NACPM heartily congratulations the midwives and advocates in Washington State on their historic victory last week when state legislators passed SSB 5765, granting prescriptive authority to LMs/CPMs for medications and devices needed in normal pregnancies and contraception, a first in the nation. This kind of victory is not the result of one year of advocacy on the part of the Washington midwives but rather of decades of consistent, progressive, purposeful, strategic effort and relationship building with legislators, state agencies, and perinatal provider groups. We celebrate this legislative victory as well as the exemplary history of organized advocacy by the Washington midwives. Once again, Washington midwives lead the way!