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1-1
CHAPTER 1
GENERAL PROVISIONS
Section 1. Rules of the Board of Midwifery hereinafter referred to as the Board.
Section 2. Statutory Authority. The Board of Midwifery was created by W.S. 33-
46-101 through 33-46-108, herein after referred to as the Act.
Section 3. Severability. If any provisions of these regulations or the application
thereof to any person or circumstance is invalid, such invalidity shall not affect other
provisions or application of these regulations which can be given effect without the invalid
provision or application, and to this end the provisions of these regulations are declared to be
severable.
Section 4. Purpose of These Rules. The purpose of these rules shall be to develop
procedures and establish requirements for:
(a) Developing uniform and reasonable scope of practice standards for
midwifery consistent with W.S. 33-46-102(a)(ii) and (iii);
(b) Developing a protocol for written informed consent to treatment;
(c) Defining a protocol for the use of those drugs approved by the board for
administration to mothers and babies;
(d) Defining a protocol for management of newborns;
(e) Defining a protocol for medical waste disposal;
(f) Requiring midwives to report outcomes of all clients for which the midwife
provided services at any point during labor or delivery to the board after each birth;
(g) Establishment of Board organization, and codification of rules and
procedures for Board meetings and subcommittee meetings;
(h) Developing standards and qualifications requisite in the issuance of licenses
to practice midwifery;
(i) Evaluating the qualifications of individuals applying for licensure;
(j) Issuance and renewal of licenses to persons qualified to practice midwifery
in the state of Wyoming;
5-1
CHAPTER 5
FEES
Section 1. Fees. This fee schedule is adopted by the Board pursuant to W.S. 33-
1-201. Actual fees charged shall be adopted in the minutes of the Board and shall be
readily available to the public. Fees shall not exceed:
(a) Application Fee: $1200 maximum
(b) Provisional License Fee:
(i) Pending Application Processing $200 maximum
(ii) Undertaking Practicum $400 maximum per year
(iii) Education/Instruction/Locum Tenens $200 maximum per
provisional
(c) Renewal Fee: $1200 maximum every 2
years
(d) Per Delivery Fee: $50.00 per delivery
(e) Non-sufficient Funds Fee: in accordance with W.S.
1-1-115
(f) Verification Fee: $30.00 maximum
(g) Copy Fee: $.50 per page maximum
(h) Duplicate Wall Certificate Fee: $20.00 maximum
(i) Duplicate Pocket Card (2): $10.00 maximum
Section 2. Refunds. All fees collected by the Board are non-refundable.
Section 3. Applications Unaccompanied by Fees. Applications shall not be
considered by the Board unless accompanied by the application fee.
Section 4. Duplicate or Replacement Certificate and Pocket Card. Duplicate
or replacement wall certificates and pocket cards may be issued by the Board. All
requests for duplicate or replacement certificates and/or pocket cards shall be in writing
and shall be accompanied by the fee for each duplicate or replacement.
5-2
Section 5. Requests for Roster of Licensees. The roster of current licensees
shall be updated at least annually and made available electronically at no charge.
2-1
CHAPTER 2
ORGANIZATION AND PROCEDURES OF THE BOARD
Section 1. Structure of the Board. The board shall consist of seven (7)
members appointed by the governor including four (4) certified professional midwives,
one (1) certified nurse midwife, one (1) physician licensed under the Medical Practice
Act who is board certified in either obstetrics and gynecology or family medicine and
who has experience in primary maternity care and one (1) consumer of midwifery care.
The governor shall have the authority to appoint to the board qualified midwives licensed
or certified in another state provided any person appointed becomes licensed in Wyoming
within one (1) year of appointment.
Section 2. Establishment of Licensure Standards. The professional
organizations representing midwifery may recommend to the Board the specific
requirements, rules, and procedures appropriate for licensing persons in that field and
suggest changes to the rules and regulations.
Section 3. Officers. Officers of the Board shall be elected annually, by a
majority vote of the Board, and be comprised of a chair, and a vice chair.
Section 4. Meetings of the Board.
(a) The Board shall meet at least three (3) times each year at a date, place
and time established by the Chair with special meetings held as requested by the Chair or
by a majority of the members.
(b) Meetings shall be open to the public and held in accordance with the
Wyoming Administrative Procedures Act. The Board has the right to call executive
sessions pursuant to W.S. 16-4-405.
(c) The Chair may conduct meetings and Board business by telephone as a
means of conserving funds and expediting appropriate business.
(d) A quorum shall consist of at least four (4) members, and a majority of
the quorum is required to approve Board actions.
Section 5. Establishment of Committees. The Board may, by a majority vote
of the membership, establish and empower committees to approve or preliminarily deny
applications for license, applications for renewal, special request, and other issues that the
Board deems proper to delegate. Committees may also be established and empowered to
conduct complaint investigations, and make recommendations on complaints. These
committees shall be comprised of current members of the Board and/or administrative
staff.
3-1
CHAPTER 3
LICENSE REQUIREMENTS
Section 1. General Requirements for Licensure. It is the sole responsibility of
the applicant to ensure that the Board receives all documentation necessary to prove to
the Board’s satisfaction that the applicant meets all the requirements for licensure herein.
The applicant shall provide satisfactory evidence to the Board that they:
(a) Are legal inhabitants of the United States, and
(b) Have a high school diploma or equivalent;
(c) Have not been convicted of a crime which in the judgment of the board
renders the person unfit to practice midwifery; and
(d) Have not provided materially false or misleading information to the
board; and
(e) Satisfy the requirements established in these rules.
Section 2. Certification. The applicant must provide proof of current
certification as a certified professional midwife by the NARM.
Section 3. Education. The applicant must have graduated from a midwifery
education program accredited by the MEAC or a similar successor organization.
(a) If the applicant has not graduated from a midwifery education program
accredited by the MEAC or a similar successor organization, the applicant shall have five
(5) years experience practicing as a licensed or certified midwife in another state, and
(b) The applicant shall provide the board with evidence of successful
completion of board approved courses in the treatment of respiratory distress in
newborns, pharmacology, the treatment of shock, intravenous therapy, and suturing
specific to midwives as follows:
(i) Treatment of respiratory distress in newborns- current
certification in neonatal resuscitation obtained through completion of American Heart
Association approved cardiopulmonary resuscitation courses and American Academy of
Pediatrics approved neonatal resuscitation courses.
(ii) Pharmacology specific to midwives- training obtained through
completion of MEAC approved courses, or other courses sponsored by or approved by
the Board which cover all drugs listed in the formulary.
(iii) Treatment of shock- training obtained through completion of
3-2
MEAC approved courses or other courses approved by the Board.
(iv) Intravenous therapy- training obtained through completion of
MEAC approved courses or other courses approved by the Board.
(v) Suturing specific to midwives- training obtained through
completion of MEAC approved courses or other courses approved by the Board.
Section 4. Practical Experience. During the course of their educational process,
all applicants are expected to acquire the full range of entry-level midwifery skills as
defined in the NARM Candidate Information Bulletin (CIB) and on the NARM Skills,
Knowledge and Abilities Essential for Competent Practice Verification Form 201. The
applicant shall complete a practicum or course of practical experience in midwifery. The
applicant shall:
(a) Attend a minimum of twenty (20) births;
(b) While functioning in the role of primary midwife under supervision,
attend a minimum of an additional twenty (20) births;
(i) A minimum of ten (10) of the twenty (20) births attended as
primary midwife under supervision must be in homes or other out-of-hospital settings.
(ii) A minimum of three (3) of the twenty (20) births attended as
primary midwife under supervision must be with women for whom you have provided
primary care during at least four (4) prenatal visits, birth, newborn exam and one (1)
postpartum exam.
(iii) At least ten (10) of the twenty (20) primary births must have
occurred within three (3) years of application submission.
(c) While functioning in the role of primary midwife under supervision, the
licensee must document having completed:
(i) Seventy-five (75) prenatal exams, including twenty (20) initial
exams;
(ii) Twenty (20) newborn exams; and
(iii) Forty (40) postpartum exams.
Section 5. Background Check. Every applicant shall provide the board
fingerprints and other information necessary for a criminal history record background
check.
Section 6. Personal Interview. The applicant may be required to appear for a
3-3
personal interview with the board if the Application Review Committee deems an
interview appropriate in general, or in a specific case;
Section 7. License by Reciprocity. An individual holding a license in good
standing to engage in the practice of midwifery under the laws of another state may, upon
approval of the board, be issued a license in this state, provided:
(a) The applicant is currently licensed or certified by any state with
requirements at least as stringent as this state;
(b) The applicant holds current certification as a certified professional
midwife by the NARM;
(c) The applicant meets the criteria established in this chapter, and
(d) The applicant has not been sanctioned in another state without resolution
satisfactory to the Board.
Section 8. Provisional License. The board may issue a provisional license to:
(a) Any person eligible for licensure, to allow the applicant to practice
under the supervision of another midwife, a person licensed under the Medical Practice
Act or a certified nurse midwife until the board has the opportunity to act on the person's
application for licensure. However, this paragraph shall not apply to any person whose
license or certificate is under revocation, suspension, investigation or disciplinary
restriction in another state;
(i) A provisional license issued under this paragraph is valid until
action is taken on the application.
(b) Any person (i.e. a student midwife), undertaking the practicum required
under this act to practice under the supervision of another midwife, a certified nurse
midwife or a person licensed under the Medical Practice Act;
(i) A provisional license issued under this paragraph is valid for
one (1) year.
(c) Any person licensed or certified in another state with requirements at
least as stringent as this state to practice for thirty (30) days to provide education and
instruction in midwifery or to act as a locum tenens for a midwife licensed under this act.
(i) A provisional license is not required in order to provide
classroom instruction or continuing education that does not involve participation at a
birth.
1-2
(k) Setting fees necessary for the administration of this act;
(l) Establishing criteria for actions against licensees, including but not limited
to:
(i) Investigation and conduct of hearings on complaints of violations
of this act;
(ii) Proceedings to enjoin, restrain or bring suit against persons
violating this act;
(iii) Revocation, suspension, or condition of a license.
(m) Codification of a canon of ethics.
Section 5. Terms Defined by Statute. Terms defined in W.S. 33-46-101 through
33-46-108 shall have the same meanings when used in these regulations unless the context or
subject matter clearly requires a different interpretation.
Section 6. Terms Defined Herein. As used in these regulations, the following
terms shall have the following meanings unless the context or subject matter clearly requires
a different interpretation.
(a) “Antepartum” means occurring or existing during pregnancy.
(b) “Intrapartum” means occurring during labor and delivery.
(c) “MEAC” means the Midwifery Education Accreditation Council.
(d) “NACPM” means the National Association of Certified Professional
Midwives.
(e) “NARM” means the North American Registry of Midwives.
(f) “Postpartum” means occurring in approximately the six (6) week period
after childbirth.
B-1
APPENDIX B
NATIONAL ASSOCIATION OF CERTIFIED PROFESSIONAL MIDWIVES
STANDARDS OF PRACTICE
2004
Standard One: The NACPM member works in partnership with each woman she
serves.
The NACPM member:
• Offers her experience, care, respect, counsel and support to each woman she
serves
• Freely shares her midwifery philosophy, professional standards, personal scope of
practice and expertise, as well as any limitations imposed upon her practice by local
regulatory agencies and state law
• Recognizes that each woman she cares for is responsible for her own health and
well-being
• Accepts the right of each woman to make decisions about her general health care
and her pregnancy and birthing experience
• Negotiates her role as caregiver with the woman and clearly identifies mutual and
individual responsibilities, as well as fees for her services
• Communicates openly and interactively with each woman she serves
• Provides for the social, psychological, physical, emotional, spiritual and cultural
needs of each woman
• Does not impose her value system on the woman
• Solicits and respects the woman’s input regarding her own state of health
• Respects the importance of others in the woman’s life.
Standard Two: Midwifery actions are prioritized to optimize well-being and
minimize risk, with attention to the individual needs of each woman and baby.
The NACPM member:
• Supports the natural process of pregnancy and childbirth
B-2
• Provides continuous care, when possible, to protect the integrity of the woman’s
experience and the birth and to bring a broad range of skills and services into each
woman’s care
• Bases her choices of interventions on empirical and/or research evidence,
verifying that the probable benefits outweigh the risks
• Strives to minimize technological interventions
• Demonstrates competency in emergencies and gives priority to potentially life-
threatening situations
• Refers the woman or baby to appropriate professionals when either needs care
outside her scope of practice or expertise
• Works collaboratively with other health professionals
• Continues to provide supportive care when care is transferred to another provider,
if possible, unless the mother declines
• Maintains her own health and well-being to optimize her ability to provide care.
Standard Three: The midwife supports each woman's right to plan her care
according to her needs and desires.
The NACPM member:
• Shares all relevant information in language that is understandable to the woman
• Supports the woman in seeking information from a variety of sources to facilitate
informed decision-making
• Reviews options with the woman and addresses her questions and concerns
• Respects the woman’s right to decline treatments or procedures and properly
documents her choices
• Develops and documents a plan for midwifery care together with the woman
• Clearly states and documents when her professional judgment is in conflict with
the decision or plans of the woman
• Clearly states and documents when a woman’s choices fall outside the NACPM
member’s legal scope of practice or expertise
B-3
• Helps the woman access the type of care she has chosen
• May refuse to provide or continue care and refers the woman to other
professionals if she deems the situation or the care requested to be unsafe or unacceptable
• Has the right and responsibility to transfer care in critical situations that she
deems to be unsafe. She refers the woman to other professionals and remains with the
woman until the transfer is complete.
Standard Four: The midwife concludes the caregiving partnership with each woman
responsibly.
The NACPM member:
• Continues her partnership with the woman until that partnership is ended at the
final postnatal visit or until she or the woman ends the partnership and the midwife
documents same
• Ensures that the woman is educated to care for herself and her baby prior to
discharge from midwifery care
• Ensures that the woman has had an opportunity to reflect on and discuss her
childbirth experience
• Informs the woman and her family of available community support networks and
refers appropriately.
Standard Five: The NACPM member collects and records the woman’s and baby's
health data, problems, decisions and plans comprehensively throughout the
caregiving partnership.
The NACPM member:
• Keeps legible records for each woman, beginning at the first formal contact and
continuing throughout the caregiving relationship
• Does not share the woman’s medical and midwifery records without her
permission, except as legally required
• Reviews and updates records at each professional contact with the woman
• Includes the individual nature of each woman’s pregnancy in her assessments and
documentation
B-4
• Uses her assessments as the basis for on-going midwifery care
• Clearly documents her objective findings, decisions and professional actions
• Documents the woman’s decisions regarding choices for care, including informed
consent or refusal of care
• Makes records and other relevant information accessible and available at all times
to the woman and other appropriate persons with the woman's knowledge and consent
• Files legal documents appropriately.
Standard Six: The midwife continuously evaluates and improves her knowledge,
skills and practice in her endeavor to provide the best possible care.
The NACPM member:
• Continuously involves the women for whom she provides care in the evaluation
of her practice
• Uses feedback from the women she serves to improve her practice
• Collects her practice statistics and uses the data to improve her practice
• Informs each woman she serves of mechanisms for complaints and review,
including the NARM peer review and grievance process
• Participates in continuing midwifery education and peer review
• May identify areas for research and may conduct and/or collaborate in research
• Shares research findings and incorporates these into midwifery practice as
appropriate
• Knows and understands the history of midwifery in the United States
• Acknowledges that social policies can influence the health of mothers, babies and
families; therefore, she acts to influence such policies, as appropriate.
Copyright © 2004 National Association of Certified Professional Midwives, All Rights
Reserved.
Reprinted with permission.
A-1
APPENDIX A
DRUG FORMULARY
A licensed midwife may use the drugs described in the midwifery formula according to the following
protocol describing the indication for use, dosage, route of administration and duration of treatment:
\Du
rati
on
of
Tre
atm
ent
Un
til
mat
ern
al/f
etal
sta
bil
izat
ion
is
ach
iev
ed o
r tr
ansf
er t
o h
osp
ital
is
com
ple
te.
Un
til
stab
iliz
atio
n i
s ac
hie
ved
or
tran
sfer
to
a h
osp
ital
is
com
ple
te.
1-2
do
ses.
T
ran
spo
rt t
o h
osp
ital
req
uir
ed i
f m
ore
th
an t
wo
(2
) d
ose
s
are
adm
inis
tere
d
1-2
do
ses.
T
ran
spo
rt t
o h
osp
ital
req
uir
ed i
f m
ore
th
an 2
do
ses
are
adm
inis
tere
d.
No
t to
ex
ceed
80
0
mic
rog
ram
s.
(No
te t
hat
th
is i
s o
ff l
abel
use
of
this
dru
g,
bu
t an
ap
pro
pri
ate
use
.)
Sin
gle
do
se.
Ev
ery
six
ho
urs
, m
ay
rep
eat
3 t
imes
. C
on
trai
nd
icat
ed i
n
hy
per
ten
sio
n a
nd
Ray
nau
d’s
Dis
ease
.
Co
mp
leti
on
of
rep
air
Bir
th o
f b
aby
Bir
th o
f b
aby
Ro
ute
of
Ad
min
istr
ati
on
Mas
k o
r
Bag
an
d m
ask
Mas
k o
r
Bag
an
d m
ask
Intr
amu
scu
larl
y
on
ly
Rec
tal
or
sub
lin
gu
al,
or
may
be
use
d a
s ½
rect
ally
an
d ½
sub
lin
gu
ally
Intr
amu
scu
larl
y o
r
ora
lly
Per
cuta
neo
us
infi
ltra
tio
n o
nly
IV i
n >
10
0 m
l L
R,
NS
or
D5L
R
IV i
n >
10
0 m
l N
S
Do
se
10
-12
L/m
in
10
L/m
in
10
-12
L/m
in
10
L/m
in
10
Un
its/
ml
20
0 m
icro
gra
m t
abs,
as
80
0 m
icro
gra
ms
per
do
se
(4 t
abs)
.
0.2
mg
Max
imu
m 5
0 m
l (1
%)
Max
imu
m 1
5 m
l (2
%)
5 m
illi
on
un
its
init
ial
do
se,
then
2.5
mil
lio
n u
nit
s ev
ery
4 h
ou
rs u
nti
l b
irth
2 g
ram
s in
itia
l d
ose
, th
en 1
gra
m e
ver
y 4
ho
urs
un
til
bir
th
Ind
ica
tio
n
Mat
ern
al/F
etal
Dis
tres
s
Neo
nat
al
Res
usc
itat
ion
Po
stp
artu
m
hem
orr
hag
e o
nly
Po
stp
artu
m
hem
orr
hag
e o
nly
Po
stp
artu
m
hem
orr
hag
e o
nly
Lo
cal
anes
thet
ic f
or
use
du
rin
g p
ost
par
tum
rep
air
of
lace
rati
on
s
or
epis
ioto
my
Gro
up
B S
trep
Pro
ph
yla
xis
Gro
up
B S
trep
Pro
ph
yla
xis
Dru
g
Ox
yg
en
Ox
yto
cin
(Pit
oci
n)
Mis
op
rost
ol
Met
hy
l-
erg
on
ov
ine
(Met
her
gin
e)
Lid
oca
ine
HC
l
1%
Or
2%
Pen
icil
lin
G
(Rec
om
men
ded
)
Am
pic
illi
n
So
diu
m
(Alt
ern
ativ
e)
A-2
D
ura
tio
n o
f T
rea
tmen
t
Bir
th o
f bab
y
(Dru
g o
f ch
oic
e fo
r pen
icil
lin a
ller
gy w
ith l
ow
ris
k f
or
anap
hyla
xis
)
Bir
th o
f bab
y
(Dru
g o
f ch
oic
e fo
r pen
icil
lin a
ller
gy w
ith h
igh r
isk f
or
anap
hyla
xis
)
Ever
y 2
0 m
inute
s or
unti
l
emer
gen
cy m
edic
al s
ervic
es a
rriv
e.
Adm
inis
ter
firs
t dose
then
imm
edia
tely
req
ues
t em
ergen
cy
serv
ices
Unti
l m
ater
nal
sta
bil
izat
ion i
s
achie
ved
or
tran
sfer
to a
hosp
ital
is
com
ple
te.
Unti
l m
ater
nal
sta
bil
izat
ion i
s
achie
ved
or
tran
sfer
to a
hosp
ital
is
com
ple
te.
Bir
th o
f B
aby
Ro
ute
of
Ad
min
istr
ati
on
IV i
n >
100 m
l L
R,
NS
or
D5L
R
IV i
n >
100 m
l N
S o
r
LR
As
dir
ecte
d
Intr
aven
ous
cath
eter
Intr
aven
ous
cath
eter
As
dir
ecte
d
Do
se
2 g
ram
s in
itia
l dose
, th
en
1 g
ram
ever
y 8
hours
900 m
g e
ver
y 8
hours
0.3
ml
pre
-met
ered
dose
1 -
2 l
iter
bag
s -
Fir
st l
iter
run i
n a
t a
wid
e-open
rate
, th
e se
cond l
iter
titr
ated
to c
lien
t’s
condit
ion
500 m
l m
ay r
un i
n w
ide
open
then
hydra
te t
o
clie
nt’
s co
ndit
ion
As
dir
ecte
d
Ind
ica
tio
n
Gro
up B
Str
ep
Pro
phyla
xis
Gro
up B
Str
ep
Pro
phyla
xis
Tre
atm
ent
or
post
-
exposu
re p
reven
tion o
f
sever
e al
lerg
ic
reac
tions
To a
chie
ve
mat
ernal
stab
iliz
atio
n
To a
chie
ve
mat
ernal
stab
iliz
atio
n
Rec
onst
ituti
on o
f
anti
bio
tic
pow
der
Dru
g
Cef
azoli
n S
odiu
m
Cli
ndam
yci
n
Phosp
hat
e
Epin
eph
rine
HC
l
1:1
000
(EpiP
en)
Lac
tate
d R
inger
’s
(LR
)
5%
Dex
trose
in
Lac
tate
d R
inger
’s
solu
tion (
D5L
R)
0.9
% S
odiu
m
Chlo
ride
(NS
)
A-3
D
ura
tio
n o
f T
rea
tmen
t
1 t
o 2
tim
es d
uri
ng l
abor.
D
ura
tion
of
pai
n r
elie
f is
2 t
o 4
hours
.
Sin
gle
dose
at
any g
esta
tio
n f
or
Rh(D
) neg
ativ
e, a
nti
body n
egat
ive
wom
en w
ithin
72 h
ours
of
sponta
neo
us
ble
edin
g o
r
abdom
inal
tra
um
a.
Sin
gle
dose
at
26
-28 w
eeks
ges
tati
on f
or
Rh(D
) neg
ativ
e,
anti
body n
egat
ive
wom
en.
Sin
gle
dose
for
Rh(D
) neg
ativ
e,
anti
body n
egat
ive
wom
en w
ithin
72
hours
of
del
iver
y o
f R
h(D
) posi
tive
infa
nt,
or
infa
nt
wit
h u
nknow
n
blo
od t
ype.
1 d
ose
1 d
ose
Ro
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9-1
CHAPTER 9
COMPLAINTS: PRACTICE AND PROCEDURE
Section 1. Complaints. All complaints shall be filed with the Board in writing
and shall contain:
(a) Name and address of licensee;
(b) Name, address and telephone number of complainant;
(c) Nature of alleged violations;
(d) A short and concise statement of facts relating to the alleged violations;
and
(e) Signature of complainant.
Section 2. Investigation.
(a) The Board shall assign an investigation committee comprised of Board
member(s) or other individuals with assistance from a representative of the Attorney
General's Office.
(b) As part of the complaint investigation the licensee may be required to
provide fingerprints to the Board.
(c) Upon completion of the investigation, the committee may:
(i) Prepare and file a formal complaint and notice of hearing with
the Board, setting the matter for a contested case hearing;
(ii) Recommend to the Board that the complaint be dismissed.
(d) The Board may resolve a complaint at any time by:
(i) Sending a written letter of reprimand/warning to the licensee;
(ii) Accepting a voluntary surrender of a license or certification;
(iii) Accepting conditional terms for settlement;
(iv) Dismissal.
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Section 3. Service of Notice and Formal Complaint. Notice and Complaint
shall be served by mail at least twenty (20) days prior to the date set for hearing. It shall
be sent by certified or registered mail with return receipt thereof to the licensee’s last
known address.
Section 4. Docket. A contested case shall be assigned a number when a
complaint is filed with the Board. A separate file shall be established for each docketed
case, in which shall be systematically placed all papers, pleadings, documents,
transcripts, evidence and exhibits.
Section 5. Answer or Appearance. The licensee shall file an Answer or Notice
of Appearance, which shall be received by the Board at least three (3) working days prior
to the date set for hearing in the matter.
Section 6. Default in Licensee Answering or Appearing. In the event of the
failure of a licensee to answer or otherwise appear within the time allowed, a default may
be entered and the allegations as set forth in the Notice and Complaint shall be taken as
true and an Order of the Board entered accordingly.
Section 7. Discovery. In all contested cases coming before the Board, the taking
of depositions and discovery shall be available to the parties.
Section 8. Subpoenas. Subpoenas for appearance and to produce testimony,
books, papers, documents, or exhibits may be issued by the Board or hearing officer on
behalf of any party to the contested case.
Section 9. Contested Case Hearing. All issues and matters set forth in the
Notice and Complaint shall be presented to the Board. A licensee may be represented by
an attorney, licensed to practice law in this State or otherwise associated at the hearing
with an attorney licensed to practice law in this State.
Section 10. Hearing Officer. The Board may employ and secure a hearing
officer to assist and advise the Board in the conduct of a hearing and the preparation of
recommended findings of fact, conclusions of law and order.
Section 11. Order of Procedure. As nearly as may be, hearings shall be
conducted in accordance with the following order of procedure:
(a) The Board or hearing officer shall announce that the hearing is convened
upon the call of the docket number and title of the matter and case to be heard, and
thereupon the Board or hearing officer shall incorporate all pleadings into the record and
shall note for the record all subpoenas issued and all appearances of record;
(b) All persons testifying at the hearing shall be administered the standard
oath;
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(c) The attorney or representative of the State shall thereupon proceed to
present the State's evidence. Witnesses may be cross-examined by the licensee or
attorney if represented. Redirect examination may be permitted;
(d) The licensee shall be heard in the same manner as the State's evidence.
The State shall have the opportunity of cross-examination and redirect examination may
be permitted;
(e) Opening statements may be made;
(f) Closing statements, at the conclusion of the presentation of evidence,
may be made by parties or attorneys. A rebuttal statement may be made by the State.
The time for oral argument may be limited by the Board or hearing officer;
(g) After all proceedings have been concluded, the Board or hearing officer
shall dismiss and excuse all witnesses and declare the hearing closed. Any party who
may wish or desire to tender written briefs of law unto the Board may do so. The Board
may take the case under advisement and shall declare unto each of the parties that the
decision of the Board shall be announced within due and proper time following
consideration of all the matters presented at the hearing; and
(h) The Board and hearing officer shall retain the right and opportunity to
examine any witness upon the conclusion of all testimony offered by a particular witness.
Section 12. Rules of Civil Procedure to Apply. The rules of practice and
procedure contained in the Wyoming Rules of Civil Procedure insofar as they are
applicable and not inconsistent with the matters before the Board and applicable to the
rules and orders promulgated by the Board shall apply.
Section 13. Attorneys. The filing of an answer or other appearance by an
attorney constitutes an appearance for the party for whom the pleading is filed. The
Board and all parties shall be notified in writing of any withdrawal. Any person
appearing before the Board at a hearing in a representative capacity shall be precluded
from examining or cross-examining any witness unless the person is an attorney licensed
to practice law in this State, or associated with an attorney licensed to practice law in this
State. This rule shall not be construed to prohibit any licensee from representing
themselves in any hearing before the Board, but any licensee appearing in their own
behalf shall not be relieved of abiding by all rules established for the hearing
proceedings.
Section 14. Attorney General to be Present. In all hearings held upon formal
action brought before the Board, a representative of the Office of the Attorney General of
Wyoming shall appear on behalf of the State, and shall present all evidence, testimony
and legal authority in support of the Notice and Complaint to be considered by the Board.
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Section 15. Record of Proceedings. When the denial, revocation or suspension
of any license or certification is the subject for hearing, it shall be regarded as a contested
case and the proceedings, including all testimony, shall be reported verbatim by a court
reporter or other adequate recording device.
Section 16. Decision, Findings of Fact and Conclusions of Law and Order.
(a) The Board shall, with the assistance of the hearing officer if requested,
following the full and complete hearing, make and enter a written decision and order
containing findings of fact and conclusions of law. The decision and order shall be filed
with the Board and shall, without further action, become the decision and order as a result
of the hearing.
(b) No member, staff or agent of the Board who participated or advised in
the investigation or presentation of evidence at the hearing shall participate or advise in
the decision.
(c) Upon entry and filing, the Board shall mail copies of the decision to
each licensee and attorneys of record.
Section 17. Appeals to District Court. Appeals from Board decisions shall be
taken to the district court having jurisdiction and proper venue in accordance with
applicable statutes and the Wyoming Rules of Appellate Procedure.
Section 18. Transcript in Case of Appeal. In the case of an appeal to the
district court, the appellant shall pay and arrange for the transcript of the testimony. The
transcript shall be verified by the oath of the reporter who took the testimony as a true
and correct transcript of the testimony and other evidence in the case.
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CHAPTER 8
ADVERSE ACTION
Section 1. Board Authorization. The Board is authorized to censure, suspend,
revoke, refuse to renew, impose probationary conditions, or otherwise restrict the license
of any person violating provisions of the Act pursuant to W.S. 33-46-101 et seq.
Section 2. Grounds. In addition to the grounds outlined in W.S. 33-46-103, the
Board may take action for unprofessional conduct.
(a) Unprofessional conduct shall include, but is not limited to:
(i) Suspension, revocation, denial, or other disciplinary action
imposed upon a license held in another jurisdiction. A certified copy of the disciplinary
order shall be conclusive evidence.
(ii) Engaging in the practice of midwifery without a license issued
by this Board.
(iii) Conviction of a felony. A certified copy of the conviction shall
be conclusive evidence.
(iv) Conviction of a misdemeanor involving moral turpitude. A
certified copy of the conviction shall be conclusive evidence.
(v) Renting or lending the license issued pursuant to this act to any
person;
(vi) Gross incompetence or malpractice.
(vii) Mental incompetency.
(viii) Knowingly submitting false information to the Board.
(ix) Addiction or habitual intemperate use of alcohol, drugs and/or
a controlled substance.
(x) Violation and conviction of a charge under W.S. 35-7-1001 et
seq., the Wyoming Controlled Substance Act.
(xi) Sexual exploitation of a client, defined as:
(A) Offering professional services for some form of
sexual gratification; or
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(B) Sexual contact with a client.
(xii) Willful violation of any provisions of this Act, W.S. 33-45-
101, et seq.
(b) Unethical conduct shall be a violation of any provision of the adopted
Standards of Practice as set forth in these Rules.
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CHAPTER 7
PROFESSIONAL RESPONSIBILITY
Section 1. The Practice of a Licensed Midwife. The practice of a licensed
midwife consists of providing primary maternity care that is consistent with a midwife’s
training, education and experience to women and their newborn children throughout the
childbearing cycle, and includes identifying and referring women or their newborn
children who require medical care to an appropriate health professional;
Section 2. Scope and Practice Standards. A licensed midwife must adhere to
the following scope and practice standards when providing antepartum, intrapartum,
postpartum, and newborn care.
(a) NACPM Scope and Practice Standards. The Board adopts the
Essential Documents of the National Association of Certified Professional Midwives as
scope and practice standards for licensed midwives. All licensed midwives must adhere
to these scope and practice standards during the practice of midwifery to the extent such
scope and practice standards are consistent with the Board’s enabling law.
(b) Conditions for Which a Licensed Midwife May Not Provide Care.
A licensed midwife may not provide care for a client with:
(i) A current history of any of the following disorders, diagnoses,
conditions, or symptoms:
(A) Placental abnormality;
(B) Multiple gestations;
(C) Noncephalic presentation at the onset of labor or
rupture of membranes, whichever occurs first, unless birth is imminent;
(D) Birth under thirty-seven (37) weeks or after forty-two
(42) weeks gestational age;
(E) Pre-eclampsia;
(F) Cervical insufficiency; or
(ii) A past history of any of the following disorders, diagnoses,
conditions, or symptoms:
(A) More than one (1) prior cesarean section with no
history of a vaginal birth, a cesarean section within eighteen (18) months of the current
delivery, or any cesarean section that was surgically closed with a classical or vertical
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uterine incision;
(B) Rh or other blood group or platelet sensitization,
hematological or coagulation disorders;
(C) Cervical insufficiency.
(c) Conditions for Which a Licensed Midwife May Not Provide Care
Without Physician Involvement. A licensed midwife may not provide care for a client
with a current history of the disorders, diagnoses, conditions, or symptoms listed herein
unless such disorders, diagnoses, conditions or symptoms are being treated, monitored or
managed by a licensed physician. Before providing care to such a client, the licensed
midwife must notify the client in writing that the client must obtain the described
physician care as a condition to the client’s eligibility to obtain maternity care from the
licensed midwife. The licensed midwife must, additionally, obtain the client’s signed
acknowledgement that the client has received the written notice. The disorders,
diagnoses, conditions, and symptoms are:
(i) Diabetes;
(ii) Thyroid disease;
(iii) Epilepsy;
(iv) Hypertension;
(v) Cardiac disease;
(vi) Pulmonary disease;
(vii) Renal disease;
(viii) Previous major surgery of the pulmonary system,
cardiovascular system, urinary tract or gastrointestinal tract;
(ix) Hepatitis;
(x) HIV positive;
(xi) Anemic with documented hemoglobin at less than nine (9) at
thirty-seven (37) weeks.
(d) Conditions for Which a Licensed Midwife Must Recommend
Physician Involvement. Before providing care for a client with a history of any of the
disorders, diagnoses, conditions or symptoms listed, a licensed midwife must provide
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written notice to the client that the client is advised to see a licensed physician during the
client’s pregnancy. Additionally, the licensed midwife must obtain the client’s signed
acknowledgement that the client has received the written notice. The disorders,
diagnoses, conditions, and symptoms are:
(i) Previous complicated pregnancy;
(ii) Previous cesarean section;
(iii) Previous pregnancy loss in second or third trimester;
(iv) Previous spontaneous premature labor;
(v) Previous preterm rupture of membranes;
(vi) Previous preeclampsia;
(vii) Previous hypertensive disease of pregnancy;
(viii) Prior infection with parvo virus, toxoplasmosis,
cytomegalovirus or herpes simplex virus;
(ix) Previous newborn group B streptococcus infection;
(x) A body mass index of thirty-five (35.0) or greater at the time of
conception;
(xi) Underlying family genetic disorders with potential for
transmission; or
(xii) Psychiatric illness.
(e) Conditions for Which a Licensed Midwife Must Facilitate Hospital
Transfer. A licensed midwife must facilitate the immediate transfer of a client to a
hospital for emergency care if the client has any of the following disorders, diagnoses,
conditions or symptoms:
(i) Maternal fever in labor of more than 100.4 degrees Fahrenheit,
in the absence of environmental factors;
(ii) Suggestion of fetal jeopardy, such as any abnormal bleeding
(with or without abdominal pain), evidence of placental abruption, thick meconium, or
abnormal fetal heart tones with non-reassuring patterns where birth is not imminent;
(iii) Noncephalic presentation at the onset of labor or rupture of
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membranes, whichever occurs first, unless birth is imminent;
(iv) Second stage labor after two (2) hours of initiation of pushing
without adequate progress;
(v) Current spontaneous premature labor;
(vi) Current preterm premature rupture of membranes;
(vii) Current preeclampsia;
(viii) Current hypertensive disease of pregnancy;
(ix) Continuous uncontrolled bleeding;
(x) Bleeding that necessitates the administration of more than two
(2) doses of oxytocin or other antihemorrhagic agent;
(xi) Delivery injuries to the bladder or bowel;
(xii) Seizures;
(xiii) Uncontrolled vomiting;
(xiv) Coughing or vomiting of blood;
(xv) Severe chest pain;
(xvi) Sudden onset of shortness of breath and associated labored
breathing; or
(xvii) Rupture of membranes greater than twenty-four (24) hours
without IV antibiotic treatment or greater than seventy-two (72) hours with IV antibiotic
treatment.
(f) Plan for Emergency Transfer and Transport. When facilitating a
transfer, the licensed midwife must notify the hospital when the transfer is initiated,
accompany the client to the hospital if feasible, or communicate by telephone with the
hospital if the licensed midwife is unable to be present. The licensed midwife must also
ensure that the transfer of care is accompanied by the client’s medical record, which must
include:
(i) The client’s name, address, and next of kin contact
information;
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(ii) A list of diagnosed medical conditions;
(iii) A list of prescription or over the counter medications regularly
taken;
(iv) A history of previous allergic reactions to medications; and
(v) If feasible, the licensed midwife’s assessment of the client’s
current medical condition and description of the care provided by the licensed midwife
before transfer.
Section 3. Record Keeping. Each client record must be retained for a minimum
of ten (10) years after the birth during which time reasonable efforts are to be made to
advise clients of closure of practice or change in record location.
Section 4. Written Informed Consent. The licensee shall provide to the client
written informed consent documents in accordance with W.S. 33-46-103(j)(ii).
(a) The written informed consent to treatment shall include all of the
following:
(i) The licensed midwife's experience and training;
(ii) Instructions for obtaining a copy of rules adopted by the board
pursuant to this act;
(iii) Instructions for obtaining a copy of documents adopted by the
National Association of Certified Professional Midwives that identify the nature of and
standards of practice for responsible midwifery practice;
(iv) Instructions for filing complaints with the board;
(v) Notice of the type and liability limits of professional or
personal liability insurance maintained by the midwife or notice that the midwife does
not carry liability insurance;
(vi) A written protocol for emergencies that is specific for each
individual client, including the following provisions:
(A) Transport to a hospital in an emergency;
(B) Notification of the hospital to which a client will be
transferred upon initiation of the transfer;
(C) Accompaniment of the client to the hospital by the
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midwife, if feasible, or telephone notice to the hospital if the midwife is unable to be
present personally;
(D) Transmission of the client's record to the hospital,
including the client's name, address, list of known medical conditions, list of prescription
or over the counter medications regularly taken, history of previous allergic reactions to
medications, the client's current medical condition and description of the care provided
by the midwife;
(E) Next of kin contact information.
(vii) A description of the procedures, benefits and risks of home
birth, primarily those conditions that may arise during delivery;
(viii) A recommendation to the client that two (2) providers trained
in neonatal resuscitation program be present at delivery.
Section 5. Medication Formulary. During the practice of midwifery a licensed
midwife may obtain and administer the following drugs described in the midwifery
formula, according to the protocol outlined in Appendix A, describing the indication for
use, dosage, route of administration and duration of treatment:
(a) Oxygen;
(b) Oxytocin as a postpartum antihemorrhagic agent;
(c) Misoprostol as a postpartum antihemorrhagic agent;
(d) Methylergonovine (Methergine) as a postpartum antihemorrhagic agent;
(e) Injectable local anesthetic for the repair of lacerations which are no
more extensive than second degree;
(f) Antibiotics for group B streptococcus prophylaxis consistent with the
guidelines set forth in Prevention of Perinatal Group B Streptococcal Disease, published
by the Centers for Disease Control and Prevention;
(g) Epinephrine administered via a metered dose auto-injector;
(h) Intravenous fluids for stabilization of the woman;
(i) Rho(D) immune globulin;
(j) Phylloquinone (Vitamin K1);
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(k) Eye prophylactics for the baby;
(l) Sterile H2O Papules.
Section 6. Obtaining, Storing, and Disposing of Formulary Drugs. A
licensed midwife must adhere to the following protocol for obtaining, storing, and
disposing of formulary drugs during the practice of midwifery.
(a) Obtaining Formulary Drugs. A licensed midwife may obtain
formulary drugs as allowed by law, including, without limitation, from:
(i) A person or entity that is licensed as a Wholesale Distributor
by the Wyoming State Board of Pharmacy; and
(ii) A retail pharmacy, in minimal quantities for office use.
(b) Storing Formulary Drugs. A licensed midwife must store all
formulary drugs in secure areas suitable for preventing unauthorized access and for
ensuring a proper environment for the preservation of the drugs. However, licensed
midwives may carry formulary drugs to the home setting while providing care within the
course and scope of the practice of midwifery. The licensed midwife must promptly
return the formulary drugs to the secure area when the licensed midwife has finished
using them for patient care.
(c) Disposing of Formulary Drugs. A licensed midwife must dispose of
formulary drugs using means that are reasonably calculated to guard against unauthorized
access and harmful excretion of the drugs into the environment. The means that may be
used include, without limitation:
(i) Transferring the drugs to a reverse distributor who is registered
to destroy drugs with the U.S. Drug Enforcement Agency;
(ii) Removing the drugs from their original containers, mixing
them with an undesirable substance such as coffee grounds or kitty litter, putting them in
impermeable, non-descript containers such as empty cans or sealable bags, and throwing
the containers in the trash; or
(iii) Flushing the drugs down the toilet if the accompanying patient
information instructs that it is safe to do so.
Section 7. Newborn Care.
(a) The licensee shall carry the equipment necessary for resuscitation of the
newborn.
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(b) Midwives shall transfer (immediately if indicated) any newborn showing
the following signs to the nearest hospital or pediatric care provider:
(i) Ten (10) minute Apgar score of less than seven (7);
(ii) Signs of a medically significant anomaly;
(iii) Signs of respiratory distress including respiratory rate over
eighty (80) per minute, poor color, grunting, nasal flaring and/or retractions that are not
showing consistent improvement;
(iv) Need for oxygen for more than twenty (20) minutes, or after
one (1) hour following the birth;
(v) Seizures;
(vi) Fontanel full and bulging;
(vii) Significant or suspected birth injury;
(viii) Cardiac irregularities including a heart rate that is consistently
below eighty (80) beats per minute or greater than one hundred sixty (160) beats per
minute; poor capillary refilling (greater than three (3) seconds);
(ix) Pale, cyanotic, gray color;
(x) Lethargy or poor muscle tone;
(xi) Temperature instability;
(xii) Jaundice at less than twenty-four (24) hours;
(xiii) Loss of greater than ten (10) percent birth weight.
(c) All licensees shall comply with the Wyoming Department of Health’s
Newborn Screening requirements stated in W.S. 35-4-801.
(i) Informed consent of parents shall be obtained and if any parent
or guardian of a child objects to a mandatory examination, the child is exempt from
subsection (c).
(d) All licensees shall register births, still births and deaths with the local
registrar of the district in which the occurrence took place within ten (10) days after the
birth pursuant to W.S. 35-1-401 through 431;
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Section 8. Medical Waste. Medical waste (items removed from a private
residence) must be disposed of according to the following protocol:
(a) Containers for Non-Sharp, Medical Waste. Medical waste, except for
sharps, must be placed in disposable containers/bags which are impervious to moisture
and strong enough to preclude ripping, tearing or bursting under normal conditions of
use. The bags must be securely tied so as to prevent leakage or expulsion of solid or
liquid waste during storage, handling or transport. The containment system must have a
tight-fitting cover and be kept clean and in good repair. All bags used for containment of
medical waste must be clearly identified by label or color, or both.
(b) Containers for Sharps. Sharps must be placed in impervious, rigid,
puncture-resistant containers immediately after use. Needles must not be bent, clipped or
broken by hand. Rigid containers of discarded sharps must either be labeled or colored
like the disposable bags used for other medical waste, or placed in such labeled or
colored bags.
(c) Storage Duration. Medical waste may not be stored for more than
seven (7) days, unless the storage temperature is below thirty-two (32) degrees
Fahrenheit. Medical waste must never be stored for more than ninety (90) days.
Section 9. Ethical Standards. The protection of the public health, safety and
welfare and the best interest of the public shall be the primary guide in determining the
appropriate professional conduct of all persons whose activities are regulated by the
Board.
(a) Ethical standards are incorporate and are based on the Standards of
Practice of the NACPM. The published Standards of Practice of the NACPM are
adopted by reference herein as Appendix B and shall be used by the licensee and the
Board to provide additional guidelines to ethical standards. All references to an NACPM
member shall mean the same as a licensed midwife. Where the Standards of Practice of
the NACPM conflict with the Act and/or these rules and regulations, the Act and rules
and regulations shall control.
(b) Persons licensed by the Board shall:
(i) Use the term “Licensed Midwife” and/or the initials LM only
after the applicant is granted licensure by the Board.
(ii) Practice in a manner that is in the best interest of the public and
does not endanger the public health, safety or welfare.
(iii) Be able to justify all services rendered to clients as necessary
for diagnostic or therapeutic purposes.
7-10
(iv) Practice only within the competency areas for which they are
trained and experienced. The licensee must be able to demonstrate to the Board
competency, training, and/or expertise.
(v) Report to the board outcomes of all clients for which they have
provided services at any point during labor or delivery within thirty (30) days after each
birth.
(vi) Report to the Board known or suspected violations of the laws
and regulations governing the practice of licensed professionals.
(vii) Maintain accurate documentation of all professional services
rendered to a client in confidential files for each client and ensure that client records are
kept in a secure, safe, retrievable and legible condition.
(A) The licensee shall make provisions for the retention
and/or release of client records if the licensee is unable to do so. Such provision shall
include the naming of a qualified person who will retain the client records and properly
release the client records upon request.
(viii) Clearly state the person’s licensure status by the use of a title or
initials such as “licensed midwife” (LM) or a statement such as “licensed by the
Wyoming Board of Midwifery” in any advertising, public directory or solicitation,
including telephone directory listings.
(ix) Respond to all requests for information and all other
correspondence from the Board.
(x) Not permit, condone or facilitate unlicensed practice or any
activity which is a violation of the Act or these rules and regulations.
(xi) Not use vacuum extraction or forceps as an aid in the delivery
of a newborn.
(xii) Not perform abortions.
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CHAPTER 6
RENEWAL
Section 1. Biennial Renewal. Licenses may be renewed every two (2) years by
providing the Board with the following:
(a) Complete application for renewal; and
(b) Payment of the renewal fee; and
(c) Verification of having maintained CPM certification from NARM, or
verification of compliance with the continuing education requirements established below.
(d) Approximately sixty (60) days prior to the renewal date the Board may
send a renewal notice to the licensee’s last address of record.
(e) Renewal applications shall not be accepted more than one hundred
twenty (120) days prior to the expiration date.
(f) Renewal applications received by the Board which are postmarked after
the expiration date, or after the next business day in cases when the expiration date falls
on a weekend or holiday, will not be accepted by the Board, and the license will become
null and void for failure to timely and sufficiently secure renewal.
(g) Failure to receive a notice for renewal from the Board does not excuse a
licensee from the requirement for renewal under the Act and these rules.
Section 2. Continuing Education.
(a) Each licensee shall earn a minimum of twenty (20) contact hours of
continuing education during each two (2) year renewal period. Continuing Education
Units (CEUs) in excess of the amount required cannot be carried over for credit in
subsequent reporting periods. CEUs cannot be earned prior to certification. A license
may not be renewed if the holder fails to complete the required number of continuing
education credits.
(b) Every licensee shall verify completion of four (4) hours of CEUs in
pharmacology for the four (4) years immediately preceding their renewal.
(c) Every licensee shall verify completion of a Neonatal Resuscitation
Program within the two (2) years immediately preceding their renewal.
(d) CEUs shall be the actual number of hours during which instruction was
received. A CEU shall consist of not less than fifty (50) minutes of actual instruction or
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presentation. For academic courses, one (1) semester credit equals fifteen (15) CEUs.
One (1) quarter credit equals ten (10) CEUs.
(e) Only those CEUs acquired during the two (2) years immediately
preceding the expiration date will be considered.
(f) Licensees shall maintain copies of any certificates of attendance, letters
certifying attendance, transcripts, or any official documents which serve as proof of
participation or attendance for at least two (2) years from the date submitted for renewal.
(g) Proof of attendance shall contain the activity title, dates, contact hours
attended, sponsor, presenter, qualifications of the presenter, the name of the licensee, and
shall be signed by the sponsor or the presenter.
(h) Licensees are responsible for maintaining their own continuing
education documentation.
Section 3. Acceptable Activities and Subject Matter.
(a) CEUs must relate to midwifery or women’s health including both
allopathic and non-allopathic areas of study.
(b) The Board may accept a course of study for continuing education credit
that does not include the actual physical attendance of the licensed midwife in a face-to-
face setting with the course instructor. Distance learning or independent study courses
will be eligible for continuing education credits if approved by NARM or upon approval
of the Board.
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CHAPTER 4
APPLICATION PROCEDURE
Section 1. General Application Procedures. The Board shall not review an
individual’s credentials prior to receiving a complete application. All applicants must
submit:
(a) A complete official application form accompanied by the application fee
and appropriate proof of legal presence in the U.S.; and
(b) Official verification of current CPM credential sent to the Board directly
from the NARM; and
(c) Two (2) complete finger print cards provided by the Board.
(d) Completion of all requirements for licensure shall be documented within
one (1) year of the date the application was received by the Board, otherwise the application
will be deemed incomplete and closed without further notice.
(e) The Board shall not accept faxed or photocopied documents unless
otherwise specified.
Section 2. Application for Licensure by Reciprocity. In addition to the
documents required in Section 1 of this chapter, the applicant shall request official
verification of licensure in good standing from a jurisdiction where the applicant holds or
has held a license as a midwife.
Section 3. Notification of Applicants and Right of Appeal. If the applicant's
initial application is denied, the reasons for this rejection shall be communicated in
writing. The applicant shall have the right to request reconsideration of the application
materials, and may further request a hearing before the Board in accordance with the
Wyoming Administrative Procedures Act.
Section 4. Issuance of License. Initial licenses shall expire on the second (2nd
)
anniversary of the issue date. Thereafter, upon renewal, the license shall be valid for two
(2) years. The Board shall issue a wall certificate and pocket identification card to the
successful applicant bearing the full name of the holder, license number, date of issuance,
expiration date, and appropriate seal.
Section 5. Change of Name, Address or Telephone Number.
(a) Licensees shall register with the Board any change in their legal name
by submitting documentation demonstrating the change of name, along with the
appropriate fee. A new wall certificate shall be issued by the Board.
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(b) Each applicant and licensee shall file with the Board their current home
and professional mailing addresses and telephone numbers and shall report to the Board
in writing any change of addresses or telephone numbers, giving both old and new
addresses and telephone numbers.
Section 6. Release of Confidential Records. Release of Board records shall be
governed by W.S. 16-4-201 et seq., The Public Records Act.
Section 7. Correction and Amendment. Any applicant or licensee may clarify
erroneous, inaccurate or misleading information in their file by submitting a written
statement to the Board which will be placed in their file.
