Montana Administrative Code

24.111.101 BOARD ORGANIZATION The Alternative Health CareBoard adopts and incorporatesthe organizational rules of the Department of Labor and Industry as listed in chapter 1 of this title. Authorizing statute(s): 2-4-201, MCA Implementing statute(s): 2-4-201, MCA History: NEW, 19…

24.111.201 PROCEDURAL RULES The Alternative Health CareBoard adopts and incorporatesthe procedural rules of the Department of Labor and Industry as listed in chapter 2 of this title. Authorizing statute(s): 2-4-201, MCA Implementing statute(s): 2-4-201, MCA History: NEW, 1992 MAR…

24.111.202 PUBLIC PARTICIPATION TheAlternative Health CareBoard adopts and incorporatesthe public participation rules of the Department ofLabor and Industryas listed in chapter 2 of this title. Authorizing statute(s): 2-3-103, MCA Implementing statute(s): 2-3-103, MCA History: NE…

24.111.2101 RENEWALS (REPEALED) Authorizing statute(s): 37-1-131, 37-1-141, 37-26-201, 37-27-105, 37-27-205, MCA Implementing statute(s): 37-1-131, 37-1-141, 37-26-201, 37-27-105, 37-27-205, MCA History: NEW, 1992 MAR p. 555, Eff. 3/27/92; AMD, 1996 MAR p. 2576, Eff. 10/4/96; TRA…

24.111.2102 NATUROPATHIC PHYSICIAN CONTINUING EDUCATION REQUIREMENTS Naturopaths must obtain 15 continuing education credits each renewal period, except as provided in ARM 24.111.817 (24.11.2110). At least five of the credits must be in naturopathic pharmacy. If the naturopath ho…

24.111.2103 DIRECT-ENTRY MIDWIVES CONTINUING EDUCATION REQUIREMENTS Midwives must obtain 14 continuing education credits each renewal period except as provided in ARM 24.111.817 (24.111.2110). One hour of education (excluding breaks) equals one continuing education credit. No mor…

24.111.2105 LICENSE RENEWAL FOR ACTIVATED MILITARY RESERVISTS (REPEALED) Authorizing statute(s): 37-26-201, 37-27-105, MCA Implementing statute(s): 37-1-138, MCA History: NEW, 2006 MAR p. 1881, Eff. 7/28/06; REP, 2023 MAR p. 1093, Eff. 10/1/23.

24.111.2110 STANDARDS AND AUDITS Continuing education programs must: have significant intellectual or practical content, and the primary objective shall be to increase the participant's professional competence as an acupuncturist; and constitute an organized program of learning i…

24.111.2115 CONTINUING EDUCATION FOR ACUPUNCTURISTS Each acupuncture licensee shall earn 30 hours of accredited continuing acupuncture education during each two-year licensing period. Hours shall be the actual number of hours during which instruction was given. Aside from trainin…

24.111.2301 UNPROFESSIONAL CONDUCT The following is unprofessional conduct: failing to adequately supervise auxiliary staff to the extent that the patient's physical health or safety is at risk; abandoning, neglecting, or otherwise physically or emotionally abusing a client or pa…

24.111.2305 ADMINISTRATIVE SUSPENSION The board authorizes the department to: administratively suspend licenses for deficiencies set forth in 37-1-321(1)(a) though (e), MCA; or file a complaint pertaining to the deficiencies in (1) that are based on repeated or egregious conduct,…

24.111.2401 COMPLAINT PROCEDURE (REPEALED) Authorizing statute(s): 37-26-201, 37-27-105, MCA Implementing statute(s): 37-1-308, 37-1-309, MCA History: NEW, 1996 MAR p. 2576, Eff. 10/4/96; TRANS, from Commerce, 2001 MAR p. 1642; REP, 2023 MAR p. 1093, Eff. 10/1/23.

24.111.2402 SCREENING PANEL (REPEALED) Authorizing statute(s): 37-26-201, 37-27-105, MCA Implementing statute(s): 37-1-307, MCA History: NEW, 1996 MAR p. 2576, Eff. 10/4/96; TRANS, from Commerce, 2001 MAR p. 1642; REP, 2023 MAR p. 1093, Eff. 10/1/23.

24.111.301 DEFINITIONS "Continuous care" as defined in 37-27-103, MCA, includes at least five prenatal visits spanning two trimesters, the birth, newborn exam, and two postpartum visits. "Direct supervision" means the physical presence of the licensed supervisor. Direct supervisi…

24.111.401 FEES Fees are payable to the Alternative Health Care Board and are nonrefundable. Fees for naturopaths are: license application $300 original license 200 license renewal240 specialty certificate 100 specialty certificate renewal 25 Fees for midwives are: license applic…

24.111.402 MANAGEMENT OF INFECTIOUS WASTE Eachlicensee licensed by the board shall store, transport off the premises, treat, and dispose of infectious waste, as defined in 75-10-1003 , MCA, in accordance with the requirements of Title 75, chapter 10, part 10, MCA, and rules adopt…

24.111.403 FEE ABATEMENT The Alternative Health Care Board adopts and incorporates by reference the fee abatement rule of the Department of Labor and Industry found at ARM 24.101.301. Authorizing statute(s): 37-1-101, 37-13-201, 37-26-201, 37-27-105, MCA Implementing statute(s): …

24.111.407 NONROUTINE APPLICATIONS For the purpose of processing nonroutine applications, the board incorporates the definitions of routine and nonroutine at ARM 24.101.402 by reference. Nonroutine applications must be reviewed and approved by the board before a license may be is…

24.111.408 APPLICANTS WITH CRIMINAL CONVICTIONS The board incorporates ARM 24.101.406 by reference with no modifications. Authorizing statute(s): 37-1-131, MCA Implementing statute(s): 37-1-101, 37-1-131, MCA History: NEW, 2021 MAR p. 556, Eff. 5/15/21.

24.111.409 INACTIVE STATUS (REPEALED) (REPEALED) Authorizing statute(s): 37-1-131, 37-1-319, 37-26-201, 37-27-105, MCA Implementing statute(s): 37-1-131, 37-1-319, MCA History: NEW, 2009 MAR p. 2257, Eff. 11/26/09; AMD, 2012 MAR p. 1360, Eff. 7/13/12; REP, 2026 MAR, Notice No. 20…

24.111.412 MILITARY TRAINING OR EXPERIENCE (REPEALED) Authorizing statute(s): 37-1-145, MCA Implementing statute(s): 37-1-145, MCA History: NEW, 2014 MAR p. 2120, Eff. 9/19/14; REP, 2023 MAR p. 1093, Eff. 10/1/23.

24.111.415 APPLICATION FOR LICENSURE Each application for licensure from the board must include: a completed application form; the initial license fee; and verification of applicable educational requirements. An applicant licensed in any other jurisdiction at any time shall cause…

24.111.420 SUBSTANTIAL EQUIVALENCY The board adopts and incorporates by reference the 2025 substantial equivalency list for the Alternative Health Care Board publication. The publication is available on the board’s website. The board intends to review the publication annually. Ho…

24.111.501 NATUROPATHIC MEDICAL EDUCATION STANDARDS The board may approve a naturopathic medical college degree if it is obtained from a naturopathic medical program which meets substantially equivalent standards to those of the Council on Naturopathic Medical Education. Authoriz…

24.111.502 NATUROPATHIC LICENSING BY EXAMINATION Except as provided in (2), all applicants for naturopathic physician licensure in Montana must have passed the Naturopathic Physicians Licensing Examination (NPLEX): Part I – Biomedical Science; Part II – Core Clinical Science; Par…

24.111.503 LICENSING OF APPLICANTS BY ENDORSEMENT (REPEALED) (REPEALED) Authorizing statute(s): 37-1-131, 37-26-201, MCA Implementing statute(s): 37-1-131, 37-1-304, MCA History: NEW, 1992 MAR p. 555, Eff. 3/27/92; AMD, 1996 MAR p. 2576, Eff. 10/4/96; TRANS, from Commerce, 2001 M…

24.111.510 CERTIFICATION FOR SPECIALTY PRACTICE OF NATUROPATHIC CHILDBIRTH ATTENDANCE A naturopathic physician licensed in Montana, or an applicant for a Montana naturopathic physician license, who wishes to practice natural childbirth must apply to and receive from the board, a …

24.111.511 NATUROPATHIC PHYSICIAN FORMULARY LIST Except as provided in (2), naturopathic physicians may prescribe, administer, and dispense pursuant to 37-2-104, MCA: all legend drugs; with a DEA registration, all drugs in Schedules II-V as listed at 50-32-224, 50-32-226, 50-32-2…

24.111.512 NATUROPATHIC SCOPE OF PRACTICE (REPEALED) (REPEALED) Authorizing statute(s): 37-1-131, 37-26-201, MCA Implementing statute(s): 37-26-201, MCA History: NEW, 2003 MAR p. 2873, Eff. 12/25/03; REP, 2026 MAR, Notice No. 2025-128, Eff. 4/11/26.

24.111.601 MINIMUM DIRECT-ENTRY MIDWIFE EDUCATION STANDARDS (REPEALED) (REPEALED) Authorizing statute(s): 37-27-105, MCA Implementing statute(s): 37-27-201, MCA History: NEW, 1992 MAR p. 2722, Eff. 12/25/92; TRANS, from Commerce, 2001 MAR p. 1642; REP, 2026 MAR, Notice No. 2025-1…

24.111.602 DIRECT-ENTRY MIDWIFE APPRENTICESHIP REQUIREMENTS (REPEALED) (REPEALED) Authorizing statute(s): 37-1-131, 37-27-105, MCA Implementing statute(s): 37-1-131, 37-27-105, 37-27-201, 37-27-205, 37-27-321, MCA History: NEW, 1992 MAR p. 2498, Eff. 11/26/92; AMD, 1993 MAR p. 16…

24.111.603 DIRECT-ENTRY MIDWIFE PROTOCOL STANDARD LIST REQUIRED FOR APPLICATION (REPEALED) (REPEALED) Authorizing statute(s): 37-1-131, 37-27-105, MCA Implementing statute(s): 37-1-131, 37-27-201, MCA History: NEW, 1999 MAR p. 2038, Eff. 9/24/99; TRANS, from Commerce, 2001 MAR p.…

24.111.604 LICENSING BY EXAMINATION (REPEALED) (REPEALED) Authorizing statute(s): 37-27-105, MCA Implementing statute(s): 37-27-201, 37-27-202, 37-27-203, MCA History: NEW, 1992 MAR p. 2048, Eff. 9/11/92; AMD, 1993 MAR p. 1639, Eff. 7/30/93; AMD, 1998 MAR p. 529, Eff. 2/27/98; AM…

24.111.605 LICENSURE OF OUT-OF-STATE APPLICANTS (REPEALED) (REPEALED) Authorizing statute(s): 37-1-131, 37-27-105, MCA Implementing statute(s): 37-1-304, 37-27-201, 37-27-202, 37-27-203, MCA History: NEW, 1996 MAR p. 2576, Eff. 10/4/96; AMD, 1998 MAR p. 921, Eff. 4/17/98; AMD, 19…

24.111.606 MINIMUM EDUCATION AND EXPERIENCE REQUIREMENTS FOR DIRECT-ENTRY MIDWIFE APPLICANTS In addition to those requirements set forth in 37-27-201, MCA, an applicant must be a NARM Certified Professional Midwife, demonstrated by: graduation from a MEAC-accredited program; or c…

24.111.607 DIRECT-ENTRY MIDWIFE APPRENTICESHIP REQUIREMENTS Applicants who are acquiring practical experience shall apply for an apprentice license. Applicants must provide proof of enrollment in a MEAC-accredited program or enrollment in NARM's Portfolio Evaluation Process at th…

24.111.609 ADDITIONAL RECOMMENDED SCREENING PROCEDURES Consistent with generally accepted standards of practice and conduct, direct-entry midwives and direct-entry midwife apprentices shall recommend to their clients that the following tests, in addition to those in 37-27-312 , M…

24.111.610 HIGH RISK PREGNANCY: CONDITIONS REQUIRING PRIMARY CARE BY A PHYSICIAN If the following conditions are present, the licensed direct-entry midwife shall not accept the woman as a client: chronic medical problems: cardiac disease (Class II or greater); diabetes mellitus r…

24.111.611 CONDITIONS WHICH REQUIRE PHYSICIAN CONSULTATION OR TRANSFER OF CARE If the following conditions are present in a client, the direct-entry midwife shall attempt to consult a physician and/or transfer care to a physician. A certified nurse midwife or licensed direct-entr…

24.111.612 VAGINAL BIRTH AFTER CESAREAN (VBAC) DELIVERIES A licensed direct-entry midwife shall not assume primary responsibility for prenatal care and/or birth attendance for women who have had a previous cesarean section, unless all of the following conditions are met: An infor…

24.111.613 REQUIRED REPORTS A licensed direct-entry midwife shall submit semiannual summary reports on each client, covering the six-month period of January 1 through July 1, or July 1 through January 1 as appropriate, as required by 37-27-320 , MCA. The reports are due on or bef…

24.111.614 EDUCATIONAL REQUIREMENTS FOR ADMINISTRATION OF DRUGS Midwives may become endorsed to obtain and administer prescription drugs per 37-27-302, MCA, by submitting an application that demonstrates the applicant either: holds the certified professional midwife (CPM) credent…

24.111.615 OBTAINING, STORING, AND DISPOSING OF DRUGS Endorsed midwives may obtain formulary drugs as allowed by law, including from: a person or entity licensed as a wholesale distributor by the Montana Board of Pharmacy; and a retail pharmacy, in minimal quantities for office u…

24.111.616 USE OF FORMULARY DRUGS Endorsed midwives may use the drugs in 37-27-302(2), MCA, according to the following protocol describing the indication for use, dosage, route of administration, and duration of treatment: Drug Indication Dose - in conformance ACOG guidelines Rou…

24.111.617 CIRCUMSTANCES CONSTITUTING A LOW RISK OF ADVERSE BIRTH OUTCOMES A low risk of adverse birth outcomes indicates a clinical scenario for which there is not clear demonstratable benefit for a medical intervention or transfer to a physician's care under ARM 24.111.610 or 2…

24.111.801 REQUIREMENTS FOR LICENSURE Applicants for licensure must pass the Foundationsof Oriental Medicine, Acupuncture with Point Location, and Biomedicineexaminations required for certification in acupuncture by the National Commission for the Certification of Acupuncture and…

24.111.807 POINT INJECTION EDUCATION AND TRAINING Point injection is the subcutaneous, intramuscular, and intradermal injection of substances consistent with the practice of acupuncture to stimulate acupuncture points, ashi points, trigger points, motor points, and pathways. Poin…

24.111.819 AUDIT AND CE REPORTING REQUIREMENTS (REPEALED) (REPEALED) Authorizing statute(s): 37-1-131, 37-1-319, 37-13-201, MCA Implementing statute(s): 37-1-131, 37-1-306, 37-1-319, 37-1-321, 37-13-201, MCA History: NEW, 2012 MAR p. 404, Eff. 2/24/12; AMD, 2021 MAR p. 1057, Eff.…

24.112.2101 CONTINUED COMPETENCY REQUIREMENTS All licensed ECPs are required to complete continued competency requirements prior to their license expiration date. Proof of completion shall be retained by the ECP and submitted to the department upon request in one of the following…