As a former resident of Louisiana, I have firsthand experience how limited birthing options are in this state. Two of my three children were born at two different hospitals in Louisiana. Please do not further restrict access to quality, licensed health care providers. Women should be able to choose their provider of choice, even if she chooses a midwife. Not to mention this option saves the state money! Look to New Mexico for best practices in incorporating the option of midwifery into the state Medicaid program.