|
S.F. No. 0048 |
Licensure of midwives. |
Sponsored By: Senator(s) Johnson and Scott and
Representative(s) Davison,
AN ACT relating to professions and
occupations; creating a board of midwifery; specifying membership; specifying
duties and powers; providing for licensure of midwives; specifying requirements
for licensure; providing exceptions; granting rulemaking authority; providing
definitions; specifying grounds for denial, suspension or revocation of
license; providing for appeals; providing penalties; providing for criminal
background checks of applicants for licensure; authorizing limited
administration of prescription drugs by midwives; providing an appropriation;
specifying immunity of others for actions of a midwife; requiring reports from
midwives; requiring periodic program assessment; and providing for effective
dates.
2/3/2010 Bill
Number Assigned
2/8/2010 S
Received for Introduction
2/8/2010 S
Introduced and Referred to S10
ROLL
CALL
Ayes: Senator(s)
Nays: Senator(s) Bebout, Coe, Dockstader, Nicholas
and Von Flatern
Ayes 25 Nays
5 Excused 0 Absent 0 Conflicts
0
2/15/2010 S10
Recommended Amend and Do Pass
ROLL
CALL
Ayes: Senator(s) Hunnicutt, Schiffer and Scott
Nays: Senator(s) Hastert and Landen
Ayes 3 Nays
2 Excused 0 Absent 0 Conflicts
0
2/15/2010 S
Placed on General File
2/15/2010 S
Rereferred to S02
2/17/2010 S02
Recommended Do Pass
ROLL
CALL
Ayes: Senator(s) Massie, Meier, Nicholas, Peterson
and Townsend
Ayes 5 Nays
0 Excused 0 Absent 0 Conflicts
0
2/17/2010 S
Placed on General File
SF0048SS001/ADOPTED
Page
1-line 12 After
"midwife;" insert "requiring reports from midwives; requiring
periodic program assessment;".
Page 4-lines 1 through 9 Delete and insert:
"(ii) Has graduated from a
midwifery education program accredited by the midwifery education accreditation
council, or a similar successor organization, or has five (5) years experience
practicing as a licensed or certified midwife in another state;
(iii) Provides proof of current
certification as a certified professional midwife by the North American
registry of midwives or its successor organization;".
Page 4-after line 13 Insert and renumber:
"(v) Has provided the board
with evidence of successful completion of board approved courses in the treatment
of respiratory distress in newborns, pharmacology, the treatment of shock,
intravenous therapy and suturing specific to midwives. The board may accept graduation from an
accredited program as provided by paragraph (ii) of this subsection as satisfying
this requirement if those programs adequately cover these subjects;".
Page 4–line 15 Delete "(v)" insert
"(vi)".
Page 4–line 19 Delete "(vi)" insert
"(vii)".
Page 4–line 23 Delete "(vii)" insert
"(viii)".
Page 5–line 2 Delete "(viii)" insert
"(ix)".
Page 9-line 18 After "midwifery" insert
"consistent with W.S. 33-46-102(a)(ii) and (iii)".
Page 10-line 17 After "midwife" insert
"or notice that the midwife does not carry liability insurance".
Page 10-lines 19 through 21 Delete and insert:
"(F) A written protocol for
emergencies that is specific for each individual client, including the
following provisions:
(I) Transport to a hospital in an
emergency;
(II) Notification of the hospital
to which a client will be transferred upon initiation of the transfer;
(III) Accompaniment of the client
to the hospital by the midwife, if feasible, or telephone notice to the
hospital if the midwife is unable to be present personally;
(IV) Transmission of the client's
record to the hospital, including the client's name, address, list of known
medical conditions, list of prescription or over the counter medications
regularly taken, history of previous allergic reactions to medications, the
client's current medical condition, if feasible, and description of the care
provided by the midwife;
(V) Next of kin contact
information.".
Page 11-after line 13 Insert and renumber:
"(iv) Define a protocol for
management of newborns which shall at a minimum include immediate management of
respiratory distress or other serious or potentially serious illness in the
newborn, ensuring compliance with the newborn screening requirements of W.S. 35‑4‑801
and ensuring compliance with the relevant portions of vital records reporting
pursuant to W.S. 35-1-401 through W.S. 35-1-431;".
Page 11-line 15 Delete "(iv)" insert
"(v)".
Page 11-line 16 Delete "." insert
";".
Page 11–after line 16 Insert and renumber:
"(vi) Require midwives to
report outcomes to the board after each birth.".
Page 11-line 23 After "Except" insert
"as authorized by subsection (f) of this section or".
Page 12-lines 9 through 11 Delete and renumber.
Page 12–line 13 Delete "(v)" insert
"(iv)".
Page 12–line 16 Delete "(vi)" insert
"(v)".
Page 12–line 20 Delete "(vii)" insert
"(vi)".
Page 13–line 1 Delete "(viii)" insert
"(vii)".
Page 13–after line 2 Insert and renumber:
"(m) At no less than five (5)
year intervals, the board shall examine the reports provided under paragraph
(j)(v) of this section to assess the efficacy of the program.".
Page 13-line 6 After "(a)" delete balance of
line and insert "The board shall consist of seven (7) members appointed by
the governor including four (4) certified professional midwives, one (1)
certified nurse midwife, one (1) physician licensed under the Medical Practice
Act who is board certified in either obstetrics and gynecology or family
medicine and who has experience in primary maternity care and one (1) consumer
of midwifery care.".
Page 13-lines 7 through 9 Delete.
Page 13-line 10 Delete through "care.".
Page 13-line 17 Delete "two (2)" insert
"three (3)".
Page 13-line 18 Delete "two (2)" insert
"three (3)". SCOTT, CHAIRMAN
SF0048SW001/ADOPTED
Page 9-line 18 Delete ";" insert ",
which shall, at a minimum:".
Page 9-after line 18 Insert:
"(A) Prohibit a licensed
midwife from providing care for a client with any one (1) or more of the
following pregnancy disorders, diagnoses, conditions or symptoms:
(I) Placental abnormality;
(II) Multiple gestation;
(III) Noncephalic presentation at
the onset of labor or rupture of membranes, whichever occurs first;
(IV) Birth under thirty-seven (37)
weeks or after forty-two (42) weeks gestational age;
(V) A history of more than one (1)
prior cesarean section with no prior vaginal delivery, a cesarean section with
eighteen (18) months of the current delivery or any cesarean section that was
surgically closed with a classical or vertical incision;
(VI) Rhesus factor or other blood
group or platelet sensitization, hematological disorders or coagulation
disorders;
(VII) Preeclampsia;
(VIII) Cervical insufficiency or a
history of cervical insufficiency.
(B) Prohibit a licensed midwife
from providing care for a client with a history of any one (1) or more of the
following disorders, diagnoses, conditions or symptoms unless the disorder,
diagnosis, condition or symptom is being treated, monitored or managed by a
physician licensed under the Medical Practice Act:
(I) Diabetes;
(II) Thyroid disease;
(III) Epilepsy;
(IV) Hypertension;
(V) Cardiac disease;
(VI) Pulmonary disease;
(VII) Renal disease;
(VIII) Previous major surgery of
the pulmonary system, cardiovascular system, urinary tract or gastrointestinal
tract;
(IX) Hepatitis.
(C) Require a licensed midwife to
recommend that a client see a physician licensed under the Medical Practice Act
and to document and maintain a record if the client has a history of any one
(1) or more of the following disorders, diagnoses, condition or symptoms:
(I) Previous complicated
pregnancy;
(II) Previous cesarean section;
(III) Previous pregnancy loss in
second or third trimester;
(IV) Previous spontaneous
premature labor;
(V) Previous preterm rupture of
membranes;
(VI) Previous preeclampsia;
(VII) Previous hypertensive
disease of pregnancy;
(VIII) Prior infection with parvo
virus, toxoplasmosis, cytomegalovirus or herpes simplex virus;
(IX) Previous newborn group B
streptococcus infection;
(X) A body mass index of
thirty-five (35) or higher at the time of conception;
(XI) Underlying family genetic
disorders with potential for transmission;
(XII) Psychiatric illness.
(D) Require a licensed midwife to
facilitate the immediate transfer to a hospital for emergency care any one (1)
or more of the following disorders, diagnoses, conditions or symptoms:
(I) Maternal fever in labor;
(II) Suggestion of fetal jeopardy
such as significant bleeding, thick meconium or abnormal fetal heart tones
without delivery imminent;
(III) Noncephalic presentation at
the onset of labor or rupture of membranes, whichever occurs first;
(IV) Second stage of labor longer
than two (2) hours without adequate progress;
(V) Current spontaneous premature
labor;
(VI) Current preterm premature
rupture of membranes;
(VII) Current preeclampsia;
(VIII) Current hypertensive
disease of pregnancy;
(IX) Continuous uncontrolled
bleeding;
(X) Bleeding which necessitates
the administration of more than two (2) doses of oxytocin or other
antihemorrhagic agent;
(XI) Delivery injuries to the
bladder or bowel;
(XII) Seizures;
(XIII) Uncontrolled vomiting;
(XIV) Coughing or vomiting of
blood;
(XV) Severe chest pain;
(XVI) Sudden onset of shortness of
breath and associate labored breathing.
(E) Require that a licensed
midwife recommend to the client that two (2) providers trained in neonatal
resuscitation program be present at delivery;
(F) Require a licensed midwife to
maintain records of all care provided to clients.". HASTERT, JOHNSON, LANDEN, SCOTT
SF0048SW002/ADOPTED
Page 13-line 12 Delete "Commencing July 1,".
Page 13-lines 13 and 14 Delete.
SCOTT
2/18/2010 S Passed CoW
2/19/2010 S Passed 2nd
2/22/2010 S Passed 3rd
ROLL
CALL
Ayes: Senator(s)
Nays: Senator(s) Bebout, Burns and Dockstader
Ayes 27 Nays
3 Excused 0 Absent 0 Conflicts
0
2/23/2010 H
Received for Introduction
2/23/2010 H
Introduced and Referred to H10
2/25/2010 H10
Recommended Amend and Do Pass
ROLL
CALL
Ayes: Representative(s) Bonner, Davison, Esquibel,
K., Harvey, Landon, Millin and Shepperson
Nays: Representative(s) Kimble
Excused: Representative(s) Hallinan
Ayes 7 Nays
1 Excused 1 Absent 0 Conflicts
0
2/25/2010 H
Placed on General File
2/25/2010 H
Rereferred to H02
2/26/2010 H02
Recommended Do Pass
ROLL
CALL
Ayes: Representative(s) Berger, Hammons, Harshman,
Jorgensen and Pedersen
Nays: Representative(s) Steward
Excused: Representative(s) Philp
Ayes 5 Nays
1 Excused 1 Absent 0 Conflicts
0
2/26/2010 H Placed on General File
SF0048HS001/ADOPTED (TO ENGROSSED COPY)
Page 11-line 3 Delete "with" insert
"within".
Page 14-line 12 After "care" insert ", a
client with".
Page 21-line 10 Delete "(v)" insert
"(vi)". LANDON, CHAIRMAN
SF0048HW001/ADOPTED (TO ENGROSSED COPY)
Page 11-line 20 Delete "or" insert
"and"; after "managed" insert "during the current
pregnancy".
Page 18-line 15 Delete ", if".
Page 18-line 16 Delete "feasible,".
Page 19-line 8 After "indications" insert
"and contraindications".
Page 19-line 23 After "outcomes" insert
"of all clients for which the midwife provided services at any point
during labor or delivery".
Page 21-line 23 After "state" insert
"provided any person appointed becomes licensed in
Page 24-line 14 Delete "nurse" insert
"person licensed under the Nurse Practice Act".
Page 24-line 20 Delete "nurse" insert
"person licensed under the Nurse Practice Act".
Page 25-line 3 Delete "nurse" insert
"person licensed under the Nurse Practice Act".
Page 25-line 17 After "fees" insert "in
accordance with W.S. 33-1-201".
STEWARD, LANDON
3/1/2010 H Passed CoW
SF0048H2001/ADOPTED (TO ENGROSSED COPY)
Page 24-line 17 After "midwife" insert
"," and delete balance of the line.
Page 24-line 18 Delete entirely. BROWN, MILLIN, STEWARD
3/2/2010 H Passed 2nd
3/3/2010 H Passed 3rd
ROLL
CALL
Ayes: Representative(s) Anderson, R., Bagby,
Barbuto, Berger, Blake, Blikre, Bonner, Brechtel, Brown, Byrd, Cannady, Carson,
Childers, Cohee, Connolly, Craft, Davison, Diercks, Edmonds, Esquibel, K.,
Gilmore, Gingery, Goggles, Hales, Hammons, Harshman, Harvey, Illoway, Jaggi,
Jorgensen, Landon, Lockhart, Lubnau, Madden, McKim, McOmie, Miller, Millin,
Moniz, Patton, Peasley, Petersen, Quarberg, Roscoe, Semlek, Shepperson,
Simpson, Stubson, Teeters, Thompson, Throne, Wallis, Zwonitzer, Dn. and
Zwonitzer, Dv.
Nays: Representative(s) Buchanan, Kimble and
Steward
Excused: Representative(s) Hallinan, Pedersen and
Philp
Ayes 54 Nays
3 Excused 3 Absent 0 Conflicts
0
3/4/2010 S
Received for Concurrence
3/4/2010 S
Did Concur
ROLL
CALL
Ayes: Senator(s)
Nays: Senator(s) Bebout, Burns, Coe and Dockstader
Ayes 26 Nays
4 Excused 0 Absent
0 Conflicts 0
3/4/2010 Assigned
Number SEA No. 0043
3/4/2010 S
President Signed SEA No. 0043
3/5/2010 H
Speaker Signed SEA No. 0043
3/5/2010 Governor
Signed SEA No. 0043
3/5/2010 Assigned
Chapter Number
Chapter No. 0046 Session Laws of Wyoming 2010