Bills › 90th General Assembly
Relating to midwife licensure, providing for fees, and making penalties applicable
Sponsored by the House Ways and Means Committee
Topics:Taxes
Where it is now
- Done: IntroducedFebruary 13, 2023
- Done: SubcommitteeFebruary 20, 2023
- Done: House committeeFebruary 28, 2023
- Done: Passes the HouseMarch 21, 202391–3
- Done: Senate committeeMarch 29, 2023
- Done: Passes the SenateMay 3, 202346–2
- Done: To the GovernorMay 11, 2023
- Done: Signed into lawJune 1, 2023
Signed into law What’s a funnel?
What’s in it
This bill relates to the practice of midwifery in Iowa. The bill requires a person practicing midwifery in Iowa to obtain a license to practice beginning July 1, 2024. The bill exempts from regulation health care providers providing services consistent with midwifery, members of Native American tribes or Mennonite or Amish communities providing traditional midwife services, persons who gratuitously engage in the practice of the religious tenets of a church or a religious act, student midwives, and persons rendering emergency aid.
Read the full explanation
Prior to obtaining a midwifery license, a person must be at least years of age, submit proof of a high school diploma or equivalent, submit a fee, submit proof of having completed an educational program or pathway, and hold a current certified professional midwife certificate from the North American registry of midwives. The bill prohibits any person other than a licensed midwife from using the title “licensed midwife”. The bill provides an alternative means to completion of an educational program or pathway for persons who received a certified professional midwife certification prior to July 1, 2024, or who received a license from a state that does not require completion of an educational program or pathway. The bill creates the board of midwifery to regulate the practice of midwifery in Iowa and makes conforming changes to Code chapters 147 and 272C. The bill requires the board to adopt certain rules for the practice of midwifery and prohibits the board from adopting rules allowing a licensed midwife to order or administer narcotics, limiting the locations where a midwife may practice, or requiring a midwife to practice under a collaborative practice agreement with another health care provider. The bill provides certain requirements for initial appointments of members to the board of midwifery. The bill limits the liability of a health care provider accepting a transfer of clients from a licensed midwife with respect to outcomes that are the result of actions of the midwife. The bill also requires insurance providers that provide maternity benefits to cover maternity services provided by licensed midwives on the same terms as for similar benefits provided by other providers.
From the explanation printed with the bill as introduced, written by the Legislative Services Agency. Amendments adopted later aren’t reflected. Full bill text · What changed before it passed
Senate subcommittee
Named April 4, 2023. Meeting: Wednesday, April 5 · 8:30 AM · Room 217 Conference Room.
Three legislators hear a bill first and recommend what the committee should do; it’s the best time to weigh in. How to take part
Fiscal note
Cost: up to $149,000 Compare with other bills
The HHS reports that initial start-up costs of establishing a new licensing board would require an estimated $149,000 in FY 2024. Of this amount, $94,000 is attributable to database modification costs, $25,000 is for administrative and staffing costs, and $30,000 is for support costs paid to the Attorney General’s Office. Ongoing costs are anticipated by the HHS to be $43,000 annually.
- Final Fiscal Note — Midwives, Licensure · May 10, 2023
- Midwives, Licensure · May 3, 2023
- Midwives, Licensure · March 8, 2023
Nonpartisan cost estimates from the Legislative Services Agency’s Fiscal Services Division. The newest is first. Reading a fiscal note
Iowa Code it changes
Creates§148I.1§148I.2§148I.3§148I.4§148I.5§148I.6§514C.12A
Amends§147.1§147.13§147.14§147.74§272C.1§272C.4
Read from the bill as introduced. Each links to every bill touching that chapter of the Iowa Code. How the Code works
Lobbying
6 for · 5 against · 13 undecided · Who →
Family tree
Where this legislation came from and where it went: earlier tries, the versions it moved through this Assembly, and later bills built on it.
90th General Assembly
Earlier and later bills are matched by wording or an identical title; check the text to be sure it’s the same idea.
Tried before
This idea has been filed in an earlier General Assembly. None became law, though one got through a chamber.
- HF 2291 Relating to midwife licensure, providing for fees, and making penalties applicable89th General Assembly · Renumbered as HF 2547 · same titleCleared committee
- HF 2547 Relating to midwife licensure, providing for fees, and making penalties applicable89th General Assembly · Passed House · nearly identicalPassed a chamber
Matched by the wording of each bill’s explanation, or an identical title. Companion bills and renumbered versions of this bill aren’t listed; they’re the same bill.