The GA ACNM legislative goals are:
1-Expand the Preceptor Tax Incentive program to cover CNM preceptors (currently, the program only covers MDs). This would allow preceptors to decrease their tax liability if they serve as preceptors. Finding good preceptors is the bottle-neck in our system for growing new CNMs, so this is really important.
2-Expand the GA program providing student loan reimbursement for MDs who work in rural areas of GA to also cover CNMs.
3- Change the GA regulation that forbids CNMs (or any other APRN) from serving on hospital credentialing committees. These are the committees that decide who does and does not get to practice at a particular hospital. Currently, only MDs can serve on these committees in GA, and there have been examples in some parts of the state of CNMs being declined the ability to provide intrapartum care because they could not get the local physicians to accept them, primarily because they were concerned about competition for women.
4-Support more collaborative models of care between CNMs and OBs across rural and underserved parts of GA, where CNMs provide full-scope care from GYN to prenatal, intrapartum, and postpartum while OBs serve as back-up in a hospitalist model. This is the model at Athens Regional Medical Center, where preterm birth rates and low birth rate rates are half of the rest of the surrounding area.
5-Support preceptor stipends, with funds from the state, to expand the number of CNMs practicing in rural areas of GA.