Existing law requires a midwife to perform certain duties relating to the registration of a birth and the care of a person who is pregnant or a newborn infant. (NRS 440.280, 440.340. 440.740, 440.770, 442.008, 442.030-442.110, 442.600-442.680) Sections 1.1 and 3 of this bill define the term “midwife” for those purposes to include a Certified Professional Midwife, a Certified Nurse-Midwife or any other type of midwife. Sections 1.3-2.9, 4-9.7, 29.5 and 33.5 of this bill replace the term “mother” and similar terms with references to a person who is pregnant, a person giving birth, a person who gave birth or a person who has given birth, as appropriate, for purposes relating to vital statistics, maternal and child health and medical facilities and related entities. Section 22 of this bill replaces the term “gender transition” with the term “gender-affirming surgery.” Section 23 of this bill replaces a reference to lesbian, gay, bisexual, transgender and questioning persons with a reference to persons with various sexual orientations and gender identities and expressions. Existing law: (1) defines the term “obstetric center” to mean a facility that is not part of a hospital and provides services for normal, uncomplicated births; and (2) provides for the regulation of an obstetric center as a medical facility. (NRS 449.0155, 449.0302) Sections 1, 1.9, 2, 4, 5, 36.3 and 36.7 of this bill replace the term “obstetric center” with the term “freestanding birthing center.” Sections 3 and 11 of this bill define the term “freestanding birthing center” to mean a facility that provides maternity care and birthing services in a location similar to a residence. Section 13 of this bill makes a conforming change to indicate the proper placement of section 11 in the Nevada Revised Statutes. Sections 13.5 and 34.5 of this bill require a freestanding birthing center to be licensed as a medical facility and comply with provisions governing medical facilities. Section 36.5 of this bill declares existing regulations governing obstetric centers void, and sections 16.5 and 36.5 of this bill require the State Board of Health to adopt specific regulations governing the licensure and operation of freestanding birthing centers. Section 29.5 of this bill: (1) requires a freestanding birthing center to meet certain requirements currently applicable to obstetric centers; (2) requires a freestanding birthing center to be located within 30 miles of a hospital that offers services relating to pregnancy and newborn infants; (3) prohibits the performance of surgery at a freestanding birthing center; and (4) requires a freestanding birthing center to have a director who possesses certain qualifications. Section 36.7 of this bill repeals certain unnecessary definitions, and sections 34.2, 34.7 and 34.9 of this bill make conforming changes to add or remove references to those definitions. Existing law: (1) requires the Maternal Mortality Review Committee to investigate each case of maternal mortality in this State; and (2) authorizes the Committee to access certain information in the performance of its duties. (NRS 442.767, 442.774) Existing law requires the Chief Medical Officer to establish and maintain a system for the reporting of information on cancer and other neoplasms. (NRS 457.230) Section 9.7 of this bill authorizes the Committee to access information in that system.

Statutes affected:
As Introduced: 440.283, 440.285, 442.003, 442.008, 442.040, 442.110, 442.325, 442.610, 442.680, 449.001, 449.0155, 449.029, 449.0301, 449.0307, 449.0308, 449.089, 449.091, 449.101, 449.102, 449.103, 449.104, 449.132, 449.160, 449.163, 449.165, 449.171, 449.209, 449.210, 449.220, 449.240, 449.246, 449A.056
Reprint 1: 440.030, 440.280, 440.283, 440.285, 440.287, 440.325, 440.610, 442.003, 442.008, 442.040, 442.110, 442.130, 442.137, 442.325, 442.400, 442.405, 442.410, 442.610, 442.650, 442.680, 442.761, 442.774, 449.001, 449.0155, 449.029, 449.0301, 449.0307, 449.0308, 449.089, 449.091, 449.101, 449.102, 449.103, 449.104, 449.132, 449.160, 449.163, 449.165, 449.171, 449.209, 449.210, 449.220, 449.240, 449.245, 449.246, 449A.056
Reprint 2: 439.805, 440.030, 440.280, 440.283, 440.285, 440.287, 440.325, 440.610, 442.003, 442.008, 442.040, 442.130, 442.137, 442.400, 442.405, 442.410, 442.650, 442.761, 442.774, 449.001, 449.0151, 449.0302, 449.102, 449.103, 449.198, 449.245, 449A.001, 449A.050, 449A.114, 449A.218
Reprint 3: 439.805, 440.030, 440.280, 440.283, 440.285, 440.287, 440.325, 440.610, 442.003, 442.008, 442.040, 442.130, 442.137, 442.400, 442.405, 442.410, 442.650, 442.761, 442.774, 449.001, 449.0151, 449.0302, 449.102, 449.103, 449.198, 449.245, 449A.001, 449A.050, 449A.114, 449A.218
As Enrolled: 439.805, 440.030, 440.280, 440.283, 440.285, 440.287, 440.325, 440.610, 442.003, 442.008, 442.040, 442.130, 442.137, 442.400, 442.405, 442.410, 442.650, 442.761, 442.774, 449.001, 449.0151, 449.0302, 449.102, 449.103, 449.198, 449.245, 449A.001, 449A.050, 449A.114, 449A.218