On February 27, 2025, the West Virginia State Legislature introduced Senate Bill 482, aimed at enhancing the operational framework for licensed midwives in the state. The bill seeks to address critical aspects of midwifery practice, particularly in emergency situations, medical record-keeping, and confidentiality.

The primary purpose of Senate Bill 482 is to establish clear protocols for licensed midwives when handling emergencies. Key provisions include directives for immediate transport of clients according to an emergency plan, stabilization of clients until emergency medical services arrive, and the requirement to notify receiving providers or hospitals about incoming transfers. This includes sharing essential information such as the reason for transfer and relevant clinical history. Additionally, the bill allows licensed midwives to continue providing care during transport, addressing both medical and psychosocial needs.

Another significant aspect of the bill is the emphasis on maintaining comprehensive medical records for each client. Licensed midwives are mandated to document a range of information, including client history, physical examinations, and postpartum evaluations, while adhering to confidentiality laws, including HIPAA regulations.

The bill also includes provisions regarding the care of newborns, outlining the scope of services that licensed midwives can provide for infants up to six weeks old. Furthermore, it addresses legal immunity, stating that only the licensed midwife who provided care may be held liable for any negligent acts, thereby protecting other healthcare providers from liability related to the midwife's actions.

Debate surrounding Senate Bill 482 has focused on its implications for midwifery practice and patient safety. Supporters argue that the bill enhances the quality of care and ensures better coordination during emergencies. However, some opposition has emerged regarding the potential for increased liability for midwives and the implications for collaborative care with other healthcare providers.

The economic and social implications of this bill are noteworthy. By clarifying the roles and responsibilities of licensed midwives, the legislation could improve maternal and neonatal health outcomes in West Virginia, potentially reducing healthcare costs associated with complications arising from uncoordinated care.

As the bill progresses through the legislative process, its outcomes could significantly impact the practice of midwifery in West Virginia, shaping the future of maternal healthcare in the state. Stakeholders, including healthcare professionals and advocacy groups, will be closely monitoring developments as the bill moves toward potential enactment.