H-1351

   Amend House File 265, as passed by the House, as follows:
   1.  By striking page 1, line 34, through page 2, line 13, and inserting: 
   <Sec. ___.  Section 147.13, subsection 7, Code 2023, is amended to read as follows:
   7.  For nursing and midwifery, the board of nursing.>
   2.  Page 2, line 22, by striking <midwifery> and inserting <nursing>
   3.  Page 3, line 34, after <midwifery> by inserting <for at least two years>
   4.  Page 5, line 35, after <midwifery> by inserting <, as approved by the board>
   5.  Page 6, line 13, after <insurance> by inserting <and a copy of the licensee’s professional liability insurance, if any>
   6.  Page 6, line 15, after <data to> by inserting <the department of health and human services,>
   7.  Page 7, after line 1 by inserting: 
   <3.  The board shall adopt rules requiring a licensee to consult with a licensed physician or certified nurse midwife according to the appropriate standard of care for high-risk pregnancies and births in the United States. Such rules shall not require an in-hospital birth due merely to a consultation and shall, to the greatest degree medically responsible, allow a licensee to maintain care of a client according to the client’s wishes.>
   8.  Page 7, line 4, after <be> by inserting <civilly or criminally>
   9.  Page 7, line 5, after <actions> by inserting <or omissions>
   10.  Page 7, by striking lines 11 through 14 and inserting: 
   <Sec. ___.  NEW SECTION.  148I.7  Midwifery advisory council.
   1.  A midwifery advisory council is established. The board shall appoint members of the council, including four members who are certified professional midwives eligible for licensure under this chapter; one member who is licensed under chapter 148 and is certified by the American college of obstetrics and gynecology; one member who is a certified nurse midwife; and one member who is not a licensed midwife or a licensed health care provider and who shall represent the general public.
   2.  Members of the council shall serve for terms of four years. Vacancies on the council shall be filled for the remainder of the term of the original appointment. Members whose terms expire may be reappointed.
   3.  The council shall advise the board regarding licensure and continuing education requirements, standards of practice, professional ethics, disciplinary actions, and other issues relating to midwifery.>
   11.  Page 8, after line 16 by inserting: 
   <4.  This section does not require payment for any cost, charge, or fee relating to the location at which maternity services were provided by a certified professional midwife.>
   12.  Page 8, by striking lines 17 through 31.
   13.  By renumbering as necessary.