Welcome California Health Care
Providers & Clinicians!

Meet State Requirements and Earn CE/CME

The California Department of Health reported that 80% of California organizations and providers chose our Dignity in Pregnancy & Childbirth course(s) to meet the requirements of CA SB 464, The Dignity in Pregnancy & Childbirth Act!

California Learners

CALI health care organizations

CALIFORNIA Specific Grants Awarded

positive reviews FROM CALIFORNIA LEARNERS

Supporting California Organizations & Providers with Easy Access to Evidence-Based Courses Providing Cutting Edge In-The-Moment Skills for High Quality Patient Care

Bundle of Courses Meeting the Requirements of All Three California Laws
(SB 484/AB 2319, SB 923, & AB 1407) are Covered in One $15 Fee!

All courses are accredited for ANCC CE and ACCME CME (AMA PRA Category 1)

Courses Meeting the Requirements of
The Dignity in Pregnancy & Childbirth Act (CA SB 464) and
The Amended Dignity in Pregnancy & Childbirth Act (CA AB 2319)

Information on Current Requirements
To meet the training requirements of SB 464 and AB 2319, you must take the following courses, or their equivalent, a single time each:
California Dignity in Pregnancy & Childbirth for Black Women and Birthing People (free*)
and
Gender Inclusive Care and Intersectionality: A Guide for Perinatal Care Providers (paid) or its equivalent

Every subsequent two years you must take:
California Refresher: Dignity in Pregnancy and Childbirth (free*) or its equivalent

*Free through 2028 due to a grant from the California Health Care Foundation.  

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Note: A new law, CA AB 2319, the Amended Dignity in Pregnancy & Childbirth Act, took effect in 2025. This law added requirements to the original law, CA SB 464. The course (funded by the California Health Care Foundation through 2028) Dignity in Pregnancy & Childbirth remains free* but only partially meets current state requirements. We offer a brief course that, with the free course Dignity in Pregnancy & Childbirth, fully meets the current requirements (Gender Inclusive Care and Intersectionality: A Guide for Perinatal Care Providers). Want more information? Click Here!


You will also need to take CA15. Gender Inclusive Care and Intersectionality or equivalent to meet requirements. Wondering why? Click Here!


Meets CA state Dignity in Pregnancy & Childbirth Act requirement of completing a refresher course every two years after completing the core required courses.

Fee is $15 whether you only purchase this course or purchase the bundle with courses meeting requirements SB 923 and AB 1407. 

Bundle of all Three Courses Plus Two others
(Meeting the Requirements of Three California Laws)
(SB 484/AB 2319, SB 923, & AB 1407) are Covered in One $15 Fee!

Course Meeting the Requirements of the Transgender Inclusive Care Act (CA SB 923)

ONLY looking for this course?
Click Here!

Course Meeting the Requirements of Implicit Bias Training for Nursing Students and New Nurses (CA AB 1407)

ONLY looking for this course?
Click Here!

Get This Course Along with a Bundle of Courses Meeting the Requirements of All Three California Laws (SB 484/AB 2319, SB 923, & AB 1407) For One $15 Fee!

ABOUT COURSE AUTHORS AND CONTRIBUTING SUBJECT MATTER EXPERTS.
The Core Dignity in Pregnancy & Childbirth course was developed by Diversity Science authors (now Humanitas Institute) with the guidance of Lead Subject Matter Expert Rachel Hardeman, PhD and input from additional multiple community members and Subject Matter Experts.

The course Caring for Transgender and Gender Diverse Patients was developed by Lead Author and Subject Matter Expert, Julia Prezedworski, PhD with Diversity Science authors (now Humanitas Institute).

The Refresher course and the AB 2319 Add-on course (Gender Inclusive Care and Intersectionality), were led by Michelle van Ryn, PhD, at Humanitas Institute (formerly Diversity Science) with a team of additional Subject Matter Experts.

All courses were evaluated by practicing clinicians and providers before release. We thank them for their time and invaluable guidance.
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Gender Inclusive Care and Intersectionality

Must be completed in addition to the course "Dignity in Pregnancy & Childbirth"

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⏰ Duration: 20 minutes 

 Certificate of Completion is awarded upon course completion

🏆 0.5 ANCC / ACCME Continuing Education credit available

For more information about this course, the related law, or fees, click here.

This course meets the requirements of CA AB 2319 and equips perinatal care providers with the essential knowledge and practical skills needed to deliver compassionate, inclusive, and high-quality care to all birthing patients. You will explore the concept of intersectionality—how interconnected aspects of identity shape healthcare experiences—and examine the unique needs of transgender and non-binary individuals during pregnancy, childbirth, and postpartum care. Practical tools and strategies are provided to help you recognize and thoughtfully interrupt automatic assumptions that could unintentionally affect the quality of care. Additionally, you will learn actionable techniques to create affirming, safe, and respectful healthcare environments for patients of diverse identities. This course meets the requirements of California AB 2319, the amended Dignity in Pregnancy and Childbirth Act.

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Dignity in Pregnancy & Childbirth

Must be Completed First
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⏰ Duration: 60 minutes plus optional activities

 Certificate of Completion is awarded upon course completion

🏆 1.0 ANCC / ACCME Continuing Education credit available. After course completion, you’ll have the option to purchase an exam to earn 1 hour of CME or CE

This course is split into three parts. Each uses the example of real-life, composite stories to illustrate how racial bias, however unintended, can undermine care. Each part also provides specific, concrete, evidence-based strategies for interrupting racial bias.

After completing the course, learners will be able to:

  • Teach co-workers important concepts and correct myths and misunderstandings.
  • Describe the research evidence on racial inequalities in perinatal care and outcomes.
  • Explain why well-intentioned providers who are consciously and genuinely committed to fairness and high-quality care can still behave in racially biased ways.
  • Apply evidence-based strategies for interrupting racial biases and protecting patients from racism.
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Refresher Course: Dignity in Pregnancy & Childbirth

Completed Two Years After Core Course

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⏰ Duration: 45 minutes plus optional activities

 Certificate of Completion is awarded upon course completion

🏆 1.0 ANCC / ACCME Continuing Education credit available. After course completion, you’ll have the option to purchase an exam to earn 1 hour of CME or CE

The course uses a series of new interactive activities to prepare learners to educate their coworkers to interrupt racial biases and live their values in the care they provide to Black women and birthing people.

After completing the course, learners will be able to:

  • Describe the research evidence on racial inequalities in care and the resulting unnecessary suffering, illness, disability, and death.
  • Explain the visible and invisible ways  unintended biases affected the care process for Melissa and her husband.
  • Understand the connection between the historical enslavement of people from West Africa and current-day stereotypes.
  • Apply concrete and evidence-based actions to interrupt racial bias, help buffer patients from racial bias, and provide equitable care for all patients.

Accessing Courses to Meet Requirements of the Dignity in Pregnancy & Childbirth Act (CA SB 464) and the Amended Act (CA AB 2319)

as part of our core mission of accelerating uptake and impact of
evidence-based and effective courses that improve quality and safety of patient care

We Provide A Bundle of Courses That Meet 
Three California Training Requirements 

Dignity in Pregnancy & Childbirth Courses

California Laws
SB 464 & AB 2319

Transgender Inclusive (TGI) Care Act Course

California Law
SB 923

Implicit Bias Training for New Nurses Course

California Law
AB 1407
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Two of the three courses you need to meet state required training for perintal care providers are free through 2028, due to a grant from the California Health Care Foundation. The third course, plus the course meeting other laws, can be accessed for one price ($15) which includes all courses.

Get access to A Bundle of Courses Meeting the Requirements of Three California Laws
(CA SB 484/AB 2319 The Amended Dignity in Pregnancy & Childbirth Act, CA SB 923 the Transgender Inclusive (TGI) Care Act, & CA AB 1407 Implicit Bias for New Nurses and Nursing Students)
for One $15 Fee!

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