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<regulation prefix="Regulation" num=".01" citation="COMAR 10.64.01.01" title_num="10" subtitle_num="64" chapter_num="01" heading="Definitions.">
  <paragraph num="A.">
    <text>In this chapter the following terms have the meanings indicated.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Terms Defined.</text>
    <paragraph num="(1)">
      <text>“Accompany the patient to the hospital” means, in the case of a transfer of care to a hospital, the direct-entry midwife:</text>
      <paragraph num="(a)">
        <text>If possible, will ride in the ambulance with the patient; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Travel by other means to the hospital.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>“ACME” means the Accreditation Commission for Midwifery Education or a successor organization that is:</text>
      <paragraph num="(a)">
        <text>An accrediting agency for nurse-midwifery and direct-entry midwifery education programs; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Approved by the United States Department of Education.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>“AIMM” means the Association of Independent Midwives of Maryland or a successor organization that is a professional organization representing independent midwives in the State.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>“Board” means the State Board of Nursing.</text>
    </paragraph>
    <paragraph num="(5)">
      <text>“Committee” means the Direct-Entry Midwifery Advisory Committee established under Health Occupations Article, §8-6C-11, Annotated Code of Maryland.</text>
    </paragraph>
    <paragraph num="(6)">
      <text>“Electronic device” means, but is not limited to, any of the following:</text>
      <paragraph num="(a)">
        <text>Telephone;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Telephone answering device;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Facsimile machine, photocopier, and scanner for copying; and</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Computer.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(7)">
      <text>“Health care practitioner” means an individual certified or licensed under Health Occupations Article, Annotated Code of Maryland as a:</text>
      <paragraph num="(a)">
        <text>Nurse-midwife;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Nurse practitioner; or</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Physician.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(8)">
      <text>“Health care provider” means a health care practitioner or a hospital and the agents or employees of a health care practitioner or a hospital.</text>
    </paragraph>
    <paragraph num="(9)">
      <text>“Hospital” has the meaning stated in Health-General Article, §19-301, Annotated Code of Maryland.</text>
    </paragraph>
    <paragraph num="(10)">
      <text>Licensed Direct-Entry Midwife.</text>
      <paragraph num="(a)">
        <text>“Licensed direct-entry midwife” means an individual who has been granted a license under Health Occupations Article, Title 8, Annotated Code of Maryland, to practice direct-entry midwifery.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>“Licensed direct-entry midwife” does not include a licensed registered nurse certified as a nurse-midwife under Health Occupations Article, Title 8, Annotated Code of Maryland.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(11)">
      <text>“Low-risk pregnancy” means a pregnancy, labor, and delivery and postpartum, newborn, and interconceptional care that does not include a condition that requires a mandatory transfer under Regulation .03 of this chapter.</text>
    </paragraph>
    <paragraph num="(12)">
      <text>“MEAC” means the Midwifery Education and Accreditation Council or a successor organization that is a national accreditation agency for midwifery education approved by the United States Department of Education.</text>
    </paragraph>
    <paragraph num="(13)">
      <text>“NARM” means the North American Registry of Midwives or a successor organization approved by the Board that is an international certification agency that establishes and administers certification for the certified professional midwife credential.</text>
    </paragraph>
    <paragraph num="(14)">
      <text>“Patient” means:</text>
      <paragraph num="(a)">
        <text>A woman for whom a licensed direct-entry midwife performs services: and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>A woman’s newborn for the purpose of perinatal or postpartum care.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(15)">
      <text>“Postpartum period” means the first 6 weeks after delivery.</text>
    </paragraph>
    <paragraph num="(16)">
      <text>“Practice direct-entry midwifery” means:</text>
      <paragraph num="(a)">
        <text>Providing maternity care that is consistent with a midwife’s training, education, and experience;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Identifying and referring patients who require medical care to an appropriate health care provider; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Includes the activities described in Regulation .02 of this chapter.</text>
      </paragraph>
    </paragraph>
  </paragraph>
</regulation>