Advocacy Tools & Resources

ACNM Policy Agenda
ACNM is committed to protecting, promoting and advancing the practice of midwifery in the United States. ACNM will support the continued growth of the midwifery profession by advocating for policies that reflect ACNM’s standards, expand the midwifery workforce, and increase the visibility and recognition of the value of midwifery care. Read our Policy Agenda to find out how. 

Abortion is Healthcare 
Every individual has the right to safe, supportive, and affirming health care in which providers demonstrate respect for human dignity. ACNM supports each person’s right to self- determination, access to comprehensive health information, and active participation in all aspects of an individualized plan of care. This care has always and will always include access to an abortion and the College is dedicated to supporting abortion access for all birthing individuals.

Support Midwives "Birth Announcement" Postcards
ACNM has designed a series of "birth announcement" postcards for midwifery clients to use to let legislators know the positive impact midwifery has in their district!

State Practice Environment for Certified Nurse-Midwives - Updated June 2023
This map displays practice environments for CNMs. Whether a CNM is able to practice midwifery independently, is required to have a collaborative agreement, or is only allowed to practice under supervision. Some states engage in a hybrid model where a midwife can practice independently but with certain restrictions in place. These restrictions vary state-to-state. 

State Practice Environment for Certified Midwives - Updated July 2023
This map displays practice environments for CMs. Whether a CM is able to practice midwifery independently, is required to have a collaborative agreement, or is only allowed to practice under supervision/other restrictions. Some states engage in a hybrid model where a midwife can practice independently but with certain restrictions in place. These restrictions vary state-to-state.
 
CNM/CM Medicaid Reimbursement Rates
This chart indicates Medicaid Reimbursement Rates for Certified Nurse-Midwives and Certified Midwives. 

State Licensure and Regulatory Information for CNMs/CMs as of March 2022
This spreadsheet provides information on the state scope of practice and licensure requirements for CNM and CMs. Please note that this is a living document and is subject to change based on state legislative and regulatory activity. ACNM advises all midwives to contact the regulatory body that licenses CNMs and CMs with questions specific to licensure requirements in a state. This document is not intended to serve as legal advice. 

Policy Resources for Affiliates