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 physicianIt 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.