State NCM Approval Method SARA MEMBER DEM Licensing Board Notes
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1 State NCM Approval Method SARA MEMBER DEM Licensing Board Notes Alabama (SREB) SARA 1/1/2016 not regulated Alaska (WICHE) SARA 5/13/2014 American Samoa Arizona (WICHE) SARA 11/11/2014 Arkansas (SREB) SARA 6/29/2015 California (WICHE) NCM approved by letter by CA Colorado (WICHE) SARA 5/13/2014 Connecticut (NEBHE) by letter-no physical Delaware (SREB) presence District of Columbia Department of Commerce, Community and Economic Development; Division of Corporations, Business and Professional Licensing; Board of Certified Direct-Entry Midwives Direct entry midwives are licensed as certified direct entry midwives (CDMs). Arizona Department of Health Services: Office of Special Licensing Arkansas Department of Health: Programs and Services: Family Health: Lay Midwifery Direct entry midwives are licensed as licensed lay midwives. x The Medical Board of CA: Department of Consumer Affairs Division of Professions and Occupations: Office of Direct-Entry Midwifery Registration Direct entry midwives are registered as a direct entry midwife. A CNM or physician who is licensed as such cannot be registered as a direct-entry midwife. Direct entry midwives are not regulated by the state of CT; there is no licensure available. Direct entry midwives are theoretically able to obtain a permit to practice; in reality, only one permit has been issued since a 2007 regulation requiring a collaborative agreement with a physician. Direct entry midwives are not regulated by the District of Columbia; there is no licensure available. Florida (SREB) NCM does not have a physical presence (internships ok) Florida Department of Health: Division of Medical Quality Assurance: Licensed Midwives may do internships in Florida, but may not be able to get licensed Direct entry midwives are not regulated by the state of GA; there is no licensure available. Georgia (SREB) SARA 12/1/2015 Guam
2 Hawaii (WICHE) no physical presence N/A Direct entry midwives are legal by statute, but licensure has been deemed too expensive, so is unavailable. Idaho (WICHE) no physical presence 5/13/2014 Idaho Bureau of Occupational Licenses: State Board of Midwifery Illinois (MHEC) SARA 7/31/2015 Direct entry midwives are not regulated by the state of Illinois; there is no licensure available. Indiana (MHEC) SARA 02/21/2014 Indiana Professional Licensing Agency: Medical Licensing Board of Indiana Direct entry midwives are licensed as certified direct entry midwives, effective Iowa (MHEC) SARA 6/1/2015 Direct entry midwives are not regulated by the state of Iowa; there is no licensure available. Kansas (MHEC) SARA 11/16/2014 Direct entry midwives are not regulated by the state of Kansas; there is no licensure available Kentucky (SREB) Direct entry midwives are not regulated by the state of Kentucky; there is no licensure available. Louisiana (SREB) SARA 10/17/2014 Maine (NEBHE) SARA 11/9/2015 Louisiana State Board of Medical Examiners: Licensed Midwives Direct entry midwives are not regulated by the State of Maine; there is no licensure available. Legislation allows midwives to purchase and administer oxygen, injectable vitamin K, erythromycin eye ointment, lidocaine, and oxytocin. Maryland (SREB) SARA 1/1/2016 Direct entry midwives are not regulated by the state of Maryland; there is no licensure available. Massachusetts (NEBHE) NCM does not accept in Massachusetts Direct entry midwives are not regulated by the state of Massachusetts; there is no licensure available. very long and expensive process Michigan (MHEC) SARA 8/31/2015 Direct entry midwives are not regulated by the state of Michigan; there is no licensure available. Minnesota (MHEC) SARA 1/26/2015 Minnesota Health Licensing Boards: Minnesota Board of Medical Practice Direct entry midwives are licensed as traditional midwives. Mississippi (SREB) SARA 1/1/2016 Direct entry midwives are not regulated by the state of MS; there is no licensure available. Missouri (MHEC) SARA 11/16/2014 Both certified nurse midwives and direct entry midwives may practice in MO; only CNMs are eligible for licensure. Montana (WICHE) SARA 8/13/2014 Montana Alternative Health Care Board Direct entry midwives are licensed as Licensed Midwives (LM). Nebraska (MHEC) SARA 8/9/2014 Direct Entry Midwives are not regulated by the State of Nebraska; there is no licensure available. Nevada (WICHE) SARA 5/14/2014 Direct entry midwives are not regulated by the state of Nevada; there is no licensure available.
3 New Hampshire (NEBHE) SARA 12/15/2014 New Hampshire Midwifery Council Direct entry midwives are certified as New Hampshire certified midwives by the New Hampshire Midwifery Council. New Jersey no physical presence New Hampshire Midwifery Council Direct entry midwives are certified as New Hampshire certified midwives by the New Hampshire Midwifery Council. The State of New Jersey: Department of Law and Public Safety: Division of Consumer Affairs: State Board of Medical Examiners: Midwifery Liaison Committee New Mexico (WICHE) Licensed 5/12/2015 New Mexico Department of Health: Public Health Division Certified nurse-midwives are licensed as a licensed certified nurse midwife (CNM). Direct-entry midwives are licensed as a licensed midwife (LM). New York no physical presence InProgress Both Certified Nurse-Midwives (CNM) and direct entry midwives who have passed the American Midwifery Certification Board (CMs) exam may practice and be licensed in NY. New York State Education Department: Office of the Professions: Midwifery North Carolina by letter-not required to seek (SREB) license 6/15/2014 Direct entry midwives are not regulated by the state of North Carolina; there is no licensure available. North Dakota (MHEC) SARA 4/3/2014 Direct entry midwives are not regulated by the state of North Dakota; there is no licensure available. N. Marianas Islands (WICHE) Ohio (MHEC) SARA 3/2/2015 Direct Entry Midwives are not regulated by the state of Ohio; there is no licensure available. Oklahoma (SREB) SARA 6/29/2015 Direct Entry Midwives are not regulated by the State of Oklahoma; there is no licensure available. Oregon (WICHE) SARA 11/11/2014 Oregon Health Licensing Agency: Board of Direct Entry Midwifery Direct entry midwives are licensed as licensed direct entry midwives (LDM). may not be able to get licensed Pennsylvania InProgress Direct entry midwives are not regulated by the state of PA; there is no licensure available. Puerto Rico Rhode Island (NEBHE) SARA 11/9/2015 Direct entry midwives are not regulated by the State of Rhode Island; there is no licensure available. South Carolina South Carolina Department of Health and Environmental Control: Health Licensing (SREB) South Dakota (WICHE) SARA 11/11/2014 Direct entry midwives are not regulated by the state of South Dakota; there is no licensure available.
4 Tennessee (SREB) SARA 6/29/2015 Texas (SREB) SARA 11/2/2015 State of Tennessee: Department of Health: Council of Certified Professional Midwifery Direct entry midwives are licensed as certified professional midwives. Texas Department of State Health Services: Texas Midwifery Board Utah (WICHE) Utah is currently a nonregulatory state, but SARA membership is in progress Vermont (NEBHE) SARA 4/17/2015 Virginia (SREB) SARA 10/17/2014 Virgin Islands Utah Division of Occupational & Professional Licensing (DOPL) Direct entry midwives are licensed as Licensed Direct Entry Midwives (LDEM). Vermont Secretary of State: Office of Professional Regulation: Licensed Midwives Virginia Department of Health Professions: Board of Medicine: Midwifery Advisory Board Washington (WICHE) SARA 5/13/2014 WA State Dept of Health: Health Systems Quality Assurance Direct entry midwives are licensed as licensed midwiveshttp:// West Virginia (SREB) SARA 10/17/2014 Direct entry midwives are not regulated by the state of West Virginia; there is no licensure available. Wisconsin (MHEC) SARA 8/15/2016 Wyoming (WICHE) Outside USA: Approved/Registered, and SARA 5/12/2015 Wisconsin Department of Safety and Professional Services State of Wyoming Board of Midwifery Direct entry midwives are licensed as licensed midwives (LM). planning to apply for licensure in Madagascar Mexico Manitoba, CANADA only online courses allowed without an agreement with a Manitoba state university online courses allowed
5 Ontario Philippines Rwanda Uganda NCM has an interim notice from the Philippines that we are allowed to provide credits to Healthcare volunteer in the Philippines. We are curently working to get Official Exempted Status 2/18/2016 NCM are NOT eligible to seek licensure in Philippines. 3/15/2016
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