Legal Recognition of CPMs

CPMs have a path to licensure in 26 states with 8 other states actively pursuing licensing legislation.


NACPM Support for State Licensure

NACPM acknowledges the role of national certification and state licensure to support quality in the profession and women’s access to the care of CPMs. NACPM supports the licensing of CPMs in all 50 states and U.S. territories. In 2012, NACPM endorsed the NARM Position Statement on State Licensure of Certified Professional Midwives. NACPM endorses the Common Ground Statement on Licensure from the Home Birth Consensus Summit. NACPM affirms the Values and Principles of the International Confederation of Midwives (ICM) Global Standards for Regulation.

NACPM provides support to midwives and consumers in states seeking to license Certified Professional Midwives, as well as to midwife and consumer-led initiatives to improve state statutes governing the practice of midwifery. NACPM supports advocates with strategy, materials and letters of support. In the Fall of 2014, NACPM is launching a series of webinars designed to support state licensing efforts, including the sharing of information, strategy and keys to success among the states. NACPM Pilot Chapter conference calls offer another opportunity to states to support each other and share legislative strategies.

April 2014: Exciting Support from USMERA for State Licensure!

NACPM, MANA, NARM, MEAC, ACNM, AMCB, and ACME have made an historic collaborative commitment:

Effective immediately, support legislative language that states that, by 2020, to all new applicants for midwifery licensure must successfully complete an education process accredited by ACME or MEAC that qualifies them to take (and successfully complete) the AMCB or NARM national certification exam. Provisions related to other key elements of licensure will be collaboratively discussed on a state-by-state basis.

Click here for the full report

International Confederation of Midwives: Values & Principles for Regulation

“Recognition that regulation is a mechanism by which the social contract between the midwifery profession and society is expressed. Society grants the midwifery profession authority and autonomy to regulate itself. In return society expects the midwifery profession to act responsibly, ensure high standards of midwifery care and maintain the trust of the public.”

Home Birth Consensus Statement on Regulation and Licensure of Home Birth Providers

HBCS LogoIt is our goal that all health professionals who provide maternity care in home and birth center settings have a license that is based on national certification that includes defined competencies and standards for education and practice.

We believe that guidelines should:

  • allow for independent practice,
  • facilitate communication between providers and across care settings,
  • encourage professional responsibility and accountability, and
  • include mechanisms for risk assessment.


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