(1) Except as provided in subsection (2) of this section, a person may not practice direct entry midwifery in this state unless the person holds a license to practice direct entry midwifery under ORS 687.405 to 687.495. (2) A person may practice direct entry midwifery in this state without a license to practice direct entry midwifery if: (a) The person is a licensed health care practitioner and the services described in ORS 687.405 are within the scope of the persons license; or (b)(A) The person is acting as a traditional midwife and does not use legend drugs or devices, the use of which requires a license under the laws of this state; (B) The person does not advertise that the person is a midwife; and (C) The person discloses to each client on a form adopted by the State Board of Direct Entry Midwifery by rule: (i) That the person does not possess a professional license issued by the state; (ii) That the persons education and qualification have not been reviewed by the state; (iii) That the person is not authorized to carry and administer potentially life saving medications; (iv) That the risk of harm or death to a mother or newborn may increase as a result of the information described in sub-subparagraphs (i) and (ii) of this subparagraph; (v) A plan for transporting the client to the nearest hospital, as defined in ORS 442.015, if a problem arises during labor or childbirth; (vi) That the client will not have recourse through a complaint process; and (vii) The types of midwives who are licensed by the state. (3) If supervised by a person licensed to practice direct entry midwifery, a student midwife, birth assistant or other individual may assist the direct entry midwife in the provision of services described in ORS 687.405. (4) A license to practice direct entry midwifery under ORS 687.405 to 687.495 is required for purposes of reimbursement under medical assistance programs. (Licensing)
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