Current through Register Vol. 35, No. 18, September 24, 2024
A.
Licensure
requirements: A CNM practicing in New Mexico shall hold an active
license that meets the New Mexico board of nursing's requirement to practice as
a registered nurse in New Mexico and shall hold current certification by AMCB
or its designee. The department may deny licensure, including renewal,
reinstatement, or reactivation of licensure, to a CNM whose midwifery or
nursing license has been subject to disciplinary action in any jurisdiction. If
denied due to disciplinary action, re-application will only be considered after
a minimum of one year from date of initial denial, and the re-application must
be accompanied by full disclosure and complete record of previous actions. A
CNM license is not transferable.
B.
Initial licensure:
(1) An
applicant for licensure to practice as a CNM in New Mexico shall submit to the
department via the electronic professional licensing management system:
(a) a completed application;
(b) proof of holding a valid license that
meets the New Mexico board of nursing's requirement to practice as a registered
nurse in New Mexico;
(c) proof of
current certification by AMCB or its designee;
(d) the fee designated in Subsection E of
16.11.2.9 NMAC.
(2) An initial CNM license may be
issued at any time upon submission and verification of the materials required
in Paragraph (1) of this subsection and shall expire on the last day of the
month of the CNM's birth month. A CNM license shall be valid for a maximum of
two years.
(3) If the licensure
process is not completed, the application becomes null and void one year after
the date of application being received, and fees paid are not
refundable.
(4) If a license is
denied due to disciplinary action on initial application, the applicant may
reapply after one year and upon meeting all the requirements under Subsection B
of 16.11.2.9 NMAC.
(5) Any final action denying a license to an
applicant is an event reportable to the NPDB.
C.
Licensure renewal:
(1) A CNM's renewed license shall expire on
the last day of the month of the CNM's birth month of the second year after it
is issued.
(2) An applicant for
licensure renewal shall submit to the department via the electronic
professional licensing management system:
(a)
a completed application electronically submitted by the fifth day of the month
of the expiration of the CNM license;
(b) proof of holding a valid license that
meets the requirement of the New Mexico board of nursing to practice as a
registered nurse in New Mexico for the period the renewed CNM license will
cover;
(c) proof of current
certification by AMCB or its designee;
(d) proof of having met the continuing
education and quality management requirements in Paragraphs (3) and (4) of this
subsection; and
(e) the fee
designated in Subsection E of this section;
(f) an additional fee designated in
Subsection E of this section for applications electronically submitted after
the fifth day of the month after the license is expiring.
(3) Continuing education: CNMs must complete
a minimum of 30 contact hours during the two years preceding license renewal.
(a) 15 of the contact hours shall be
pharmacology-related. As part of the pharmacology-related contact hours, a CNM
who holds a CNM license shall submit with the first license renewal application
proof of completing a minimum of five contact hours on any of the following
topics:
(i) the CNM rule as it applies to
management of chronic pain,
(ii)
the pharmacology and risks of controlled substances,
(iii) the problems of substance use disorder
and addiction, or
(iv) state and
federal regulations for the prescription of controlled substances.
(b) With each subsequent license
renewal application, a CNM shall submit proof of completing a minimum of two
contact hours on the above topics.
(c) A minimum of two of the contact hours
shall be focused on health equity. Acceptable content includes but is not
limited to:
(i) Implicit bias training to
identify strategies to reduce bias during assessment, diagnosis, and care. This
may include, but is not limited to training in bias, racism, and poverty, that
manifest as health inequities.
(ii)
Development of individual and system level interventions and self-reflection to
assess how the CNM's social position can influence their relationship with
clients and their communities.
(iii) Skills to enable a health care
professional to care effectively for clients from diverse cultures, groups, and
communities and apply health equity concepts into practices.
(d) The following options, subject
to audit and approval by the department, may be accepted in place of continuing
education contact hours, except for the pharmacology-related contact hours
requirement:
(i) preparation and presentation
of a nurse-midwifery topic that has received contact hour approval by any of
the organizations listed in Subsection C of
16.11.2.10 NMAC, will count for
twice the number of contact hours for which the presentation is approved with a
maximum award of 15 contact hours per licensure period; the same presentation
cannot be credited more than once;
(ii) sole or primary authorship of one
nurse-midwifery related article published in a department-approved professional
medical or midwifery journal may be accepted in place of 10 contact hours per
licensure period;
(iii) completion
of a formal university or college course directly related to nurse-midwifery
practice; each university or college unit shall be credited as 15 hours of
continuing education for a semester system and 10 hours of continuing education
for a quarter system; and
(iv)
acting as preceptor for a midwifery student; each 10 hours of precepting shall
be credited as one continuing education hour, with maximum award of 10 contact
hours; verification shall be provided by an accreditation commission for
midwifery education (ACME) accredited nurse-midwifery education program or can
be verified by a division-approved form. This option shall not be accepted in
place of pharmacology-related contact hours.
(4) Quality management: documentation of
participation during the preceding two years in a system of quality management
meeting the approval of the department is required for license renewal. Quality
management includes peer review, quality assurance and quality improvement as
defined in Subsection S of
16.11.2.7 NMAC, Subsection W of
16.11.2.7 NMAC, and Subsection X
of 16.11.2.7 NMAC.
(5) If license renewal is denied, the
applicant may request an administrative hearing under the terms set forth by
Paragraph (5) of Subsection C of
16.11.2.12 NMAC.
D.
Reactivation of a CNM
license:
(1) A lapsed license occurs
on the first day of the following month following the expiration date of the
current license if license not renewed on time, and a CNM must apply for
reactivation of the license, paying all added fees before being allowed to
practice. A CNM may not work with a lapsed license or disciplinary action will
be taken.
(2) The requirements for
reactivation of a CNM license that has voluntarily lapsed in status or for an
applicant that is returning to New Mexico are the same as those for license
renewal, listed in Paragraph (2) of Subsection C of
16.11.2.9 NMAC, except the
applicant must pay the additional fee for reactivation pursuant to Subsection F
of 16.12.2.9 NMAC.
(3) The license will be reactivated with the
original license number.
E.
Reinstatement of a CNM
license:
(1) The requirements for
reinstatement of a revoked or suspended CNM license are the same as those for
license renewal, listed in Paragraph (2) of Subsection C of
16.11.2.9 NMAC, except that the
fee is higher than a renewal, as designated in Subsection F of
16.11.2.9 NMAC.
(2) The license will be reinstated with the
original license number.
F.
Fees: the department shall
charge applicants the following fees for licensure services:
(1) two hundred dollars ($200) for initial
licensure;
(2) one hundred dollars
($100) for license renewal;
(3) one
hundred and fifty dollars ($150.00) late fee for renewing a license when the
complete application is not electronically submitted by the fifth calendar day
of the month of the current license's expiration date or for voluntary lapse of
a license; this fee is in addition to the renewal fee;
(4) two hundred dollars ($200.00) for
reinstatement of a revoked or suspended license, or reactivation of a lapsed
license; this fee is in addition to the renewal fee;
(5) twenty-five dollars ($25.00) for
verifying licenses by FAX or letter;
(6) fifty dollars ($50.00) for rejected
electronic payment for insufficient funds.
G.
Change of address or other contact
information: a CNM shall submit a change of any contact information to
the department's electronic professional licensing management system within 30
days of the change; failure to update information within this time frame may
result in disciplinary action.