As outlined in my comments on the regulations for nurse practitioners, any requirement to have a physician sign any kind of agreement or requiring any other physician supervision, leader, etc.  for CNMs to be able to able to practice, including the prescribing medications, contraceptive devices, physical therapy, etc. is against the Standards of the ACNM.   The limitations placed on CNMs by this law and regulations are a restraint of trade that increases the costs of health care, take up valuable physician time,  and decreases access to care.  There is no evidence that requirements for physician leadership, supervision, chart reviews or agreements improve the public safety.

We are educated, we are certified, we are licensed, we are credentialed, we are insured,  we have spent years and years and tens of thousands of $$ getting degrees and clinical experiences.  Yet we remain bound by these legal chains. CNMs are responsible for their own care.  We want to practice our trade as free people.  Again I ask the General Assembly, Governor, and Joint Boards for our God-given right to practice our trade without this unconstitutional restraint.