The NACPM Board is proud to release a new advocacy stance addressing collaborative agreements and interprofessional relationships. This statement centers the impact of forced contracts on client choice, equity, and systemic trust, while affirming that Certified Professional Midwives should be recognized as autonomous primary care providers. It calls for removing mandatory collaborative agreements—which can undermine midwifery autonomy and limit access to care—and instead building integrated, respectful care systems that prioritize client-centered collaboration.