KRS 314.404: Board of Nursing to promulgate administrative regulations based upon

recommendations of the council -- Standards for training programs --

Licensing requirements -- Disciplinary action -- Fees -- Informed consent --

Authority to order medical test s and administer medications -- Information to

be included in licensee's annual report to the board -- Requirement to report

cases of newborn or maternal death -- Conditions requiring collaboration,

consultation, or referral to a physician or other health care provider.

The board shall promulgate administrative regulations, based upon recommendations of

the council, in accordance with KRS Chapter 13A to:

(1) Establish required standards for training programs for licensed certified professional

midwives;

(2) Establish licensing requirements for licensed certified professional midwives,

including but not limited to:

(a) Educational requirements that are consistent with United States educational

accreditation standards and the United States Midwifery Educati on,

Regulation, and Association statement on the licensure of certified

professional midwives;

(b) Competency validation certified by a national organization or agency that

meets United States accreditation standards and recognized by the board; and

(c) Licensed certified professional midwife preceptor programs;

(3) Establish statewide requirements for licensed certified professional midwives and

hospitals regarding the transfer of care from a licensed certified professional

midwife to a hospital as develop ed by the Transfer Guidelines Work Group

established in KRS 314.414;

(4) Establish provisions for disciplinary actions for licensed certified professional

midwives;

(5) Establish fees for the initial license not to exceed one thousand dollars ($1,000),

renewal of a license, reinstatement of a license, and other fees as may be necessary,

for licensed certified professional midwives;

(6) Establish requirements for informed consent by individuals receiving services from

a licensed certified professional midwife, which shall include:

(a) A description of the licensed certified professional midwife's education and

credentials;

(b) A description of the scope of practice of certified professional midwifery

permitted under KRS 314.400 to 314.414, including a summary of the

limitations of the skills and practices of a licensed certified professional

midwife;

(c) Instructions for obtaining a copy of the administrative regulations

promulgated by the board pursuant to this section;

(d) Instructions for filing complaints with the board;

(e) A written protocol for emergencies, including transfer to a higher level of

care;

(f) A description of the procedures, benefits, and risks of birth in the client's

chosen environment, primarily those c onditions that may arise during

delivery;

(g) Disclosure of professional liability insurance held by the licensed certified

professional midwife;

(h) A summary of the requirements for consultation, referral or transfer of care as

promulgated by administrative regulation by the board under this section;

(i) Procedures established by the licensed certified professional midwife for

referral or transfer of care of a client to a physician or other appropriate

healthcare providers;

(j) Procedures established by t he licensed certified professional midwife for

consultation or collaboration; and

(k) Any other information deemed necessary by the board for the patient to

provide informed consent for care by a licensed certified professional

midwife;

(7) Establish a lis t of medical tests that a licensed certified professional midwife may

order when providing certified professional midwifery services that is limited to

only those tests that are indicated and approved for the safe conduct of pregnancy,

labor and birth, and care of a client and not intended for the diagnosis or

management of any acute condition unrelated to pregnancy;

(8) Establish a formulary of legend medications that a licensed certified professional

midwife may obtain, transport, and administer when providing certified professional

midwifery services that is limited to only those medications that are indicated and

approved by the board for the safe conduct of pregnancy, labor and birth, and

immediate care of the newborn, immediate management of obstetrica l emergencies,

or performance of routine prophylactic measures, and that the licensed certified

professional midwife is approved to administer and monitor. This subsection shall

not be interpreted to bestow prescriptive authority, and the formulary shall n ot

include Schedule II, III, IV, or V drugs as defined in the Controlled Substances Act,

21 U.S.C. secs. 812 et seq.;

(9) Further regulate, as necessary, the provision of certified professional midwifery

services;

(10) Require licensed certified profession al midwives to report to the board annually as

specified by the board the following information regarding cases in which the

licensed certified professional midwife provided services when the intended place

of birth at the onset of care was in an out-of-hospital setting:

(a) The total number of clients provided certified professional midwife services at

the onset of care;

(b) The number of live births attended as a licensed certified professional

midwife;

(c) The number of cases of fetal demise, newborn dea ths, and maternal deaths

attended as a licensed certified professional midwife at the discovery of the

demise or death;

(d) The number, reason for, and outcome of each transport of a client in the

antepartum, intrapartum, or immediate postpartum periods;

(e) A brief description of any complications resulting in the morbidity or

mortality of a mother or a newborn;

(f) Planned location of delivery and the actual location of delivery; and

(g) Any other information deemed necessary by the board;

(11) Require licensed certified professional midwives to report to the board, within thirty

(30) days of the occurrence, a case of newborn or maternal death attended by a

licensed certified professional midwife at the discovery of the death; and

(12) Define a list of con ditions requiring collaboration, consultation, or referral of a

client to a physician or other appropriate licensed health care provider, and the

process for such collaboration, consultation, or referral.