reglab/statecodes huggingface dataset:
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 26.5 - ABORTION CLINICS PERFORMING DRUG INDUCED ABORTIONS › Rule 20 - Incorporation by Reference › Section 20-1 - Incorporation by reference

Current through July 10, 2024
Authority: IC 16-21-1-7; IC 16-21-2-2.5
Affected: IC 16-21-1; IC 16-21-2
Sec. 1.
(a)42 CFR
				493 (October 1, 2017) is hereby incorporated by reference as part of this
				article.
(b) Federal rules that
				have been incorporated by reference do not include any later amendments than
				those specified in the incorporated citation. The incorporated rules may be
				found at:
https://www.gpo.gov/fdsys/browse/collectionCfr.action?collectionCode=CFR
.
(c) All incorporated material is available
				for public review at the department.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 27 - BIRTHING CENTERS › Rule 1 - Definitions › Section 1-1 - Applicability

Current through July 10, 2024
Authority: IC
				  16-21-1-7; IC
				  16-21-2-2.5
Affected: IC 16-19-3; IC 16-21-1
Sec. 1.
The definitions in this rule apply throughout this article
				  except as otherwise indicated.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 27 - BIRTHING CENTERS › Rule 1 - Definitions › Section 1-1.5 - "ASA Class I patient" defined

Current through July 10, 2024
Authority: IC
				  16-19-3-4;
				  IC
				  16-21-1-7
Affected: IC 16-19-3; IC 16-21-1
Sec. 1.5.
"ASA Class I patient" means a normal, healthy patient.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 27 - BIRTHING CENTERS › Rule 1 - Definitions › Section 1-2 - "Authenticate" defined

Current through July 10, 2024
Authority: IC
				  16-21-1-7; IC
				  16-21-2-2.5
Affected: IC 16-21-1
Sec. 2.
"Authenticate" means the author or responsible individual has
				  reviewed the clinical content of the order and validated an entry in the record
				  by:
(1) a full signature, including
				first initial, last name, and discipline;
(2) written initials if full signature
				appears on the same page; or
(3) a
				unique identifier such as a number or computer key.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 27 - BIRTHING CENTERS › Rule 1 - Definitions › Section 1-2.5 - "Biologics" defined

Current through July 10, 2024
Authority: IC
				  16-19-3-4;
				  IC
				  16-21-1-7
Affected: IC 16-19-3; IC 16-21-1
Sec. 2.5.
"Biologics" means a biological product, such as:
(1) a globulin;
(2) a serum;
(3) a vaccine;
(4) an antitoxin;
(5) blood; or
(6) an antigen; used in the prevention or
				treatment of disease.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 27 - BIRTHING CENTERS › Rule 1 - Definitions › Section 1-3 - "Birthing center" defined

Current through July 10, 2024
Authority: IC
				  16-21-1-7; IC
				  16-21-2-2.5
Affected: IC
				  16-18-2-36.5;
				  IC 16-21-1
Sec. 3.
"Birthing center" has the meaning set forth in IC
				  16-18-2-36.5.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 27 - BIRTHING CENTERS › Rule 1 - Definitions › Section 1-3.5 - "Burn" defined

Current through July 10, 2024
Authority: IC
				  16-19-3-4;
				  IC
				  16-21-1-7
Affected: IC 16-19-3; IC 16-21-1
Sec. 3.5.
"Burn" means any injury or damage to the tissues of the body
				  caused by exposure to any of the following:
(1) Fire.
(2) Heat.
(3) Chemicals.
(4) Electricity.
(5) Radiation.
(6) Gases.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 27 - BIRTHING CENTERS › Rule 1 - Definitions › Section 1-4 - "Center" defined

Current through July 10, 2024
Authority: IC
				  16-21-1-7; IC
				  16-21-2-2.5
Affected: IC 16-21-1
Sec. 4.
"Center" means a birthing center.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 27 - BIRTHING CENTERS › Rule 1 - Definitions › Section 1-5 - "Certified nurse midwife" defined

Current through July 10, 2024
Authority: IC
				  16-21-1-7; IC
				  16-21-2-2.5
Affected: IC 16-21-1; IC
				  25-23-1-13.1
Sec. 5.
"Certified nurse midwife" means a person licensed to practice
				  as a nurse midwife under IC
				  25-23-1-13.1.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 27 - BIRTHING CENTERS › Rule 1 - Definitions › Section 1-6 - "Commissioner" defined

Current through July 10, 2024
Authority: IC
				  16-21-1-7; IC
				  16-21-2-2.5
Affected: IC 16-21-1
Sec. 6.
"Commissioner" means the state health commissioner or the
				  state health commissioner's designee.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 27 - BIRTHING CENTERS › Rule 1 - Definitions › Section 1-7 - "Council" defined

Current through July 10, 2024
Authority: IC
				  16-21-1-7; IC
				  16-21-2-2.5
Affected: IC
				  16-18-2-84;
				  IC 16-21-1
Sec. 7.
"Council" has the meaning set forth in IC
				  16-18-2-84(1).
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 27 - BIRTHING CENTERS › Rule 1 - Definitions › Section 1-8 - "Department" defined

Current through July 10, 2024
Authority: IC
				  16-21-1-7; IC
				  16-21-2-2.5
Affected: IC 16-21-1
Sec. 8.
"Department" means the Indiana department of health.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 27 - BIRTHING CENTERS › Rule 1 - Definitions › Section 1-9 - "Division" defined

Current through July 10, 2024
Authority: IC
				  16-21-1-7; IC
				  16-21-2-2.5
Affected: IC 16-21-1
Sec. 9.
"Division" means the division of acute care of the
				  department.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 27 - BIRTHING CENTERS › Rule 1 - Definitions › Section 1-9.5 - "Elopement" defined

Current through July 10, 2024
Authority: IC
				  16-19-3-4;
				  IC
				  16-21-1-7
Affected: IC 16-19-3; IC 16-21-1
Sec. 9.5.
"Elopement" means any situation in which a registered or
				  admitted patient, excluding events involving adults with decision making
				  capacity, leaves the center without staff being aware that the patient has done
				  so.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 27 - BIRTHING CENTERS › Rule 1 - Definitions › Section 1-10 - "Emergency medical technician" defined

Current through July 10, 2024
Authority: IC 16-21-1-7; IC 16-21-2-2.5
Affected: IC 16-21-1
Sec. 10.
"Emergency medical technician" has the meaning set forth in
				  836 IAC 1-1-1(23)(24)(26)
[
				  836 IAC
				  1-1-1(23),
				  836 IAC
				  1-1-1(24), and
				  836 IAC
				  1-1-1(26)
				  ]
.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 27 - BIRTHING CENTERS › Rule 1 - Definitions › Section 1-11 - "Governing body" defined

Current through July 10, 2024
Authority: IC
				  16-21-1-7; IC
				  16-21-2-2.5
Affected: IC 16-21-1
Sec. 11.
"Governing body" means:
(1) board of trustees;
(2) governing board;
(3) board of directors; or
(4) other body or individual responsible for
				governing a birthing center.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 27 - BIRTHING CENTERS › Rule 1 - Definitions › Section 1-12 - "Health care provider" defined

Current through July 10, 2024
Authority: IC
				  16-21-1-7; IC
				  16-21-2-2.5
Affected: IC
				  16-18-2-163;
				  IC 16-21-1
Sec. 12.
"Health care provider" has the meaning set forth in IC
				  16-18-2-163.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 27 - BIRTHING CENTERS › Rule 1 - Definitions › Section 1-13 - "Health care worker" defined

Current through July 10, 2024
Authority: IC
				  16-21-1-7; IC
				  16-21-2-2.5
Affected: IC 16-21-1
Sec. 13.
"Health care worker" means a person who provides services
				  whether as an individual health care provider, volunteer, or student at or
				  employee of a center.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 27 - BIRTHING CENTERS › Rule 1 - Definitions › Section 1-13.3 - "Hyperbilirubinemia" defined

Current through July 10, 2024
Authority: IC
				  16-19-3-4;
				  IC
				  16-21-1-7
Affected: IC 16-19-3; IC 16-21-1
Sec. 13.3.
"Hyperbilirubinemia" means total serum bilirubin levels
				  greater than twenty-five (25) mg/dl in a neonate.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 27 - BIRTHING CENTERS › Rule 1 - Definitions › Section 1-13.4 - "Hypoglycemia" defined

Current through July 10, 2024
Authority: IC
				  16-19-3-4;
				  IC
				  16-21-1-7
Affected: IC 16-19-3; IC 16-21-1
Sec. 13.4.
"Hypoglycemia" means a physiologic state in which:
(1) the blood sugar falls below sixty (60)
				mg/dl (forty (40) mg/dl in neonates); and
(2) physiological or neurological, or both,
				dysfunction begins.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 27 - BIRTHING CENTERS › Rule 1 - Definitions › Section 1-13.5 - "Immediately postoperative" defined

Current through July 10, 2024
Authority: IC
				  16-19-3-4;
				  IC
				  16-21-1-7
Affected: IC 16-19-3; IC 16-21-1
Sec. 13.5.
"Immediately postoperative" means within twenty-four (24)
				  hours after either of the following:
(1) Administration of anesthesia (if surgery
				or other invasive procedure is not completed).
(2) Completion of surgery or other invasive
				procedure.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 27 - BIRTHING CENTERS › Rule 1 - Definitions › Section 1-13.6 - "Informed consent" defined

Current through July 10, 2024
Authority: IC
				  16-19-3-4;
				  IC
				  16-21-1-7
Affected: IC 16-19-3; IC 16-21-1
Sec. 13.6.
"Informed consent" means a patient's authorization or
				  agreement to undergo surgery or other invasive procedure that is based upon
				  communication between a patient and his or her physician regarding the surgery
				  or other invasive procedure.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 27 - BIRTHING CENTERS › Rule 1 - Definitions › Section 1-13.8 - "Joint movement therapy" defined

Current through July 10, 2024
Authority: IC
				  16-19-3-4;
				  IC
				  16-21-1-7
Affected: IC 16-19-3; IC 16-21-1
Sec. 13.8.
"Joint movement therapy" means all types of manual
				  techniques, to include:
(1)
				mobilization (movement of the spine or a joint within its physiologic range of
				motion);
(2) manipulation (movement
				of the spine or a joint beyond its normal voluntary physiologic range of
				motion); or
(3) any other type of
				manual musculoskeletal therapy;
regardless of their precise anatomic and physiologic focus or
				  their discipline of origin.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 27 - BIRTHING CENTERS › Rule 1 - Definitions › Section 1-13.9 - "Kernicterus" defined

Current through July 10, 2024
Authority: IC
				  16-19-3-4;
				  IC
				  16-21-1-7
Affected: IC 16-19-3; IC 16-21-1
Sec. 13.9.
"Kernicterus" means the medical condition in which elevated
				  levels of bilirubin cause brain damage.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 27 - BIRTHING CENTERS › Rule 1 - Definitions › Section 1-14 - "Licensed health professional" defined

Current through July 10, 2024
Authority: IC
				  16-21-1-7; IC
				  16-21-2-2.5
Affected: IC 16-21-1; IC
				  25-23-1-27.1
Sec. 14.
"Licensed health professional" has the meaning set forth in
				  IC
				  25-23-1-27.1.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 27 - BIRTHING CENTERS › Rule 1 - Definitions › Section 1-15 - "Licensed practical nurse" defined

Current through July 10, 2024
Authority: IC
				  16-21-1-7; IC
				  16-21-2-2.5
Affected: IC 16-21-1; IC
				  25-23-1-1.2
Sec. 15.
"Licensed practical nurse" has the meaning set forth in IC
				  25-23-1-1.2.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 27 - BIRTHING CENTERS › Rule 1 - Definitions › Section 1-15.5 - "Low-risk pregnancy" defined

Current through July 10, 2024
Authority: IC
				  16-19-3-4;
				  IC
				  16-21-1-7
Affected: IC 16-19-3; IC 16-21-1
Sec. 15.5.
"Low-risk pregnancy" means a woman sixteen (16) to
				  thirty-nine (39) years of age, with no previous diagnosis of any of the
				  following:
(1) Essential
				hypertension.
(2) Renal
				disease.
(3) Collagen-vascular
				disease.
(4) Liver
				disease.
(5)
				Preeclampsia.
(6) Cardiovascular
				disease.
(7) Placenta
				previa.
(8) Multiple
				gestation.
(9) Intrauterine growth
				retardation.
(10)
				Smoking.
(11) Pregnancy-induced
				hypertension.
(12) Premature
				rupture of membranes.
(13) Other
				previously documented condition that poses a high risk of pregnancy-related
				mortality.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 27 - BIRTHING CENTERS › Rule 1 - Definitions › Section 1-16 - "Medical staff" defined

Current through July 10, 2024
Authority: IC
				  16-21-1-7; IC
				  16-21-2-2.5
Affected: IC 16-21-1
Sec. 16.
"Medical staff" means physicians and certified nurse midwives
				  appointed by the governing body or contracted with by the governing body and
				  responsible to the governing body for the following:
(1) The clinical and scientific work of the
				center.
(2) Advice regarding
				professional matters and policies.
(3) Review of the professional practices in
				the center for the purposes of reducing morbidity and mortality and for the
				improvement of the care of patients in the center, including the following:
(A) The quality and necessity of care
				provided.
(B) The preventability of
				complications and deaths occurring in the center.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 27 - BIRTHING CENTERS › Rule 1 - Definitions › Section 1-16.5 - "Neonates" defined

Current through July 10, 2024
Authority: IC
				  16-19-3-4;
				  IC
				  16-21-1-7
Affected: IC 16-19-3; IC 16-21-1
Sec. 16.5.
"Neonates" means infants in the first twenty-eight (28) days
				  of life.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 27 - BIRTHING CENTERS › Rule 1 - Definitions › Section 1-17 - "Paramedic" defined

Current through July 10, 2024
Authority: IC 16-21-1-7; IC 16-21-2-2.5
Affected: IC 16-21-1; IC 25-26-13
Sec. 17.
"Paramedic" has the meaning set forth in 836 IAC
				  1-1-1-37
[sic.,
				  836 IAC
				  1-1-1(37)
				  ]
.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 27 - BIRTHING CENTERS › Rule 1 - Definitions › Section 1-18 - "Practice of midwifery" defined

Current through July 10, 2024
Authority: IC 16-21-1-7; IC 16-21-2-2.5
Affected: IC 16-21-1; IC 25-26-13
Sec. 18.
"Practice of midwifery" means the practice of a certified
				  nurse-midwife as set forth in
				  848 IAC
				  3-1-2.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 27 - BIRTHING CENTERS › Rule 1 - Definitions › Section 1-19 - "Pharmacist" defined

Current through July 10, 2024
Authority: IC
				  16-21-1-7; IC
				  16-21-2-2.5
Affected: IC 16-21-1; IC 25-26-13
Sec. 19.
"Pharmacist" means an individual licensed under IC 25-26-13.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 27 - BIRTHING CENTERS › Rule 1 - Definitions › Section 1-20 - "Physician" defined

Current through July 10, 2024
Authority: IC
				  16-21-1-7; IC
				  16-21-2-2.5
Affected: IC 16-21-1; IC 25-22.5-5
Sec. 20.
"Physician" means an individual licensed under IC 25-22.5-5.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 27 - BIRTHING CENTERS › Rule 1 - Definitions › Section 1-21 - "Registered nurse" defined

Current through July 10, 2024
Authority: IC
				  16-21-1-7; IC
				  16-21-2-2.5
Affected: IC 16-21-1; IC 25-23-1
Sec. 21.
"Registered nurse" means an individual licensed under IC
				  25-23-1.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 27 - BIRTHING CENTERS › Rule 1 - Definitions › Section 1-21.5 - "Serious disability" defined

Current through July 10, 2024
Authority: IC
				  16-19-3-4;
				  IC
				  16-21-1-7
Affected: IC 16-19-3; IC 16-21-1
Sec. 21.5.
"Serious disability" means either of the following:
(1) Significant loss of function including
				sensory, motor, physiologic, or intellectual impairment:
(A) not present on admission and requiring
				continued treatment; or
(B) for
				which there is a high probability of long term or permanent lifestyle change at
				discharge.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 27 - BIRTHING CENTERS › Rule 1 - Definitions › Section 1-21.6 - "Sexual assault" defined

Current through July 10, 2024
Authority: IC
				  16-19-3-4;
				  IC
				  16-21-1-7
Affected: IC 16-19-3; IC 16-21-1; IC 35-42-4; IC
				  35-46-1-3
Sec. 21.6.
"Sexual assault" means a crime included under IC 35-42-4 or
				  IC
				  35-46-1-3.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 27 - BIRTHING CENTERS › Rule 1 - Definitions › Section 1-22 - "Staffing physician" defined

Current through July 10, 2024
Authority: IC
				  16-21-1-7; IC
				  16-21-2-2.5
Affected: IC 16-21-1; IC
				  25-23-1-19.4
Sec. 22.
"Staffing physician" means an individual licensed under IC
				  25-23-1 who has entered into a practice agreement with a certified nurse
				  midwife as required by IC
				  25-23-1-19.5(b)
[sic., IC
				  25-23-1-19.4(b)
				  ]
.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 27 - BIRTHING CENTERS › Rule 1 - Definitions › Section 1-23 - "Surgery or other invasive procedure" defined

Current through July 10, 2024
Authority: IC 16-19-3-4; IC 16-21-1-7
Affected: IC 16-19-3; IC 16-21-1
Sec. 23.
"Surgery or other invasive procedure" means, for purposes of
				  410 IAC 27-6-2,
				  surgical or other invasive procedures that involve a skin incision, puncture,
				  or insertion of an instrument or foreign material into tissues, cavities, or
				  organs. A procedure begins at the time of the skin incision, puncture, or
				  insertion of an instrument or foreign material into tissues, cavities, or
				  organs. A procedure ends when the surgical incision has been closed or
				  operative devices such as probes have been removed. The procedures include, but
				  are not limited to, the following:
(1)
				Open or percutaneous surgical procedures.
(2) Percutaneous aspiration.
(3) Selected injections.
(4) Biopsy.
(5) Percutaneous cardiac and vascular
				diagnostic or interventional procedures.
(6) Laparoscopies.
(7) Endoscopies.
(8) Colonoscopies.
The term excludes intravenous therapy, venipuncture for
				  phlebotomy, or diagnostic tests without intravenous contract agents.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 27 - BIRTHING CENTERS › Rule 1 - Definitions › Section 1-24 - "Toxic substance" defined

Current through July 10, 2024
Authority: IC
				  16-19-3-4;
				  IC
				  16-21-1-7
Affected: IC 16-19-3; IC 16-21-1
Sec. 24.
"Toxic substance" means chemicals that are present in
				  sufficient concentration to pose a hazard to human health.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 27 - BIRTHING CENTERS › Rule 2 - License Requirements › Section 2-1 - License

Current through July 10, 2024
Authority: IC
				  16-21-1-7; IC
				  16-21-2-2.5
Affected: IC
				  4-21.5-3-5;
				  IC
				  16-21-2-14
Sec. 1.
(a) A
				license must be obtained from the state health commissioner under IC
				4-21.5-3-5
				before:
(1) establishing;
(2) conducting;
(3) operating; or
(4) maintaining; a birthing center. A
				birthing center may not operate without a license issued by the
				commissioner.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 27 - BIRTHING CENTERS › Rule 2 - License Requirements › Section 2-2 - Preoccupancy inspection

Current through July 10, 2024
Authority: IC 16-21-1-7; IC 16-21-2-2.5
Affected: IC 16-21-1
Sec. 2.
(a) The
				department will not issue a provisional license to operate a birthing center
				until the center has passed a preoccupancy inspection by the
				department.
(b) Once a new
				construction, addition, or renovation of a birthing center is complete, the
				birthing center must notify the department that the center is ready for
				occupancy. The department will then schedule and perform a preoccupancy
				inspection. The preoccupancy inspection is to determine compliance of the
				birthing center with
				410 IAC 27-17-1
				and
				410 IAC
				27-17-2.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 27 - BIRTHING CENTERS › Rule 2 - License Requirements › Section 2-3 - Application for initial license

Current through July 10, 2024
Authority: IC
				  16-21-1-7; IC
				  16-21-2-2.5
Affected: IC 16-21-1
Sec. 3.
(a) To
				obtain a license to operate a birthing center, an application for a license to
				operate a birthing center must be submitted to the division. The application
				may be submitted simultaneously with the request for plan review before
				construction. At the latest, however, the application must be received by the
				department at least forty-five (45) days before the anticipated opening of the
				center. At least forty-five (45) days before the opening of the center, the
				applicant must inform the division of the anticipated date of
				opening.
(b) The initial license
				application includes the following:
(1) An
				application for a license to operate a birthing center on a form prescribed by
				the division.
(2) Documents
				required by the application for a license to operate a birthing
				center.
(3) The appropriate license
				fee.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 27 - BIRTHING CENTERS › Rule 2 - License Requirements › Section 2-4 - Review and approval of initial license application

Current through July 10, 2024
Authority: IC
				  16-21-1-7; IC
				  16-21-2-2.5
Affected: IC 16-21-1; IC
				  16-21-2-11
Sec. 4.
(a) Upon
				receipt of a completed application for a birthing center license, the
				department will review the application and accompanying documentation to
				determine that the applicant has met the requirements of IC
				16-21-2-11(a)(1)
				 and IC
				16-21-2-11(a)(2).
(b) Upon determination by the commissioner
				that the applicant has failed to comply with this article, the commissioner
				may:
(1) request additional information
				concerning the application;
(2)
				conduct a further investigation to determine whether a provisional license
				should be granted; or
(3) deny the
				application.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 27 - BIRTHING CENTERS › Rule 2 - License Requirements › Section 2-5 - Denial of license

Current through July 10, 2024
Authority: IC
				  16-21-1-7; IC
				  16-21-2-2.5
Affected: IC 16-21-1; IC 27-13-1
Sec. 5.
The commissioner may deny a license to operate a birthing
				  center for any of the following reasons:
(1) If the licensee or licensees are not of
				reputable and responsible character.
(2) If the birthing center is not in
				compliance with the minimum standards for a birthing center adopted under this
				article.
(3) For violation of any
				of the provisions of IC 16-21 or this article.
(4) For permitting, aiding, or abetting the
				commission of any illegal act in the center.
(5) For knowingly collecting or attempting to
				collect from:
(A) a subscriber (as defined in
				IC
				27-13-1-32
				); or
(B) an enrollee (as defined
				in IC
				27-13-1-12
				);
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 27 - BIRTHING CENTERS › Rule 2 - License Requirements › Section 2-6 - Renewal of license

Current through July 10, 2024
Authority: IC
				  16-21-1-7; IC
				  16-21-2-2.5
Affected: IC 16-21-1
Sec. 6.
(a) In order
				to renew its birthing center license, the center shall file an application for
				the renewal of a birthing center license with the division at least one (1)
				month before the expiration of the current license.
(b) The renewal application includes the
				following:
(1) An application for the renewal
				of a license to operate a birthing center on a form prescribed by the
				division.
(2) Documents required by
				the application for the renewal of a license to operate a birthing
				center.
(3) The appropriate license
				fee.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 27 - BIRTHING CENTERS › Rule 2 - License Requirements › Section 2-7 - Posting of license

Current through July 10, 2024
Authority: IC
				  16-21-1-7; IC
				  16-21-2-2.5
Affected: IC 16-21-1
Sec. 7.
A license issued under this article must be conspicuously
				  posted on the premises in an area open to patients.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 27 - BIRTHING CENTERS › Rule 2 - License Requirements › Section 2-8 - Enforcement actions

Current through July 10, 2024
Authority: IC
				  16-21-1-7; IC
				  16-21-2-2.5
Affected: IC 16-21-3; IC 27-13-1
Sec. 8.
(a) The
				commissioner may take any of the following actions on any of the grounds listed
				in subsection (b):
(1) Issue a letter of
				correction.
(2) Issue a
				probationary license.
(3) Conduct a
				resurvey.
(4) Deny the renewal of a
				license.
(5) Revoke a
				license.
(6) Impose a civil penalty
				in an amount not to exceed ten thousand dollars ($10,000) per violation.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 27 - BIRTHING CENTERS › Rule 2 - License Requirements › Section 2-9 - Probationary license

Current through July 10, 2024
Authority: IC
				  16-21-1-7; IC
				  16-21-2-2.5
Affected: IC 4-21.5; IC 16-21-1
Sec. 9.
A probationary license may be:
(1) issued for a period of three (3) months;
				and
(2) reissued;
but not more than three (3) probationary licenses may be
				  issued during a twelve (12) month period. The issuance of a probationary
				  license results in the automatic expiration of any other license held under
				  this article.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 27 - BIRTHING CENTERS › Rule 3 - Surveys › Section 3-1 - Survey procedures

Current through July 10, 2024
Authority: IC
				  16-21-1-7; IC
				  16-21-2-2.5
Affected: IC 16-21-1; IC
				  16-21-2-6
Sec. 1.
(a) The
				birthing center shall fully cooperate with surveys conducted by representatives
				of the department. Upon arrival of department surveyors at the center, the
				center may immediately contact the department to confirm the identity of the
				surveyors. Upon confirmation by the department of the survey and surveyors, the
				center shall immediately admit the surveyors to the center and not delay the
				survey.
(b) Documents, registers,
				reports, records, and minutes of the birthing center must be made available to
				the department upon request for inspection and copying.
(c) Documents, registers, reports, records,
				and minutes required to be maintained by the birthing center include, but are
				not limited to, the following:
(1) Documents
				showing ownership and a copy of articles of incorporation (if
				incorporated).
(2) All documents
				pertaining to quality assurance and improvement of patient care and medical
				care.
(3) Personnel
				records.
(4) Medical
				records.
(5) Reports under IC
				16-21-2-6.
(6) Policies and procedures of the birthing
				center.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 27 - BIRTHING CENTERS › Rule 3 - Surveys › Section 3-2 - Licensing surveys

Current through July 10, 2024
Authority: IC
				  16-21-1-7; IC
				  16-21-2-2.5
Affected: IC 16-21-1
Sec. 2.
(a) The
				department will conduct a licensing survey of each birthing center at least
				once every two (2) years. The licensing survey is conducted to ensure that the
				birthing center is operating in compliance with this article.
(b) The division will notify the center of
				the results of the licensing survey in writing.
(c) The center may request the department to
				accept an accreditation or certification survey instead of a licensing survey.
				The division may accept an accreditation or certification survey report from a
				nationally-recognized accreditation or certification agency, association, or
				organization that is determined by the division to have survey standards
				consistent with this article. Upon request by the center, the department will
				review the accreditation or certification survey report for the facility. If
				the department finds that, based on the accreditation report, the center was
				found to have substantially complied with the standards referenced in this
				subsection, the department will accept the accreditation report as a licensing
				survey. If, based on the accreditation report, the center failed to
				significantly comply with the standards referenced in this subsection, the
				department may:
(1) request a plan or
				correction; or
(2) conduct a
				licensing survey.
If the department accepts accreditation or certification
				  surveys as a licensing survey, the department will conduct at least one (1)
				  licensing survey in a four (4) year period.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 27 - BIRTHING CENTERS › Rule 3 - Surveys › Section 3-3 - Complaint surveys

Current through July 10, 2024
Authority: IC
				  16-21-1-7; IC
				  16-21-2-2.5
Affected: IC 16-21-1
Sec. 3.
(a) In
				accordance with division policy, the division shall investigate credible
				complaints received by the division that allege noncompliance with this
				article.
(b) Complaints will be
				assigned a priority for investigation in accordance with division
				policy.
(c) A licensing survey may
				be conducted simultaneously with and in addition to a complaint
				survey.
(d) The division shall
				notify the birthing center of the results of the complaint survey in writing.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 27 - BIRTHING CENTERS › Rule 3 - Surveys › Section 3-4 - Plan of correction

Current through July 10, 2024
Authority: IC
				  16-21-1-7; IC
				  16-21-2-2.5
Affected: IC 16-21-1
Sec. 4.
(a) The
				birthing center must file an acceptable plan of correction with the division
				within ten (10) days of receipt of a survey report from the division that
				documents noncompliance with state rules.
(b) Unless the commissioner determines that
				there is a need for immediate release, the birthing center will have ten (10)
				days after notification of a noncompliance to submit to the division an
				acceptable plan of correction before the survey report is made available to the
				public.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 27 - BIRTHING CENTERS › Rule 4 - Governing Body › Section 4-1 - Powers and duties

Current through July 10, 2024
Authority: IC
				  16-21-1-7; IC
				  16-21-2-2.5
Affected: IC 16-21-1; IC 25-22.5
Sec. 1.
(a) The
				governing body:
(1) shall function as the
				ultimate authority of the birthing center; and
(2) is responsible for the conduct and
				management of the center.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 27 - BIRTHING CENTERS › Rule 4 - Governing Body › Section 4-2 - Appointment and conduct of medical staff

Current through July 10, 2024
Authority: IC
				  16-21-1-7; IC
				  16-21-2-2.5
Affected: IC 16-21-1; IC
				  25-23-1-19.4
Sec. 2.
(a) The
				medical staff of the center consists of physicians and certified nurse
				midwives:
(1) employed by;
(2) appointed to; or
(3) contracted with by;
the center to provide medical services at the center. The
				  medical staff must be composed of at least one (1) physician.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 27 - BIRTHING CENTERS › Rule 5 - Administration and Policies › Section 5-1 - Administration

Current through July 10, 2024
Authority: IC
				  16-21-1-7; IC
				  16-21-2-2.5
Affected: IC 16-21-1
Sec. 1.
The center administrator is responsible for day-to-day
				  operations of the birthing center to include, but not be limited to, the
				  following functions:
(1) Employing
				qualified staff:
(A) commensurate with
				assigned duties and responsibilities; and
(B) in accordance with the employee's
				licensure, certification, experience, and competence.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 27 - BIRTHING CENTERS › Rule 5 - Administration and Policies › Section 5-2 - Required policies and procedures

Current through July 10, 2024
Authority: IC
				  16-21-1-7; IC
				  16-21-2-2.5
Affected: IC 16-21-1
Sec. 2.
(a) The
				center shall develop, implement, and maintain the following:
(1) Written medical staff policies.
(2) Written procedures for the following:
(A) Emergencies.
(B) Initial treatment.
(C) Transfer.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 27 - BIRTHING CENTERS › Rule 6 - Quality Assessment and Improvement › Section 6-1 - Quality assessment and improvement

Current through July 10, 2024
Authority: IC
				  16-21-1-7; IC
				  16-21-2-2.5
Affected: IC 16-21-1
Sec. 1.
(a) The
				birthing center must develop, implement, and maintain an effective, organized,
				center-wide, comprehensive quality assessment and improvement program in which
				all areas of the center participate. The program shall be ongoing and have a
				written plan of implementation that evaluates, but is not limited to, the
				following:
(1) All services, including
				services furnished by a contractor.
(2) All functions, including, but not limited
				to, the following:
(A) Discharge.
(B) Transfer.
(C) Infection control.
(D) Response to patient
				emergencies.
(3) All
				services performed in the center with regard to appropriateness of diagnoses
				and treatments related to a standard of care and anticipated or expected
				outcomes.
(4) Medical and
				medication errors.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 27 - BIRTHING CENTERS › Rule 6 - Quality Assessment and Improvement › Section 6-2 - Reportable events

Current through July 10, 2024
Authority: IC
				  16-19-3-4;
				  IC
				  16-21-1-7
Affected: IC 16-19-3; IC 16-21-1; IC 25
Sec. 2.
(a) The
				center's quality assessment and improvement program under section 1 of this
				rule shall include the following:
(1) A
				process for determining the occurrence of the following reportable events
				within the center:
(A) The following surgical
				events:
(i) Surgery performed on the wrong
				body part, defined as any surgery performed on a body part that is not
				consistent with the documented informed consent for that patient. Excluded are
				emergent situations:
(AA) that occur in the
				course of surgery; or
(BB) whose
				exigency precludes obtaining informed consent; or both.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 27 - BIRTHING CENTERS › Rule 7 - Medical Records › Section 7-1 - Medical records; storage; administration

Current through July 10, 2024
Authority: IC
				  16-21-1-7; IC
				  16-21-2-2.5
Affected: IC 16-21-1
Sec. 1.
(a) The
				birthing center must do the following:
(1)
				Create and maintain a medical record on each patient.
(2) Have a written policy that ensures
				responsibility for and maintenance of medical records as follows:
(A) The center must establish and implement
				the following:
(i) Policies and procedures to
				assure that the care and services provided to each patient are appropriately
				documented.
(ii) A system to assure
				that medical records are readily available in accordance with center policy and
				systematically organized to facilitate the compilation and retrieval of
				information.
(B) The
				policy must provide safeguards to assure protection of the medical records from
				the following:
(i) Fire.
(ii) Water.
(iii) Other sources of damage.
(C) All original medical records
				or legally reproduced medical records must be maintained by the center for a
				period of at least seven (7) years or the applicable statute of limitation,
				whichever is longer. Original medical records must be maintained in the center
				for at least two (2) years. Records over two (2) years old may be kept off-site
				but must be retrievable within forty-eight (48) business hours.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 27 - BIRTHING CENTERS › Rule 7 - Medical Records › Section 7-2 - Content of the medical record

Current through July 10, 2024
Authority: IC
				  16-21-1-7; IC
				  16-21-2-2.5
Affected: IC 16-21-1
Sec. 2.
(a) The
				medical record must contain sufficient information to do the following:
(1) Identify the patient.
(2) Document tests, examinations, and
				procedures performed.
(3) Document
				accurately the course of the patient's stay in the center and the
				results.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 27 - BIRTHING CENTERS › Rule 8 - Personnel › Section 8-1 - Personnel policies and records

Current through July 10, 2024
Authority: IC
				  16-21-1-7; IC
				  16-21-2-2.5
Affected: IC 16-21-1
Sec. 1.
(a) Each
				facility shall maintain current and accurate personnel records for all
				employees. Personnel records shall:
(1) be
				maintained for each employee of the center; and
(2) include personal data to include:
(A) education;
(B) experience;
(C) date of employment;
(D) a copy of current license when
				required;
(E) evidence of
				participation in job-related educational and training activities; and
(F) health records of employees that relate
				to post offer and subsequent:
(i) physical
				examinations;
(ii) tests;
				and
(iii) immunizations.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 27 - BIRTHING CENTERS › Rule 8 - Personnel › Section 8-2 - Employee health monitoring

Current through July 10, 2024
Authority: IC
				  16-21-1-7; IC
				  16-21-2-2.5
Affected: IC 16-21-1
Sec. 2.
The center shall ensure that all employees, staff members,
				  persons providing care on behalf of the center, and contractors having direct
				  patient contact are evaluated for tuberculosis and documentation as
				  follows:
(1) Any person with a
				negative history of tuberculosis or a negative test result must have a baseline
				two (2) step tuberculin skin test using the Mantoux method or a quantiferon-TB
				assay unless the individual has documentation that a tuberculin skin test has
				been applied at any time during the previous twelve (12) months and the result
				was negative.
(2) The second step
				of a two-step tuberculin skin test using the Mantoux method must be
				administered one (1) to three (3) weeks after the first tuberculin skin test
				was administered.
(3) Any person
				with a documented history of tuberculosis, documented previously positive test
				result for tuberculosis, documented completion of treatment for tuberculosis,
				or newly positive results to the tuberculin skin test must have one (1) chest
				radiograph to exclude a diagnosis of tuberculosis.
(4) After baseline testing, tuberculosis
				screening must be completed annually and must include at a minimum a tuberculin
				skin test using the Mantoux method or a quantiferon-TB assay unless the
				individual was subject to subdivision (3) of this subsection
[subdivision (3)]
.
(5) Any person having a positive finding on a
				tuberculosis evaluation may not work in the center or provide direct patient
				contact unless approved by a physician to work.
(6) The center must maintain documentation of
				tuberculosis evaluations showing that any person working for the birthing
				center or having direct patient contact has had a negative finding on a
				tuberculosis examination within the previous twelve (12) months.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 27 - BIRTHING CENTERS › Rule 8 - Personnel › Section 8-3 - Orientation and training requirements

Current through July 10, 2024
Authority: IC
				  16-21-1-7; IC
				  16-21-2-2.5
Affected: IC 16-21-1
Sec. 3.
(a) The
				center must do the following:
(1) Develop,
				implement, and maintain a policy and procedure for the orientation of new
				employees, contractors, and agency personnel providing direct care and services
				to patients.
(2) Orientate all new
				employees, including contract and agency personnel, to applicable center and
				personnel policies.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 27 - BIRTHING CENTERS › Rule 9 - Medical Staff › Section 9-1 - Organization of medical staff

Current through July 10, 2024
Authority: IC
				  16-21-1-7; IC
				  16-21-2-2.5
Affected: IC 16-21-1
Sec. 1.
(a) The
				medical staff of the center is:
(1)
				accountable to the governing body of the center; and
(2) responsible to the governing board for
				the quality of medical care and services provided to patients.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 27 - BIRTHING CENTERS › Rule 10 - Patient Care and Nursing Services › Section 10-1 - Patient care

Current through July 10, 2024
Authority: IC
				  16-21-1-7; IC
				  16-21-2-2.5
Affected: IC 16-21-1
Sec. 1.
(a) All
				patient care services must:
(1) meet the
				needs of the patient, within the scope of the service offered, in accordance
				with acceptable standards of practice of midwifery;
(2) be under the direction of a qualified
				person or persons; and
(3) require
				that:
(A) the patient care services rendered
				are:
(i) reviewed and analyzed at regular
				meetings of patient care personnel; and
(ii) used as a basis for evaluating the
				quality of services provided; and
(B) personnel with appropriate training are
				available at all times to handle possible emergencies involving patients of the
				center.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 27 - BIRTHING CENTERS › Rule 10 - Patient Care and Nursing Services › Section 10-2 - Nursing services

Current through July 10, 2024
Authority: IC
				  16-21-1-7; IC
				  16-21-2-2.5
Affected: IC 16-21-1
Sec. 2.
(a)
				Personnel with appropriate training must be available at all times to handle
				possible emergencies involving patients of the center.
(b) A registered nurse must serve as head
				nurse supervising health care personnel.
(c) All registered nurses and licensed
				practical nurses must be currently licensed in Indiana.
(d) An experienced registered nurse must
				supervise all health care personnel, including, but not limited to:
(1) registered nurses;
(2) licensed practical nurses; and
(3) other birth attendants.
Birthing attendants shall be directly supervised by a
				  qualified registered nurse.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 27 - BIRTHING CENTERS › Rule 11 - Infection Control Program › Section 11-1 - Infection control administration

Current through July 10, 2024
Authority: IC
				  16-21-1-7; IC
				  16-21-2-2.5
Affected: IC 16-21-1
Sec. 1.
(a) The
				center must do the following:
(1) Provide a
				safe and healthful environment that minimizes infection exposure and risk to
				the following:
(A) Patients.
(B) Health care workers.
(C) Persons who accompany patients.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 27 - BIRTHING CENTERS › Rule 11 - Infection Control Program › Section 11-2 - Sterilization

Current through July 10, 2024
Authority: IC 16-21-1-7; IC 16-21-2-2.5
Affected: IC 16-21-1
Sec. 2.
(a)
				Sterilization of equipment and supplies must be provided, within the scope of
				the service offered, in accordance with acceptable standards of practice or
				manufacturer's recommendations and applicable state laws and rules (to include
				410 IAC 1-4, Universal Precautions). Sterilization services must be directed by
				a qualified person or persons and must provide for the following:
(1) Biological indicators must be used to
				check sterilization processes at least monthly. Chemical sterilizing indicators
				must be used to check the sterilizing process of individual packs.
(2) Written policies and procedures must be
				available and followed by personnel responsible for sterilizing equipment and
				supplies, including, but not limited to, the following:
(A) Minimum time and temperature for
				processing various size bundles and packs.
(B) Instructions for:
(i) loading;
(ii) operating;
(iii) cleaning; and
(iv) maintaining;
sterilizers.
(C) Instructions for:
(i) cleaning;
(ii) packaging;
(iii) storing;
(iv) labeling; and
(v) dispensing of; sterile
				supplies.
(D) The
				procedure for maintaining and recording the particular sterilizing
				cycle.
(E) Sterilization of heat
				labile reusable equipment.
(3) Records of results must be maintained and
				evaluated periodically to include, but not be limited to, the following:
(A) Records of recording thermometers or a
				daily record of the sterilizing cycle:
(i)
				date;
(ii) time;
(iii) temperature;
(iv) pressure; and
(v) contents;
for each sterilizer load.
(B) Results of biological indicators used in
				testing the sterilizing processes.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 27 - BIRTHING CENTERS › Rule 11 - Infection Control Program › Section 11-3 - Laundry

Current through July 10, 2024
Authority: IC
				  16-21-1-7; IC
				  16-21-2-2.5
Affected: IC 16-21-1
Sec. 3.
The center, whether it operates its own laundry or uses
				  outside laundry service, must ensure that the laundry process complies with a
				  recognized laundry standard as follows:
(1) Clean linen must be separated from soiled
				linen at all times as follows:
(A)
				Contaminated linens must be clearly identified and bagged.
(B) Clean linen must be covered during
				transit, and separate containers or carts must be provided for transporting
				thereof.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 27 - BIRTHING CENTERS › Rule 12 - Emergency Care › Section 12-1 - Emergency care

Current through July 10, 2024
Authority: IC
				  16-21-1-7; IC
				  16-21-2-2.5
Affected: IC 16-21-1
Sec. 1.
The center must have the following:
(1) A readily accessible written protocol for
				the following:
(A) Managing medical
				emergencies that occur within the center.
(B) The transfer of patients requiring
				further emergency care to a hospital capable of providing obstetrical and
				neonatal services.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 27 - BIRTHING CENTERS › Rule 13 - Anesthesia and Birthing Services › Section 13-1 - Anesthesia services

Current through July 10, 2024
Authority: IC
				  16-21-1-7; IC
				  16-21-2-2.5
Affected: IC 16-21-1
Sec. 1.
(a) The
				center must provide adequate anesthesia services to meet the needs of the
				patient, within the scope of the services offered, in accordance with
				acceptable standards of practice, under the direction of a licensed physician
				with specialized training or experience in the administration of local or
				topical anesthetics.
(b) Anesthesia
				services in a center are limited to local or topical anesthesia.
(c) The medical staff shall write and
				implement policies and procedures that include, but are not limited to, the
				following:
(1) Safety rules to be followed
				relating to the administration of anesthesia.
(2) Safety training required of
				personnel.
Indiana Administrative Code › Title 410 - INDIANA DEPARTMENT OF HEALTH › Article 27 - BIRTHING CENTERS › Rule 13 - Anesthesia and Birthing Services › Section 13-2 - Birthing services

Current through July 10, 2024
Authority: IC
				  16-21-1-7; IC
				  16-21-2-2.5
Affected: IC 16-21-1
Sec. 2.
(a) Delivery
				shall be performed by a:
(1) certified nurse
				midwife; or
(2)
				physician.