(Section scheduled to be repealed on January 1, 2027)

1. (a) A licensed certified professional midwife may not do any of the following:

   1. (1) administer prescription pharmacological agents intended to induce or augment labor;
   2. (2) administer prescription pharmacological agents to provide pain management;
   3. (3) use vacuum extractors or forceps;
   4. (4) prescribe medications;
   5. (5) provide out-of-hospital care to a childbearing individual who has had a previous cesarean section;
   6. (6) perform abortions or surgical procedures, including, but not limited to, cesarean sections and circumcisions, except for an emergency episiotomy;

   7. (7) knowingly accept responsibility for prenatal or intrapartum care of a client with any of the following risk factors:

      1. (A) chronic significant maternal cardiac, pulmonary, renal, or hepatic disease;
      2. (B) malignant disease in an active phase;
      3. (C) significant hematological disorders, coagulopathies, or pulmonary embolism;
      4. (D) insulin requiring diabetes mellitus;
      5. (E) known maternal congenital abnormalities affecting childbirth;
      6. (F) confirmed isoimmunization, Rh disease with positive titer;
      7. (G) active tuberculosis;
      8. (H) active syphilis or gonorrhea;
      9. (I) active genital herpes infection 2 weeks prior to labor or in labor;
      10. (J) pelvic or uterine abnormalities affecting normal vaginal births, including tumors and malformations;
      11. (K) alcoholism or alcohol abuse;
      12. (L) drug addiction or abuse; or
      13. (M) confirmed AIDS status.
2. (b) A licensed certified professional midwife shall not administer Schedule II through IV controlled substances. Subject to a prescription by a health care professional, Schedule V controlled substances may be administered by licensed certified professional midwives.

(Source: P.A. 102-683, eff. 10-1-22.)