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Monday, November 9, 2026Nov 9

Alabama Department of Public Health proposes physician oversight for birthing centers

Midwife supporters sign in at the Statehouse in Montgomery, Ala., to advocate on legislation. (AP File Photo/Rob Carr)
Midwife supporters sign in at the Statehouse in Montgomery, Ala., to advocate on legislation. (AP File Photo/Rob Carr) Midwife supporters sign in at the Statehouse in Montgomery, Ala., to advocate on legislation. (AP File Photo/Rob Carr)

The Alabama Department of Public Health is gathering public comments on a proposed set of rules that would require birthing centers to have oversight by a physician or medical director.

The rules would also require birthing centers to be within 30 minutes of a hospital with OB-GYN services.

“The real central issue that has generated debate is whether the model of care in freestanding birthing centers should require physician oversight directly or not — just tangential physician involvement — that’s been particularly a concern,” said Dr. Scott Harris, the state health officer.

(READ MORE: Tennessee attorney general steers energy toward pregnancy center fundraising)

A birthing center serves as a specialized health care facility that follows a midwifery and wellness approach. Birthing centers are distinct from hospitals, operating independently, according to the American Association of Birth Centers.