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Bill > S0042


SC S0042

SC S0042
Insurance coverage for lactation services and doula services


summary

Introduced
01/14/2025
In Committee
01/14/2025
Crossed Over
Passed
Dead

Introduced Session

126th General Assembly

Bill Summary

Amend The South Carolina Code Of Laws By Adding Section 38-71-285 So As To Provide Health Insurance Plans Must Provide Coverage For Lactation Consulting By Certified Lactation Consultants, And To Define Necessary Terms; By Adding Section 38-71-286 So As To Provide Health Insurance Plans Must Provide Coverage For Doula Services By Certified Doulas, And To Define Necessary Terms; By Adding Section 44-6-230 So As To Provide Medicaid Health Plans Must Provide Coverage For Certified Lactation Consulting By Certified Lactation Consultants, And To Define Necessary Terms; By Adding Section 44-6-230 So As To Provide Medicaid Health Plans Must Provide Coverage For Doula Services By Certified Doulas, And To Define Necessary Terms; And To Specify That The Provisions Of This Act Apply To Every Medicaid Health Plan, Every Individual Or Group Health Insurance Contract, And 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 January 1, 2026.

AI Summary

This bill requires health insurance plans in South Carolina, including Medicaid, to provide comprehensive coverage for lactation consulting and doula services starting January 1, 2026. For lactation consulting, the bill defines a certified lactation consultant as a professional who meets specific ethical and practice standards, and mandates that insurance plans cover both inpatient and outpatient services addressing lactation and feeding conditions. Similarly, for doula services, the bill defines a certified doula as a professional who provides support during pregnancy, childbirth, and the postpartum period, with insurance plans required to cover in-clinic and in-home services throughout the antepartum, intrapartum, and first twelve months of the postpartum period. The legislation carefully defines the scope of services for both lactation consultants and doulas, emphasizing that these professionals provide evidence-based support, education, and advocacy while working within a clear ethical framework and without practicing medicine. The bill aims to improve maternal and infant health by ensuring access to these supportive services across different types of health insurance plans, including the State Health Plan and Medicaid managed care plans, with the goal of supporting mothers, children, and families during critical periods of healthcare and child-rearing.

Committee Categories

Business and Industry

Sponsors (6)

Last Action

Referred to Committee on Banking and Insurance (on 01/14/2025)

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