In Texas, non-CNM midwives are licensed and regulated by the Texas Department of Licensing and Regulation. Midwives work within set parameters, re-new their license every two years, and must to stay up to date with continuing education requirements.
Many Texas licensed midwives are also certified as Certified Professional Midwives (CPM) by the North American Registry of Midwives (NARM). “A CPM is a knowledgeable, skilled and professional independent midwifery practitioner who has met the standards for certification set by the North American Registry of Midwives (NARM) and is qualified to provide the Midwives Model of Care. The CPM is the only midwifery credential that requires knowledge about and experience in out-of-hospital settings.” To become a CPM one must pass a rigorous written exam after showing documentation of skill competency. NARM has very clear protocols for peer review and continuing education that must be documented every three years with re-certification.