Supplemental report on nurse-midwifery legislation

SUPPLEMENTALREPORTONNURSE-MIDWIFERYLEGISLATION

Karen Mullinax, CNM, MN, in collaboration with the Political and Economic Affairs Committee

In March/April 1984, the Journal of Nurse-Midwijey published a Special Legislative Issue in cooperation with the Political and Economic AffairsCommittee of the ACNM. This current issue of JNM and the following issue willcontain updates on the ten summay tables and revised summaries for 27 jurisdictions that have had major legislative or regulatory changes in the intervening years. The following index will help to locate where the most current jurisdiction report can be found.

INDEX TO JURISDICTION

Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Dist. Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky

MarlApr 1984 May/June 1987 MarlApr 1984 MarlApr 1984 Mar/Apr 1984 May/June 1987 Mar/Apr 1984 May/June 1987 MaylJun 1987 May/June 1987 Jul/Aug 1985 MaylJun 1987 Mar/Apr 1984 MarlApr 1985 Mar/Apr 1984 MaylJun 1987 Mar/Apr 1984 Mar/Apr 1984

Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio

REPORTS.

Mar/Apr 1984 May/June 1987 May/June 1987 MaylJun 1987 May/June 1987 JullAug 1987 Jul/Aug 1987 MarlApr 1984 Mar/Apr 1984 Mar/Apr 1985 JuI/Aug 1987 Jul/Aug 1987 JuIlAug 1987 MarlApr 1984 MarlApr 1984 Jul/Aug 1987 Jul/Aug 1987 Mar/Apr 1985

Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming

Journal of Nurse-Midwifery Copyright 0 1987 by the American College of Nurse-Midwives

?? Vol.

Mar/Apr 1984 Jul/Aug 1987 Jul/Aug 1987 MarlApr 1984 MarlApr 1984 JuIlAug 1987 MarlApr 1984 JuIlAug 1987 JullAug 1987 JuVAug 1987 MarlApr 1984 MarlApr 1984 JuIlAug 1987 Mar/Apr 1984 MarlApr 1984 JuIlAug 1987 JuUAug 1987

32, No. 3, May/June 1987 OCBl-2182/87/$03.50

SUPPLEMENTALREPORTONNURSE-MIDWIFERYLEGISLATION TABLE 1

Committees,

boards, or agencies that regulate nurse-midwifery practice

BOARD OF NURSING Louisiana Oregon Alaska Maine Puerto Rico Arizona South Carolina” Maylane Arkansas North Dakota Massachusetts” California Tennessee Michigan District of Columbia Texas Minnesota Florida Vermont Mississippi” Georgia Virgin Islands Missouri ldaho Montana Washington Illinois West Virginia Nevada” Iowa Wisconsin New Hamshpire” Kansas Oklahoma Wyoming Kentucky JOINT REGULATION BY BOARD OF NURSING AND BOARD OF MEDICINE South Dakota Alabama Virginia Nebraska BOARD OF MEDICINE Indiana Ohio Pennsylvania New Jersey DEPARTMENT OF PUBLIC HEALTH Connecticutb Hawaii” New York Delaware New Mexico Rhode Island COMMITTEE OF CERTIFIED NURSE-MIDWIFERY Utah North Carolina MIXED STATUTORY AUTHORITY Colorado a Board of Medicine input into certain regulations. b Voluntaq registration by Board of Health; may also be licensed by Board of Nursing. c Proposed change to Board of Nursing.

TABLE 2

Jurisdictions that specifically name nurse-midwives in the authorizing statute or regulations NURSE-MIDWIVES NAMED IN STATUTE Alabama Kentucky Ohio Arizona Maryland Oklahoma Arkansas Massachusetts South Dakota California Michigan Utah Montana Colorado Virgin Islands Connecticut Nebraska West Virginia District of Columbia New York Wisconsin Florida North Carolina NURSE-MIDWIVES NAMED IN REGULATIONS ONLY Delawarea Kansas Oregon Georgia Louisiana South Carolina Hawaii Maine Tennessee Idaho New Hampshire Texas Indiana New Jersey Vermont Iowa New Mexico Virginia North Dakota Wyoming NURSE-MIDWIVES NOT SPECIFICALLY NAMED IN AUTHORIZING STATUTE OR REGULATIONS Puerto Rico Alaska Missouri Illinois Nevada Rhode Island Pennsylvania Washington Minnesota Miiissippib 1 CNM not named, but ACNM is named. b “Standards of Practice for Nurse-Midwifey in the State of Mississippi.” Journal of Nurse-Midwifery a Vol. 32, No. 3, May/June 1987

157

TABLE 3

Jurisdictions that recognize or require certification by the American Collene of Nurse-Midwives Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa

Kentucky Louisiana Maryland Massachusetts Michigan Mississippi Montana Nebraska New Hampshire New Jersey New Mexico New York Nevadaa North Carolina North Dakota

Ohio Oklahoma Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Virgin Islands Washington West Virginia Wisconsin Wyoming

a By June 1988 new applicants; renewals January 1992.

TABLE 4

Jurisdictions that grant prescriptive authority to certified nurse-midwives Mississippi Nevada New Hampshire New Mexico North Carolina Oregonb

Alaska Arizona District of Columbia” Idaho Maine Michigan

South Carolinab South Dakota Tennessee Utah Vermont Washington

a Statute on books; regulations pending. b Regulations challenged by Attorney General Opinion

TABLE 5

Jurisdictions that require continuing education units for license renewal FOR NURSE-MIDWIFERY AUTHORIZATION Mississippi Alaska New Hampshire Idaho Nevada Kansas FOR RN LICENSE Alaskab Iowa California Kansas Colorado Kentucky Massachusetts Florida

Oregon Washington Wyoming Minnesota Nebraska New Mexico Virgin Islands”

a Mentioned in statute as prerequisite for license renewal, but not currently implemented. b Will begin in 1987.

TABLE 6

Jurisdictions that require educational degree preparation for nurse-midwifery practice Jurisdiction

Idaho Nevada Oregon Montana Tennessee

158

Degree

Required

BSN BSN June 1988; MSN Januay 1995 MSN BSN MSN for prescriptive privileges

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32, No. 3. May/June

1987

‘l-ABLE 7

Compliance with Medicaid Reimbursement Law as of November 1986

’

REGULATIONS IN PLACE Alaska California Colorado Delaware Florida Georgia Hawaii Idaho Iowa Kansas Kentucky Louisiana REGULATIONS PENDING Connecticut District of Columbia REIMBURSEMENT DENIED Arizona” Missourib STATUS UNKNOWN Alabama Indiana Nebraska STATUS UNDECIDED Illinois

Maine Maryland Massachusetts Michigan Minnesota Mississippi Montana New Hampshire New Jersey New Mexico New York Ohio

Oklahoma Oregon Pennsylvania Rhode Island South Carolina Utah Vermont Virginia Washington Wisconsin West Virginia

Texas Wyoming North Dakota Tennesseeb Nevada North Carolina Puerto Rico

South Dakota Virgin Islands

a State does not participate in Medicaid programs

TABLE 8

Jurisdictions that mandate private insurance reimbursement of nurse-midwifery services Jurisdiction

Year effectioe

Alaska Connecticut Florida Maryland Massachusetts Minnesota Mississippi Montana New Hampshire New Jersey New Mexico New York Nevada North Dakota Ohio Oregon Pennsylvania South Dakota Utah Washington West Virginia

1981 1984 1982 1979 1985 1983 1979 1983 1985 1982 1979 1983 1985 1986 1985 1979 1981 1980 1979 1973 1983

b Denial being reconsidered.

TABLE 9

Jurisdictions that regulate practice by midwives who are not ACNM-certified Alabama” Alaska’ Arizona Arkansas California Florida Georgiaa Illinoisa

Louisiana Michigan” Minnesota” Mississippib Missouri” New Hampshire New Jersey New Mexico

, North Carolina Puerto Rico” Rhode Island South Carolina Tennesseeb Texas Virginia Washington

a Old statutes on books, but no new licenses issued. b Statute does not require license for the practice of midwifery. c Pending.

TABLE 10 Jurisdictions

that regulate

Alaska Arizona California Colorado Delaware” District of Columbiaa Florida

birth centers Georgia Indiana Iowa” Kansas Kentucky Massachusetts Mississippi

New Hampshire New Mexico New York Oregon Tennessee Utah Washington West Virginia

a Pending.

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