Parents successfully lobbied the state to open Arizona rules to allow for increased scope of practice, parents wanted midwives to be able to attend twins, breeches and vbac at home. So It is the end of that rule making process and in the most recent draft of the rules , they removed the administration of any and all meds and administration of vitamin K to newborns. In addition they are requiring 1 ultrasound and several tests including HIV - if any of the tests are refused we cannot provide care. Basically there is no informed concent, and coercion to agree to all tests in order to have a midwife attended homebirth.
The rules allowing us to administer meds has been there since the 90's .
Also the new assistant director of the health department is an OB, so they should know better .