Virginia establishes regulations for licensed certified midwives under new legislation

A new legislative bill, VA HB978, was introduced in Virginia on November 18, 2024, aiming to enhance the regulation and practice of midwifery in the state. The bill seeks to establish clearer guidelines for certified nurse midwives (CNMs) and licensed certified midwives, addressing both licensure requirements and patient safety disclosures.

One of the key provisions of VA HB978 mandates that CNMs providing care outside of hospitals or birthing centers must inform patients about the potential health risks associated with such settings. This includes risks related to specific birth scenarios, such as vaginal births after cesarean sections and high-risk pregnancies. The bill also outlines the liability of CNMs, holding them accountable for negligent actions while providing a degree of immunity to other healthcare providers who do not collaborate with them.

The legislation proposes that the Virginia Board of Nursing will oversee the licensure of certified midwives, requiring applicants to demonstrate current certification from the American Midwifery Certification Board. Additionally, the bill stipulates that licensed certified midwives must maintain a practice agreement with a licensed physician, ensuring that medical consultation is readily available for patient care.

Debate surrounding VA HB978 has focused on the balance between expanding midwifery services and ensuring patient safety. Supporters argue that the bill will improve access to midwifery care while enhancing accountability and transparency in the profession. However, some opponents express concerns about the potential for increased liability for midwives and the implications for collaborative care with physicians.

The economic and social implications of this bill could be significant, as it may encourage more midwives to practice in Virginia, potentially increasing the availability of maternity care options. This could be particularly beneficial in rural areas where access to healthcare services is limited.

As VA HB978 moves through the legislative process, its outcomes could reshape the landscape of midwifery practice in Virginia, impacting both healthcare providers and expectant families across the state. The bill's progress will be closely monitored by stakeholders in the healthcare community as discussions continue on the best practices for maternal care.