Minnesota Legislature
Office of the Revisor of Statutes
Minnesota Session Laws - 1999, Regular Session
Key: (1) language to be deleted (2) new language
CHAPTER 162-S.F.No. 383
An act relating to health occupations; clarifying
licensure requirements for the practice of midwifery;
appropriating money; proposing coding for new law as
Minnesota Statutes, chapter 147D; repealing Minnesota
Statutes 1998, sections 148.30; 148.31; and 148.32;
Minnesota Rules, parts 5600.2000; and 5600.2100.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
Section 1. [147D.01] [DEFINITIONS.]
Subdivision 1. [APPLICABILITY.] The definitions in this
section apply to this chapter.
Subd. 2. [ADVISORY COUNCIL.] "Advisory council" means the
advisory council of traditional midwifery established under
section 147D.25.
Subd. 3. [APPROVED EDUCATION PROGRAM.] "Approved education
program" means a university, college, or other education program
leading to eligibility for certification in midwifery that is
approved or accredited by the Midwifery Education and
Accreditation Council (MEAC) or its successor, or a national
accrediting organization recommended by the advisory council and
approved by the board.
Subd. 4. [BOARD.] "Board" means the board of medical
practice.
Subd. 5. [CONTACT HOUR.] "Contact hour" means 50
consecutive minutes, excluding coffee breaks, registration,
meals without a speaker, and social activities, of a
board-approved learning experience either through an
instructional session or clinical practice.
Subd. 6. [CREDENTIAL.] "Credential" means a license,
permit, certification, registration, or other evidence of
qualification or authorization to engage in the practice of
traditional midwifery in this state or any other state.
Subd. 7. [CREDENTIALING EXAMINATION.] "Credentialing
examination" means an examination administered by the North
American Registry of Midwives (NARM) or its successor, or other
national testing organization recommended by the advisory
council and approved by the board for credentialing as a
licensed traditional midwife. A credentialing examination must
include a written examination and a skills assessment.
Subd. 8. [NORMAL PREGNANCY.] "Normal pregnancy" means a
pregnancy that is progressing and proceeding spontaneously
without the need for medical intervention or the use of
instruments and where spontaneous onset of labor occurs between
37 and 42 weeks.
Subd. 9. [TRADITIONAL MIDWIFERY SERVICES.] "Traditional
midwifery services" means the assessment and care of a woman and
newborn during pregnancy, labor, birth, and the postpartum
period outside a hospital.
Subd. 10. [TRANSFER OF CARE.] "Transfer of care" means
transferring, during the course of pregnancy, the responsibility
of providing services to a client from the traditional midwife
to a licensed health care provider.
Subd. 11. [TRANSPORT.] "Transport" means the transferring
during labor, birth, or the postpartum period of the client to a
hospital.
Sec. 2. [147D.03] [MIDWIFERY.]
Subdivision 1. [GENERAL.] Within the meaning of sections
147D.01 to 147D.27, a person who shall publicly profess to be a
traditional midwife and who, for a fee, shall assist or attend
to a woman in pregnancy, childbirth outside a hospital, and
postpartum, shall be regarded as practicing traditional
midwifery.
Subd. 2. [SCOPE OF PRACTICE.] The practice of traditional
midwifery includes, but is not limited to:
(1) initial and ongoing assessment for suitability of
traditional midwifery care;
(2) providing prenatal education and coordinating with a
licensed health care provider as necessary to provide
comprehensive prenatal care, including the routine monitoring of
vital signs, indicators of fetal developments, and laboratory
tests, as needed, with attention to the physical, nutritional,
and emotional needs of the woman and her family;
(3) attending and supporting the natural process of labor
and birth;
(4) postpartum care of the mother and an initial assessment
of the newborn; and
(5) providing information and referrals to community
resources on childbirth preparation, breast-feeding, exercise,
nutrition, parenting, and care of the newborn.
Subd. 3. [UNAUTHORIZED SERVICES.] The practice of
traditional midwifery does not include:
(1) the use of any surgical instrument at a childbirth,
except as necessary to sever the umbilical cord or repair a
first- or second-degree perineal laceration;
(2) the assisting of childbirth by artificial or mechanical
means; or
(3) the removal of a placenta accreta.
Sec. 3. [147D.05] [PROFESSIONAL CONDUCT.]
Subdivision 1. [PRACTICE STANDARDS.] (a) A licensed
traditional midwife shall provide an initial and ongoing
screening to ensure that each client receives safe and
appropriate care. A licensed traditional midwife shall only
accept and provide care to those women who are expected to have
a normal pregnancy, labor, and delivery. As part of the initial
screening to determine whether any contraindications are
present, the licensed traditional midwife must take a detailed
health history that includes the woman's social, medical,
surgical, menstrual, gynecological, contraceptive, obstetrical,
family, nutritional, and drug/chemical use histories. If a
licensed traditional midwife determines at any time during the
course of the pregnancy that a woman's condition may preclude
attendance by a traditional midwife, the licensed traditional
midwife must refer the client to a licensed health care
provider. As part of the initial and ongoing screening, a
licensed traditional midwife must recommend that the client
receive the following services, if indicated, from an
appropriate health care provider:
(1) initial laboratory pregnancy screening, including blood
group and type, antibody screen, Indirect Coombs, rubella titer,
CBC with differential and syphilis serology;
(2) gonorrhea and chlamydia cultures;
(3) screening for sickle cell;
(4) screening for hepatitis B and human immunodeficiency
virus (HIV);
(5) maternal serum alpha-fetoprotein test and ultrasound;
(6) Rh antibody and glucose screening at 28 weeks
gestation;
(7) mandated newborn screening;
(8) Rh screening of the infant for maternal RhoGAM
treatment; and
(9) screening for premature labor.
(b) A client must make arrangements to have the results of
any of the tests described in paragraph (a) sent to the licensed
traditional midwife providing services to the client. The
licensed traditional midwife must include these results in the
client's record.
Subd. 2. [WRITTEN PLAN.] A licensed traditional midwife
must prepare a written plan with each client to ensure
continuity of care throughout pregnancy, labor, and delivery.
The written plan must incorporate the conditions under which the
medical consultation plan, including the transfer of care or
transport of the client, may be implemented.
Subd. 3. [HEALTH REGULATIONS.] A licensed traditional
midwife must comply with all applicable state and municipal
requirements regarding public health.
Subd. 4. [CLIENT RECORDS.] A licensed traditional midwife
must maintain a client record on each client, including:
(1) a copy of the informed consent form described in
section 147D.07;
(2) evidence of an initial client screening described in
this section;
(3) a copy of the written plan described in subdivision 2;
(4) a record of prenatal and postpartum care provided to
the client at each visit; and
(5) a detailed record of the labor and delivery process.
Subd. 5. [DATA.] All records maintained on each client by
a licensed traditional midwife are subject to section 144.335.
Sec. 4. [147D.07] [INFORMED CONSENT.]
Subdivision 1. [GENERAL.] Before providing any services to
a client, a licensed traditional midwife must:
(1) advise the client of the information contained in the
informed consent form;
(2) provide the client with an informed consent form; and
(3) have the form returned with the client's signature
attesting that the client understands the consent form and the
information contained in the form.
Subd. 2. [CONTENTS.] The informed consent form must be
written in language understandable to the client and, at a
minimum, must contain the following:
(1) name, address, telephone number, and license number of
the licensed traditional midwife;
(2) a description of the licensed traditional midwife's
education, training, and experience in traditional midwifery;
(3) the licensed traditional midwife's fees and method of
billing;
(4) the right of the client to file a complaint with the
board and the procedures for filing a complaint;
(5) a description of the licensed traditional midwife's
medical consultation plan and the antepartum, intrapartum, and
postpartum conditions requiring consultation, transfer of care,
or transport to a hospital;
(6) the scope of care and services to be provided to the
client by the licensed traditional midwife;
(7) the available alternatives to traditional midwifery
care;
(8) a statement indicating that the client's records and
any transaction with the licensed traditional midwife are
confidential;
(9) a notice that reads: "We realize that there are risks
associated with birth, including the risk of death or disability
of either mother or child. We understand that a situation may
arise, which requires emergency medical care and that it may not
be possible to transport the mother and/or baby to the hospital
in time to benefit from such care. We fully accept the outcome
and consequences of our decision to have a licensed traditional
midwife attend us during pregnancy and at our birth. We realize
that our licensed traditional midwife is not licensed to
practice medicine. We are not seeking a licensed physician or
certified nurse midwife as the primary caregiver for this
pregnancy, and we understand that our licensed traditional
midwife shall inform us of any observed signs or symptoms of
disease, which may require evaluation, care, or treatment by a
medical practitioner. We agree that we are totally responsible
for obtaining qualified medical assistance for the care of any
disease or pathological condition.";
(10) the right of a client to refuse services unless
otherwise provided by law;
(11) a disclosure of whether the licensed traditional
midwife carries malpractice or liability insurance; and
(12) the client's and licensed traditional midwife's
signatures and date of signing.
Subd. 3. [FILING.] The licensed traditional midwife must
have a signed informed consent form on file for each client.
Upon request, the licensed traditional midwife must provide a
copy of the informed consent form to the board.
Sec. 5. [147D.09] [LIMITATIONS OF PRACTICE.]
(a) A licensed traditional midwife shall not prescribe,
dispense, or administer prescription drugs, except as permitted
under paragraph (b).
(b) A licensed traditional midwife may administer vitamin K
either orally or through intramuscular injection, postpartum
antihemorrhagic drugs under emergency situations, local
anesthetic, oxygen, and a prophylactic eye agent to the newborn
infant.
(c) A licensed traditional midwife shall not perform any
operative or surgical procedures except for suture repair of
first- or second-degree perineal lacerations.
Sec. 6. [147D.11] [MEDICAL CONSULTATION PLAN.]
(a) To be eligible for licensure as a traditional midwife,
an applicant must develop a medical consultation plan, including
an emergency plan. The plan must describe guidelines and under
what conditions the plan is to be implemented for:
(1) consultation with a licensed health care provider;
(2) the transfer of care to a licensed health care
provider; and
(3) immediate transport to a hospital.
(b) The conditions requiring the implementation of the
medical consultation plan must meet at a minimum the conditions
established by the Minnesota Midwives Guild in the Standards of
Care and Certification Guide, the most current edition.
Sec. 7. [147D.13] [REPORTING.]
Subdivision 1. [CERTIFICATE OF BIRTH.] A licensed
traditional midwife must complete a certificate of birth in
accordance with section 144.215.
Subd. 2. [PRACTICE REPORT.] (a) A licensed traditional
midwife must compile a summary report on each client. The
report must include the following:
(1) vital statistics;
(2) scope of care administered;
(3) whether the medical consultation plan was implemented;
and
(4) any physician or other health care provider referrals
made.
(b) The board may review these reports at any time upon
request.
Subd. 3. [PUBLIC HEALTH REPORT.] A licensed traditional
midwife must promptly report to the commissioner of health and
to the board any maternal, fetal, or neonatal mortality or
morbidity.
Subd. 4. [DISCIPLINARY ACTION.] A licensed traditional
midwife must report to the board termination, revocation, or
suspension of the licensed traditional midwife's certification
or any disciplinary action taken against the licensed
traditional midwife by the North American Registry of Midwives.
Sec. 8. [147D.15] [PROTECTED TITLES.]
Subdivision 1. [PROTECTED TITLES.] No person may use the title
"licensed traditional midwife," or "licensed midwife," or use,
in connection with the person's name, the letters "LTM," "LM,"
or any other titles, words, letters, abbreviations, or insignia
indicating or implying that the person is licensed or eligible
for licensure by the state as a licensed traditional midwife
unless the person has been licensed as a licensed traditional
midwife according to this chapter.
Subd. 2. [PROHIBITED FROM PRACTICING.] A person whose
license under this chapter has been revoked by the board is
prohibited from practicing traditional midwifery.
Subd. 3. [PENALTY.] A person who violates this section is
guilty of a misdemeanor.
Sec. 9. [147D.17] [LICENSURE REQUIREMENTS.]
Subdivision 1. [GENERAL REQUIREMENTS FOR LICENSURE.] To be
eligible for licensure, an applicant, with the exception of
those seeking licensure by reciprocity under subdivision 2, must:
(1) submit a completed application on forms provided by the
board along with all fees required under section 147D.27 that
includes:
(i) the applicant's name, social security number, home
address and telephone number, and business address and telephone
number;
(ii) a list of degrees received from educational
institutions;
(iii) a description of the applicant's professional
training;
(iv) a list of registrations, certifications, and licenses
held in other jurisdictions;
(v) a description of any other jurisdiction's refusal to
credential the applicant;
(vi) a description of all professional disciplinary actions
initiated against the applicant in any jurisdiction; and
(vii) any history of drug or alcohol abuse, and any
misdemeanor or felony conviction;
(2) submit a diploma from an approved education program or
submit evidence of having completed an apprenticeship;
(3) submit a verified copy of a valid and current
credential, issued by the North American Registry of Midwives or
other national organization recommended by the advisory council
and approved by the board, as a certified professional midwife;
(4) submit current certification from the American Heart
Association or the American Red Cross for adult and infant
cardiopulmonary resuscitation;
(5) submit a copy of the applicant's medical consultation
plan;
(6) submit documentation verifying that the applicant has
the following practical experience through an apprenticeship or
other supervisory setting:
(i) the provision of 75 prenatal examinations, including 20
initial examinations;
(ii) supervised participation in 20 births, ten of which
must be in a home setting;
(iii) participation as the primary birth attendant under
the supervision of a licensed traditional midwife at an
additional 20 births, ten of which must have occurred outside a
state licensed health care facility;
(iv) 20 newborn examinations; and
(v) 40 postpartum examinations;
(7) submit additional information as requested by the
board, including any additional information necessary to ensure
that the applicant is able to practice with reasonable skill and
safety to the public;
(8) sign a statement that the information in the
application is true and correct to the best of the applicant's
knowledge and belief; and
(9) sign a waiver authorizing the board to obtain access to
the applicant's records in this or any other state in which the
applicant has completed an approved education program or engaged
in the practice of traditional midwifery.
Subd. 2. [LICENSURE BY RECIPROCITY.] To be eligible for
licensure by reciprocity, the applicant must be credentialed by
the North American Registry of Midwives or other national
organization recommended by the advisory council and approved by
the board and must:
(1) submit the application materials and appropriate fees
as required under subdivision 1, clauses (1), (3), (4), (5),
(6), (7), (8), and (9); and section 147D.27;
(2) provide a verified copy from the appropriate body of a
current and unrestricted credential for the practice of
traditional midwifery in another jurisdiction that has initial
credentialing requirements equivalent to or higher than the
requirements in subdivision 1; and
(3) provide letters of verification from the appropriate
government body in each jurisdiction in which the applicant
holds a credential. Each letter must state the applicant's
name, date of birth, credential number, date of issuance, a
statement regarding disciplinary actions, if any, taken against
the applicant, and if the applicant is in good standing in that
jurisdiction.
Subd. 3. [TEMPORARY PERMIT.] The board may issue a
temporary permit to practice as a licensed traditional midwife
to an applicant eligible for licensure under this section if the
application for licensure is complete, all applicable
requirements in this section have been met, and a nonrefundable
fee set by the board has been paid. The permit remains valid
only until the meeting of the board at which a decision is made
on the application for licensure.
Subd. 4. [LICENSURE BY EQUIVALENCY DURING TRANSITION
PERIOD.] (a) From July 1, 1999, to July 1, 2001, a person may
qualify for licensure if the person has engaged in the practice
of traditional midwifery in this state for at least five years
in the period from July 1, 1994, to June 30, 1999, and submits
documentation verifying the practical experience described in
subdivision 1, clause (6). To be eligible for licensure under
this subdivision, the person must also submit the application
materials and the appropriate fees required under subdivision 1,
clauses (1), (4), (5), (6), (7), (8), and (9), and section
147D.27.
(b) An application for licensure under this subdivision
must be submitted to the board between July 1, 1999, and June
30, 2001. Licensure under this subdivision may be renewed once.
Within a two-year period from the date a license is issued by
the board in accordance with this subdivision, the licensed
traditional midwife must obtain a certification from the North
American Registry of Midwives as a certified professional
midwife. If certification is not obtained within this time
period, the licensed traditional midwife must obtain a new
license by applying for licensure and fulfilling the
requirements then in existence for obtaining an initial license
as a licensed traditional midwife.
Subd. 5. [LICENSE EXPIRATION.] Licenses issued under this
chapter expire annually.
Subd. 6. [RENEWAL.] To be eligible for license renewal, a
licensed traditional midwife must:
(1) complete a renewal application on a form provided by
the board;
(2) submit the renewal fee;
(3) provide evidence every three years of a total of 30
hours of continuing education approved by the board as described
in section 147D.21;
(4) submit evidence of an annual peer review and update of
the licensed traditional midwife's medical consultation plan;
and
(5) submit any additional information requested by the
board. The information must be submitted within 30 days after
the board's request, or the renewal request is nullified.
Subd. 7. [CHANGE OF ADDRESS.] A licensed traditional
midwife who changes addresses must inform the board within 30
days, in writing, of the change of address. All notices or
other correspondence mailed to or served on a licensed
traditional midwife by the board at the licensed traditional
midwife's address on file with the board shall be considered as
having been received by the licensed traditional midwife.
Subd. 8. [LICENSE RENEWAL NOTICE.] At least 30 days before
the license renewal date, the board shall send out a renewal
notice to the last known address of the licensed traditional
midwife on file. The notice must include a renewal application
and a notice of fees required for renewal. It must also inform
the licensed traditional midwife that licensure will expire
without further action by the board if an application for
license renewal is not received before the deadline for
renewal. The licensed traditional midwife's failure to receive
this notice shall not relieve the licensed traditional midwife
of the obligation to meet the deadline and other requirements
for license renewal. Failure to receive this notice is not
grounds for challenging expiration of licensure status.
Subd. 9. [RENEWAL DEADLINE.] The renewal application and
fee must be postmarked on or before July 1 or as determined by
the board. If the postmark is illegible, the application shall
be considered timely if received by the third working day after
the deadline.
Subd. 10. [INACTIVE STATUS AND RETURN TO ACTIVE STATUS.]
(a) A license may be placed in inactive status upon application
to the board by the licensed traditional midwife and upon
payment of an inactive status fee.
(b) Licensed traditional midwives seeking restoration to
active from inactive status must pay the current renewal fees
and all unpaid back inactive fees. They must meet the criteria
for renewal specified in subdivision 6, including continuing
education hours equivalent to one hour for each month of
inactive status, prior to submitting an application to regain
licensure status. If the inactive status extends beyond five
years, a qualifying score on a credentialing examination, or
completion of an advisory council-approved eight-week supervised
practical experience is required. If the licensed traditional
midwife intends to regain active licensure by means of eight
weeks of advisory council-approved practical experience, the
licensed traditional midwife shall be granted temporary
licensure for a period of no longer than six months.
Subd. 11. [LICENSURE FOLLOWING LAPSE OF LICENSURE STATUS
FOR TWO YEARS OR LESS.] For any individual whose licensure
status has lapsed for two years or less, to regain licensure
status, the individual must:
(1) apply for license renewal according to subdivision 6;
(2) document compliance with the continuing education
requirements of section 147D.21 since the licensed traditional
midwife's initial licensure or last renewal; and
(3) submit the fees required under section 147D.27 for the
period not licensed, including the fee for late renewal.
Subd. 12. [CANCELLATION DUE TO NONRENEWAL.] The board
shall not renew, reissue, reinstate, or restore a license that
has lapsed and has not been renewed within two licensure renewal
cycles starting July 1999. A licensed traditional midwife whose
license is canceled for nonrenewal must obtain a new license by
applying for licensure and fulfilling all requirements then in
existence for initial licensure as a licensed traditional
midwife.
Subd. 13. [CANCELLATION OF LICENSURE IN GOOD
STANDING.] (a) A licensed traditional midwife holding an active
license as a licensed traditional midwife in the state may, upon
approval of the board, be granted licensure cancellation if the
board is not investigating the person as a result of a complaint
or information received or if the board has not begun
disciplinary proceedings against the licensed traditional
midwife. Such action by the board shall be reported as a
cancellation of licensure in good standing.
(b) A licensed traditional midwife who receives board
approval for licensure cancellation is not entitled to a refund
of any license fees paid for the licensure period in which
cancellation of the license occurred.
(c) To obtain licensure after cancellation, a licensed
traditional midwife must obtain a new license by applying for
licensure and fulfilling the requirements then in existence for
obtaining an initial license as a traditional midwife.
Sec. 10. [147D.19] [BOARD ACTION ON APPLICATIONS FOR
LICENSURE.]
(a) The board shall act on each application for licensure
according to paragraphs (b) to (d).
(b) The board shall determine if the applicant meets the
requirements for licensure under section 147D.17. The board or
advisory council may investigate information provided by an
applicant to determine whether the information is accurate and
complete.
(c) The board shall notify each applicant in writing of
action taken on the application, the grounds for denying
licensure if licensure is denied, and the applicant's right to
review under paragraph (d).
(d) Applicants denied licensure may make a written request
to the board, within 30 days of the board's notice, to appear
before the advisory council and for the advisory council to
review the board's decision to deny the applicant's license.
After reviewing the denial, the advisory council shall make a
recommendation to the board as to whether the denial shall be
affirmed. Each applicant is allowed only one request for review
per licensure period.
Sec. 11. [147D.21] [CONTINUING EDUCATION REQUIREMENTS.]
Subdivision 1. [NUMBER OF REQUIRED CONTACT HOURS.] Three
years after the date of initial licensure and every three years
thereafter, a licensed traditional midwife must complete a
minimum of 30 contact hours of board-approved continuing
education and attest to completion of continuing education
requirements by reporting to the board. At least five contact
hours within a three-year reporting period must involve adult
cardiopulmonary resuscitation and either infant cardiopulmonary
resuscitation or neonatal advanced life support.
Subd. 2. [APPROVAL OF CONTINUING EDUCATION PROGRAMS.] The
board shall approve continuing education programs that meet the
following criteria:
(1) the program content directly relates to the practice of
traditional midwifery;
(2) each member of the program faculty is knowledgeable in
the subject matter as demonstrated by a degree from an
accredited education program, verifiable experience in the field
of traditional midwifery, special training in the subject
matter, or experience teaching in the subject area;
(3) the program lasts at least one contact hour;
(4) there are specific, measurable, written objectives,
consistent with the program, describing the expected outcomes
for the participants; and
(5) the program sponsor has a mechanism to verify
participation and maintains attendance records for three years.
Subd. 3. [CONTINUING EDUCATION TOPICS.] Continuing
education program topics may include, but are not limited to,
traditional midwifery care in the prenatal, labor, birth, and
postpartum and newborn periods; assessing contraindications;
care in emergency situations; ethics; and nutrition.
Subd. 4. [ACCUMULATION OF CONTACT HOURS.] A licensed
traditional midwife may not apply contact hours acquired in one
three-year reporting period to a future continuing education
reporting period.
Subd. 5. [VERIFICATION OF CONTINUING EDUCATION CREDITS.]
The board shall periodically select a random sample of licensed
traditional midwives and require those licensed traditional
midwives to supply the board with evidence of having completed
the continuing education to which they attested. Documentation
may come directly from the licensed traditional midwife or from
state or national organizations that maintain continuing
education records.
Sec. 12. [147D.23] [DISCIPLINE; REPORTING.]
For purposes of this chapter, licensed traditional midwives
and applicants are subject to the provisions of sections 147.091
to 147.162.
Sec. 13. [147D.25] [ADVISORY COUNCIL ON LICENSED
TRADITIONAL MIDWIFERY.]
Subdivision 1. [MEMBERSHIP.] The board shall appoint a
five-member advisory council on licensed traditional midwifery.
One member shall be a licensed physician who has been or is
currently consulting with licensed traditional midwives,
appointed from a list of names submitted to the board by the
Minnesota Medical Association. Three members shall be licensed
traditional midwives appointed from a list of names submitted to
the board by Midwifery Now. One member shall be a homebirth
parent appointed from a list of names submitted to the board by
Minnesota Families for Midwifery.
Subd. 2. [ORGANIZATION.] The advisory council shall be
organized and administered under section 15.059. The council
expires June 30, 2003.
Subd. 3. [DUTIES.] The advisory council shall:
(1) advise the board regarding standards for licensed
traditional midwives;
(2) provide for distribution of information regarding
licensed traditional midwifery practice standards;
(3) advise the board on enforcement of this chapter;
(4) review applications and recommend granting or denying
licensure or license renewal;
(5) advise the board on issues related to receiving and
investigating complaints, conducting hearings, and imposing
disciplinary action in relation to complaints against licensed
traditional midwives;
(6) advise the board regarding approval of continuing
education programs using the criteria in section 147D.21,
subdivision 2;
(7) recommend alternate accrediting and credentialing
organizations or agencies to the board; and
(8) perform other duties authorized for advisory councils
by chapter 214, as directed by the board.
Sec. 14. [147D.27] [FEES.]
Subdivision 1. [LICENSURE FEE.] The license application
fee is $100. The fee for initial licensure and annual renewal
is $100. The fee for inactive status is $50. The fee for a
temporary permit is $75.
Subd. 2. [PRORATION OF FEES.] The board may prorate the
initial licensure fee. All licensed traditional midwives are
required to pay the full fee upon license renewal.
Subd. 3. [PENALTY FEE FOR LATE RENEWALS.] An application
for license renewal submitted after the deadline must be
accompanied by a late fee of $75 in addition to the required
fees.
Subd. 4. [NONREFUNDABLE FEES.] The fees in this section
are nonrefundable.
Sec. 15. [APPROPRIATION.]
$8,000 is appropriated for fiscal year 2000 and $4,000 is
appropriated for fiscal year 2001 from the state government
special revenue fund to the board of medical practice for the
licensure and regulation of traditional midwives as required
under Minnesota Statutes, chapter 147D.
Sec. 16. [REPEALER.]
Minnesota Statutes 1998, sections 148.30; 148.31; and
148.32, are repealed.
Minnesota Rules, parts 5600.2000; and 5600.2100, are
repealed.
Presented to the governor May 11, 1999
Became law without the governor's signature May 13, 1999
Official Publication of the State of Minnesota
Revisor of Statutes