2026 Legislative and Policy Efforts

State Legal Status of CPMs

Arizona HB2251: Medication Access

Analysis and discussion with stakeholders

Analysis and discussion with stakeholders

Analysis, discussion, testimony at House committee hearing

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Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut - unregulated, not legally defined, but not prohibited 1
Delaware
District of Columbia
Florida
Georgia - Proposed Legislation 2025 - unregulated, statute, but licensure unavailable
Hawaii - amendment passed in 2025! Regulatory revision in 2026
Idaho
Illinois
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
Michigan
Minnesota
Mississippi - Proposed Legislation 2025 - unregulated, judicial interpretation varies 1
Missouri
Montana
Nebraska - Proposed Legislation 2025 - unregulated, not legally defined, but not prohibited 1
Nevada -unregulated, judicial interpretation varies 1
New Hampshire- currently working on regulations
New Jersey plan to propose amendment in 2026
New Mexico
New York - legal with license, no current pathway to license
North Carolina - Proposed Legislation 2025 - unregulated, statute, judicial interpretation, or stricture of practice 1
North Dakota - unregulated, judicial interpretation varies

Ohio - Proposed Legislation 2024 - 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 -Proposed Legislation 2024 - unregulated, not legally defined, but not prohibited 1
Wisconsin
Wyoming