NC S499

Removes the requirement that certified nurse-midwives practice under the supervision of a physician, allowing them to practice independently within a health care system that provides for consultation, collaboration, or referral as indicated.

Expands the scope of practice for certified nurse-midwives to include primary care services such as screening for cancer, managing minor infections, gynecologic care, and family planning.

Establishes that certified nurse-midwives must be graduates of midwifery education programs accredited by the Accreditation Commission for Midwifery Education and certified by the American Midwifery Certification Board.

Increases the representation of certified nurse-midwives on the joint subcommittee of the North Carolina Medical Board and Board of Nursing from two to five members, appointed upon recommendation of the North Carolina affiliate of the American College of Nurse-Midwives.

Provides liability protections for physicians, physician assistants, nurses, and health care facilities when providing emergency care to women or infants during deliveries attended by certified nurse-midwives at non-hospital settings, excluding cases of gross negligence or willful misconduct.