TEXAS MIDWIFERY BOARD MINUTES Texas Department of Health, Room T-607 1100 West 49th Street Austin, Texas 78756-3199 June 12, 2001 1:00 p.m. Members Present: Debra Evans, Barry Schwarz M.D., Lisa Nash, D.O. Carol Martin CNM, Karen Strange, Brent Baylor, Gail Johnson, Cynthia Scott, Members Absent: Enrique Lopez TDH Staff Present: Yvonne Feinleib, Jo Whittenberg, Kathy Craft, David Richards, Jim Zukowski, Janet Lawson, M.D. Guests Present: (see attached list) 1. Meeting called to order 2. Reading and Approval of November 28, 2000 Minutes Karen Strange moved that the minutes be approved with the correction of a typo and the qualification "reviewed by Karen Strange with Yvonne Feinleib and David Richards" added to 6. Rules Revision Committee. Barry Schwarz seconded the motion. Motion carried. 3. Introduction of new board members Dr. Lisa Nash, Brent Baylor and Gail Johnson were introduced. 4. Financial Report Jim Zukowski, Division Director, Professional Licensing and Certification, presented the financial report. He stated that the Midwifery Program and Midwifery Board expenses were slightly under budget. 5. Education Committee Report Carol Martin presented the recommendations of the Committee regarding provisional approval of basic midwifery education courses. The Medical Training Institute Midwifery Program is approved for the provisional year. The Committee will request additional information regarding the Emmanuel Birth Attendant School prior to making a decision. The Committee also voted to require that the course supervisor attend the Committee meeting at which a course is considered for approval. Cynthia Scott moved to approve the Committee's recommendations. Karen Strange seconded. Motion passed. 6. Resolution honoring former board members Karen Strange moved that the Board adopt resolutions honoring Deborah Kaley and Randy Goodwin for their service on the Board. Cynthia Scott seconded. Motion carried. Certificates will be printed and signed by Debra Evans, then framed and mailed to the former Board members. 7. Complaint Review Committee Report Karen Strange presented the recommendations of the Committee. Complaint MW00-07 was withdrawn from the Board agenda and not discussed. Complaint MW00-08 - The Committee recommended that the complaint be closed with a letter of advisement related to possible hypertension and issues related to the size of the blood pressure cuff. Carol Martin moved to accept the recommendation. Karen Strange seconded. Motion carried. Complaint MW00-09 - The Committee recommended that the complaint be closed because the midwife has moved out of state, and is no longer documented to practice midwifery in Texas. Carol Martin moved to accept the recommendation. Cynthia Scott seconded. Motion carried. Complaint MW01-01 The Committee recommended that the complaint be closed because the midwife has complied with the cease and desist. Gail Johnson moved to accept the recommendation. Karen Strange seconded. Motion carried. Applications for documentation despite criminal conviction - This item was withdrawn from the Board agenda and not discussed. 8. Resolution honoring Mary Diaz Gail Johnson presented this agenda item on behalf of Janet Dirmeyer, who was unable to be present. The Board determined that honoring a former midwife is an issue for the professional association, and not for the regulatory board. No action was taken on this agenda item. 9. Discussion and Possible Action regarding recommendations on proposed EIP/PLC complaint investigation and referral policy Carol Vetter, Enforcement Director, Bureau of Licensing and Compliance, introduced herself to the Board and presented the proposed new policy. 10. Rules Revision The Board discussed all comments submitted during the 30 day comment period in February - March 2001 and approved responses to each summarized comment. The Board also approved wording changes to the proposed rules in response to the comments. 11. Public Comment The Board took public comments from eight (8) individuals prior to a vote on the final repeal and adoption of the rules. 12. Rules Revision Carol Martin made a motion to adopt the final repeal of 22Texas Administrative Code §831.51 and new rules §831.51 Standards for the Practice of Midwifery in Texas; §831.52 Definitions; §831.57 Termination of the Midwife-Client Relationship; §831.58 Transfer of Care in an Emergency Situation; §831.60 Prenatal Care; §831.65 Labor and Delivery; §831.70 Postpartum Care; §831.75 Newborn and Infant Care as amended by the Board. Gail Johnson seconded the motion. Cynthia Scott expressed concern that some of the comments were important and should be addressed in the final rules. The Board discussed the importance of stakeholder input. Barry Schwarz made the motion that an ad hoc committee proposed of prior rules revision committee members meet with stakeholders to appropriately consider their concerns and make further recommendations to the Board. Karen Strange seconded. Motion carried. 13. Discussion and Possible Action regarding possible revisions to 22Texas Administrative Code §831.11 Documentation and of 22Texas Administrative Code §831.31 Education This agenda item was postponed until the next meeting. No action was taken. 14. Discussion and Possible Action regarding letter from Association of Texas Midwives The Association of Texas Midwives submitted a letter concerning information sent to registrars regarding documented midwives. The Board agreed that sending a letter to all registrars with a copy of the brochure "Midwifery in Texas" and information on how to access the current roster of documented midwives would be helpful. The Bureau of Vital Statistics can provide a list of names and mailing addresses. 15. Discussion and Possible Action regarding appointments and re-appointments to Education and Complaint Review Committees A letter will be sent to all midwives requesting applicants for the vacant midwife-consultant position on the Complaint Review Committee. Current new and re-appointed Complaint Review Committee members are Barry Schwarz, Karen Strange, Brent Baylor and Ashley Kraft. Current new and re-appointed Education Committee members are Karen Strange, Enrique Lopez, Carol Martin, Cynthia Scott and Linda Kemp. 16. Setting Meeting Dates for 2001 Meeting dates were confirmed for August 6-7, 2001 and November 12-13, 2001. 17. Midwifery Program Director's Report Yvonne Feinleib provided an update on the ongoing activities of the Midwifery Program. 18. Adjourn Debra Evans adjourned the meeting. Texas Midwifery Board Minutes - June 12, 2001 - Page 1 of 3