Section 203.403 - Prohibited Use of Title(a) A midwife certified by the North American Registry of Midwives who uses "certified" as part of the midwife's title in an identification statement or advertisement must include in the statement or advertisement a statement that the midwife is certified by the North American Registry of Midwives.(b) A midwife may not use an identification statement or advertisement that would lead a reasonable person to believe that the midwife is certified by a governmental entity. Acts 1999, 76th Leg., ch. 388, Sec. 1, eff. 9/1/1999.