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MIDWIVES and ALABAMA LAW         

   "Lay midwifery" was formally recognized by Alabama law in 1919, under the old Alabama Code, Title 46, Section 168. That statute was repealed, however, in 1976, and replaced with the current law, Alabama Code Section 34-19-1, et. seq. The current law allowed for "lay midwives" to continue practicing as long as they had a license from the Department of Health, but our understanding is that the Department of Health issued its last "lay midwife" license in 1984. The Department's position is that it will not issue licenses to "lay midwives"; that to receive a license one must have a formal nursing degree; and that the repeal of the old statute recognizing lay midwifery means the Legislature intended to phase out lay midwives in favor of nurse midwives. Of course, this is the Department's opinion, not necessarily the law. No court of law has ever ruled upon whether the Department of Public Health retains authority under the current law to issue licenses to "lay midwives." It is our opinion that it does.

   No one knows at this time if there has ever been a "midwifery program" in the State of Alabama, but we do know that the Alabama Code specifically recognized lay midwifery from 1919 - 1976. In 1976, when the new law was enacted, the Alabama Department of Public Health renewed licenses to those lay midwives then practicing, but refused to grant NEW licenses unless the individual had a formal nursing degree.


Activity - current

    Bill #
 Full 
Status 
Description
  hb 342   Direct-Entry Midwifery, practice regulated, Midwives' Advisory Council, estab. 
 
  Bill status information -  For House Bills:  1-800-499-3052
For Senate Bills: 1-800-499-3051
 
  Health Standing Committee representatives

 
   Write your representative (below) and include the facts about why Alabamians need this bill to become law. Following are some ideas by Chloe and Lisa you can use:
   "Talk to your Representative about HB 342" -    
 
 
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      Governor Bob Riley
      State Representatives
      State Senators

 

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Articles

  "Midwifery and the Constitution" Susan Hodges
   

Midwife links, the Alabama code:       click on the section number to the left

Title 22 HEALTH, MENTAL HEALTH AND ENVIRONMENTAL CONTROL.
  Chapter 4A FAMILY PRACTICE RURAL HEALTH BOARD.
    Section 22-4A-1 Legislative findings and declarations.
 
    Section 22-4A-7

No authority over other programs.

 

Title 22 HEALTH, MENTAL HEALTH AND ENVIRONMENTAL CONTROL.
  Chapter 9A VITAL STATISTICS.
    Section 22-9A-1 Definitions.
 
    Section 22-9A-2 Office of Vital Statistics and statewide system of vital statistics.
 
    Section 22-9A-3 Appointment of State Registrar of Vital Statistics; duties of State Registrar.
 
    Section 22-9A-4 Registration districts.
 
    Section 22-9A-5 Local registrars and deputy registrars of vital statistics.
 
    Section 22-9A-6 Content of certificates and reports.
 
    Section 22-9A-7 Registration of births.
 
    Section 22-9A-8 Registration of infants of unknown parentage.
 
    Section 22-9A-9 Delayed registration of birth.
 
    Section 22-9A-10 Judicial procedure to establish facts of birth.
 
Title 22 HEALTH, MENTAL HEALTH AND ENVIRONMENTAL CONTROL.
  Chapter 20 MISCELLANEOUS HEALTH LAWS.
    Section 22-20-2

Prevention of infantile blindness.

 

Title 27 INSURANCE.
  Chapter 48 POSTPARTUM CARE COVERAGE IN HEALTH BENEFIT PLANS.
    Section 27-48-1 Definitions.
 
    Section 27-48-2 Coverage for medically necessary inpatient care for mother and newly born child.
 
    Section 27-48-3

Prohibition against plan termination of services, reduction of capitation payment, or other penalty for health care provider in compliance with chapter; prohibition against financial encouragement of early discharge from postpartum care.

 

Title 34 PROFESSIONS AND BUSINESSES.
  Chapter 19 MIDWIVES.
    Section 34-19-2 Definitions
 
    Section 34-19-3 License for practice of nurse midwifery required; continuation of practice of lay midwifery
 
    Section 34-19-4 Application for license
 
    Section 34-19-5 Issuance, renewal, suspension and revocation of licenses; fee
 
    Section 34-19-6 Practices which may be performed by licensees— Generally
 
    Section 34-19-7 Practices which may be performed by licensees— Restrictions generally
 
    Section 34-19-8 Practices which may be performed by licensees— Attendance, etc., in cases of abnormal childbirth; location of deliveries
 
    Section 34-19-9 Designation of midwife certification on professional nursing license
 
    Section 34-19-10

Promulgation of rules and regulations, procedures, standards, etc., for nurse midwives

 

Title 34 PROFESSIONS AND BUSINESSES.
  Chapter 21 NURSES.
    Section 34-21-80 Declaration of Legislature.
 
    Section 34-21-81 Definitions.
 
    Section 34-21-83 State Board of Medical Examiners to establish qualifications for physicians engaged in collaborative practice with advanced practice nurses.
 
    Section 34-21-85 Joint committee designated to recommend rules and regulations; requirements to engage in advanced practice nursing.
 
    Section 34-21-86 Prescribing legend drugs; initiating call-in prescriptions; administering legend drugs.
 
    Section 34-21-87 Joint committee to recommend model practice protocols, formulary of legend drugs and certain rules and regulations.
 
    Section 34-21-88   Acts which constitute grounds for termination.
 
    Section 34-21-89   Boards permitted to initiate disciplinary actions for violations of section; requirements before action taken.
 
    Section 34-21-90 Requirements for engaging in practice.
 
    Section 34-21-91 Injunctive proceedings by boards against persons violating article.
 
    Section 34-21-92 Waiver of requirements until adoption of rules and regulations.
 
                                    

Find the word midwife in the Alabama code.
      OR
Click on the ALISON Search and type in the phrase you are seaching.

 

More to come as you find it. Send me your references.


Page updated - 27 March, 2003

    
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