All Roll Calls
Yes: 102 • No: 0
IdahoH 06392026 regular legislative sessionHouseWALLET
MIDWIFERY – Amends and adds to existing law to provide for a licensed midwife to obtain and administer medication indicated for maternal care or neonatal care if a midwife possesses requisite education, training, and experience.
Sponsored By: HEALTH AND WELFARE COMMITTEE
Signed by Governor
MIDWIFERY
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Bill Overview
Analyzed Economic Effects
3 provisions identified: 1 benefits, 0 costs, 2 mixed.
Midwives can give more medications
Starting July 1, 2026, licensed midwives can get and give certain medicines during care. These include oxygen; oxytocin, misoprostol, and methylergonovine for postpartum bleeding; injectable local anesthetic for repairs up to second degree; antibiotics for group B strep per CDC; epinephrine; IV fluids; Rho(D) immune globulin; vitamin K; and newborn eye medicine. The board sets a drug list and protocol that covers when to use, dose, route, storage, and disposal. The midwife must have the needed education, training, and experience and follow community standards. Midwives cannot use drugs outside the formulary unless the board gives 120 days’ notice to the pharmacy and medical boards and neither objects. The prior IDAPA formulary protocol rule is repealed on July 1, 2026.
Stricter safety rules for high risk births
Starting July 1, 2026, midwives cannot care for clients with certain high‑risk issues, like placenta problems, twins or more (with narrow exceptions), non‑head‑first labor at onset, birth before 37 weeks or after 42 weeks, BMI 40+ at conception, HIV, some prior uterine surgeries, or opiate use that risks newborn withdrawal. For many long‑term or complex conditions (such as diabetes, thyroid disease, epilepsy, high blood pressure, heart, lung, kidney, or GI disease), a licensed provider must treat or monitor the condition before a midwife may provide care. For Rh or similar blood problems, a physician must decide the pregnancy is safe for midwifery care. Before care, midwives must give written notices when physician care is required and advise and document physician consults for other listed histories or a prior cesarean. In emergencies, midwives must arrange immediate hospital transfer, send records, notify the hospital, and go with the client if possible or call if not. For nonemergency care stops, they must give written notice with doctor and emergency department contacts and offer records.
Stronger consent and oversight for midwives
Starting July 1, 2026, midwives must use a detailed informed consent before care. It must state the midwife’s training and experience, how to get board rules, how to file a complaint, whether the midwife has liability insurance, an emergency plan with hospital transport, and the risks and benefits of home birth. Midwives must keep the signed consent for at least nine years after care ends. When renewing a license, midwives must report yearly practice data, including client counts, deliveries, Apgar scores, transfers, perinatal deaths, and other board‑required stats. The board also runs a peer review system to check the quality, use, and ethics of care.
Sponsors & Cosponsors
Sponsor
HEALTH AND WELFARE COMMITTEE
Affiliation unavailable
Cosponsors
Jordan Redman
Republican • House
Ben Toews
Republican • Senate
Roll Call Votes
House vote • 3/10/2026
House Floor Vote
Yes: 35 • No: 0
House vote • 2/20/2026
House Floor Vote
Yes: 67 • No: 0
Actions Timeline
Reported Signed by Governor on March 19, 2026 Session Law Chapter 73 Effective: 07/01/2026; 07/01/2026 IDAPA Sunset Clause – SECTION 4
3/20/2026Delivered to Governor at 2:30 p.m. on March 13, 2026
3/16/2026Returned Signed by the President; Ordered Transmitted to Governor
3/13/2026HouseReported Enrolled; Signed by Speaker; Transmitted to Senate
3/12/2026HouseReturned from Senate Passed; to JRA for Enrolling
3/11/2026HouseRead third time in full – PASSED - 35-0-0
3/10/2026HouseRead second time; filed for Third Reading
2/27/2026HouseReported out of Committee with Do Pass Recommendation; Filed for second reading
2/26/2026HouseReceived from the House passed; filed for first reading
2/23/2026SenateRead Third Time in Full – PASSED - 67-0-3
2/20/2026HouseU.C. to hold place on third reading calendar until Friday, February 20, 2026
2/17/2026HouseRead second time; Filed for Third Reading
2/16/2026HouseReported Printed; Filed for Second Reading
2/13/2026HouseIntroduced, read first time, referred to JRA for Printing
2/12/2026House
Bill Text
Bill Text
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