Doula Medicaid Project

About the Doula Medicaid Project

The National Health Law Program’s Doula Medicaid Project seeks to improve health outcomes for pregnant Medicaid enrollees by ensuring that all pregnant individuals enrolled in Medicaid who want access to a doula will have one.

Low-income women are at the highest risk of poor birth outcomes in the United States, and women of color, especially Black women, are especially vulnerable. Doula care is among the most promising approaches to combating disparities in maternal health. Women receiving doula care have been found to have improved health outcomes for both themselves and their infants, including higher breastfeeding initiation rates, fewer low-birth weight babies, and lower rates of cesarean sections. Doulas can also help reduce the impacts of racism and racial bias in health care on pregnant women of color by providing individually tailored, culturally appropriate, and patient centered care and advocacy.

We are lawyers, researchers, and policy advocates. We are not doulas. As such, we seek to do all our work in partnership with and with the guidance of community doula groups, doula collectives, and individual doulas, especially Black doulas and Black-led doula groups, as well as doulas and doula groups serving low-income clients.

To achieve the goal of Medicaid coverage of doula care, we are engaged in advocacy work on various fronts, including:

  • Working with doulas and other stakeholders to identify and overcome barriers to creating a sustainable and equitable Medicaid coverage of doula care program;
  • Educating legislators and other stakeholders about the importance of expanding full-spectrum Medicaid coverage of doula care, including doula support for prenatal care, labor/delivery, postpartum care, miscarriage management, and abortion;
  • Information gathering and sharing with states around the country who have proposed legislation relating to Medicaid coverage of doula care; and
  • Advocating for state legislation creating a Medicaid coverage of doula care program, initially in California and then promoted as a model strategy in other states.

If you have any questions or comments, or would like more information, please contact NHeLP Senior Staff Attorney Amy Chen at [email protected].

Learn more about this artwork created by Megan Smith: Watch a short video about the evolution of the design and explore their Repeal Hyde Art Project.

Doula Report

As part of this project, the National Health Law Program is proud to publish our report Building A Successful Program for Medi-Cal Coverage For Doula Care: Findings From A Survey of Doulas in California. The report is the distillation of a survey of doulas across California, as well as a series of focus groups held at four locations across the state.

We hope that this report provides doulas, advocates, agencies, and other stakeholders with the information and insight needed to expand access to doula care in an equitable, inclusive, and sustainable way, both in California and across the nation.

We have also published an assortment of one-page fact sheets intended to introduce advocates, agencies, and other stakeholders to the important work of doulas.

State Bills Relating To Medicaid Coverage of Doula Care

The National Health Law Program is currently tracking state legislation relating to Medicaid coverage of doula care that has been introduced during the current legislative session. We have compiled our information into the chart below, which we hope will be a helpful resource for doulas, advocates, researchers, legislators, and other stakeholders working on this issue. We are doing our best to update this chart on a regular basis.  If you have any corrections, comments, or questions about this chart, please contact NHeLP Health Policy Analyst Alexis Robles-Fradet at [email protected].

 

 

STATEBILL NUMBERTITLE OF BILLAUTHOR or PRIMARY SPONSORDESCRIPTIONSTATUSLAST DATE UPDATEDNOTES
TexasHB 158Relating to Medicaid coverage of doula services.
Rep. Shawn Thierry, Rep. Lacey Hull, Rep. Victoria Neave"Engrossed on May 4 2021 - 50% progression, died in committee
Action: 2021-05-13 - Referred to Health & Human Services"
2021-05-13
New YorkS 362 Includes doulas as medical services providers for Medicaid recipients.Senator Roxanne J Persaud, Senator Andrew Gournardes, Senator Timothy KennedyReferred to Health2021-01-06
MarylandSB 163Maryland Medical Assistance Program - DoulasSenator Arthur EllisHearing 3/30 at 1:30 p.m.2021-03-24
IndianaSB 298Doula ServicesSenator Jean BreauxFirst reading: referred to Committee on Insurance and Financial Institutions2021-01-11
KentuckyHB 266An act relating to maternal healthRep. Attica ScottIntroduced in House to Committee on Committees (H)2021-01-13
New YorkSB 2137Relates to the professional certification of doulasSenator Jessica RamosRecommit, Enacting Clause Stricken2021-01-22
Washington DCB 24-0026Maternal Health Resources and Access Act of 2021Councilmember Christina HendersonPublic Hearing Held2021-03-29
IllinoisHB 0159Health Care & Human ServicesRep. Camille LillyRule 19(a) / Re-referred to Rules Committee2021-03-27See also HB 158
IllinoisHB 354Medicaid - Doula ServicesRep. LaToya GreenwoodRule 19(a) / Re-referred to Rules Committee2021-03-27
ConnecticutHB 6010An Act Concerning The Certification Of Doulas.Rep John HamptonReferred to Join Committee on Public Health
Died in Committee
2021-01-28
KentuckyHB 286An Act relating to Medicaid coverage for doula servicesRep. Attica ScottReferred to to Committee on Committees (H)
Died in Committee
2021-02-02
TennesseeSB 650An Act to amend Tennessee Code Annotated, Title 4; Title 8; Title 56 and Title 71, relative to doulas.Senator Katrina RobinsonAssigned to General Subcommittee of Senate Commerce and Labor Committee2021-04-21See also HB 932
MinnesotaHF 1178Doula certifying organization list modified, and doula registry governing provisions modified.
Rep. Heather EdelsonIntroduction and first reading, referred to Health Finance and Policy
Died in Committee
2021-02-18
IllinoisHB 3539Medicaid-EI & Doula ServicesRep. Maura HirschauerRule 19(a) / Re-referred to Rules Committee2021-03-27
New YorkAB A5247Includes doulas as medical services providers for Medicaid recipientsAssemblywoman Michelle SolagesReferred To Health
2021-02-12
New York AB A5272Requires health insurance policies to include coverage for doula services as required coverage for maternity careAssemblywoman Michelle SolagesReferred To Insurance
2021-02-12
OhioHB 142Regarding Doula ServicesRep Erica CrawleyIn Committee2021-05-05
FloridaSB 1556Maternal Health Care ServicesSenator Audrey GibsonDead/Failed2021-04-30 See also HB 1383
TexasHB 415Relating to doula services, including Medicaid coverage of doula services.Rep. Armando WalleReferred to Public Health2021-02-25
GeorgiaHB 727Medicaid; coverage for doula services provided to an expectant mother; provideRep. Park CannonHouse Second Readers2021-03-09
CaliforniaSB 65Maternal care and services.Senator Nancy SkinnerFrom committee: Do pass and re-refer to Com. on APPR. (Ayes 6. Noes 1.) (June 30). Re-referred to Com. on APPR.2021-07-01
PennsylvaniaSB 360An Act amending the act of June 13, 1967 (P.L.31, No.21), known as the Human Services Code, in public assistance, providing for medical assistance reimbursement for doula services.Senator Judith L. SchwankReferred to HEALTH AND HUMAN SERVICES2021-03-12
MinnesotaSF 2155Certifying organizations for doulas list modifications; doula registry governing provisions modificationsSenator Julia Coleman, Senator Michelle BensonReferred to Health and Human Services Finance and Policy2021-03-17
TexasHB 2685Relating to a pilot program to provide Medicaid coverage for doula services.Rep. Shawn ThierryReferred to Human Services2021-03-17
New JerseyAB 5534Requires DOH to establish doula registry and requires doula registration in order to practice doula care.Rep. Valerie Huttle & Rep. Angela McKnightWithdrawn from Consideration2021-05-05
MassachusettsHB 2372An Act relative to Medicaid coverage for doula servicesRep Liz Miranda & Rep Lindsay Sabadosa
Referred to the committee on Public Health2021-03-29
MassachusettsSB 1475An Act relative to Medicaid coverage for doula servicesSenator Joan B. LovelyReferred to the committee on Public Health2021-03-29
North CarolinaSB 393Analysis Doula Supp. Services/Medicaid CovSenator Natalie Murdock, et al.Ref To Com On Rules and Operations of the Senate2021-03-31

The National Health Law Program is currently tracking state legislation relating to Medicaid coverage of doula care that has been introduced during the current legislative session. We have compiled our information into the chart below, which we hope will be a helpful resource for doulas, advocates, researchers, legislators, and other stakeholders working on this issue. We are doing our best to update this chart on a regular basis.  If you have any corrections, comments, or questions about this chart, please contact NHeLP Health Policy Analyst Alexis Robles-Fradet at [email protected].

STATEBILL NUMBERTITLE OF BILLAUTHOR or PRIMARY SPONSORDESCRIPTIONSTATUSLAST DATE UPDATED
MarylandSB 110Maryland Medical Assistance Program - DoulasArthur EllisFirst Reading Finance1/8/2020
VirginiaSB 946State plan for medical assistance; doulasMamie Locke & Jennifer McClellanContinued to 2021 in Finance and Appropriations (15-Y 0-N)2/4/2020
ArizonaHB 2670Doulas; voluntary certificationKelly Townsend
Senate Read Second Time3/3/2020
TennesseeHB 1847
TennCare - As introduced, requires doula services to be provided to certain recipients of TennCare; requires the doula services be performed by a person who has received certain certification.London LamarTaken off notice for cal in s/c TennCare Subcommittee of Insurance Committee3/11/2020
Rhode IslandSB 2124
AN ACT RELATING TO HUMAN SERVICES -- MEDICAL ASSISTANCE -- PERINATAL DOULA SERVICES (Provides for medical assistance health care for expectant mothers and establishes medical assistance coverage and reimbursement rates for perinatal doula services.)Maryellen GoodwinFailed12/31/2020
VirginiaHB 29Budget BillLuke E TorianChapter 1283 (Final budget as adopted)4/24/2020
WashingtonSB 6168
Budget BillBraun RolfesGovernor partially vetoed. Chapter 357, 2020 Laws PV. Effective Date 4/03/20204/3/2020
IllinoisHB 5226Medicaid-Maternal HLTHMary FlowersFailed12/31/2020
CaliforniaAB 2258Doula care: Medi-Cal Pilot ProgramEloise Reyes
From Committee without further action (Failed)11/30/2020
MinnesotaSB 3060Doulas listed on the registry of certified doulas certifying organization modificationMelisa FranzenReferred to Health and Human Services Finanace Policy2/13/2020
MinnesotaHB 3165Doula certifying organization list modified to be listed on certified doulas registryHeather EdelsonFailed5/17/2020
MarylandHB 1067Doulas - Technical Assistance Advisory Group and CertificationJheanelle WilkinsHearing 3/06/20202/10/2020
Maryland SB 914Doulas - Doula Technical Assistance Advisory Group and CertificationClarence LamHearing 3/10/20202/7/2020
VirginiaHB 687Doulas; certification registryLashrecse Aird Governor Approved4/06/2020
New JerseySB 1910Directs DOH to develop standardized perinatal health curriculum for community health workers.Nilsa Cruz-PerezIntroduced & Referred to Senate Health, Human Services and Senior Citizens Committee2/24/2020
Massachusetts H 4448An Act to reduce racial disparities in maternal healthKay Khan, Liz MirandaNew draft substituted, see H48186/29/2020
LouisianaHB 502Provides for health insurance coverage for maternity services provided by doulasMatthew WillardRead by title, under the rules, referred to the Committee on Insurance03/09/2020
ConnecticutSB 395An Act concerning the establishment of the doula advisory council and doula certificationJohn HamptonFailed5/6/2020
VirginiaHB 826State plan for medical assistance; payment for services provided by certified doulas.Jennifer Carrol FoyApproved by Governor4/7/2020
New YorkSB 7977Relates to the Chrisholm Chance Act; repealerZellnor MyrieReferred to Health Committee3/6/2020
OhioSB 328To Require Medicaid to Cover Doula ServicesTina MaharathReferred to Committee on Health11/7/2020
North CarolinaSB 732Create Medicaid Access to Doula ServicesSenators Natalie Murdock; Joyce Waddel; Natasha Marcus Referred to Committee on Rules and Operations of the Senate5/14/2020
Michigan0965Human services; medical services; coverage for doula services; requireErika GeissReferred to Committee on Health Policy and Human Services6/10/2020
MassachusettsH 1182An Act relative to Medicaid coverage for doula services.Liz Miranda, Lindsay SabadosaAccompanied a new draft, see H47806/15/2020
MassachusettsH 4780An Act relative to Medicaid coverage for doula services.Liz Miranda; Lindsay Sabadosa; Nika Elugardo, et al.Bill reported favorably by committee and referred to the committee on House Ways and Means6/15/2020

The National Health Law Program is currently tracking state legislation relating to Medicaid coverage of doula care that has been introduced during the current legislative session. We have compiled our information into the chart below, which we hope will be a helpful resource for doulas, advocates, researchers, legislators, and other stakeholders working on this issue. We are doing our best to update this chart on a regular basis. If you have any corrections, comments, or questions about this chart, please contact NHeLP Health Policy Analyst Alexis Robles-Fradet at [email protected].

STATEBILL NUMBERTITLE OF BILLAUTHOR or PRIMARY SPONSORDESCRIPTIONSTATUSLAST DATE UPDATED
ArizonaHB2605Doulas; voluntary certificationRep. Kelly Townsend House Read 2nd Time2/13/2019
ConnecticutSB 1078An Act Concerning Doula Certification and Medicaid Reimbursement for Doula ServicesSen. Martin Looney, Sen. Robyn PorterFavorable Report, Calendar #6195/17/2019
IllinoisHB 0004Medicaid-Doula ServicesRep. LaToya Greenwood
Re-referred to Rules Committee5/31/2019
IllinoisSB 1909
Health Pregnancy/PostpartumSen. Cristina Castro Re-referred to Rules Committee6/28/2019
IndianaSB 416
Medicaid Coverage for doula services. Provides that Medicaid pregnancy services may include reimbursement for doula servicesSen. Jean Breaux, Sen. Ed Charboneneau, Sen. Jean Leising, et al.Passed & Signed4/18/2019
MassachusettsH 1182
An Act relative to Medicaid coverage for doula services.Rep. Liz Miranda, Rep. Lindsay SabadosaHearing scheduled for 09/10/2019 from 01:00 PM-05:00 PM in B-18/28/2019
New JerseyAB 4932
Establishes perinatal episode of care pilot program in MedicaidRep. Gabriela Mosquera, Rep. Adam Taliaferro, Rep. Daniel Benson, et al.Substituted by SB 33653/25/2019
New JerseySB 3365
Establishes perinatal episode of care pilot program in MedicaidSen. Nellie Pou, Sen. Joseph Cryan, Rep. Gabriella Mosquera, et al. Passed 5/8/2019
New JerseySB 1784
Provides Medicaid Coverage for Doula CareSen. Loretta Weinberg, Sen. Nia Gill, Rep. Eliana Marin, et al.Passed 5/8/2019
New YorkA 04408
Includes doulas as medical services providers for Medicaid recipientsAssemblywoman Michaelle C. Solages Referred to Health & Same as SB S56562/4/2019
New YorkS 3344
Relates to the professional certification of doulasSen. Jessica RamosReturned to Assembly Passed Senate 3rd Reading
CAL.243 Substituted for S 3344B
6/18/2019
New YorkSB S5656Includes doulas as medical services providers for Medicaid recipientsSen. Roxanne Persaud
In Senate Committee5/10/2019
Rhode IslandSB 678

Medical Assistance: Perinatal Doula ServicesSen. Ana Quezada, Sen. Bridget Valverde, Sen. Melissa Murray, et al.Referred to House Finance6/28/2019
TexasHB 4301

Relating to Medicaid coverage of doula services.Rep. Armando WalleReferred to Human Services3/25/2019
VermontH 219
An act relating to Medicaid coverage for doula servicesRep. Diana Gonzalez
Rep. Barbara Rachelson
Referred to the Committee on Health Care2/13/2019
WashingtonEngrossed Substitute HB 1109
WA State Health Care Authority Budget
Code Title: Doula Services
Program Title: Maternity Support Services Program
Jim SmithPassed5/21/2019
Washington D.C.B23-0341Perinatal Health Worker Training Access Act of 2019CNC. Robert White, Mary Cheh, Anita Bonds, et al.Notice of Intent to Act on B23-0341 Published in the D.C. Register6/21/2019
Washington D.C.B23-0632Maternal Health Care Improvement and Expansion Act of 2019CNC. Charles Allen et al.Introduced6/25/2019
WisconsinWI State Budget ItemHealthy Women, Healthy Babies State Budget Initiative Tony Evers4/21/2019

Enacted State Bills Relating To Medicaid Coverage of Doula Care

 

STATEBILL NUMBERTITLE OF BILLAUTHOR or PRIMARY SPONSORDESCRIPTIONSTATUSLAST DATE UPDATEDNOTES
New JerseySB 1784Provides Medicaid Coverage for Doula CareSen. Loretta Weinberg, Sen. Nia Gill, Rep. Eliana Marin, et al.• Medicaid coverage of doula care (Replaced AB 1662)
• From the bill summary: This bill provides for the expansion of the State Medicaid program to include coverage for doula care. A doula is a trained professional who provides physical, emotional, and educational support, but not medical care, to mothers before, during, and after childbirth.
Passed2019-05-08
IndianaSB 416Medicaid Coverage for doula services. Provides that Medicaid pregnancy services may include reimbursement for doula servicesSen. Jean Breaux, Sen Ed Charboneneau, Sen. Jean Leising, et al.• Medicaid coverage of doula care.
• May apply for a SPA or waiver to implement
Passed2019-04-18
OregonSPA 17-0006State Plan Amendmentn/a• See SPAPassed2017See HB 3311
MinnesotaSPA 14-007State Plan Amendmentn/a• See SPAPassed2014See bothSF 699
& SF 2087
NevadaAB 256AN ACT relating to Medicaid...Rep. Shondra Summers-Armstrong, et al.• AN ACT relating to Medicaid; requiring the State Plan for Medicaid to provide coverage of doula services to the extent authorized by federal law; requiring the Department of Health and Human Services to apply for a waiver or State Plan amendment to receive federal funding for coverage of doula services; requiring any person who desires to provide doula services to a recipient of Medicaid to enroll with the Division of Health Care Financing and Policy of the Department; requiring an enrolled doula to report the abuse of certain persons; and providing other matters properly relating thereto.
Passed2021-06-04
NevadaSB 420/ Ch. 537Revises provisions relating to health insurance. Sen. Nicole Cannizzaro, et al.• Requiring the State Plan for Medicaid to include coverage for the services of a community health worker and doula services; revising provisions relating to coverage of services for pregnant women under MedicaidPassed2021-06-09
IllinoisHB 158AN ACT concerning healthRep. Camille Y. Lilly, et al.• Notwithstanding any other provision of this Article, perinatal doula services and evidence-based home visiting services shall be covered under the medical assistance program, subject to appropriation, for persons who are otherwise eligible for medical assistance under this Article. Perinatal doula services include regular visits beginning in the prenatal period and continuing into the postnatal period, inclusive of continuous support during labor and delivery, that support healthy pregnancies and positive birth outcomes. Perinatal doula services may be embedded in an existing program, such as evidence-based home visiting. Perinatal doula services provided during the prenatal period may be provided weekly, services provided during the labor and delivery period may be provided for the entire duration of labor and the time immediately following birth, and services provided during the postpartum period may be provided up to 12 months postpartum.
• the Department shall consider the expertise of and consult with doula program experts, doula training providers, practicing doulas, and home visiting experts, along with State agencies implementing perinatal doula services and relevant bodies under the Illinois Early Learning Council. This body of experts shall inform the Department on the credentials necessary for perinatal doula and home visiting services to be eligible for Medicaid reimbursement and the rate of reimbursement for home visiting and perinatal doula services in the prenatal, labor and delivery, and postpartum periods. Every 2 years, the Department shall assess the rates of reimbursement for perinatal doula and home visiting services and adjust rates accordingly.
Passed2021-04-27
ArizonaSB 1181/ Ch. 282Doulas; voluntary certificationSen. Kelly Townsend"• A. A person may apply to the director for a certificate to practice as a state-certified doula on a form prescribed by the director and shall furnish the information required by the director.
B. The director shall grant a certificate to a doula who:
1. Meets the qualifications prescribed by this article and rules adopted pursuant to this article.
2. Pays the applicable fees. The director shall prescribe by rule a sliding fee scale for all fees required by this article and rules adopted pursuant to this article.
3. Possesses a valid fingerprint clearance card issued pursuant to title 41, chapter 12, 3.1.
C. A doula certificate is valid for three years and may be renewed every three years by applying to the director and paying the applicable fees.
D. A person shall file an application for renewal at least thirty days and not more than ninety days before the date the current doula certificate expires. A state-certified doula must complete fifteen hours of related continuing education and submit documentation of completion with the renewal application.
• The Director shall:
1. Outline the scope of practice and the core competencies of state-certified doulas regarding the skills and areas of knowledge that are essential to expand health and wellness, to reduce health disparities and to promote culturally relevant practices within diverse communities.
2. Describe and define reasonable and necessary minimum qualifications, including those prescribed in section 36-766.03.
3. Adopt standards and requirements to establish state-certified doula education and training programs in this state.
4. Adopt standards to approve or accept continuing education courses for renewing state-certified doula certificates.
5. Establish criteria for granting, denying, suspending and revoking state-certified doula certificates in order to protect the public health and safety.
B. The director may consult with subject matter experts from an integrated public health program at a higher education institution located in this state regarding the development of rules prescribed by this section."
Passed2021-04-26
Rhode IslandHB 5929Medical Assistance -- Perinatal Doula ServicesRep. Marcia Ranglin-Vassell, et al."• As used in this section, “doula” or “perinatal doula” means a trained professional providing continuous physical, emotional, and informational support to a pregnant individual, from antepartum, intrapartum, and up to the first twelve (12) months of the postpartum period. Doulas also provide assistance by referring childbearing individuals to community-based organizations and certified and licensed perinatal professionals in multiple disciplines.
• ""Every individual or group health insurance contract, or every individual or group hospital or medical expense insurance policy, plan, or group policy delivered, issued for delivery, or renewed in this state on or after July 1, 2022, shall provide coverage for the services of perinatal doulas in accordance with each health insurers' insurer's respective principles and mechanisms of reimbursement, credentialing, and contracting, if the services are within the perinatal doulas' area of professional competence as defined by the doula certification standard developed and maintained by the Rhode Island certification board in collaboration with the department of health, and are currently reimbursed when rendered by any other health care provider. No insurer or hospital or medical service corporation may require supervision, signature, or referral by any other health care provider as a condition of reimbursement, except when those requirements are also applicable to other categories of health care providers. No insurer or hospital or medical service corporation or patient may be required to pay for duplicate services actually rendered by both a perinatal doula and any other health care provider.""
• Every individual or group health insurance contract, or every individual or group hospital or medical expense insurance policy, plan, or group policy delivered, issued for delivery, or renewed in this state that is required to cover perinatal doula services as defined in subsections (a) and (b) of this section, shall report utilization and cost information related to perinatal doula services to the office of the health insurance commissioner on or before July 1, 2023, and each July 1 thereafter. The office of the health insurance commissioner shall define the utilization and cost information required to be reported."
Passed2021-07-09
Rhode IslandS 484Medical Assistance -- Perinatal Doula ServicesSen. Ana Quezada, et al.• As used in this section, “doula” or “perinatal doula” means a trained professional providing continuous physical, emotional, and informational support to a pregnant individual, from antepartum, intrapartum, and up to the first twelve (12) months of the postpartum period. Doulas also provide assistance by referring childbearing individuals to community-based organizations and certified and licensed perinatal professionals in multiple disciplines.
• Every individual or group health insurance contract, or every individual or group hospital or medical expense insurance policy, plan, or group policy delivered, issued for delivery, or renewed in this state on or after July 1, 2022, shall provide coverage for the services of perinatal doulas in accordance with each health insurer's respective principles and mechanisms of reimbursement, credentialing, and contracting, if the services are within the perinatal doulas' area of professional competence as defined by the doula certification standard developed and maintained by the Rhode Island certification board in collaboration with the department of health, and are currently reimbursed when rendered by any other health care provider. No insurer or hospital or medical service corporation may require supervision, signature, or referral by any other health care provider as a condition of reimbursement, except when those requirements are also applicable to other categories of health care providers. No insurer or hospital or medical service corporation or patient may be required to pay for duplicate services actually rendered by both a perinatal doula and any other health care provider.
• Every individual or group health insurance contract, or every individual or group hospital or medical expense insurance policy, plan, or group policy delivered, issued for delivery, or renewed in this state that is required to cover perinatal doula services as defined in subsections (a) and (b) of this section, shall report utilization and cost information related to perinatal doula services to the office of the health insurance commissioner on or before July 1, 2023, and each July 1 thereafter. The office of the health insurance commissioner shall define the utilization and cost information required to be reported.
Passed2021-07-07
LouisianaHB 190/ Serv Act 182Provides relative to maternity services of midwives and doulasRep. Matthew Willard, et al."• The legislature hereby creates within the Louisiana Department of Health the Louisiana Doula Registry Board, hereafter referred to in this Section as the “doula registry board”, for the purpose of reviewing and approving doula registration to allow for health insurance reimbursement of doula services.
• The doula registry board shall create the criteria for the registration application, review submitted doula registration applications, and grant registration status to doulas seeking health insurance reimbursement to promote safe and equitable care for every mother and every birth in this state.
• For purposes of this Section, “doula” means an individual who has been trained to provide physical, emotional, and educational support, but not medical or midwifery care, to pregnant and birthing women and their families before, during, and after childbirth.
• The doula registry board shall perform all of the following tasks:
(1) Review applications for doulas to register to receive health insurance reimbursement in Louisiana.
(2) Approve applications to designate registered doula status.
(3) Notify applicants of approval or denial of doula registration status.
(4) Maintain a statewide registry of doulas approved for health insurance reimbursement in Louisiana."
Passed2021-06-11
WashingtonSB 5092Making 2021-2023 fiscal biennium operating appropriations.By Senate Ways & Means (originally sponsored by Senators Rolfes, Wilson, L., and Wilson, C.• As it relates to doulas: Within the amounts appropriated in this section, the authority shall reimburse for maternity services provided by doulas. The authority and the department of health must consult with stakeholders and develop methods to secure approval from the centers for medicare and medicaid services for reimbursement for doulas. Passed2021-05-18
MinnesotaHB 33Omnibus health and human services bill.Rep. Tina Liebling, et al.• As it relates to doula care: This bill seeks to establish a group with the commissioner of health, patient groups, and culturally based community organization to identify barriers to obtaining doula services, promote racial, ethnic, and language diversity in the doula workforce. Explore ways to ensure that doula training and education are culturally competentPassed2021-06-21

Federal Bills Relating to Medicaid Coverage for Doula Care

The National Health Law Program is currently tracking federal legislation relating to Medicaid coverage of doula care that has been introduced during the current legislative session. We have compiled our information into the chart below, which we hope will be a helpful resource for doulas, advocates, researchers, legislators, and other stakeholders working on this issue. We are doing our best to update this chart on a regular basis. If you have any corrections, comments, or questions about this chart, please contact NHeLP Health Policy Analyst Alexis Robles-Fradet at  [email protected]

 

 

The National Health Law Program is currently tracking federal legislation relating to Medicaid coverage of doula care that has been introduced during the current legislative session. We have compiled our information into the chart below, which we hope will be a helpful resource for doulas, advocates, researchers, legislators, and other stakeholders working on this issue. We are doing our best to update this chart on a regular basis. If you have any corrections, comments, or questions about this chart, please contact NHeLP Health Policy Analyst Alexis Robles-Fradet at [email protected].

BILL NUMBERTITLE OF BILLAUTHOR or PRIMARY SPONSORDESCRIPTIONSTATUSLAST DATE UPDATED
S.Res 479Designating January 23, 2020 As Maternal Awareness DaySen. Cory BookerDesignating January 23, 2020 As Maternal Awareness DayIntroduced1/27/20
H.Res 853Recognizing the maternal health crisis in the United States and the importance of reducing mortality and morbidity among all women, and honoring mothers.McEachinIntroduced2/12/2020
H.Res 826Expressing disapproval of the Trump administration's harmful actions towards MedicaidRep. Marc VeaseyResolved, That it is the sense of the House of Representatives that-

(1) the illegal actions taken by the Trump administration to undermine the Medicaid program, including beneficiary protections, are a cruel attack on a program that provides for the health and well-being for some of our most vulnerable citizens;

(2) the Trump administration should immediately withdraw its illegal block grant guidance and cease its campaign to undermine and weaken Medicaid; and

(3) the Trump administration should uphold its responsibility to faithfully execute the law, including the Medicaid Act, and cease any and all efforts that threaten the care of the millions of Americans who rely on Medicaid.
Motion to reconsider laid on the table Agreed to without objection2/06/2020

The National Health Law Program is currently tracking federal legislation relating to Medicaid coverage of doula care that has been introduced during the current legislative session. We have compiled our information into the chart below, which we hope will be a helpful resource for doulas, advocates, researchers, legislators, and other stakeholders working on this issue. We are doing our best to update this chart on a regular basis. If you have any corrections, comments, or questions about this chart, please contact NHeLP Health Policy Analyst Alexis Robles-Fradet at [email protected].

BILL NUMBERTITLE OF BILLAUTHOR or PRIMARY SPONSORDESCRIPTIONSTATUSLAST DATE UPDATED
S 1343MOMMIES ActSen. Cory Booker• To amend titles XIX and XXI of the Social Security Act to improve Medicaid and the Children's Health Insurance Program for low-income mothers.
• Enhancing Medicaid and CHIP benefits for low-income pregnant women, including:
• Extending the 60-day period of coverage to 365-day period of coverage,
• Oral health coverage for pregnant and postpartum women,
• Enhanced FMAP,
• Reapplication of Medicare payment rate floor to primary care services furnished under Medicaid and inclusion of additional providers,
• MACPAC report and CMS guidance on Medicaid coverage for doula care, and GAO report on Medicaid programs' use of telemedicine to increase maternity care access.
Introduced5/7/2019
HR 2602Healthy MOMMIES ActRep. Ayanna Pressley• To amend titles XIX and XXI of the Social Security Act to improve Medicaid and the Children's Health Insurance Program for low-income mothers.
• Integrates perinatal support services including community health workers, doulas, social workers, public health nurses, peer lactation counselors, childbirth educators, and others, into health care entities and organizations.
• Provides financial incentives for health care professionals, including community health workers and community-based doulas who participate in the the State's maternity care home model.
• Provides adequate training for community health workers, doulas, and care coordinators who participate in the State's maternity care home model, which may include training for cultural competency, racial bias, health equity, reproductive and birth justice, home visiting skills, and respectful communication and listening skills, particularly in regards to maternal health.
Referred to House Committee on Energy and Commerce5/8/2019
HR 2751Mamas First ActRep. Gwen Moore• To amend title XIX of the Social Security Act to provide coverage under the Medicaid program for services provided by doulas and midwives, and for other purposes.
• Defines doula as certified by an organization (established for a minimum of 5 years), completing continuing education, who provides non-medical advice, information, emotional support, and physical comfort during such individual's pregnancy, childbirth, and postpartum period.
Referred to House Committee on Energy and Commerce5/15/2019
H.R. 3344Opportunities to Support Mothers and Deliver Children ActRep. Gwen Moore•To provide grants for the conduct of demonstration projects designed to provide education and training for eligible individuals to enter and follow a career pathway in the field of pregnancy or childbirth, under the health profession opportunity grant program under section 2008 of the Social Security Act.Referred to House Committee on Ways and Means6/19/2019
S 1600Maternal CARE ActSen. Kamala Harris• To support States in their work to end preventable morbidity and mortality in maternity care by using evidence-based quality improvement to protect the health of mothers during pregnancy, childbirth, and in the postpartum period and to reduce neonatal and infant mortality, to eliminate racial disparities in maternal health outcomes, and for other purposes.
• Implicit Bias training grants: Focused on providing training programs for health professionals on reducing implicit bias. Priority is given to obstetrics and gynecology.
• Pregnancy Medical Home Demonstration Project: Establishes a demonstration project to assist 10 states in implementing and sustaining a pregnancy medical home (PMH) program. This is to incentivize providers to deliver integrated health care services to pregnant and postpartum women. This includes doulas, other community health workers, and community organizations.
• National Academy of Medicine study and recommendations for incorporating bias recognition in clinical skills testing in U.S. medical schools.
Read twice and referred to the Committee on Health, Education, Labor, and Pensions5/22/2019
HR 4243Rural Maternal and Obstetric Modernization of Services ActRep. Xochitl Torres Small• To amend the Public Health Service Act to improve obstetric care in rural areas.
• Rural Obstetric Network Grants: establish a collaborative improvement and innovation networks to improve outcomes in birth and maternal morbidity and mortality with $3,000,000 for each of the fiscal years 2020 through 2024.
• Telehealth Network and Telehealth Resource Centers Grant Programs
• Rural Maternal and Obstetric Training Demonstration: establish training demonstration program to award grants to eligible entities to supporttraining for physicians, medical residents, including family medicine and obstetrics and gynecology residents, and fellows to practice maternal and obstetric medicine in rural community-based settings; training for licensed and accredited nurse practitioners, physician assistants, certified nurse midwives, certified midwives, certified professional midwives, home visiting nurses, or non-clinical professionals such as doulas and community health workers, to provide maternal care services in rural community-based settings; and establishing, maintaining, or improving academic units or programs that provide training for students or faculty, including through clinical experiences and research, to improve maternal care in rural areas; or develop evidence-based practices or recommendations for the design of the units or programs, including curriculum content standards.
• GAO Report: No later than 1 year after the date of enactment of this Act, the Comptroller General of the United States shall submit to the appropriate committees of Congress a report on the maternal, including prenatal, labor and birth, and postpartum care in rural areas
Referred to the House Committee on Energy and Commerce9/09/2019

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