The bill amends Sections 34-19-12, 34-19-14, and 34-19-16 of the Code of Alabama 1975, enhancing the powers of the State Board of Midwifery and clarifying midwifery practices. It establishes a State Board of Midwifery with seven members appointed by the Governor, including four certified professional midwives, a nurse practitioner, a licensed certified nurse midwife, and a user of midwifery services. The board is granted the authority to accept gifts and grants, and licensed midwives are required to file annual reports on their practice statistics, which must be made publicly available. The bill also outlines the board's responsibilities, including the approval and regulation of midwifery licenses, investigation of complaints, and the establishment of licensure fees and insurance requirements.

Additionally, the bill introduces new provisions regarding the responsibilities of licensed midwives during home births, such as ensuring clients sign an informed consent form and documenting an emergency care plan. Midwives must remain with clients during labor and the postpartum period until stabilization, instruct clients on newborn health screenings, and file birth certificates with the Alabama Department of Public Health. Notably, the bill allows licensed midwives to order and administer a heel lance within 72 hours after birth, while prohibiting them from interpreting test results. It also permits midwives to order and administer urinalysis or blood glucose tests for mothers as needed. The act is set to take effect on October 1, 2025.

Statutes affected:
Introduced: 34-19-12, 34-19-14, 34-19-16
Engrossed: 34-19-12, 34-19-14, 34-19-16