Bill > HB434

This bill establishes a comprehensive regulatory framework for doulas in Hawaii, requiring any individual providing doula services for compensation to register with the Department of Commerce and Consumer Affairs. The bill defines a certified doula as a professional who has received certification from recognized organizations like DONA International or similar approved bodies, and defines doula services as continuous non-medical physical, emotional, and informational support during pregnancy, childbirth, and postpartum periods. Registered certified doulas will be granted specific rights, including the ability to be present during a client's entire labor and delivery process, subject to the client's ongoing consent and certain safety and regulatory conditions. The registration process involves submitting an application, paying applicable fees, and being listed on a public registry maintained by the department. The bill also includes important exemptions that allow uncompensated support from family members and those providing care to close relatives without needing to register as a certified doula. The legislation will take effect on January 1, 2026, providing ample time for doulas and healthcare facilities to prepare for the new regulations.

Health and Social Services

https://www.capitol.hawaii.gov/session/measure_indiv.aspx?billtype=HB&billnumber=434&year=2026