The U.S. faces a maternal health crisis marked by high mortality rates and stark disparities in birth outcomes, especially among people of color, indigenous populations, and their infants. A significant factor in this crisis is the existence of maternity deserts. In response, the majority of states and Washington D.C. have recognized the crucial role of community midwives—Certified Professional Midwives (CPMs), Certified Nurse-Midwives (CNMs), and Certified Midwives (CMs). This recognition has notably improved maternal health outcomes for low-risk pregnancies. However, TRICARE, which serves military families, currently restricts coverage to CNMs only, reflecting more restrictive policies found in a minority of states.
This limitation in TRICARE undermines the diverse educational paths in the midwifery profession, and the role states play in occupational licensure. The exclusion of CPMs and CMs limits service accessibility, particularly in underserved regions, and is inconsistent with other state and private insurance programs.
NACPM advocates for the Defense Health Authority to expand TRICARE’s midwifery care coverage to include CPMs and CMs. This would align with state-level recognition and standards, offering beneficiaries a broader choice of providers and aligning TRICARE with national trends toward improved maternal health outcomes.
An integrated midwifery system within TRICARE can yield numerous benefits. These include higher patient satisfaction, lower rates of postpartum depression, increased access to social support systems, fewer cesarean sections, lower preterm birth rates, increased breastfeeding rates, and less invasive birthing experiences. Crucially, it could significantly reduce maternal and neonatal deaths, ensuring better health outcomes and quality of care for military families.
Our goal is to bring attention to this critical issue and advocate for a change that could profoundly impact the health and well-being of military families. By expanding midwifery care coverage in TRICARE, we can take a significant step toward addressing the maternal health crisis in our nation.
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Support - Strengthening support for midwifery integration within healthcare systems.
TRICARE - Transforming TRICARE coverage to include comprehensive midwifery services.
Reform - Reforming policies to recognize and validate all certified midwifery professionals.
Integration - Integrating midwives into the broader healthcare framework, ensuring seamless care.
Knowledge - Promoting knowledge and awareness about the benefits of midwifery-led care.
Expansion - Expanding access to midwifery services for all, especially in underserved areas.
