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Board of Direct Entry Midwifery - Laws and Rules

Laws

Board of Direct Entry Midwifery Laws - ORS 687.405-495 and 687.991

Board of Direct Entry Midwifery Laws (unofficial user friendly copy) - ORS 687.405-495 and 687.991

Health Licensing Office Laws - ORS 676.560-625 and 676.992

Health Licensing Office Laws (unofficial user friendly copy) - ORS 676.560-625 and 676.992

Rules

Board of Direct Entry Midwifery Rules - OAR Chapter 332, Divisions 010-040

Board of Direct Entry Midwifery Rules (unofficial user friendly copy) - OAR Chapter 332, Divisions 010-040

Health Licensing Office Rules - OAR Chapter 331, Divisions 001-030

Health Licensing Office Rules (unofficial user friendly copy) - OAR Chapter 331, Divisions 001-030

Current Rulemaking

The Board of Direct Entry Midwifery is currently engaged in the rulemaking process. The Board is engaging in a full review of the standards of practice and other rules for LDMs.

Background: In 2009 and 2010 the Board of Direct Entry Midwifery (Board) made extensive changes to administrative rules including practice standards, termination of care and informed consent requirements. Since then mandatory licensure for direct entry midwives was implemented, and in 2014 the Health Licensing Office was legislatively mandated to delegate final order authority for all contested cases related to the practice of direct entry midwifery to the Board. During the same time frame, the Board was given the authority to review all complaints before beginning an investigation, managing and prioritizing investigations and determine disciplinary action. Also since 2010 Center for Health Statistics, Vital Records began collecting data for planned out-of-hospital birth, Oregon Health Plan began reimbursing licensed direct entry midwives for low risk out-of-hospital births and the Health Evidence Review Commission provided coverage guidance for out-of-hospital birth to assist in determining low risk births. This has raised a number of issues the board is now considering.

For questions related to administrative rules or the rulemaking process, please email Samie Patnode, Policy Analyst, at samie.patnode@state.or.us

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