Bill Text: FL S1764 | 2020 | Regular Session | Comm Sub
Bill Title: Midwifery
Spectrum: Bipartisan Bill
Status: (Failed) 2020-03-14 - Died in Appropriations [S1764 Detail]
Download: Florida-2020-S1764-Comm_Sub.html
Florida Senate - 2020 CS for SB 1764 By the Committee on Health Policy; and Senator Flores 588-03103-20 20201764c1 1 A bill to be entitled 2 An act relating to midwifery; amending s. 467.015, 3 F.S.; revising responsibilities of licensed midwives 4 providing in-hospital and out-of-hospital births; 5 amending s. 467.016, F.S.; revising the requirements 6 for the uniform patient informed consent form used by 7 licensed midwives providing out-of-hospital births; 8 providing an effective date. 9 10 Be It Enacted by the Legislature of the State of Florida: 11 12 Section 1. Subsection (5) of section 467.015, Florida 13 Statutes, is amended to read 14 467.015 Responsibilities of the midwife.— 15 (5) The midwife, whether providing an in-hospital or out 16 of-hospital birth, shall do all of the following: 17 (a) Upon acceptance of a patient into care, advise the 18 patient of the clinical outcomes of births in low-risk patients 19 during an out-of-hospital birth and any increased risks 20 associated with an individual having a vaginal birth after 21 having a caesarean section, a breech birth, or a multiple 22 gestation pregnancy. The licensed health care practitioner 23 providing out-of-hospital births shall further advise, but may 24 not require, the patient to consult an obstetrician for more 25 information related to such clinical outcomes and increased 26 risks. 27 (b)(a)Prepare a written plan of action with the patient 28 and the patient’s family, if any, to ensure continuity of 29 medical care throughout labor and delivery and to provide for 30 immediate medical care if an emergency arises. The family should 31 have specific plans for medical care throughout the prenatal, 32 intrapartal, and postpartal periods. 33 (c)(b)If a home birth is planned, instruct the patient and 34 family regarding the preparation of the environment and ensure 35 availability of equipment and supplies needed for delivery and 36 infant care, if a home birth is planned. 37 (d)(c)Instruct the patient in the hygiene of pregnancy and 38 nutrition as it relates to prenatal care. 39 (e)(d)Maintain equipment and supplies in conformity with 40 the rules adopted pursuant to this chapter. 41 (f) Upon initial contact with the patient during the 42 intrapartal period, measure and record the vital signs of the 43 mother and fetus to serve as a baseline during labor and 44 delivery. 45 (g) Transfer care of the patient to a hospital with 46 obstetrical services in accordance with the written emergency 47 plan if any of the following occurs or presents during labor or 48 delivery or immediately thereafter: 49 1. An unexpected nonvertex presentation of the fetus; 50 2. Indication that the mother’s uterus has ruptured; 51 3. Evidence of severe and persistent fetal or maternal 52 distress; 53 4. Pregnancy-induced hypertension; 54 5. An umbilical cord prolapse; 55 6. An active infectious disease process; or 56 7. Any other severe emergent condition. 57 Section 2. Section 467.016, Florida Statutes, is amended to 58 read: 59 467.016 Informed consent.—The department shall develop a 60 uniform patient informed consentclient informed-consentform to 61 be used by the midwife providing out-of-hospital births to 62 inform the patientclientof the qualifications of a licensed 63 midwife and the nature and risk of the procedures to be used by 64 a midwife and to obtain the patient’sclient’sconsent for the 65 provision of out-of-hospital birthmidwiferyservices. The form 66 must be signed by the patient and the midwife providing out-of 67 hospital births, and a copy must be provided to the patient. The 68 form shall include, at a minimum, all of the following: 69 (a) A statement advising the patient of the clinical 70 outcomes of births in low-risk patients during an out-of 71 hospital birth and any increased risks associated with having a 72 vaginal birth after having a caesarean section, a breech birth, 73 or a multiple gestation pregnancy. 74 (b) A detailed statement explaining to the patient hospital 75 admitting privileges and the requirements for a health care 76 practitioner to obtain and maintain such privileges. 77 (c) Disclosure of each hospital and specific department, if 78 any, where the health care practitioner providing out-of 79 hospital births has been granted admitting privileges, including 80 the scope and duration of the admitting privileges, the current 81 contact information for the specific hospital or department that 82 has granted the health care practitioner admitting privileges, 83 and a copy of documentation from the hospital or department 84 providing proof of such admitting privileges. A health care 85 practitioner providing out-of-hospital births who does not have 86 admitting privileges at any hospital must explicitly state that 87 fact on the form. 88 Section 3. This act shall take effect July 1, 2020.