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Just want to get the word out. There was a public hearing on this last Friday so now its important that CT residents contact members of the PUblic Health committe to voice their support for this bill. They will vote on it the 20th I believe and then if it passes committe it will go to the full legislature so you can contact your reps too.<br><br>
The CT chapter of the American College of Nurse-Midwives (ACNM) has<br>
proposed new legislation that would enable CNMs to practice more<br>
inter-dependently, rather than requiring the "supervision" that is<br>
currently in place. It would more closely match the care that is<br>
currently being provided by CNMs (for example the current law says 'care<br>
of normal, essentially healthy women' however if someone has a mild<br>
blood pressure problem someone prosecuting a CNM could argue that the<br>
client was no longer normal/healthy and theoretically the CNM would then<br>
be practicing medicine)<br><br><br>
Here is the bill: Below is the new language. Old info is in brackest. New stuff was underlined in the email i cut and pasted from but the underlines didn't work in the post.<br>
AN ACT CONCERNING NURSE MIDWIFERY.<br><br>
Be it enacted by the Senate and House of Representatives in General Assembly convened:<br><br>
Section 1. Subdivision (1) of section 20-86a of the general statutes is repealed and the following is substituted in lieu thereof (Effective October 1, 2006):<br><br>
For the purposes of sections 20-86a to 20-86e, inclusive, as amended by this act:<br><br>
(1) "Nurse-midwifery" means the independent management of [care of essentially normal newborns and women, antepartally, intrapartally, postpartally and gynecologically, occurring within a health care team, directed by a qualified obstetrician-gynecologist] women's health care, focusing particularly on common primary care issues, family planning, gynecological needs, pregnancy, childbirth, the postpartum period and the care of newborns, occurring within a health care team.<br><br>
Sec. 2. Section 20-86b of the 2006 supplement to the general statutes is repealed and the following is substituted in lieu thereof (Effective October 1, 2006):<br><br>
[A clinical practice relationship shall exist between each nurse-midwife and an obstetrician-gynecologist and shall be based upon mutually agreed upon medical guidelines and protocols. Such protocols shall be in writing and contain a list of medications, devices and laboratory tests that may be prescribed, dispensed or administered by the nurse-midwife. Such protocols shall be provided to the Department of Public Health upon request of the department. The term "directed" does not necessarily imply the physical presence of an obstetrician-gynecologist while care is being given by a nurse-midwife.] Each nurse-midwife shall practice within a health care system that provides for consultation, collaborative management or referral, as indicated by the health status of the patient, that is consistent with the standards of care established by the American College of Nurse Midwives. Each nurse-midwife shall provide each patient with information regarding, or referral to, other providers and services upon request of the patient or when the care required by the patient is not within the midwife's scope of practice. Each nurse-midwife shall sign the birth certificate of each infant delivered by the nurse-midwife. A nurse-midwife may make the actual determination and pronouncement of death of an infant delivered by the nurse-midwife provided: (1) The death is an anticipated death; (2) the nurse-midwife attests to such pronouncement on the certificate of death; and (3) the nurse-midwife or a physician licensed pursuant to chapter 370 certifies the certificate of death not later than twenty-four hours after such pronouncement.<br><br>
Sec. 3. Section 20-86c of the general statutes is repealed and the following is substituted in lieu thereof (Effective October 1, 2006):<br><br>
(a) The Department of Public Health may issue a license to practice nurse-midwifery upon receipt of a fee of one hundred dollars, to an applicant who (1) is eligible for registered nurse licensure in this state, under sections 20-93 or 20-94; (2) holds and maintains current certification from the American College of Nurse-Midwives; and (3) has completed thirty hours of education in pharmacology for nurse-midwifery. No license shall be issued under this section to any applicant against whom professional disciplinary action is pending or who is the subject of an unresolved complaint.<br><br>
(b) Any registered nurse who is licensed at the time of application in another state of the United States, the District of Columbia or a commonwealth or territory subject to the laws of the United States, that has licensure requirements that are substantially similar to or higher than those of this state shall be eligible for licensure, provided the applicant (1) has completed or is enrolled in a nurse-midwifery program approved by the American College of Nurse-Midwifery that grants no less than a bachelor's degree, if the applicant does not already hold a bachelor's degree prior to enrolling in such nurse-midwifery program, (2) demonstrates proficiency in the English language, which may require evidence of successful completion of an English proficiency examination, if the applicant's dominant language is other than English, (3) provides evidence of formal recognition as a midwife in another state of the United States, the District of Columbia or a commonwealth or territory subject to the laws of the United States, and (4) provides documentation of his or her education in another state of the United States, the District of Columbia or a commonwealth or territory subject to the laws of the United States.<br><br>
Sec. 4. Section 20-86d of the general statutes is repealed and the following is substituted in lieu thereof (Effective October 1, 2006):<br><br>
The Commissioner of Public Health shall appoint a committee of three nurse-midwives, each of whom shall be licensed under this chapter and actively engaged in the practice of nurse-midwifery for not less than five years, and shall seek their advice and assistance in the administration of the program of regulation of nurse-midwives. No person who holds an office in the Connecticut Chapter of the American College of Nurse Midwives may be appointed to the committee.<br><br>
Sec. 5. (NEW) (Effective October 1, 2006) Nothing in chapter 377 of the general statutes shall be construed to prohibit graduates of nurse-midwifery programs approved by the American College of Nurse-Midwives from practicing midwifery for a period not to exceed (1) ninety calendar days after the date of graduation, or (2) the date upon which the graduate is notified that he or she has failed the licensure examination, whichever is shorter, provided (A) such graduate nurses are working in a hospital or organization where adequate supervision, as determined by the Commissioner of Public Health, is provided, and (B) such hospital or other organization has verified that the graduate nurse has successfully completed a midwifery program approved by the American College of Nurse-Midwives.<br><br><br><br><br><br><br><br><br><br>
This act shall take effect as follows and shall amend the following sections:<br><br>
Section 1<br><br><br>
October 1, 2006<br><br><br>
20-86a(1)<br><br>
Sec. 2<br><br><br>
October 1, 2006<br><br><br>
20-86b<br><br>
Sec. 3<br><br><br>
October 1, 2006<br><br><br>
20-86c<br><br>
Sec. 4<br><br><br>
October 1, 2006<br><br><br>
20-86d<br><br>
Sec. 5<br><br><br>
October 1, 2006<br><br><br>
New section<br><br>
Statement of Purpose:<br><br>
To revise scope of practice and licensure requirements for nurse-midwives.<br><br>
[Proposed deletions are enclosed in brackets. Proposed additions are indicated by underline, except that when the entire text of a bill or resolution or a section of a bill or resolution is new, it is not underlined.]
 
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