Office of Direct-Entry Midwifery Registration: News

Direct-Entry Midwives' Permanent Rulemaking Hearing - February 21, 2020

The Office of Direct-Entry Midwifery Registration will hold a Permanent Rulemaking Hearing to offer the last chance for public comment and testimony before the Director considers adopting the proposed new Rule 1.23, to implement House Bill 19-1174 (HB19-1174). This new legislation establishes disclosure requirements to cover persons regarding the potential effects of receiving emergency or nonemergency services from an out-of-network provider.

Current Rule

  • A Copy of HB19-1174 is available for download. The proposed new Rule 1.23 is currently undergoing revisions to incorporate stakeholder feedback and will be provided no later than Friday, February 14, 2020. 

Meeting Information

  • Friday, February 21, 2020, at 3:00 P.M.

​Ways to Participate

  • In-Person: Civic Center Plaza, 1560 Broadway, Room 100A (1st Floor), Denver, CO 80202
  • By Webinar: Register Here
  • Submit Comments: Testimony will be taken from participants who are present in-person or participating via webinar. If you cannot make the hearing in-person or wish to make written comments rather than speaking, you may email your written comments to by Wednesday, February 19, 2020.

Meeting Format

Stakeholders will be able to participate in the hearing, as this is the last chance for public testimony or comments before the Director considers whether or not to adopt the proposed new rule. If you have any questions or concerns, please send them to

 New Surprise/Balance Billing Disclosure Form

As part of the implementation of House Bill 19-1174 Out-of-network Surprise Billing, the Division of Professions and Occupations is providing a sample disclosure form that meets the requirements of the bill and associated Rules adopted by the Division's Director.

Disclosure form 

Joint Stakeholder Meeting – January 28, 2020

The Office of Acupuncture Licensure, the Office of Athletic Trainer Licensure, the Office of Audiology Licensure, the Office of Direct-Entry Midwifery Registration, the Office of Hearing Aid Provider Licensure, the Office of Massage Therapy Licensure, the Office of Naturopathic Doctor Registration, the Office of Occupational Therapy, the Office of Respiratory Therapy Licensure, the Office of Surgical Assistant and Surgical Technologist Registration, and the Office of Speech-Language Pathology Certification held another Joint Stakeholder Meeting on January 28, 2020, to receive additional input on the implementation of Colorado House Bill 19-1174 (HB19-1174). This legislation establishes disclosure requirements to covered persons about the potential effects of receiving emergency or nonemergency services from an out-of-network provider or at an out-of-network facility. 

Sunset Review Underway

The Colorado Office of Policy, Research and Regulatory Reform is conducting a sunset review of the Office of Direct-Entry Midwifery Registration. Analysis in a sunset review is performed to determine whether the regulatory program is necessary and should be continued, modified or eliminated. This review will produce a report with recommendations to the Colorado General Assembly and result in subsequent legislation based on the recommendations in the report. Your input is an important component of a successful sunset review. If you would like to submit comments online, please visit COPRRR's website at    

New 2019 Legislation

On May 6, 2019, Governor Jared Polis signed SB 19-201 Open Discussions About Adverse Health Care Incidents. This new law creates the "Colorado Candor Act” and establishes a process for the communication between a patient and a healthcare provider or health facility after an adverse health care incident. Under the new law, if an adverse health care incident occurs, a health care provider involved with the incident, either individually or jointly with the facility involved, may request that the patient enters into an open discussion concerning the incident. The request must include certain components listed in the law. 

If an offer of compensation is made, the new law requires certain processes for payment and financial resolution to be followed. If a health care provider or health facility determines that no offer of compensation is warranted, the health care provider or health facility shall orally communicate that decision with the patient.

A health care provider or facility may provide de-identified information about an adverse health care incident to any patient safety centered nonprofit organization.