At the Midwifery Advisory Council meeting on August 8th, CAM reported on amendments expected soon from Assemblymember Susan Bonilla to her bill regarding midwifery.
Amendments that are expected include:
- Removal of the physician supervision requirement, which will allow LMs to become Medi-Cal providers.
- A definition of normal birth and the requirement that LMs attend only those births which fall within the normal birth definition. The normal birth definition includes women who do not have any preexisting disease or condition impacting pregnancy, or any disease arising from pregnancy, and women who do have preexisting disease or condition or a disease arising from pregnancy who have an examination by an obstetrician who determines that the client meets the criteria for normal birth. The normal birth definition includes only births of singleton, vertex babies between 37-42 weeks.
- Allow for concurrent care for pregnant women who don’t meet the criteria for normal pregnancy and birth.
- Limits physician liability for consultations with clients planning out of hospital birth and for transfers from out of hospital birth.
- Authorizes LMs to directly obtain drugs, devices and testing related to midwifery practice.
- Adds requirements to the LM disclosure.
- Require LMs to provide records and give report to the physician receiving a transfer of care.
- Require hospitals to report each transfer using a standardized form for the purposes of collecting data for quality improvement on the part of hospitals receiving transfers from out-of-hospital births.
- Allow the Medical Board to adjust the data elements for the annual reporting so that the licensed midwife annual report will give better, more useful data, similar to MANA stats data.
- Add LMs as providers in licensed alternative birth centers.
AB 1308 is expected to move to the full senate in the next few weeks.