Adopted Amendments: N.J.A.C. 13:35-2A.2, 2A.5 and 2A.6

Certified Midwives: Definitions; Independent Practice; Affiliated Physicians; Clinical Guidelines

Proposed: June 1, 2009 at 41 N.J.R. 2203(a).

Adopted: September 9, 2009 by the State Board of Medical Examiners, Paul Mendelowitz, M.D., President.

Filed: May 21, 2010 as R.2010 d.110, without change .

Authority: N.J.S.A. 45:9-2 and 45:10-22.

Effective Date: June 21, 2010.

Expiration Date: Pursuant to Executive Order No. 1 (2010), the expiration date of N.J.A.C. 13:35 is extended from March 17, 2010, until the completion of the review of administrative regulations and rules by the Red Tape Review Group, and until such time as the extended regulation or rule is readopted pursuant to the Administrative Procedure Act, N.J.S.A. 52:14B-1 et seq.

Federal Standards Statement

A Federal standards statement is not required because there are no Federal standards or requirements applicable to the requirements of the adopted amendments.

Full text of the adoption follows:

SUBCHAPTER 2A. LIMITED LICENSES: MIDWIFERY

13:35-2A.2 Definitions

The following words and terms, when used in this subchapter, shall have the following meaning, unless the context clearly indicates otherwise:

. . .

"Clinical guidelines" means a document, which sets forth patterns of care and which provides for consultation, collaboration, management and referral as indicated by the health status of a woman receiving care from a licensee.

. . .

13:35-2A.5 Independent practice

(a) (No change.)

(b) Certified nurse midwives and certified midwives shall conduct their practice pursuant to standards set forth by the ACNM in Standards for the Practice of Nurse Midwifery (1993), as amended and supplemented, available from the American College of Nurse-Midwives, 8403 Colesville Rd., Suite 1550 , Silver Spring , MD 20910 , which is incorporated herein by reference as part of this rule.

(c)-(d) (No change.)

13:35-2A.6 Affiliated physicians; clinical guidelines

(a)-(b) (No change.)

(c) The clinical guidelines shall set forth:

1.-2. (No change.)

3. Procedures to follow if one of the risk factors from N.J.A.C. 13:35-2A.9 and 2A.11 is encountered;

4.-8. (No change.)

(d) A licensee shall provide clinical guidelines and the identity of his or her affiliated physician(s) to the Board upon request.

Recodify existing (f)-(g) as (e)-(f) (No change in text.)