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Sunset Direct-entry Midwives

Concerning the continuation of the registration of direct-entry midwives, and, in connection therewith, implementing the recommendations contained in the 2020 sunset report by the department of regulatory agencies and making an appropriation.
2021 Regular Session
Professions & Occupations
Bill Summary

The act implements the recommendations of the department of regulatory agencies' sunset review and report on the registration of direct-entry midwives by:

  • Continuing the registration requirements for 7 years, until September 1, 2028;
  • Authorizing direct-entry midwives to administer group B streptococcus (GBS) prophylaxis;
  • Adding licensed birth centers to the locations where a direct-entry midwife may practice; and
  • Requiring the director of the division of professions and occupations (director) to develop policies regarding direct-entry midwives in training.

The act also:

  • Specifies that a direct-entry midwife who is granted additional authority is not required to apply for renewal of that authority or pay any renewal fees for the authority;
  • Removes the requirement that a direct-entry midwife report certain data at the time of registration renewal;
  • Authorizes the director to order the physical or mental examination of a direct-entry midwife if the director has reasonable cause to believe that the direct-entry midwife is subject to a physical or mental disability that renders the direct-entry midwife unable to treat patients with reasonable skill and safety or that may endanger a patient's health or safety; and
  • Requires the state registrar to revise the birth certificate worksheet form to include a requirement to report whether the live birth occurred after a transfer to a hospital by a direct-entry midwife.

The act appropriates to the department of public health and environment:

  • $50,080 from the health facilities general licensure cash fund for use by the health facilities and emergency medical services division for administration and operations; and
  • $30,000 from the vital statistics records cash fund for use by the health statistics and vital records subdivision for operating expenses.
    (Note: This summary applies to this bill as enacted.)


Became Law


Bill Text

The effective date for bills enacted without a safety clause is August 7, 2024, if the General Assembly adjourns sine die on May 8, 2024, unless otherwise specified. Details