SB 507 — An Act amending the act of December 20, 1985 (P.L.457, No.112), entitled "An act relating to the right to practice medicine and surgery and the right to practice medically related acts; reestablishing the State Board of Medical Education and Licensure as the State Board of Medicine and providing for its composition, powers and duties; providing for the issuance of licenses and certificates and the suspension and revocation of licenses and certificates; provided penalties; and making repeals," further providing for definitions, for midwifery and for nurse-midwife license; and providing for certified midwife license.

PRIOR PRINTER'S NO.

456 PRINTER'STHE NO.GENERAL ASSEMBLY OF PENNSYLVANIA SENATE BILL Session of No.

1158507 THE2025 GENERALINTRODUCED ASSEMBLYBY OFBROWN, PENNSYLVANIAJ. SENATE BILL Session of No.

507WARD, 2025COMITTA, INTPENNYCUICK,BAKER, FONTANA,SCHWANK, COSTA, CAPPELLETTI, HAYWOOD, SAVAL, VOGEL, PISCIOTTANOMARCH AND21, MUTH,2025COSTA, MARCHCAPPELLETTI, 21,HAYWOOD, 2025SAVAL SENATORAND STEFANO,REFERRED TO CONSUMER PROTECTION AND PROFESSIONAL LICENSURE, ASMARCH AMENDED,21, SEPTEMBER 10, 2025 AN ACT Amending the act of December 20, 1985 (P.L.457, No.112), <-- entitled "An act relating to the right to practice medicine reestablishingand thesurgery Stateand Boardthe ofright Medicalto Educationpractice andmedically related acts;

reestablishing the State Board of Medical Education and Licensure as the State Board of Medicine and providing for its composition, powers and duties;

providing for the issuance of licenses and certificates and the suspension and revocationand ofmaking licensesrepeals," andfurther certificates;providing for definitions, for;

providedmidwifery penalties;and for nurse-midwife license;

and making repeals," further providing for definitions, for midwifery and for nurse-midwife license;

AMENDING THE ACT OF DECEMBER 20, 1985 (P.L.457, NO.112), <-- ENTITLED "AN ACT RELATING TO THE RIGHT TO PRACTICE MEDICINE AND SURGERY AND THE RIGHT TO PRACTICE MEDICALLY RELATED ACTS;

REESTABLISHING THE STATE BOARD OF MEDICAL EDUCATION AND LICENSURE AS THE STATE BOARD OF MEDICINE AND PROVIDING FOR ITS COMPOSITION, POWERS AND DUTIES;

PROVIDING FOR THE ISSUANCE OF LICENSES AND CERTIFICATES AND THE SUSPENSION AND AND MAKING REPEALS," FURTHER PROVIDING FOR DEFINITIONS, FOR;

MIDWIFERY AND FOR NURSE-MIDWIFE LICENSE;

AND PROVIDING FOR CERTIFIED MIDWIFE LICENSE.

The definitions of "medical training facility" <-- and "midwife or nurse-midwife" in section 2 of the act of December 20, 1985 (P.L.457, No.112), known as the Medical Practice Act of 1985, are amended to read:

* * * (c) Authorization.-- 20250SB0507PN1158 - 2 - (1) A nurse-midwife is authorized to practice midwifery [pursuant to a collaborative agreement with a physician and regulations promulgated by the board.] under the following conditions:

(i) A nurse-midwife who is not an employee of a 20250SB0507PN0456 - 2 - public or private health system, hospital, licensed birth center or part of an interdisciplinary group practice in which at least one physician practices in the specialty area of the care provided by the nurse-midwife shall practice under a collaborative agreement with a physician or physician interdisciplinary group practice in accordance with the regulations promulgated by the board.

(2) A nurse-midwife who possesses a master's degree or its substantial equivalent and national certification may prescribe, dispense, order and administer drugs, including legend drugs and Schedule II through Schedule V controlled 20250SB0507PN1158 - 3 - substances, as defined in the act of April 14, 1972 (P.L.233, No.64), known as The Controlled Substance, Drug, Device and Cosmetic Act, provided that the nurse-midwife demonstrates to the board that:

(i) The nurse-midwife has successfully completed at 20250SB0507PN0456 - 3 - least 45 hours of coursework specific to advanced pharmacology at a level above that required by a professional nursing education program.

(B) In the case of a Schedule II controlled substance for acute pain, the dose shall be limited 20250SB0507PN1158 - 4 - to 72 hours and shall not be extended except with the approval of [the] a collaborating physician.

(C) In the case of a Schedule III or IV controlled substance, the prescription shall be limited to 30 days and shall only be refilled with 20250SB0507PN0456 - 4 - the approval of [the] a collaborating physician.

[(d) Collaborative agreements.--The physician with whom a nurse-midwife has a collaborative agreement shall have hospital 20250SB0507PN1158 - 5 - clinical privileges in the specialty area of the care for which the physician is providing collaborative services.] (e) Consultation, collaboration or referral.-- (1) A nurse-midwife who is an employee of a public or private health system, hospital or licensed birth center or 20250SB0507PN0456 - 5 - part of an interdisciplinary group practice in which at least one physician practices in the specialty area of the care provided by the nurse-midwife shall identify deviations from normal and appropriate interventions, including the management of complications and emergencies utilizing consultation, collaboration or referral to or with a physician as indicated by the health status of a patient.

(f) Disclosures.--A nurse-midwife who is not an employee of a public or private health system, hospital or licensed birth center or part of an interdisciplinary group practice in which at least one physician practices in the specialty area of the care provided by the midwife shall disclose, verbally and in written form, the information specified in paragraphs (1) and 20250SB0507PN1158 - 6 - (2) to a prospective patient at the beginning of the professional relationship between nurse-midwife and the patient.

The patient shall sign and date the disclosure under this subsection at the same time the nurse-midwife and patient enter 20250SB0507PN0456 - 6 - into an agreement for services.

(v) The name and telephone number of the collaborating physician or another physician, group practice, public or private health system or hospital with which the nurse-midwife has a collaborative 20250SB0507PN1158 - 7 - agreement or which provides backup care or co-management care to the patient.

(a) License.--A certified midwife license shall empower the 20250SB0507PN0456 - 7 - licensee to practice midwifery in this Commonwealth as provided in this act.

(ii) A certified midwife who is an employee of a public or private health system, hospital or licensed birth center or part of an interdisciplinary group practice in which at least one physician practices in the specialty area of the care provided by the midwife shall obtain and maintain clinical staff privileges at the 20250SB0507PN1158 - 8 - public or private health system, hospital or licensed birth center and shall adhere to the established internal mechanisms at the facility of the public or private health system, hospital or licensed birth center for quality improvement, consultation, collaboration or 20250SB0507PN0456 - 8 - referral in accordance with the certified midwife's clinical practice privileges and the facility's policies and procedures as approved by the Department of Health.

20250SB0507PN1158 - 9 - (iii) An individual applying for the first time for licensure in this Commonwealth shall be exempted from the continuing education requirement for the biennial renewal period following initial licensure.

(iv) The certified midwife acts in accordance with 20250SB0507PN0456 - 9 - the following restrictions:

(3) A certified midwife may, consistent with the 20250SB0507PN1158 - 10 - certified midwife's academic educational preparation and national certification, prescribe, dispense, order and administer:

20250SB0507PN0456 - 10 - (iii) Laboratory tests.

20250SB0507PN1158 - 11 - (e) Disclosures.--A certified midwife who is not an employee of a public or private health system, hospital or licensed birth center or part of an interdisciplinary group practice in which at least one physician practices in the specialty area of the care provided by the midwife shall disclose, verbally and in 20250SB0507PN0456 - 11 - written form, the information specified in paragraphs (1) and (2) to a prospective patient at the beginning of the professional relationship between certified midwife and the patient.

(iv) The name, address and telephone number of the 20250SB0507PN1158 - 12 - hospital with obstetric services that will be used for a nonemergency transfer.

(v) The name and telephone number of the collaborating physician or another physician, group practice, public or private health system or hospital 20250SB0507PN0456 - 12 - with which the certified midwife has a collaborative agreement or which provides backup care or co-management care to the patient.

SECTION20250SB0507PN0456 1.- 13 -

THE DEFINITIONS OF "MEDICAL TRAINING FACILITY" <-- AND "MIDWIFE OR NURSE-MIDWIFE" IN SECTION 2 OF THE ACT OF DECEMBER 20, 1985 (P.L.457, NO.112), KNOWN AS THE MEDICAL PRACTICE ACT OF 1985, ARE AMENDED AND THE SECTION IS AMENDED BY ADDING A DEFINITION TO READ:

SECTION 2.

DEFINITIONS.

THE FOLLOWING WORDS AND PHRASES WHEN USED IN THIS ACT SHALL HAVE THE MEANINGS GIVEN TO THEM IN THIS SECTION UNLESS THE CONTEXT CLEARLY INDICATES OTHERWISE:

* * * "MEDICAL TRAINING FACILITY." A MEDICAL COLLEGE, HOSPITAL OR OTHER INSTITUTION WHICH PROVIDES COURSES IN THE ART AND SCIENCE OF MEDICINE AND SURGERY AND RELATED SUBJECTS FOR THE PURPOSE OF ENABLING A MATRICULANT TO QUALIFY FOR A LICENSE TO PRACTICE MEDICINE AND SURGERY, GRADUATE MEDICAL TRAINING, [MIDWIFE] NURSE-MIDWIFE OR CERTIFIED MIDWIFE CERTIFICATE OR PHYSICIAN 20250SB0507PN1158 - 13 - ASSISTANT LICENSE.

* * * ["MIDWIFE OR NURSE-MIDWIFE." AN INDIVIDUAL WHO IS LICENSED AS A MIDWIFE BY THE BOARD.] "MIDWIFE." AN INDIVIDUAL WHO IS LICENSED AS A NURSE-MIDWIFE UNDER SECTION 35 OR A CERTIFIED MIDWIFE UNDER SECTION 35.1 BY THE BOARD.