What We Do

Through its network of birth activists and professionals, the Big Push for Midwives Campaign meets its PushStates where they are, providing tools and support no matter where they stand along the continuum of organizing their advocacy efforts. JOIN YOUR STATE GROUP!

(Click the red map markers below to open/close the PushState info.)

COLORADO

CPMs are legally authorized to practice.
:-)
Year law enacted: 1993

ALABAMA

CPMs are NOT legally authorized to practice. Have active CPM legislation.
READ MORE

KENTUCKY

CPMs are NOT legally authorized to practice. Have active CPM legislation.
READ MORE

SOUTH DAKOTA

CPMs are NOT legally authorized to practice. Have active CPM legislation.
READ MORE

MISSISSIPPI

CPMs are NOT legally authorized to practice. Have active CPM legislation.
READ MORE

TEXAS

CPMs are legally authorized to practice.
:-)
Year law enacted: 1983

WASHINGTON

CPMs are legally authorized to practice.
:-)
Year law enacted: 1991

OREGON

CPMs are legally authorized to practice.
:-)
Year law enacted: 1993

CALIFORNIA

CPMs are legally authorized to practice.
:-)
Year law enacted: 1993
Midwifery supporters in California are working on amendment of their state midwifery practice rules.

NEVADA

CPMs are NOT legally authorized to practice. NOT actively working on CPM legislation.

IDAHO

CPMs are legally authorized to practice.
:-)
Year law enacted: 2009

MONTANA

CPMs are legally authorized to practice.
:-)
Year law enacted: 1991

UTAH

CPMs are legally authorized to practice.
:-)
Year law enacted: 2005

ARIZONA

CPMs are legally authorized to practice.
Year law enacted: 1978

NEW MEXICO

CPMs are legally authorized to practice.
:-)
Year law enacted: 1978

ALASKA

CPMs are legally authorized to practice.
:-)
Year law enacted: 1999

GUAM

CPMs are NOT legally authorized to practice. NOT Actively working on CPM legislation.

KANSAS

CPMs are NOT legally authorized to practice. NOT actively working on CPM legislation.

OKLAHOMA

CPMs are NOT legally authorized to practice. NOT actively working on CPM legislation.

NORTH DAKOTA

CPMs are NOT legally authorized to practice. Planning CPM legislation.

NEBRASKA

CPMs are NOT legally authorized to practice. Have active CPM legislation.

MINNESOTA

CPMs are legally authorized to practice.
Year law enacted: 1999

IOWA

CPMs are NOT legally authorized to practice. Have active CPM legislation.

WISCONSIN

CPMs are legally authorized to practice.
:-)
Year law enacted: 2006

MICHIGAN

CPMs are NOT legally authorized to practice. Have active CPM legislation.
READ MORE

ILLINOIS

CPMs are NOT legally authorized to practice. Have active CPM legislation.

INDIANA

CPMs are legally authorized to practice.
:-)
Year law enacted: 2013

OHIO

CPMs are NOT legally authorized to practice. Have active CPM legislation.

PENNSYLVANIA

CPMs are NOT legally authorized to practice. Have active CPM legislation.
PA law already requires the state Board of Medicine to issue licenses to all types of midwives, but the BOM has not done so yet for CPMs. Following a court order, the BOM is now working with midwifery supporters and CPMs to develop CPM licensure and practice rules.

NEW YORK

CPMs are legally authorized to practice.
:-)
Year law enacted: 1992

MISSOURI

CPMs are legally authorized to practice.
:-)
Year legalized by Statute: 2007

ARKANSAS

CPMs are legally authorized to practice.
:-)
Year law enacted: 1983

LOUISIANA

CPMs are legally authorized to practice.
:-)
Year law enacted: 1985
Midwifery supporters in Louisiana are working on amendment of the state midwifery practice statute.

GEORGIA

CPMs are NOT legally authorized to practice. NOT actively working on CPM legislation.

FLORIDA

CPMs are legally authorized to practice.
:-)
Year law enacted: 1995

SOUTH CAROLINA

CPMs are legally authorized to practice.
:-)
Year law enacted: 1976

NORTH CAROLINA

CPMs are NOT legally authorized to practice. Have active CPM legislation.

VIRGINIA

CPMs are legally authorized to practice.
:-)
Year law enacted: 2005

WEST VIRGINIA

CPMs are NOT legally authorized to practice. Planning CPM legislation.

VERMONT

CPMs are legally authorized to practice.
:-)
Year law enacted: 2000

NEW HAMPSHIRE

CPMs are legally authorized to practice.
:-)
Year law enacted: 1979

MAINE

CPMs are legally authorized to practice.
:-)
Year legalized by Statute: 2008

MASSACHUSETTS

CPMs are NOT legally authorized to practice. Have active CPM legislation.

NEW JERSEY

CPMs are legally authorized to practice.
:-)
Year law enacted: 2002

DELAWARE

CPMs are legally authorized to practice.
:-)
Year law enacted: 1978

DISTRICT OF COLUMBIA

CPMs are NOT legally authorized to practice. Planning CPM legislation.

PUERTO RICO

CPMs are NOT legally authorized to practice. Have active CPM legislation.

HAWAII

CPMs are NOT legally authorized to practice. NOT actively working on CPM legislation.

VIRGIN ISLANDS

CPMs are NOT legally authorized to practice. NOT actively working on CPM legislation.

WYOMING

CPMs are legally authorized to practice.
Year law enacted: 2010

RHODE ISLAND

CPMs are NOT legally authorized to practice. Have active CPM legislation. Rhode Island law already requires the state Department of Health to issue licenses to all types of midwives, but the DOH has not done so yet for CPMs. The DOH is now working with midwifery supporters and CPMs to develop CPM licensure and practice rules.

CONNECTICUT

CPMs are NOT legally authorized to practice. Planning CPM legislation.

MARYLAND

CPMs are NOT legally authorized to practice. Have active CPM legislation.

TENNESSEE

CPMs are legally authorized to practice.
:-)
Year law enacted: 2000

In 22 states, as well as in the District of Columbia and two U.S. Territories, Puerto Rico and Guam, Certified Professional Midwives (CPMs) are at risk of criminal prosecution for practicing medicine or nursing without a license, which drives the practice of midwifery underground and creates barriers to access for women seeking maternity care.

Citizens and birth-advocacy organizations are working together, with the help of the Big Push for Midwives Campaign, to effect change at the organizational, community, and policy-making level by pushing to educate lawmakers about the triple-bottom-line benefits when they choose to pass laws licensing CPMs in every one of these jurisdictions and to incorporate them as maternity care providers at the state and federal level.

The Big Push is a resource for PushStates and Territories to help parse the issues, whether they are working at their Statehouse to pass a bill into law, or PUSHing a state agency to change old or restrictive midwife practice rules. Learn how The Big Push is providing support services and help for the pushing. See the PushChart on the regulation of Certified Professional Midwives that shows more on the state-by-state picture of CPMs.

As midwifery grows and is modernized across the PushNation, The Big Push for Midwives Campaign and its network of state organizations are working to create a clear path to Certified Professional Midwives for families across the United States. Together, midwives and mothers are working to increase access to CPM birth options, and further remove barriers to evidence-based maternity care.

Watch the full episode. See more Chicago Tonight.

{ 2 comments… read them below or add one }

Noella May 23, 2012 at 7:00 am

I definitely got the impression that Summer is critiquing the US educational model, not saying that midwives do not need education and also not saying that they don’t need formal education, nor calling for less education. She’s calling into question in an insightful way whether or not the current model is an appropriate one for *anyone.* Saying all midwives need the same kind of higher education is based on an assumption that the classic model of university education works and works for everyone. It doesn’t. While I do not teach midwifery education courses, I do teach college classes and these are the kinds of things students tell me that they’ve learned in school*:+how to beat the system +how to play the game +how to do the bare minimum in order to squeak by+how to please the teacher and tell them what they want to hear+to take no joy in the learning process+to ask, is this going to be on the test? and if not, to immediately download the info from their brains+to cut as many corners as they can in order to get that piece of paper We can do *better* than that for mothers, babies, and families. I think requiring college education for midwives is setting our sights too low, actually. Additionally, we find in psychotherapy education that no one type of practitioner is superior to another i.e. psychiatrists (those with the MOST education) are no more effective than LPCs (those with the least formal education). Research indicates that regardless of training, education, degree, theory, philosophy, treatment model, or technique, what actually matters is WHO the therapist IS, not their training background. (Obviously, this is qualitatively different than midwifery/physician education because there are no lives on the line, so no, but some babies DIE comments please, I’m just pointing out that it is fully possible for effectiveness to boil down to personal qualities of the professional, rather than professional qualities of the person.) Side note: I also find it bizarre that a CNM can legally attend a homebirth without *ever* having been to one before graduating.*these are actual statements from students when we took time as a class to get into what education really means/teaches.

Reply

Candice July 16, 2014 at 6:55 pm

Noella’s comment had me smiling throughout its entirety. I also believe that women are “called” to this particular field. I feel it is part of my life’s purpose to assist women in pregnancy and birth in a holistic manner – something I am extremely passionate about. Most women feel a social acceptance when attending a nursing program, dread the rigorous process, then finally receive their diploma (which is nothing but a piece of paper). A good amount of nurses aren’t in this profession because they want to help people, they’re in it for finanical security. But, if you ask an aspiring professional midwife with no background in health care why they want to be in this field, they’ll tell you it’s because they are truly passionate about being apart of the most incredible time of a mothers life – assisting in the prenatal care and delivering of a perfect soul and welcoming him earthbound. CMs/CPMs should have the same rights as CNMs!

Reply

Leave a Comment