An act TO AMEND THE FULL PRACTICE AUTHORITY OF A 10 CERTIFIED NURSE MIDWIFE TO ALLOW ADMITTING 11 PRIVILEGES, the official text

Stricken language would be deleted from and underlined language would be added to present law.

1 State of Arkansas           As Engrossed: H1/29/25
2 95th General Assembly
                                    A Bill

3 Regular Session, 2025                                           HOUSE BILL 1181

4

5 By: Representative Bentley

6 By: Senator C. Penzo

7

8                             For An Act To Be Entitled

9   AN ACT TO AMEND THE FULL PRACTICE AUTHORITY OF A

10  CERTIFIED NURSE MIDWIFE TO ALLOW ADMITTING

11  PRIVILEGES; AND FOR OTHER PURPOSES.

12

13

14                            Subtitle

15                       TO AMEND THE FULL PRACTICE AUTHORITY OF

16                       A CERTIFIED NURSE MIDWIFE TO ALLOW

17                       ADMITTING PRIVILEGES.

18

19 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF ARKANSAS:

20

21  SECTION 1. Arkansas Code � 17-87-315(b), concerning the definition of

22 "full practice authority" relating to certified nurse midwives, is amended to

23 read as follows:

24  (b) As used in this section, "full practice authority" means the

25 authority of a healthcare professional to:

26  (1) Evaluate patients;

27  (2) Diagnose medical conditions;

28  (3) Order and interpret diagnostic tests;

29  (4) Initiate and manage treatment and care plans, including

30 appropriate comanagement or transfer of high-risk patients to other

31 healthcare professionals as needed; and

32  (5) Prescribe and administer drugs listed in Schedules III -- V

33 without a collaborative practice agreement or supervision of another

34 healthcare professional when performing healthcare services;

35  (6) Admit and discharge patients from a licensed hospital if

36 granted privileges; and

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    As Engrossed: H1/29/25                                                  HB1181

1   (7) Complete, sign, and submit forms for a certificate of birth

2 or death certificate.

3

4   SECTION 2. Arkansas Code � 20-18-401(b) and (c), concerning birth

5 registration generally, are amended to read as follows:

6   (b)(1) When a birth occurs in an institution or en route thereto, the

7 person in charge of the institution or his or her authorized designee shall

8 obtain the personal data, prepare the certificate, certify that the child was

9 born alive at the place, time, and date stated on the certificate either by

10 signature or in an approved electronic process, and file the certificate as

11 directed in subsection (a) of this section.

12  (2) The physician, certified nurse midwife, or other person in

13 attendance shall provide the medical information required by the certificate

14 within seventy-two (72) hours after the birth.

15  (c) When a birth occurs outside an institution:

16  (1) The certificate shall be prepared and filed by one (1) of

17 the following in the indicated order of priority:

18                 (A) The physician or certified nurse midwife in attendance

19 at or immediately after the birth, or in the absence of such a person;

20                 (B) Any other person in attendance at or immediately after

21 the birth, or in the absence of such a person; or

22                 (C) The father, the mother, or in the absence of the

23 father and the inability of the mother, the person in charge of the premises

24 where the birth occurred; and

25  (2) The division shall determine what evidence may be required

26 to establish the fact of birth.

27

28  SECTION 3. Arkansas Code � 20-18-601(c)(1)(A)(i), concerning medical

29 certification for a death certificate, is amended to read as follows:

30  (c)(1)(A)(i) The medical certification shall be completed, signed, and

31 returned to the funeral director within three (3) business days after receipt

32 of the death certificate by the physician or certified nurse midwife in

33 charge of the patient's care for the illness or condition that resulted in

34 death, except when inquiry is required by � 12-12-315, � 12-12-318, or � 14-

35 15-301 et seq.

36

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         As Engrossed: H1/29/25              HB1181

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