This paper reports the findings of a recent study which was conducted to determine whether there is appropriate distribution of nurse-midwives in the United States. A methodology for analysis of requirements for nurse-midwives was developed in order to assess whether the current distribution is appropriate given requirements indicators in each county. As a final stage of the analysis, three groups of counties are singled out for special attention: (1) those with no nurse-midwives; (2) those with low levels of relative supply of nurse-midwives; and (3) those with high levels of relative supply of nurse-midwives. These groups are compared, in order to determine whether there are differences in demographic characteristics, health status indicators, and other health manpower which might be associated with differences in nurse-midwife supply in each group of counties. Conclusions and discussion of potential policy implications are drawn from the descriptive and analytic findings.