
By insider I mean NACPM board member, policy specialist/consultant, or lobbyist.<br><br>
I do know some people I consider "insiders" but I don't talk to them often, and when I do it's usually not about their political work.
birth centers are not the same as recognizing CPMs /or licensed midwives- in our state to date the only birth centers in recent history have been run by MDs and CNMs so leaves us out- the MAMA campaign is the only one I know that is working on recognition of CPMs on the Fed level
In at least one state getting coverage for CPMs in birth centers has been an a first step toward getting coverage for homebirths too. Lack of medicaid coverage has been an obstacle for my own plans to open a birth center. I would welcome it. As I understand, the MAMA campaign fought hard to get all CPMs covered in the health care reform bills, but this was the closest they could get.<br><br>
In states where there is medicaid coverage for CPMs already, there are more CPM-run birth centers (like Washington and Florida).