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Most CNMs practicing in the US are licensed and regulated by the boards of nursing within their state.

While costs differ based on care level and geographic region, nationwide averages* show that the annual costs for adult day health services are significantly less than those for other long-term care options.

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Please note: This grant proposal was actually submitted to the ACNM Foundation in mid-October 2008 at the encouragement of the ACNMF president, Carolyn Gegor. Midwives practice independently to provide women's health care, focusing particularly on primary care issues, family planning and gynecologic needs of women, pregnancy, childbirth, and the postpartum period, and the care of the newborn (ACNM, 2008).

In 38 states and the District of Columbia, CNMs are licensed by boards of nursing.

In an additional 5 states, CNMs are regulated jointly by the board of nursing and the board of medicine.