Montana Administrative Code

24.111.601 MINIMUM DIRECT-ENTRY MIDWIFE EDUCATION STANDARDS (REPEALED) (REPEALED) Authorizing statute(s): 37-27-105, MCA Implementing statute(s): 37-27-201, MCA History: NEW, 1992 MAR p. 2722, Eff. 12/25/92; TRANS, from Commerce, 2001 MAR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24.111.602 DIRECT-ENTRY MIDWIFE APPRENTICESHIP REQUIREMENTS (REPEALED) (REPEALED) Authorizing statute(s): 37-1-131, 37-27-105, MCA Implementing statute(s): 37-1-131, 37-27-105, 37-27-201, 37-27-205, 37-27-321, MCA History: NEW, 1992 MAR p.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24.111.603 DIRECT-ENTRY MIDWIFE PROTOCOL STANDARD LIST REQUIRED FOR APPLICATION (REPEALED) (REPEALED) Authorizing statute(s): 37-1-131, 37-27-105, MCA Implementing statute(s): 37-1-131, 37-27-201, MCA History: NEW, 1999 MAR p. 2038, Eff. 9/24/99; TRANS, from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24.111.604 LICENSING BY EXAMINATION (REPEALED) (REPEALED) Authorizing statute(s): 37-27-105, MCA Implementing statute(s): 37-27-201, 37-27-202, 37-27-203, MCA History: NEW, 1992 MAR p. 2048, Eff. 9/11/92; AMD, 1993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24.111.605 LICENSURE OF OUT-OF-STATE APPLICANTS (REPEALED) (REPEALED) Authorizing statute(s): 37-1-131, 37-27-105, MCA Implementing statute(s): 37-1-304, 37-27-201, 37-27-202, 37-27-203, MCA History: NEW, 1996 MAR p. 2576, Eff.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 (1) In addition to those requirements set forth in 37-27-201, MCA, an applicant must be a NARM Certified Professional Midwife, demonstrated by: (a) graduation from a MEAC-accredited progr…

24.111.607 DIRECT-ENTRY MIDWIFE APPRENTICESHIP REQUIREMENTS (1) Applicants who are acquiring practical experience shall apply for an apprentice license. (2) Applicants must provide proof of enrollment in a MEAC-accredited program or enrollment in NARM's Portfolio Evaluation Proce…

24.111.609 ADDITIONAL RECOMMENDED SCREENING PROCEDURES (1) 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…

24.111.610 HIGH RISK PREGNANCY: CONDITIONS REQUIRING PRIMARY CARE BY A PHYSICIAN (1) If the following conditions are present, the licensed direct-entry midwife shall not accept the woman as a client: (a) chronic medical problems: (i) cardiac disease (Class II or greater); (ii) di…

24.111.611 CONDITIONS WHICH REQUIRE PHYSICIAN CONSULTATION OR TRANSFER OF CARE (1) 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-…

24.111.612 VAGINAL BIRTH AFTER CESAREAN (VBAC) DELIVERIES (1) 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: (a) …

24.111.613 REQUIRED REPORTS (1) 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…

24.111.614 EDUCATIONAL REQUIREMENTS FOR ADMINISTRATION OF DRUGS (1) Midwives may become endorsed to obtain and administer prescription drugs per 37-27-302, MCA, by submitting an application that demonstrates the applicant either: (a) holds the certified professional midwife (CPM)…

24.111.615 OBTAINING, STORING, AND DISPOSING OF DRUGS (1) Endorsed midwives may obtain formulary drugs as allowed by law, including from: (a) a person or entity licensed as a wholesale distributor by the Montana Board of Pharmacy; and (b) a retail pharmacy, in minimal quantities …

24.111.616 USE OF FORMULARY DRUGS (1) 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…

24.111.617 CIRCUMSTANCES CONSTITUTING A LOW RISK OF ADVERSE BIRTH OUTCOMES (1) 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 …

24.111.801 REQUIREMENTS FOR LICENSURE (1) Applicants for licensure must pass the Foundations of Oriental Medicine, Acupuncture with Point Location, and Biomedicine examinations required for certification in acupuncture by the National Commission for the Certification of Acupunctu…

24.111.807 POINT INJECTION EDUCATION AND TRAINING (1) 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. …

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 (1) All licensed ECPs are required to complete continued competency requirements prior to their license expiration date. (2) Proof of completion shall be retained by the ECP and submitted to the department upon request in one of the f…

24.112.2301 UNPROFESSIONAL CONDUCT (1) It is unprofessional conduct for a licensee or applicant to: (a) violate any statute, rule, or standard of care governing their scope of practice; (b) fail to report to the department within thirty days from the date of a final judgment, ord…

24.112.401 DEFINITIONS (1) For purposes of the rules set forth in this chapter, the following definitions apply: (a) “Apprentice” means a person who is a registered apprentice through the Department of Labor and Industry Workforce Services Division Registered Apprenticeship Progr…

24.112.403 FEE SCHEDULE (1) Initial and active license renewal application fees: (a) Emergency medical responder - $20; (b) Emergency medical technician - $35; (c) Advanced emergency medical technician - $55; (d) Paramedic - $75; (e) Emergency care provider endorsement – per subm…

24.112.405 SUBSTANTIAL EQUIVALENCY (1) The department adopts and incorporates by reference the 2025 substantial equivalency list for emergency care providers publication. The publication is available on the department’s website. (2) The department intends to review the publicatio…

24.112.410 MEDICAL DIRECTOR (1) A medical director providing medical oversight over emergency care providers shall comply with ARM 24.156.2732. Authorizing statute(s): 50-6-203, MCA Implementing statute(s): 50-6-101, 50-6-105, 50-6-201, 50-6-202, 50-6-203, 50-6-301, 50-6-302, MCA…

24.112.419 APPLICANTS WITH CRIMINAL CONVICTIONS (1) The department incorporates ARM 24.101.406 by reference with the following modification: (a) Nonviolent misdemeanor convictions involving driving under the influence (DUI) in (5)(a) are routine if the conviction date is more tha…

24.112.450 MANAGEMENT OF INFECTIOUS WASTES (1) Each person licensed by the department shall store, transport off premises, and dispose of infectious wastes, as defined in 75-10-1003, MCA, in accordance with the requirements set forth in 75-10-1005, MCA. (2) Used sharps are proper…

24.112.501 ECP LICENSURE QUALIFICATIONS (1) The department shall license an applicant as an ECP at the appropriate licensure level if the applicant: (a) has successfully completed an ECP course of instruction at or above the level of requested licensure; and (b) possesses a curre…

24.112.502 ECP SCOPE OF PRACTICE (1) An ECP licensed at an EMR or EMT level may perform any acts allowed within the ECP's licensure or endorsement level when: (a) operating independently within the most current version of the Montana ECP Scope of Practice Document; (b) under the …

24.112.503 ECP TRAINING COURSES (1) An individual, corporation, partnership, or any other organization may conduct ECP training courses. All ECP training courses or programs must include the following: (a) current USDOT curriculum; (b) Montana ECP Scope of Practice Document and N…

24.112.504 LEVELS OF ECP LICENSURE INCLUDING ENDORSEMENTS (1) The department issues four levels of licenses for ECPs. Each level has endorsements that may be added to an ECP license. Endorsements do not have to be acquired in the order listed below and may consist of one or more …

24.112.505 ECP ENDORSEMENT APPLICATION (1) An applicant for an ECP endorsement, at any level, shall submit an application on a form prescribed by the department, the appropriate fee, and: (a) the applicant's verification of knowledge and skills as identified on a form provided by…

24.112.506 CIHC ENDORSEMENT (1) An applicant for CIHC endorsement shall submit an application, the appropriate fees, and: (a) verification of completion of a department-approved curriculum in community-integrated health care provided by an accredited institution of higher learnin…

24.112.507 PROCEDURES FOR REVISION OF MONTANA ECP SCOPE OF PRACTICE DOCUMENT (1) A medical director may submit a petition for revisions to the Montana ECP Scope of Practice Document. The department may accept public comment regarding the petition. (2) The petition must be submitt…

24.112.508 EXPIRED LICENSE (1) An expired ECP license may be reactivated upon completion of an expired license renewal application. To reactivate an expired license, an ECP shall: (a) meet department requirements under ARM 24.101.403 and 24.101.408; and (b) provide documentation …

24.112.511 LICENSURE BY APPRENTICESHIP (1) Applicants for licensure by apprenticeship must: (a) complete an apprenticeship through the Montana Registered Apprenticeship Program; and (b) pass examinations as described in ARM 24.112.501. Authorizing statute(s): 37-1-148, 50-6-203, …

24.114.101 BOARD ORGANIZATION (1) The Board of Architects and Landscape Architects adopts and incorporates the 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,…

24.114.1401 LANDSCAPE ARCHITECT LICENSURE BY EXAMINATION (1) Applicants must submit a complete application form, the application fee, and: (a) a complete CLARB record, or (b) proof of education and professional experience established in ARM 24.114.1402, which must include: (i) ve…

24.114.1402 EDUCATION AND EXPERIENCE REQUIRED FOR LANDSCAPE ARCHITECT LICENSURE (1) Applicants for licensure must meet the following minimum requirements for education and experience: (a) an applicant with an accredited landscape architect degree must have at least two years of p…

24.114.1403 LANDSCAPE ARCHITECT EXAMINATIONS (1) The LARE is the recognized and acceptable qualifying examination. (2) All candidates must schedule and sit for the LARE through CLARB. The board has established no education or experiential prerequisites to examination. (3) Candida…

24.114.1404 LANDSCAPE ARCHITECT LICENSURE BY ENDORSEMENT (1) Applicants holding a valid license to practice landscape architecture in another state or jurisdiction shall: (a) submit a completed application including all required fees and documentation; and (b) present proof the a…

24.114.1410 LANDSCAPE ARCHITECT SEAL (1) Every licensed landscape architect must have a seal that contains the name of the landscape architect, the landscape architect's Montana license number, the signature of the licensed landscape architect, and the words "LICENSED LANDSCAPE A…

24.114.201 PROCEDURAL RULES (1) The Board of Architects and Landscape Architects adopts and incorporates the 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 H…

24.114.202 PUBLIC PARTICIPATION (1) The Board of Architects and Landscape Architects adopts and incorporates the public participation rules of the Department of Labor and Industry as listed in chapter 2 of this title. Authorizing statute(s): 2-3-103, MCA Implementing statute(s): …

24.114.2101 RENEWALS (REPEALED) Authorizing statute(s): 37-1-131, 37-65-204, MCA Implementing statute(s): 37-1-131, 37-1-141, MCA History: Eff. 12/31/72; AMD, 1977 MAR p. 104, Eff. 9/23/77; TRANS, from Dept. of Prof. & Occup. Lic., Ch. 274, L. 1981, Eff. 7/1/81; AMD, 1982 MAR p. …

24.114.2103 REPLACEMENT LICENSES (REPEALED) Authorizing statute(s): 37-1-131, 37-65-204, MCA Implementing statute(s): 37-1-131, MCA History: NEW, 2009 MAR p. 413, Eff. 4/17/09; REP, 2017 MAR p. 2076, Eff. 11/10/17.

24.114.2105 ARCHITECT CONTINUING EDUCATION REQUIREMENTS (1) Active licensed architects shall obtain 12 hours of HSW continuing education (CE) every calendar year by December 31. (a) Licensees who have been granted emeritus status are exempt from the CE requirements. (b) Continuin…