Rep. Norm Thurston — Voting Record

Bill

Number

S.B. 166 (2017GS)

Sponsor

Sen. Henderson, D.

Final action

Governor Signed 3/17/2017

Outcome

Became law — signed by Gov. Gary R. Herbert

Summary

What it does

• This bill:
• modifies the definition of the "practice of direct-entry midwifery" to include giving one dose of oxytocin to a client after the delivery of a baby; and
• makes technical changes.

Every vote on this bill

Bill text

OCCUPATIONAL AND PROFESSIONAL LICENSING
AMENDMENTS
GENERAL SESSION
STATE OF UTAH
Chief Sponsor: Deidre M. Henderson
House Sponsor: 
Michael S. Kennedy
LONG TITLE
General Description:
This bill modifies provisions of the Direct-Entry Midwife Act.
Highlighted Provisions:
This bill:
▸ modifies the definition of the "practice of direct-entry midwifery" to include giving
one dose of oxytocin to a client after the delivery of a baby; and
▸ makes technical changes.
Money Appropriated in this Bill:
None
Other Special Clauses:
None
Utah Code Sections Affected:
AMENDS:
58-77-102
, as last amended by Laws of Utah 2008, Chapter 365
Be it enacted by the Legislature of the state of Utah:
Section 1. Section 
58-77-102
 is amended to read:
58-77-102.
Definitions.
In addition to the definitions in Section 
58-1-102
, as used in this chapter:
(1) "Board" means the Licensed Direct-entry Midwife Board created in Section
58-77-201
.
(2) "Certified nurse-midwife" means a person licensed under Title 58, Chapter 44a,
Nurse Midwife Practice Act.
(3) "Client" means a woman [
under the care of a direct-entry midwife
] and her fetus or
newborn 
baby under the care of a direct-entry midwife
.
(4) "Direct-entry midwife" means an individual who is engaging in the practice of
direct-entry midwifery.
(5) "Licensed direct-entry midwife" means a person licensed under this chapter.
(6) "Low risk" means a labor and delivery and postpartum, newborn
,
 and
interconceptual care that does not include a condition that requires a mandatory transfer under
administrative rules adopted by the division.
(7) "Physician" means an individual licensed as a physician and surgeon, osteopathic
physician, or naturopathic physician.
(8) "Practice of direct-entry midwifery" means 
the
 practice of providing the necessary
supervision, care, and advice to a client during essentially normal pregnancy, labor, delivery,
postpartum, and newborn periods that is consistent with national professional midwifery
standards and that is based upon the acquisition of clinical skills necessary for the care of 
a
pregnant [
women and newborns
] 
woman and a newborn baby
, including antepartum,
intrapartum, postpartum, newborn, and limited interconceptual care
,
 and includes:
(a) obtaining an informed consent to provide services;
(b) obtaining a health history, including a physical examination;
(c) developing a plan of care for a client;
(d) evaluating the results of client care;
(e) consulting and collaborating with and referring and transferring care to licensed
health care professionals, as is appropriate, regarding the care of a client;
(f) obtaining medications, as specified in this Subsection (8)(f), to administer to
[
clients
] 
a client
, including:
(i) prescription vitamins;
(ii) Rho D immunoglobulin;
(iii) sterile water;
(iv) one dose of intramuscular oxytocin after the delivery of [
the placenta
] 
a baby
 to
minimize 
a client's
 blood loss;
(v) an additional single dose of oxytocin if a hemorrhage occurs, in which case the
licensed direct-entry midwife must initiate transfer if [
the
] 
a
 client's condition does not
immediately improve;
(vi) oxygen;
(vii) local anesthetics without epinephrine used in accordance with Subsection (8)(l);
(viii) vitamin K to prevent hemorrhagic disease of [
the
] 
a
 newborn 
baby
;
(ix) 
as required by law,
 eye prophylaxis to prevent opthalmia neonatorum [
as required
by law
]; and
(x) any other medication approved by a licensed health care provider with authority to
prescribe that medication;
(g) obtaining food, food extracts, dietary supplements, as defined by the federal Food,
Drug, and Cosmetic Act, homeopathic remedies, plant substances that are not designated as
prescription drugs or controlled substances, and over-the-counter medications to administer to
clients;
(h) obtaining and using appropriate equipment and devices such as 
a
 Doppler, 
a
 blood
pressure cuff, phlebotomy supplies, instruments, and sutures;
(i) obtaining appropriate screening and testing, including laboratory tests, urinalysis,
and ultrasound 
scans
;
(j) managing the antepartum period;
(k) managing the intrapartum period
,
 including:
(i) monitoring and evaluating the condition of 
a
 mother and 
a
 fetus;
(ii) performing 
an
 emergency episiotomy; and
(iii) delivering 
a baby
 in any out-of-hospital setting;
(l) managing the postpartum period
,
 including 
the
 suturing of 
an
 episiotomy [
or
] 
and
the suturing of
 first and second degree natural perineal and labial lacerations, including the
administration of a local anesthetic;
(m) managing the newborn period
,
 including:
(i) providing care for [
the
] 
a
 newborn 
baby
, including performing a normal newborn
baby
 examination; and
(ii) resuscitating a newborn 
baby
;
(n) providing limited interconceptual services in order to provide continuity of care
,
including:
(i) breastfeeding support and counseling;
(ii) family planning, limited to natural family planning, cervical caps, and diaphragms;
and
(iii) pap smears, where [
all clients with abnormal results are
] 
each client with an
abnormal result is
 to be referred to an appropriate licensed health care provider; and
(o) executing the orders of a licensed health care professional, [
only
] 
if the orders are
within the education, knowledge, and skill of the direct-entry midwife.
(9) "Unlawful conduct" [
is as
] 
means the same as that term is
 defined in Sections
58-1-501
 and 
58-77-501
.
(10) "Unprofessional conduct" [
is as
] 
means the same as that term is
 defined in
Sections 
58-1-501
 and 
58-77-502
 and as may be further defined by rule.