The proposed creation of "patient care teams" INCREASES regulation, rather than reducing it, as the Governor’s Regulatory Reform Project intends. Requiring CNMs to practice as part of such teams would have the effect of reducing access to (while increasing the cost of) midwifery care with no added benefit for women in Virginia. The existing collaborative/consultative model without all the paperwork that practice agreements entail is more conducive to effective, accessible midwifery care.