Bill > HB454

This bill establishes comprehensive Medicaid coverage for doula services in Louisiana, recognizing the critical role doulas play in improving maternal and infant healthcare outcomes. The legislation mandates that Medicaid plans cover doula services, including five prenatal visits (up to 90 minutes each), three postpartum visits (up to 90 minutes each), and continuous assistance during labor and birth, including cesarean deliveries. A doula is defined as a trained professional who provides physical, emotional, and educational support to pregnant and birthing women before, during, and after childbirth, but does not provide medical care. The bill is motivated by Louisiana's high maternal and infant mortality rates and aims to address healthcare disparities by implementing recommendations from the Centers for Medicare and Medicaid Services Transforming Maternal Health Model. Doulas must be registered with the Louisiana Doula Registry Board to be eligible for Medicaid reimbursement, and the Louisiana Department of Health will determine the specific coverage scope and rates. The provisions will apply to new Medicaid managed care plans starting August 1, 2025, with existing plans required to conform by January 1, 2026. Research supports the bill's approach, as doula support has been associated with lower cesarean rates, fewer complications, shorter labor, and improved newborn health scores.

Budget and Finance, Health and Social Services

https://www.legis.la.gov/legis/BillInfo.aspx?s=25rs&b=HB454&sbi=y