My wife and I had our first child in a hospital setting. The experience was awful and the baby nearly died from mistakes by nurses and doctors. We had our second and third children at home with Certified Professional Midwives (CPMs). It was great! The CPMs demonstrated much greater knowledge and competence than did the hospital personnel, and the "bedside manner" was not even close. With that experience in mind, I urge you to change the regulation so that CPMs in Virginia are clearly allowed to carry and administer ALL emergency and standard maternal and newborn medications which they are trained and certified to use. This would put CPMs on the same level as EMTs, which I believe is both appropriate and common in other jurisdictions around the world. CPMs provide a vital service in a well-defined segment of the healthcare market and they deserve the right to do so without having one hand tied behind their back. Thank you.