Rhode Island 2025 Regular Session

Rhode Island House Bill H5858 Compare Versions

Only one version of the bill is available at this time.

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5	5	2025 -- H 5858
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7	7	LC001903
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9	9	S T A T E O F R H O D E I S L A N D
10	10	IN GENERAL ASSEMBLY
11	11	JANUARY SESSION, A.D. 2025
12	12	____________
13	13
14	14	A N A C T
15	15	RELATING TO HEALTH AND SAFETY -- MATERNAL AND CHILD HEALTH SERVICES
16	16	FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS
17	17	Introduced By: Representatives Stewart, Alzate, Cruz, Shallcross Smith, Kislak, Potter,
18	18	McGaw, and Casimiro
19	19	Date Introduced: February 28, 2025
20	20	Referred To: House Health & Human Services
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23	23	It is enacted by the General Assembly as follows:
24	24	SECTION 1. Section 23-13-9 of the General Laws in Chapter 23-13 entitled "Maternal and 1
25	25	Child Health Services for Children with Special Health Care Needs" is hereby amended to read as 2
26	26	follows: 3
27	27	23-13-9. Licensing and regulation of midwives — Penalty for violations. 4
28	28	(a) The state director of health is authorized and directed to make rules for the regulation 5
29	29	of the practice of midwifery and for the licensing of midwives, including regulations that require 6
30	30	the payment of an initial application fee equal to that fee that is imposed upon applicants for 7
31	31	licensure as nurse practitioners and a renewal fee also equivalent to that for nurse practitioners. The 8
32	32	rules regarding the regulation of the practice of midwifery shall authorize a licensed, certified 9
33	33	nurse-midwife (CNM) or a licensed, certified midwife (CM) to prescribe medications that might 10
34	34	be reasonably required by his or her patients; provided however, that a licensed, certified nurse-11
35	35	midwife (CNM) or a licensed, certified midwife (CM) shall prescribe any of those medications as 12
36	36	authorized by the director of health. The provisions of this section relating to prescription authority 13
37	37	by certified nurse-midwives and certified midwives shall be overseen by the department of health 14
38	38	as defined in the department’s rules and regulations for licensing of midwives (R23-13MID). No 15
39	39	person not a licensed midwife or a physician, registered under the provisions of chapter 37 of title 16
40	40	5, shall practice midwifery, or shall make a practice of attending women in childbirth for hire, or 17
41	41	use the name or title of midwife. Any person who violates the provisions of this section, or who 18
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45	45	violates any of the rules of the department of health made in pursuance of this section, shall be 1
46	46	fined not more than one hundred dollars ($100), or imprisoned not more than six (6) months, or 2
47	47	both, and the director of health may revoke the license issued to any person when, in the opinion 3
48	48	of the director of health, that person is guilty of unprofessional conduct. 4
49	49	(b) Scope of prescriptive authority for a certified professional midwife with prescriptive 5
50	50	authority under this section shall have the ability to order, obtain, carry and administer the following 6
51	51	medications in accordance with their training and practice: 7
52	52	(1) Lactation pumps and equipment; 8
53	53	(2) Nipple shields; 9
54	54	(3) Compression stockings and belts; 10
55	55	(4) Maternity belts; 11
56	56	(5) Diaphragms and cervical caps; 12
57	57	(6) Glucometers and testing strips; 13
58	58	(7) Iron supplements; 14
59	59	(8) Prenatal vitamins; 15
60	60	(9) Recommended vaccines; 16
61	61	(10) Prophylactic ophthalmic medication; 17
62	62	(11) Postpartum oxytocic; 18
63	63	(12) Vitamin K; 19
64	64	(13) Rho (D) immune globulin; 20
65	65	(14) Local anesthetic; 21
66	66	(15) Intravenous fluids and equipment; 22
67	67	(16) Sterile water for intradermal injections for pain relief; 23
68	68	(17) Magnesium sulfate for prevention or treatment of maternal peripartum seizures 24
69	69	pending transport; 25
70	70	(18) Epinephrine for use in maternal peripartum anaphylaxis resuscitation and neonatal 26
71	71	resuscitation; 27
72	72	(19) Measles, Mumps, and Rubella (MMR) vaccine to nonimmune postpartum individuals; 28
73	73	(20) Tetanus, diphtheria, acellular pertussis (Tdap) vaccine for use in pregnancy; 29
74	74	(21) Hepatitis B (HBV) birth dose for any newborn administration; 30
75	75	(22) HBIG and HBV for any neonates born to a hepatitis B positive gestational parent; 31
76	76	(23) Influenza vaccine; 32
77	77	(24) Any vaccines recommended by the Centers for Disease Control and Prevention (CDC) 33
78	78	advisory committee on immunization practices for pregnant or postpartum individuals or infants in 34
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82	82	the first two (2) weeks after birth or pregnant or postpartum individuals; 1
83	83	(25) Terbutaline to temporarily decrease contractions pending emergent intrapartum 2
84	84	transport; 3
85	85	(26) Antibiotics for intrapartum prophylaxis of Group B (beta hemolytic) Streptococcus 4
86	86	(GBS); 5
87	87	(27) Antihemorrhagic drugs to treat postpartum hemorrhage including, but not limited to, 6
88	88	intravenous tranexamic acid, oxytocin, misoprostol, methergine, and prostaglandin F2 alpha; 7
89	89	(28) Nifedipine for indication of preterm labor pending transport; 8
90	90	(29) Antibiotics; 9
91	91	(30) Antiemetics; 10
92	92	(31) Antivirals; 11
93	93	(32) Antifungals; 12
94	94	(33) Low-potency topical steroids; 13
95	95	(34) Antipruritic medications and therapies; 14
96	96	(35) Galactagogues; 15
97	97	(36) Topical analgesia for anal, vulvar, and perineal pain; 16
98	98	(37) Preterm labor preventatives; 17
99	99	(38) Stool softeners; 18
100	100	(39) Vitamins and minerals for preventing and treating deficiencies; 19
101	101	(40) Over-the-counter medications as needed; 20
102	102	(41) Nonopioid medication for therapeutic rest; 21
103	103	(42) Medications for miscarriage prevention and completion; 22
104	104	(43) Smoking cessation; 23
105	105	(44) Prescription referrals for IV iron infusions; 24
106	106	(45) Intraosseous; 25
107	107	(46) Umbilical venous catheters for neonatal resuscitation; 26
108	108	(47) Intramuscular tranexamic; 27
109	109	(48) Oxygen and equipment; 28
110	110	(49) Rhogam; 29
111	111	(50) All-purpose nipple ointment; and 30
112	112	(51) Injectable Lidocaine. 31
113	113	SECTION 2. This act shall take effect upon passage. 32
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120	120	EXPLANATION
121	121	BY THE LEGISLATIVE COUNCIL
122	122	OF
123	123	A N A C T
124	124	RELATING TO HEALTH AND SAFETY -- MATERNAL AND CHILD HEALTH SERVICES
125	125	FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS
126	126	***
127	127	This act would establish the scope of a certified professional midwife’s authority relating 1
128	128	to prescribing medication to patients. 2
129	129	This act would take effect upon passage. 3
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131	131	LC001903
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