Modernization of Facility Licensing for Freestanding Birth Centers

The presentation highlights the need for modernizing existing facility licensing requirements for Freestanding Birth Centers, advocating for accreditation by the Commission for the Accreditation of Birth Centers (CABC) and exempting them from the Certificate of Need requirement. It emphasizes the role of Freestanding Birth Centers as home-like facilities providing pregnancy and childbirth support through a midwifery and wellness model while being integrated into the healthcare system. Legislative bills, HB129 and SB67, are discussed in detail, along with their progress through committees.

• Birth Centers
• Licensing Requirements
• Accreditation
• Legislation
• Midwifery

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1. Freestanding Birth Centers Presentation to the Interim Committee on Licensing, Occupations, & Administrative Regulations October 16, 2023

2. HB129 and SB67 Require modernization of existing facility licensing requirements for Freestanding Birth Centers Require Accreditation by the Commission for the Accreditation of Birth Centers (CABC), as recommended by the American College of Obstetricians and Gynecologists (ACOG) Exempt Freestanding Birth Centers from the Certificate of Need requirement

3. Freestanding Birth Centers A small home-like health care facility, separate from a hospital, for childbirth using a midwifery and wellness model. Support for pregnancy and birth as a natural physiological process, normal until proven otherwise. Staffed by licensed, qualified staff who care for healthy women with healthy pregnancies. Equipped to provide routine care and initiate emergency procedures. Integrated into the healthcare system, works with qualified obstetric/pediatric consultants, and has a relationship with a hospital that provides acute obstetric care.

4. HB 129 RS 2023 January 5, filed by Rep. Jason Nemes Co-sponsors: Bratcher, Chester-Burton, Fister, Grossberg, Heath, Hodgson, Kulkarni, Lockett, Massaroni, Palumbo, Rawlings, Webber, Willner February 22- Passed in House Licensing, Occupations, & Administrative Regulations Committee 18 Yes, 0 No, 2 Pass votes

5. SB 67 RS 2023 February 7, filed by Sen. Shelley Funke Frommeyer Co-sponsors: Schickel, Adams, Armstrong, Deneen, Harper Angel, Neal, Southworth, Tichenor, Williams, Yates February 21- Passed in Senate Licensing & Occupations Committee 9 Yes, 2 No votes March 7- Passed in Senate Licensing & Occupations Committee with Senate Committee Substitute 1 7 Yes, 3 No, 1 Pass vote

6. SB67 - Committee Substitute Maximum of 4 beds Regulations to address malpractice insurance Uniform language of freestanding birth centers throughout KRS Reiterate responsibilities of freestanding birth centers regarding vital statistics and newborn testing

7. States with Certificate of Need for Birth Centers and Number of Birth Centers