Peer review requirements; license renewal

(a) Beginning June 30, 2029, each midwife shall, as a condition of license renewal: (1) Participate in a Hawaii-based peer review during each triennium subject to the requirements of section 624-25.5; (2) Attest that the midwife has completed a peer review for a minimum of five of the midwife's clinical cases from the prior triennium, and if the intended place of birth of the clinical case presented was not a birth facility, the midwife shall complete that clinical case peer review with at least two midwives licensed in the State who were not involved in the clinical cases under review; and (3) Attest that the midwife has completed a peer review within ninety days of any case that includes conditions outside of the midwife's scope of practice; uterine rupture; or maternal or neonatal hospitalization for infection, blood transfusion, intensive care unit admission, infant failure to thrive, neonatal Apgar Score of less than seven at five minutes, emergent transfer of care, or mortality. (b) If the midwife has served fewer than five clients in the prior triennium, the requirements of subsection (a)(2) may be waived upon a determination by the department; provided that if the requirements of subsection (a)(2) are waived, the midwife shall participate in the review of five cases of another midwife practicing in the State. (c) The midwife shall receive written confirmation of participation in a Hawaii-based peer review process and shall maintain copies of the midwife's participation records.