This bill amends the Medical Practice Act of 1985 to modernize the definitions and licensing requirements for midwifery and nurse-midwifery in Pennsylvania. It introduces a new "certified midwife" license and redefines "medical training facility" to include training for nurse-midwife certificates. The legislation clarifies that both nurse-midwives and certified midwives can use the title "midwife" and sets forth the conditions under which they may practice, including the necessity for collaborative agreements with physicians and maintaining clinical privileges in specific healthcare environments. Additionally, it establishes guidelines for prescribing medications, including controlled substances, and mandates continuing education for certified midwives.

The bill further outlines the responsibilities of certified midwives, particularly regarding their collaboration with physicians and patient care management. It requires certified midwives affiliated with health systems or hospitals to identify health deviations and manage complications through physician consultation or referral, while still being accountable for the care they provide. For those not affiliated with a health system, the bill mandates the disclosure of specific information to prospective patients, including emergency transport plans. The licensing of certified midwives will align with the standards set by the Medical Care Availability and Reduction of Error (Mcare) Act, ensuring consistent regulatory compliance. The act is scheduled to take effect 60 days after passage.

Statutes/Laws affected:
Printer's No. 456 (Mar 21, 2025): P.L.457, No.112, P.L.317, No.69
Printer's No. 1158 (Sep 10, 2025): P.L.457, No.112, P.L.317, No.69, P.L.154, No.13
Printer's No. 0456: P.L.457, No.112, P.L.317, No.69