North Carolina Board of Nursing

Laws & Rules

Proposed Rule Changes - Midwifery Joint Committee

On September 20, 2016 the Midwifery Joint Committee approved proposed adoption to the following rules: 21 NCAC 33 .0103; 21 NCAC 33 .0107; 21 NCAC 33 .0111. A public hearing will be held Thursday, November 17, 2016 at 1:00 pm at the NC Board of Nursing office located at 4516 Lake Boone Trail, Raleigh, NC 27607. Persons may submit objections or public comment related to this rule by contacting Chandra Graves, APA Coordinator, NC Midwifery Joint Committee, PO Box 2129, Raleigh, NC 27602-2129; Fax: 919-781-9461; email: Public comment period ends on January 3, 2017.

Public Comment: “Public comment” is defined by G.S. 150B-21.3A(a)(5) as a written objection to all or part of a rule. Additionally, pursuant to G.S. 150B-21.3A(c)(2), in order for the Rules Review Commission to determine whether the public comment has merit, the public comment must address the specific substance of the rule and address any of the standards of Commission review, as set forth in G.S. 150B-21.9(a).

Procedure for Subjecting a Proposed Rule to Legislative Review: If an objection is not resolved prior to the adoption of the rule, a person may also submit written objections to the Rules Review Commission. If the Rules Review Commission receives written and signed objections in accordance with G.S. 150B-21.3(b2) from 10 or more persons clearly requesting review by the legislature and the Rules Review Commission approves the rule, the rule will become effective as provided in G.S. 150B-21.3(b1). The Commission will receive written objections until 5:00 p.m. on the day following the day the Commission approves the rule. The Commission will receive those objections by mail, delivery service, hand delivery, or facsimile transmission. If you have any further questions concerning the submission of objections to the Commission, please call a Commission staff attorney at 919-431-3000.

Click on the Rule below to view the Proposed Changes

21 NCAC 33 .0103 - Application Form - Amendment

Reason for Proposed Rule: Rule revision directs the applicant to the electronic, web-based application process. This effectively and efficiently streamlines the application process, optimizes resources, and improves application turn-around time.

21 NCAC 33 .0107 – Nurse Midwife Applicant Status - Repeal

Reason for Proposed Rule: Rule was put in place to allow Certified Midwives to begin practice during an extensive waiting period required for administration and grading of the certification examination. The Midwifery Certification Exam is not computer-based and available on demand. With delays in testing, grading, and notification of certification eliminated, there is no need for continued use of the graduate nurse midwife applicant status. Certification can be confirmed before initiation of practice.

21 NCAC 33 .0111 - Continuing Education (CE) - Adoption

Reason for Proposed Rule: Standardized national certification for nurse-midwives was initiated in 1971 and protects the public by ensuring that certified individuals have met predetermined criteria for safety in practice. Approval for nurse midwifery practice in North Carolina required initial and ongoing certification and assures public protection. Documented evidence of continuing education (CE) is required for ongoing midwifery certification.