I am a Certified Professional Midwife and wanted to make the analysts and reviewers aware of an inconsistency in our 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 us from carrying or administering these drugs. Furthermore, there are low risk procedures occasionally required during or after a birth that requires the administration of certain medications that the current law prohibits us from carrying and administering. We are trained and competent to administer these drugs but current law is preventing us form administering these drugs creating an unnecessary burden for our clients. 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.