This article reviews Public Law 93–641, the National Health Planning and Resource Development Act of 1974. Particular attention is given to Health Systems Agencies—their purpose, organization, and function—and a plea voiced for nurse-midwives to get involved in health planning and legislation. An overview of Health Systems agencies is provided, including items for priority consideration under Public Law 93–641, the functions of a health systems agency, and how health systems agencies carry out their functions. The author describes her experience with the Obstetrics Component of the West Virginia Health Systems Agency, as well as her involvement in the Plan Development Committee's Task Force on Obstetrics. Suggestions are offered to assist nurses and nurse-midwives in becoming involved in health planning.