The following words and terms when used in this chapter shall
have the following meaning unless the context clearly indicates otherwise.
(1) Act--The Texas Midwifery Act, Texas Occupations
Code, Chapter 203.
(2) Advisory Board--The Midwives Advisory Board appointed
by the presiding officer of the Commission with the approval of the
(3) Appropriate health care facility--The Department
of State Health Services, a local health department, a public health
district, a local health unit or a physician's office where specified
tests can be administered and read, and where other medical/clinical
procedures normally take place.
(4) Approved midwifery education courses--The basic
midwifery education courses approved by the department.
(5) Code--Texas Health and Safety Code.
(6) Collaboration--The process in which a midwife and
a physician or another licensed health care professional of a different
profession jointly manage the care of a woman or newborn according
to a mutually agreed-upon plan of care.
(7) Commission--The Texas Commission of Licensing and
(8) Consultation--The process by which a midwife, who
maintains responsibility for the woman's care, seeks the advice of
a physician or another licensed health care professional or member
of the health care team of a different profession.
(9) Department--The Texas Department of Licensing and
(10) Executive director--The executive director of
(11) Health authority--A physician who administers
state and local laws regulating public health under the Health and
Safety Code, Chapter 121, Subchapter B.
(12) Local health unit--A division of a municipality
or county government that provides limited public health services
as provided by the Health and Safety Code, §121.004.
(13) Newborn care--The care of a child for the first
six weeks of the child's life.
(14) Normal childbirth--The labor and vaginal delivery
at or close to term (37 up to 42 weeks) of a pregnant woman whose
assessment reveals no abnormality or signs or symptoms of complications.
(15) Physician--A physician licensed to practice medicine
in Texas by the Texas Medical Board.
(16) Postpartum care--The care of a woman for the first
six weeks after the woman has given birth.
(17) Program--The department's midwifery program.
(18) Public health district--A district created under
the Health and Safety Code, Chapter 121, Subchapter E.
(19) Referral--The process by which a midwife directs
the client to a physician or another licensed health care professional
who has current obstetric or pediatric knowledge and who is working
under supervision and delegation of a physician.
(20) Retired midwife--A midwife licensed in Texas who
is over the age of 55 and not currently employed in a health care
(21) Standing delegation orders--Written instructions,
orders, rules, regulations or procedures prepared by a physician and
designated for a patient population, and delineating under what set
of conditions and circumstances actions should be instituted, as described
in the rules of the Texas Medical Board in Chapter 193 (relating to
Standing Delegation Orders) and §115.111 of this title (relating
to Coordinating Care with Other Health Care Providers).
(22) Transfer--The process by which a midwife relinquishes
care of the client for pregnancy, labor, delivery, or postpartum care
or care of the newborn to a physician or another licensed health care
professional who has current obstetric or pediatric knowledge and
who is working under the supervision and delegation of a physician.
(23) Voluntary charity care--Midwifery care provided
without compensation and with no expectation of compensation.