Title 201 | Chapter 020 | Regulation 620REG
PROPOSED
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PREVIOUS VERSION
The previous document that this document is based upon is available.
BOARDS AND COMMISSIONS
Board of Nursing
(Amendment)
201 KAR 20:620.Licensing requirements for licensed certified professional midwives.
Section 1.
Fees.(1)
The fee for initial licensure shall be $165(2)
The fee for licensure renewal shall be $165(3)
The fee for licensure reinstatement shall be $165(4)
Unless otherwise specified in this section, fees enumerated in 201 KAR 20:240 shall apply.Section 2.
Initial Licensure. An applicant for initial licensure as a licensed certified professional midwife (LCPM) shall complete the Application for Licensure as a Licensed Professional Midwife and pay the fee for initial licensure as established in Section 1 of this administrative regulation.Section 3.
Educational Requirements.(1)
An applicant for initial licensure as an LCPM shall provide evidence that the program from which the applicant graduated is accredited by the Midwifery Education Accreditation Council (MEAC).(2)
An applicant shall also provide a copy of his or her official transcript.(3)
(a)
If the applicant was certified by the North American Registry of Midwives (NARM) before January 1, 2020, through an educational pathway not accredited by MEAC, the applicant shall provide evidence of having earned the Midwifery Bridge Certificate issued by NARM. This shall be in lieu of an official transcript.(b)
If the applicant is licensed in another state that does not require an accredited education, the applicant shall provide evidence of having earned the Midwifery Bridge Certificate issued by NARM and proof of licensure in the other state.(4)
An applicant shall provide evidence of current American Heart Association Basic Life Support (BLS) for health care providers and Neonatal Resuscitation Program (NRP) certifications.(5)
An applicant shall complete a pediatric abusive head trauma course described in KRS 620.020(8) and a domestic violence course described in KRS 194A.540 and provide evidence to the board at the time of application.Section 4.
Competency Validation. An applicant shall provide evidence of having passed the North American Registry of Midwives (NARM) Examination and been granted certification by NARM.Section 5.
Criminal Record Check.(1)
Within six (6) months of the date of the application, an applicant shall request a criminal record check by the Department of Kentucky State Police (KSP) and the Federal Bureau of Investigation (FBI) using the FBI Applicant Fingerprint Card and including any required fee to the KSP and the FBI.(2)
An applicant shall provide a certified or attested copy of the court record of any misdemeanor or felony conviction and a letter of explanation that addresses each conviction at the time of application.Section 6.
Action in Another Jurisdiction. An applicant shall provide a certified copy of any disciplinary action taken on any professional or business license in another jurisdiction and a letter of explanation at the time of application.Section 7.
License.(1)
An applicant who meets the requirements of KRS 314.404 and Sections 1 through 6 of this administrative regulation shall be issued a license to practice as an LCPM.(2)
The Application for Licensure as a Licensed Professional Midwife shall follow the periods for length and renewal in accordance with 201 KAR 20:085, Sections 1 and 2Section 8.
Renewal.(1)
A license to practice as an LCPM may be renewed by completing the Licensure Renewal Application for a Licensed Professional Midwife and paying the fee established in Section 1 of this administrative regulation.(2)
The LCPM shall provide evidence of current certification with NARM at the time of renewal.(3)
The LCPM shall provide evidence of current BLS and NRP certifications at the time of renewal.(4)
Section 9.
Reinstatement.(1)
If the LCPM license has lapsed, an applicant may file the Application for Licensure as a Licensed Professional Midwife to request reinstatement and pay the fee established in Section 1 of this administrative regulation.(2)
The LCPM shall provide evidence of current certification with NARM at the time of application for reinstatement.(3)
The LCPM shall provide evidence of current BLS and NRP certifications at the time of application for reinstatement.(4)
An applicant for reinstatement shall also meet the requirements of Sections 5 and 6 of this administrative regulation.Section 10.
For the purposes of the practice as an LCPM, an LCPM shall use the name under which he or she is licensed with the board of nursing.Section 11.
Incorporation by Reference.(1)
The following material is incorporated by reference:(a)
"Application for Licensure as a Licensed Professional Midwife", 2/2023; and(b)
"Licensure Renewal Application for a Licensed Professional Midwife", 2/2023.(2)
This material may be inspected, copied, or obtained, subject to applicable copyright law, at the Kentucky Board of Nursing, 312 Whittington Parkway, Suite 300, Louisville, Kentucky 40222, Monday through Friday, 8:00 a.m. to 4:30 p.m.(3)
This material is also available on the agency's Web site at https://kbn.ky.gov/document-library/Pages/default.aspx.AUDRIA DENKER, President
APPROVED BY AGENCY: February 20, 2025
FILED WITH LRC: March 4, 2025 at 10:08 a.m.
PUBLIC HEARING AND COMMENT PERIOD: A public hearing on this administrative regulation shall be held on May 27, 2025, at 10:00 a.m. at Kentucky Board of Nursing, 312 Whittington Parkway, Ste 300, Louisville, KY 40222. Individuals interested in being heard at this hearing shall notify this agency in writing by May 20, 2025, five workdays prior to the hearing, of their intent to attend. If no notification of intent to attend the hearing was received by that date, the hearing may be cancelled. A transcript of the public hearing will not be made unless a written request for a transcript is made. If you do not wish to be heard at the public hearing, you may submit written comments on the proposed administrative regulation. Written comments shall be accepted through May 31, 2025. Send written notification of intent to be heard at the public hearing or written comments on the proposed administrative regulation to the contact person or submit a comment at: https://secure.kentucky.gov/formservices/Nursing/PendReg.
CONTACT PERSON: Jeffrey R. Prather, General Counsel, Kentucky Board of Nursing, 312 Whittington Parkway, Suite 300, Louisville, KY 40222, phone (502) 338-2851, email Jeffrey.Prather@ky.gov
REGULATORY IMPACT ANALYSIS AND TIERING STATEMENT
Contact Person:
Jeffrey Prather
(1) Provide a brief summary of:
(a) What this administrative regulation does:
It sets licensing requirements for Licensed Certified Professional Midwives (LCPM) and miscellaneous requirements.
(b) The necessity of this administrative regulation:
It is required by statute.
(c) How this administrative regulation conforms to the content of the authorizing statutes:
By setting requirements.
(d) How this administrative regulation currently assists or will assist in the effective administration of the statutes:
By setting requirements.
(2) If this is an amendment to an existing administrative regulation, provide a brief summary of:
(a) How the amendment will change this existing administrative regulation:
The amendment reduces assessed fees.
(b) The necessity of the amendment to this administrative regulation:
The changes were deemed necessary to reduce fees.
(c) How the amendment conforms to the content of the authorizing statutes:
By establishing fees.
(d) How the amendment will assist in the effective administration of the statutes:
By adopting the changes to the fees.
(3) List the type and number of individuals, businesses, organizations, or state and local governments affected by this administrative regulation:
LCPMs, approximately 30.
(4) Provide an analysis of how the entities identified in question (3) will be impacted by either the implementation of this administrative regulation, if new, or by the change, if it is an amendment, including:
(a) List the actions that each of the regulated entities identified in question (3) will have to take to comply with this administrative regulation or amendment:
No action is needed.
(b) In complying with this administrative regulation or amendment, how much will it cost each of the entities identified in question (3):
No additional cost.
(c) As a result of compliance, what benefits will accrue to the entities identified in question (3):
Application and licensing fees will be reduced.
(5) Provide an estimate of how much it will cost the administrative body to implement this administrative regulation:
(a) Initially:
There is no additional cost.
(b) On a continuing basis:
There is no additional cost.
(6) What is the source of the funding to be used for the implementation and enforcement of this administrative regulation:
Agency funds.
(7) Provide an assessment of whether an increase in fees or funding will be necessary to implement this administrative regulation, if new, or by the change if it is an amendment:
No increase is needed.
(8) State whether or not this administrative regulation establishes any fees or directly or indirectly increases any fees:
It does not increase fees.
(9) TIERING: Is tiering applied?
Tiering is not applicable. The changes will apply equally, there is no tiering.
FISCAL IMPACT STATEMENT
(1) Identify each state statute, federal statute, or federal regulation that requires or authorizes the action taken by the administrative regulation.
KRS 314.131, 314.410.
(2) Identify the promulgating agency and any other affected state units, parts, or divisions:
The Kentucky Board of Nursing.
(a) Estimate the following for the first year:
Expenditures:
No expenditures to estimate.
Revenues:
No revenues to estimate.
Cost Savings:
No cost savings.
(b) How will expenditures, revenues, or cost savings differ in subsequent years?
They will not differ.
(3) Identify affected local entities (for example: cities, counties, fire departments, school districts):
(a) Estimate the following for the first year:
Expenditures:
No expenditures to estimate.
Revenues:
No revenues to estimate.
Cost Savings:
No cost savings.
(b) How will expenditures, revenues, or cost savings differ in subsequent years?
Not applicable.
(4) Identify additional regulated entities not listed in questions (2) or (3):
(a) Estimate the following for the first year:
Expenditures:
N/A.
Revenues:
N/A.
Cost Savings:
N/A.
(b) How will expenditures, revenues, or cost savings differ in subsequent years?
There will be no difference to expenditures, revenues, or cost savings. N/A.
(5) Provide a narrative to explain the:
(a) Fiscal impact of this administrative regulation:
The reduction in fees should reduce a financial hurdle for individuals wanting to be credentialed as LCPMs in Kentucky.
(b) Methodology and resources used to determine the fiscal impact:
None.
(6) Explain:
(a) Whether this administrative regulation will have an overall negative or adverse major economic impact to the entities identified in questions (2) - (4). ($500,000 or more, in aggregate)
This administrative regulation will not have a major economic impact.
(b) The methodology and resources used to reach this conclusion:
N/A.
BOARDS AND COMMISSIONS
Board of Nursing
(Amendment)
201 KAR 20:620.Licensing requirements for licensed certified professional midwives.
Section 1.
Fees.(1)
The fee for initial licensure shall be $165.(2)
The fee for licensure renewal shall be $165.(3)
The fee for licensure reinstatement shall be $165.(4)
Unless otherwise specified in this section, fees enumerated in 201 KAR 20:240 shall apply.Section 2.
Initial Licensure. An applicant for initial licensure as a licensed certified professional midwife (LCPM) shall complete the Application for Licensure as a Licensed Professional Midwife and pay the fee for initial licensure as established in Section 1 of this administrative regulation.Section 3.
Educational Requirements.(1)
An applicant for initial licensure as an LCPM shall provide evidence that the program from which the applicant graduated is accredited by the Midwifery Education Accreditation Council (MEAC).(2)
An applicant shall also provide a copy of his or her official transcript.(3)
(a)
If the applicant was certified by the North American Registry of Midwives (NARM) before January 1, 2020, through an educational pathway not accredited by MEAC, the applicant shall provide evidence of having earned the Midwifery Bridge Certificate issued by NARM. This shall be in lieu of an official transcript.(b)
If the applicant is licensed in another state that does not require an accredited education, the applicant shall provide evidence of having earned the Midwifery Bridge Certificate issued by NARM and proof of licensure in the other state.(4)
An applicant shall provide evidence of current American Heart Association Basic Life Support (BLS) for health care providers and Neonatal Resuscitation Program (NRP) certifications.(5)
An applicant shall complete a pediatric abusive head trauma course described in KRS 620.020(8) and a domestic violence course described in KRS 194A.540 and provide evidence to the board at the time of application.Section 4.
Competency Validation. An applicant shall provide evidence of having passed the North American Registry of Midwives (NARM) Examination and been granted certification by NARM.Section 5.
Criminal Record Check.(1)
Within six (6) months of the date of the application, an applicant shall request a criminal record check by the Department of Kentucky State Police (KSP) and the Federal Bureau of Investigation (FBI) using the FBI Applicant Fingerprint Card and including any required fee to the KSP and the FBI.(2)
An applicant shall provide a certified or attested copy of the court record of any misdemeanor or felony conviction and a letter of explanation that addresses each conviction at the time of application.Section 6.
Action in Another Jurisdiction. An applicant shall provide a certified copy of any disciplinary action taken on any professional or business license in another jurisdiction and a letter of explanation at the time of application.Section 7.
License.(1)
An applicant who meets the requirements of KRS 314.404 and Sections 1 through 6 of this administrative regulation shall be issued a license to practice as an LCPM.(2)
The Application for Licensure as a Licensed Professional Midwife shall follow the periods for length and renewal in accordance with 201 KAR 20:085, Sections 1 and 2 and may be renewed pursuant to Section 8 of this administrative regulation.Section 8.
Renewal.(1)
A license to practice as an LCPM may be renewed by completing the Licensure Renewal Application for a Licensed Professional Midwife and paying the fee established in Section 1 of this administrative regulation.(2)
The LCPM shall provide evidence of current certification with NARM at the time of renewal.(3)
The LCPM shall provide evidence of current BLS and NRP certifications at the time of renewal.Section 9.
Reinstatement.(1)
If the LCPM license has lapsed, an applicant may file the Application for Licensure as a Licensed Professional Midwife to request reinstatement and pay the fee established in Section 1 of this administrative regulation.(2)
The LCPM shall provide evidence of current certification with NARM at the time of application for reinstatement.(3)
The LCPM shall provide evidence of current BLS and NRP certifications at the time of application for reinstatement.(4)
An applicant for reinstatement shall also meet the requirements of Sections 5 and 6 of this administrative regulation.Section 10.
For the purposes of the practice as an LCPM, an LCPM shall use the name under which he or she is licensed with the board of nursing.Section 11.
Incorporation by Reference.(1)
The following material is incorporated by reference:(a)
"Application for Licensure as a Licensed Professional Midwife", 2/2023; and(b)
"Licensure Renewal Application for a Licensed Professional Midwife", 2/2023.(2)
This material may be inspected, copied, or obtained, subject to applicable copyright law, at the Kentucky Board of Nursing, 312 Whittington Parkway, Suite 300, Louisville, Kentucky 40222, Monday through Friday, 8:00 a.m. to 4:30 p.m.(3)
This material is also available on the agency's Web site at https://kbn.ky.gov/document-library/Pages/default.aspx.AUDRIA DENKER, President
APPROVED BY AGENCY: February 20, 2025
FILED WITH LRC: March 4, 2025 at 10:08 a.m.
PUBLIC HEARING AND COMMENT PERIOD: A public hearing on this administrative regulation shall be held on May 27, 2025, at 10:00 a.m. at Kentucky Board of Nursing, 312 Whittington Parkway, Ste 300, Louisville, KY 40222. Individuals interested in being heard at this hearing shall notify this agency in writing by May 20, 2025, five workdays prior to the hearing, of their intent to attend. If no notification of intent to attend the hearing was received by that date, the hearing may be cancelled. A transcript of the public hearing will not be made unless a written request for a transcript is made. If you do not wish to be heard at the public hearing, you may submit written comments on the proposed administrative regulation. Written comments shall be accepted through May 31, 2025. Send written notification of intent to be heard at the public hearing or written comments on the proposed administrative regulation to the contact person or submit a comment at: https://secure.kentucky.gov/formservices/Nursing/PendReg.
CONTACT PERSON: Jeffrey R. Prather, General Counsel, Kentucky Board of Nursing, 312 Whittington Parkway, Suite 300, Louisville, KY 40222, phone (502) 338-2851, email Jeffrey.Prather@ky.gov
REGULATORY IMPACT ANALYSIS AND TIERING STATEMENT
Contact Person:
Jeffrey Prather
(1) Provide a brief summary of:
(a) What this administrative regulation does:
It sets licensing requirements for Licensed Certified Professional Midwives (LCPM) and miscellaneous requirements.
(b) The necessity of this administrative regulation:
It is required by statute.
(c) How this administrative regulation conforms to the content of the authorizing statutes:
By setting requirements.
(d) How this administrative regulation currently assists or will assist in the effective administration of the statutes:
By setting requirements.
(2) If this is an amendment to an existing administrative regulation, provide a brief summary of:
(a) How the amendment will change this existing administrative regulation:
The amendment reduces assessed fees.
(b) The necessity of the amendment to this administrative regulation:
The changes were deemed necessary to reduce fees.
(c) How the amendment conforms to the content of the authorizing statutes:
By establishing fees.
(d) How the amendment will assist in the effective administration of the statutes:
By adopting the changes to the fees.
(3) List the type and number of individuals, businesses, organizations, or state and local governments affected by this administrative regulation:
LCPMs, approximately 30.
(4) Provide an analysis of how the entities identified in question (3) will be impacted by either the implementation of this administrative regulation, if new, or by the change, if it is an amendment, including:
(a) List the actions that each of the regulated entities identified in question (3) will have to take to comply with this administrative regulation or amendment:
No action is needed.
(b) In complying with this administrative regulation or amendment, how much will it cost each of the entities identified in question (3):
No additional cost.
(c) As a result of compliance, what benefits will accrue to the entities identified in question (3):
Application and licensing fees will be reduced.
(5) Provide an estimate of how much it will cost the administrative body to implement this administrative regulation:
(a) Initially:
There is no additional cost.
(b) On a continuing basis:
There is no additional cost.
(6) What is the source of the funding to be used for the implementation and enforcement of this administrative regulation:
Agency funds.
(7) Provide an assessment of whether an increase in fees or funding will be necessary to implement this administrative regulation, if new, or by the change if it is an amendment:
No increase is needed.
(8) State whether or not this administrative regulation establishes any fees or directly or indirectly increases any fees:
It does not increase fees.
(9) TIERING: Is tiering applied?
Tiering is not applicable. The changes will apply equally, there is no tiering.
FISCAL IMPACT STATEMENT
(1) Identify each state statute, federal statute, or federal regulation that requires or authorizes the action taken by the administrative regulation.
KRS 314.131, 314.410.
(2) Identify the promulgating agency and any other affected state units, parts, or divisions:
The Kentucky Board of Nursing.
(a) Estimate the following for the first year:
Expenditures:
No expenditures to estimate.
Revenues:
No revenues to estimate.
Cost Savings:
No cost savings.
(b) How will expenditures, revenues, or cost savings differ in subsequent years?
They will not differ.
(3) Identify affected local entities (for example: cities, counties, fire departments, school districts):
(a) Estimate the following for the first year:
Expenditures:
No expenditures to estimate.
Revenues:
No revenues to estimate.
Cost Savings:
No cost savings.
(b) How will expenditures, revenues, or cost savings differ in subsequent years?
Not applicable.
(4) Identify additional regulated entities not listed in questions (2) or (3):
(a) Estimate the following for the first year:
Expenditures:
N/A.
Revenues:
N/A.
Cost Savings:
N/A.
(b) How will expenditures, revenues, or cost savings differ in subsequent years?
There will be no difference to expenditures, revenues, or cost savings. N/A.
(5) Provide a narrative to explain the:
(a) Fiscal impact of this administrative regulation:
The reduction in fees should reduce a financial hurdle for individuals wanting to be credentialed as LCPMs in Kentucky.
(b) Methodology and resources used to determine the fiscal impact:
None.
(6) Explain:
(a) Whether this administrative regulation will have an overall negative or adverse major economic impact to the entities identified in questions (2) - (4). ($500,000 or more, in aggregate)
This administrative regulation will not have a major economic impact.
(b) The methodology and resources used to reach this conclusion:
N/A.