The American College of Nurse - Midwives and the North American Registry of Midwives recommend that midwives should at
minimum meet the standards of midwifery established by the International Confederation of Midwives (ICM), which include completion of a formal midwifery education program, national certification, and licensure in the
local jurisdiction of practice.32, 33 Certified professional midwives (CPMs) may achieve certification through apprenticeship and portfolio evaluation without obtaining a formal midwifery degree; within CPM professional organizations
efforts are under way to uniformly adopt ICM standards.33, 34 Oregon has followed this trend; in 2015 licensure became mandatory for attendants at out - of - hospital births.
This year, Cuomo pushed back against
efforts to allow
local governments to set their own
minimum wage after pledging to back some version of municipal control.