{"id":253342,"date":"2025-05-23T07:22:50","date_gmt":"2025-05-23T07:22:50","guid":{"rendered":"https:\/\/peraltafinancing.com\/alabama\/alabama-midwives-talk-birth-center-ruling-2025-session-next-steps\/"},"modified":"2025-05-23T07:22:50","modified_gmt":"2025-05-23T07:22:50","slug":"alabama-midwives-talk-birth-center-ruling-2025-session-next-steps","status":"publish","type":"post","link":"https:\/\/fivemor.com\/?p=253342","title":{"rendered":"Alabama midwives talk birth center ruling, 2025 session, next steps"},"content":{"rendered":"


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The first freestanding birth centers in Alabama have been allowed to begin operations following a May 1 court ruling and months of contention regarding the regulation of midwifery during the legislative session.<\/p>\n

The Fifteenth Judicial Circuit Court of Alabama ruled<\/a> the Alabama Department of Public Health was never authorized by the legislature to regulate midwifery care in birth centers, handing responsibility for their governance to the state Board of Midwifery alongside other professional licensing boards.<\/p>\n

The ruling came amid the failure of Senate Bill 87<\/a>, sponsored by state Sen. Arthur Orr, R-Decatur, to progress past the Alabama House of Representatives.<\/p>\n

The original version of the bill would have authorized licensed midwives to provide midwifery care in free-standing birth centers and to administer certain newborn screening tests.<\/p>\n

SB87 initially received the support of the Alabama Midwives Alliance, who subsequently withdrew their endorsement after a substitute version<\/a> offered by state Sen. Larry Stutts, R-Tuscumbia, decreased the types of postnatal tests midwives could conduct.<\/p>\n

Stutts\u2019 version of the bill was adopted by the Senate Healthcare Committee, after which ALMA accused the Medical Association of the State of Alabama officials of dishonestly expressing support for another sub-bill presented by Sen. Linda Coleman-Madison, D-Birmingham, that contained concessions on the part of ALMA and MASA.<\/p>\n

The court\u2019s decision has seen support from midwife advocacy groups and the American Civil Liberties Union<\/a>, who filed the case alongside Bobby Segall of Montgomery-based law firm Copeland Franco on behalf of prospective birth centers attempting to establish locations in Alabama, The American College of Nurse Midwives, and several medical doctors and midwives working in the state.<\/p>\n

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Alabama Midwives Alliance Legislative Committee Chairperson Nancy Megginson expressed support for the court\u2019s ruling and hope for the growth of birth centers across Alabama.<\/p>\n

\u201cOpening the birth centers is an excellent idea,\u201d Megginson said. \u201cIt\u2019s a common ground place that people can come to. They can receive prenatal care, postpartum care. They can plan a birth there.\u201d<\/p>\n

\u201cThere\u2019s lots of options that birth centers are going to be able to provide, and they can meet people where they are,\u201d she continued. \u201cBirth centers allow for a more communication-based model of care, a heavier involvement in the pregnant person and their health in general.\u201d<\/p>\n

The verdict has also been celebrated by plaintiffs Oasis Family Birthing Center<\/a> in Birmingham, Alabama Birth Center<\/a> in Huntsville and Birth Sanctuary in Gainesville, which will now be free to operate without ADPH\u2019s approval of their license.<\/p>\n

Dr. Stephanie Mitchell, a certified professional midwife and certified nurse midwife originally from Boston, began operations at Birth Sanctuary Gainesville, a free-standing birth center in Sumter County, immediately following the court\u2019s ruling.<\/p>\n

Prior to the May ruling, an August 2023 injunction<\/a> mandated ADPH must issue licenses to birth centers if they met the standards set forth by the American Association of Birth Centers, a certification Birth Center Gainesville received before the circuit court\u2019s final ruling.<\/p>\n

\u201cWhen that ruling came down, I was like, great. I\u2019ve already done all of this hard work, and it\u2019s done, and our birth center is in compliance with AABC, but the health department doesn\u2019t now need to be the one to say whether or not we operate or not,\u201d Mitchell said. \u201cSo, it\u2019s a big win. And we\u2019re open accepting clients, and our first clients will be due to birth this fall.\u201d<\/p>\n

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However, Mitchell said ensuring her birth center complied with AABC standards was only the most recent red tape she faced in order to practice midwifery in Alabama.<\/p>\n

Upon moving to Alabama in 2020, Mitchell found that, unlike Massachusetts\u2014where she used to work, certified nurse midwives lack both wide integration into the state\u2019s healthcare system and the ability to practice independently.<\/p>\n

\u201cI moved here five years ago with zero ability to be able to work as a midwife in a freestanding birth center in the rural areas where I live,\u201d Mitchell said. \u201cAnd now, being able to have my own practice and be able to do my work is, I mean, it\u2019s a huge win. It\u2019s great for economic growth and stability for midwives and my family too.\u201d<\/p>\n

In order to practice independently in the state Mitchell had to also become registered as a certified professional midwife who, unlike CNMs, are not required to work at a practice under a physician. \u00a0<\/p>\n

\u201cI essentially went from, you know, being in a place where I can use my career that is integrated into a healthcare system, to a place that literally doesn\u2019t acknowledge that we\u2019re free as a viable source of healthcare,\u201d Mitchell said.<\/p>\n

Mitchell argued that the previous restrictions on free standing birthing centers put undue stress on expecting mothers in rural areas who must travel long distances in order to receive comprehensive pre and post-natal care.<\/p>\n

Mitchell cited the closure of Demopolis\u2019s Whitfield Regional Hospital\u2019s labor and delivery unit last year as forcing most expecting mothers in Gainesville to seek care either in Tuscaloosa or out-of-state in Meridian, Miss.<\/p>\n

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\u201cIf you know anything about, like, pre-natal care, this is not, like, a one-and-done situation,\u201d she continued. \u201cYou need to come in once and sometimes even twice a week. And that represents a huge challenge, of course, just, like, the logistics of if people don\u2019t have reliable transportation, and then just the other piece of it, just scheduling-wise, gas-wise, childcare-wise.\u201d<\/p>\n

A 2023 study<\/a> from March of Dimes found that 34.3 percent of counties in Alabama qualify as maternity care deserts.<\/p>\n

The study found that women on average must travel 17.4 miles to their nearest birthing hospital to receive care and 27.9 percent of women in the state having no birthing hospital within 30 minutes of their home.<\/p>\n

It also found racial disparities in pre-natal care across the state, reporting that Alabamians of color and in socioeconomically vulnerable areas are 24 percent more likely than other low-income residents to have inadequate pre-natal care.<\/p>\n

Despite the victory for her practice in court, Mitchell said she believes the state has a long way to go in improving access to quality pregnancy care.<\/p>\n

\u201cQuality pregnancy care is a human right. And so, there\u2019s still huge, huge obstacles that need to be surmounted,\u201d Mitchell said.<\/p>\n

Mitchell described the ADPH\u2019s regulation on birthing centers and the substitute version of SB87 proposed by Stutts as part of Alabama\u2019s \u201clong standing history of the criminalization of midwives.\u201d<\/p>\n

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\u201cUltimately, I really feel that people do, they do want to do what\u2019s best for moms and babies, but they\u2019re, unable to relinquish that, sense of power or entitlement over their field,\u201d she said.<\/p>\n

Both Mitchell and Megginson expressed frustration that SB87, originally drafted by ALMA with Orr, was altered in a way which attempted to limit the screenings midwives can conduct.<\/p>\n

\u201cThis process has been full of deception, secrecy, and political maneuvering at the expense of Alabama mothers and babies,\u201d Megginson said<\/a> of SB87\u2019s progression through the legislature.<\/p>\n

MASA told APR the association remained opposed to SB87 throughout the legislative session, saying the bill overlooked \u201cthe fundamental issues undermining maternity care in Alabama.\u201d<\/p>\n

\u201cThe Medical Association was one of several organizations that voiced concerns over the original bill including Blue Cross, Alabama Hospital Association and the Alabama Chapter of the American Academy of Pediatrics,\u201d MASA Director of Communications Russell Sellers said of SB87.<\/p>\n

Sellers cited \u201cinsufficient reimbursement, the failure to expand Medicaid and an unfavorable practice environment caused by high medical malpractice insurance rates,\u201d as the key factors negatively impacting maternity care in the state, which MASA felt wouldn\u2019t be improved by SB87.<\/p>\n

Mitchell argued greater levels of collaboration between midwives and the public healthcare system would help fill gaps left by state-ran maternal healthcare services.<\/p>\n

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\u201cIf you look at our neighboring states\u2014actually, across the United States\u2014the threshold of beginning to improve morbidity, mortality is actually collaborative practice,\u201d she said, \u201cAnd so, that\u2019s what I\u2019m hoping that the state moves toward in the way of integrating midwives into the healthcare system.\u201d<\/p>\n

Mitchell said, however, in rural areas, like Sumter County, where coordinating travel to a hospital may make routine pre and post-natal care difficult for many women to receive, the ability of certified nurse midwives to work independently is also a necessity to improve rural maternal care.<\/p>\n

\u201cMy next biggest fight, and I will be saving my gumption for this, but it is for the independent practice of certified nurse midwives to be on par with the certified professional midwives in the state. I mean we have no excuse for that, so that\u2019ll be the next thing.\u201d<\/p>\n

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The first freestanding birth centers in Alabama have been allowed to begin operations following a May 1 court ruling and months of contention regarding the regulation of midwifery during the legislative session. The Fifteenth Judicial Circuit Court of Alabama ruled the Alabama Department of Public Health was never authorized by the legislature to regulate midwifery […]<\/p>\n","protected":false},"author":1,"featured_media":253343,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11763],"tags":[12750,64746,2692,14102,64747,43379,51211,18484,64748,14050,92056,2962,3061],"dealstore":[],"offerexpiration":[],"class_list":["post-253342","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-alabama","tag-alabama","tag-alabama-midwives-alliance","tag-birth","tag-center","tag-certified-professional-midwives","tag-maternal-care","tag-midwives","tag-ruling","tag-sen-larry-stutts","tag-session","tag-state-sen-arthur-orr","tag-steps","tag-talk"],"yoast_head":"\nAlabama midwives talk birth center ruling, 2025 session, next steps - Som2ny Network<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/fivemor.com\/?p=253342\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Alabama midwives talk birth center ruling, 2025 session, next steps - Som2ny Network\" \/>\n<meta property=\"og:description\" content=\"The first freestanding birth centers in Alabama have been allowed to begin operations following a May 1 court ruling and months of contention regarding the regulation of midwifery during the legislative session. 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