Utah authorizes Medicaid coverage for doula services by 2025

The Utah State Legislature has introduced a significant bill, S.B. 284, aimed at expanding Medicaid coverage to include doula services. Proposed by Chief Sponsor Luz Escamilla on February 17, 2025, the bill seeks to enhance support for pregnant individuals by recognizing the role of doulas in providing non-medical assistance during pregnancy, childbirth, and the postpartum period.

Key provisions of the bill mandate the Department of Health and Human Services to apply for a Medicaid state plan amendment that would authorize coverage for doula services. This process must be completed by October 1, 2025, and the department is required to consult with various stakeholders in developing the amendment. Additionally, the bill outlines the necessity for establishing training and registration requirements for doulas who will serve Medicaid enrollees.

The introduction of S.B. 284 addresses critical issues surrounding maternal health and support systems in Utah. Advocates argue that doulas can significantly improve birth outcomes by providing emotional support and guidance, which is particularly beneficial for low-income families who rely on Medicaid. By including doula services in Medicaid, the state aims to reduce disparities in maternal care and improve overall health outcomes for mothers and infants.

While the bill has garnered support from various health advocates, it may face challenges regarding funding and implementation. Critics have raised concerns about the potential costs associated with training and registering doulas, as well as the administrative burden on the Department of Health and Human Services. However, proponents emphasize the long-term benefits of investing in maternal support services, suggesting that improved birth outcomes could lead to reduced healthcare costs over time.

As the bill progresses through the legislative process, its implications could reshape maternal healthcare in Utah, potentially setting a precedent for other states considering similar measures. The next steps will involve discussions and potential amendments as lawmakers weigh the benefits of expanding Medicaid coverage to include doula services against the logistical and financial considerations of such a program.