On April 15, 2025, Washington State introduced Senate Bill 5810, aimed at establishing a comprehensive doula hub and referral system to enhance maternal health outcomes across the state. The bill seeks to create a structured approach to support the doula workforce and improve access to doula services for individuals enrolled in Apple Health, Washington's Medicaid program.

The primary provisions of Senate Bill 5810 include the development of a design and implementation plan for the doula hub, which will serve as a centralized resource for connecting birthing individuals with certified doulas. The bill mandates the drafting of a report in collaboration with the relevant health authority, detailing the implementation plan and outlining necessary ongoing funding to sustain the doula workforce. This report is due by June 30, 2025, and will include prioritized recommendations on several key areas, such as professional development for doulas, assistance with credentialing and Medicaid enrollment, and establishing communication channels between doulas and families seeking support.

Notably, the bill allocates significant funding, including $1.2 million from the general fund for fiscal year 2025 and an additional $821,000 from federal appropriations, specifically for the implementation of maternal health initiatives. However, if the bill is not enacted by the specified deadline, these funds will lapse, raising concerns about the urgency of legislative action.

The introduction of Senate Bill 5810 has sparked discussions among lawmakers and stakeholders regarding its potential impact on maternal health in Washington. Supporters argue that increasing access to doula services can lead to better birth outcomes and enhanced support for birthing individuals, particularly those from underserved communities. Critics, however, have raised questions about the feasibility of the proposed funding and the effectiveness of the referral system in addressing the diverse needs of families.

As the bill progresses through the legislative process, its implications for maternal health policy in Washington could be significant, potentially setting a precedent for similar initiatives in other states. The outcome of Senate Bill 5810 will be closely monitored by advocates and healthcare professionals alike, as it represents a critical step toward improving support for birthing individuals and their families.