I am a Certified Professional Midwife here in Virginia and want to alert the analysts and reviewers of an inconsistency in our regulations that impacts public health. State law requires newborns to be administered certain drugs within 24 hours of birth but current laws prevent us from carrying or administering these drugs. Additionally, optimal midwifery care occasionally requires the administration of certain low-risk medications during or after birth that current legislation prohibits us from carrying and administering. We are trained to administer these drugs but are prevented from doing so, creating an unnecessary burden for our clients and the maternity care system in Virginia as they struggle to find these resources elsewhere. For more information please feel free to contact the Virginia Midwives' Alliance at info@virginiamidwives.org or by visiting our website at www.virginiamidwives.org.