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Writer's pictureGillian Brautigam

Colorado Affiliate Meeting Minutes: September 2022

Updated: Oct 18, 2022

Fall 2022 Colorado Affiliate Meeting

Location: CU Anschutz Campus College of Nursing + Zoom option

Date: Wednesday, September 7, 2021

Time: 7:00 p.m.


Present in-person: Denise Smith, Jolene Hamann, Tara Drerup, Katie Page, Laraine Guyette, Lorell Erwin, Jacy Jeffrey-Howe, Shana Noon, Jennifer Miles, Gillian Brautigam, Elisa Patterson

Present online: Kala Kluender, Carolyn Bottone-Post, Victoria Sundquist, Suzanne Carrington


Presenters from Bayer

Cristal Wiens, Senior Clinical Sales Specialist

973-524-9548


Holly Kelleher, Senior Sales Consultant

973-307-5436


Celebrating the Two Recipients of the BIPOC Scholarship

Anjel Hobbs

  • Student at CU School of Midwifery

  • Currently works as an L&D nurse in Atlanta, GA at Grady Hospital but wants to move here for clinical rotations

  • Realizing her dream in becoming a midwife!

Elizabeth Diaz Ordaz

  • Chicana student nurse midwife at Frontier Nursing University, based in Denver, CO

  • Has worked in the field for over 10 years - L&D RN now

  • Wants to serve the Spanish and Latinx community here in Denver

They will be linked with mentors in the Midwifery Program to support success during the program


Jennifer Miles, CO ACNM Affiliate Lobbyist

  • Has resumed as our lobbyist, previous lobbyist moved on to start her own firm

  • We have submitted an application to have the state of Colorado license CM’s in addition to CNM’s; there is a process to go through to set up in the state of CO for any profession that wants to get regulated - the Sunrise process: office within the stage agency (Dept of Regulatory Affairs-DORA) that requests an application - was due 12/1/21 and we will receive their report on 10/15/22; this takes state law into account as well - you have to show actual or potential harm from someone not being licensed/registered/regulated,

  • Anxiously awaiting the results of the report; we have recommended that CM’s be part of the Board of Nursing as well (even though they are not nurses ) - so e.g. they could recommend regulation but somewhere else, not under the Board of Nursing

    • If they reject the request completely - we could come forward with our own Bill but don’t have the backing of the regulatory agency and would be very difficult

    • If they agree, DORA takes the lead on writing a Bill and bringing it forward

      • E.g. if they say we recommend regulation but not under the Board of Nursing then we could make a recommendation to the Legislature and explain why we are making that rec with background evidence to support

      • Larraine Guyette suggested psych technicians were regulated under the Board of Nursing as an example of another non-nursing field under BON

  • The DORA representative asked about other states that regulate CM’s under the Board of Nursing and asked to speak with other states; those other states offered to provide examples of how it is working in their state

  • The Committee of Midwife Advocates for the Certified Midwife (C-MAC) believes that it should be regulated under the Board it works best under; some other states regulate them under the Dept of Public Health

  • The CMs in Virginia achieved legislation and it was approved but they have 2 years to promulgate regulation so they can be licensed but regs around practice (e.g. prescriptive authority) have not been established yet. It was written that CM’s should have autonomous practice but then one legislator held it up due to CNMs not having autonomous practice at that time, since then CNMs have achieved autonomous practice and CM’s must have a consultation agreement

  • If application is approved we will need to focus on the Language of Midwifery: how to use words to talk equally and well about the practice of midwifery

    • November: C-MAC representatives will offer a talk on Language of Midwifery, we will need education on policy

  • Question regarding accreditation of CM education programs: A program that is accredited by CCNE can have both CCNE and ACME accreditation, you can educate and graduate a midwife outside the CCNE accreditation so a CM program could be accredited and only have ACME accreditation

  • Possible timeframe for Bill: introduced in Jan or Feb, signed as early as June and then it will have language in it regarding time frame but could be as early as July 1, 2023; could have an implementation date of Jan 1, 2024 which would give them time to do the rule-making

  • Will wait for the formal ruling from DORA but there is a verbal agreement from the Dean that CU would support a CM program; we realize we will have to address the argument that midwives should be nurses first; one of the arguments for licensing CMs in CO would be that they are then not taking up nursing spots in programs when they are never going ot practice as nurses


  • CO ACNM Meeting with Elephant Circle:

    • They want to work on legislation to defer a sentence until a patient is no longer pregnant, so patients are not incarcerated during pregnancy

    • SANE: DEMs would like to be able to do SANE exams as well, but the national certifying body says that you have to be a nurse first

    • - They also wanted to change everywhere in the language for DEMs that it said “registered” to “licensed”

      • There may be another avenue to change how DEMs are regulated

      • The National Certifying Body for SANE says that the minimal regulation must be RN


  • Maternal Mortality: in the legislature in general there is a large focus on mortality rates among minority women, e.g. improving the transfer of women from home/birth center to hospital


National Legislative Information

Midwives for Maximizing Optimal Maternity Service Act (Midwives for MOMs Act): House Bill and a Senate Bill (having them happen at the same time is unusual and remarkable)

  • Push to get it voted on before election in Nov

  • Doing an Off-the-Hill Visit: 9/26-9/29

  • Elisa has asked for Zoom calls with each of the representatives

  • ACNM has more information about this Bill than other prior Bills; there is funding - not just for CNMs, could also be for CPMs

  • If you want to participate in off-the-hill events with your senator, contact Elisa at epattcnm@gmail.com and she can assist with setting up visits. Collectively we should meet with the two Senators in Colorado as a group

-Call to join SGAC and NGAC - Elisa is on both committees and would love someone else to join


ACNM 68th Annual National Meeting & Exhibition

Reimagine and Rebuild – Midwifery Insights for the Future of Healthcare

May 5-10, 2023

Caribe Royale in Orlando, Florida


Annual Harvey Cohen, MD Morbidity & Mortality Summit

Friday, November 4, 2022

Marriott at Park Meadows

7:30-6 p.m.

Register here


Region VI Webinar Series for CEUs

We are pleased to announce the lineup for the 2022-23 Region VI Webinar Series! This series highlights some of the great midwifery thinkers in and around our region and those contributing great ideas relevant to our members! We hope you will join us! Free CEUs available. Register online at: forms.gle/7XkfPDv6nbPrN6wi9

Sept. 21st* at 7pm MT Jessica Pettigrew- Hypoactive Sexual Desire Disorder

Nov. 15th at 7pm MT Andrew Youmans- Cardio-Obstetrics for Midwives and Women's Health Care Providers (Pharmacology CEs Available)

April 4th at 7pm MT Lisa Kiser- Migration is a Human Right: Women's Healthcare in the Borderlands

Sponsored by: ACNM State Affiliates from Colorado, Texas, Utah, New Mexico, Arizona


Treasurer’s Report, Denise Smith

$12,000 in CD’s; $15,447 in other funds

Expenses - $18,000 annually or $1,500/month

  • Funds from dues have gone down over the past 3 years due to declining membership

  • Funds primarily go toward advocacy in our state government to support our scope of practice

  • Please tell your fellow midwife friends and colleagues about the importance of the ACNM organization and ask them to join

For JEDI Member Recruitment or to participate in the (virtual or in-person) 5K

Sunday, October 9th, 2022

Email Jane Zelenkov: zelenkov.j@gmail.com


Midwives for Reproductive Justice Member Recruitment

Contact Lorell Erwin: Lorell.Erwin@gmail.com


Project Cure needs volunteers for: May, August, October

Contact Kris Combs @ 720-934-9100


Stay Tuned: Midwifery Event for Fundraiser and to kick of National Midwifery week

Lady Justice Brewery - Friday evening during National Midwifery Week

ACNM website has the information on how to declare National Midwifery Week-ask to declare with your local mayor or town/city

Friday, October 7, 2022!


Nominating Committee

- Denise Smith volunteered to lead committee

- Open positions include: President, Secretary, Member-at-Large


Next Affiliate Meeting:

Thursday, December 8, 2022

Sponsored by Abbvie, location TBD





Check out this cool t-shirt from last year's 5K! Sign up to join on 10/9!

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