Bills › 90th General Assembly
Where it is now
- Done: IntroducedJanuary 24, 2023
- Done: SubcommitteeJanuary 24, 2023
- Done: House committeeFebruary 8, 2023
- Skipped: Passes the HouseContinued as HF 265
- Next: Senate committee
- Next: Passes the Senate
- Next: To the Governor
- Next: Signed into law
Became HF 265 → Its progress continues under the new number. Go to HF 265 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. _____ by licensed midwives on the same terms as for similar benefits provided by other providers.
Changed since by amendment S-3218; see Amendments.
House subcommittee
Named January 24, 2023. Meeting: Wednesday, February 1 · 4:30 PM · House Lounge 2.
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
5 written public comments to its subcommittee: April 5, 2023 (1), March 28, 2023 (2), March 28, 2023 (2) · on the Legislature’s site
Fiscal note
AI summary This bill requires midwives to be licensed through the Board of Nursing and creates a Midwifery Advisory Council. The Department of Health and Human Services estimates initial start-up costs of $149,000 in fiscal year 2024 and ongoing annual costs of $43,000 for the state's General Fund. The bill also directs the Board of Nursing to establish a licensing fee to cover these costs.2
From the note: 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 · $149,000
- Midwives, Licensure · May 3, 2023 · $149,000
- Midwives, Licensure · March 8, 2023 · $216,000
Iowa Code it changes
Creates§148I.1§148I.2§148I.3§148I.4§148I.5§148I.6§514C.12A
Lobbying
7 for · 7 against · 16 undecided · Who →
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Tried before
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90th General Assembly
Earlier and later bills are matched by wording or an identical title.
Tried before
This idea has been filed in an earlier General Assembly. None got through a chamber.
- HF 2291 Relating to midwife licensure, providing for fees, and making penalties applicable89th General Assembly · Renumbered as HF 2547 · nearly identicalCleared committee
Matched by wording or an identical title.