In a recent meeting of the Midwifery Working Group held by the Connecticut Department of Public Health, passionate discussions unfolded around the future of midwifery care in the state. The atmosphere was charged with urgency as midwives voiced their concerns about the current licensing and reimbursement landscape, emphasizing the need for systemic change to better serve families in Connecticut.

One midwife articulated a critical point: “Let’s go get licensed,” she said, but quickly added that without a law ensuring reimbursement for midwifery services, such a move would be futile. The sentiment echoed throughout the room, highlighting a shared belief that financial support is essential for midwives to thrive and provide care to those in need. The conversation revealed a deep frustration with the existing system, where midwives feel caught between the desire to serve their communities and the barriers imposed by licensing requirements.

The group discussed the potential for legislation that would mandate reimbursement for midwifery services, which many believe could transform the conversation around licensing. “If there was a law in place that took care of the citizens of Connecticut, then midwives would have a totally different conversation about how we want to fit into systems,” one participant noted. This perspective underscores a fundamental belief that the focus should be on the needs of families rather than the regulatory framework that currently governs midwifery practice.

Midwives also shared their experiences working with low-income families, emphasizing the complexities and additional responsibilities that come with providing care to those with fewer resources. “Working with families who are low resourced is 10 times more work,” one midwife explained, highlighting the intricate social dynamics and paperwork involved. Despite the challenges, there was a clear commitment to supporting these families, with midwives expressing a willingness to offer sliding scale fees to ensure access to care.

As the meeting concluded, the participants left with a renewed sense of purpose. The discussions illuminated the pressing need for legislative action that prioritizes the health and well-being of Connecticut families. The midwives are hopeful that by advocating for change, they can create a more equitable system that allows them to continue their vital work in the community. The path forward may be complex, but the commitment to improving midwifery care remains steadfast.