HB 175 — An Act relating to midwives and the practice of midwifery; relating to apprentice midwives; renaming the Board of Certified Direct-Entry Midwives as the Board of Licensed Midwives; relating to the Board of Licensed Midwives; extending the termination date of the Board of Licensed Midwives; relating to insurance; and providing for an effective date.
Last action — (H) REFERRED TO FINANCE
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✓Introduced
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2In Committee
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3Passed House
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4Passed Senate
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5To Executive
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6Enacted
This bill died with 33rd Legislature (2023-2024). It reached “In Committee” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.
This bill is no longer active — its legislative session has ended, so there are no live odds of enactment. It would have to be reintroduced in the current session to move again.
Bill Text
What changed in the latest version
437 added · 441 removedPlain-language change summary
The latest version of Bill HB 175 has been updated to clarify the responsibilities regarding midwifery regulations. Specifically, the previous language about "establishing certification and certificate renewal requirements" has been replaced with a focus on adopting regulations that align with national licensing standards. This change is important because it aims to ensure that midwives meet consistent national standards, which can improve the quality of care for pregnant women and their children. Additionally, the term "direct-entry midwives" has been altered to "apprentice midwives," which may reflect a broader approach to midwifery training and oversight.
33-LS0601\S33-LS0601\A SPONSOR SUBSTITUTE FOR HOUSE BILL NO.
175 IN THE LEGISLATURE OF THE STATE OF ALASKA THIRTY-THIRD LEGISLATURE - SECONDFIRST SESSION BY REPRESENTATIVES ALLARD,ALLARD Wright Introduced:
4/26/234/24/23 Referred:
It is the intent of the legislature to preserve the right of women to deliver children at home with licensed midwives, to remove obstacles for safe deliveries outside of hospitals, to ensureassure quality care of pregnant women and the children they deliver, and to guarantee insurance coverage for home births.
HB0175bHB0175a -1- SSHBHB 175 New Text Underlined [DELETED TEXT BRACKETED] 33-LS0601\S33-LS0601\A (17) Board of Licensed [CERTIFIED DIRECT-ENTRY] Midwives (AS 08.65.010);
a SSHBHB 175 -2- HB0175bHB0175a New Text Underlined [DELETED TEXT BRACKETED] 33-LS0601\S33-LS0601\A dietitian or nutritionist licensed under AS 08.38;
(6) a physician licensed in another state who, under a written HB0175bHB0175a -3- SSHBHB 175 New Text Underlined [DELETED TEXT BRACKETED] 33-LS0601\S33-LS0601\A agreement with an athletic team located in the state in which the physician is licensed, provides medical services to members of the athletic team while the athletic team is traveling to or from or participating in a sporting event in this state.
(2) adopt regulations inregarding accordancelicensing, withlicense renewal, the national licensingmidwifery requirementsexamination, and standardsthe national scope of the practice of midwifery [ESTABLISHING CERTIFICATION AND CERTIFICATE RENEWAL REQUIREMENTS];
(6)HB enforce175 the-4- provisionsHB0175a ofNew thisText chapterUnderlined and[DELETED adoptTEXT regulationsBRACKETED] SSHB33-LS0601\A 175(6) -4-enforce HB0175bthe Newprovisions Textof Underlinedthis [DELETEDchapter TEXTand BRACKETED]adopt 33-LS0601\Sregulations necessary to make the provisions of this chapter effective;
(d)HB0175a In this section, HB0175b -5- SSHBHB 175 New Text Underlined [DELETED TEXT BRACKETED] 33-LS0601\S33-LS0601\A (d) In this section, (1) "health care facility" has the meaning given in AS 18.35.399;
The board shall issue a license [CERTIFICATE] to practice [DIRECT-ENTRY] midwifery to a person who (1) holds a valid certified professional midwife certificate, if the certificate is issued by a nationally recognized midwife organization recognized by the board;board and the requirements for the certificate are consistent with this chapter;
A license [CERTIFICATE] issued under AS 08.65.050 [OR 08.65.070] expires on a date determined by the board and may be renewed every two years upon payment of the required fee and the submission of evidence satisfactory to the board that the licensed [CERTIFIED DIRECT-ENTRY] midwife holds a valid certified professional midwife certificate issued by a nationally recognized midwife organization recognized by the board if the requirements for the certificate are consistent with this chapter and has met the continuing education requirements of the board, has demonstrated continued practical professional competence under regulations adopted by the board, and has not committed an act that is a ground for discipline under AS 08.65.110.
HB 175 -6- HB0175a New Text Underlined [DELETED TEXT BRACKETED] 33-LS0601\A * Sec.
AS 08.65.080 is amended by adding a new subsection to read:
(b) A person holding a valid license to practice midwifery under AS 08.65.050 on September 1, 2023, who held a certificate to practice midwifery under SSHB 175 -6- HB0175b New Text Underlined [DELETED TEXT BRACKETED] 33-LS0601\S AS 08.65.050 or 08.65.070 on August 31, 2023, may renew the license under the requirements imposed under this section as this section read on August 31, 2023, but is otherwise subject to this chapter.
* Sec.
14.
OR HB0175b -7- SSHB 175 New Text Underlined [DELETED TEXT BRACKETED] 33-LS0601\S (4) A CERTIFIED NURSE MIDWIFE LICENSED BY THE BOARD OF NURSING IN THIS STATE WITH AN OBSTETRICAL PRACTICE AT THE TIME OF UNDERTAKING THE APPRENTICESHIP].
HB0175a -7- HB 175 New Text Underlined [DELETED TEXT BRACKETED] 33-LS0601\A * Sec.
15.14.
16.15.
(a) When the board [IT] finds that a person holding a license [CERTIFICATE] or permit under this chapter is guilty of an offense under SSHB 175 -8- HB0175b New Text Underlined [DELETED TEXT BRACKETED] 33-LS0601\S AS 08.65.110, the board, in addition to the powers provided in AS 08.01.075, may impose the following sanctions singly or in combination:
(1) permanently revoke the license [A CERTIFICATE] or permit [TO HB 175 -8- HB0175a New Text Underlined [DELETED TEXT BRACKETED] 33-LS0601\A PRACTICE];
17.16.
18.17.
HB0175b -9- SSHB 175 New Text Underlined [DELETED TEXT BRACKETED] 33-LS0601\S (2)] obtain informed consent from a client before onset of labor;
(2) [(3)] comply with AS 18.15.150 regarding taking of blood samples, AS 18.15.200 regarding screening of phenylketonuria (PKU), AS 18.50.160 regarding HB0175a -9- HB 175 New Text Underlined [DELETED TEXT BRACKETED] 33-LS0601\A birth registration, AS 18.50.230 regarding registration of deaths, AS 18.50.240 regarding fetal death registration, and regulations adopted by the Department of Health concerning prophylactic treatment of the eyes of newborn infants [;
19.18.
(c) TheA board shall adopt regulations providing that a licensed midwife may practiceprovide toservices theusing fullaudio, scopevideo, ofor practiceother authorizedelectronic bymedia for the midwife'spurpose nationalof midwiferydiagnosis, certificate.consultation, or treatment.
(d) The board shall adopt regulations providing that a licensed midwife may practice to the full scope of practice authorized by the midwife's national midwifery certificate.
20.19.
21.20.
A person who is not licensed [CERTIFIED] under this chapter, [OR] whose license [CERTIFICATION] is suspended or revoked, or whose license [CERTIFICATION] has lapsed [,] who knowingly uses in connection with the person's name the [WORDS OR] letters "L.M.," the words "Licensed Midwife," ["C.D.M.," "CERTIFIED DIRECT-ENTRY MIDWIFE,"] or other letters, words, or insignia d iicating or implying that the person is licensed [CERTIFIED] as a [DIRECT-ENTRY] midwife by this state or who in any way, orally or in writing, directly or by implication, SSHB 175 -10- HB0175b New Text Underlined [DELETED TEXT BRACKETED] 33-LS0601\S knowingly holds out as being licensed [CERTIFIED BY THE STATE] as a HB 175 -10- HB0175a New Text Underlined [DELETED TEXT BRACKETED] 33-LS0601\A [DIRECT-ENTRY] midwife in this state is guilty of a class B misdemeanor.
22.21.
23.22.
24.23.
25.24.
(3) "practice of midwifery" means providing necessary supervision, health care, preventative measures, and education to women during preconception, pregnancy, labor, and the first postpartum year;year [PERIOD];
providing preconception care [PERIOD];
HB0175b -11- SSHB 175 New Text Underlined [DELETED TEXT BRACKETED] 33-LS0601\S * Sec.
Show all 122 changed lines (82 more)
26.25.
HB0175a -11- HB 175 New Text Underlined [DELETED TEXT BRACKETED] 33-LS0601\A (4) "licensed midwife" means a midwife who is licensed under this chapter to practice midwifery;
(5) "midwife" means a person who practices midwifery;midwifery.
(6) "preconception care" means health care identifying and treating a person's biomedical, behavioral, and social risk factors to maximize the person's conception health and pregnancy outcomes during the person's reproductive years.
27.26.
(1) "health care provider" means a physician, physician assistant, dentist, dental hygienist, osteopath, optometrist, chiropractor, registered nurse, practical nurse, advanced practice registered nurse, naturopath, physical therapist, occupational therapist, marital and family therapist, psychologist, psychological associate, behavior analyst, assistant behavior analyst, licensed clinical social worker, athletic trainer, or licensed [CERTIFIED DIRECT-ENTRY]DIRECT- ENTRY] midwife;
28.27.
29.28.
30.29.
(b) The registrar shall distribute copies of the form prepared under (a) of this SSHB 175 -12- HB0175b New Text Underlined [DELETED TEXT BRACKETED] 33-LS0601\S section to each hospital in the state, to each physician in the state whose practice includes attendance at births, to each certified nurse midwife and licensed [CERTIFIED DIRECT-ENTRY] midwife in the state, and to each other interested person in the state who requests copies of the form.
HB 175 -12- HB0175a New Text Underlined [DELETED TEXT BRACKETED] 33-LS0601\A * Sec.
31.30.
32.31.
33.32.
(e) A health care insurer who prvidesporvides coverage for the costs of childbirth shall provide coverage for the costs of home birth services, including prenatal care, delivery, and postpartum care of both mother and infant, provided by a licensed midwife who is acting within the scope of the practice of midwifery under AS 08.65.
34.33.
(c) If a health care insurance plan or an excepted benefits policy or contract provides indemnity for the cost of services of a physician provided to women forduring preconceptionpreconception, care, pregnancy, childbirth, and the period after childbirth up to one year, indemnity in a reasonable amount shall also be provided for the cost of a midwife licensed under AS 08.65 who provides the same services.
Indemnity may be HB0175b -13- SSHB 175 New Text Underlined [DELETED TEXT BRACKETED] 33-LS0601\S provided under this subsection only if the licensed midwife is practicing as a licensed midwife within the scope of the license.
(d) If a health care insurance plan or an excepted benefits policy or contract provides for furnishing those services required of a physician in the care of women forHB0175a preconception-13- care,HB 175 New Text Underlined [DELETED TEXT BRACKETED] 33-LS0601\A during preconception, pregnancy, childbirth, and the period after childbirth up to one year, the contract shall also provide that a midwife licensed under AS 08.65 may furnish those same services instead of a physician.
35.34.
AS 21.42.599 is amended by adding a new paragraph to read:
(9) "preconception care" has the meaning given in AS 08.65.190.
* Sec.
36.
37.35.
SSHB 175 -14- HB0175b New Text Underlined [DELETED TEXT BRACKETED] 33-LS0601\S (5) on request of the mother and father, assists the father in completing specific forms, statements, or agreements necessary to establish a parent and child relationship between the father and the child;
38.36.
HB 175 -14- HB0175a New Text Underlined [DELETED TEXT BRACKETED] 33-LS0601\A (b) When a birth occurs to an unmarried woman who is not in a hospital for the birth nor admitted to a hospital immediately after the birth, and the birth is attended by a physician, certified nurse midwife, or licensed [CERTIFIED DIRECT- ENTRY] midwife, the physician, certified nurse midwife, or licensed [CERTIFIED DIRECT-ENTRY] midwife shall perform the duties described in (a)(2) - (6) of this section or ensure that an agent performs those duties.
39.37.
40.38.
41.39.
42.40.
43.41.
The uncodified law of the State of Alaska is amended by adding a new section to HB0175b -15- SSHB 175 New Text Underlined [DELETED TEXT BRACKETED] 33-LS0601\S read:
7 and 8 of this Act, from September 1, 2023, until the new members of the Board of HB0175a -15- HB 175 New Text Underlined [DELETED TEXT BRACKETED] 33-LS0601\A Licensed Midwives are appointed by the governor under sec.
4443 of this Act and confirmed by the legislature under AS 08.65.010(b), as amended by sec.
44.42.
CURRENT DIRECT-ENTRY MIDWIVES, MIDWIVES LICENSED BY CREDENTIALS, AND APPRENTICE MIDWIVES.
(a) Notwithstanding AS 08.65.050, as amended by sec.
11 of this Act, a person who holds on August 31, 2023, an unexpired certificate to practice direct-entry midwifery issued under AS 08.65.050, as that section reads on August 31, 2023, is licensed on the effective date of sec.
11 of this Act to practice midwifery under AS 08.65.050, as amended by sec.
11 of this Act, for a two-year period.
(b) Notwithstanding sec.
40 of this Act, a person who holds on August 31, 2023, an unexpired certificate to practice direct-entry midwifery issued under AS 08.65.070, as that section reads on August 31, 2023, may continue to practice direct-entry midwifery under that certificate until the certificate expires normally under AS 08.65.080, as that section reads on August 31, 2023, but shall otherwise comply with the provisions of AS 08.65.
(c) Notwithstanding AS 08.65.090, as amended by sec.
13 of this Act, a person who holds on August 31, 2023, an unexpired permit to practice as an apprentice direct-entry midwife issued under AS 08.65.090, as that section reads on August 31, 2023, is permitted on the effective date of sec.
13 of this Act to practice as an apprentice midwife under AS 08.65.090, as amended by sec.
13 of this Act, for a two-year period.
* Sec.
43.
The uncodified law of the State of Alaska is amended by adding a new section to read:
TRANSITION:
(c) The board, as constituted under (a) and (b) of this section, shall begin operating as the board when the legislature has confirmed the members appointed under (a) and (b) of this HB 175 -16- HB0175a New Text Underlined [DELETED TEXT BRACKETED] 33-LS0601\A section.
45.44.
CURRENT DIRECT-ENTRY MIDWIVES, MIDWIVES LICENSED BY CREDENTIALS, AND APPRENTICE MIDWIVES.
(a) Notwithstanding AS 08.65.050, as amended by sec.
11 of this Act, a person who holds on August 31, 2023, an unexpired certificate to practice direct-entry midwifery issued under AS 08.65.050, as that section read on August 31, 2023, is licensed on the effective date of sec.
11 of this Act to practice midwifery under AS 08.65.050, as amended by sec.
11 of this Act.
(b) Notwithstanding sec.
42 of this Act, a person who holds on August 31, 2023, an SSHB 175 -16- HB0175b New Text Underlined [DELETED TEXT BRACKETED] 33-LS0601\S unexpired certificate to practice direct-entry midwifery issued under AS 08.65.070, as that section read on August 31, 2023, is licensed on the effective date of sec.
11 of this Act to practice midwifery under AS 08.65.050, as amended by sec.
11 of this Act.
(c) Notwithstanding AS 08.65.090, as amended by sec.
14 of this Act, a person who holds on August 31, 2023, an unexpired permit to practice as an apprentice direct-entry midwife issued under AS 08.65.090, as that section read on August 31, 2023, is permitted on the effective date of sec.
14 of this Act to practice as an apprentice midwife under AS 08.65.090, as amended by sec.
14 of this Act.
* Sec.
46.
The uncodified law of the State of Alaska is amended by adding a new section to read:
TRANSITION:
1 -– 4 and 6 - 4240 of this Act.
47.45.
SectionIf 5sec. of this Act is retroactive to June 30, 2023.
5 of this Act takes effect after June 30, 2023, sec.
5 of this Act is retroactive to June 30, 2023.
48.46.
Section 4745 of this Act takes effect immediately under AS 01.10.070(c).
49.47.
50.48.
4846 and 4947 of this Act, this Act takes effect September 1, 2023.
HB0175bHB0175a -17- SSHBHB 175 New Text Underlined [DELETED TEXT BRACKETED]
Show all 122 changed rows (82 more)
Action History
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(H) REFERRED TO FINANCE
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(H) FN1: (CED)
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(H) AM: FIELDS, CARRICK
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(H) NR: RUFFRIDGE, SUMNER
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(H) DP: SADDLER, PRAX, WRIGHT
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(H) L&C RPT CS(L&C) 3DP 2NR 2AM
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(H) <Bill Hearing Canceled> -- MEETING CANCELED --
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(H) LABOR & COMMERCE at 03:15 PM BARNES 124
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(H) Minutes (HL&C)
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(H) Moved CSSSHB 175(L&C) Out of Committee
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(H) LABOR & COMMERCE at 03:15 PM BARNES 124
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(H) Minutes (HL&C)
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(H) Heard & Held
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(H) LABOR & COMMERCE at 03:15 PM BARNES 124
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(H) Minutes (HL&C)
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(H) Heard & Held
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(H) LABOR & COMMERCE at 03:15 PM BARNES 124
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(H) Minutes (HL&C)
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(H) Scheduled but Not Heard -- Delayed to 4:15 PM --
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(H) LABOR & COMMERCE at 03:15 PM BARNES 124
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(H) <Bill Hearing Rescheduled to 02/23/24> -- MEETING CANCELED --
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(H) LABOR & COMMERCE at 03:15 PM BARNES 124
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(H) COSPONSOR(S): WRIGHT
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(H) L&C, FIN
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(H) READ THE FIRST TIME - REFERRALS
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(H) SPONSOR SUBSTITUTE INTRODUCED
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(H) L&C, FIN
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(H) READ THE FIRST TIME - REFERRALS
Sponsors
- Wright · Cosponsor
- Jamie Allard · Primary
Sponsorship breakdown
Export CSV (upgrade) →1 sponsors · 1 co-sponsors · 63 not signed on
Sponsors (1)
Co-sponsors (1)
- Wright
Not signed on (63)
63 members have not signed on to this bill.
Show all 63 →"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.
Subjects
Frequently asked questions
- Who sponsors HB 175?
- HB 175 is sponsored by Wright and Jamie Allard (R).
- What is the current status of HB 175?
- This bill died with 33rd Legislature (2023-2024). It reached “In Committee” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.
- Where can I track HB 175?
- Track HB 175 free on One Click Politics — get push/email alerts when it moves.
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