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Bill

HB 664

Health Occupations - Licensed Direct-Entry Midwives - Disciplinary Actions

2025 Regular Session Introduced by Jen Terrasa

HB 664 establishes disciplinary procedures for Maryland's licensed direct-entry midwives, enabling license suspension or revocation for violations of professional standards and patient safety.

Approved by the Governor - Chapter 392
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Bill Summary · HB 664

Legislative bill overview

HB 664 establishes a disciplinary framework for licensed direct-entry midwives in Maryland, defining grounds for license suspension, revocation, and other corrective actions by the state health department. The bill specifies violations such as practicing without a valid license, patient endangerment, substance abuse, and violations of professional standards that trigger disciplinary proceedings.

Why is this important

Direct-entry midwives provide an alternative to hospital-based obstetric care, and clear disciplinary standards protect public safety while maintaining professional accountability. This legislation creates formal oversight mechanisms that were previously unclear or absent, affecting both midwifery practitioners and patients accessing this healthcare service in Maryland.

Potential points of contention

  • Scope of violations: The definition of which actions warrant discipline may be interpreted differently by midwives versus regulators, potentially leading to disputes over enforcement
  • Practice restrictions: Requirements for supervision, collaboration with physicians, or facility standards could affect the viability and accessibility of direct-entry midwifery services
  • Due process concerns: The balance between swift disciplinary action and practitioners' rights to fair hearings and appeals may be a point of debate

Compiled from official sources — confirm details with the bill’s official record.

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