MO HB514

Creates a new regulatory framework for professional midwives with licensure through a Board of Professional Midwives, separate from physician regulation under chapter 334.

Defines professional midwife as a person certified by the North American Registry of Midwives (NARM) as a Certified Professional Midwife (CPM) providing antepartum, intrapartum, and postpartum care, explicitly excluding the practice of medicine, nursing, or nurse-midwifery.

Establishes licensure requirements including current NARM certification, basic life support and neonatal resuscitation certification, written client disclosure statements, and medical malpractice insurance.

Prohibits licensed professional midwives from prescribing drugs (except specific exceptions like oxytocin and vitamin K), performing surgical deliveries, using forceps or vacuum extraction, or performing abortions.

Requires the Department of Health and Senior Services to publish birth outcome statistics for all birth attendants and mandates MO HealthNet reimbursement to professional midwives at physician compensation rates plus an additional home birth fee.