1. A. A licensed certified midwife who provides clinical midwifery services across the reproductive lifespan in accordance with this subtitle shall:

   1. (1) Maintain a health record for each client;
   2. (2) In the case of a transfer of care to another provider or a facility, transfer the client’s health records with the client; and
   3. (3) Comply with applicable State laws and regulations governing the creation and maintenance of health care records.

2. B. A licensed certified midwife who provides clinical midwifery services shall have available at all times for examination by the Board, written clinical practice guidelines that cover all aspects of care, practice, and quality assurance, including but not limited to:

   1. (1) A plan for emergency consultation;
   2. (2) A plan for transfer of care; and
   3. (3) A plan for admission of the client or newborn to a hospital within the client’s geographic area.

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)