Senate Bill 84

Actions | Amendments
Last Action 03/26/19: signed by Governor (KY Acts ch. 104)
Title AN ACT relating to licensed certified professional midwives.
Bill Documents Current/Final
Introduced
Bill Request Number 291
Sponsors T. Buford, J. Adams, P. Clark, D. Givens, D. Harper Angel, P. Hornback, R. Thomas, M. Wilson
Summary of Original Version Create new sections of KRS Chapter 314 to define "APRN-designated certified nurse midwife," "certified professional midwifery services," "council," "licensed certified professional midwife; "create the Licensed Certified Professional Midwives Advisory Council under the Board of Nursing and establish its membership; provide that a licensed certified professional midwife has same authority and responsibility as other licensed health care providers regarding public health laws and require each to keep appropriate medical records; require the board to promulgate administrative regulations relating to licensed certified professional midwives, including a requirement for informed consent, fees for permits, statewide requirements for transfer of care, medical tests, and a formulary of medications; permit the board to require a criminal background investigation of an applicant for a license as a licensed certified professional midwife by means of a fingerprint check; require the council to delineate findings on restrictions to providing certified professional midwifery services; provide immunity from liability in civil action for health care providers who have acted in consultation with a licensed certified professional midwife; establish a work group to develop statewide transfer guidelines; amend KRS 164.298, 211.180, 311.271, and 311.550 to conform; require data to be collected about the place of delivery and planned place of delivery; prohibit performing abortions; provide an education requirement to meet United States educational accreditation standards; provide that any medications used by a licensed certified professional midwife are for the safe conduct of pregnancy, labor and birth, and immediate care of a newborn.
Index Headings of Original Version Health and Medical Services - Midwifery, certified professional, license and regulations for
Licensing - Midwifery services, certified professional, licensing of
Nurses - Certified professional midwife, certification and regulations for
Occupations and Professions - Certified professional midwife, licensing of
Physicians and Practitioners - Certified professional midwife, license and regulations for
Women - Certified professional midwifery services, license and regulations for
Administrative Regulations and Proceedings - Board of Nursing, certified professional midwife, license and practice of
Boards and Commissions - Board of Nursing, certified professional midwife, license and practice of
Background Checks - Certified professional midwife, licensing of
Jump to Proposed Amendments Senate Committee Substitute 1
Senate Floor Amendment 1
Senate Floor Amendment 2
Senate Floor Amendment 3
House Committee Substitute 1
House Floor Amendment 1
House Floor Amendment 2
Votes Vote History

Actions

Top | Amendments
01/11/19
  • introduced in Senate
02/05/19
  • to Licensing, Occupations, & Administrative Regulations (S)
02/19/19
  • reported favorably, 1st reading, to Calendar with Committee Substitute (1)
02/20/19
  • 2nd reading, to Rules
  • floor amendment (1) filed to Committee Substitute, floor amendment (2) filed
02/21/19
  • posted for passage in the Regular Orders of the Day for Thursday, February 21, 2019
  • 3rd reading
  • floor amendments (1) and (2) ruled out of order
  • passed 32-4 with Committee Substitute (1)
  • floor amendment (3) filed to Committee Substitute
02/22/19
  • received in House
02/25/19
  • to Licensing, Occupations, & Admin Regs (H)
03/01/19
  • posted in committee
03/04/19
  • taken from Licensing, Occupations, & Admin Regs (H)
  • 1st reading
  • returned to Licensing, Occupations, & Admin Regs (H)
03/06/19
  • reported favorably, 2nd reading, to Rules with Committee Substitute (1)
  • floor amendment (1) filed to Committee Substitute
03/07/19
  • posted for passage in the Regular Orders of the Day for Tuesday, March 12, 2019
03/12/19
  • floor amendment (2) filed to Committee Substitute
  • floor amendment (1) withdrawn
03/13/19
  • 3rd reading, passed 96-1 with Committee Substitute (1) and floor amendment (2)
  • received in Senate
03/14/19
  • posted for passage for concurrence in House Committee Substitute (1) and floor amendment (2) on Thursday, March 14, 2019
  • Senate concurred in House Committee Substitute (1) and floor amendment (2)
  • Bill passed 35-1
  • enrolled, signed by President of the Senate
  • enrolled, signed by Speaker of the House
  • delivered to Governor
03/26/19
  • signed by Governor (KY Acts ch. 104)

Proposed Amendments

Top | Actions
Amendment Senate Committee Substitute 1
Summary Amend to add requirement that the council advise the board at regular intervals and be guided by evidence in peer-reviewed medical literature; add requirements for establishing informed consent; require the council to make recommendations within one year of convening; require that council recommendations be considered by the board; require recommendations to be based on evolving medical evidence published in peer-reviewed medical literature and with consideration of the likelihood of serious harm or death to the mother or newborn; require Transfer Guidelines Work Group to based statewide requirements upon evidence in peer-reviewed medical literature and accepted best practice standards; add one member to the work group to serve as liaison between the work group chair and the board; add severability clause; make technical corrections.
Index Headings Background Checks - Certified professional midwife, licensing of
Technical Corrections - SB 84
Nurses - Certified professional midwife, certification and regulations for
Occupations and Professions - Certified professional midwife, licensing of
Physicians and Practitioners - Certified professional midwife, license and regulations for
Women - Certified professional midwifery services, license and regulations for
Health and Medical Services - Midwifery, certified professional, license and regulations for
Licensing - Midwifery services, certified professional, licensing of
Administrative Regulations and Proceedings - Board of Nursing, certified professional midwife, license and practice of
Boards and Commissions - Board of Nursing, certified professional midwife, license and practice of

Amendment Senate Floor Amendment 1
Sponsor R. Alvarado
Summary Delete requirement for the council to delineate findings on restrictions to providing certified professional midwifery services; add list of conditions for which a certified professional midwife shall not provide midwifery services.
Index Headings Health and Medical Services - Midwifery, certified professional, license and regulations for
Licensing - Midwifery services, certified professional, licensing of
Nurses - Certified professional midwife, certification and regulations for
Occupations and Professions - Certified professional midwife, licensing of
Physicians and Practitioners - Certified professional midwife, license and regulations for
Women - Certified professional midwifery services, license and regulations for
Administrative Regulations and Proceedings - Board of Nursing, certified professional midwife, license and practice of
Boards and Commissions - Board of Nursing, certified professional midwife, license and practice of
Background Checks - Certified professional midwife, licensing of

Amendment Senate Floor Amendment 2
Sponsor R. Alvarado
Summary Delete requirement for the council to delineate findings on restrictions to providing certified professional midwifery services; add list of conditions for which a certified professional midwife shall not provide midwifery services.
Index Headings Health and Medical Services - Midwifery, certified professional, license and regulations for
Licensing - Midwifery services, certified professional, licensing of
Nurses - Certified professional midwife, certification and regulations for
Occupations and Professions - Certified professional midwife, licensing of
Physicians and Practitioners - Certified professional midwife, license and regulations for
Women - Certified professional midwifery services, license and regulations for
Administrative Regulations and Proceedings - Board of Nursing, certified professional midwife, license and practice of
Boards and Commissions - Board of Nursing, certified professional midwife, license and practice of
Background Checks - Certified professional midwife, licensing of

Amendment Senate Floor Amendment 3
Sponsor R. Alvarado
Summary Deletes original provisions of the bill; restores original language except to add restrictions conditions under which services may be provided; adds definitions for collaboration, consultation; referral and transfer; adds requirement for board to enforce restrictions on services until regulations are implemented; amends title of work group and adds members to the work group.
Index Headings Administrative Regulations and Proceedings - Board of Nursing, certified professional midwife, license and practice of
Background Checks - Certified professional midwife, licensing of
Boards and Commissions - Board of Nursing, certified professional, license and practice of
Health and Medical Services - Midwifery, certified professional, license and regulations for
Licensing - Midwifery services, certified professional, licensing of
Nurses - Certified professional midwife, certification and regulations for
Occupations and Professions - Certified professional midwife, licensing of
Physicians and Practitioners - Certified professional midwife, license and regulations for
Technical Corrections - SB 84
Women - Certified professional midwifery services, license and regulations for

Amendment House Committee Substitute 1
Summary Amend to add definitions of collaboration, consultation, and referral, transfer; add requirements for a summary of the requirements for consultation, referral, or transfer of care, procedures for referral or transfer of care, and procedures for consultation or collaboration; clarify the medical tests that may be ordered; require newborn or maternal deaths to be reported within 30 days; define a list of conditions requiring collaboration, consultation, or referral; add that nothing prohibits self-care or delegated care; requires council recommendations be made within one year of the effective date of the Act; requires the council to recommend a regulatory framework for consultation, collaboration, transfer, and a list of conditions or symptoms associated with a risk of death or serious harm and minimal risk; requires the recommendations of the council to be considered to form the basis for requirements or restrictions; sets requirements for the board to enforce until administrative regulations are approved; clarifies the scope of the Transfer Guidelines Work Group; adds two members of the Kentucky Medical Association to the work group; makes technical corrections.
Index Headings Health and Medical Services - Midwifery, licensed certified professional, license and regulations for
Licensing - Midwifery services, licensed certified professional, licensing of
Nurses - Licensed certified professional midwife, regulations for
Occupations and Professions - Licensed certified professional midwife, licensing of
Physicians and Practitioners - Licensed certified professional midwife, license and regulations for
Technical Corrections - SB 84
Women - Licensed certified professional midwifery services, license and regulations for
Administrative Regulations and Proceedings - Board of Nursing, licensed certified professional midwife, license and practice of
Boards and Commissions - Board of Nursing, licensed certified professional midwife, license and practice of
Background Checks - Licensed certified professional midwife, licensing of

Amendment House Floor Amendment 1
Sponsor C. McCoy
Summary Amend liability language; make technical corrections.
Index Headings Health and Medical Services - Midwifery, certified professional, license and regulations for
Licensing - Midwifery services, certified professional, licensing of
Nurses - Certified professional midwife, certification and regulations for
Occupations and Professions - Certified professional midwife, licensing of
Physicians and Practitioners - Certified professional midwife, license and regulations for
Technical Corrections - SB 84
Women - Certified professional midwifery services, license and regulations for
Administrative Regulations and Proceedings - Board of Nursing, certified professional midwife, license and practice of
Boards and Commissions - Board of Nursing, certified professional midwife, license and practice of
Background Checks - Certified professional midwife, licensing of

Amendment House Floor Amendment 2
Sponsor C. McCoy
Summary Amend liability language.
Index Headings Physicians and Practitioners - Certified professional midwife, liability

Last updated: 5/10/2019 10:34 AM (EDT)
To receive notice when the record is updated follow @LRCTweetBot.