TABLE 6.

Priority legislative issues of Texas CNMs (N = 141)

Legislative Issue	n	%
Independent prescriptive authority	107	75.9
Elimination of physician supervisory language in hospital bylaws	73	51.8
Obtaining hospital privileges	71	50.4
Admitting privileges	71	50.4
Midwifery representation on agencies creating health policy	66	46.8
Support for physicians who collaborate with midwives	58	41.1
Support for independent midwifery practice	57	40.4
Need for independent midwifery board	49	34.8
Reimbursement rates	46	32.6
Empanelment by managed care organisations	29	20.6
Obtaining malpractice insurance	28	19.9
Timely response to application for application for hospital privileges	25	17.7
Need for independent advanced practice nursing board	23	16.3
Monies to support graduate midwifery education	21	14.9
Support for ACME nurse-midwifery education	18	12.8
Obtaining medical consultation services	11	7.8
Regulations from the Texas Board of Nursing	11	7.8
Legalisation of Certified Midwife licensure	6	4.3
Other (e.g., loan forgiveness, practice reciprocity in other states)	4	2.8