In a recent government meeting, significant concerns were raised regarding the impact of new licensure laws on traditional birth practices. Since the expiration of laws prohibiting traditional care in 1998, there has been a cultural renaissance in birth work, allowing traditional practitioners to attend births freely. However, the passage of HRS 457 j in 2019 introduced licensure requirements for midwives, which, while intended to enhance safety and professionalism, has sparked controversy.

One of the most pressing issues highlighted is the expiration of an exemption for birth attendants in July 2023. This change has led to fears that traditional practitioners could face criminalization for providing care, undermining decades of progress in the community. Advocates argue that this shift not only threatens the livelihoods of these practitioners but also restricts access to culturally relevant and holistic care for families who prefer traditional birthing methods.

The meeting underscored the need for a balanced approach that recognizes the value of both licensed midwifery and traditional practices, as stakeholders call for a reevaluation of the current law to prevent harm to the community.