Montana Legislature establishes guidelines for state-certified doulas and voluntary practice

Montana's Senate Bill 319 is making waves as it seeks to establish a state certification process for doulas, a move that could reshape the landscape of maternal care in the state. Introduced on March 21, 2025, the bill aims to create a framework for certifying doulas, ensuring they meet specific competencies while allowing individuals to practice without certification if they choose.

The bill outlines that the Department of Labor and Industry will oversee the certification process, requiring applicants to pay fees, submit a completed application, and demonstrate their competencies. Notably, the legislation emphasizes that practicing as a doula without certification remains permissible, a point that has sparked discussions among advocates and professionals in the field.

Supporters argue that certification could enhance the professionalism of doulas, potentially improving maternal health outcomes by ensuring that those providing support during childbirth meet established standards. However, critics express concerns about the implications of regulation, fearing it may create barriers for those who wish to enter the profession or limit access to doula services for expectant families.

The bill has ignited debates about the balance between regulation and accessibility in maternal care. Advocates for the bill highlight the importance of having trained professionals to support women during childbirth, while opponents worry about the potential for increased costs and reduced availability of services.

As the legislative process unfolds, the implications of Senate Bill 319 could be significant, potentially influencing how doulas operate in Montana and impacting the broader conversation about maternal health care in the state. With discussions ongoing, stakeholders are closely watching how this bill will shape the future of doula services and maternal support in Montana.