Section 115.112 - Termination of the Midwife-Client RelationshipA midwife shall terminate care of a client only in accordance with this section unless a transfer of care results from an emergency situation.
(1) Once the midwife has accepted a client, the relationship is ongoing and the midwife cannot refuse to continue to provide midwifery care to the client unless: (A) the client has no need of further care;(B) the client terminates the relationship; or(C) the midwife formally terminates the relationship.(2) The midwife may terminate care for any reason by:(A) providing a minimum of 14 days written notice, during which the midwife shall continue to provide midwifery care;(B) making an attempt to tell the client in person and in the presence of a witness of the midwife's wish to terminate care and the date that care will be terminated;(C) providing a list of alternate health care providers; and(D) documenting the termination of care in midwifery records.(3) If a client elects not to accept a non-emergency transfer, the midwife shall: (A) terminate the midwife-client relationship; or(B) manage the client in collaboration with a physician or another licensed health care professional who has current obstetric or pediatric knowledge and who is working under the supervision and delegation of a physician.16 Tex. Admin. Code § 115.112
Adopted by Texas Register, Volume 41, Number 25, June 17, 2016, TexReg 4477, eff. 10/1/2016; Amended by Texas Register, Volume 44, Number 15, April 12, 2019, TexReg 1855, eff. 5/1/2019