Creates Midwifery Licensing Act; modifies regulation of midwifery.

S 4487 creates a new State Board of Midwifery to regulate midwifery practice in New Jersey, replacing the current system where midwifery was overseen by the State Board of Medical Examiners. The bill establishes licensing requirements for three types of midwives (certified midwives, certified nurse midwives, and certified professional midwives) and requires the new board to approve licensure applications, recognize midwifery certification programs, and set continuing education standards including bias training. The legislation also authorizes midwives to prescribe medications under certain conditions and requires health insurance providers to cover midwifery services and home births. This bill directly affects midwives seeking licensure, their patients, and healthcare insurers across New Jersey.