S.F. No. 0048

Licensure of midwives.

 

Sponsored By: Senator(s) Johnson and Scott and Representative(s) Davison, Edmonds, Harvey and Shepperson

 

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) Anderson, J., Burns, Case, Cooper, Elliott, Esquibel, F., Geis, Hastert, Hines, Hunnicutt, Jennings, Johnson, Landen, Larson, Martin, Massie, Meier, Meyer, Perkins, Peterson, Ross, Schiffer, Scott, Sessions and Townsend

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僕ine 15 Delete "(v)" insert "(vi)".

Page 4僕ine 19 Delete "(vi)" insert "(vii)".

Page 4僕ine 23 Delete "(vii)" insert "(viii)".

Page 5僕ine 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紡fter 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僕ine 13 Delete "(v)" insert "(iv)".

Page 12僕ine 16 Delete "(vi)" insert "(v)".

Page 12僕ine 20 Delete "(vii)" insert "(vi)".

Page 13僕ine 1 Delete "(viii)" insert "(vii)".

Page 13紡fter 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 Reading

2/22/2010 S Passed 3rd Reading

 

ROLL CALL

Ayes: Senator(s) Anderson, J., Case, Coe, Cooper, Elliott, Esquibel, F., Geis, Hastert, Hines, Hunnicutt, Jennings, Johnson, Landen, Larson, Martin, Massie, Meier, Meyer, Nicholas, Perkins, Peterson, Ross, Schiffer, Scott, Sessions, Townsend and Von Flatern

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 Wyoming within one (1) year of appointment".

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 Reading

3/3/2010 H Passed 3rd Reading

 

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) Anderson, J., Case, Cooper, Elliott, Esquibel, F., Geis, Hastert, Hines, Hunnicutt, Jennings, Johnson, Landen, Larson, Martin, Massie, Meier, Meyer, Nicholas, Perkins, Peterson, Ross, Schiffer, Scott, Sessions, Townsend and Von Flatern

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