reglab/statecodes huggingface dataset:
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 502 - BOARD OF COMPLEMENTARY HEALTH CARE PROVIDERS › Chapter 4 - LICENSURE REQUIREMENT FOR NATUROPATHIC DOCTORS › Section 502-4-2-A - Documentation Required

Current through 2024-29, July 17, 2024
1-A.
Generally
The applicant shall submit the documentation described in
				  this Section to establish eligibility for licensure under
				   32 MRSA
				  §12525(1). All
				  documents must be submitted in the English language.
1.
Verification of Graduation From
				Approved Naturopathic Medical College
The applicant shall submit an official transcript showing
				  graduation from a naturopathic medical college accredited by CNME, or a copy of
				  a diploma from such a program.
2.
Verification of Passing Scores on
				NPLEX
The NPLEX is presently the only examination for naturopathic
				  doctors approved by the board. The applicant must pass the biomedical science
				  section using the standard grading model. The compensatory grading model is
				  acceptable for the core clinical science section. The applicant shall arrange
				  for direct verification from NABNE of passing scores on the biomedical science
				  and core clinical science sections of the NPLEX.
3. deleted
4.
Verification of Licensure in Other
				Jurisdictions
The applicant shall obtain verification of licensure status
				  from all jurisdictions in which the applicant holds or at any time held a
				  health care-related license.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 502 - BOARD OF COMPLEMENTARY HEALTH CARE PROVIDERS › Chapter 4 - LICENSURE REQUIREMENT FOR NATUROPATHIC DOCTORS › Section 502-4-3 - Naturopathic Acupuncture Specialty Certification

Current through 2024-29, July 17, 2024
1-A.
Qualification for Specialty Certification
A naturopathic doctor qualifies for naturopathic acupuncture
				  specialty certification by meeting the eligibility requirements set forth in
				   32 MRSA
				  §12525(3).
1.
Application for Specialty
				Certification
A licensed naturopathic doctor applies for specialty
				  certification by submitting the application form prescribed by the board, the
				  documentation required by subsection 2 below, the fees required by Chapter 10,
				  Section
				  5(12) of the rules of
				  the Office of Professional and Occupational Regulation, entitled "Establishment
				  of License Fees," and such additional information as the board may require. The
				  applicant must complete the application process within 90 days from the date
				  the application is received by the board. If the application process has not
				  been completed within that time, the application and all supporting materials
				  become invalid and the applicant must restart the application process by
				  submitting a new application, supporting documents and the required fees.
2.
Documentation
				Required
A.
Generally.
The applicant shall submit the documentation described in this Section to
				establish eligibility for specialty certification pursuant to
				32 MRSA
				§12525(3). All
				documents must be submitted in the English language.
B.
Verification of 1,000 hours of
				classroom training in acupuncture
. As verification of classroom
				training, the board will accept an official transcript from an acupuncture
				school accredited by ACAOM or approved by the board that verifies the number of
				hours of classroom instruction.
C.
				deleted
D.
Verification of
				300 hours of supervised clinical experience in acupuncture
. As
				verification of clinical experience, the board will accept an official
				transcript from an acupuncture school accredited by ACAOM or approved by the
				board that verifies the number of hours of supervised clinical experience, or
				other communication at the discretion of the board.
E.
Verification of Passing Scores on
				NCCAOM Examination
. The NCCAOM examination is presently the only
				acupuncture examination approved and accepted by the board. The applicant shall
				arrange for direct verification of examination results from NCCAOM.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 502 - BOARD OF COMPLEMENTARY HEALTH CARE PROVIDERS › Chapter 4 - LICENSURE REQUIREMENT FOR NATUROPATHIC DOCTORS › Section 502-4-4 - Licensure examination

Current through 2024-29, July 17, 2024
The licensure examination shall consist of the following
				  basic and clinical science components which shall include, but not be limited
				  to: anatomy; biochemistry; microbiology; pathology; physiology; emergency
				  medicine and public health; lab diagnosis and diagnostic imaging; botanical
				  medicines and pharmacology; clinical nutrition; physical and clinical
				  diagnosis; physical medicine; psychology and lifestyle counseling; homeopathy
				  and minor surgery.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 502 - BOARD OF COMPLEMENTARY HEALTH CARE PROVIDERS › Chapter 4 - LICENSURE REQUIREMENT FOR NATUROPATHIC DOCTORS › Section 502-4-5 - Licensure Renewal

Current through 2024-29, July 17, 2024
Licensees must submit complete applications for renewal of
				  license prior to the date of expiration of licensure. A license expires on the
				  stated date of expiration but may be renewed by the payment of a $10 late
				  renewal fee in addition to the license fee for a period of 90 days after the
				  date of expiration. The ninety-day extended renewal period should not in any
				  way be construed to permit the practice of acupuncture or naturopathic medicine
				  after the date of expiration.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 502 - BOARD OF COMPLEMENTARY HEALTH CARE PROVIDERS › Chapter 4-A - LICENSURE REQUIREMENT FOR CERTIFIED PROFESSIONAL MIDWIVES › Section 502-4-A-1 - Qualification for Licensure

Current through 2024-29, July 17, 2024
An applicant qualifies for licensure as a certified
				  professional midwife by meeting the eligibility requirements set forth in
				  32 MRSA
				  §12533.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 502 - BOARD OF COMPLEMENTARY HEALTH CARE PROVIDERS › Chapter 4-A - LICENSURE REQUIREMENT FOR CERTIFIED PROFESSIONAL MIDWIVES › Section 502-4-A-2 - Application for Licensure

Current through 2024-29, July 17, 2024
An applicant applies for licensure by submitting the
				  application prescribed by the board, the documentation required by subsection 3
				  below, the fees required by Chapter 10, Section 5(12) of the rules of the
				  Office of Professional and Occupational Regulation, entitled "Establishment of
				  License Fees," and such additional information as the board may require. The
				  applicant must complete the application process within 90 days from the date
				  the application is received by the board. If the application process has not
				  been completed within that time, the application and all supporting materials
				  become invalid and the applicant must restart the application process by
				  submitting a new application, supporting documents and the required
				  fees.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 502 - BOARD OF COMPLEMENTARY HEALTH CARE PROVIDERS › Chapter 4-A - LICENSURE REQUIREMENT FOR CERTIFIED PROFESSIONAL MIDWIVES › Section 502-4-A-3 - Documentation Required

Current through 2024-29, July 17, 2024
1.
Generally
The applicant shall submit the documentation described in
				  this Section to establish eligibility for licensure under
				  32 MRSA
				  §12533. All documents must be submitted
				  in the English language.
2.
Verification of Licensure in Other Jurisdictions
Attest to all jurisdictions in which the applicant holds or
				  has ever held a license to practice midwifery as of the date of application,
				  together with the license number and license expiration date, and disclosure of
				  any discipline ever imposed by the jurisdiction.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 502 - BOARD OF COMPLEMENTARY HEALTH CARE PROVIDERS › Chapter 4-B - LICENSURE REQUIREMENT FOR CERTIFIED MIDWIVES › Section 502-4-B-1 - Qualification for Licensure

Current through 2024-29, July 17, 2024
An applicant qualifies for licensure as a certified midwife
				  by meeting the eligibility requirements set forth in
				  32 MRSA
				  §12534.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 502 - BOARD OF COMPLEMENTARY HEALTH CARE PROVIDERS › Chapter 4-B - LICENSURE REQUIREMENT FOR CERTIFIED MIDWIVES › Section 502-4-B-2 - Application for Licensure

Current through 2024-29, July 17, 2024
An applicant applies for licensure by submitting the
				  application prescribed by the board, the documentation required by subsection 3
				  below, the fees required by Chapter 10, Section 5(12) of the rules of the
				  Office of Professional and Occupational Regulation, entitled "Establishment of
				  License Fees," and such additional information as the board may require. The
				  applicant must complete the application process within 90 days from the date
				  the application is received by the board. If the application process has not
				  been completed within that time, the application and all supporting materials
				  become invalid and the applicant must restart the application process by
				  submitting a new application, supporting documents, and the required
				  fees.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 502 - BOARD OF COMPLEMENTARY HEALTH CARE PROVIDERS › Chapter 4-B - LICENSURE REQUIREMENT FOR CERTIFIED MIDWIVES › Section 502-4-B-3 - Documentation Required

Current through 2024-29, July 17, 2024
1.
Generally
The applicant shall submit the documentation described in
				  this Section to establish eligibility for licensure under
				  32 MRSA
				  §12534. All documents must be submitted
				  in the English language.
2.
Verification of Licensure in Other Jurisdictions
Attest to all jurisdictions in which the applicant holds or
				  has ever held a license to practice midwifery as of the date of application,
				  together with the license number and license expiration date, and disclosure of
				  any discipline ever imposed by the jurisdiction.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 502 - BOARD OF COMPLEMENTARY HEALTH CARE PROVIDERS › Chapter 5 - STANDARDS FOR CONTINUING PROFESSIONAL EDUCATION FOR ACUPUNCTURISTS, NATUROPATHIC DOCTORS, CERTIFIED PROFESSIONAL MIDWIVES, AND CERTIFIED MIDWIVES › Section 502-5-1 - Generally

Current through 2024-29, July 17, 2024
1.
Certification
All licensees shall certify at time of the applicable license
				  renewal to compliance with the continuing education requirement set forth in
				  this chapter. The licensee's certification is subject to audit pursuant to
				  Chapter 13 of the rules of the Office of Professional and Occupational
				  Regulation, entitled "Uniform Rule for the Substantiation of Continuing
				  Education Requirements." This continuing education requirement does not apply
				  to the first renewal of an initial license.
2.
Timely Completion
All continuing education activities must be completed during
				  the license term(s) of the designated continuing education cycle for which
				  credit is claimed. Continuing education hours earned in excess of the required
				  hours for a license term may not be carried forward to a subsequent license
				  term.
3.
Hardship
				Deferment; Carry Over Hours
A. A
				licensee may request from the Board, in writing, a deferment of continuing
				professional education due to their health reasons, military service, or other
				unforeseeable circumstances of genuine hardship. A licensee who receives a
				deferment shall complete the deferred continuing professional education
				according to a schedule determined by the Board.
B. Continuing professional education hours
				earned during the biennium continuing education term that are over the
				requirements for license renewal may not be applied retroactively, nor carried
				forward to a subsequent license renewal term unless otherwise designated under
				section 1(3)(C).
C. During a
				declaration of state or federal civil emergency, the Board may renew licenses
				without satisfying any continuing professional education requirement and may
				further suspend, discard, or carry over continuing education requirements that
				would otherwise apply.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 502 - BOARD OF COMPLEMENTARY HEALTH CARE PROVIDERS › Chapter 5 - STANDARDS FOR CONTINUING PROFESSIONAL EDUCATION FOR ACUPUNCTURISTS, NATUROPATHIC DOCTORS, CERTIFIED PROFESSIONAL MIDWIVES, AND CERTIFIED MIDWIVES › Section 502-5-2 - Acupuncturist Standards For Continuing Education

Current through 2024-29, July 17, 2024
1.
General Requirement
An acupuncturist shall certify biennially at time of license
				  renewal to completion of 30 hours of continuing education during the preceding
				  two years as set forth in this chapter. The continuing education cycle begins
				  on October 1 of each even-numbered year and ends on September 30 of the next
				  even-numbered year on a continuing basis thereafter. To be eligible for credit,
				  a continuing education activity must-
A. Directly relate to the knowledge or
				clinical practice of acupuncture or Oriental medicine; and
B. Be either sponsored or presented by a
				pre-approved organization pursuant to subsection 2 below, or be specifically
				approved by the board upon request as set forth in subsection
				3 below.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 502 - BOARD OF COMPLEMENTARY HEALTH CARE PROVIDERS › Chapter 5 - STANDARDS FOR CONTINUING PROFESSIONAL EDUCATION FOR ACUPUNCTURISTS, NATUROPATHIC DOCTORS, CERTIFIED PROFESSIONAL MIDWIVES, AND CERTIFIED MIDWIVES › Section 502-5-3 - Naturopathic Doctor Standards For Continuing Education

Current through 2024-29, July 17, 2024
1.
General Requirement
A naturopathic doctor shall certify at time of license
				  renewal to completion of 25 hours of continuing education during the preceding
				  license year as set forth in this chapter. At least 7 of the 25 hours must be
				  in pharmacology. To be eligible for credit, a continuing education activity
				  must-
A. Directly relate to the
				knowledge or clinical practice of naturopathic medicine; and
B. Be either sponsored or presented by a
				pre-approved organization listed in subsection 3 below, or be specifically
				approved by the board upon request as set forth in subsection 4
				below.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 502 - BOARD OF COMPLEMENTARY HEALTH CARE PROVIDERS › Chapter 5 - STANDARDS FOR CONTINUING PROFESSIONAL EDUCATION FOR ACUPUNCTURISTS, NATUROPATHIC DOCTORS, CERTIFIED PROFESSIONAL MIDWIVES, AND CERTIFIED MIDWIVES › Section 502-5-4 - Certified Professional Midwives Standards For Continuing Education

Current through 2024-29, July 17, 2024
1.
General Requirement
A. A licensed certified professional midwife
				shall certify at time of license renewal to completion of 20 hours of
				continuing education during the preceding two years as set forth in this
				chapter. The continuing education cycle begins on October 1 of each
				even-numbered year and ends on September 30 of the next even-numbered year on a
				continuing basis thereafter.
1) Of the 20
				hours, a minimum of 4 hours must be in pharmacology.
2) Of the 20 hours, no more than 5 hours may
				be in Category II.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 502 - BOARD OF COMPLEMENTARY HEALTH CARE PROVIDERS › Chapter 5 - STANDARDS FOR CONTINUING PROFESSIONAL EDUCATION FOR ACUPUNCTURISTS, NATUROPATHIC DOCTORS, CERTIFIED PROFESSIONAL MIDWIVES, AND CERTIFIED MIDWIVES › Section 502-5-5 - Certified Midwives Standards for Continuing Education

Current through 2024-29, July 17, 2024
1.
General Requirement
A licensed certified midwife shall certify at time of license
				  renewal to completion of the following continuing education during the
				  preceding two years as set forth in this chapter. The continuing education
				  cycle begins on October 1 of each even-numbered year and ends on September 30
				  of the next even-numbered year on a continuing basis thereafter.
A. Seventy-five hours of continuing
				education.
B. Of the 75 hours a
				minimum of 30 hours must be in Category I, and up to 45 hours may be in
				Category II.
To be eligible for credit, a continuing education activity
				  must-
C. Directly relate to
				the knowledge or clinical practice of midwifery; and
D. Be either sponsored or presented by a
				pre-approved organization listed in subsection
				2 below, or be specifically approved by
				the board upon request as set forth in subsection
				3 below.
E. Category I activities shall have a value
				of one hour for each 50 minutes of participation, or 10 hours per three-credit
				course.
F. Category II activities
				shall have a value of one hour for each 50 minutes of participation; ten hours
				for each 3-credit course taught, or article or chapter published; a maximum of
				one hour for three or more hours of precepting.
For educators and presenters seeking Category II hours, a
				  one-time credit of up to 10 hours will be allowed for the preparation of the
				  initial course or presentation.
Category II activities include continuing health related
				  education activities performed by the licensee, such as:
1) Exhibits or presentations offered to
				health professionals, such as poster presentations, workshops, lectures, or
				grand rounds;
2) Papers published
				in midwifery, allied health, and medical journals;
3) Articles or chapters authored and
				published in professional textbooks;
4) Participation in quality improvement
				projects, peer review, case presentation, meetings that have a clinical focus,
				or midwifery/medical audits;
5)
				Precepting midwifery students, medical students, residents, or nurses enrolled
				in midwifery or advanced practice registered nursing programs;
6) Active participation in health-related
				original research;
7) Teaching
				courses which offer academic credit related to the practice of midwifery or
				women's health; or 8) Documented self-instruction such as reading midwifery,
				allied health and medical journals; listening to audio or videotapes; skill
				simulation; viewing slides; utilizing programmed or computer-assisted
				instruction.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 502 - BOARD OF COMPLEMENTARY HEALTH CARE PROVIDERS › Chapter 6 - STANDARDS RELATING TO PRESCRIPTIVE AUTHORITIES AND COLLABORATIVE RELATIONSHIPS › Section 502-6-1 - Authority to use, prescribe, dispense and order

Current through 2024-29, July 17, 2024
A naturopathic doctor may prescribe nonprescription
				  medication without limitation. Licensed naturopathic doctors may use,
				  prescribe, dispense, and order certain medicines of mineral, animal, and
				  botanical origin including the following:
A. Nonlegend medicines derived from animal
				organs, tissues, and oils, minerals, and plants administered orally and
				topically;
B. Noncontrolled legend
				topical ointments, creams and lotions containing antiseptics;
C. Noncontrolled legend topical, local
				anesthetics applied to superficial structures for use during minor office
				procedures as appropriate;
D.
				Noncontrolled legend vitamins, minerals, trace minerals, and whole glandulars
				including whole gland thyroid;
E.
				Contraceptive devices except intrauterine devices;
F. All homeopathic preparations;
G. Immunizing agents approved by the Bureau
				of Biologics, United States Food and Drug Administration and listed in the
				current Recommendations of the United States Public Health Services
				Immunizations Practices Advisory Committee or the Report of the Committee of
				Infectious Diseases published by the American Academy of Pediatrics;
H. IM injections of vitamins, minerals and
				medications administered consistent with their scope of practice as a
				naturopathic doctor and training; and
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 502 - BOARD OF COMPLEMENTARY HEALTH CARE PROVIDERS › Chapter 6 - STANDARDS RELATING TO PRESCRIPTIVE AUTHORITIES AND COLLABORATIVE RELATIONSHIPS › Section 502-6-2 - Terms of collaborative relationship

Current through 2024-29, July 17, 2024
A. It is
				the responsibility of the naturopathic doctor to enter into a professional
				relationship with a licensed allopathic or osteopathic physician for the
				historical review of the prescriptive practice of the naturopathic doctor. The
				naturopathic doctor must meet with the M. D. or D.O. on a quarterly basis for a
				period of one (1) year to review the naturopathic doctor's prescriptive
				practices.
B. The naturopathic
				doctor will keep a duplicate of all prescriptions written for the duration of
				the one (1) year collaborative relationship. These prescriptions will be
				reviewed on a quarterly basis with the collaborating physician.
C. Approximately forty-five (45) days prior
				to the licensure expiration date, the board will send to naturopathic doctors
				in their first year of practice a reporting form for the collaborative
				relationship. Each naturopathic doctor will submit with the licensure renewal
				form, the form signed by the collaborating doctor stating that the conditions
				of the collaborative relationship have been met.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 502 - BOARD OF COMPLEMENTARY HEALTH CARE PROVIDERS › Chapter 6-A - STANDARDS RELATING TO CERTIFIED PROFESSIONAL MIDWIVES AUTHORITY TO OBTAIN AND ADMINSTER DRUGS, MEDICAL DEVICES, AND SCOPE OF PRACTICE › Section 502-6-A-1 - Definitions

Current through 2024-29, July 17, 2024
1.
Antepartum
. "Antepartum" is
				the period of pregnancy beginning with conception and ending at the beginning
				of true labor.
2.
Collaboration.
"Collaboration" is a consultation where a plan that
				is mutually agreed upon by the client, the requesting provider, and the
				consultant is created, and care is jointly provided by the requesting provider
				and the consultant.
3.
Consultation.
"Consultation" means communication requested from a
				health care professional with specific expertise by another qualified health
				care provider for the intent of exchanging information and obtaining
				guidance;
4.
Intrapartum
. "Intrapartum" is the period beginning with the
				beginning of true labor and ending with the expulsion of the placenta from the
				uterus.
5.
Neonatal
.
				"Neonatal" is the period of the baby's life beginning with birth from the
				uterus and ending 28 days after the birth.
6.
Postpartum
. "Postpartum" is
				the period beginning immediately after the expulsion of the placenta from the
				uterus and ending 12 weeks after the birth.
7.
Referral.
"Referral" is a
				consultation with the intent of the client being seen by the consultant for
				evaluation and treatment of the condition for which the referral is made.
8.
Termination of
				Care.
"Termination of care" is complete cessation of the certified
				professional midwife-client relationship due to the presence of conditions
				beyond the certified professional midwife's scope of practice or skill level,
				or inability to resolve client-certified professional midwife conflict by other
				means. Termination of care shall be accompanied by the transfer of care to
				another health professional, which may include an emergency medical technicians
				or emergency service providers, or to another health care facility.
9.
Transfer of Care.
"Transfer
				of care" is relinquishment of care by the certified professional midwife to a
				health care professional or hospital service; this does not preclude the
				midwife from continuing to provide nonclinical support when desired by the
				client.
10.
True
				labor.
"True labor" is the uterine contractions leading to cervical
				changes.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 502 - BOARD OF COMPLEMENTARY HEALTH CARE PROVIDERS › Chapter 6-A - STANDARDS RELATING TO CERTIFIED PROFESSIONAL MIDWIVES AUTHORITY TO OBTAIN AND ADMINSTER DRUGS, MEDICAL DEVICES, AND SCOPE OF PRACTICE › Section 502-6-A-2 - Certified Professional Midwife Formulary

Current through 2024-29, July 17, 2024
1. A certified professional midwife may
				recommend nonprescription medication without limitation, subject only to the
				limitations of the midwife's professional knowledge and the standards of care
				applicable to the midwifery profession.
2. Certified professional midwives are
				authorized to obtain, possess, and administer the following drugs and devices:
A. Acyclovir for prophylaxis of genital
				herpes;
B. APNO cream (all-purpose
				nipple ointment);
C. B-6 IM
				Injectable;
D. Devices including,
				but not limited to, breast pumps, compression stockings and maternity belts,
				diaphragms and cervical caps;
E.
				Epinephrine for maternal anaphylaxis;
F. Epinephrine for neonatal
				resuscitation;
G. Intravenous
				fluids and administration-related supplies and devices;
H. IUD, with appropriate training;
I. Laryngeal mask airway and
				administration-related supplies and devices for neonatal
				resuscitation;
J. Local anesthetics
				or numbing agents for repair of lacerations;
K. Antibiotics for Group B Streptococcus
				prophylaxis;
L. Naloxone, adult use
				only;
M. Neonatal Eye
				prophylaxis;
N. Nifedipine,
				sublingual, for suppression of contractions pending transport to a health
				facility;
O. Nitrous oxide,
				administered with a 50% blend of oxygen, for management of pain in
				labor;
P. Ondansetron, oral or
				sublingual;
Q. Over-the-counter
				herbs and homeopathic remedies subject only to the limitations of the midwife's
				professional knowledge and the standards of care applicable to the midwifery
				profession;
R. Over-the-counter
				vitamins, minerals, drugs and devices;
S. Oxygen and administration-related supplies
				and devices;
T. Pracasil plus;
U. Rh Immune Globulin;
V. Sterile water for intradermal injections
				for pain relief;
W. Suture
				materials;
X. Tranexamic Acid
				(TXA), for use in conjunction with planned transport to a health
				facility;
Y. Uterotonics,
				including, but not limited to, oxytocin, methergine, and misoprostol,
				exclusively for the control of maternal postpartum hemorrhage and
				subinvolution;
Z. Vaccines,
				including, but not limited to, Tdap, Rubella, Influenza, HPV, and neonatal
				Hepatitis B vaccine; and
AA.
				Vitamin K for neonatal prophylaxis;
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 502 - BOARD OF COMPLEMENTARY HEALTH CARE PROVIDERS › Chapter 6-A - STANDARDS RELATING TO CERTIFIED PROFESSIONAL MIDWIVES AUTHORITY TO OBTAIN AND ADMINSTER DRUGS, MEDICAL DEVICES, AND SCOPE OF PRACTICE › Section 502-6-A-3 - Scope of practice

Current through 2024-29, July 17, 2024
1. Certified
				professional midwife. The certified professional midwife shall provide only
				those health care services for which the certified professional midwife is
				educationally and clinically prepared, and for which competency has been
				maintained. The certified professional midwife is authorized to function to the
				full extent of the certified professional midwife's education, training, and
				competency within the population focus and scope of practice defined by the
				national certifying body.
2.
				Certified professional midwives primarily practice in homes, birth centers,
				clinics, and offices, and may also practice in hospitals, and emergency care
				settings. Certified professional midwives may consult, refer, or transfer to
				licensed allopathic or osteopathic physicians, or other licensed health
				professionals as necessary for the client's health or safety in accordance with
				professional judgment.
3. The
				health care services for which the certified professional midwife is
				independently responsible and accountable include:
A. Reproductive health care across the
				lifespan, including family planning and evaluation of well-being, including
				relevant health history;
B. Health
				care of the newborn up to age 8 weeks;
C. Maternity care, including preconception
				care, care during pregnancy, labor and childbirth, and the postpartum period
				until 12 weeks;
D. Ordering and
				interpreting medical laboratory tests, specimen collection, performing
				CLIA-waived testing for the benefit of the individual midwifery client,
				ordering and interpreting ultrasound scan results, and obtaining equipment and
				supplies for the safe practice of midwifery; and E. Performing or ordering any
				newborn testing required or recommended by the Maine Center for Disease
				Control, including, but not limited to: Newborn Blood Spot Screening (NBS),
				Critical Congenital Heart Defect (CCHD) and Hearing Screening.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 502 - BOARD OF COMPLEMENTARY HEALTH CARE PROVIDERS › Chapter 6-A - STANDARDS RELATING TO CERTIFIED PROFESSIONAL MIDWIVES AUTHORITY TO OBTAIN AND ADMINSTER DRUGS, MEDICAL DEVICES, AND SCOPE OF PRACTICE › Section 502-6-A-4 - Termination of care

Current through 2024-29, July 17, 2024
1. Midwifery care
				shall be terminated when client-certified professional midwife conflicts
				affecting the safe provision of care are unable to be resolved.
2. When such conditions are present, the
				certified professional midwife shall:
A.
				Immediately inform the client of the condition or circumstances requiring
				termination of care;
B. Provide
				written notice to the client at least three business days before termination of
				care, unless an emergency exists;
C. Facilitate coordination of care with
				another licensed health care provider;
D. Share records and relevant information
				related to the condition with subsequent providers; and
E. Document the termination of care in the
				client's records.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 502 - BOARD OF COMPLEMENTARY HEALTH CARE PROVIDERS › Chapter 6-A - STANDARDS RELATING TO CERTIFIED PROFESSIONAL MIDWIVES AUTHORITY TO OBTAIN AND ADMINSTER DRUGS, MEDICAL DEVICES, AND SCOPE OF PRACTICE › Section 502-6-A-5 - Requirement for consultation, collaboration, referral, or transfer of care

Current through 2024-29, July 17, 2024
1. When the following conditions or
				circumstances occur, the certified professional midwife is required to initiate
				the associated actions of consultation, collaboration, referral, or transfer of
				care. Such action may be initiated at any time when in the professional
				judgment of the certified professional midwife such action is warranted.
A.
Antepartum
. During the
				antepartum period the following actions are required in the presence of the
				listed conditions or circumstances:
1)
Consultation
a) Suspected
				intrauterine growth restriction;
b)
				Severe vomiting unresponsive to certified professional midwife
				treatment;
c) Pain unrelated to
				common discomforts of pregnancy;
d)
				Presence of condylomata that may obstruct delivery;
e) Anemia unresponsive to certified
				professional midwife treatment, with a hemoglobin less than 10.0
				g/dL;
f) Suspected or confirmed
				fetal demise after 14.0 weeks gestation;
g) Suspected multiple gestation;
h) Confirmed chromosomal or genetic
				abnormalities;
i) Hepatitis
				C;
j) Suspected fetal mal
				presentation after 36.0 weeks;
k)
				Ultrasound diagnosis of complete placenta previa from 28.0 - 34.0 weeks
				gestation; and
l)  Any other
				condition that in the judgment of the certified professional midwife requires
				consultation.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 502 - BOARD OF COMPLEMENTARY HEALTH CARE PROVIDERS › Chapter 6-B - STANDARDS RELATING TO CERTIFIED MIDWIVES' PRESCRIPTIVE AUTHORITY, AND SCOPE OF PRACTICE › Section 502-6-B-1 - Authority to prescribe, obtain and administer

Current through 2024-29, July 17, 2024
1. A certified midwife may prescribe,
				administer, or recommend nonprescription medication without limitation, subject
				only to the limitations of the midwife's professional knowledge and the
				standards of care applicable to the midwifery profession.
2. At the time of initial application, the
				applicant must submit evidence of current education related to pharmacology.
A. Pharmacology content shall include:
1) Applicable federal and state
				laws;
2) Prescription
				writing;
3) Drug selection,
				storage, dosage, route and administration techniques;
4) Drug interactions, side effects, and
				adverse effects;
5) Information
				resources; and
6) Clinical
				application of pharmacology related to midwifery scope of
				practice.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 502 - BOARD OF COMPLEMENTARY HEALTH CARE PROVIDERS › Chapter 6-B - STANDARDS RELATING TO CERTIFIED MIDWIVES' PRESCRIPTIVE AUTHORITY, AND SCOPE OF PRACTICE › Section 502-6-B-2 - Requirements for authorized prescription

Current through 2024-29, July 17, 2024
1. In
				addition to the required client and drug information, a prescription or
				e-prescription shall include the date, printed name, legal form of signature,
				specialty category, business address, and telephone number of the prescribing
				certified midwife.
2.
				Prescriptions may be for medical appliances, devices, or legend or
				over-the-counter drugs.
3. Drugs in
				the formulary may be prescribed, administered, or distributed in combination,
				in accordance with recognized standards of practice.
4. Any product name drug may be prescribed,
				administered, or distributed provided the generic name or category for the drug
				is in the formulary.
5. The
				certified midwife shall comply with all applicable laws and rules in
				prescribing, administering, and distributing drugs, including compliance with
				the labeling requirements and all other applicable requirements of the Maine
				Board of Pharmacy.
6. For the
				administration, and distribution of controlled substances under Schedules
				III-V, the certified midwife shall comply with the requirements in the Code of
				Federal Regulations, 21 CFR Chapter II, Sections 1301, 1304.03, and 1304.04.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 502 - BOARD OF COMPLEMENTARY HEALTH CARE PROVIDERS › Chapter 6-B - STANDARDS RELATING TO CERTIFIED MIDWIVES' PRESCRIPTIVE AUTHORITY, AND SCOPE OF PRACTICE › Section 502-6-B-3 - Certified Midwife Formulary

Current through 2024-29, July 17, 2024
1. Certified
				midwives are authorized to prescribe, obtain, possess, and administer the
				following drugs and devices:
A.
				Over-the-counter drugs;
B. Medical
				appliances and devices;
C. Drugs
				related to the scope of practice defined by the midwife's certification; and
D. Drugs prescribed off label
				according to common and established standards of practice.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 502 - BOARD OF COMPLEMENTARY HEALTH CARE PROVIDERS › Chapter 6-B - STANDARDS RELATING TO CERTIFIED MIDWIVES' PRESCRIPTIVE AUTHORITY, AND SCOPE OF PRACTICE › Section 502-6-B-4 - Distribution of drug samples

Current through 2024-29, July 17, 2024
1. Certified
				midwives may receive prepackaged complimentary samples of drugs included in the
				formulary for prescription writing and may distribute these samples to
				clients.
2. Distribution of drug
				samples shall be in accordance with U.S. Drug Enforcement Administration laws,
				regulations, and guidelines.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 502 - BOARD OF COMPLEMENTARY HEALTH CARE PROVIDERS › Chapter 6-B - STANDARDS RELATING TO CERTIFIED MIDWIVES' PRESCRIPTIVE AUTHORITY, AND SCOPE OF PRACTICE › Section 502-6-B-5 - Scope of practice

Current through 2024-29, July 17, 2024
1. Certified
				midwife. The certified midwife provides only health care services for which the
				certified midwife is educationally and clinically prepared and for which
				competency has been maintained. The certified midwife is authorized to function
				to the full extent of the midwife's education, training, and competency within
				the population focus and scope of practice defined by the national professional
				and standard-setting organization for midwives certified by the national
				midwifery certification board.
2.
				Certified midwives primarily practice in hospitals, clinics, and offices, and
				may practice in birth centers, homes, and emergency care settings. Certified
				midwives may consult, refer, or transfer to licensed allopathic or osteopathic
				physicians, or other licensed health professionals as necessary for the
				client's health or safety in accordance with professional judgment.
3. Such health care services for which the
				certified midwife is independently responsible and accountable include:
A. Primary health care services for women
				from adolescence to beyond menopause;
B. Primary health care of the newborn up to
				age 28 days; Primary maternity care, including preconception care, care during
				pregnancy, labor, and childbirth, including acting as the first assistant at
				cesarean, and the postpartum period;
C. Ordering, performing, and interpreting
				medical laboratory and radiology testing, and obtaining equipment and supplies
				for the safe practice of midwifery;
D. Provision of gynecological and family
				planning services and treatment of sexually transmitted infections in clients
				and their sexual contacts.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 502 - BOARD OF COMPLEMENTARY HEALTH CARE PROVIDERS › Chapter 6-C - STANDARDS FOR VAGINAL BIRTH AFTER CESAREAN SECTION (VBAC) › Section 502-6-C-1 - Client Eligibility

Current through 2024-29, July 17, 2024
1. A Certified
				Professional Midwife or Certified Midwife may provide birth services in a home
				or a freestanding birth center for clients who have had a previous cesarean
				section only if all of the following conditions are met:
A. The due date of the client's current
				pregnancy is at least 18 months after the client's prior cesarean
				delivery;
B. The client has had no
				more than one prior cesarean delivery; and
C. The client's single cesarean was through a
				low transverse uterine incision and the client has had no additional uterine
				incisions. Previous cervical procedures do not preclude a trial of labor after
				cesarean (TOLAC) for vaginal birth after cesarean.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 502 - BOARD OF COMPLEMENTARY HEALTH CARE PROVIDERS › Chapter 6-C - STANDARDS FOR VAGINAL BIRTH AFTER CESAREAN SECTION (VBAC) › Section 502-6-C-3 - Informed Consent

Current through 2024-29, July 17, 2024
The Certified Professional Midwife or Certified Midwife shall
				  provide the client with a written informed consent form as prescribed by the
				  Board, which shall be documented in the client's midwifery record. The informed
				  consent shall include, but is not limited to, all of the following:
1. Description of the Certified Professional
				Midwife or Certified Midwife's level of clinical experience and history with
				VBACs and any advanced training or education in the clinical management of
				VBACs;
2. Up to date resources for
				data comparing VBAC safety versus planned cesarean section. This data should
				include, but is not limited to, TOLAC for planned home delivery versus TOLAC
				for planned hospital-based delivery;
3. Signed copy of the VBAC informed consent;
				and 4. Copy of the hospital transport plan.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 502 - BOARD OF COMPLEMENTARY HEALTH CARE PROVIDERS › Chapter 7 - GROUNDS FOR DISCIPLINE › Section 502-7-2 - Grounds for Discipline

Current through 2024-29, July 17, 2024
Grounds for discipline are set forth in
				  10 MRSA
				  §8003(5-A)(A) and
				  32 MRSA
				  §12503-A.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 502 - BOARD OF COMPLEMENTARY HEALTH CARE PROVIDERS › Chapter 7 - GROUNDS FOR DISCIPLINE › Section 502-7-3 - Examples of Grounds for Discipline

Current through 2024-29, July 17, 2024
The following grounds for discipline in
				  10 MRSA
				  §8003(5-A)(A) include
				  but are not limited to the conduct described below.
1.
Fraud, Deceit or
				Misrepresentation
(
				10 MRSA
				§8003(5-A)(A)(1) )
A. The practice of fraud, deceit or
				misrepresentation in obtaining a license includes, but is not limited to:
(1) Falsification or misrepresentation of
				education or experience of an applicant;
(2) Falsification or misrepresentation of a
				recommendation from a consultant or peer;
(3) Cheating on a license
				examination;
(4) Withholding or
				misrepresenting any information requested on the application, including any
				information regarding criminal or disciplinary action taken by any state
				against an applicant; or
(5)
				Impersonating another applicant.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 502 - BOARD OF COMPLEMENTARY HEALTH CARE PROVIDERS › Chapter 8 - CODE OF ETHICS › Section 502-8-1 - Generally

Current through 2024-29, July 17, 2024
Licensed acupuncturists and naturopathic doctors shall abide
				  by the code of ethics set forth in this chapter.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 502 - BOARD OF COMPLEMENTARY HEALTH CARE PROVIDERS › Chapter 8 - CODE OF ETHICS › Section 502-8-2 - Code of Ethics

Current through 2024-29, July 17, 2024
Licensees shall:
1.
				Respect the rights and dignity of each person treated;
2. Accept and treat those seeking services in
				a nondiscriminatory manner;
3.
				Keep the patient informed by explaining treatments and outcomes;
4. Render the highest quality of care and
				make timely referrals to other health care professionals as may be appropriate;
5. Clearly and fully explain
				alternative treatments available when appropriate, including potential referral
				to other health care professionals;
6. Refrain from making public statements on
				the efficacy of Oriental or naturopathic medicine that are not supported by the
				generally accepted experience of the professions;
7. Respect the integrity of other forms of
				health care and other medical traditions and seek to develop collaborative
				relationships to achieve the highest quality of care for individual patients;
8. Report to the board a licensed
				acupuncturist or naturopathic doctor whose judgment or competency while
				treating patients is impaired by chemical dependency or physical or mental
				incapacity;
9. A licensee who
				offers medicines, medical devices, supplements or pre-made herbal formulations
				to patients shall offer alternative sources for obtaining such items as long as
				those alternative sources do not compromise safety or clinical effectiveness;
10. Refrain from recommending
				medicines or treatments of a secret nature, and adequately disclose the
				contents of medicines or the nature and description of treatments recommended
				to a patient;
11. Provide or
				recommend only those services that are medically necessary or deemed to be
				beneficial to an individual patient;
12. Transfer a patient's records to another
				health care provider at the request of the patient, in accordance with
				appropriate and applicable legal guidelines, in a reasonable and timely
				fashion, and at reasonable cost;
13. Disclose to a patient any financial
				interests that may conflict with the provision of appropriate care by the
				licensee;
14. Disclose any
				compensation from or ownership interest in a company that sells specific
				products as to which the licensee has made written or oral public statements;
				and
15. Not accept gifts from any
				individual or entity that may be deemed to influence the licensee's
				professional clinical judgment.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 502 - BOARD OF COMPLEMENTARY HEALTH CARE PROVIDERS › Chapter 9 - FEES

Current through 2024-29, July 17, 2024
Summary
: This chapter sets forth the fees to be
				charged for all applications and licenses issued by the board under 32 MRSA
				chapter 113-B.
Deleted
STATUTORY AUTHORITY:
				   32 MRSA
				  §§12514(2) and
				  12526(1)
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 514 - BOARD OF COUNSELING PROFESSIONALS LICENSURE › Chapter 1-A - ADVISORY RULINGS › Section 514-1-A-1 - Request and Consideration

Current through 2024-29, July 17, 2024
Upon written request of any interested person, the board may
				  issue an advisory ruling pursuant to
				   5 M.R.S.A.
				  §9001 with respect to the applicability
				  of any statute or rule it administers. Requests for advisory rulings must set
				  forth in detail all facts pertinent to the question. The board may decline to
				  issue an advisory ruling if the question is hypothetical, if there is
				  insufficient information upon which to base a ruling, or for any other reason
				  the board deems proper.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 514 - BOARD OF COUNSELING PROFESSIONALS LICENSURE › Chapter 1-A - ADVISORY RULINGS › Section 514-1-A-2 - Response

Current through 2024-29, July 17, 2024
The board shall acknowledge receipt of a request for an
				  advisory ruling within 15 days after receipt. The board shall respond to every
				  written request for an advisory ruling within 90 days of its receipt of the
				  request, indicating whether or not a ruling will be issued by the board.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 514 - BOARD OF COUNSELING PROFESSIONALS LICENSURE › Chapter 2 - LICENSED PROFESSIONAL COUNSELORS › Section 514-2-1 - Scope of Practice

Current through 2024-29, July 17, 2024
A licensed professional counselor practices the principles
				  and procedures of counseling, as defined in
				   32 MRSA
				  §13851(8), to assist
				  those served in achieving more effective personal, emotional, social,
				  educational and vocational development and adjustment. A licensed professional
				  counselor may not diagnose or treat mental health disorders.
Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 514 - BOARD OF COUNSELING PROFESSIONALS LICENSURE › Chapter 2 - LICENSED PROFESSIONAL COUNSELORS › Section 514-2-3 - Examination

Current through 2024-29, July 17, 2024
To qualify for either conditional or full licensure, the
				  applicant shall achieve a passing score on the National Counselor Examination
				  administered by the NBCC.