Montana 2023 Regular Session

Montana House Bill HB392

Introduced
2/2/23  
Refer
2/3/23  
Engrossed
2/23/23  
Refer
3/13/23  
Enrolled
4/3/23  

Caption

Generally revise midwifery laws

Impact

If enacted, HB 392 will significantly amend existing regulations around midwifery practice, allowing direct-entry midwives to directly obtain and manage various medications including postpartum antihemorrhagic agents, local anesthetics, and antibiotics, among others. This change is expected to improve the quality of care provided during childbirth by enabling midwives to act more autonomously in emergencies, potentially leading to better outcomes for mothers and newborns. Additionally, it may help address barriers that midwives face in accessing essential medical supplies and medications.

Summary

House Bill 392 focuses on revising laws concerning direct-entry midwives in the state. The bill aims to expand the capabilities of licensed direct-entry midwives to obtain and administer certain prescription drugs that are vital for the performance of their duties. Notably, the bill stipulates that midwives must complete specific accredited educational courses in pharmacology before being authorized to administer these drugs, thereby ensuring they are competent and knowledgeable in drug administration when providing care.

Sentiment

The sentiment regarding HB 392 appears to be largely positive among supporters, who view it as a necessary update that reflects the evolving nature of healthcare delivery and the critical role of midwives in maternal care. They argue that the ability to administer prescribed treatments addresses the needs of families and supports midwives in providing comprehensive care. However, there may also be concerns regarding the adequacy of the training provided and whether it fully prepares midwives for the responsibilities granted under the new amendments.

Contention

Despite the broadly favorable view towards HB 392, there are underlying concerns about safety and governance. Critics may express worries about the implications of allowing midwives greater autonomy in drug administration without sufficient oversight. The discussions around the protocols and guidelines—particularly how they will be established and enforced—are important points of contention that could influence the bill's implementation and effectiveness.

Companion Bills

No companion bills found.

Previously Filed As

MT H5858

Establishes the scope of a certified professional midwife’s authority relating to prescribing medication to patients.

MT S0478

Establishes the scope of a certified professional midwife’s authority relating to prescribing medication to patients.

MT HB1081

Midwifery; provide for licensure and regulation of.

MT SB2793

Midwifery; provide for licensure and regulation of.

MT SB2033

Midwifery; provide for licensure and regulation of.

MT SB2080

Midwifery; provide for licensure and regulation of.

MT HB1386

Midwifery; provide for licensure and regulation of.

MT HB1535

Midwifery; provide for licensure and regulation of.

MT HB927

Midwifery; provide for licensure and regulation of.

MT SB87

Board of Midwifery; revise powers

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