Current State of Doula Medicaid Implementation Efforts in November 2022

Executive Summary

The National Health Law Program’s Doula Medicaid Project has been tracking doula Medicaid implementation efforts since 2019. As of November 2022, there are now more than half of all states that are either actively providing Medicaid coverage for doula care, in the process of implementing such coverage, or that are taking some statewide action related or adjacent to Medicaid coverage for doula care. This issue brief will share an update of current state implementation efforts around Medicaid coverage for doula care, including some key implementation challenges as well as notable states. The issue brief will conclude with recommendations for doulas, legislators, state agencies, and other stakeholders interested in implementing sustainable, equitable, and inclusive programs for Medicaid coverage for doula care.

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