Skip to main content
Colorado General AssemblyToggle Main Menu
Agency NameToggle Agency Menu

Sunset Direct-entry Midwives

Concerning the continuation of the registration of direct-entry midwives, and, in connection therewith, implementing the recommendations contained in the 2020 sunset report by the department of regulatory agencies and making an appropriation.
2021 Regular Session
Professions & Occupations
Bill Summary

The act implements the recommendations of the department of regulatory agencies' sunset review and report on the registration of direct-entry midwives by:

  • Continuing the registration requirements for 7 years, until September 1, 2028;
  • Authorizing direct-entry midwives to administer group B streptococcus (GBS) prophylaxis;
  • Adding licensed birth centers to the locations where a direct-entry midwife may practice; and
  • Requiring the director of the division of professions and occupations (director) to develop policies regarding direct-entry midwives in training.

The act also:

  • Specifies that a direct-entry midwife who is granted additional authority is not required to apply for renewal of that authority or pay any renewal fees for the authority;
  • Removes the requirement that a direct-entry midwife report certain data at the time of registration renewal;
  • Authorizes the director to order the physical or mental examination of a direct-entry midwife if the director has reasonable cause to believe that the direct-entry midwife is subject to a physical or mental disability that renders the direct-entry midwife unable to treat patients with reasonable skill and safety or that may endanger a patient's health or safety; and
  • Requires the state registrar to revise the birth certificate worksheet form to include a requirement to report whether the live birth occurred after a transfer to a hospital by a direct-entry midwife.

The act appropriates to the department of public health and environment:

  • $50,080 from the health facilities general licensure cash fund for use by the health facilities and emergency medical services division for administration and operations; and
  • $30,000 from the vital statistics records cash fund for use by the health statistics and vital records subdivision for operating expenses.
    (Note: This summary applies to this bill as enacted.)


Became Law


Bill Text

Colorado legislature email addresses ending in are no longer active. Please replace with for Colorado legislature email addresses. Details

The effective date for bills enacted without a safety clause is August 7, 2024, if the General Assembly adjourns sine die on May 8, 2024, unless otherwise specified. Details