State Representatives Riordan McClain and Melanie Miller presented sponsor testimony this week on House Bill 537 before the Ohio House Children and Human Services Committee. The proposed legislation aims to broaden access to midwifery services by establishing a new licensure framework for midwives in the state.
Representative McClain stated, “The miracle of birth is an awe-inspiring event and isn’t simply a procedure to be rushed as long as mom and baby are doing well. Midwives provide a time-tested approach to prenatal care and childbirth that guides the mother through the natural processes to bringing a healthy baby from their womb into their arms.”
Representative Miller added, “We believe that this legislation will benefit existing midwives, encourage others to become midwives, and reduce the number of maternity health deserts in Ohio.”
Key provisions of House Bill 537 include creating an optional licensure process for midwives while allowing traditional lay midwives to continue practicing without licensure if they obtain informed consent from clients and work within a limited scope. The bill also proposes forming a Licensed Midwifery Advisory Council tasked with advising the Department of Commerce on licensed midwife practice and regulation. Additionally, it would recognize May 5th as the “Day of the Midwife.”
Another part of the bill requires hospitals with maternity units to enter into written transfer agreements with freestanding birthing centers located within 30 miles if requested. This measure addresses gaps in emergency care access in rural areas where medical resources may be limited. A similar provision was previously included in a version of the state operating budget but was vetoed.
House Bill 537 updates earlier efforts introduced last year under House Bill 224 by adding further measures intended to expand access to midwifery services.

