I have been practicing as a CNM in Virginia since 2000.  I'm writing in support of the approval of strongly support the Regulations Governing the Practice of Licensed Certified Midwives in Virginia. Virginia would benefit tremendously from the further integration of midwives into our maternal-child healthcare system. Increasing the number of midwives in the healthcare workforce is crucial for meeting the demand for maternity care, improving maternal and newborn outcomes, addressing disparities, promoting individualized care, reducing healthcare costs, and ensuring access to care in underserved areas. It requires strategic investments in midwifery education, training programs, and supportive policies to foster the growth and integration of midwives within the healthcare system. The approval of these regulations would allow existing practices in Virginia to hire more qualified midwives, which we desperately need.