NY A08117

Removes requirement for midwives to practice under a formal written agreement with a physician or hospital, replacing it with a requirement for "collaborative relationships" that include consultation, referral, and emergency coverage plans.

Midwives must document and disclose their collaborative relationships to patients, with violations subject to professional misconduct provisions under Education Law Article 130.

Allows licensed midwives to independently prescribe and administer drugs, immunizing agents, diagnostic tests, and order laboratory tests upon obtaining a pharmacology certificate, rather than being limited by written agreement restrictions.

Updates insurance law provisions (Insurance Laws sections 3216, 3221, and 4303) to require coverage for midwife services based on collaborative practice standards rather than formal written agreements.

Effective ninety days after becoming law.