The US Midwifery Education, Regulation, and Association (US MERA) leadership came together April 15-17, 2016, at the Bolger Center in Potomac, Maryland to review the collaboration and chart a new direction for future work together. In 2013, 2014 and 2015, five participants from each of the seven member organizations participated in the annual meeting for the purpose of advancing the work of the collaboration. In 2016 the Steering Committee decided to have a smaller convening of the leadership of the now eight member organizations.