Arkansas Code of 1987 (2023) › Title 17 - PROFESSIONS, OCCUPATIONS, AND BUSINESSES (§§ 17-1-101 — 17-107-311) › Subtitle 3 - MEDICAL PROFESSIONS (§§ 17-80-101 — 17-107-311) › Chapter 87 - NURSES (§§ 17-87-101 — 17-87-808) › Subchapter 3 - LICENSING (§§ 17-87-301 — 17-87-316) › Section 17-87-315 - Full practice authority for certified nurse midwives - Definition

(a)
(1)
The General Assembly finds that:
(A)
(i)
Certified nurse midwives are advanced practice registered nurses who are nationally certified after completing postgraduate specialty education in an accredited program.
(ii)
The scope of nurse midwifery includes care of gynecological and family planning services, preconception care, care during pregnancy, childbirth and postpartum care, care of a normal newborn during the first twenty-eight (28) days of life, and treatment of male partners for sexually transmitted infections;
(B)
When women and infants do not have access to routine, quality health care, there is an increased risk of maternal and infant mortality and morbidity, including infant mortality and morbidity resulting from low birth weight and preterm birth;
(C)
Certified nurse midwives are often underutilized in helping provide maternity, prenatal, postnatal, intrapartum, and reproductive healthcare services in this state;
(D)
In 2018, less than one percent (1%) of births in Arkansas were attended by a certified nurse midwife;
(E)
Integrating certified nurse midwives into maternity care could help improve women's access to healthcare providers and quality of care;
(F)
Midwifery-led models of care have been proven to improve maternal and infant outcomes for socially at-risk communities and achieve good maternal and infant outcomes on a large scale; and
(G)
To increase healthcare provider choices for women and access to maternity, prenatal, postnatal, intrapartum, and reproductive healthcare services, the certified nurse midwives of this state should be granted full authority to practice to the extent of their education, clinical training, and certification.
(2)
It is the intent of the General Assembly to grant certified nurse midwives full practice authority.
(b)
As used in this section, "full practice authority" means the authority of a healthcare professional to:
(1)
Evaluate patients;
(2)
Diagnose medical conditions;
(3)
Order and interpret diagnostic tests;
(4)
Initiate and manage treatment and care plans, including appropriate comanagement or transfer of high-risk patients to other healthcare professionals as needed; and
(5)
Prescribe and administer drugs listed in Schedules III - V without a collaborative practice agreement or supervision of another healthcare professional when performing healthcare services.
(c)
(1)
A certified nurse midwife with full practice authority is not subject to the collaborative practice agreement requirements in §
17-87-310
if providing prescriptions of medications that are in Schedules III - V.
(2)
A collaborative practice agreement under §
17-87-310
is required to provide prescriptions of medications that are in Schedule II.
(d)
For a delivery outside of an accredited facility, the certified nurse midwife shall identify a licensed physician or facility, or both, with which an arrangement has been made for referral and consultation in the event of a medical complication.
(e)
This section does not authorize a certified nurse midwife to perform an abortion or provide abortion counseling or abortion referrals.
Added by Act 2021, No. 607,§ 2, eff. 7/28/2021.