The Massachusetts Chapter of the National Association of Certified Professional Midwives  is committed to keeping you informed about the progress, requirements, and opportunities related to the CPM Licensure & the Board of Registration in Midwifery. This page provides the latest updates, what they means for CPMs, and how you can prepare.

In this section:
  • What licensure means for CPMs (with downloadable checklist)
  • Timeline to implementation
  • Actionable steps to take now
  • NACPM Practice Documents
  • Comparative chart of MMA practice guidelines, NACPM's Credential Scope and Licensure scope/regulations 
  • ​State Board Meeting Information: meeting links, minutes & narrative meeting summary
  • MA-NACPM form to submit questions together as chapter. 
What This Means for CPMs
  • You will soon–once rules are finalized–apply for temporary licensure through the State. The regulation process is still in progress, and taking longer than expected.
  • MA Midwifery Licensure Application will automatically trigger the Massachusetts Controlled Substance Registration application. Fees have not yet been determined but will likely range $150-$300
  • The State Board will supervise: issuance of licenses, renewals, investigation of complaints, development of practice standards and regulations for licensed CPMs. 
  • Massachusetts CPMs must prepare to transition from the current un-licensed status to a state-licensed model. This means gathering credentials, meeting any new requirements (education, exam, continuing education), and budgeting for application fees. Per law, initial license/renewal fee shall not exceed $200 biennially. There will also be a fee for the MCSR.  Checklist for Licensure
  • Integration into this regulatory framework offers an opportunity for increased professional recognition, access to reimbursement via insurance, enhanced professional opportunities and stronger collaboration with other healthcare providers — all of which bolster access CPMs and the Midwifery Model of Care.
​
​Action Steps You Can Take Now
  1. Review your credentials — Make sure your CPM credential (from North American Registry of Midwives (NARM) or equivalent) is current and that your education/training are documented, since those will likely be required under the new law. 
  2. Track the regulation process — The Board must promulgate regulations (rules) before issuance of full licenses. MA-NACPM will alert members as soon as proposed regulations are published for comment. It's a long process! See the steps.
  3. Budget for licensure costs — Although the fee cap is $200 biennially, anticipate that administrative costs, continuing education, and other compliance steps may accompany the transition. Massachusetts Midwifery License 
  4. Stay engaged — As regulations are drafted your voice matters:   MA-NACPM will seek input from members to ensure the licensing framework supports accessible, community midwifery, avoids unnecessary burdens, and promotes equity.
  5. Participate in Board-related meetings — Most of the Board’s meetings will be virtual. Attending gives you insight into how policy is shaped and offers opportunities to provide comment and feedback.
    1. MA-NACPM will post detailed minutes after each meeting for more context and understanding. 
  6. Help inform families and collaborators — Use your practice and networks to educate families, medical providers, and the larger perinatal community about the upcoming licensing model. Clear communication helps minimize confusion during the transition.
  7. Get your Bridge Certificate at GCC.

NACPM Practice Guidance Documents 
The provisional licensure regulations adopted by the Board of Registration in Midwifery specifically reference the NACPM Standards of Practice as part of the standards temporary license holders must comply with during the implementation period.
In addition, the Massachusetts midwifery statute directs the Board to develop regulations and practice standards “consistent with the essential competencies identified by NARM,” further embedding CPM professional standards into the regulatory framework established by the Commonwealth.
Relevant NACPM professional documents and standards can be reviewed below:
Timeline to Implementation:
  • 2024 Perinatal Omnibus Enacted into Law:  August 21, 2024
  • New laws go into effect:  November 21, 2024
  • ​Law requires Board of Registration in Midwifery to meet for the first time by:  February 21, 2025
  • Board of Registration in Midwifery convened for the first time on: February 26, 2025, 10am
  • Provisional licensure regulations will be posted for public hearing on April 23, 2026, 2 pm.
  • DPH required to offer provisional licensure: ​Projected end of summer 2026
  • Provisional Licensure will include prescriptive authority
  • Mass Health is required to cover CPMs when provisional licensure is available 
  • CPMs required to hold licensure to practice in MA starting 12 months after rules and regs are promulgated, not after provisional licensure. ​

Updated June 3, 2026

Board of Registration in Midwifery -
​Agendas, Minutes & Reports

MA-NACPM has heard your voice. To combat misinformation, promote understanding, and strengthen engagement, we will attend every BRM meeting to summarize discussions, votes, and decisions so our community remains informed and up to date on matters affecting us all.
July 16, 2026
10:00 am
Link to Meeting and Agenda
MA-NACPM Notes on 06/18 Meeting (available soon)
MA-NACPM Notes on 05/21 Meeting (available soon)
​MA-NACPM Notes on 04/17 Meeting
MA-NACPM Notes on 03/19 Meeting
MA-NACPM Notes on 02/19 Meeting
MA-NACPM Notes on 01/15 Meeting
MA-NACPM Notes on 12/18 Meeting
MA-NACPM Notes on 11/20 Meeting
MA-NACPM Notes on 10/16 Meeting
Previous Meeting Agendas and State Posted Minutes

Detailed analysis of MMA practice guidelines, NACPM Scope of the Credential & Proposed MA Legislative Practice Scope

Questions for the Board of Registration in Midwifery?

​You’ve spoken — and we’ve been listening
The rules governing state boards are… well, a little odd.  
​For as much as they’re designed to encourage openness and access to information, they often seem to do the opposite.
But that’s okay - we’ve got this.

​There is power in many voices, and MA-NACPM is here to amplify them. Not only are we growing the collective Massachusetts midwifery voice, but we’re also in a position to make sure it’s heard.

​Your Voice Matters
​Thoughtful, specific questions get thoughtful, specific answers. When we ask clearly, we help shape the conversation. Let’s make sure the Board hears from the community that’s doing the work — our work.
​Submit your question and MA-NACPM will work to ensure it’s part of the conversation at the next Board of Registration in Midwifery meeting. 

​How it Works
1. Submit your questions.
MA-NACPM will collect community inquiries and present them to the Massachusetts Board of Registration in Midwifery before each monthly meeting to get productive, helpful responses for all of us.

2. Prefer to reach out directly? That’s okay too — we respect your autonomy.
Contact the State Board directly at:  [email protected]    
​(617) 624-6122
Let's use our collective voice to be heard.
​Use this form to share your questions or concerns with MA-NACPM. You can choose to include your name and contact information — or remain anonymous if you prefer. All submissions are reviewed, compiled ahead of each monthly BRM  meeting and then submitted by MA-NACPM. 

    Questions for the
    ​MA Board of Registration in Midwifery
Questions & Member Support​
​If you have specific questions about how licensure will affect your practice or what you need to do next— please reach out to MA-NACPM.
We will maintain a dedicated FAQ (coming soon) and document section for members. Additionally, we plan to host a webinar before the provisional licensure launches. 
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