Midwives Frequently Asked Questions

General

  1. Is licensure required?
  2. How can I find a list of all Texas licensed midwives, with addresses?
  3. 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 2 hospitals that I might transfer my client to?
  4. Where can I find a birth record for a person delivered by a midwife?

Fees

  1. What are the fees?

Applying for a New License

  1. What are the basic education requirements for licensure?
  2. Can I attend midwifery school in Texas?

Written Examination

  1. Will the written exam process or requirements change?

Jurisprudence Examination

  1. Will the jurisprudence exams be administered in the same way?
  2. I took the jurisprudence exam for my DSHS license. Do I have to retake the jurisprudence exam?
  3. Am I required to take the Jurisprudence exam for every renewal?

License Renewal

  1. What are my renewal requirements?
  2. Am I required to take the Jurisprudence exam for every renewal?
  3. Should I wait to submit my license renewal application until after I have completed my continuing education?
  4. My license has expired. How long do I have to renew my license?
  5. How do I renew my license?

Continuing Education

  1. Will the continuing education process or requirements change?
  2. Should I wait to submit my license renewal application until after I have completed my continuing education?

Criminal History

  1. Does my criminal history make me ineligible for licensure?

Communication

  1. How do I stay informed about changes impacting me?

General

1. Is licensure required?
Yes. In order for an individual to legally practice midwifery in Texas, she/he must be currently licensed by TDLR.

2. How can I find a list of all Texas licensed midwives, with addresses?

The list is posted here https://www.tdlr.texas.gov/LicenseSearch/licfile.asp. It is updated every day.

3. 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 2 hospitals that I might transfer my client to?

If you need more space, please note "see attached" on the form and attach a separate page 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.

4. Where can I find a birth record for a person delivered by a midwife?

If you are seeking birth records for someone delivered by a Texas midwife, please contact the Bureau of Vital Statistics of the Texas Department of State Heath Services.

Fees

1. What are the fees?

All fees paid to TDLR are nonrefundable.

  • Application fee--$275
  • Renewal fee--$550 for each two-year renewal period
  • 90 days late renewal fee--$825
  • More than 90 days late renewal fee--$1,100
  • Duplicate license fee--$20
  • Retired midwife renewal fee--$275
  • Retired midwife reinstatement fee--$275
  • Jurisprudence examination fee--$35
  • Education course initial application fee--$150
  • Education course site visit fee--$500
  • Criminal History Fee--$25

Applying for a New License

1. What are the basic education requirements for licensure?

  • Successful completion of a MEAC- accredited course; or
  • Successful completion of a basic midwifery education course approved by TDLR; or
  • Certified Professional Midwife (CPM) certification by NARM

2. Can I attend midwifery school in Texas?

Yes. TDLR has approved three midwifery education programs in Texas:

Written Examination

1. Will the written exam process or requirements change?
No, the written exam will continue to be a national exam administered by the North American Registry of Midwives.

Jurisprudence Examination

1. Will the jurisprudence exams be administered in the same way?
The fee for the jurisprudence exam will now be $34 (one dollar less than at DSHS). The jurisprudence exams will continue to be administered by eStrategy Solutions, Inc. and the fee will still be payable to eStrategy Solutions, Inc.

2. I took the jurisprudence exam for my DSHS license. Do I have to retake the jurisprudence exam?
No, if you took the DSHS jurisprudence exam to receive your initial license, you will not need to retake it. However, if your profession requires you to retake the jurisprudence exam for license renewal, you will take the new TDLR version of the jurisprudence exam, which is based on the law and the TDLR rules for your profession. Midwives licensees must successfully complete the jurisprudence exam every other renewal.

3. Am I required to take the Jurisprudence exam for every renewal?
No. Proof of passing the jurisprudence examination is required once every four years.

License Renewal

1. What are my renewal requirements?
A renewal application and fee are required to renew licensure, completion of 20 hours of continuing education, current CPR certification, current certification for neonatal resuscitation from the American Academy of Pediatrics and proof of completion of the Jurisprudence Exam, if applicable.

2. Am I required to take the Jurisprudence exam for every renewal?
No. Proof of passing the jurisprudence examination is required once every four years.

3. Should I wait to submit my license renewal application until after I have completed my continuing education?
Yes. Your license will not be renewed until all requirements have been completed.

4. My license has expired. How long do I have to renew my license?
TDLR allows late renewal up to 18 months. If your license has been expired for less than three (3) years, you may submit a written appeal to the Executive Director and request extended late renewal.

5. How do I renew my license?

The best way to renew your license is to renew online. You may complete the renewal application, attach documents needed for renewal, and pay the renewal fee online. Scan the following items and attach them to your online renewal:

  1. proof of completion of at least 20 contact hours of approved midwifery education since March 1 of the previous two-year renewal period;
  2. proof of a current CPR certification for health care providers from one of the following:
    1. the American Heart Association;
    2. equivalent certification for the professional rescuer from the Red Cross;
    3. equivalent certification for healthcare and professional rescuer from the National Safety Council; or
    4. equivalent certification issued by any provider of CPR certification for health care providers currently accepted by the Department of State Health Services' Office of EMS/Trauma Systems Coordination;
  3. proof of current certification for neonatal resuscitation, §§1 - 4, from the American Academy of Pediatrics; and
  4. proof of passing the jurisprudence examination approved by the department in the four years preceding renewal.

Additionally, you will be asked if you have completed the human trafficking prevention training course, required under Occupations Code, Chapter 116, from a HHSC-approved provider. For more information on this course, please visit our webpage on Human Trafficking Prevention Training for Health Care Practitioners.

TDLR strongly encourages you to take advantage of the opportunity to renew online. The process is secure and easy to use – and faster than submitting paper-based applications and supporting documents, especially as TDLR deals with significant staffing issues related to COVID-19. If you must mail your renewal application, please mail your documents and fee to TDLR:

TDLR
P.O. Box 12157
Austin, TX 78711-2157

Continuing Education

1. Will the continuing education process or requirements change?
No, the continuing education process and requirements remain the same.

2. Should I wait to submit my license renewal application until after I have completed my continuing education?
Yes. Your license will not be renewed until all requirements have been completed.

Criminal History

1. Does my criminal history make me ineligible for licensure?
If you are worried your criminal history could prevent you from getting this license, Texas allows you to have your criminal history evaluated before submitting your application and non-refundable fees. Visit the Criminal History Evaluation Letter page for more information and to download the necessary forms.

Communication

1. How do I stay informed about changes impacting me?
Sign up for email updates to receive the latest news and information.