state laws licensing

CPMs, DEMs, or “lay” midwives in the State of Michigan are currently not licensed.  This means there is no board offering oversight, and there are literally no laws that govern their practice in the out-of-hospital birth setting.  This makes it very difficult for consumers to know who it is they are hiring, and whether or not they are a reliable care provider.  Most do not carry malpractice insurance, there are no educational standards to which they adhere, and there is no defined scope of practice.  Often collaboration with hospitals or doctors is complicated and non-existent.  Perhaps a key consideration is that it is extremely difficult to hold these types of midwives accountable for their actions because the state cannot sanction a provider they do not license, and for which there are no relevent laws to which to hold them accountable.