It is my concern that these provisions will make it harder to practice as a CNM in the Commonwealth of Virginia. By making it harder for CNMs to practice, this legislation threatens the available choices women in the state have for their maternity care. Evidence has shown that midwife-attended births are safe and an important option for pregnant mothers and their families. Please protect women's access to CNMs in Virginia, and don't make it harder for them to practice the skills they are well-trained to apply.