Successful completion of the NMI Challenge Program for California Midwifery Licensure provides access to California licensure for midwives who have completed their clinical training and study, hold a current, active-status Certified Professional Midwife (CPM) credential issued by NARM, and wish to qualify for a California midwifery license without graduating from an approved program.
Requirements for Licensure
National Midwifery Institute’s California Midwifery License (CML) Challenge Program is not equivalent to our Certificate Program; CML Challenge Program students do not graduate from NMI. If a student decides to change programs within NMI, tuition does not transfer between the Certificate Program and the CML Challenge Program.
The cost of the CML Challenge Program is $7500.
In order to complete the CML Challenge Program, the following are required:
1. A current, active-status Certified Professional Midwife (CPM) credential issued by NARM.
2. Fulfillment midwifery didactic requirements:
Complete National Midwifery Institute gap analysis process to confirm completion of academic midwifery requirements consistent with California Midwifery Practice Act. (B&P Code 2512.5 and 2513).
Receive a passing score on the CML Challenge Written Examination to confirm the midwife-applicant’s comprehension of core midwifery knowledge and licensing requirements for California midwives. (B&P Code 2513).
3. Fulfillment and verification of experience requirements:
The following clinical experiences are required by the CA Medical Board for midwife-applicants choosing the challenge route to licensure (B&P Code 2513b and Title 16 1379.15):
20 initial/new antepartum visits
75 return antepartum visits
20 labor management experiences
20 deliveries (primary attendant)
20 newborn assessments
40 postpartum visits, within the first 5 days after birth
40 postpartum/family planning/gynecology visits
Clinical experience must also meet the currency definition of having occurred within ten years prior to the midwife- applicant’s date of application to the CML Challenge Program, AND at least 50% of the clinical experience must have occurred within five years prior to the midwife- applicant’s date of application to the CML Challenge Program.
All clinical experience must verified by a licensed physician and surgeon, and also by a licensed midwife or certified nurse-midwife.
4. Completion of additional experience required for CA Midwifery Licensure:
A minimum of 5 out-of-hospital births must be attended in any role.
A minimum of 2 planned hospital births must be attended in any role.
These experiences must also be verified by a licensed physician and surgeon, and by a licensed midwife or certified nurse-midwife.
5. Completion of the following trainings:
IV certification current at the time of the CML Challenge Written Examination;
Neonatal Resuscitation (NRP), current at the time of the CML Challenge Written Examination, and;
Cardiopulmonary Resuscitation/Basic Life Support (CPR/BLS), current at the time of the CML Challenge Written Examination.
Please download the Application and Initial Forms for further details. And thank you for your interest in the NMI CML Challenge!
“Now I’m much more aware of the psychological/spiritual aspects of not just pregnancy, birth and postpartum, but of midwifery care itself.”
~ an NMI Student
To learn more, view the NMI Handbook.