September 1, 2015. 42, eff. 838 (S.B. Acts 1999, 76th Leg., ch. CHAPTER 203. (a) Repealed by Acts 2015, 84th Leg., R.S., Ch. I graduated from a state-approved Texas midwifery school, The Association of Texas Midwives Midwifery Training Program. (a) The commission by rule shall establish requirements for continuing midwifery education, including a minimum number of hours of continuing education required to renew a license under this chapter. 4007), Sec. (2) include information required by commission rules. Amended by Acts 2007, 80th Leg., R.S., Ch. Acts 1999, 76th Leg., ch. Sept. 1, 1999. Sept. 1, 1999. Amended by Acts 2005, 79th Leg., Ch. Amended by Acts 2005, 79th Leg., Ch. (b) The amount of a refund ordered may not exceed the amount the consumer paid to the licensed midwife for a service regulated by this chapter. Amended by Acts 2015, 84th Leg., R.S., Ch. Amended by Acts 2019, 86th Leg., R.S., Ch. 203.352. Amended by Acts 2011, 82nd Leg., R.S., Ch. Acts 1999, 76th Leg., ch. (c) The commission by rule shall develop a process to evaluate and approve continuing education courses. (4) two members who represent the public and who are not practicing or trained in a health care profession, one of whom is a parent with at least one child born with the assistance of a midwife. Amended by Acts 2007, 80th Leg., R.S., Ch. CONTINUING MIDWIFERY EDUCATION. (c) Information received under this section may not be made public in a manner that discloses the identity of any person to whom the information relates. 838 (S.B. In 1956 midwifery received sanction in case law when the Texas Court of Criminal Appeals ruled that the practice of midwifery did not constitute the practice of medicine without a license. This page will cover the legal regulation of these delivery attendants and of the practice of OOH birth in Texas. The government did not explain how or why they were given the suspicious label. September 1, 2017. Midwives Act, 26 V.S.A. 1535), Sec. (B) approval of instructors or facilities used in offering basic midwifery education courses and continuing midwifery education courses; (2) prepare and distribute basic midwifery information and instructor manuals; (3) enter into agreements necessary to carry out this chapter; and. 5, eff. 46, eff. (b) The commission or executive director may discipline a licensed midwife and may refuse to issue a license to an applicant for a disciplinary action taken by another jurisdiction that affects the person's authority to practice midwifery, including a suspension, a revocation, or another action. 1240 (H.B. 1.222(26), eff. Amended by Acts 2015, 84th Leg., R.S., Ch. Amended by Acts 2005, 79th Leg., Ch. 388, Sec. 838 (S.B. Amended by Acts 2015, 84th Leg., R.S., Ch. 203.351. September 1, 2015. 838 (S.B. Program Overview The TTUHSC School of Nursing Nurse Midwifery Track is a distance education track that requires 51 semester hours for degree completion.Courses are online or web-enhanced. Please note that the descriptions of Texas laws and rules do not contain the complete text of the statute or rules cited. 30, eff. Sept. 1, 1999. 203.157. 1.016, eff. 1083 (S.B. Sept. 1, 1999. 388, Sec. Sec. CTCNM is the Texas affiliate of the American College of Nurse-Midwives. 1, eff. Amended by Acts 2005, 79th Leg., Ch. 44, eff. 202), Sec. Amended by Acts 2015, 84th Leg., R.S., Ch. (2) medical care through consultation or referral, as specified by commission rules, if the midwife determines that the pregnancy, labor, delivery, postpartum period, or newborn period of a woman or newborn may not be classified as normal for purposes of this chapter. The department may refuse to renew the license of a person who fails to pay an administrative penalty unless enforcement of the penalty is stayed or a court has ordered that the administrative penalty is not owed. September 1, 2015. (a) The department shall develop and administer at least twice each calendar year a jurisprudence examination to determine an applicant's knowledge of this chapter, commission rules under this chapter, and any other applicable laws of this state affecting the applicant's midwifery practice. 202), Sec. 1535), Sec. 388, Sec. Amended by Acts 2005, 79th Leg., Ch. (b) The department shall prescribe the form of the informed choice and disclosure statement required to be used by a midwife under this chapter. For more information on Texas laws and a copy of the Texas Midwifery Manual, write: Texas Department of State Health Services The Midwifery Program 1100 W. 49th Street Austin, Texas 78756-3199 (512) 834-4523 1, eff. Amended by Acts 2017, 85th Leg., R.S., Ch. laws took effect, the number of midwives fell to 262, 5 with 12,682 births attended by midwives or others and 5,871 of these births occurred o utside of the hospital. (b) A midwife may not use an identification statement or advertisement that would lead a reasonable person to believe that the midwife is certified by a governmental entity. 1240 (H.B. 1, eff. (2) submit the specimens to the Department of State Health Services in a timely manner. 1535), Sec. 388, Sec. Sept. 1, 1999. 202), Sec. 203.2555. Sept. 1, 1999. 1240 (H.B. 838 (S.B. September 1, 2015. (a) The executive director shall administer and enforce this chapter. Sept. 1, 1999. The Association of Texas Midwives Midwifery Training Program has been educating midwives for over 35 years. Acts 1999, 76th Leg., ch. (b) The department shall provide the manuals to each licensed midwife and to any other person on request. This is probably another restriction that is in place for safety reasons. 202), Sec. 838 (S.B. "For the Lord gives wisdom, from his mouth comes knowledge and understanding. The midwife in attendance at childbirth shall ensure that the objection of the parent, managing conservator, or guardian is entered into the medical record of the child. 1.020, eff. 1535), Sec. 1, eff. 1240 (H.B. September 1, 2015. Sept. 1, 1999. 1.012, eff. (a) The department shall prepare and publish reports on the practice of midwifery in this state. Amended by Acts 2015, 84th Leg., R.S., Ch. print. Amended by Acts 2015, 84th Leg., R.S., Ch. Acts 1999, 76th Leg., ch. September 1, 2015. Despite providing no basis for their estimate, officials contend there exist 15,000 midwife forgeries stemming from South Texas. 838 (S.B. Amended by Acts 2015, 84th Leg., R.S., Ch. Midwives have the responsibility not to comply with an outdated order. September 1, 2015. 202), Sec. Amended by Acts 2005, 79th Leg., Ch. 202), Sec. Pursuant to Senate Bill 202, regulatory authority over Midwives has been transferred to the Texas Department of Licensing and Regulation (TDLR). (a) A person qualifies to become a licensed midwife under this chapter if the person provides the department with documentary evidence that the person has: (1) satisfied each requirement for basic midwifery education; and. Amended by Acts 2015, 84th Leg., R.S., Ch. (6) "Midwife" means a person who practices midwifery and has met the licensing requirements established by this chapter and commission rules. Sept. 1, 1999. 1, eff. 202), Sec. 838 (S.B. Amended by Acts 2015, 84th Leg., R.S., Ch. (b) The Department of State Health Services shall publish a statistical report of infant fetal morbidity and mortality. It begins by highlighting that the Nursing and Midwifery Council’s Code, which sets out the standard for professional practice, is under-pinned by the law. 1535), Sec. ", "My people will live in peaceful dwelling places, in secure homes, in undisturbed places of rest. (6) make on a birth certificate a false statement or false record in violation of Section 195.003, Health and Safety Code. ", "And over all these virtues put on love, which binds them all together in perfect unity.". Acts 1999, 76th Leg., ch. Amended by Acts 2015, 84th Leg., R.S., Ch. (1) "Clinical services" include prenatal, postpartum, child health, and family planning services. 202), Sec. However, in the wake of slavery’s end, skilled Black midwives represented both real competition for white men who sought to enter the practice of child delivery, and a threat to how obstetricians viewed themselves. 203.304. (a) A person may not practice midwifery unless the person holds a license issued under this chapter. September 1, 2015. 838 (S.B. Amended by Acts 2015, 84th Leg., R.S., Ch. Sec. A person who practices midwifery in this state must provide the department with satisfactory evidence that the person: Acts 1999, 76th Leg., ch. September 1, 2015. 838 (S.B. September 1, 2005. (d) The provider may charge a reasonable fee for the services. midwife, midwifery, homebirth, waterbirth, pregnancy, edenway, birth center, birth, Waco, temple, Hillsboro, whitney 3 Sisters Midwifery & Birth Center As of AUGUST 2021 we will be taking a 2 month sabbatical to renew, refresh and refine our ministry goals and care. 1, eff. 388, Sec. 838 (S.B. The advisory board shall meet at the call of the presiding officer of the commission or the executive director. 1.222(12), eff. (e) A midwife shall disclose to a prospective or actual client the procedure for reporting complaints to the department. 4007), Sec. Acts 1999, 76th Leg., ch. This law requires the Texas Department of State Health Services to maintain a current roster of licensed midwives, who must… Amended by Acts 2015, 84th Leg., R.S., Ch. Registry of Midwives (NARM) requirements for certified professional midwife (CPM) status as well as that Vermont licensing requirements. September 1, 2005. Amended by Acts 2005, 79th Leg., Ch. Amended by Acts 2005, 79th Leg., Ch. 388, Sec. no formal education in nursing school.5 Midwifery has a long history in Texas as it does in many regions of the United States. The commission shall establish requirements for basic midwifery education. Amended by Acts 2015, 84th Leg., R.S., Ch. Amended by Acts 2005, 79th Leg., Ch. (b) A violation of a cease and desist order issued by the executive director constitutes grounds for imposing an administrative penalty. 1.222(9), eff. 202), Sec. 1.008, eff. Amended by Acts 2015, 84th Leg., R.S., Ch. TRAINING IN NEWBORN SCREENING AND BASIC LIFE SUPPORT CARDIOPULMONARY RESUSCITATION. An applicant for renewal of a license under this chapter must apply biennially as provided in Section 203.253. 202), Sec. September 1, 2005. September 1, 2007. September 1, 2007. 388, Sec. 202), Sec. 1, eff. September 1, 2015. 1.039, eff. (3) adopt rules as necessary to establish eligibility for reciprocity for initial licensing under this chapter. Acts 1999, 76th Leg., ch. September 1, 2005. Sec. 388, Sec. 202), Sec. Source Note: The provisions of this §831.52 adopted to be effective April 24, 2003, 28 TexReg 3327; amended to be effective September 2, 2007, 32 TexReg 5371 . 1, eff. June 17, 2011. 1.035, eff. (3) "Commission" means the Texas Commission of Licensing and Regulation. Feb. 1, 2004. Sept. 1, 1999. 838 (S.B. Amended by Acts 2015, 84th Leg., R.S., Ch. September 1, 2005. Sept. 1, 1999. In Texas, you are required to take a jurisprudence exam on Texas midwifery laws every 4 years. 35, eff. Acts 1999, 76th Leg., ch. 56(1), eff. The Association of Texas Midwives By-Laws Article II - Principal Office 2.01 The principal office of the corporation shall be in the state of Texas. 202), Sec. (b) If the executive director or a health authority determines that a person has violated this chapter, the executive director may institute an action described by Section 51.352. 388, Sec. 1535), Sec. Acts 1999, 76th Leg., ch. Direct Entry Midwives (or Licensed Midwives), are able to practice legally in Texas as authorized by the Texas Midwifery Act. 838 (S.B. Acts 1999, 76th Leg., ch. Sec. 1, eff. This statute is available as a printable PDF document. PO Box 12157 (1) is trained to perform the newborn screening tests under Section 203.354 or has made arrangements for the performance of those tests; and, (A) a current certificate issued by the American Heart Association in basic life support cardiopulmonary resuscitation; or. Amended by Acts 2015, 84th Leg., R.S., Ch. 889 (H.B. September 1, 2005. 1.014, eff. 1.222(12), eff. September 1, 2015. 838, Sec. 203.256. September 1, 2015. (a) Subject to Subsection (b), unless the newborn child is immediately transferred to a hospital because of an emergency, a midwife who attends the birth of the child shall comply with Section 81.091, Health and Safety Code. Amended by Acts 2015, 84th Leg., R.S., Ch. INFORMED CHOICE AND DISCLOSURE REQUIREMENTS. (a) Each midwife who attends the birth of a child shall cause the newborn screening tests to be performed on blood specimens taken from the child as required by Chapter 33, Health and Safety Code. 388, Sec. 1535), Sec. 1240 (H.B. (b) If a vacancy occurs during a member's term, the presiding officer of the commission, with the commission's approval, shall appoint a replacement who meets the qualifications for the vacant position to serve for the remainder of the term. Amended by Acts 2005, 79th Leg., Ch. Texas Department of Licensing and Regulation (b) Venue for the civil action may be changed only after a good faith effort has been made to address the violation in the county in which venue is proper. 838, Sec. 1240 (H.B. GROUNDS FOR REFUSING RENEWAL. 1.009, eff. 43, eff. 1.007, eff. September 1, 2005. Acts 1999, 76th Leg., ch. Amended by Acts 2019, 86th Leg., R.S., Ch. (A) basic midwifery education courses and continuing midwifery education courses; and. 202), Sec. Amended by Acts 2005, 79th Leg., Ch. Sept. 1, 1999. 15, eff. Sec. Relay Texas-TDD: (800) 735-2989, Helping Small Business and Consumers Since 1909, For more information about obtaining a TDLR license or renewing a TDLR license that expired while serving on active duty, please go to the, Air Conditioning and Refrigeration Contractors, Hearing Instrument Fitters and Dispensers, Speech-Language Pathologists and Audiologists, License Search, Frequently Asked Questions and Guidelines, Renew online, check license status, search for a license, or file a complaint. Sept. 1, 1999. (d) If the midwife has been approved by the department to collect blood specimens under this section, the collection by the midwife of blood specimens for the required newborn screening tests does not constitute the practice of medicine as defined by Subtitle B. 1535), Sec. (C) certified by the American College of Nurse-Midwives. (b) On renewal of the license, a midwife must provide the department with evidence, acceptable under commission rules, of completion of continuing midwifery education as prescribed by the commission by rule. (4) "Department" means the Texas Department of Licensing and Regulation. (b) A physician who issues an order directing or instructing a midwife is immune from liability arising out of the failure or refusal of the midwife to comply with the order if, before the issuance of the order, the midwife provided the physician with evidence satisfactory to the department of compliance with this chapter. The department may not require information regarding any act that is prohibited under this chapter. 18, eff. 400 (S.B. (a) A midwife certified by the North American Registry of Midwives who uses "certified" as part of the midwife's title in an identification statement or advertisement must include in the statement or advertisement a statement that the midwife is certified by the North American Registry of Midwives. 1, eff. We advocate the practice of Texas nurse-midwives in the health care system as an ideal way of achieving safe, high quality, cost effective, and satisfying care for women and children. September 1, 2015. 1535), Sec. 1, eff. September 1, 2005. Amended by Acts 2015, 84th Leg., R.S., Ch. (8) "Newborn" means an infant from birth through the first six weeks of life. (c) The term of the initial license begins on the date the requirements are met and extends through March 1 of the second year after the year in which the initial license is issued. 388, Sec. Compare programs at the Masters or Doctorate level, then easily contact the schools you want to apply to for more information on earning a graduate degree in midwifery. 1240 (H.B. Sept. 1, 1999. Amended by Acts 2015, 84th Leg., R.S., Ch. 1535), Sec. (1) except as provided by Section 203.403, use in connection with the midwife's name a title, abbreviation, or designation tending to imply that the midwife is a "registered" or "certified" midwife as opposed to one who is licensed under this chapter; (2) advertise or represent that the midwife is a physician or a graduate of a medical school unless the midwife is licensed to practice medicine by the Texas Medical Board; (3) use advertising or an identification statement that is false, misleading, or deceptive; or. Take the Next Step with our List of 1 Nurse Midwifery Programs in Texas. Sept. 1, 1999. 838 (S.B. September 1, 2019. 1.005, eff. September 1, 2015. 838 (S.B. 2, eff. September 1, 2005. Web-enhanced courses combine both online and face-to-face classroom study/learning activities. 1.023, eff. Charges against the other 175 were dropped. Acts 1999, 76th Leg., ch. 388, Sec. Resources for Nurse-Midwives in Texas. (9) "Normal" means, as applied to pregnancy, labor, delivery, the postpartum period, and the newborn period, and as defined by commission rule, circumstances under which a midwife has determined that a client is at a low risk of developing complications. 1, eff. The department may assess the continuing education needs of licensed midwives and may require licensed midwives to attend continuing midwifery education courses specified by the department. 202), Sec. 1240 (H.B. Each midwife must complete and return the forms to the department as requested. 1535), Sec. 1, eff. 1, eff. Amended by Acts 2005, 79th Leg., Ch. 838 (S.B. (Effective September 1, 2019). Amended by Acts 2015, 84th Leg., R.S., Ch. September 1, 2005. Amended by Acts 2015, 84th Leg., R.S., Ch. September 1, 2005. 1, eff. Your Midwife must be LICENSED by the state: (a) A person may not practice midwifery unless the person holds a license issued under this chapter. Acts 1999, 76th Leg., ch. (b) The department shall provide a license to each person who fulfills the licensing requirements. September 1, 2015. September 1, 2015. 202), Sec. 1240 (H.B. 1, eff. September 1, 2015. 838 (S.B. 388, Sec. EFFECT ON LOCAL ORDINANCES. 203.301. Amended by Acts 2015, 84th Leg., R.S., Ch. 388, Sec. 1.024, eff. September 1, 2005. 1, eff. Sept. 1, 1999. Amended by Acts 2015, 84th Leg., R.S., Ch. 1240 (H.B. Amended by Acts 2005, 79th Leg., Ch. (a) The advisory board consists of nine members appointed by the presiding officer of the commission with the approval of the commission as follows: (1) five licensed midwife members each of whom has at least three years' experience in the practice of midwifery; (2) one physician member who is certified by a national professional organization of physicians that certifies obstetricians and gynecologists; (3) one physician member who is certified by a national professional organization of physicians that certifies family practitioners or pediatricians; and. GROUNDS FOR DISCIPLINARY ACTION. (2) "Local health unit" means a division of a municipal or county government that provides limited public health services under Section 121.004, Health and Safety Code. September 1, 2015. 2.015, eff. Tweet. 388, Sec. The presiding officer of the commission shall designate a member of the advisory board to serve as the presiding officer of the advisory board to serve for a term of one year. ADDITIONAL INFORMATION REQUIRED. 838 (S.B. September 1, 2015. 838 (S.B. Amended by Acts 2005, 79th Leg., Ch. The information is not public information as defined by Chapter 552, Government Code. 1.028, eff. (10) "Postpartum period" means the first six weeks after a woman has given birth. 40, eff. OCCUPATIONS CODE Acts 1999, 76th Leg., ch. 388, Sec. 203.306. 31, eff. 1.002, eff. (b) A midwife in attendance at childbirth who is unable to apply prophylaxis as required by Section 81.091, Health and Safety Code, due to the objection of the parent, managing conservator, or guardian of the newborn child does not commit an offense under that section and is not subject to any criminal, civil, or administrative liability or any professional disciplinary action for failure to administer the prophylaxis. (b) The roster shall contain for each person the information required on the licensure form under this chapter and other information the department determines necessary to accurately identify each licensed midwife. (a) Each midwife who attends the birth of a child shall cause the newborn screening tests to be performed on blood specimens taken from the child as required by Chapter 33, Health and Safety Code. 1240 (H.B. Sept. 1, 1999. (a) A midwife shall disclose in oral and written form to a prospective client the limitations of the skills and practices of a midwife. This chapter may be cited as the Texas Midwifery Act. September 1, 2015. (8) "Newborn" means an infant from birth through the first six weeks of life. ROSTER; NOTICE TO COUNTY OFFICIALS. September 1, 2015. Violation of a list of 250 “ suspicious ” Midwives 75 convicted individuals were part of license! Current roster of licensed Midwives on the department on technical matters relevant the. 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