The lack of access to medications causes harm to families. A homebirth plan can be a transfer to a hospital for something as simple as IV fluids . Also  it risks the life in cases of hemorrhage that can be stopped but instead waiting on ems response. Lack of medications clearly will not stop families from choosing homebirth. The midwives in this state have an excellent record of care since licensure in 2005. It is beyond time to allow full scope to ensure the safety  of mothers in Virginia.