Florida Senate - 2020 COMMITTEE AMENDMENT
Bill No. SB 1764
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LEGISLATIVE ACTION
Senate . House
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The Committee on Health Policy (Flores) recommended the
following:
1 Senate Amendment (with title amendment)
2
3 Delete everything after the enacting clause
4 and insert:
5 Section 1. Subsection (5) of section 467.015, Florida
6 Statutes, is amended to read
7 467.015 Responsibilities of the midwife.—
8 (5) The midwife, whether providing an in-hospital or out
9 of-hospital birth, shall do all of the following:
10 (a) Upon acceptance of a patient into care, advise the
11 patient of the clinical outcomes of births in low-risk patients
12 during an out-of-hospital birth and any increased risks
13 associated with an individual having a vaginal birth after
14 having a caesarean section, a breech birth, or a multiple
15 gestation pregnancy. The licensed health care practitioner
16 providing out-of-hospital births shall further advise, but may
17 not require, the patient to consult an obstetrician for more
18 information related to such clinical outcomes and increased
19 risks.
20 (b)(a) Prepare a written plan of action with the patient
21 and the patient’s family, if any, to ensure continuity of
22 medical care throughout labor and delivery and to provide for
23 immediate medical care if an emergency arises. The family should
24 have specific plans for medical care throughout the prenatal,
25 intrapartal, and postpartal periods.
26 (c)(b) If a home birth is planned, instruct the patient and
27 family regarding the preparation of the environment and ensure
28 availability of equipment and supplies needed for delivery and
29 infant care, if a home birth is planned.
30 (d)(c) Instruct the patient in the hygiene of pregnancy and
31 nutrition as it relates to prenatal care.
32 (e)(d) Maintain equipment and supplies in conformity with
33 the rules adopted pursuant to this chapter.
34 (f) Upon initial contact with the patient during the
35 intrapartal period, measure and record the vital signs of the
36 mother and fetus to serve as a baseline during labor and
37 delivery.
38 (g) Transfer care of the patient to a hospital with
39 obstetrical services in accordance with the written emergency
40 plan if any of the following occurs or presents during labor or
41 delivery or immediately thereafter:
42 1. An unexpected nonvertex presentation of the fetus;
43 2. Indication that the mother’s uterus has ruptured;
44 3. Evidence of severe and persistent fetal or maternal
45 distress;
46 4. Pregnancy-induced hypertension;
47 5. An umbilical cord prolapse;
48 6. An active infectious disease process; or
49 7. Any other severe emergent condition.
50 Section 2. Section 467.016, Florida Statutes, is amended to
51 read:
52 467.016 Informed consent.—The department shall develop a
53 uniform patient informed consent client informed-consent form to
54 be used by the midwife providing out-of-hospital births to
55 inform the patient client of the qualifications of a licensed
56 midwife and the nature and risk of the procedures to be used by
57 a midwife and to obtain the patient’s client’s consent for the
58 provision of out-of-hospital birth midwifery services. The form
59 must be signed by the patient and the midwife providing out-of
60 hospital births, and a copy must be provided to the patient. The
61 form shall include, at a minimum, all of the following:
62 (a) A statement advising the patient of the clinical
63 outcomes of births in low-risk patients during an out-of
64 hospital birth and any increased risks associated with having a
65 vaginal birth after having a caesarean section, a breech birth,
66 or a multiple gestation pregnancy.
67 (b) A detailed statement explaining to the patient hospital
68 admitting privileges and the requirements for a health care
69 practitioner to obtain and maintain such privileges.
70 (c) Disclosure of each hospital and specific department, if
71 any, where the health care practitioner providing out-of
72 hospital births has been granted admitting privileges, including
73 the scope and duration of the admitting privileges, the current
74 contact information for the specific hospital or department that
75 has granted the health care practitioner admitting privileges,
76 and a copy of documentation from the hospital or department
77 providing proof of such admitting privileges. A health care
78 practitioner providing out-of-hospital births who does not have
79 admitting privileges at any hospital must explicitly state that
80 fact on the form.
81
82 ================= T I T L E A M E N D M E N T ================
83 And the title is amended as follows:
84 Delete everything before the enacting clause
85 and insert:
86 A bill to be entitled
87 An act relating to midwifery; amending s. 467.015,
88 F.S.; revising responsibilities of licensed midwives
89 providing out-of-hospital births; amending s. 467.016,
90 F.S.; revising the requirements for the uniform
91 patient informed consent form used by licensed
92 midwives providing out-of-hospital births; providing
93 an effective date.