Bill Text: NY A07898 | 2021-2022 | General Assembly | Introduced

NOTE: There are more recent revisions of this legislation. Read Latest Draft
Bill Title: Establishes the professional practice of community midwifery; defines as the management in the home, birth center, or community setting, of normal pregnancies, child birth, and postpartum care, including newborn evaluation, resuscitation and referral for infants; sets requirements for license and practice.

Spectrum: Strong Partisan Bill (Democrat 37-3)

Status: (Introduced - Dead) 2022-07-08 - print number 7898a [A07898 Detail]

Download: New_York-2021-A07898-Introduced.html



                STATE OF NEW YORK
        ________________________________________________________________________

                                          7898

                               2021-2022 Regular Sessions

                   IN ASSEMBLY

                                      May 28, 2021
                                       ___________

        Introduced  by  M.  of A. GOTTFRIED, PAULIN -- read once and referred to
          the Committee on Higher Education

        AN ACT to amend the education law and the public health law, in relation
          to the practice of community midwifery

          The People of the State of New York, represented in Senate and  Assem-
        bly, do enact as follows:

     1    Section  1.  Title  8  of the education law is amended by adding a new
     2  article 140-A, to read as follows:
     3                                ARTICLE 140-A
     4                             COMMUNITY MIDWIFERY
     5  Section 6960. Introduction.
     6          6961. Definition of practice of community midwifery.
     7          6962. Practice of community midwifery.
     8          6963. Use of title "community midwife".
     9          6964. Requirements for a professional license.
    10          6965. Exempt persons.
    11    § 6960. Introduction. This article applies to the profession of commu-
    12  nity midwifery.  The general provisions for all professions contained in
    13  article one hundred thirty of this title apply to this article.
    14    § 6961. Definition of practice of community midwifery. 1. The practice
    15  of the profession of community midwifery is defined as the management in
    16  the home, birth center, or community  setting,  of  normal  pregnancies,
    17  child  birth,  and postpartum care, including primary preventive gyneco-
    18  logic and obstetric care of essentially healthy individuals,  and  shall
    19  include  newborn  evaluation,  resuscitation and referral for infants. A
    20  community midwife shall have  collaborative  relationships  with  (i)  a
    21  physician  who  is  board certified as an obstetrician-gynecologist by a
    22  national certifying body or (ii) a physician  who  practices  obstetrics
    23  and  has obstetric privileges at a general hospital licensed under arti-
    24  cle twenty-eight of the public health law or (iii) a hospital,  licensed
    25  under  article  twenty-eight  of  the  public  health law, that provides

         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD11661-01-1

        A. 7898                             2

     1  obstetrics through a physician having  obstetrical  privileges  at  such
     2  institution, that provide for consultation, collaborative management and
     3  referral  to  address  the  health  status  and  risks  of the community
     4  midwife's  patients and that include plans for emergency medical gyneco-
     5  logical and obstetrical coverage. A  community  midwife  shall  maintain
     6  documentation of the collaborative relationships and shall make informa-
     7  tion  about  the  collaborative relationships available to the community
     8  midwife's patients. Failure to comply with  the  requirements  found  in
     9  this  subdivision shall be subject to professional misconduct provisions
    10  as set forth in article one hundred thirty of this title.
    11    2. A community midwife shall have the  authority,  as  necessary,  and
    12  limited  to  the  practice  of  community midwifery, to order, dispense,
    13  prescribe, and administer drugs, immunizing agents, diagnostic tests and
    14  devices, and to order laboratory tests, as established by the  board  of
    15  midwifery in accordance with the commissioner's regulations. A community
    16  midwife shall obtain a certificate from the department upon successfully
    17  completing  a  program including a pharmacology component, or its equiv-
    18  alent,  as  established  by  the  commissioner's  regulations  prior  to
    19  prescribing under this section.
    20    3.  Any  reference to community midwifery, or community midwife, under
    21  the provisions of this article, this chapter or  any  other  law,  shall
    22  refer  to and include the profession of community midwifery and a commu-
    23  nity midwife, unless the context clearly requires otherwise.
    24    § 6962. Practice of community midwifery. Only  a  person  licensed  or
    25  exempt  under  this  article  or  authorized by any other section of law
    26  shall practice community midwifery.
    27    § 6963. Use of title "community midwife". Only a  person  licensed  or
    28  exempt under this article shall use the title "community midwife".
    29    §  6964.  Requirements  for  a  professional license. To qualify for a
    30  license as a community midwife, an applicant shall fulfill the following
    31  requirements:
    32    1. Application: file an application with the department.
    33    2. Education: achieve and maintain the credential of community midwife
    34  or certified  professional  midwife  from  a  national  certifying  body
    35  specializing  in  the  certification  of community midwives or certified
    36  professional midwives and approved by the commissioner.
    37    3. Examination: pass an examination designated by  a  certifying  body
    38  under subdivision two of this section.
    39    4. Age: be at least twenty-one years of age.
    40    5.  Character: be of good moral character as determined by the depart-
    41  ment.
    42    6. Fee: pay a fee of  one  hundred  fifteen  dollars  for  an  initial
    43  license,  a  fee of one hundred eighty dollars for each triennial regis-
    44  tration period and a fee of seventy dollars for a limited permit.
    45    § 6965. Exempt persons. Nothing in  this  article  shall  (a)  affect,
    46  prevent,  expand,  or  limit  any duty or responsibility of a physician,
    47  midwife, physician assistant, or nurse practitioner, acting  within  the
    48  professional's  scope  of practice, from practicing community midwifery;
    49  or (b) affect or prevent a medical student, midwifery student, physician
    50  assistant student, or nurse practitioner student from engaging in  clin-
    51  ical  practice  in  an educational program registered by the department,
    52  under   the   supervision   of   a   physician   or   board    certified
    53  obstetrician/gynecologist  or  midwife,  physician  assistant,  or nurse
    54  practitioner, acting within the professional's scope of practice.
    55    § 2. Section 6953 of the education law, as amended by chapter  327  of
    56  the laws of 1992, is amended to read as follows:

        A. 7898                             3

     1    § 6953. Use of title "midwife". Only a person licensed or exempt under
     2  this  article  shall  use  the title "midwife".   Only a person licensed
     3  under both this article and article  one  hundred  thirty-nine  of  this
     4  chapter may use the title "nurse-midwife".  Only a person licensed under
     5  article one hundred forty-A of this chapter may use the title "community
     6  midwife".
     7    § 3. Section 6954 of the education law, as added by chapter 327 of the
     8  laws  of  1992, paragraph (a) of subdivision 2 as amended by chapter 328
     9  of the laws of 1992, is amended to read as follows:
    10    § 6954. State board of midwifery.   1. The state  board  of  midwifery
    11  shall  be  appointed  by  the  board of regents on recommendation of the
    12  commissioner for the purpose  of  assisting  the  board  of  regents  on
    13  matters of professional licensing and professional conduct in accordance
    14  with  section sixty-five hundred eight of this title. The board shall be
    15  composed of [thirteen] sixteen individuals. Initial appointments to  the
    16  board  shall  be  such  that  the  terms shall be staggered. However, no
    17  members shall serve more than two terms.  However, a vacant seat on  the
    18  board  designated  for  an individual licensed to practice under article
    19  one hundred forty-A of this title shall not be counted for purposes of a
    20  quorum until it has been initially filled.
    21    2. (a) [(1)] Seven members of the board shall be persons licensed  [or
    22  exempt] under this [section] article.
    23    [(2)] (b) One member of the board shall be an educator of midwifery.
    24    (c) Three members of the board shall be persons licensed under article
    25  one hundred forty-A of this title.
    26    [(b)]  (d)  Two  members  of  the  board  shall be individuals who are
    27  licensed physicians who are also certified as obstetrician/gynecologists
    28  by a national certifying body.
    29    [(c)] (e) One member of the board shall be an individual licensed as a
    30  physician who practices family medicine including obstetrics.
    31    [(d)] (f) One member of the board shall be an individual licensed as a
    32  physician who practices pediatrics.
    33    [(e)] (g) One member of the board shall be an individual not  possess-
    34  ing either licensure or training in medicine, midwifery, pharmacology or
    35  nursing and shall represent the public at large.
    36    3.  For  purposes  of  this  article, "board" means the state board of
    37  midwifery created under this section unless the  context  clearly  indi-
    38  cates otherwise.
    39    § 4. The article heading of article 140 of the education law, as added
    40  by chapter 327 of the laws of 1992, is amended to read as follows:

    41                   [PROFESSIONAL] MIDWIFERY [PRACTICE ACT]

    42    § 5. Subdivision 6 of section 571 of the public health law, as amended
    43  by chapter 444 of the laws of 2013, is amended to read as follows:
    44    6.  "Qualified  health  care professional" means a physician, dentist,
    45  podiatrist, optometrist performing a clinical laboratory test that  does
    46  not  use  an invasive modality as defined in section seventy-one hundred
    47  one of the education law,  physician  assistant,  specialist  assistant,
    48  nurse  practitioner, [or] midwife, or community midwife, who is licensed
    49  and registered with the state education department.
    50    § 6. This act shall take effect immediately.
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