Relating To Chapter 457j, Hawaii Revised Statutes.
The bill's impact is intended to enhance the legal recognition of traditional midwifery practices in Hawaii. It follows an effort to ensure the availability and accessibility of midwifery services for women seeking alternate forms of maternity care. For those practicing midwifery as birth attendants, the legislation provides a conditional exemption from licensure requirements, enabling them to continue their work without interruption during a defined transitional period.
House Bill 955, titled 'Sovereign's Law', aims to create a framework that permits traditionally-trained birth attendants to practice midwifery without needing a state-issued license until July 1, 2025. This bill is a response to the directive from Act 32, Session Laws of Hawaii 2019, which set a three-year timeframe for the establishment of standards and accountability for birth attendants. The new legislation would allow for a supervised practice and includes provisions recognizing the North American Registry of Midwives portfolio evaluation as a valid form of proof for completion of educational requirements for licensure.
The general sentiment surrounding HB 955 appears to be supportive from various stakeholders, particularly those advocating for the preservation of traditional midwifery practices among Native Hawaiians. However, there may be concerns regarding regulations and health standards, particularly among conventional health care providers who may feel that the absence of stringent licensure could complicate safety and oversight in maternity care.
Notable points of contention likely center around the adequacy of the proposed regulatory measures to ensure safety and accountability in midwifery practices. Critics of the bill might argue that allowing unlicensed practice could lead to potential health risks for mothers and infants, emphasizing the need for comprehensive oversight instead of relaxed licensure requirements. Proponents may counter these concerns by highlighting the importance of cultural competence and the need for more inclusive healthcare practices that respect traditional birthing methods.