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Midwives and Mothers in Action (MAMA) Campaign

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The Midwives Alliance is a dynamic member organization of the MAMA Campaign. The MAMA campaign is a collaborative partnership of six national midwifery and consumer organizations. Campaign goal is to increase women’s access to midwives and to quality, affordable maternity care by securing federal recognition of Certified Professional Midwives (CPMs).

MAMA Campaign Partners are:


Policy Work in Washington DC

Birth Center Reimbursement for Providers

As a result of the passage of the Affordable Care Act in March 2010, and thanks to the successful lobbying on the American Association of Birth Center and the support of Senator Marie Cantwell’s (D-WA), licensed Certified Professional Midwives practicing in birth centers are eligible for provider fee reimbursement through Medicaid. This success not only gives women more options for choosing CPMs but also gets a foot in the door for new legislation to cover reimbursement for all CPMs, in all settings.

Stand-alone CPM Bill

In the 2012 the MAMA Campaign had 25 co-sponsors for our CPM bill. On May 12, 2013 HR 1976 (formerly HR 1054), entitled Access to Certified Professional Midwives Act, was re-introduced by Congresswoman Chellie Pingree of Maine in the House of Representatives in the 113th Congress.  The Midwives and Mother’s in Action (MAMA) Campaign is excited to be back in business on the Hill this year for mothers, babies and midwives across the country. The passage of the bill will increase women's access to quality maternity care, particularly for the most vulnerable and marginalized women and infants in the U.S. by amending the Social Security Act to mandate Medicaid reimbursement for CPM services in all settings.

  • Become a supporter by bringing your Congress member on board as a co-sponsor of HR 1976
  • Become a supporter by contributing financially to the campaign and encouraging others to do the same at
  • Become a supporter by accompanying MAMA Campaign leaders when they visit Capital Hill to lobby for the bill's passage 

Support for Maternal and Child Healthcare Bills

In the flurry of activity since the passage of Affordable Care Act there have been five new bills introduced (or in the works). Not since the early twentieth century have we seen so many bills introduced that address the health and well being ort mothers and infants. Childbirth Connections Blueprint for Action has provided the design and plan for many of the new bill. Because of the MANA’s advocacy, the work of our partners, and other stakeholders, midwives are included in at least a half dozen new bills.

Healthy Policy Source

As part of the MAMA Campaign we have retained a lobbying firm since May 2009 that has expertise in healthcare policies and legislation with high-level political strategy and advocacy services. The skilled lobbyists of Healthy Policy Source have been invaluable in our advocacy work on Capital Hill.

Centers for Medicare and Medicaid Services

As a result of Health Policy Source connections, representatives of the MAMA Campaign met with several key CMS administrators in Baltimore to discuss implementation of the birth center provider and facility fee provisions as they relate to CPMs. We were able to provide CMS staff with verbal and written information about CPMs and the services their provide to women and infants in out of hospital healthcare settings.

MAMA Campaign Mission Statement

The mission of the MAMA Campaign is to increase women’s access to midwives and to quality, affordable maternity care consistent with the Midwives Model of Care© by securing federal recognition of Certified Professional Midwives.

MAMA Coalition Guiding Principles

The Guiding Principles were developed by the MAMA Coalition to provide a framework and are the fundamental beliefs and values that steer the operation of the MAMA Campaign.

  1. Equal access to care: National healthcare should ensure affordable care for all women and infants, remove barriers to high quality care, eliminate disparities in health outcomes, and significantly improve maternal and infant health.
  2. Comprehensive care:Health care benefits should include comprehensive, evidence-based maternity care that focuses on normal physiologic birth with appropriate use of technology, and provides choices that meet the needs of all women and infants.
  3. Women’s right to access a full range of services:Women should have control over the circumstances of birth, such as the right to choose place of birth, including out-of-hospital and freestanding birth centers, maternity care provider and adequate preparation for making informed decisions.
  4. Midwives as a cornerstone of maternity care:Women and infants should have access to all midwives, who are integrated into health care systems that provide for appropriate consultation, collaboration, and referral services.
  5. Nationally credentialed midwives:Primary maternity care providers should include all nationally credentialed midwives, namely, Certified Professional Midwives (CPM), Certified Nurse Midwives (CNM) and Certified Midwives (CM).
  6. Maternity benefit plans: Comprehensive maternity care services, including services by nationally credentialed midwives, should be reimbursed by all benefit plans, both public and private.