Alabama Administrative Code Chapter 582-X-2 — Licensing

582 Alabama State Board of Midwifery

Ala. Admin. Code r. 582-X-2-.01 Purpose

To establish requirements and the process for Licensed Midwifery care in the state of Alabama.

History

• Author: Alabama State Board of Midwifery
• Authority: Code of Ala. 1975, §§34-19-12, et seq.
• New Rule: Filed September 24, 2018; effective November 9, 2018.

Ala. Admin. Code r. 582-X-2-.02 Construction

These sections cover General license standards; Fees; Initial application; License renewal; Invalid License; Minimum Continuing Education Requirements for Licensure; Requirements for Clinical Internships; Grounds for denial of an initial or renewal application, or after disciplinary action; Surrender of license; and Reissuance of license after Revocation, Suspension, or Surrender.

History

• Author: Alabama State Board of Midwifery
• Authority: Code of Ala. 1975, §§34-19-14, et seq.
• New Rule: Filed September 24, 2018; effective November 9, 2018.

Ala. Admin. Code r. 582-X-2-.03 General License Standards

(1) Individuals may receive a license to practice midwifery in Alabama through application to the Alabama State Board of Midwifery(ASBM).

(2) (b) A midwife license shall be valid for a period of 24 months. The license expires on the last day of the month 24 months from when the initial license was granted. Licenses that are not renewed as required will be cancelled.

History

• Author: Alabama State Board of Midwifery
• Authority: Code of Ala. 1975, §§34-19-14, et seq.
• New Rule: Filed September 24, 2018; effective November 9, 2018. Amended: Published September 30, 2020; effective November 14, 2020. Amended: Published August 29, 2025; effective October 13, 2025.

Ala. Admin. Code r. 582-X-2-.04 Fees

(1) All fees must be made payable to the Alabama State Board of Midwifery.

(a) Application fee - $250.

(b) Initial license - $550.

(c) Renewal license - $600 for each 24 month renewal period.

(2) In all cases, any fee that is received by the board shall not be refunded, and no applicant shall have the right to recover any part of a fee accompanying his or her application for licensure or otherwise paid to the board except on the death, disability, or retirement from practice of any applicant or licensee between payment of any fee and the expiration of his or her current renewal or the issuance of the initial license.

History

• Author: Alabama State Board of Midwifery
• Authority: Code of Ala. 1975, §§34-19-13, 34-19-14, et seq.
• New Rule: Filed September 24, 2018; effective November 9, 2018. Amended: Published August 29, 2025; effective October 13, 2025.

Ala. Admin. Code r. 582-X-2-.05 Initial License Application

(1) Application process. An individual desiring to be licensed as a midwife shall apply to the board on the Application Form provided by the ASBM. Applicants for licensure shall submit evidence satisfactory to the board that he or she has met all of the following requirements Code of Ala. 1975,34-19-15:

(a) Is at least 21 years of age. Code of Ala. 1975, 34-19-15(a)(1)

(b) Is a citizen of the United States or, if not a citizen of the United States, is legally present in the United States with appropriate documentation from the federal government. Code of Ala. 1975, 34-19-15(a)(2)

(c) Proof of current Certified Professional Midwife (CPM) certification by NARM.

(d) Has obtained a certified professional midwife credential through one of these educational pathways:

1. An applicant who has obtained a certified professional midwife credential through an education program or pathway accredited by the Midwifery Education Accreditation Council or by another accrediting agency recognized by the United States Department of Education; Code of Ala. 1975, 34-19-15(a)(3)

2. An applicant who has obtained a certified professional midwife credential prior to January 1, 2020, through a non-accredited pathway, provided the applicant obtains the Midwifery Bridge Certificate or completes an educational program or pathway accredited by the Midwifery Education Accreditation Council or by another accrediting agency recognized by the United States Department of Education. Code of Ala. 1975, 34-19-15(b)(1)

3. An applicant who has maintained licensure in a state that does not require an accredited education, provided the applicant obtains the Midwifery Bridge Certificate or completes an educational program or pathway accredited by the Midwifery Education Accreditation Council or by another accrediting agency recognized by the United States Department of Education. Code of Ala. 1975, 34-19-15(b)(2)

(e) Proof of current professional liability insurance of no less than one hundred thousand dollars ($100,000) per occurrence and three hundred thousand dollars ($300,000) aggregate;

(f) Application Fee.

(g) Background check form and applicable fee.

History

• Author: Alabama State Board of Midwifery
• Authority: Code of Ala. 1975, §§34-19-14, et seq.
• New Rule: Filed September 24, 2018; effective November 9, 2018.

Ala. Admin. Code r. 582-X-2-.06 License Renewal

(1) Licenses shall be valid for a period of 24 months.

(2)

(3) A Licensed Midwife's license expires on the last day of the month 24 months from when the license was granted.

(4) Licenses that are not renewed as required will be invalid.

(5) Each Licensed Midwife is solely responsible for compliance with the requirements for license renewal. A Licensed Midwife's application for license renewal must include the following:

(a) a completed license renewal application form which shall require the provision of the preferred mailing address and telephone number, and a statement of all felony offenses for which the licensee has been convicted;

(b) proof of current Certified Professional Midwife certification from NARM, on file;

(c) Proof of current professional liability insurance of no less than one hundred thousand dollars ($100,000) per occurrence and three hundred thousand dollars ($300,000) aggregate, on file;

(d) Background check form and applicable fee; and

(e) the renewal fee;

(f) annual statistics forms; on file.

History

• Author: Alabama State Board of Midwifery
• Authority: Code of Ala. 1975, §§34-19-14, et seq.
• New Rule: Filed September 24, 2018; effective November 9, 2018. Amended: Published August 29, 2025; effective October 13, 2025.

Ala. Admin. Code r. 582-X-2-.07 Invalid License

(1) A Licensed Midwife who fails to apply for license renewal before the expiration of the current license, the license shall become invalid.

(2) The person may obtain a new license by reapplying for initial licensure and complying with the current requirements and procedures for obtaining an initial license.

History

• Author: Alabama State Board of Midwifery
• Authority: Code of Ala. 1975, §§34-19-14, et seq.
• New Rule: Filed September 24, 2018; effective November 9, 2018. Amended: Published August 29, 2025; effective October 13, 2025.

Ala. Admin. Code r. 582-X-2-.08 Minimum Continuing Education Requirements For Licensure

(1) Proof of continuing education will be the Certified Professional Midwife certification from NARM, which requires 30 CEUs over three years. The ASBM deems verification of the licensee's CPM credential as proof of continuing education.

History

• Author: Alabama State Board of Midwifery
• Authority: Code of Ala. 1975, §§34-19-14, et seq.
• New Rule: Filed September 24, 2018; effective November 9, 2018.

Ala. Admin. Code r. 582-X-2-.09 Requirements For Clinical Internships For Individuals Seeking Midwifery Training

(a) A midwifery student may train only under the direct supervision of a Licensed Midwife. Direct supervision means that a Licensed Midwife shall be physically present and immediately available to provide aid, direction, and instruction when procedures are being performed.

(b) To supervise a student, the LM must be either a NARM registered preceptor or a preceptor approved by a MEAC school.

History

• Author: Alabama State Board of Midwifery
• Authority: Code of Ala. 1975, §§34-19-14, et seq.
• New Rule: Filed September 24, 2018; effective November 9, 2018. Amended: Published September 30, 2020; effective November 14, 2020.

Ala. Admin. Code r. 582-X-2-.10 Grounds For Denial Of Initial Or Renewal Application, Or After Disciplinary Action

(1) ASBM may refuse to issue a license to any individual, if the licensee or applicant:

(a) Has been convicted, pled guilty or no contest to a crime.

(b) Has obtained a license by means of fraud, misrepresentation, or concealment of material facts, including making a false statement on an application or any other document required by the board for licensure.

(c) Has engaged in unprofessional conduct pursuant to rules adopted by the board.

(d) Has been convicted of any felony.

(e) Has performed an act that exceeds the scope of practice granted by the board to the LM.

(f) Has had his or her license revoked, suspended, or denied in any other territory or jurisdiction of the United States for any act described in this subsection.

(g) Has failed to maintain professional liability insurance in the amount established by ASBM.

(h) Has failed to satisfy information filing requirements under Ala Code 34-19-12(m)(1).

(i) Has failed to comply with the Authorizing Act, as codified, or any rule or regulation setout herein.

History

• Author: Alabama State Board of Midwifery
• Authority: Code of Ala. 1975, §§34-19-14, 34-19-15, et seq.
• New Rule: Filed September 24, 2018; effective November 9, 2018.

Ala. Admin. Code r. 582-X-2-.11 Surrender Of License

(1) A LM may surrender his or her license prior to its expiration for the current period by mailing the original license certificate back to the ASBM together with a signed statement of his or her intent to surrender the license.

(2) Voluntary surrender of license by a LM after receipt of notification from the ASBM that a complaint against the LM is being investigated shall not deprive the ASBM of jurisdiction in any disciplinary action which may result from said investigation.

(3) The ASBM may enter any disciplinary order authorized by the Act 2017-383 or this subchapter to resolve a complaint against a LM who has surrendered his or her license after receipt of notification from the ASBM that a complaint is being investigated.

History

• Author: Alabama State Board of Midwifery
• Authority: Code of Ala. 1975, §§34-19-14, et seq.
• New Rule: Filed September 24, 2018; effective November 9, 2018.

Ala. Admin. Code r. 582-X-2-.12 Reissuance Of License After Revocation, Suspension, Or Surrender

(1) A person whose license to practice midwifery in this state has been revoked or suspended by the ASBM or who has surrendered his or her license after having received notice that the ASBM is investigating a complaint may not apply for reissuance of license until the applicant has complied with all requirements imposed by the ASBM in connection with the revocation, suspension, or surrender.

(2) The ASBM may reissue a license to a midwife who has surrendered his or her license while an investigation or disciplinary action was pending only if the ASBM finds that:

(a) the applicant is competent to resume practice; and

(b) the ASBM has no evidence of current or continuing violations by the applicant of the Act 2017-383 or this subchapter.

History

• Author: Alabama State Board of Midwifery
• Authority: Code of Ala. 1975, §§34-19-14, et seq.
• New Rule: Filed September 24, 2018; effective November 9, 2018.