CHAPTER Mid 300 CERTIFICATION REQUIREMENTS
PART Mid 301 DEFINITIONS
Mid 301.01 Definitions.
(a) "American
College of Nurse-Midwives (ACNM)" means the national professional association
of certified nurse-midwives and certified midwives.
(b)
"Certified midwife (CM)" means an
individual who has been designated as a certified midwife by the Certification
Council of the ACNM.
(c)
“Certified nurse-midwife (CNM)” means a registered nurse who has
graduated from a nurse-midwifery education program accredited by the ACNM Division of Accreditation and has passed a
national examination to become professionally designated as a CNM by the ACNM
Certification Council.
(d)
“Certified professional midwife (CPM)” means an individual who has met
the standards for certification in the practice of midwifery set by NARM and who
holds such certification.
(e)
"Doula" means a person trained to
give women information, comfort, and emotional support before, during, and
after birth.
(f)
“Neonatal resuscitation program (NRP)” means
an educational program that introduces the concepts and basic skills of
neonatal resuscitation.
(g)
“North American Registry of Midwives
(NARM)” means a non-profit agency established to certify practitioners of
midwifery on the basis of experience and examination.
(i) “Prenatal” means during the period of time between
conception and the onset of labor.
Source. #7421, eff 1-3-01, EXPIRED: 1-3-09
New. #9691, eff 4-8-10; ss by #12660, eff 11-5-18
PART Mid 302 APPLICATION PROCEDURE
Mid 302.01 Application Process for
Initial Certification.
(a)
An individual who wishes to be
issued a first certificate to practice midwifery shall submit to the midwifery
council:
(1) A completed “Application Form: NH Midwifery
Certification” provided by the midwifery council and described in Mid 302.03;
(2) The documentation specified in Mid 302.05;
and
(3) Payment of the certification fee specified in
Mid 306.03.
(b)
The application form
shall be completed by:
(1) Printing the required information legibly in
ink or using a keyboard; and
(2) Completing all sections or designating them
as not applicable to the applicant.
Source. #7421, eff 1-3-01; ss by #9691, EXPIRED:
1-3-09
New. #9691, eff 4-8-10; ss by #12660, eff 11-5-18
Mid 302.02 Application Review and Notification
Procedure.
(a)
Within 60 days of the receipt of the
application, the midwifery council shall:
(1) Review the application form and documentation
for legibility and completeness;
(2) Determine whether additional information or
documentation is required to clarify the application or to ascertain whether
the applicant meets the qualifications for certification; and
(3) Notify the applicant in writing of any
deficiencies in the application and of any additional information or
documentation required.
(b)
An application shall be deemed
completed on the date when the midwifery council has received:
(1) The completed application form;
(2) The supporting documentation required by Mid
302.05; and
(3) Any additional information and documentation
required under (a)(3) above.
(c)
An application for which the midwifery council is waiting for additional
information or documentation shall be held open for one year from the
date of its receipt by the council, after which time it shall be closed and the
application denied.
(d)
Within 120 days from the completion
of the application the midwifery council shall notify the applicant in writing
of the following:
(1) Whether or not the application has been
approved and the applicant certified; and
(2) In the case of denial of certification:
a. The reason(s) for the denial; and
b. The right of the applicant to make a written
request within 30 days for a hearing pursuant to Mid 200
to challenge the denial.
(e)
All applications for certification shall
be kept as part of the permanent records of the midwifery council.
Source. #7421, eff 1-3-01, EXPIRED: 1-3-09
New. #9691, eff 4-8-10; ss by #12660, eff 11-5-18
Mid 302.03 Application Form for
Initial Certification. On the 2-part
application form the applicant shall furnish:
(a)
On the publicly available part of the
form:
(1) The applicant’s name and any names previously
used;
(2) The date of the application;
(3) The applicant’s date of birth;
(4) The applicant’s work address;
(5) The applicant's work
numbers, including, as applicable, the applicant's office telephone number,
cell phone number and fax number;
(6) The applicant's business e-mail address, if
applicable;
(7) In the space provided, a statement by the
applicant expressing intent to engage in the practice of midwifery in the
state;
(8) The name and address of the high school
attended by the applicant and the date of graduation, or the date of completion
of high school equivalent;
(9) If applicable, a list of colleges and
universities the applicant attended, the dates of attendance, and the degrees
received;
(10) A written description of any part of the
applicant's professional background which is relevant to the practice of
midwifery, such as:
a. Midwifery training or experience in any state
or country; or
b. Any training or experience in the fields of
newborn or maternal care, acquired in any state or country, such as emergency
technician, obstetric or pediatric nursing, childbirth education or work as a
doula;
(11) A list of midwifery schools attended and, for
each such school:
a. The dates attended;
b. The date of graduation; and
c. The degree, certificate, or diploma awarded;
(12) A list of midwifery
certifications, licenses, registrations or other permits to practice midwifery
held by the applicant currently or in the past, including for each such permit:
a. The state, country, or organization of
issuance; and
b. The dates of issuance and expiration;
(13) A list of all certifications, licenses,
registrations, or other permits to practice in a health or healing field other
than midwifery, including for each such permit:
a. The state or country of issuance; and
b. The dates of issuance and expiration;
(14) A statement describing the circumstances of
any conviction of a crime disclosed by any affidavit required to be submitted
by Mid 302.05(h);
(15) A statement describing the arrangements the
applicant has made for the medical back-up as required by Mid 303.01(h),
including in the description:
a. Arrangements for coverage for clients in the event
of the applicant’s absence or illness;
b. Arrangements for consultation with
obstetricians, family practitioners, pediatricians or any other physicians
concerning abnormal conditions;
c. Arrangements for transferring the care of
clients from the midwife to obstetricians, family practitioners, pediatricians
or any other physicians;
d. Identification of privileges at hospitals;
and
e. Identification of hospital services to be
used in medical emergencies;
(16) A statement describing the applicant's
arrangements for:
a. Laboratory testing;
b. Newborn screening; and
c. Obtaining medications permitted by law;
(17) The applicant's signature to a statement
preprinted on the form which states that:
a. The information provided on the application
form and the documentation provided to support the application are true,
accurate, complete and unaltered; and
b. The applicant acknowledges that, pursuant to
RSA 641:3, the knowing making of a false statement on the application form is
punishable as a misdemeanor; and
(18) The date of the signature;
(b)
On the confidential part of
the form:
(1) The applicant's name;
(2) The applicant’s home address and home
telephone number;
(3) The applicant's home e-mail address, if he or
she chooses to provide it;
(4) Disclosure of the following information, the
relative seriousness of which shall be used to evaluate the fitness of the
applicant to practice midwifery pursuant to Mid 303.01(g):
a. Whether a malpractice claim has been made
against the applicant within the last 6 years, regardless of whether a lawsuit
was filed in relation to the claim;
b. Whether the applicant has ever been denied a
midwifery certificate, license, registration or permit to practice midwifery
for any reason;
c. Whether the applicant’s employment or
appointment in a hospital, clinic or other health care facility was ever
suspended;
d. Whether the applicant has ever resigned from
employment or appointment in a hospital, clinic or other health care facility
in lieu of being subjected to disciplinary action;
e. Whether there are pending against the
applicant any disciplinary charges before any licensing authority, medical
council, health care facility or professional midwifery association;
f. Whether any disciplinary action has been
taken against the applicant by any licensing authority, medical council, health
care facility or professional midwifery association;
g. Whether the applicant has ever voluntarily
surrendered a certificate, license, registration or permit to practice
midwifery or other healing art in lieu of facing disciplinary action;
h. Whether the applicant has ever had a
professional certificate, license, registration or permit to practice in a
field other than midwifery revoked, suspended, or otherwise terminated on
disciplinary grounds; and
i. Whether the applicant currently has an
emotional disturbance or mental illness, a physical illness, or an addictive
disorder impairing the applicant’s ability to practice midwifery;
(5) A statement describing in detail the
circumstances of any affirmative answers to the questions listed; and
(6) The applicant's social security number
provided in the space below the following preprinted notice:
"The Midwifery
Council will deny certification if you refuse to submit your social security
number (SSN). Your professional certificate will not display your SSN. Your SSN
will not be made available to the public.
The Midwifery Council
is required to obtain your social security number for the purpose of child
support enforcement in compliance with 42 USC 666(a)(13) and RSA 161-B:11. This
collection of your social security number is mandatory."; and
(c)
If the applicant so chooses,
the information requested on the attached “Optional Informational Question”,
effective August 2018.
Source. #7421, eff 1-3-01, EXPIRED: 1-3-09
New. #9691, eff 4-8-10; ss by #12660, eff 11-5-18
Mid 302.04 Meaning of Signature. The meaning of the applicant's signature on
the application form shall be the applicant's:
(a)
Certification that the information provided on the application form and
the documentation provided to support the application are true, accurate,
complete and unaltered; and
(b)
Acknowledgement that, pursuant to RSA 641:3, the knowing making of a
false statement on the application form is punishable as a misdemeanor.
Source. #7421, eff 1-3-01, EXPIRED: 1-3-09
New. #9691, eff 4-8-10; ss by #12660, eff 11-5-18
Mid
302.05 Documentation Required to
Support An Application for Initial Certification. Applicants for a first certificate to practice midwifery shall submit the
following documentation at the time of application:
(a) A photocopy
of a high school diploma or evidence of completion of high school equivalent;
(b) A photocopy
of the applicant’s current certificate as a CPM;
(c) Proof of having passed one college-level
anatomy and physiology course or proof of receipt through examination of college-level credit in anatomy and physiology, in the form
of:
(1) An official transcript; or
(2) An original signed letter issued by the
registrar or records office of the institution awarding the college-level
credit;
(d) Official transcripts from, or photocopies of
diplomas received from, all colleges and universities attended, if any;
(e) Official transcripts from all midwifery
schools and colleges attended, if applicable;
(f) A photocopy of the front and back of:
(1) The applicant’s
current cardiopulmonary resuscitation certificate, also known as basic life
support for healthcare providers, issued by the American Heart Association;
(2) The applicant's
current certificate in adult cardiopulmonary resuscitation issued by the
American Red Cross together with the applicant’s current certificate in infant and child cardiopulmonary resuscitation
issued by the American Red Cross; or
(3) The applicant's
current certificate in adult, child and infant cardiopulmonary resuscitation
issued by Medic First Aid or by the American Safety and Health Institute;
(g) A copy of the front and back of the
applicant’s current NRP provider card;
(h) A copy of the certificate of completion of a
course(s) in birth-related laceration repairs that are credentialed by one of
the organizations listed in Mid 405.02(a)(2), or a copy of the transcript or module’s
educational objectives or syllabus for birth-related laceration repairs from
the program that prepared the applicant for CPM certification;
(i) The signed statement regarding the number of supervised
birth-related laceration repairs from the preceptor as described in Mid
303.02(c)(3);
(j) If applicable, a notarized affidavit
disclosing criminal convictions;
(k) The names, addresses, phone number, and
written references from at least 4 people, including at least 2 from certified
or licensed health care professionals familiar with the applicant’s midwifery
experience, and not more than one from a client, affirming the applicant’s
competence and high standards in providing midwifery care; and
(l) For identification, a photocopy of the
applicant’ current driver’s license, passport or other government-issued
identification card bearing the applicant's picture.
Source. #7421, eff 1-3-01, EXPIRED: 1-3-09
Source. #9691,
eff 4-8-10; ss by #12660, eff 11-5-18; ss by #12939-B, eff 12-10-19
PART Mid 303 QUALIFICATIONS
Mid 303.01
Eligibility for Initial Certification. To be eligible for initial certification an
applicant shall:
(a)
Have completed high school or its equivalent;
(b) Hold a current certificate as a CPM;
(c)
Have completed one college-level course in human anatomy and physiology,
or received equivalent college-level credit through examination in anatomy and
physiology;
(d)
Hold current certificate(s) in adult, child and infant cardiopulmonary
resuscitation issued by at least one of the following:
(1) The American Heart Association;
(2) The American Red Cross;
(3) The American Safety and Health
Institute; or
(4) Medic First Aid;
(e)
Hold a current certificate as a provider of neonatal resuscitation which
shows that the applicant has successfully completed at least the following
modules of the NRP provider course:
(1) Introduction to the program;
(2) Initial steps in
resuscitation;
(3) Use of a resuscitation bag
and mask; and
(4) Chest compressions;
(f) Show
completion of a course in birth-related lacerations, as evidenced by a copy of
a certificate of completion as required under Mid 302.05(h), or a copy of the
transcript or module’s educational objectives or syllabus for birth-related
laceration repairs from the program that prepared the applicant for CPM
certification;
(g)
Have not been convicted as an adult of the following, whether in NH or
in another jurisdiction, unless the conviction was annulled, overturned or
reversed on appeal:
(1) A crime involving as a victim
a minor, an individual with a disability or an elderly adult;
(2) A violation of a controlled drug
law;
(3) A crime involving fraud or
misrepresentation; or
(4) A crime involving a violation
of a fiduciary duty;
(h)
Have no mental or physical condition preventing the applicant from the
performance required of a midwife by Mid 500;
(i) Have made arrangements for medical back-up to
support to the applicant’s practice;
(j) Have
made arrangements for:
(1) Prenatal laboratory testing;
(2) Newborn screening; and
(3) Obtaining the medications
permitted by law;
(k)
Have performed birth-related laceration repairs in a manner deemed
satisfactory by
the applicant’s preceptor, as further described in Mid 303.02; and
(l) Meet the examination and examination-fee
requirements of Mid 304.
Source. #7421, eff 1-3-01, EXPIRED: 1-3-09
New. #9691, eff 4-8-10; ss by #12660, eff 11-5-18; ss by #12939-B, eff 12-10-19
Mid
303.02 Laceration Repairs.
(a) An applicant for certification shall:
(1) Have completed a course in birth-related laceration
repairs by one of the programs listed under (b) below, as evidenced by a copy
of a certificate of completion as required under Mid 302.05(h); and
(2) Have performed birth-related
laceration repairs to the satisfaction of a preceptor meeting the requirements
under (c) below, as required under Mid 302.05(i).
(b) The program which prepared the applicant for
CPM certification shall be a program qualified under (a)(1) above if the
program:
(1) Provided
instruction in the assessment and techniques for birth-related laceration
repairs; and
(2) Evaluated the applicant’s competence at birth-related
laceration repairs.
(c) A preceptorship shall be qualified under (a)(2)
above if the applicant's preceptor:
(1) Was, at the time of the preceptorship:
a. A midwife certified in New Hampshire;
b. The holder of a license, certificate, permit
or other approval to practice midwifery issued by any state, foreign country or province of a foreign
country;
c. A CPM;
d. A CNM;
e. A CM; or
f. A physician with experience in the active
practice of obstetrics and licensed in any state, foreign country or province of a foreign country;
(2) Instructed,
supervised and evaluated the applicant's birth-related laceration repairs; and
(3) Has issued to the
applicant, or will issue to the applicant, a signed statement:
a. Indicating which of the credentials in the
list in (c)(1) above are the preceptor's credentials; and
b. Indicating the number of supervised, birth-related laceration repairs performed
satisfactorily by the applicant.
Source. #7421, eff 1-3-01, EXPIRED: 1-3-09
New. #9691, eff 4-8-10; ss by #12660, eff 11-5-18;
ss by #12939-B, eff 12-10-19
PART Mid 304 EXAMINATION AND EXAMINATION FEE
Mid 304.01 Examination Requirements.
(a)
As a condition of certification, the applicant shall pass the following
examinations in the order in which they are described in this section:
(1) The NARM oral and written examinations for
certification as a CPM; and
(2) After payment of the examination fee set
forth in Mid 306.03, the written examination
administered by the midwifery council testing the applicant’s knowledge of RSA
326-D and the midwifery council's administrative rules.
(b)
An applicant who has failed the midwifery council's examination shall
have the opportunity to pay a second examination fee and retake the
examination:
(1) No more than twice ever; and
(2) No sooner than 6 weeks after the applicant
last failed the examination.
Source. #7421, eff 1-3-01, EXPIRED: 1-3-09
New. #9691, eff 4-8-10; ss by #12660, eff 11-5-18
PART
Mid 305 RESERVED
Mid 305.01 – 305.04 REPEALED
Source. #7421, eff 1-3-01; ss by #9088, eff 2-20-08; rpld by #9692, eff 4-8-10
PART Mid 306 DURATION OF CERTIFICATIONS AND FEES
Mid 306.01 Duration of Certifications. The duration of certifications and renewed
certifications shall be 2 years.
Source. #7421, eff 1-3-01, EXPIRED: 1-3-09
New. #9691, eff 4-8-10; ss by #12660, eff 11-5-18
Mid 306.02 Certification Fees. No applicant for initial certification or
certification based on reciprocity shall be certified before the applicant has
paid the non-refundable certification fee specified in Mid
306.03.
Source. #7421, eff 1-3-01, EXPIRED: 1-3-09
New. #9691, eff 4-8-10; ss by #12660, eff 11-5-18
Mid 306.03 Fee Schedule. Fees shall be as set forth in Table 3-1.
Table 3-1 Fees for
Examinations and Certifications
Certification and Fee Category |
Fee |
|
|
New Hampshire Examination |
$ 20.00 |
Certification |
$110.00 |
Renewal of Certification |
$110.00 |
Source. #7421, eff 1-3-01, EXPIRED: 1-3-09
New. #9691, eff 4-8-10; ss by #12040, eff 11-10-16
APPENDIX
Rule |
Specific State Statute the Rule Implements |
|
|
Mid 301 |
RSA 541-A:7 |
Mid 302 |
RSA 326-D:4, I(a); RSA 326-D:5, I(d); RSA 326-D:6, I |
Mid 303.01 |
RSA 326-D:4, I(a); RSA 326-D:5, I(a); RSA 326-D:7 |
Mid 303.02 |
RSA 326-D:5, I(a); RSA 326-D:7, V and VI; RSA 541-A:16, I(b) |
Mid 304.01 |
RSA 326-D:7, VII and VIII |
Mid 306.01 |
RSA 326-D:6, II |
Mid 306.02 |
RSA 326-D:4, I (b) |
Mid 306.03 |
RSA 326-D:5, I; 326-D:6, I
& II |