Table of Contents Secs. 20-75 to 20-86. Practice defined. Examination, registration and regulation of midwives. Sections 20-75 to 20-86, inclusive, are repealed. Sec. 20-86a. Definitions. For the purposes of sections 20-86a to 20-86e, inclusive: Sec. 20-86b. Scope of practice. A clinical practice relationship shall exist between
each nurse-midwife and an obstetrician-gynecologist and shall be based upon mutually
agreed upon medical guidelines and protocols. Such protocols shall contain a list of
medications, devices and laboratory tests which may be prescribed, dispensed or administered by the nurse-midwife. Such protocols shall be filed with the Department of Public
Health. The term "directed" does not necessarily imply the physical presence of an
obstetrician-gynecologist while care is being given by a nurse-midwife. Each nurse-
midwife shall sign the birth certificate of each infant delivered by the nurse-midwife. Sec. 20-86c. Requirements for licensure. Fee. The Department of Public Health
may issue a license to practice nurse-midwifery upon receipt of a fee of one hundred
dollars, to an applicant who (1) is eligible for registered nurse licensure in this state,
under sections 20-93 or 20-94; (2) holds and maintains current certification from the
American College of Nurse-Midwives; and (3) has completed thirty hours of education
in pharmacology for nurse-midwifery. No license shall be issued under this section to
any applicant against whom professional disciplinary action is pending or who is the
subject of an unresolved complaint. Sec. 20-86d. Advisory panel. The Commissioner of Public Health shall appoint
a committee of three nurse-midwives and shall seek their advice and assistance in the
administration of the program of regulation of nurse-midwives. Sec. 20-86e. Use of title. A nurse-midwife licensed under this chapter shall be
known as a "licensed nurse-midwife" and no other person shall assume such title or use
the abbreviation L.N.M. or C.N.M. or any other words, letters or figures which indicate
that the person using the same is a licensed nurse-midwife. No person shall practice
nurse-midwifery as defined in section 20-86a unless he is licensed under this chapter. Sec. 20-86f. Disciplinary action. The Department of Public Health may take any
action set forth in section 19a-17 if a person issued a license pursuant to this chapter
fails to conform to the accepted standards of the nurse-midwifery profession including,
but not limited to, the following: Conviction of a felony; fraud or deceit in the practice of
nurse-midwifery; negligent, incompetent or wrongful conduct in professional activities;
emotional disorder or mental illness; physical illness including, but not limited to, deterioration through the aging process; abuse or excessive use of drugs, including alcohol,
narcotics or chemicals; wilful falsification of entries into any client record pertaining
to nurse-midwifery. The commissioner may order a licensee to submit to a reasonable
physical or mental examination if his physical or mental capacity to practice safely is
the subject of an investigation. The commissioner may petition the superior court for
the judicial district of Hartford to enforce such order or any action taken pursuant to
section 19a-17. Notice of any contemplated action under said section, the cause of the
action and the date of a hearing on the action shall be given and an opportunity for
hearing afforded in accordance with the provisions of chapter 54. Sec. 20-86g. Midwifery license. Any person who held a current valid license as
a midwife on June 30, 1983, shall be entitled to renew such license annually, upon
payment of a fee of five dollars, in accordance with the provisions of section 19a-88.
Secs. 20-75 to 20-86. Practice defined. Examination, registration and regulation of midwives.
Sec. 20-86a. Definitions.
Sec. 20-86b. Scope of practice.
Sec. 20-86c. Requirements for licensure. Fee.
Sec. 20-86d. Advisory panel.
Sec. 20-86e. Use of title.
Sec. 20-86f. Disciplinary action.
Sec. 20-86g. Midwifery license.
Sec. 20-86h. Disciplinary action against licensed midwives.
(1949 Rev., S. 4410−4422; 1959, P.A. 616, S. 23, 24; 1967, P.A. 656, S. 19; 1969, P.A. 119, S. 1, 2; 1971, P.A. 410,
S. 2−8; P.A. 74-97, S. 1−5; 74-338, S. 46, 94; P.A. 77-614, S. 323, 610; P.A. 83-441, S. 9, 10.)
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(1) "Nurse-midwifery" means the management of care of essentially normal newborns and women, antepartally, intrapartally, postpartally and gynecologically, occurring within a health care team, directed by a qualified obstetrician-gynecologist.
(2) "Nurse-midwife" means a person who has demonstrated competence to practice
nurse-midwifery through successful completion of an educational program accredited
by the American College of Nurse-Midwives and who is certified by the American
College of Nurse-Midwives, and is licensed under the provisions of this chapter.
(P.A. 83-441, S. 1, 10; P.A. 89-389, S. 7, 22.)
History: P.A. 89-389 redefined "nurse-midwife" to add the reference to license under this chapter.
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(P.A. 83-441, S. 2, 10; P.A. 89-389, S. 8, 22; P.A. 93-381, S. 9, 39; P.A. 95-257, S. 12, 21, 58.)
History: P.A. 89-389 added the description of the protocols and required that they be filed with the department of health
services; P.A. 93-381 replaced department of health services with department of public health and addiction services,
effective July 1, 1993; P.A. 95-257 replaced Commissioner and Department of Public Health and Addiction Services with
Commissioner and Department of Public Health, effective July 1, 1995.
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(P.A. 83-441, S. 3, 10; P.A. 89-389, S. 9, 22; P.A. 93-381, S. 9, 39; P.A. 95-257, S. 12, 21, 58.)
History: P.A. 89-389 deleted the existing section on certification and substituted licensure requirements; P.A. 93-381
replaced department of health services with department of public health and addiction services, effective July 1, 1993;
P.A. 95-257 replaced Commissioner and Department of Public Health and Addiction Services with Commissioner and
Department of Public Health, effective July 1, 1995.
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(P.A. 83-441, S. 4, 10; P.A. 89-389, S. 10, 22; P.A. 93-381, S. 9, 39; P.A. 95-257, S. 12, 21, 58.)
History: P.A. 89-389 removed the word "certified" in two places since nurse-midwives are no longer certified; P.A.
93-381 replaced commissioner of health services with commissioner of public health and addiction services, effective July
1, 1993; P.A. 95-257 replaced Commissioner and Department of Public Health and Addiction Services with Commissioner
and Department of Public Health, effective July 1, 1995.
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(P.A. 83-441, S. 5, 10; P.A. 89-389, S. 11, 22.)
History: P.A. 89-389 substituted language on licensure for language on certification.
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(P.A. 88-230, S. 1, 12; P.A. 89-389, S. 12, 22; P.A. 90-98, S. 1, 2; P.A. 93-142, S. 4, 7, 8; 93-381, S. 9, 39; P.A. 95-
220, S. 4−6; 95-257, S. 12, 21, 58.)
History: P.A. 88-230 authorized substitution of "judicial district of Hartford" for "judicial district of Hartford-New
Britain" in 1989 public and special acts, effective September 1, 1991; P.A. 90-98 changed the effective date of P.A. 88-
230 from September 1, 1991, to September 1, 1993; P.A. 93-142 changed the effective date of P.A. 88-230 from September
1, 1993, to September 1, 1996, effective June 14, 1993; P.A. 93-381 replaced department of health services with department
of public health and addiction services, effective July 1, 1993; P.A. 95-220 changed the effective date of P.A. 88-230 from
September 1, 1996, to September 1, 1998, effective July 1, 1995; P.A. 95-257 replaced Commissioner and Department of
Public Health and Addiction Services with Commissioner and Department of Public Health, effective July 1, 1995.
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(P.A. 90-40, S. 1, 4.)
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