State:
Click for actual law if avail.		 Regulated Unregulated CPM Medicaid
Reimburse-
ment
Licensure(L)
Certification(C)
Registration(R)
Permit(P)		 Legal by Judicial Interpretation or Statutory Inference Not legally regulated, but not prohibited Legal by Statute,
but
Licensure
Unavailable		 Prohibited by
Statute,
Judicial
Interpretation,
or Stricture
of Practice

AK

 L         CPM X
AL         X    
AR L         CPM  
AZ L         CPM X
CA L         E X
CO R         CPM  
CT     X        
DE P         CPM  
DC          X    
FL L         E X
GA       X      
HI       X      
ID
L
         CPM X
IL         X    
IN         X    
IA         X    
KS   X          
KY         X    
LA L         CPM  
ME   X          
MD         X    
MA   X          
MI   X          
MN L         CPM  
MS   X          
MO   X          
MT L         E  
NE     X        
NV   X          
NH C         CPM X
NJ L         CPM  
NM L         CPM X
NY C         *  
NC         X    
ND   X          
OH     X        
OK   X          
OR Voluntary-L         CPM X
PA         X    
RI C         *  
SC L         CPM X
SD         X    
TN C         CPM  
TX L         CPM  
UT Voluntary-L         CPM  
VT L         CPM X
VA L         CPM  
WA L         E X
WV     X        
WI
L
         CPM  
WY
L
         CPM  

Note: Midwives practicing in unregulated states have no legal, regulatory protection.

Information for this chart was provided by the Midwives Alliance of North America (MANA) and the North American Registry of Midwives (NARM).

Please e-mail Debbie Pulley, MANA Legislative Chair, at legislation@mana.org with any changes or updates to the information on this chart.

Click here to view/print a pdf file of this page.

 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.
* Certified Midwives (CMs) who are certified by the American Midwifery Certification Board (AMCB), are the only direct-entry midwives permitted to practice in these states.
Licensure/Certification
Inference/unregulated
Illegal

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