I am a Certified Professional Midwife in Maryland and wanted to make the analysts and reviewers aware of an inconsistency in the regulations that impacts midwifery practice and public health. State law requires that a newborn be administered certain drugs within 24 hours of birth but the midwifery laws prevent Virginia midwives from carrying or administering these drugs. Furthermore, there are low risk procedures occasionally required during or after a birth that require the administration of certain medications that the current law prohibits them from carrying and administering. This is unique to Virginia as other nearby states such as DC, Maryland, Delaware, and Pennsylvania allow midwives to carry these common-sense medications. VA CPMs are trained and competent to administer these drugs but current law is preventing them from administering them, creating an unnecessary burden for clients.