1. A. An individual who has graduated from a graduate level accredited program for midwifery education program approved by the ACME and who has taken the AMCB national certification examination but is waiting for results may practice as a certified midwife graduate before certification if the:

   1. (1) Practice is under the supervision of a licensed certified midwife or certified nurse midwife who shall be physically present at the location of service and available to the certified midwife graduate;
   2. (2) Supervising midwife and certified midwife graduate execute a written supervision agreement on the form required by the Board; and

   3. (3) Certified midwife graduate files with the Board a copy of the:

      1. (a) Admission slip to the Board-approved certification examination; and
      2. (b) Signed supervision agreement.
2. B. A certified midwife graduate who has entered into a supervision agreement under this regulation shall immediately notify the Board and the supervising midwife of the results of the AMCB certification examination.
3. C. A certified midwife graduate may not continue to practice under a supervision agreement under this regulation for more than 1 year from the filing of all documents required under §A(3) of this regulation, or after the denial of AMCB certification, whichever occurs first.

Authority: Health Occupations Article, §§ 8-101, 8-205, 8-208, 8-508, 8-601, 8-6A-02, 8-6D-01 through 8-6D-15, 8-701, 8-708, and 8-710, Annotated Code of Maryland

Effective date: February 22, 2026 (52:17 Md. R. 875)