State by State Legal Status

DIRECT ENTRY MIDWIFERY STATE-BY-STATE LEGAL STATUS
STATE
REGULATED
UNREGULATED
CPM
MEDICAID
REIMBURSEMENT
CPM
CPM
CPM
E
CPM
X
Licensure (L)
Judicial
Not legally Statute, but Statute, Judicial
Certification (C) Interpretation defined, but Licensure Interpretation, or
Registration (R) or Statutory not prohibited Unavailable
Stricture of
Permit (P)
Inference
Practice
AL
AK
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
NE
NH
NJ
NM
NV
NY
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
X
L
L
L
L
R
X
X
X
X
L
L
CPM
E
X
CPM
X
X
X
X
L
X
CPM
L
X
X
CPM
L
X
L
L
X
CPM
CPM
X
CPM
CPM
L
X
X
X
E
L
X
X
CPM
CPM
CPM
C
L
L
X
X
X
*
C
X
X
X
L
CPM
X
CPM
CPM
X
CPM
CPM
CPM
CPM
CPM
CPM
CPM
X
X
X
X
X
C
L
X
C
L
Voluntary-L
L
L
L
L
X
CPM
L
Licensure/Certification
Inference/unregulated
Illegal
E
- State uses NARM Exam as part of licensure process
CPM - Reciprocity of CPM credential or CPM plus state specific requirements
accepted for licensure, certification, documentation or registration.
*
9/27/2016
- Certified Midwives (CMs) are direct-entry midwives certified by the
American Midwifery Certification Board (AMCB).
For more information on direct-entry midwifery, visit NARM's web site: http://www.narm.org
or MANA's web site: http://www.mana.org
*** Information for this chart was provided by the Midwives Alliance of North America (MANA),
and the North American Registry of Midwives (NARM).