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J�ZVFOF k.!!t. <br />COUNTY OF HAWAVI `• STATE OF HAWAII <br />+>� ,;' ; <br />OF•NPY� <br />RESOLUTION NO. 26 25 <br />A RESOLUTION URGING THE HAWAI`I STATE LEGISLATURE TO AMEND <br />CHAPTER 457J, HAWAI`I REVISED STATUTES, RELATING TO MIDWIVES, TO <br />PERMANENTLY EXEMPT BIRTH ATTENDANTS FROM STATE LICENSURE <br />REQUIREMENTS AND TO EXPAND THE ELIGIBILITY CRITERIA FOR <br />MIDWIFERY LICENSURE. <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 />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, Hawai`i Revised Statutes, established by Act 32, provides <br />an exemption that allows birth attendants to practice midwifery without State licensure, however <br />this exemption expired 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, Hawai`i 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 />