Legislation

There is a state organization of midwives in Pennsylvania, PA-ACNM, which is an affiliate of the national midwifery organization, American College of Nurse-Midwifery (ACNM).

PA-ACNM is working with the Board of Medicine on midwifery regulations that recognize multiple routes of entry to the profession, for example, midwives who are not nurses. Certified midwives (CM) are individuals who have a previous college degree and have graduated from the same midwifery program as nurse-midwives. They take the same national certifying exam as nurse-midwifery students.  The Midwifery Institute at Philadelphia University has a program that educates CM’s. The Board of Medicine will be developing the regulations for the licensure of CM’s in Pennsylvania.

The new definition that has been developed from the current definition of a midwife in Pennsylvania is:                                                                            
“Midwifery practice as conducted by certified nurse-midwives (CNMs) and certified midwives (CMs) is the independent management of women’s health care, focusing particularly on pregnancy, childbirth, the post partum period, care of the newborn, and the family planning and gynecologic needs of women. The CNM and CM practice within a health care system that provides for consultation, collaborative management, or referral, as indicated by the health status of the client. CNMs and CMs practice in accord with the Standards for the Practice of Midwifery, as defined by the American College of Nurse-Midwives (ACNM)”.

PA-ACNM worked with a coalition of other state professional organizations to defeat a hospital deeming bill last session that had restrictive medical staff language.  New language appears to be moving without the restrictive medical staff language, which will be supported.