Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut - unregulated, not legally defined, but not prohibited 1
Delaware
District of Columbia
Florida
Georgia -unregulated, statute, but licensure unavailable 1
Hawaii - currently working on regulations
Idaho
Illinois - currently working on regulations
Indiana
Iowa
Kansas - “CPMs have legal status in Kansas but, as yet, there is (a) no designated regulatory agency, (b) no state law governing their relationship with physicians, nor (c) any requirement for their continuing education.”2 (CPMs and birth center law)
Kentucky
Louisiana
Maine
Maryland
Massachusetts - unregulated, judicial interpretation varies 1
Michigan
Minnesota
Mississippi - unregulated, judicial interpretation varies 1
Missouri
Montana
Nebraska - unregulated, not legally defined, but not prohibited 1
Nevada -unregulated, judicial interpretation varies 1
New Hampshire- currently working on regulations
New Jersey
New Mexico
New York - legal with license, no current pathway to license
North Carolina- unregulated, statute, judicial interpretation, or stricture of practice 1
North Dakota - unregulated, judicial interpretation variesOhio - illegal to practice as a CPM 1
Oklahoma
Oregon
Pennsylvania - unregulated, judicial interpretation varies 1
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia - unregulated, not legally defined, but not prohibited 1
Wisconsin
Wyoming

Legislative and Policy Efforts

2024 Legislative and Policy Efforts

Interstate Compact Agreements

Tricare Expansion

Midwives for MOMS ACT

Against Florida’s“Advanced Birth Center Bill”

Alaska Letter of Opposition of Executive Order #130 and in Support of House Bill #175

New Mexico House Bill 2

Letter to CMMI

Letter to NRP Steering Committee

Meeting with the Defense Health Agency

Letter to Illinois Department of Financial and Professional Regulation

Signed onto letter sent to Congress in support of doubling the funding for the HHS and OCR in FY25 appropriation

Signed on to Letter to Save Nurse-Midwifery Education at UCSF

Signed on to Letter to Congress in Support of FY25 Midwifery Appropriations Ask

Letter to IL IDFPR expressing support for changes to proposed Licensed Midwifery regulations

Sign-on to Support the 2024 Black Midwives Day Resolution

Meeting with the Massachusetts Department of Public Health to discuss Licensure

Organizational Support Letter for FY 2025 Midwifery Appropriations

Letter to MEAC requesting clarification about DOE regulations changes regarding distance education.

State Legislation