The US Midwifery Education, Regulation, and Association (US MERA) convened for the third annual meeting of the collaboration on April 25-27, 2015, at the Bolger Center in Potomac, Maryland. Representatives of the member organizations came together to continue our mutual work 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, and to clarify and build on the historic accomplishments and agreements of the 2013 and 2014 US MERA Annual Meetings.