Massachusetts General Laws Part I. Administration of the Government (Ch. 1-182) Ch. 111, § 51M

(i) a detailed and written plan on the premises for transfer of a client to a nearby hospital providing obstetrical and newborn services as needed for emergency treatment beyond that provided by the birth center;

(ii) policies and procedures to ensure coordination of ongoing care and transfer when complications occur that render the patient ineligible for birth center care during the antepartum, intrapartum or postpartum period;

(iii) an administrative director responsible for implementing and overseeing the operational policies of the birth center;

(iv) a director of clinical affairs on staff who shall be a certified nurse-midwife, licensed certified professional midwife or physician licensed to practice in the commonwealth whose professional scope of practice includes preconception, prenatal, labor, birth and postpartum care and early care of the newborn and who may be the primary attendants during the perinatal period; and

(v) birth attendants that are certified nurse-midwives, licensed certified professional midwives, physicians or other providers licensed to practice in the commonwealth whose professional scope of practice includes preconception, prenatal, labor, birth and postpartum care and early care of the newborn and who may be the primary attendants in accordance with their professional scope of practice.