Senator Newman introduces bill to expand doula care access in Montana

Montana lawmakers are taking significant steps to enhance maternal health care by advancing Senate Bill 319, which aims to establish a certification process for doulas and facilitate Medicaid coverage for their services. This initiative, introduced by Senator Newman, seeks to address the growing demand for doula care in the state, where many families face barriers to accessing essential prenatal and postpartum support.

The bill proposes a framework for the certification and regulation of doulas through the Montana Department of Labor and Industry. By setting professional standards and training requirements, the legislation aims to ensure consistency and safety in doula services, which have been shown to improve birth outcomes significantly. Currently, Montana has over 277 doulas, with demand for their services rapidly increasing.

Key proponents of the bill highlighted the potential for cost savings for the state. Doulas can help reduce the need for costly medical interventions during childbirth, such as cesarean sections, which can lead to substantial savings for Medicaid. Evidence suggests that access to doula care can lower cesarean rates by up to 53% and reduce the likelihood of postpartum depression and anxiety by nearly 58%.

Supporters of the bill emphasized the urgent need for improved maternal health services in Montana, particularly in rural areas designated as maternity care deserts. Many families in these regions travel significant distances to access basic prenatal care, and doulas can serve as vital community resources, providing emotional and informational support to mothers during pregnancy and childbirth.

The bill also aims to address disparities in maternal health outcomes, particularly among low-income women and communities of color, who often face higher risks during childbirth. By making doula services more accessible and affordable, the legislation seeks to empower families and improve overall health outcomes for mothers and infants.

As the committee continues to hear testimonies from healthcare professionals, doulas, and community advocates, the momentum for Senate Bill 319 appears strong. If passed, the bill could pave the way for a more supportive and effective maternal health care system in Montana, ultimately benefiting families across the state.