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Senate advances first‑substitute bill to regulate direct‑entry midwives after hours of debate

Utah State Senate · February 18, 2008
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Summary

The Utah Senate adopted a first substitute for Senate Bill 93, establishing state licensure, a WHO‑based definition of “normal birth” for licensed direct‑entry midwives, mandatory‑transfer rules and administrative oversight after extended floor debate; the measure passed third‑reading 28–1.

Senator Jim Dayton, sponsor of Senate Bill 93, told the Senate the substitute reflects hours of negotiation with medical and midwifery stakeholders and is intended to set parameters for state licensure and regulation of direct‑entry (home) licensed midwives. "There have always been home deliveries and there always will be," Dayton said, and the bill, he added, "addresses the regulation that comes with licensure."

The substitute defines "normal birth" by reference to the World Health Organization and limits the bill to midwives who seek state licensure; Dayton said parts of the midwifery community declined to accept some definitions but that the substitute represents the areas where agreement was possible.…

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