While finalizing a large health insurance bill, State Senator John Loudon slipped in a phrase allowing provision of service by any person with a "tocological certification." He did not explain to his peers that this phrase, referring to childbirth, would legalize the practice of midwifery in the state. The bill passed both houses, was signed by the governor, and Senator Loudon was quickly removed as chair of the Small Business, Insurance and Industrial Relations Committee for his action. More:
A stealth bill has legalized midwifery in Missouri — for now
Mo. Governor Enacts Midwives Law as Part of Insurance Bill
Mo. Senator Loses Leadership Post After Sneaking Midwifery Into Health Bill