Military Service Members, Veterans, and Spouses - For more information about obtaining a TDLR license or renewing a TDLR license that expired while serving on active duty, please go to the Military Outreach page.

The Midwives program regulates licensed midwives and approved midwifery education courses. The Texas Midwifery Act defines midwifery as providing the necessary supervision, care, and advice to a woman during normal pregnancy, labor, and the postpartum period; conducting a normal delivery of a child; and providing normal newborn care from birth through the first six weeks of life.

To practice midwifery in Texas, an individual must hold a current license issued by the Texas Department of Licensing and Regulation (TDLR). For information concerning Certified Nurse-Midwives (CNMs), who are not regulated by TDLR, contact either the Texas Board of Nursing or the American College of Nurse-Midwives. For information concerning licensing and regulation of birthing centers, contact the Department of State Health Services’ Facility Licensing Group.

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News and Updates

Midwives Educational Summit

The Texas Department of Licensing and Regulation hosted a summit on January 7, 2019 in Austin. The agenda is posted online. The summit is archived on TDLR's YouTube channel.

TDLR Health Monitor - December 2018 Edition

Articles in this December 2018 edition of The Health Monitor include updates on:

  • the upcoming Texas legislative session
  • administrative rules for orthotists and prosthetists program and podiatry program
  • prescription pads and prescription monitoring requirements for podiatrists
  • upcoming conferences and meetings
  • federal guidelines on over-the-counter hearing aids
  • guidelines for applicants with criminal convictions

The TDLR Health Monitor is a quarterly newsletter that provides news and information about TDLR’s medical and health-related programs. Archives of past editions of the TDLR Health Monitor can be viewed here.

Informed Choice and Disclosure Form

TDLR has revised and updated the Licensed Midwives Informed Choice and Disclosure Form. The form includes a new requirement to provide information to prospective clients on hospital transfer.

The form is available online in English and Spanish at: https://www.tdlr.texas.gov/midwives/mwvforms.htm

Question: The new Informed Choice and Disclosure Statement Form only includes two spaces for me to list the hospitals to which I will transfer a specific client. What if there are more than two hospitals that I might transfer my client to?

Answer: If you need more space, please attach a separate page to the form listing the hospitals to which you might transfer a specific client, and then discuss the information with that client.

Please note: this list should not be a generic list of all hospitals in the area – it should be tailored to the planned birth location of each specific and individual midwifery client.

Midwives: One Year Update

In 2015, the Texas Legislature passed Senate Bill 202, which transferred the Midwives program from the Department of State Health Services to the Texas Department of Licensing & Regulation (TDLR).

The program transfer took place in October 2016. As part of our mission to deliver improved services at a lower cost to Texans, TDLR reduced processing and administrative fees for each online transaction and reduced the following fees for the Midwives program:

Midwives DSHS Fee TDLR Fee $ Reduced % Reduced
Criminal History Evaluation Letter $50 $25 $25 50%

We’ve also reduced the word count in the Midwives program administrative rules to make them clear, concise, and easier to read--without impacting their effectiveness:

Midwives DSHS Rules TDLR Rules Word Difference % Reduced
Administrative Rules Word Count 20,099 7,696 12,403 62%

At TDLR, one of our core values is open and free communication. During this first year, the 3,786 Midwives program email subscribers were contacted 17 times (64,362 emails delivered) so that we could share information about meetings, rule changes, licensing, and more. In addition, all interested parties were welcomed at six public meetings of the Midwives Advisory Board.

TDLR is delivering on our promise to promote transparency and accountability, protect the health and safety of all Texans, and eliminate unnecessary barriers to doing business.  We look forward to serving you for many years to come, and always appreciate any feedback at: cs.midwives@tdlr.texas.gov

Important Information for Healthcare Facilities Seeking to Use Out-Of-State Healthcare Providers to Assist with Hurricane Harvey Disaster Response

On September 3, in accordance with Sections 418.016 and 418.171 of the Texas Government Code, Governor Greg Abbott temporarily suspended all necessary statutes and rules to allow a healthcare professional licensed and in good standing in another state to practice in various facilities in Texas to assist with disaster response operations for Hurricane Harvey. Read More >>

The suspension allows a healthcare provider who holds a license, certificate, or other permit issued by another state jurisdiction satisfying qualifications for professional, mechanical, or other skills to render aid in this state to meet an emergency or disaster.

This suspension is in effect until terminated by the Office of the Governor or until the Hurricane Harvey disaster declaration is lifted or expires.

For the healthcare provider types listed below, a healthcare facility must submit to the Texas Department of Licensing and Regulation (TDLR) by email each out-of-state provider’s name, license type, state of licensure, and license identification number to: Harvey@tdlr.texas.gov

TDLR licenses the following healthcare providers:

  • Athletic Trainers
  • Dietitians
  • Dyslexia Therapists and Practitioners
  • Hearing Instrument Fitters and Dispensers
  • Midwives
  • Orthotists and Prosthetists
  • Podiatrists
  • Speech-Language Pathologists and Audiologists

If you have questions or need assistance, please call (800) 803-9202 between 7:00 a.m. and 6:00 p.m. CDT or email Harvey@tdlr.texas.gov.

Proposed Changes to Administrative Rules

The Texas Department of Licensing and Regulation proposes amendments, new rules and repeals to the Midwives program rules (16 Texas Administrative Code, Chapter 115, §§115.1, 115.70, 115.100, 115.112 - 115.115, 115.117, 115.118, and 115.119; new rule §115.111; and repeal of existing §115.90 and §115.111). The proposed rules implement House Bill 2886 (H.B. 2886) and House Bill 4007 (H.B. 4007), 85th Legislature, Regular Session (2017).

The proposed rules are published in the September 28, 2018, issue of the Texas Register (43 TexReg 6426). The Department will accept comments on the proposal until October 29, 2018.

The Department encourages anyone interested in the Midwives program to review the rule proposal. Comments may be submitted by email to erule.comments@tdlr.texas.gov.

Vacancies on Midwives Advisory Board

The Texas Department of Licensing and Regulation (Department) announces a vacancy on the Midwives Advisory Board (Board) established by Texas Occupations Code, Chapter 203. The pertinent rules may be found in 16 Texas Administrative Code Chapter 55. The purpose of the Midwives Advisory Board is to provide advice and recommendations to the department on technical matters relevant to the administration of this chapter. This announcement is for: (1) one public Member-Parent with at least one child born with the assistance of a midwife.

The Board consists of nine members appointed by the presiding officer of the commission, with the approval of the commission. The advisory board consists of the following members:

(1) five licensed midwives each of whom has at least three years' experience in the practice of midwifery;

(2) one physician who is certified by a national professional organization of physicians that certifies obstetricians and gynecologists;

(3) one physician who is certified by a national professional organization of physicians that certifies family practitioners or pediatricians; and

(4) two members who represent the public and who are not practicing or trained in a health care profession, one of whom is a parent with at least one child born with the assistance of a midwife.

Members serve staggered terms of six years. The terms of three members expire on January 31 of each odd-numbered year. This announcement is for the nine positions listed above. Interested persons should submit an application on the Department website at: https://www.tdlr.texas.gov/AdvisoryBoard/login.aspx. Applicants can also request an application from the Department by telephone (800) 803-9202, fax (512) 475-2874 or e-mail advisory.boards@tdlr.texas.gov.

Enforcement Penalties Updates

The Texas Commission of Licensing and Regulation (Commission) provides this public notice that at their regularly scheduled meeting held March 1, 2017, the Commission adopted the Texas Department of Licensing and Regulation’s (Department) revised enforcement plan which was established in compliance with Texas Occupations Code, §51.302(c).

The enforcement plan gives all license holders notice of the specific ranges of penalties and license sanctions that apply to specific alleged violations of the statutes and rules enforced by the Department. The enforcement plan also presents the criteria that are considered by the Department’s Enforcement staff in determining the amount of a proposed administrative penalty or the magnitude of a proposed sanction. The enforcement plan is revised to include the penalty matrix for the Midwives program.

The Texas Legislature enacted Senate Bill 202 (S.B. 202), 84th Legislature, Regular Session (2015), which transferred regulatory authority of 13 programs, to include the Midwives program from the Texas Department of State Health Services to the Commission and Department. The Midwives penalty matrix provides for a single range of penalties to eliminate confusion and allow the industry to fully understand the penalties assessed. The matrix separates standard of care violations from the others to allow for an expert witness, when needed, to assist the Department in understanding the violation. This penalty matrix may differ slightly from others as the agency focuses on aligning strategic plan goals with agency resources.

The Midwives Advisory Board recommended approval of the revised matrix at their meeting held January 25, 2017. The penalty matrix was presented to the Commission on March 1, 2017, and was adopted as recommended. The Commission also requested the Midwives Advisory Board meet to discuss an issue raised during the adoption of the penalty matrix.

A copy of the revised enforcement plan is posted on the Department’s website and may be downloaded at www.tdlr.texas.gov/enforcement.htm.  You may also contact the Enforcement Division at (512) 539-5600 or by e-mail at enforcement@tdlr.texas.gov to obtain a copy of the revised plan.

This agency hereby certifies that this notice been reviewed by legal counsel and found to be a valid exercise of the agency's legal authority.

Filed with the Office of the Secretary of State on March 27, 2017.

Advisory Board Meetings

Midwives Educational Summit - January 7, 2019

The Texas Department of Licensing and Regulation hosted a summit on January 7, 2019 in Austin. The agenda is posted online. The summit is archived on TDLR's YouTube channel.

January 8, 2019 Meeting

The Midwives Advisory Board met January 8, 2019 in Austin. The agenda and the staff reports are available online. The meeting was archived and is available on TDLR's YouTube channel.

Previous Meeting - May 14, 2018

The Midwives Advisory Board met May 14, 2018 in Austin. The agenda and the staff reports are available online. The meeting was archived and is available on TDLR's YouTube channel.