# COMAR Title 10 — Maryland Department of Health

## Subtitle 05 — Freestanding Ambulatory Care Facilities

### Chapter 02 — Freestanding Birthing Centers

#### Regulation .09 Referral System.

*COMAR 10.05.02.09*

A licensed direct-entry midwife, licensed certified midwife, certified nurse midwife, or physician shall refer and transfer patients with complications beyond their scope of practice to a health care practitioner with the knowledge, skills, and experience to manage the client.