Latest news with #HB214
Yahoo
5 days ago
- Business
- Yahoo
NM doulas will be eligible for Medicaid reimbursement under new state law
Closeup of a doula assisting a pregnant woman by placing a belly band while she's sitting on a fitness ball, providing support and comfort during pregnancy. () In a step intended to improve maternal and childhood outcomes in New Mexico, doulas will soon be able to enroll as Medicaid providers in the state. The Doula Credentialing Act, passed during the recent legislative session and signed by Gov. Michelle Lujan Grisham on March 21, goes into effect on July 1. The act requires the Department of Health create a voluntary credentialing process for doulas, which will make the birthworkers eligible to receive Medicaid reimbursement. As defined under the law, doula means 'a trained, nonmedical professional who provides services, including health education, advocacy or physical, emotional or social support, to a person during the pre-conception period, pregnancy, childbirth or the postpartum period to promote positive health outcomes.' HB214 also establishes a Doula Credentialing Advisory Council; requires hospitals and freestanding birth centers to create policies to allow doulas to accompany patients during particular services; and creates a Doula Fund to support the provisions of the bill. New Mexico Doula Association Executive Director Melissa Lopez-Sullivan told Source NM that the health department, the Health and Human Services Department, Medicaid, Managed Care Organizations and community-based organizations are currently all working together to finalize a 'provider toolkit' to help doulas navigate Medicaid processes. Several doulas have certified with NMDOH and some have already contracted with Medicaid Managed Care Organizations,' Lopez-Sullivan told Source in a written statement. 'These are major milestones — because of them, Medicaid beneficiaries in some areas now have access to doula services as a covered benefit, many for the first time.' She added that the doula association and its partners will soon offer 'technical assistance and enrollment support,' as well as 'culturally grounded training,' to further assist doulas in their work in New Mexico communities. Rep. Doreen Gallegos (D-Las Cruces), lead sponsor of HB214, told Source NM that the overall goal with the bill has always been to 'serve a larger number' of patients in the state and that care will start right away in July. 'A doula can help in so many ways,' Gallegos told Source. 'It's hard to sometimes make decisions when you're under that kind of stress and having somebody that's there with you, that can help walk through the process, that maybe is familiar with the doctors at the facility that you're at, or if you're doing a home birth, if things start to go sideways, that you have somebody to consult with.' She added that healthcare access is limited in New Mexico, particularly in the more rural communities, and expanding the reach of doulas will help meet the needs of more pregnant people. 'Sometimes you just have questions and sometimes medical professionals are so busy because they're in such demand right now, that they don't get to answer all those questions,' Gallegos said. 'Or if you have something in the middle of the night that you're not sure about and you have this relationship with this doula, it can really [help].' Lopez Sullivan told Source that the bill formally acknowledges the work doulas, particularly community-based doulas, do in the state and provides a path 'toward economic sustainability.' 'Many doulas have been doing this work—quietly and powerfully—for decades, without compensation or institutional support. This legislation acknowledges their expertise and makes space for them to lead within maternal health systems,' she wrote. 'For patients, especially Black, Indigenous, rural, and LGBTQIA+ families, this law opens new access to care that centers their identities, values, and choices…In a state where Black and Indigenous birthing people face the greatest maternal mortality, HB214 represents a necessary shift toward equity and dignity.' N.M. 'far above the national rate' even as maternal deaths increase across the country According to a 2023 report released by the March of Dimes, a national nonprofit organization that advocates for maternal and baby health, a third of New Mexico counties are described as maternity care deserts, where access to medical care is limited or nonexistent. The report also notes that about 18% of New Mexico women do not live within 30 minutes of a birthing hospital, compared to the national average of 9.7%, and 23.3% of birthing people received little or no prenatal care compared to 14.8% nationally. Gallegos described doula care as a 'wraparound of services' as well, because these providers not only assist patients before a child is born, but after as well, as parents settle into life with a new baby. 'I think that's problematic for New Mexico that we are losing doctors, and so we've got to have an environment that helps keep doctors in New Mexico so they can practice. And we also open it up to different types of holistic type of help that people can choose,' Gallegos said. 'We'd better give people options to what fits their lifestyle and what makes them the most comfortable and making sure that they can make decisions that are best for themselves and for their families.' Maternal death reviews get political as state officials intrude Lopez-Sullivan said she believes HB214 sets a good foundation for care in New Mexico, but the state needs to continue to invest in 'community-rooted care' and providers; ensure the systems HB214 create actually work in favor of doulas; establish long-term support for the doula workforce, including training and fair compensation; and expand midwifery and other community birth options. 'Improving maternal outcomes also means supporting midwives and community birth centers—especially in rural and Indigenous communities. These models offer holistic, accessible, and culturally resonant care that families trust,' Lopez-Sullivan wrote. 'By investing in midwifery and Indigenous-led care, we can further reduce preventable harm and build the systems our communities deserve.' SUBSCRIBE: GET THE MORNING HEADLINES DELIVERED TO YOUR INBOX
Yahoo
27-02-2025
- Business
- Yahoo
Why Utah businesses lobbied against expanded immigration verification for employees
Seventy-five years of working the land in central Utah has made the economics of immigration frustratingly clear for Robert McMullin. If the federal government continues to fail to reform legal pathways for foreign workers, his nearly 100-year-old orchard, currently being run by its fourth generation of family farmers, won't live long enough to see its fifth generation take charge. 'We'd have to just tear out our trees and do something else,' McMullin said. 'We just wouldn't be in business.' Over the years, McMullin Orchards, located just north of Santaquin, has come to rely on 40 H-2A seasonal workers from Mexico as the 'backbone' of their fruit-growing operation because of the difficulty with finding local employees. But rising overhead costs have created the toughest conditions for McMullin's farm in his lifetime, he said, and one misplaced move by the state Legislature could spell the end of its centurylong run. Practical economic realities for businesses like McMullin's were cited by Utah lawmakers as their central reason for rejecting a return to the state's previous standard for verifying the immigration status of new employees this legislative session. Last week, members of the House Business, Labor, and Commerce Committee voted for the second time not to advance a bill that would require companies with at least 15 employees to use the federal immigration verification tool E-Verify — down from the current threshold of 150 employees. The bipartisan blockade against the policy, which was originally included in Utah's 'compromise on immigration' 15 years ago, came after a concerted effort by the agriculture and construction industries to paint the bill as an ineffective means of reducing illegal activity that would have disastrous outcomes for companies already struggling because of workforce shortfalls. The consensus among many lawmakers and lobbyists on Capitol Hill seemed to be that — public safety concerns aside — putting pressure on private businesses to enforce federal immigration policy is the wrong approach. While McMullin said he never hires unauthorized workers because he can't risk a mid-season raid by Immigration and Customs Enforcement, he still bristles at the idea that business owners trying to make ends meet should be tasked with tracking how prospective employees entered the country. 'There are times when we have left fruit in the field because we have not had enough labor to harvest it in a timely manner,' McMullin said. 'It is not my job to have to regulate the people that come to my front door to work.' Rep. Neil Walter, R-St. George, who sponsored HB214, Employer Verification Amendments, thinks the debate over his bill drifted away from the core issues of reducing identity theft and setting equal standards for companies. 'My feeling was that we ought to be putting the security interests of our citizens first, and we ought to be putting our employers and employees ... on an even playing field,' Walter told the Deseret News. Walter's bill would have increased the number of businesses that must use a status verification system to check the legal working status of new employees from companies with more than 150 employees to include those with as few as 15 employees. The bill originally brought the threshold down to five employees, which was amended to 15 and then 50 in a last-minute effort to gain support. It would have provided companies with more than a year to become compliant before they would be required to use E-Verify for new hires. Walter's proposal also would have reaffirmed that workers who use fraudulent ID for the purpose of obtaining employment are subject to criminal prosecution under Utah's identity fraud statutes. There are currently hundreds of Utah children whose government ID is being used by an adult to receive wages and thousands of Social Security numbers being used by three to 10 last names for employment purposes, according to Utah Department of Workforce Services data. As with other lawmakers who voted against Walter's bill, Rep. Norm Thurston, R-Provo, agrees that identity theft for employment is a real problem in Utah. But he felt that without an enforcement mechanism the law would hurt good actors while leaving bad actors untouched. 'I'm concerned that we're going to have this bill that's a burden on law abiding businesses and then it's not going to accomplish anything,' Thurston told the Deseret News. The arguments against Walter's bill were the same arguments made in 2022 to raise the threshold to 150 employees, Thurston said. Namely, that requiring small businesses to use E-Verify does little to deter immigrants from seeking employment unlawfully and adds extra bureaucratic steps for employers dealing with inflation and a tight labor market. Thurston said that adding penalties in the bill for non-compliant businesses would make it more effective but less politically palatable. That was Walter's original intention but he quickly realized the change 'would have guaranteed that the bill failed.' For Spencer Gibbons, the CEO of the Utah Farm Bureau and the owner of Gibbons Brothers Dairy in Lewiston, the E-Verify debate puts business owners in a nearly impossible situation. While Gibbons does not think E-Verify is burdensome for businesses — the online program simply requires members to enter an employee's information from an I9 tax form — he does believe that requiring small businesses to comply with E-Verify would shrink the 'labor pool down to virtually zero' in some cases. 'You put employers in the position of they have to be the policeman and stand the risk of not having the labor to run their business,' Gibbons said. 'I can tell you that there are not a lot of people that live in this country lining up to go and milk cows.' This debate wouldn't be happening at all if Congress could pass a sensible immigration policy, according to Gibbons. The H-2A visa process used by seasonal farmers is little help to year-round dairy operations like his own, Gibbons said. In addition to expanded visa options, Gibbons said immigration policy must take into account that much of the U.S. economy is now built on immigrant labor. The construction industry is a case in point. Immigrants make up 20.5% of the construction workforce in Utah, according to an American Immigration Council report. This is the largest share of any industry in the state, and translates to roughly 29,000 immigrant workers. Joey Gilbert, the CEO of Associated General Contractors of Utah, said it advocates for its membership to hire only individuals who are legally present in the country. However, this would be easier for companies to do, Gilbert said, if there was an enforceable and uniform E-Verify policy across the country, rather than the current patchwork of state policies. Utahns can expect the E-Verify issue to come up again in future legislative sessions, according to Walter. The bill was just one of a slate of immigration policies introduced this session that would increase coordination between local law enforcement and ICE, and enhance penalties for human trafficking, fentanyl distribution and driving without a license. What this session's E-Verify saga showed, according to Liliana Bolaños, a pro-immigration activist with Voices for Utah Children, is that state policy is often inadequate to address the question of how many people cross the border illegally and what to do with them once they are here. 'Until Congress provides hard-working, well-intentioned immigrants with a viable pathway to lawful status, state level mandates like this will be nothing more than a band-aid solution,' Bolaños said. 'So I think we need to focus our state-level efforts on more effective legislation.'
