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How CenteringPregnancy® Improves Outcomes for Parents and Babies in New Jersey

Posted on October 6, 2025

Authored by:
Disha Patel Headshot
Disha Patel, MPH
Manager, Health Policy
Centering Healthcare Institute

Patient-centered care prioritizes the needs of each individual. One powerful example is group prenatal care, such as CenteringPregnancy®, which has been shown to lower the risk of preterm birth, low birthweight and NICU stays. In New Jersey, we need to build greater awareness of group prenatal care and update policies to ensure all birthing people receive the high-quality care they deserve.

What is Centering?

Centering Healthcare Institute is a non-profit organization that works closely with health care providers from all sectors to transform healthcare delivery, especially regarding improving outcomes related to mothers, babies and families. With over three decades of experience as the go-to resource for group care, we have developed and sustained the evidence-based Centering model of care in nearly 500 practice sites and in some of the largest health systems in the world.

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CenteringPregnancy®

        • Facilitated, group-based medical appointments consisting of:
            • Health assessments
            • Interactive learning
            • Community building
        • Higher rates of patient satisfaction, preparation for labor and delivery
        • Improved attendance at visits and stress reduction
        • Patients have the opportunity to be heard
        • Providers have a chance to listen and evaluate patient needs
        • Reduction in racial and socioeconomic disparities in birth outcomes

Evidence

With over 200 peer-reviewed studies, Centering:

  • Reduces the risk of preterm birth by 33-47%, with further reduced risk for Black pregnant people
  • Increases breastfeeding initiation 
  • Increases likelihood of LARCs (Long-Acting Reversible Contraception) use by 70%
  • Reduces the risk of NICU admissions by 37% 
  • Reduces emergency room utilization

Centering in New Jersey

        • 24 CenteringPregnancy sites, over 500 patients served
        • More than 1 in 4 pregnant patients at NJ CenteringPregnancy sites received care through CenteringPregnancy
        • 2023 Data:
Centering New Jersey
Preterm Birth 9.9% 11.3%
Low Birth Weight 6.8% 7.98%

CHI’s Policy Recommendations

        • Increase the enhanced reimbursement rate for group prenatal care from $7 to $45 per patient per session
        • Include coverage for federally qualified health centers (FQHCs) in amended policy as FQHCs serve underserved populations, reduce barriers to care, improve birth outcomes, reduce health disparities and support financial sustainability

Why an Increase for Enhanced Reimbursement is Beneficial for NJ

        • Targets disparities
            • With the support and education that group prenatal care provides, it allows both patient and providers to address social determinants of health
        • Cost Savings for Medicaid
            • Almost half of the births being financed by Medicaid, meaning the outcomes that Centering has proven to have can translate to cost savings for Medicaid
            • Enhanced reimbursement also helps providers cover the extra time, staffing and materials needed
        • Alignment with Existing Initiatives
            • New Jersey has made significant strides in improving maternal and child health outcomes and increasing the reimbursement for group prenatal care would continue with this broader strategy. 

Call to Action

        • Invest in long-term cost savings
        • Improve maternal and child health outcomes by recognizing CenteringPregnancy as patient-centered care and closing gaps in maternal morbidity and mortality

To learn more about our models of care, expand Centering in New Jersey, and influence policy, partner with the Centering Healthcare Institute.

Read our latest updates on maternal and infant health.

Join the Movement to Make Child Care a Top Priority for Our Next Governor

Posted on October 1, 2025

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Learn more about ACNJ's efforts in advancing affordable, quality child care in NJ.

ACNJ leading the charge to Start Strong NJ, a campaign fighting for affordable child care for all.

Child care has reached a breaking point. Infant care averages nearly $20,000 a year. Preschool? Almost $19,000. For many families, child care costs more than their mortgage — and, here’s the striking part, more than the average cost of in-state college tuition.

But this isn’t just a family hardship. It’s an economic problem. When parents can’t afford reliable child care, they reduce hours, turn down promotions, or leave the workforce altogether. Employers lose talent. Businesses lose productivity. New Jersey loses growth.

ACNJ along with the New Jersey Association for the Education of Young Children (NJAEYC) are leading the charge to Start Strong NJ, a campaign of the First 1,000 Days NJ Policy Coalition, bringing together business leaders, policymakers, providers, parents, and advocates committed to making affordable, high-quality child care available to every family in the state. The campaign’s policy agenda emphasizes affordability, a stable workforce, and lasting public investment to strengthen New Jersey’s economy and secure a strong future for children.

Here’s what else we know: If we want families to stay in New Jersey, grandparents to remain connected, and our workforce to thrive, we must treat child care as essential infrastructure.

After the November gubernatorial election, Start Strong NJ will present the new governor with a blueprint — a roadmap of actionable steps they can take in their first year. And this coalition will be the go-to resource for every question on early care and education in New Jersey.

New Jersey has a choice. We can continue patching a broken system with small fixes — or we can reimagine child care as the public good it truly is.

That means:

  • Expanding access to the Child Care Assistance Program.
  • Incentivizing employers to help cover the cost.
  • Enhancing tax credits for families.
  • Strengthening and expanding paid family leave.
  • And making bold public investments so child care teachers earn professional wages.

So the question for New Jersey’s next governor isn’t “Can we afford to invest in child care?”
 The question is: “Can we afford not to?”

Because if we want a stronger economy, stronger communities, and a stronger future for our children — then bold investment in our child care infrastructure must remain a top priority for the next administration.

Start Strong NJ releases blueprint to make affordable, quality child care available to every family in the state that needs it.

Read the blueprint.

Newark Kids Count Data Snapshot 2025: Maternal and Infant Health

Posted on September 30, 2025

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Newark Data Snapshots 2025
Newark Kids Count Reports

Over the past decade, Newark has made notable progress in improving infant health outcomes, with declines in low birthweight, preterm births, and mortality rates. However, significant disparities persist, with Black, non-Hispanic residents experiencing worse outcomes. This data snapshot on Newark Maternal and Infant Health is part of a series that will zero in on issues affecting the city's children.

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Placement Options in Special Education

Posted on September 25, 2025

Co-Authored by:

Lauren DeCamp
Corporate Counsel
Audible

Casey O'Brien
Corporate Counsel
Global Mile

 

For more information on this topic, contact Nina Peckman at npeckman@acnj.org.

As a parent of a child with special needs, understanding the various placement options available through special education can be overwhelming. Your child has a right to be educated in the "least restrictive environment" under New Jersey law (N.J.A.C. 6A:14-4.2 and 4.3). This means that, to the maximum extent appropriate, your child should be educated alongside peers without disabilities and as close to home as possible. NJ law only allows more restrictive placements, discussed below, when your student’s disability makes education in more inclusive general education settings impossible to achieve satisfactorily with reasonable accommodations and supports.

Read more guest blogs from our partners at Audible and Amazon.

New Jersey law requires schools to maintain what's called a "continuum of placements." This means they must provide a range of educational options to meet the individual needs of students with disabilities. This approach recognizes that students with disabilities have varying needs that require different levels of support and specialized services. Your child's Individual Education Program (IEP) team, which includes the parent, must offer placement options to appropriately match your child's individual requirements with the most suitable learning environment(s).

Importantly, your child has the right to participate in multiple settings based on their individual needs. Your child's placement should be based on their IEP and must be reviewed at least annually. The school cannot remove your child from general education classes solely because they need curriculum modifications.

Here are some common terms for the placement options your child has a right to access:

  • Inclusive Setting: This is where your child learns in a general education classroom alongside students without disabilities. In this environment, your child participates fully in the general education curriculum while receiving necessary support services and modifications within the regular classroom. 
  • Push-In Services: In this model, special education teachers or specialists come directly into the general education classroom to provide support while your child remains with their peers. This might involve co-teaching or individual support within the regular classroom setting for one or more subjects or support services, allowing your child to receive specialized help without being separated from their classmates.
  • Pull-Out Services: With this approach, your child leaves the general education classroom for specific periods to receive specialized instruction in a separate resource room. This might happen for certain subjects or specific support services, after which your child returns to the general education classroom for the rest of their subjects.
  • Self-Contained: This means a special class specifically designed for students with disabilities, taught by a special education teacher. These classrooms typically have smaller class sizes and provide more intensive support.  This setting is used when students need more specialized instruction that cannot be effectively provided in the general education setting.
  • Special Education Programs: This means programs out of the student’s home district, including another district, county vocational district, rehabilitation program, medical institutions, non-public school approved for students with disabilities, non-public or out-of-state programs in special circumstances, residential, home instruction, or other settings. One of these settings may be appropriate if the district cannot offer a proper in-district program. 

In any of these settings, your child may receive various supplementary aids and services, including:

  • Curricular or instructional modifications
  • Specialized instructional strategies
  • Assistive technology devices and services
  • Teacher aides
  • Related services
  • Integrated therapies
  • Consultation services
  • In-class resource programs

To help ensure your child receives appropriate placement:

  • Actively participate in IEP meetings
  • Request detailed explanations of proposed placements
  • Review your child's progress regularly
  • Ensure decisions are based on your child's individual needs
  • Remember that your child can participate in multiple settings if needed

Consider consulting an attorney if:

  • Your child's placement decisions appear to be based on administrative convenience rather than individual needs
  • The school refuses to consider less restrictive alternatives
  • Your child is being removed from general education without proper justification

Relevant laws:

KidLaw Resource Center

Your Rights to Attend School in New Jersey: A Simple Guide

Posted on September 25, 2025

Co-Authored by:

Catherine Thompson, Senior Corporate Counsel, Audible

Rachel Wiltshire Associate Corporate Counsel, Audible

 

For more information on this topic, contact Nina Peckman at npeckman@acnj.org.

Who Can Attend School?

Students ages 5-20 (ages 3-21 if in special education)

Where You Can Attend School

You can attend school in a district if:

  • Your parent/guardian lives there
  • You live with someone who takes care of you like a parent (without payment)
  • You're temporarily staying in the district due to family hardship
  • You live with someone who resides in the district when your parent/guardian are active military members in certain situations
  • You're homeless
  • You're placed there by court order
Read more guest blogs from our partners at Audible and Amazon.

Important Protections

  1. You Cannot Be Denied Enrollment Because:
  • Your housing isn't in perfect condition
  • You don't have a birth certificate (you have 30 days to provide it)
  • You don't have medical records (but may need immunizations to attend)
  • You don’t have the records from your previous school district 
  • Of your immigration status
  1. The School Cannot Require:
  • Income tax returns
  • Social Security numbers
  • Immigration documents
  • Housing inspection reports

Steps to Enroll

  1. Fill out the school's registration forms
  2. Provide proof you live in the district (can include):
  • Lease or mortgage documents
  • Utility bills
  • Property tax bills
  • Voter registration
  • Other documents showing where you live
  1. Once the school receives proof of residency and immunization (unless an exception to immunization requirements applies), a student must be allowed to attend even if the other required records are not yet available.

If You're Denied Enrollment

Your Rights:

  • The school must give you written notice explaining why
  • You have 21 days to appeal
  • Your child can attend school during those 21 days
  • You can continue attending while appealing

How to Appeal:

  • File an appeal with the Commissioner of Education
  • Get help from the school district's designated administrator
  • You have the right to a hearing in certain cases

Special Situations

  1. Family Crisis Protection:
  • Students can stay in their original school if they move due to:
    • Domestic violence
    • Death of a parent/guardian
    • House becoming uninhabitable (fire, flood, etc.)
    • Other family hardships
  1. Homeless Students:
  • Have special enrollment rights
  • Should contact the district's homeless liaison
  • Cannot be denied enrollment due to lack of documents

Need Help?

  • Each school district must have a designated administrator to help with enrollment
  • All notices must be in English and your native language
  • Free legal help is available through ACNJ and other education advocacy organizations.

Remember: These rights apply to ALL students, regardless of their immigration status or housing situation. If you need help, ask to speak with the school district's designated enrollment administrator.

When a parent should contact an attorney 

Based on the provided information, you would most likely need to contact an attorney in these specific situations:

  1. If your child is denied enrollment and you need to appeal the decision, especially if you believe the denial was incorrect or unfair.
  2. If you have a complex custody situation, such as:
  • Shared custody between parents living in different districts
  • Recent changes in guardianship
  • Need to prove legal guardianship status
  • Custody disputes that affect where the child can be enrolled
  1. If your child is living in a non-traditional arrangement that might need legal documentation, such as:
  • Living with someone who isn't the parent/legal guardian
  • Need to establish an "affidavit student" status (where someone other than a parent is caring for the student)
  • Complex living situations that might affect residency status
  1. If you're asked to pay tuition after initial enrollment because the district later determines your child wasn't eligible to attend (you might want legal advice to challenge this)
  2. If you believe the school district is requesting documentation they're not legally allowed to require (like immigration status or income tax returns)

Remember: Most routine enrollments don't require an attorney. It's primarily when there are disputes, complex custody situations, or appeals that legal assistance becomes helpful.

Links to relevant law 

Links to helpful resources 

KidLaw Resource Center