California’s legislators introduced a suite of bills during the legislative session that ended Thursday with an eye toward helping to expand access to primary care. These “scope-of-practice” bills have sometimes been the subject of hot debate in Sacramento, but three of them survived and have moved to Gov. Brown’s desk.
Here’s a recap of some of the bills and where they stand now:
Midwifery Bill (AB 1308) — headed to governor’s desk
The Center for Health Reporting writes that the bill passed unanimously Thursday night and is now on the governor’s desk. From the Center:
(L)icensed midwives were legally obligated to be supervised by physicians. If a doctor supervised a licensed midwife, however, the doctor ran the risk of losing liability insurance. So, collaboration was unattainable and advocates said this put women and babies at risk.
The bill removes the requirement for licensed midwives to be supervised by a physician.
“Because physician supervision was required but not available, the midwives often had to operate in the shadows,” said Shannon Smith-Crowley, a lobbyist for the American Congress of Obstetricians and Gynecologists (ACOG), a group representing OB/GYNs and the bill’s sponsor. “Midwives can be out in the open, helping them develop better relationships, warmer reception and protocols for transfer, ideally leading to earlier transfers in less dire circumstances.”