1. A. A licensed certified midwife who delegates shall:

   1. (1) Assess the risk to the client and the outcome of the delegated acts;
   2. (2) Delegate only those technical tasks that are customary to the practice of a licensed certified midwife;
   3. (3) Delegate only those technical tasks for which the assistant has been trained;
   4. (4) Be responsible for the acts of the assistant;
   5. (5) Supervise the assistant in accordance with this chapter; and
   6. (6) If dispensing prescription medication under Health Occupations Article, Title 8, Annotated Code of Maryland, perform a final check of the prescription medication before it is provided to the client.

2. B. The responsibility for the delegated act cannot be transferred from the delegating licensed certified midwife to another licensed certified midwife, or to another licensed health care provider that is authorized to delegate clinical and technical tasks, without:

   1. (1) The expressed consent of the other licensed certified midwife or licensed health care provider; and
   2. (2) Informing the assistant.

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)