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maternal client under 7 AAC 12.446. (b) If the midwife providing midwifery services in a birth center is a
(1) direct-entry midwife, the birth center shall ensure that the direct-entry midwife provides midwifery services in accordance with the requirements of AS 08.65 and 12 AAC 14, and within the scope of practice set out under AS 08.65 and 12 AAC 14; and
(2) certified nurse midwife, the birth center shall ensure that the certified nurse midwife provides midwifery services in accordance with the requirements of AS 08.68 and 12 AAC 44, and within the scope of practice set out under AS 08.68 and 12 AAC 44. (c) The birth center shall ensure that its policies and procedures clearly describe the rights and responsibilities of a client and her family or support person. The birth center shall explain those rights and responsibilities to the client and the client’s family or support person before or upon admission for care. (d) In addition to implementing the client rights set out in 7 AAC 12.890, the birth center shall
(1) inform each client of the right to request transfer to a hospital for care, and advise the client that the birth center will make arrangements for any transfer;
(2) inform each client of the right to refuse transfer if recommended by the midwife, and advise the client that the risks of refusing transfer include maternal or fetal death; the birth center shall document in writing any refusal described in this paragraph; and
(3) provide each client with a written statement, including a glossary of terms, regarding
(A) fees for services and responsibilities for payment;
(B) the established criteria for admission to, and continuation in, the birth center program of care;
(C) the benefits, risks, and eligibility requirements for an out-of-hospital labor and birth;
(D) the services that are provided by the birth center and those that are provided by contract, consultation, or referral;
(E) the identity and qualifications of care providers, consultants, and related services and institutions, including the type of current license or certification held by the midwife providing care;
(F) all diagnostic procedures, reports, recommendations, and treatments;
(G) the birth center’s plan for providing emergency and nonemergency care to the client or newborn if a complication occurs during pregnancy or labor;
(H) the approximate amount of time required to reach the nearest hospital if