TX HB4553

Licensed midwives must submit Birth & Outcomes Reports to DSHS Vital Statistics and Texas Department of Licensing and Regulation within 10 days of attending any birth in non-hospital settings, including home births and birthing centers

Reports must include detailed information on midwife credentials, birth details (gestational age, APGAR scores, birth weight, VBAC attempts, breech positioning), complications, hospital transfers, and survival status of both mother and newborn

Midwives must disclose to prospective clients if they are under active investigation by the department before the client consents to care

Medical terms and practices in the chapter must align with standards from the American College of Obstetrics and Gynecology, International Confederation of Midwives, American Academy of Pediatrics, and CDC guidelines

Penalties for failure to report include written warning for first offense, fines up to $1,000 per day for second offense, and license suspension for third offense; false reporting carries fines up to $5,000 per violation and potential license revocation