Do You Need a Midwife License? State-by-State Guide
Midwives provide prenatal care, assist with childbirth, and offer postpartum care. State regulation of midwives varies significantly depending on the type of midwife (certified nurse-midwife, certified midwife, or certified professional midwife).
Quick Answer
37 of 51 states require a state-level midwife license or certification.
State-by-State Midwife License Requirements
The table below shows whether each state requires a state-level midwife license, the regulation level (where available), and a link to the relevant licensing authority.
| State | License Required | Regulation Level | Board Website |
|---|---|---|---|
| Alabama | ✓ Required | — | Visit Board |
| Alaska | ✓ Required | — | Visit Board |
| Arizona | ✓ Required | — | Visit Board |
| Arkansas | ✓ Required | — | Visit Board |
| California | ✓ Required | — | Visit Board |
| Colorado | ✓ Required | — | Visit Board |
| Connecticut | ✗ Not Required | — | Visit Board |
| Delaware | ✓ Required | — | Visit Board |
| District of Columbia | ✓ Required | — | Visit Board |
| Florida | ✓ Required | — | Visit Board |
| Georgia | ✗ Not Required | — | — |
| Hawaii | ✓ Required | — | Visit Board |
| Idaho | ✓ Required | — | Visit Board |
| Illinois | ✓ Required | — | Visit Board |
| Indiana | ✓ Required | — | Visit Board |
| Iowa | ✓ Required | — | Visit Board |
| Kansas | ✗ Not Required | — | — |
| Kentucky | ✓ Required | — | Visit Board |
| Louisiana | ✓ Required | — | Visit Board |
| Maine | ✓ Required | — | Visit Board |
| Maryland | ✓ Required | — | Visit Board |
| Massachusetts | ✗ Not Required | — | — |
| Michigan | ✓ Required | — | Visit Board |
| Minnesota | ✗ Not Required | — | Visit Board |
| Mississippi | ✗ Not Required | — | — |
| Missouri | ✗ Not Required | — | — |
| Montana | ✓ Required | — | Visit Board |
| Nebraska | ✗ Not Required | — | — |
| Nevada | ✗ Not Required | — | — |
| New Hampshire | ✓ Required | — | Visit Board |
| New Jersey | ✓ Required | — | Visit Board |
| New Mexico | ✓ Required | — | Visit Board |
| New York | ✓ Required | — | Visit Board |
| North Carolina | ✗ Not Required | — | — |
| North Dakota | ✗ Not Required | — | — |
| Ohio | ✗ Not Required | — | — |
| Oklahoma | ✓ Required | — | — |
| Oregon | ✓ Required | — | Visit Board |
| Pennsylvania | ✗ Not Required | — | — |
| Rhode Island | ✓ Required | — | Visit Board |
| South Carolina | ✓ Required | — | Visit Board |
| South Dakota | ✓ Required | — | Visit Board |
| Tennessee | ✓ Required | — | Visit Board |
| Texas | ✓ Required | — | Visit Board |
| Utah | ✓ Required | — | Visit Board |
| Vermont | ✓ Required | — | Visit Board |
| Virginia | ✓ Required | — | Visit Board |
| Washington | ✓ Required | — | Visit Board |
| West Virginia | ✗ Not Required | — | — |
| Wisconsin | ✓ Required | — | Visit Board |
| Wyoming | ✓ Required | — | Visit Board |
What If My State Doesn't Require a License?
Even if your state does not mandate a state-level midwife license, you may still need to meet local requirements. Many cities and counties impose their own licensing, registration, or permit requirements. Additionally, voluntary certification from professional organizations can enhance your credibility and job prospects. Always check with your local government and relevant professional associations.
How to Get Licensed
If your state requires a midwife license, requirements typically include completing an approved education or training program, passing an exam, and submitting an application with applicable fees. Specific requirements vary by state — visit your state's licensing board website (linked in the table above) for detailed information on the application process.
Requirements change — always verify with your state's licensing authority.
Check Your State's Requirements
See the full licensing requirements for your state, including fees, education hours, and exams.