; tribal organization The terms Indian tribe and tribal organization have the meaning given the terms in section 4 of the Indian Self-Determination and Education Assistance Act ( 25 U.S.C. 450b ). (7) Institution of higher education The term institution of higher education has the meaning given the term in section 101 of the Higher Education Act of 1965. (8) Midwife (A) In general The term midwife means a certified midwife, certified professional midwife, licensed midwife, and tribally-recognized midwife. (B) Certified midwife The term certified midwife means an individual who is certified by the American Midwifery Certification Board to practice midwifery. (C) Certified professional midwife The term certified professional midwife means an individual who— (i) is certified by the North American Registry of Midwives to practice midwifery for normal, low-risk pregnancies and childbirths; and (ii) has completed— (I) a midwifery education program accredited by the Midwifery Education and Accreditation Council or any other entity recognized by the Department of Education