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HB2688Introduced in the House

NURSE PRACTICE ACT MIDWIVES

Passed

Introduced by Yolanda Morris, District 9

What does this bill do?

Plain-English breakdown

Writing a plain-English summary of this bill… this can take a few seconds the first time.

Official description

Amends the Nurse Practice Act. Makes changes in provisions concerning definitions. In provisions concerning written collaborative agreements, provides that, in the case of home birth services provided by a certified nurse midwife, a written collaborative agreement may permit, but shall not prohibit, a certified nurse midwife to provide home birth services within the scope of the certified nurse midwife's training and experience. Provides that, if a collaborating physician does not provide home birth services, home birth services may be provided by a certified nurse midwife working under a written collaborative agreement with the collaborating physician if the services are provided in a federal primary care Health Professional Shortage Area with a Health Professional Shortage Area score greater than or equal to 12 or a maternity care desert. Provides that an advanced practice registered nurse certified as a nurse midwife may provide out-of-hospital birth services in a licensed birth center without a written collaborative agreement if the advanced practice registered nurse certified as a nurse midwife is granted clinical privileges for out-of-hospital birth services by the clinical director of the birth center. Provides that a physician shall not be liable for the acts or omissions of an advanced practice registered nurse solely on the basis of having signed a collaborative agreement, an order, a standing medical order, a standing delegation order, or another order or guideline authorizing an advanced practice registered nurse to perform certain acts, unless the physician has reason to believe that the advanced practice registered nurse lacked the competency to perform the act or acts or committed willful and wanton misconduct. Removes provisions concerning definitions; prescriptive authority; and full practice authority. Makes other changes.

Where it stands

Public Act . . . . . . . . . 104-0244

August 15, 2025

How did lawmakers vote?

House votes

3 recorded votes · each counted separately

Senate votes

2 recorded votes · each counted separately

SenateStage: Motion in Senate · May 22, 2025

57

Yes

1

No

1

Absent or Not Voting

59 senators recorded in this Senate vote. Colors show vote categories only, not whether a vote was good or bad.

What do people think?

Citizen Voice

How would you vote on this bill?

An unofficial public opinion poll. It does not affect the bill or the official vote.

One response per device. Location is self-reported and not verified. Results are informal and not a scientific survey.

See how each senator voted

SenatorDistrictVote
Javier Cervantes1Yes
Omar Aquino2Yes
Mattie Hunter3Yes
Kimberly Lightford4Yes
Lakesia Collins5Yes
Sara Feigenholtz6Yes
Mike Simmons7Yes
Ram Villivalam8Yes
Laura Fine9Yes
Robert Martwick10Yes

Bill history

  1. Filed with the Clerk by Rep. Anna Moeller

  2. First Reading

  3. Referred to Rules Committee

  4. Added Co-Sponsor Rep. Adam M. Niemerg

  5. Added Co-Sponsor Rep. Chris Miller

  6. Added Co-Sponsor Rep. Brad Halbrook

  7. Assigned to Health Care Licenses Committee

  8. House Committee Amendment No. 1 Filed with Clerk by Rep. Anna Moeller

  9. House Committee Amendment No. 1 Referred to Rules Committee

  10. Do Pass / Short Debate Health Care Licenses Committee; 014-000-000

  11. House Committee Amendment No. 1 Tabled

  12. Placed on Calendar 2nd Reading - Short Debate

  13. House Floor Amendment No. 2 Filed with Clerk by Rep. Anna Moeller

  14. House Floor Amendment No. 2 Referred to Rules Committee

  15. House Floor Amendment No. 2 Rules Refers to Health Care Licenses Committee

  16. House Floor Amendment No. 2 Recommends Be Adopted Health Care Licenses Committee; 014-000-000

  17. Second Reading - Short Debate

  18. Held on Calendar Order of Second Reading - Short Debate

  19. Added Chief Co-Sponsor Rep. Kelly M. Cassidy

  20. Chief Co-Sponsor Changed to Rep. Kelly M. Cassidy

  21. Chief Sponsor Changed to Rep. Yolonda Morris

  22. House Floor Amendment No. 2 Adopted

  23. Placed on Calendar Order of 3rd Reading - Short Debate

  24. Third Reading - Short Debate - Passed 114-000-000

  25. Added Co-Sponsor Rep. Joyce Mason

  26. Added Chief Co-Sponsor Rep. Camille Y. Lilly

  27. Added Chief Co-Sponsor Rep. Suzanne M. Ness

  28. Added Chief Co-Sponsor Rep. Anna Moeller

  29. Added Co-Sponsor Rep. Tracy Katz Muhl

  30. Added Co-Sponsor Rep. Laura Faver Dias

  31. Added Co-Sponsor Rep. Maura Hirschauer

  32. Added Co-Sponsor Rep. Debbie Meyers-Martin

  33. Added Co-Sponsor Rep. Kimberly Du Buclet

  34. Added Co-Sponsor Rep. Dagmara Avelar

  35. Added Co-Sponsor Rep. Nicolle Grasse

  36. Added Co-Sponsor Rep. Lilian Jiménez

  37. Added Co-Sponsor Rep. Sharon Chung

  38. Added Co-Sponsor Rep. Lisa Davis

  39. Added Co-Sponsor Rep. Natalie A. Manley

  40. Added Co-Sponsor Rep. Sonya M. Harper

  41. Added Co-Sponsor Rep. Amy Briel

  42. Added Co-Sponsor Rep. Jehan Gordon-Booth

  43. Added Co-Sponsor Rep. Hoan Huynh

  44. Arrive in Senate

  45. Placed on Calendar Order of First Reading

  46. Chief Senate Sponsor Sen. Lakesia Collins

  47. First Reading

  48. Referred to Assignments

  49. Assigned to Licensed Activities

  50. Do Pass Licensed Activities; 007-000-000

  51. Placed on Calendar Order of 2nd Reading May 6, 2025

  52. Second Reading

  53. Placed on Calendar Order of 3rd Reading May 8, 2025

  54. Added as Alternate Co-Sponsor Sen. Celina Villanueva

  55. Added as Alternate Co-Sponsor Sen. Robert Peters

  56. Added as Alternate Co-Sponsor Sen. Adriane L. Johnson

  57. Added as Alternate Co-Sponsor Sen. Rachel Ventura

  58. Added as Alternate Co-Sponsor Sen. Michael W. Halpin

  59. Added as Alternate Co-Sponsor Sen. Mark L. Walker

  60. Added as Alternate Co-Sponsor Sen. Mike Porfirio

  61. Added as Alternate Co-Sponsor Sen. Mike Simmons

  62. Added as Alternate Co-Sponsor Sen. Emil Jones, III

  63. Added as Alternate Co-Sponsor Sen. Graciela Guzmán

  64. Added as Alternate Co-Sponsor Sen. Sara Feigenholtz

  65. Added as Alternate Co-Sponsor Sen. Javier L. Cervantes

  66. Added as Alternate Co-Sponsor Sen. Karina Villa

  67. Added as Alternate Co-Sponsor Sen. Mary Edly-Allen

  68. Added as Alternate Co-Sponsor Sen. Robert F. Martwick

  69. Placed on Calendar Order of 3rd Reading **

  70. Third Reading - Passed; 057-001-000

  71. Passed Both Houses

  72. Sent to the Governor

  73. Governor Approved

  74. Effective Date January 1, 2026

  75. Public Act . . . . . . . . . 104-0244

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