Establishes the scope of a certified professional midwife’s authority relating to prescribing medication to patients.
Impact
This bill's passage is likely to have a significant impact on state laws governing midwifery and women's health services. By aligning the fees and regulations for midwives with those of nurse practitioners, the bill further standardizes the practices within the healthcare system, potentially improving access to maternal care in areas underserved by traditional healthcare providers. The ability of midwives to prescribe medications could also facilitate more timely care for mothers and infants before, during, and immediately after childbirth.
Summary
Bill S0478 amends existing legislation concerning the regulation and licensing of midwives under Chapter 23-13 of the General Laws, which focuses on maternal and child health services for children with special healthcare needs. The bill seeks to enhance the scope of practice for licensed, certified midwives, particularly by granting them prescriptive authority for certain medications relevant to their practice. The inclusion of a variety of medications, ranging from lactation-related equipment to essential vaccines, aims to empower midwives to provide comprehensive care during pregnancy, childbirth, and postpartum periods.
Contention
Despite its potential benefits, there are notable points of contention surrounding S0478. Advocates for midwifery support the expanding role and responsibilities of licensed midwives, arguing that this will lead to improved outcomes in maternal and child health. However, opponents may express concerns regarding safety, qualifications, and the implications of allowing midwives the authority to prescribe medications, which traditionally falls under the purview of physicians. The discussions during voting and committee reviews could reflect these varying opinions, influencing the bill's ultimate fate.
Senate Resolution Recognizing March 14, 2023, As "black Midwives Day" To Shed Light On The History, Politics, Culture, And Identity Of Black Midwifery In The Context Of A National Conversation About Maternal Health, And The Importance Of Midwifery Care As An Essential Strategy In Reducing Maternal Mortality And Morbidity Among Black Birthing People
Allows an out-of-state health care practitioner to provide telehealth services to a patient located in this state if the services are consistent with the practitioner's scope of practice and state and federal professional standards.
Allows an out-of-state health care practitioner to provide telehealth services to a patient located in this state if the services are consistent with the practitioner's scope of practice and state and federal professional standards.
Establishes the process to provide a legal mechanism whereby a terminally ill patient may choose to end their life using medications prescribed by a physician.
Establishes the process to provide a legal mechanism whereby a terminally ill patient may choose to end their life using medications prescribed by a physician.
Establishes that the elective and/or independent administration of propofol and all FDA classified general anesthetics for any surgery or procedure is not within the "scope of practice" of nurse practitioners as defined in § 5-34-3.