reglab/statecodes huggingface dataset:
Wyoming Administrative Code › Agency 078 - Mental Health Professions Board › Sub-Agency 0001 - Mental Health Professions Board › Chapter 17 - Procedure for Applications, Licensure, and Discipline Matters › Section 17-14 - Board Decision and Order

Current through July 13, 2024
(a) Board Action.
				The Board may resolve an application matter, complaint, or Petition by:
(i) Approving the recommendations of the ARC
				or DC; or
(ii) Conducting a
				contested case hearing. Following the hearing and deliberation of all evidence
				admitted at a contested case hearing, the Board may:
(A) Issue, renew, reactivate, relicense, or
				reinstate a license;
(B) Issue,
				renew, reactivate, relicense, or reinstate a license with conditions,
				restrictions, or other disciplinary action;
(C) Deny a license, renewal, reactivation,
				relicensure, or reinstatement;
(D)
				Dismiss the complaint or Petition due to lack of clear and convincing
				evidence;
(E) Issue a notice of
				warning; and/or
(F) Impose a
				reprimand, conditions, restrictions, suspension, revocation, other discipline,
				or a combination thereof.
Wyoming Administrative Code › Agency 078 - Mental Health Professions Board › Sub-Agency 0001 - Mental Health Professions Board › Chapter 17 - Procedure for Applications, Licensure, and Discipline Matters › Section 17-15 - Judicial Review

Current through July 13, 2024
(a) Appeals from
				decisions of the Board are governed by the WAPA and Wyoming Rules of Appellate
				Procedure.
(b) Costs of transcripts
				and any reasonable cost assessed by the Board regarding the record on appeal
				shall be borne by the party making the appeal.
Wyoming Administrative Code › Agency 078 - Mental Health Professions Board › Sub-Agency 0001 - Mental Health Professions Board › Chapter 18 - Supervision › Section 18-1 - The Practice of a Designated Qualified Clinical Supervisor (DQCS)

Current through July 13, 2024
The DQCS assumes professional and ethical responsibility and
				  may be sanctioned by the Board for all acts and omissions of the supervisee
				  within the scope of the supervision.
Wyoming Administrative Code › Agency 078 - Mental Health Professions Board › Sub-Agency 0001 - Mental Health Professions Board › Chapter 18 - Supervision › Section 18-2 - General Requirements for DQCS

Current through July 13, 2024
A DQCS shall meet the following requirements:
(a) The DQCS shall have been licensed for
				independent practice for a minimum of two (2) years prior to becoming a
				supervisor.
(b) The DQCS shall have
				had four (4) years of post-graduate professional experience in their discipline
				prior to providing supervision.
(c)
				The DQCS must be free from any disciplinary action brought against them by any
				jurisdiction, although exceptions to this requirement may be granted by the
				Board if consistent with the public interest.
(d) The DQCS shall have taken a graduate
				level course in clinical supervision or have at least 3 contact hours of CE in
				clinical supervision. If already approved as a supervisor by the Board, this
				educational requirement shall be fulfilled no later than during the current
				renewal period.
Wyoming Administrative Code › Agency 078 - Mental Health Professions Board › Sub-Agency 0001 - Mental Health Professions Board › Chapter 18 - Supervision › Section 18-3 - Role of a DQCS for all supervisee license types

Current through July 13, 2024
(a) The DQCS shall allow the
				supervisee to perform independently only those functions for which the
				supervisee has training and experience.
(b) The DQCS shall keep records verifying
				supervision, including the types of supervision provided and number of
				hours.
(c) The DQCS shall be
				identified on all reports and correspondence of a professional nature,
				excluding disciplinary correspondence with the Board.
(d) The DQCS shall avoid conflictual dual
				relationships in supervision.
(e)
				The DQCS is readily available to give aid, direction, and instruction to any
				supervisee rendering clinical services pursuant to the Act.
Wyoming Administrative Code › Agency 078 - Mental Health Professions Board › Sub-Agency 0001 - Mental Health Professions Board › Chapter 18 - Supervision › Section 18-4 - Elements of Supervision

Current through July 13, 2024
The DQCS monitors the quality of services being offered to
				  clients, facilitates the supervisee's learning and skill development, and
				  endeavors to enhance the professional growth of the supervisee within the
				  discipline. In order to meet these objectives the content of supervision shall
				  include:
(a) A review of the
				supervisee's permissible scope of practice, as defined by the Act.
(b) Discussion of case notes, charts, records
				and services provided. The review and discussion should evaluate the
				appropriateness of the services to clients and the supervisee's therapeutic
				skill.
(c) Review and skill
				development of appropriate therapeutic interventions, treatment approaches,
				treatment planning and evidence based practices, within the supervisee's scope
				of practice.
(d) Discussion on the
				standards of practice and ethical conduct, with particular emphasis given to
				the supervisee's role and appropriate responsibilities, professional
				boundaries, power dynamics; and termination of clinical
				relationships.
Wyoming Administrative Code › Agency 078 - Mental Health Professions Board › Sub-Agency 0001 - Mental Health Professions Board › Chapter 18 - Supervision › Section 18-5 - Requirement for Supervision

Current through July 13, 2024
Clinical practice shall not be permitted, until documentation
				  of a DQCS has been provided to, and approved by, the Board and only under the
				  clinical supervision of an approved DQCS.
(a) Certified Addictions Practitioners,
				Certified Addictions Practitioner Assistants, Certified Mental Health Workers,
				Certified Social Workers and all provisionally licensed professionals may only
				provide services under the clinical supervision of a DQCS and under the
				administrative supervision of their employer.
(b) Individual, triadic face-to-face clinical
				supervision or individual distance clinical supervision by a DQCS shall be
				provided monthly at a ratio of at least one (1) hour for every twenty (20)
				hours of direct clinical provision of services defined in this act.
(c) In the event of a change of the DQCS, the
				certificate holder shall notify the Board within ten (10) days in writing. The
				certificate holder shall not provide services until documentation of a DQCS has
				been provided to, and approved by, the Board. A change in supervision requires
				a revised disclosure statement. The DQCS shall submit the Verification and
				Evaluation of Supervised Experience (VESE) form directly to the Board within
				thirty (30) days of the termination of supervision.
Wyoming Administrative Code › Agency 078 - Mental Health Professions Board › Sub-Agency 0001 - Mental Health Professions Board › Chapter 18 - Supervision › Section 18-6 - Types of Supervision

Current through July 13, 2024
(a) Individual Face-to-Face
				Clinical Supervision.
(b) Triadic
				Face-to-Face Clinical Supervision.
(c) Individual Distance Clinical Supervision.
(i) Supervision must be adequate to ensure
				the quality and competence of the activities supervised and must comply with
				all other supervision requirements.
Wyoming Administrative Code › Agency 078 - Mental Health Professions Board › Sub-Agency 0001 - Mental Health Professions Board › Chapter 18 - Supervision › Section 18-7 - Limits of Supervision

Current through July 13, 2024
DQCS must:
(a) Not
				provide clinical supervision to persons seeking certification or licensure who
				have not submitted an application to the Board;
(b) Not supervise a provisional licensee or a
				certificate holder without a board approved supervision agreement;
(c) Not provide supervision to more than (5)
				supervisees at one time, unless granted an exception in writing from the
				Board;
(d) Understand the Board may
				require an evaluation of the qualifications and roles of any designated
				qualified clinical supervisor and may approve or disapprove supervision at its
				discretion; and
(e) Understand that
				if they act as a DQCS without meeting the requirements of this chapter they are
				subject to discipline for unprofessional conduct.
Wyoming Administrative Code › Agency 078 - Mental Health Professions Board › Sub-Agency 0001 - Mental Health Professions Board › Chapter 19 - UNIFORM PROCEDURES, FEES, COSTS, AND CHARGES FOR INSPECTING, COPYING, AND PRODUCING PUBLIC RECORDS › Section 19-1 - Authority

Current through July 13, 2024
The Board is required under
				  W.S.
				  16-3-103(j)(ii) to adopt the
				  Department of Administration and Information's uniform rules pertaining to
				  procedures, fees, costs, and charges for inspecting, copying, and producing
				  public records.
Wyoming Administrative Code › Agency 078 - Mental Health Professions Board › Sub-Agency 0001 - Mental Health Professions Board › Chapter 19 - UNIFORM PROCEDURES, FEES, COSTS, AND CHARGES FOR INSPECTING, COPYING, AND PRODUCING PUBLIC RECORDS › Section 19-2 - Adoption of Uniform Rules

Current through July 13, 2024
The Board hereby incorporates by reference the following
				  uniform rules:
(a) Chapter 2 - Uniform
				Procedures, Fees, Costs, and Charges for Inspecting, Copying, and Producing
				Public Records adopted by the Department of Administration and Information and
				effective on September 6, 2016, found at:
http://rules.wyo.gov
.
(b) For these rules incorporated by
				reference:
(i) The Board has determined that
				incorporation of the full text in these rules would be cumbersome or
				inefficient given the length or nature of the rules;
(ii) The incorporation by reference does not
				include any later amendments or editions of the incorporated matter beyond the
				applicable date identified in subsection (a) of this section; and
(iii) The incorporated rules are maintained
				at the Board's office and are available for public inspection and copying at
				the same location.
Wyoming Administrative Code › Agency 078 - Mental Health Professions Board › Sub-Agency 0001 - Mental Health Professions Board › Chapter 20 - Disaster Relief › Section 20-1 - Authority

Current through July 13, 2024
These rules are promulgated under the authority of the
				  Wyoming Mental Health Professions Licensing Act, Wyo. Stat. Ann. §
									
										33-38-105(a), and the
				  Wyoming Homeland Security Act, Wyo. Stat. Ann. §
									
										19-13-115.
Wyoming Administrative Code › Agency 078 - Mental Health Professions Board › Sub-Agency 0001 - Mental Health Professions Board › Chapter 20 - Disaster Relief › Section 20-2 - Continuity of care

Current through July 13, 2024
During the duration of a state of emergency declared by the
				  Governor of the State of Wyoming, any mental health professional licensed or
				  certified by another state who has an existing provider-client relationship
				  with a Wyoming citizen may continue to provide services to the Wyoming citizen
				  through telehealth technology until 30 days after the day the Governor of the
				  State of Wyoming lifts the state of emergency.
Wyoming Administrative Code › Agency 078 - Mental Health Professions Board › Sub-Agency 0001 - Mental Health Professions Board › Chapter 20 - Disaster Relief › Section 20-3 - Extension of exempt period

Current through July 13, 2024
(a) When the
				Governor of the State of Wyoming declares a state of emergency, any mental
				health professional licensed or certified by another state who would be
				governed by this Board's rules may practice within their scope of practice in
				Wyoming for the duration of the emergency.
(b) The exempt period provided in Wyo. Stat.
				Ann. §
									
										33-38-103(a)(iv) shall be
				extended to 30 days after the day the Governor of the State of Wyoming lifts
				the state of emergency.
(c) Mental
				health professionals licensed or certified by another state, before practicing
				in Wyoming, shall notify the Board that they intend to practice in Wyoming and
				provide their name, home address, a description of the license or certificate
				they hold, and the state or states in which they currently hold licenses or
				certificates.
Wyoming Administrative Code › Agency 078 - Mental Health Professions Board › Sub-Agency 0001 - Mental Health Professions Board › Chapter 20 - Disaster Relief › Section 20-4 - End of state of emergency

Current through July 13, 2024
At the end of the state of emergency, any mental health
				  professional licensed or certified by another state who practiced in Wyoming
				  during the state of emergency shall ensure that their clients transition to a
				  Wyoming-licensed mental health professional. This section shall not apply to
				  mental health professionals who had an existing provider-client relationship
				  before the emergency and provided continuity of care to clients during the
				  emergency.
Wyoming Administrative Code › Agency 078 - Mental Health Professions Board › Sub-Agency 0001 - Mental Health Professions Board › Chapter 20 - Disaster Relief › Section 20-5 - Discipline

Current through July 13, 2024
(a) Any person may
				file a complaint with the Board office related to the conduct of a mental
				health professional practicing under the exempt period or providing continuity
				of care to a Wyoming citizen.
(b)
				Any mental health professional licensed or certified by another state
				practicing in Wyoming under this chapter or providing continuity of care to a
				Wyoming citizen under this chapter subjects themselves to the Board's
				jurisdiction. The Board may discipline mental health professionals as provided
				in Chapter 17 of these Rules.
(c)
				The Board may refer complaints related to a mental health professional's
				conduct to any state in which the professional is licensed or
				certified.
(d) If a state in which
				a mental health professional is licensed or certified suspends the
				professional's license or certificate, the mental health professional shall
				immediately cease practicing in Wyoming and ensure their Wyoming clients
				transition to another mental health professional.
Wyoming Administrative Code › Agency 036 - Midwifery, Board of › Sub-Agency 0001 - Midwifery, Board of › Chapter 1 - GENERAL PROVISIONS › Section 1-1 - Authority

Current through July 13, 2024
The Board is authorized under the Act, specifically Wyoming
				  Statute
										33-46-103,
				  the WAPA,
				  W.S.
				  16-3-103(j), and
				  W.S.
				  33-1-302(a) to promulgate
				  rules.
Wyoming Administrative Code › Agency 036 - Midwifery, Board of › Sub-Agency 0001 - Midwifery, Board of › Chapter 1 - GENERAL PROVISIONS › Section 1-2 - Definitions

Current through July 13, 2024
(a) "Act" means the Midwifery Practice
				Act.
(b) "Antepartum" means
				occurring or existing during pregnancy.
(c) "ARC" means Application Review
				Committee.
(d) "CPM" means
				Certified Professional Midwife.
(e)
				"IBM" means Investigative Board Member.
(f) "Intrapartum" means occurring during
				labor and delivery.
(g) "MEAC"
				means the Midwifery Education Accreditation Council.
(h) "NACPM" means the National Association of
				Certified Professional Midwives.
(i) "NARM" means the North American Registry
				of Midwives.
(j) "Postpartum" means
				occurring in approximately the six (6) week period after childbirth.
(k) "WAPA" means Wyoming Administrative
				Procedure Act,
				W.S.
				16-3-101 through -115.
Wyoming Administrative Code › Agency 036 - Midwifery, Board of › Sub-Agency 0001 - Midwifery, Board of › Chapter 1 - GENERAL PROVISIONS › Section 1-4 - Annual Regular Board Meeting

Current through July 13, 2024
The Board shall have a regular meeting annually on the second
				  Thursday of June at the Board Office beginning at 10:00 a.m.
(a) The Board shall meet as necessary at the
				time and place designated by the Board president.
Wyoming Administrative Code › Agency 036 - Midwifery, Board of › Sub-Agency 0001 - Midwifery, Board of › Chapter 1 - GENERAL PROVISIONS › Section 1-5 - Change of Name, Address, or Telephone Number

Current through July 13, 2024
Each applicant and licensee shall notify the Board in writing
				  of any change to their legal name, home address, business address, e-mail
				  address, or telephone number within thirty (30) days of the change.
Wyoming Administrative Code › Agency 036 - Midwifery, Board of › Sub-Agency 0001 - Midwifery, Board of › Chapter 1 - GENERAL PROVISIONS › Section 1-7 - Reference by Incorporation

Current through July 13, 2024
(a) Each rule and code incorporated by
				reference is further identified as follows:
(i) Chapter 2 - Uniform Rules for Contested
				Case Practice and Procedure, adopted by the Office of Administrative Hearings
				and effective on August 20, 2017, found at:
http://midwifery.wyo.gov/
.
(ii) Chapter 2 - Uniform Procedures, Fees,
				Costs, and Charges for Inspection, Copying, and Producing Public Records,
				adopted by the Department of Administration and Information and effective on
				September 6, 2016, found at
http://midwifery.wyo.gov/
.
(iii) Chapter 7 - Philosophy and Principles
				of Practice and Scope of Practice, adopted by the NACPM revised 2004, found at:
http://midwifery.wyo.gov/
.
Wyoming Administrative Code › Agency 036 - Midwifery, Board of › Sub-Agency 0001 - Midwifery, Board of › Chapter 3 - REQUIREMENTS FOR LICENSURE AND APPLICATION › Section 3-1 - Requirements for all applicants

Current through July 13, 2024
Applicant shall ensure that the Board receives all
				  documentation necessary to prove to the Board's satisfaction that the applicant
				  meets all the requirements for licensure herein. Every applicant shall
				  provide:
(a) Completed application and
				fee;
(b) Evidence they have not
				been convicted of a crime which in the judgment of the board renders the person
				unfit to practice midwifery;
(c)
				Fingerprints and other information necessary for a criminal history record
				background check;
(d) Have current
				certification as a CPM by the NARM; and
(e) Applicant may be required to appear for a
				personal interview with the Board if the ARC deems an interview appropriate in
				general, or in a specific case.
Wyoming Administrative Code › Agency 036 - Midwifery, Board of › Sub-Agency 0001 - Midwifery, Board of › Chapter 3 - REQUIREMENTS FOR LICENSURE AND APPLICATION › Section 3-2 - Application Processing

Current through July 13, 2024
(a) Applications shall be deemed "complete"
				when all necessary documentation has been received by the Board office,
				including fee;
(b) Applications
				shall expire one year after submission. If an application expires, an applicant
				shall submit a new application, including payment of fee; and
(c) ARC shall review every
				application.
Wyoming Administrative Code › Agency 036 - Midwifery, Board of › Sub-Agency 0001 - Midwifery, Board of › Chapter 3 - REQUIREMENTS FOR LICENSURE AND APPLICATION › Section 3-3 - License by Education

Current through July 13, 2024
(a) Eligibility. An applicant may seek
				licensure through education if the applicant has graduated from a midwifery
				education program accredited by MEAC or a similar successor
				organization.
(b) Application
				Requirements. The applicant shall provide the Board with evidence of successful
				completion of Board approved courses in the treatment of respiratory distress
				in newborns, pharmacology, the treatment of shock, intravenous therapy, and
				suturing specific to midwives as follows:
(i)
				Treatment of respiratory distress in newborns- current certification in
				neonatal resuscitation obtained through completion of American Heart
				Association approved cardiopulmonary resuscitation courses and American Academy
				of Pediatrics approved neonatal resuscitation courses;
(ii) Pharmacology specific to
				midwives-training obtained through completion of MEAC approved courses, or
				other courses sponsored by or approved by the Board which cover all drugs
				listed in the formulary;
(iii)
				Treatment of shock-training obtained through completion of MEAC approved
				courses or other courses approved by the Board;
(iv) Intravenous therapy-training obtained
				through completion of MEAC approved courses or other courses approved by the
				Board; and
(v) Suturing specific to
				midwives-training obtained through completion of MEAC approved courses or other
				courses approved by the Board.
Wyoming Administrative Code › Agency 036 - Midwifery, Board of › Sub-Agency 0001 - Midwifery, Board of › Chapter 3 - REQUIREMENTS FOR LICENSURE AND APPLICATION › Section 3-4 - License by Endorsement

Current through July 13, 2024
(a) Eligibility: An applicant may seek
				licensure through endorsement if they hold a license in good standing to engage
				in the practice of midwifery under the laws of another state provided:
(i) The applicant is currently licensed or
				certified by any state with requirements at least as stringent as Wyoming;
				and
(ii) The applicant has not been
				sanctioned in another state without resolution satisfactory to the
				Board.
Wyoming Administrative Code › Agency 036 - Midwifery, Board of › Sub-Agency 0001 - Midwifery, Board of › Chapter 3 - REQUIREMENTS FOR LICENSURE AND APPLICATION › Section 3-5 - License by Practical Experience

Current through July 13, 2024
(a) Eligibility. An applicant may seek
				licensure through experience if the applicant does not have an education
				through a MEAC accredited school nor a license in a state that has
				substantially similar rules to Wyoming but has 5 years practical experience and
				has met the following requirements for that 5 year period:
(i) The experience shall be within the 5
				years immediately preceding the application;
(ii) Have attended 55 out-of-hospital births
				within that 5 year period;
(iii)
				Have held a CPM for all 5 of those years;
(iv) Practiced within the standards of the
				Board Rules; and
(v) Applicant
				shall interview with the Board.
Wyoming Administrative Code › Agency 036 - Midwifery, Board of › Sub-Agency 0001 - Midwifery, Board of › Chapter 3 - REQUIREMENTS FOR LICENSURE AND APPLICATION › Section 3-6 - Provisional License

Current through July 13, 2024
The Board may issue a provisional license to:
(a) Any person eligible for licensure, to
				allow the applicant to practice under the supervision of another midwife, a
				person licensed under the Medical Practice Act or a certified nurse midwife
				until the board has the opportunity to act on the person's application for
				licensure. However, this paragraph shall not apply to any person whose license
				or certificate is under revocation, suspension, investigation or disciplinary
				restriction in another state;
(i) A
				provisional license issued under this paragraph is valid until action is taken
				on the application.
Wyoming Administrative Code › Agency 036 - Midwifery, Board of › Sub-Agency 0001 - Midwifery, Board of › Chapter 3 - REQUIREMENTS FOR LICENSURE AND APPLICATION › Section 3-7 - Issuance of License

Current through July 13, 2024
Initial licenses shall expire 2 years from the date of
				  issuance and every 2 years after initial licensure.
Wyoming Administrative Code › Agency 036 - Midwifery, Board of › Sub-Agency 0001 - Midwifery, Board of › Chapter 5 - FEES › Section 5-1 - Fees

Current through July 13, 2024
This fee schedule is adopted by the Board pursuant to
				  W.S.
				  33-1-201. Fees are established as
				  follows:
(a) Application Fee:
				$1200.00
(b) Provisional License
				Fee:
(i) Pending Application Processing
				$200.00
(ii) Undertaking Practicum
				$400.00
(iii)
				Education/Instruction/Locum Tenens $200.00 per provisional
Wyoming Administrative Code › Agency 036 - Midwifery, Board of › Sub-Agency 0001 - Midwifery, Board of › Chapter 6 - RENEWAL › Section 6-1 - Biennial Renewal

Current through July 13, 2024
(a) Licenses may be renewed every two (2)
				years by providing the Board with the following:
(i) Complete application for
				renewal;
(ii) Payment of the
				renewal fee;
(iii) Verification of
				having maintained CPM certification from NARM; and
(iv) Verification of current Infant Child and
				Adult CPR and NRP certificate.
Wyoming Administrative Code › Agency 036 - Midwifery, Board of › Sub-Agency 0001 - Midwifery, Board of › Chapter 6 - RENEWAL › Section 6-2 - Relicensure

Current through July 13, 2024
(a)
Eligibility
. An
				applicant may seek relicensure if the applicant has been licensed in Wyoming
				and either failed to timely renew or is seeking to return to active clinical
				practice.
(b)
Application Requirements
. Applicant shall:
(i) Submit a completed relicensure
				application and payment of fee;
(ii) Current CPM certification from
				NARM
Wyoming Administrative Code › Agency 036 - Midwifery, Board of › Sub-Agency 0001 - Midwifery, Board of › Chapter 6 - RENEWAL › Section 6-3 - Reinstatement of Licensure

Current through July 13, 2024
(a)
Eligibility
. An
				applicant may seek reinstatement of their license if that license has been
				revoked, surrendered, suspended, conditioned, restricted, or otherwise
				disciplined.
(b)
Application Reinstatement Requirements
. The applicant
				shall:
(c) Submit a completed
				reinstatement application and payment of fee;
(i) Submit evidence of complying with the
				requirements of a previous Board order;
(ii) Submit evidence that the applicant has
				corrected the conduct that formed the basis of the discipline of applicant's
				license and the applicant is able to safely, skillfully and competently
				practice; and Submit evidence demonstrating just cause for
				reinstatement.
Wyoming Administrative Code › Agency 036 - Midwifery, Board of › Sub-Agency 0001 - Midwifery, Board of › Chapter 7 - PROFESSIONAL RESPONSIBILITY › Section 7-1 - Scope and Practice Standards

Current through July 13, 2024
A licensed midwife shall adhere to the following scope and
				  practice standards when providing antepartum, intrapartum, postpartum, and
				  newborn care.
(a) The Board hereby
				incorporates by reference the following uniform rules outlining the scope and
				practice standards:
(i) Philosophy and
				Principles of Practice and Scope of Practice, adopted by the NACPM revised
				2004, found at:
http://nacpm.org/about-cpms/professional-standards/
(ii) For these rules incorporated by
				reference:
(A) The Board has determined that
				incorporation of the full text in these rules would be cumbersome or
				inefficient given the length or nature of the rules;
(B) The incorporation by reference does not
				include any later amendments or editions of the incorporated matter beyond the
				applicable date identified in subsection (a) of this section; and
(C) The incorporated rule is maintained at
				Board Office and is available for public inspection and copying at cost at the
				same location.
Wyoming Administrative Code › Agency 036 - Midwifery, Board of › Sub-Agency 0001 - Midwifery, Board of › Chapter 7 - PROFESSIONAL RESPONSIBILITY › Section 7-3 - Record Keeping

Current through July 13, 2024
Each client record shall be retained for a minimum of ten
				  (10) years after the birth during which time reasonable efforts are to be made
				  to advise clients of closure of practice or change in record location.
Wyoming Administrative Code › Agency 036 - Midwifery, Board of › Sub-Agency 0001 - Midwifery, Board of › Chapter 7 - PROFESSIONAL RESPONSIBILITY › Section 7-4 - Written Informed Consent

Current through July 13, 2024
The licensee shall provide to the client written informed
				  consent documents in accordance with W.S. 33-46-103(j)(ii).
Wyoming Administrative Code › Agency 036 - Midwifery, Board of › Sub-Agency 0001 - Midwifery, Board of › Chapter 7 - PROFESSIONAL RESPONSIBILITY › Section 7-5 - Medication Formulary

Current through July 13, 2024
During the practice of midwifery a licensed midwife may
				  obtain and administer the following drugs described in the midwifery formula,
				  according to the protocol outlined in Appendix A, describing the indication for
				  use, dosage, route of administration and duration of treatment:
(a) Oxygen;
(b) Oxytocin as a postpartum antihemorrhagic
				agent;
(c) Misoprostol as a
				postpartum antihemorrhagic agent;
(d) Methylergonovine (Methergine) as a
				postpartum antihemorrhagic agent;
(e) Injectable local anesthetic for the
				repair of lacerations which are no more extensive than second degree;
(f) Antibiotics for group B streptococcus
				prophylaxis consistent with the guidelines set forth in Prevention of Perinatal
				Group B Streptococcal Disease, published by the Centers for Disease Control and
				Prevention and for prolonged rupture of membranes;
(g) Epinephrine administered via a metered
				dose auto-injector;
(h) Intravenous
				fluids for stabilization of the woman;
(i) Rho(D) immune globulin;
(j) Phylloquinone (Vitamin K1);
(k) Eye prophylactics for the baby;
(l) Sterile H2O Papules; and
(m) Terbutaline.
Wyoming Administrative Code › Agency 036 - Midwifery, Board of › Sub-Agency 0001 - Midwifery, Board of › Chapter 7 - PROFESSIONAL RESPONSIBILITY › Section 7-6 - Obtaining, Storing, and Disposing of Formulary Drugs

Current through July 13, 2024
A licensee shall adhere to the following protocol for
				  obtaining, storing, and disposing of formulary drugs during the practice of
				  midwifery
(a) Obtaining Formulary
				Drugs. A licensee shall obtain formulary drugs as allowed by law, including,
				without limitation, from:
(i) A person or
				entity that is licensed as a Wholesale Distributor by the Wyoming State Board
				of Pharmacy; or
(ii) A retail
				pharmacy, in minimal quantities for office use.
Wyoming Administrative Code › Agency 036 - Midwifery, Board of › Sub-Agency 0001 - Midwifery, Board of › Chapter 7 - PROFESSIONAL RESPONSIBILITY › Section 7-7 - Newborn Care

Current through July 13, 2024
(a) The
				licensee shall carry the equipment necessary for resuscitation of the
				newborn.
(b) Midwives shall
				transfer (immediately if indicated) any newborn showing the following signs to
				the nearest hospital or pediatric care provider:
(i) Ten (10) minute Apgar score of less than
				seven (7);
(ii) Signs of a
				medically significant anomaly;
(iii) Signs of respiratory distress including
				respiratory rate over eighty (80) per minute, poor color, grunting, nasal
				flaring and/or retractions that are not showing consistent
				improvement;
(iv) Need for oxygen
				for more than twenty (20) minutes, or after one (1) hour following the
				birth;
(v) Seizures;
(vi) Fontanel full and bulging;
(vii) Significant or suspected birth
				injury;
(viii) Cardiac
				irregularities including a heart rate that is consistently below eighty (80)
				beats per minute or greater than one hundred sixty (160) beats per minute; poor
				capillary refilling (greater than three (3) seconds);
(ix) Pale, cyanotic, gray color;
(x) Lethargy or poor muscle tone;
(xi) Temperature instability;
(xii) Jaundice at less than twenty-four (24)
				hours; or
(xiii) Loss of greater
				than ten (10) percent birth weight.
Wyoming Administrative Code › Agency 036 - Midwifery, Board of › Sub-Agency 0001 - Midwifery, Board of › Chapter 7 - PROFESSIONAL RESPONSIBILITY › Section 7-8 - Medical Waste

Current through July 13, 2024
Medical waste (items removed from a private residence) shall
				  be disposed of according to the following protocol:
(a) Containers for Non-Sharp, Medical Waste.
				Medical waste, except for sharps, shall be placed in disposable containers/bags
				which are impervious to moisture and strong enough to preclude ripping, tearing
				or bursting under normal conditions of use. The bags shall be securely tied so
				as to prevent leakage or expulsion of solid or liquid waste during storage,
				handling or transport. The containment system shall have a tight-fitting cover
				and be kept clean and in good repair. All bags used for containment of medical
				waste must be clearly identified by label or color, or both.
(b) Containers for Sharps. Sharps shall be
				placed in impervious, rigid, punctureresistant containers immediately after
				use. Needles shall not be bent, clipped or broken by hand. Rigid containers of
				discarded sharps shall either be labeled or colored like the disposable bags
				used for other medical waste, or placed in such labeled or colored
				bags.
(c) Storage Duration. Medical
				waste may not be stored for more than seven (7) days, unless the storage
				temperature is below thirty-two (32) degrees Fahrenheit. Medical waste shall
				never be stored for more than ninety (90) days.
Wyoming Administrative Code › Agency 036 - Midwifery, Board of › Sub-Agency 0001 - Midwifery, Board of › Chapter 7 - PROFESSIONAL RESPONSIBILITY › Section 7-9 - Professional Standards

Current through July 13, 2024
(a) Persons
				licensed by the Board shall:
(i) Use the term
				"Licensed Midwife" and/or the initials LM only after the applicant is granted
				licensure by the Board;
(ii)
				Practice in a manner that is in the best interest of the public and does not
				endanger the public health, safety or welfare;
(iii) Be able to justify all services
				rendered to clients as necessary for diagnostic or therapeutic
				purposes;
(iv) Practice only within
				the competency areas for which they are trained and experienced. The licensee
				shall be able to demonstrate to the Board competency, training, and/or
				expertise;
(v) Report to the board
				outcomes of all clients for which they have provided services at any point
				during labor or delivery within thirty (30) days after each birth;
(vi) Report to the Board known or suspected
				violations of the laws and regulations governing the practice of licensed
				professionals;
(vii) Maintain
				accurate documentation of all professional services rendered to a client in
				confidential files for each client and ensure that client records are kept in a
				secure, safe, retrievable and legible condition;
(A) The licensee shall make provisions for
				the retention and/or release of client records if the licensee is unable to do
				so. Such provision shall include the naming of a qualified person who will
				retain the client records and properly release the client records upon
				request.
(viii) Clearly
				state the person's licensure status by the use of a title or initials such as
				"licensed midwife" (LM) or a statement such as "licensed by the Wyoming Board
				of Midwifery" in any advertising, public directory or solicitation, including
				telephone directory listings;
(ix)
				Respond to all requests for information and all other correspondence from the
				Board;
(x) Not permit, condone or
				facilitate unlicensed practice or any activity which is a violation of the Act
				or these rules and regulations;
(xi) Not use vacuum extraction or forceps as
				an aid in the delivery of a newborn; and
(xii) Not perform abortions.
Wyoming Administrative Code › Agency 036 - Midwifery, Board of › Sub-Agency 0001 - Midwifery, Board of › Chapter 8 - PRACTICE AND PROCEDURES FOR DISCIPLINARY, APPLICATION, AND LICENSURE MATTERS › Section 8-1 - Statement of Purpose

Current through July 13, 2024
These rules are adopted to implement the Board's authority
				  to:
(a) Conduct investigations,
				hearings, and proceedings concerning:
(i)
				Alleged violations of the Act or the Board Rules; or
(ii) Actions relating to an application for a
				licensure including granting or denying.
Wyoming Administrative Code › Agency 036 - Midwifery, Board of › Sub-Agency 0001 - Midwifery, Board of › Chapter 8 - PRACTICE AND PROCEDURES FOR DISCIPLINARY, APPLICATION, AND LICENSURE MATTERS › Section 8-2 - Grounds

Current through July 13, 2024
In addition to the grounds outlined in Wyoming
				  Statute
										33-46-103,
				  the Board may take action for unprofessional or unethical conduct.
(a) Unprofessional conduct shall include, but
				is not limited to:
(i) Suspension, revocation,
				denial, or other disciplinary action imposed upon a license held in another
				jurisdiction. A certified copy of the disciplinary order shall be conclusive
				evidence;
(ii) Engaging in the
				practice of midwifery without a license issued by this Board;
(iii) Conviction of a felony. A certified
				copy of the conviction shall be conclusive evidence;
(iv) Conviction of a misdemeanor involving
				moral turpitude. A certified copy of the conviction shall be conclusive
				evidence;
(v) Renting or lending
				the license issued pursuant to this act to any person;
(vi) Gross incompetence or
				malpractice;
(vii) Mental
				incompetency;
(viii) Knowingly
				submitting false information to the Board;
(ix) Addiction or habitual intemperate use of
				alcohol, drugs and/or a controlled substance;
(x) Violation and conviction of a charge
				under
				W.S.
				35-7-1001
et seq.
, the
				Wyoming Controlled Substance Act;
(xi) Sexual exploitation of a client, defined
				as; and
(A) Offering professional services for
				some form of sexual gratification; or
(B) Sexual contact with a client.
(xii) Willful violation of any
				provisions of the Act.
Wyoming Administrative Code › Agency 036 - Midwifery, Board of › Sub-Agency 0001 - Midwifery, Board of › Chapter 8 - PRACTICE AND PROCEDURES FOR DISCIPLINARY, APPLICATION, AND LICENSURE MATTERS › Section 8-3 - Application Review and Investigation Process

Current through July 13, 2024
(a) Application Review.
(i) Every application for a license issued by
				the Board shall be subject to investigation to determine whether the
				requirements set forth in the Act and Board Rules are satisfied.
(ii) If any application, including renewals,
				reveals any information which merits further investigation, the matter shall be
				assigned to the ARC.
Wyoming Administrative Code › Agency 036 - Midwifery, Board of › Sub-Agency 0001 - Midwifery, Board of › Chapter 8 - PRACTICE AND PROCEDURES FOR DISCIPLINARY, APPLICATION, AND LICENSURE MATTERS › Section 8-4 - Complaint Review and Disciplinary Investigation Process

Current through July 13, 2024
(a) Complaint Review. Every complaint
				submitted to the Board or initiated on behalf of the Board shall be
				investigated by a IBM.
(b) IBM
				Action. The IBM may:
(i) Recommend dismissal
				of a complaint;
(ii) Recommend
				issuance of an advisory letter;
(iii) Recommend a settlement agreement which
				may include voluntary surrender, suspension, imposition of restrictions or
				conditions, reprimand or other discipline;
(iv) Recommend disciplinary action against
				the licensee including revocation, suspension, reprimand, restrictions or
				conditions, or other discipline; or
(v) Recommend summary suspension.
Wyoming Administrative Code › Agency 036 - Midwifery, Board of › Sub-Agency 0001 - Midwifery, Board of › Chapter 8 - PRACTICE AND PROCEDURES FOR DISCIPLINARY, APPLICATION, AND LICENSURE MATTERS › Section 8-5 - Summary Suspension

Current through July 13, 2024
(a) Recommendation. If the IBM recommends
				summary suspension, the Board shall conduct an expedited proceeding to
				determine whether the licensee's continued practice presents a clear and
				imminent danger to public health, safety or welfare.
(b) Notice of Intent to Recommend Summary
				Suspension.
(i) The IBM shall notify the
				licensee of its intent to recommend summary suspension;
(ii) The Notice of Intent shall contain:
(A) Copy of the complaint; and
(B) Notice that an expedited summary
				suspension proceeding shall be set at the earliest opportunity a quorum of
				Board members may be assembled;
Wyoming Administrative Code › Agency 036 - Midwifery, Board of › Sub-Agency 0001 - Midwifery, Board of › Chapter 8 - PRACTICE AND PROCEDURES FOR DISCIPLINARY, APPLICATION, AND LICENSURE MATTERS › Section 8-6 - Petition and Complaint and Notice of Hearing

Current through July 13, 2024
(a) Petition and Complaint. Formal
				proceedings for disciplinary action against a licensee shall be commenced by
				serving a petition and complaint and notice of hearing by certified or regular
				mail at least thirty (30) days prior to the date set for hearing.
(b) Notice of Hearing. The notice of hearing
				shall contain:
(i) The name and last address
				of the licensee;
(ii) A statement
				in ordinary and concise language of the matters asserted, which shall contain
				the nature of the complaint filed with the Board, the facts upon which the
				complaint is based, the specific statutory provisions and the specific Board
				Rules that the licensee is alleged to have violated;
(iii) The time, place and nature of the
				hearing;
(iv) The legal authority
				and jurisdiction; and
(v) A
				statement indicating that failure to respond to the Petition within thirty (30)
				days shall result in a default judgment.
Wyoming Administrative Code › Agency 036 - Midwifery, Board of › Sub-Agency 0001 - Midwifery, Board of › Chapter 8 - PRACTICE AND PROCEDURES FOR DISCIPLINARY, APPLICATION, AND LICENSURE MATTERS › Section 8-7 - Lawful Service

Current through July 13, 2024
There shall be a presumption of lawful service of a petition
				  and complaint, notice of hearing, or any other communication required by these
				  Board Rules if sent to the last known address of the licensee or applicant by
				  certified, regular mail, or electronic mail to the e-mail address indicated to
				  be the preferred method of communication..
Wyoming Administrative Code › Agency 036 - Midwifery, Board of › Sub-Agency 0001 - Midwifery, Board of › Chapter 8 - PRACTICE AND PROCEDURES FOR DISCIPLINARY, APPLICATION, AND LICENSURE MATTERS › Section 8-8 - Default

Current through July 13, 2024
The Board may enter an order of default judgment based on the
				  allegations contained in the petition and complaint in any case where the
				  licensee or the licensee's representative has not answered the petition and
				  complaint or appeared at a scheduled noticed hearing.
Wyoming Administrative Code › Agency 036 - Midwifery, Board of › Sub-Agency 0001 - Midwifery, Board of › Chapter 8 - PRACTICE AND PROCEDURES FOR DISCIPLINARY, APPLICATION, AND LICENSURE MATTERS › Section 8-9 - Board Decision and Order

Current through July 13, 2024
(a) Board Action. The Board may resolve a
				complaint by:
(i) Approving the
				recommendations of the IBM or ARC; or
(ii) Conduct a contested case hearing.
				Following the hearing and deliberation of all evidence admitted at a contested
				case hearing, the Board may:
(A) Dismiss the
				complaint due to lack of clear and convincing evidence;
(B) Issue an advisory letter; or
(C) Impose discipline by revocation,
				suspension, reprimand, restriction, condition, non-renewal, or a combination
				thereof, for a violation of any provision of the Act or the Board
				Rules.
Wyoming Administrative Code › Agency 036 - Midwifery, Board of › Sub-Agency 0001 - Midwifery, Board of › Chapter 8 - PRACTICE AND PROCEDURES FOR DISCIPLINARY, APPLICATION, AND LICENSURE MATTERS › Section 8-10 - Appeals to District Court

Current through July 13, 2024
(a) Appeals from decisions of the Board are
				governed by the WAPA and the Wyoming rules of Appellate Procedure.
(b) Costs of transcripts and any reasonable
				costs assessed by the Board regarding the record on appeal shall be borne by
				the party making the appeal.
Wyoming Administrative Code › Agency 036 - Midwifery, Board of › Sub-Agency 0001 - Midwifery, Board of › Chapter 8 - PRACTICE AND PROCEDURES FOR DISCIPLINARY, APPLICATION, AND LICENSURE MATTERS › Section 8-11 - Contested Case Process

Current through July 13, 2024
The Board hereby incorporates by reference the following
				  uniform rules outlining the entire contested case process and practice that
				  will be followed:
(a) Chapter 2 -
				Uniform Rules for Contested Case Practice and Procedure, adopted by the Office
				of Administrative Hearings and effective on October 17, 2014, found at:
				http://soswy.state.wy.us/Rules/RULES/9644.pdf.
(b) For these rules incorporated by
				reference::
(i) The Board has determined that
				incorporation of the full text in these rules would be cumbersome or
				inefficient given the length or nature of the rules;
(ii) The incorporation by reference does not
				include any later amendments or editions of the incorporated matter beyond the
				applicable date identified in subsection (a) of this section; and
(iii) The incorporated rules are maintained
				at the Board's office and is available for public inspection and copying at
				cost at the same location.
Wyoming Administrative Code › Agency 036 - Midwifery, Board of › Sub-Agency 0001 - Midwifery, Board of › Chapter 8 - PRACTICE AND PROCEDURES FOR DISCIPLINARY, APPLICATION, AND LICENSURE MATTERS › Section 8-13 - Board Decision and Order

Current through July 13, 2024
(a) Board Action. The Board may resolve a
				complaint by:
(i) Approving the
				recommendations of the IBM or ARC; or
(ii) Conduct a contested case hearing.
				Following the hearing and deliberation of all evidence admitted at a contested
				case hearing, the Board may:
(A) Dismiss the
				complaint due to lack of clear and convincing evidence;
(B) Issue an advisory letter; or
(C) Impose discipline by revocation,
				suspension, reprimand, restriction, condition, non-renewal, or a combination
				thereof, for a violation of any provision of the Act or the Board
				Rules.
Wyoming Administrative Code › Agency 036 - Midwifery, Board of › Sub-Agency 0001 - Midwifery, Board of › Chapter 8 - PRACTICE AND PROCEDURES FOR DISCIPLINARY, APPLICATION, AND LICENSURE MATTERS › Section 8-14 - Appeals to District Court

Current through July 13, 2024
Appeals from Board decisions shall be taken to the district
				  court having jurisdiction and proper venue in accordance with applicable
				  statutes and the Wyoming Rules of Appellate Procedure.
Wyoming Administrative Code › Agency 007 - Military Department, Wyoming › Sub-Agency 0001 - General Agency, Board or Commission Rules › Chapter 1 - DIRECT PAYMENT OR REIMBURSEMENT OF MEDICAL EXPENSES › Section 1-1 - Authority

Current through July 13, 2024
These rules are promulgated by the Adjutant General under the
				  authority given by Wyoming Statute
										19-9-403(a).
Wyoming Administrative Code › Agency 007 - Military Department, Wyoming › Sub-Agency 0001 - General Agency, Board or Commission Rules › Chapter 1 - DIRECT PAYMENT OR REIMBURSEMENT OF MEDICAL EXPENSES › Section 1-2 - Definitions

Current through July 13, 2024
(a) "Medical
				expense" means expenses related to customary treatment by a licensed doctor of
				medicine, chiropractic or osteopathy, dentist, optometrist, podiatrist,
				psychologist, physician's assistant, and advance practitioner of nursing acting
				within the scope of his or her license. Medical expense also includes expenses
				for prescription medications, surgical or hospital service, medical and
				surgical supplies, apparatus, essential and adequate artificial replacement,
				and prosthetics.
(b) "Reasonable
				medical expense" means those charges for medical expenses that are necessary
				and determined reasonable by reference to charges and quantity of services
				normally allowed by the State of Wyoming's employee group health insurance,
				Medicare, Medicaid customary charges in the area for similar services, and any
				other relevant sources related to the particular expense at issue. Direct
				payment or reimbursement may be limited to the lowest levels generally accepted
				by health care providers for providing similar services in the State of
				Wyoming.
(c) "State active duty"
				means that time during which an officer or enlisted man is serving on state
				active duty orders or traveling to or from any location in relation to
				performing state active duty.