BILL NUMBER: SB 1479	INTRODUCED
	BILL TEXT


INTRODUCED BY   Senator Figueroa

                        FEBRUARY 10, 2000

   An act to amend Sections 2507 and 2508 of the Business and
Professions Code, relating to midwifery.


	LEGISLATIVE COUNSEL'S DIGEST


   SB 1479, as introduced, Figueroa.  Midwives: authorized practices.

   Under existing law, licensed midwives are required to practice
under the supervision, as specified, of a licensed physician and
surgeon.  A licensed midwife is also required to make specified
disclosures to a client regarding the supervising physician's role.
A violation of the licensing statutes for midwifery is a misdemeanor.

   This bill would delete the requirement that midwives practice
under the supervision of a licensed physician and surgeon and would
provide, instead, that midwives have a duty to have specific
arrangements regarding medical care.  The bill would also modify the
disclosures that are to be made to a client.  By changing the duties
for midwives, this bill creates new crimes and imposes a
state-mandated local program.
  The California Constitution requires the state to reimburse local
agencies and school districts for certain costs mandated by the
state. Statutory provisions establish procedures for making that
reimbursement.
   This bill would provide that no reimbursement is required by this
act for a specified reason.
   Vote:  majority.  Appropriation:  no.  Fiscal committee:  yes.
State-mandated local program:  yes.


THE PEOPLE OF THE STATE OF CALIFORNIA DO ENACT AS FOLLOWS:


  SECTION 1.  Section 2507 of the Business and Professions Code is
amended to read:
   2507.  (a) The license to practice midwifery authorizes the holder
 , under the supervision of a licensed physician and surgeon,
 to attend cases of normal childbirth and to provide
prenatal, intrapartum, and postpartum care, including family-planning
care, for the mother, and immediate care for the newborn.
   (b) As used in this article, the practice of midwifery constitutes
the furthering or undertaking by any licensed midwife  ,
under the supervision of a licensed physician and surgeon who has
current practice or training in obstetrics,  to assist a
woman in childbirth so long as progress meets criteria accepted as
normal.  All complications shall be referred to a physician
immediately.  The practice of midwifery does not include the
assisting of childbirth by any artificial, forcible, or mechanical
means, nor the performance of any version.
   (c)  As used in this article, "supervision" shall not be
construed to require the physical presence of the supervising
physician.
   (d) The ratio of licensed midwives to supervising physicians shall
not be greater than four individual licensed midwives to one
individual supervising physician   It shall be the duty
of the midwife to have specific arrangements for all of the
following:
   (1) Obstetrical consultation.
   (2) Transfer of care during the prenatal period.
   (3) Hospital transfer during the intrapartum and postpartum
periods.
   (4) Access to appropriate emergency medical services for mother
and baby  .  
   (e)  
   (d)  A midwife is not authorized to practice medicine and
surgery by this article.
  SEC. 2.  Section 2508 of the Business and Professions Code is
amended to read:
   2508.  (a) If a licensed midwife does not have liability coverage
for the practice of midwifery, he or she shall disclose to a client
that fact.
   (b)  A licensed midwife shall disclose to a client that a
specific physician is being briefed regularly concerning the client's
pregnancy and that the physician is prepared to take care of
complications in the hospital if necessary.   It shall
be the duty of the midwife to disclose to each client the specific
arrangements for all of the following:
   (1) Obstetrical consultation.
   (2) Transfer of care during the prenatal period.
   (3) Hospital transfer during the intrapartum and postpartum
periods.
   (4) Access to appropriate emergency medical services for mother
and baby. 
  SEC. 3.  No reimbursement is required by this act pursuant to
Section 6 of Article XIIIB of the California Constitution because the
only costs that may be incurred by a local agency or school district
will be incurred because this act creates a new crime or infraction,
eliminates a crime or infraction, or changes the penalty for a crime
or infraction, within the meaning of Section 17556 of the Government
Code, or changes the definition of a crime within the meaning of
Section 6 of Article XIIIB of the California Constitution.