Is Home Births Legal in Nebraska After the 2026 Law Changes?

Yes, home births are legal in Nebraska, but compliance hinges on adherence to state statutes and local health department oversight. Nebraska Revised Statute § 71-2401 permits licensed midwives to attend home births, while unlicensed practitioners face criminal penalties under § 38-2001. The Nebraska Department of Health and Human Services (DHHS) enforces midwifery licensure through the Midwifery Practice Act, requiring certification from the Nebraska Midwifery Board. Recent 2026 compliance shifts mandate mandatory reporting of home birth outcomes to DHHS within 30 days, aligning with CDC surveillance protocols.


Key Regulations for Home Births in Nebraska

  • Licensure Requirement: Only Certified Professional Midwives (CPMs) licensed by the Nebraska Midwifery Board may legally attend home births. Unlicensed individuals risk prosecution under § 38-2001 for practicing medicine without a license.
  • Transport Plan Mandate: Licensed midwives must maintain a written emergency transport plan, including agreements with nearby hospitals, per DHHS Rule 177-002. Failure to comply may result in licensure suspension.
  • Reporting Obligations: Midwives must submit birth certificates and maternal/newborn health data to DHHS within 30 days, per § 71-601. Non-compliance triggers audits under the Nebraska Vital Statistics Act.