The Access and Integration Maternity care Mapping (AIMM) Study brought together a multidisciplinary group of experts to develop the Midwifery Integration Scoring System (MISS) that rates the key indicators of integration of midwives in the United States. Each state was ranked on the 50-item scale, with no state achieving 100, the highest possible score.

State Ranking of Midwifery Integration Scores 2014-2015

A MISS score of 100 would indicate that a family in that state would have full access to high quality maternity care in all settings without third-party payer (or health insurance/Medicaid) restrictions. All maternity care providers, including midwives, in that state would be regulated and have the legislative authority to practice to their full scope in homes, birth centers and hospitals, and collaborate with or refer to other health professionals. Currently, the highest ranking state is Washington state. The lowest ranking state is North Carolina.

States Ranked From Most to Least Integrated (based on 2014-2015 data)

Click on a state to find their report card.

Find a key to the report cards here.

Do you have feedback on one or more of the State Report Cards? Share your input here.

Do you have feedback on one or more of the State Report Cards? Share your input here.