§ 18.5. Collaborative agreements.

 (a)  A midwife may not engage in midwifery practice without having entered into a collaborative agreement.

 (b)  A midwife shall only engage in midwifery practice in accordance with a midwife protocol and collaborative agreements.

 (c)  A collaborative agreement shall contain either an acknowledgment that the midwife shall practice under the midwife protocol, or that the midwife shall practice under the midwife protocol as expanded or modified in the collaborative agreement.

 (d)  Expansions and modifications of the midwife protocol agreed to by the midwife and the collaborating physician shall be set forth, in detail, in the collaborative agreement.

 (e)  If the collaborating physician intends to authorize the midwife to relay to other health care providers medical regimens prescribed by that physician, including drug regimens, that authority, as well as the prescribed regimens, shall be set forth in the collaborative agreement.

   The provisions of this §  18.5 amended under section 2 of the act of April 4, 1929 (P. L. 160, No. 155) (63 P. S. §  172); and sections 8 and 35(a) of the Medical Practice Act of 1985 (63 P. S. § §  422.8 and 422.35(a)).

   The provisions of this §  18.5 adopted January 2, 1987, effective immediately and applies retroactively to December 31, 1986, 17 Pa.B. 24; amended May 19, 1989, effective May 20, 1989, 19 Pa.B. 2161. Immediately preceding text appears at serial page (114029).