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3 <br /> HAWAIICOUNTY OF r=• YrSTATE OF HAWAII <br /> p �M <br /> �TE•OF H'`� <br /> j <br /> RESOLUTION NO. 57 23 <br /> I <br /> A RESOLUTION URGING THE AWAI`I STATE LEGISLATURE TO AMEND <br /> CHAPTER 457J, AAI`I REVISED STATUTES, RELATING TO MIDWIVES, T <br /> PERMANENTLY EXEMPT BIRTH ATTENDANTS FROM STATE LICENSURE <br /> REQUIREMENTS AND TO EXPAND THE ELIGIBILITY CRITERIA FOR <br /> MIDWIFERY LICENSURE. <br /> 3 <br /> WHEREAS, midwifery is one of the oldest women's rights issues in history, and a <br /> woman's right to choose where to give birth and who they want as their preferred birth attendant <br /> are integral to providing safety, care,bodily autonomy, and comfort during birth; and <br /> I <br /> WHEREAS, Act 32 (Senate Bill No. 1033, SD2, HD2), relating to the licensure of <br /> midwives, was signed into law on April 30, 2019; and <br /> WHEREAS, Section 457J-6, Hawaii Revised Statutes, established by Act 32, provides <br /> an exemption that allows birth attendants to practice midwifery without State licensure, but this <br /> exemption will expire on July 1, 2023; and <br /> WHEREAS, Act 32 specifically states that by the end of the three-year period, the <br /> Hawaii State Legislature intends to enact statutes that will incorporate all birth practitioners and <br /> allow them to practice to the fullest extent under the law; and <br /> WHEREAS, if the Hawaii State Legislature fails to take action before this exemption <br /> expires, traditional and indigenous midwifery practices will be at risk of criminality or, worse, <br /> cultural erasure, and the traditional birthing practices of all cultures deserve protection; and <br /> WHEREAS, additionally, Act 32 inadvertently omitted a category of Certified <br /> Professional Midwives, or CPMs, who have been trained and certified using the Portfolio <br /> Evaluation Process (PEP), which is one of two pathways to obtain a professional midwife <br /> certification through the nationally recognized North American Registry of Midwives; and <br /> WHEREAS,the second pathway to become a CPM is to complete a course study at a <br /> Midwifery Education Accreditation Council school, but there are currently no accredited schools <br /> in Hawaii, therefore, the PEP pathway is the more accessible way for midwifery students in the <br /> State to obtain certification as a CPM; and <br /> WHEREAS, expanding the eligibility criteria in Section 457J-8, Hawaii Revised <br /> Statutes, to allow CPMs certified through the PEP pathway to be licensed, will greatly benefit <br /> families throughout Hawaii County, especially in rural areas like Kohala, Puna, Ka`u, and South <br /> Kona, where families have limited access to birth facilities and have depended on traditionally- <br /> trained birth attendants for decades; and <br />