The US Midwifery Education, Regulation, and Association (US MERA) workgroup came together April 10-13, 2014, at the Bolger Center in Potomac, MD, to continue discussions on how to advance the vision of expanding access to high quality midwifery care and physiologic birth for all women in all birth settings in the United States. For this, our second, professionally facilitated face-to-face meeting, we came together with intentionality toward collaborative consensus-building to create forward movement.