House discusses midwife‑licensure bill; proponents highlight standards and exemptions for traditional Hawaiian practice

On the floor members debated a comprehensive midwife‑licensure measure (standing committee report 794). Representative Takayama voiced support. Representative Belotti urged that licensure pathways be designed to allow local practitioners to obtain recognition under the law and expressed concern about preserving cultural and religious protections under the Hawaii State Constitution.

One floor speaker summarized the bill’s intent as creating professional standards for training, experience and knowledge so expectant parents can safely choose certified midwives in the same way they rely on licensed obstetricians or advanced practice nurses. The speaker also said the bill provides broad exemptions for native Hawaiian traditional practices and that committee hearings produced a substantial public record — the transcript references a committee hearing with more than 1,400 written submissions.

Opponents on the floor, including Representative Pirrck, urged caution about imposing licensure requirements on birthing practices and cited concerns from groups that prefer home birth without licensure. Supporters emphasized that the bill as drafted would not inadvertently regulate doulas or lactation consultants and that the Native Hawaiian exemptions are intended to protect traditional healers.

The bill was advanced as part of the omnibus package later in the day; members additionally asked the clerk to enter reservations and written comments into the record for committee reports and related measures.