Video & Transcript Research : 'doula'

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TX
TX

Texas 89th Regular

S/C on Disease Prevention & Women's & Children's Health Apr 24th, 2025

S/C on Disease Prevention & Women's & Children's Health

Transcript Highlights:
  • You might be asking, what is a doula?
  • My name is Morgan Miles, I've been a doula since 2013.
  • But then they're coming back to their doula, and they’re going to reveal to their doula other postpartum
  • Many of them had the opportunity to use a doula.
  • All of them had experiences working with doulas, and all of them expressed how beneficial a doula has
Bills: HB2140, HB2610, HB3121, HB3339
Keywords: maternal health, mortality review, health committee, obstetrics, public health, Medicaid, cancer treatment, healthcare reimbursement, physical therapy, dental services, protheses, compression garments, mortality, morbidity, doula services, disparities, Black women, maternal mortality, health disparities, socioeconomic status
TX
TX

Texas 89th Regular

Human Services Mar 25th, 2025 at 08:00 am

Human Services

TX
TX

Texas 89th Regular

Human Services Mar 25th, 2025 at 08:00 am

Human Services

TX
TX

Texas 89th Regular

Human Services Mar 25th, 2025 at 08:00 am

Human Services

FL
FL

Florida 2026 Regular Session

Health Policy Feb 2nd, 2026

Health Policy

Transcript Highlights:
  • Doula, to me, is a very good part of the system.
  • What are the requirements for education for a doula?
  • She's been working on this doula framework for some time now since she got here.
  • And my daughter had a baby this summer, and she actually hired a doula.
  • But I think doulas are a great benefit for women who are having a child.
Bills: S0036, S0864, S0268, S0844, S0514, S1404, S0914, S1758
Keywords: nursing title, advanced practice registered nurse, advertising, professional standards, disciplinary action, uterine fibroids, public records, health privacy, epidemiology, medical information, emergency department, physicians, privacy, personal information, sickle cell disease, sickle cell anemia, pain management, controlled substances, prescribing education, continuing medical education
Summary: The committee first considered SB 268, a public records exemption for emergency physicians. Senator Rodriguez’s strike-all amendment narrowed and clarified the exemption, and testimony from an emergency physician described threats, harassment, and safety concerns tied to mandatory reporting and patient encounters. The committee adopted the amendment and reported the bill favorably as a committee substitute. Members then heard SB 514, creating the Dula Support for Healthy Births Pilot Program in Broward, Miami-Dade, and Palm Beach counties for pregnant and postpartum women affected by substance use disorder. Senator Osgood explained the pilot would provide non-medical doula support and data collection, and an amendment changed the funding source to specific appropriations in the General Appropriations Act. Supporters said doula care can improve maternal and infant outcomes and complement medical providers. The committee adopted the amendment and reported the bill favorably as a committee substitute. The committee also approved SB 36 on use of professional nursing titles after extensive debate over whether nurses with doctoral degrees should be allowed to use “doctor” in clinical settings, with concerns raised about patient confusion and the need for clearer identification. The bill was amended to align with the House version and then reported favorably as a committee substitute. The committee next approved SB 864, a public records exemption for uterine fibroid research data, after a technical amendment setting a July 1, 2026 effective date; Senator Sharif said the exemption is needed so the Department of Health can collect sensitive data for the related research bill. SB 844, requiring continuing education on sickle cell disease care management for certain licensed physicians and nurses, was also reported favorably after emotional testimony from patients and advocates describing delayed care and bias. Later, the committee approved SB 1404 on memory care, after a strike-all amendment creating a new memory care specialty license for assisted living facilities that advertise or provide specialized memory care services, while allowing optional supportive services without the new license. Supporters from the senior living industry backed the clarification. The committee then passed SB 914, which clarifies that licensed occupational therapists may perform dry needling, after an amendment adjusting supervision and continuing education language. Finally, the committee took up SB 1758, a broad Medicaid and SNAP reform bill that would strengthen fraud enforcement, impose Medicaid work requirements for certain able-bodied adults, expand behavioral health services, modernize drug purchasing and prior authorization, and require SNAP fraud-reduction measures. Several amendments were adopted, and members questioned the work requirement, implementation costs, EBT card photo identification, and due process concerns; debate continued as the transcript ended.
FL
FL

Florida 2026 Regular Session

Commerce and Tourism Feb 4th, 2026

Commerce and Tourism

Bills: S0198, S0422, S1236, S1356, S1456, S1722
Keywords: virtual currency, kiosks, money services business, regulation, financial services, consumer protection, cryptocurrency, registration, ADS-B, automatic dependent surveillance-broadcast, aviation, airports, airport fees, landing fees, departure fees, touch-and-go landing, general aviation, pilot privacy, airspace radius, aircraft tracking
Summary: The committee first postponed SB 1456, then heard SB 1236, which would condition state economic development incentives on employers using secret-ballot union elections and prohibit neutrality agreements. The sponsor argued the bill protects workers from coercion and applies only to companies receiving taxpayer-funded incentives; opponents said it was government interference, likely to hurt contractors, apprenticeships, and business growth, and raised concerns about federal preemption and Attorney General enforcement. After debate, the committee reported SB 1236 favorably on a recorded vote. The committee then considered CS/SB 198, a measure to regulate cryptocurrency kiosks by requiring operator registration, fraud warnings, transaction limits, blockchain analytics, receipts, and refund protections for certain first-time transactions tied to fraud. Supporters from the banking industry, AARP, and others said the bill would help stop scams that are targeting seniors and vulnerable adults; one industry witness supported the bill but suggested narrowing the limits for existing users and shortening the new-customer period. The committee reported the bill favorably. Next, the committee took up CS/SB 1356 on dog breeding, pet sales, and breeder registration. The sponsor said the bill is intended to curb puppy mills, improve animal welfare, and add consumer protections, while an amendment removed state oversight of local animal shelters. Pet store representatives supported much of the bill but objected to the three-day waiting period for financed purchases, expanded reimbursement, and unfair trade practice penalties; others argued the bill would add red tape and litigation. The committee adopted the amendment and then reported the bill favorably. The committee also heard SB 1722 on app stores and minors, which would require age verification, parental consent for minors, app-content disclosures, and enforcement by the Department of Legal Affairs. Supporters said the bill would help parents protect children online; opponents warned it could force collection of sensitive personal data, create privacy and constitutional problems, and duplicate existing parental tools. Members debated the balance between child safety and privacy, and the committee reported the bill favorably. Finally, the committee heard CS/SB 422 on ADS-B aviation data, which would bar use of ADS-B information to calculate certain landing or access fees; an amendment added departures to the restriction. Pilots supported the bill as a safety and privacy measure, while airport representatives opposed it as undermining airport finances and shifting costs. The amendment was adopted, and the hearing on the bill began with testimony from both sides.
TX
TX

Texas 89th Regular

S/C on Disease Prevention & Women's & Children's Health Apr 3rd, 2025

S/C on Disease Prevention & Women's & Children's Health

Transcript Highlights:
  • I am a doula, a practicing doula for the past 12 years.
  • I've been a doula for the past 12 years.
  • I want to specifically talk about doulas.
  • Specifically, March of Dimes is doing a few doula pilots.
  • As someone who has been a doula since 2009, I also train doulas and community health workers.
Bills: HB514, HB1652, HB2117, HB2298, HB3269, HB46, HB46
Keywords: maternal health, maternal care, pregnancy, labor and delivery, postpartum, doula, birth worker, midwife, obstetric care, women's health, rural health, health workforce, workforce development, trauma-informed care, public outreach campaign, health equity, minority health, underserved communities, Texas Department of State Health Services, HHSC
MA
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Financial Services Jun 21st, 2026 at 10:00 am

Joint Committee on Financial Services

Transcript Highlights:
  • doula provider.
  • I was the first doula to be health practitioner, full-spectrum doula, and doula trainer.
  • rates from doulas.
  • faced by doulas when hospital staff deny a doula access to her client.
  • of paying for the doula.
Keywords: 995, all
Summary: The Joint Committee on Financial Services held a lengthy public hearing with testimony on a wide range of health insurance and access-to-care bills. Early testimony focused on prescription drug pricing and pharmacy reimbursement, with supporters of H. 1326 arguing that pharmacy benefit managers and MassHealth managed care arrangements reimburse independent pharmacies too little, contributing to pharmacy closures and “pharmacy deserts.” The committee also heard repeated support for H. 1151/S. 742 on cognitive rehabilitation for acquired brain injury, H. 1288/S. 716 on telehealth parity for nutrition counseling, H. 1309/S. 761 on full-spectrum pregnancy care without cost-sharing, H. 1312 on insurance coverage for doula services, H. 309 on prompt access to health care by removing deductibles for certain services, H. 809/H. 1227 on biomarker testing, H. 1162/S. 810 on reducing inequities in access to medical procedures by limiting insurer cuts tied to Modifier 25, and S. 726 on insurance coverage for mobile integrated health. Testifiers included legislators, physicians, pharmacists, dietitians, emergency and rehabilitation clinicians, and patients and family members. Supporters of the brain injury bill said cognitive rehabilitation is medically necessary, improves long-term outcomes, and can reduce institutional care and public costs; they noted the bill has been heard repeatedly and has support from the Brain Injury Commission and prior favorable committee action. Supporters of the pregnancy care and doula bills described out-of-pocket costs as a barrier to maternal health and shared personal stories of high bills and unmet support needs. Biomarker testing advocates and cancer patients said coverage gaps deny patients access to precision treatment, can lead to avoidable suffering, and should be standardized across insurers; several speakers said insurers often deny claims despite clinical benefit. Dermatology witnesses said insurers’ use of Modifier 25 cuts reimbursement for same-day evaluation and procedure visits, forcing separate appointments and increasing patient burden. Mobile integrated health supporters described home-based care as a way to reduce emergency department use and hospital readmissions, especially for patients with transportation or mobility barriers. No votes or formal committee actions were taken during the hearing itself.
WA
WA

Washington 2025-2026 Regular Session

Senate Health & Long-Term Care Jul 22nd, 2025

Transcript Highlights:
  • Doula advocacy, doula presence, counters this.
  • It gives Medicaid families access to birth doulas, more doulas certified, and doulas have access to continued
  • In addition to that, we also flag that doula-friendliness and the integration of doulas, birth doulas
  • , into the That doula-friendliness and the integration of doulas, birth doulas, into the birth team in
  • So how do you find a doula? How do doulas refer to each other?
Summary: The committee first received an update on the effects of HR1 and related federal Medicaid and marketplace changes from Governor’s Office and Health Care Authority staff. Presenters said the most immediate coverage losses are expected in the individual market beginning in January, with premium increases and an estimated 80,000 people potentially unable to afford coverage. They warned that larger Medicaid impacts will follow over the next year and beyond, including tighter eligibility checks, work requirements, reduced retroactive coverage, limits on state-directed payments and provider taxes, new cost-sharing, and changes affecting certain non-citizen adults. They also said the state plans to seek a waiver or extension for work requirements and will continue to analyze impacts, including on rural providers and Planned Parenthood-related services. Members asked about the effect on nursing homes, rural hospitals, and how the state can help providers and enrollees navigate the new requirements; staff said timelines and a state-specific implementation chart are being developed. The committee then heard a report on the International Medical Graduate Work Group and Washington’s efforts to create pathways for internationally trained physicians. Testimony described the clinical experience license, the clinical evaluation assessment tool, grant funding for IMG support organizations, and a new hardship waiver process enacted this year. National presenters said many states have adopted similar pathways because of physician shortages, but Washington and Tennessee are among the few states that have actually issued licenses so far. They recommended clear guardrails, an employment offer before application, ECFMG certification, supervised practice, and data collection to avoid exploitation and protect patients. Members asked about state-to-state variation, retention of IMGs, and whether Washington should pursue dedicated residency or preceptorship options; presenters said the key next step is moving successful participants from supervised experience to a durable long-term license. The final topic was implementation of Washington’s Apple Health doula benefit and the statewide doula hub and referral system. Senator T’wina Nobles highlighted the state’s $3,500 per-birth Medicaid reimbursement rate for doulas and the importance of the hub for referrals, training, and billing. Health Care Authority staff said the benefit launched January 1, 2025, and covers prenatal intake, labor and delivery, postpartum visits, and telehealth-supported services. They reported 336 state-certified doulas, 134 enrolled in Apple Health, 287 unique clients served, and 641 claims paid so far. Testimony emphasized doulas’ role in improving birth outcomes, reducing unnecessary interventions, and addressing racial disparities in maternal health, while noting that implementation is still early and ongoing.
TX
TX

Texas 89th 2nd C.S.

S/C on Disease Prevention & Women's & Children's Health Apr 24th, 2025

S/C on Disease Prevention & Women's & Children's Health

Transcript Highlights:
  • And require that both these new seats be filled by doulas. You might be asking, what is a doula?
  • I've been a doula since 2013, so over 10 years.
  • So doulas, one of the, um, as, um, Representative Simmons laid out, doulas are here to provide.
  • Doulas are unique in that we are members of the healthcare team, but we are non-clinical.
  • All of them had experiences in working with doulas, and all of them expressed how beneficial a doula
FL
FL

Florida 2026 Regular Session

Health Policy Jan 14th, 2025

Health Policy

Transcript Highlights:
  • doula benefit.
  • However, the training of doulas or the pool of doulas that we have are slim, and we're finding that we
  • need to train more doulas.
  • So we're working on developing a New Jersey-specific doula curriculum to increase the doula workforce
  • So if a doula receives those approved trainings, then that doula can panel for Medicaid.
Summary: The Senate Health Policy Committee met to discuss maternal and infant health, beginning with a presentation from New Jersey’s Maternal and Infant Health Innovation Authority (MiHA). Pamela Taylor described New Jersey’s statewide effort to reduce maternal mortality and racial disparities through the Nurture New Jersey campaign, a strategic plan with more than 80 recommendations, universal home visiting, Medicaid-covered doula care, hospital report cards, limits on non-medically indicated early elective C-sections, and a new maternal and infant health innovation center. Senators asked about doula certification, funding, home visiting, and how New Jersey coordinates across agencies; Taylor said the authority uses quarterly stakeholder meetings, annual summits, and a tracker for recommendations, and that community input helped shape its programs. Florida Agency for Health Care Administration Deputy Secretary Brian Meyer then outlined Florida Medicaid’s maternal coverage and managed care structure. He reviewed eligibility and services for pregnant women, labor and delivery, postpartum coverage, newborn coverage, and family planning, noting 12 months of postpartum coverage, expanded benefits in managed care plans, and new contracts launching February 1 with more maternal-health-focused benefits, quality measures, and a new quality withhold incentive structure. Senators questioned doula certification and duplication with Healthy Start, provider access and network adequacy, kick payments, quality reporting, and whether Florida should consider broader eligibility standards; Meyer said many details are still plan-driven, that quality metrics are public, and that the agency is working on maternal-health work groups and incentives. Department of Health Division Director Shea Holloway followed with an overview of Florida’s maternal and child health programs and data. She cited Florida CHARTS data showing pregnancy-related deaths, severe maternal morbidity, and infant mortality trends, and described the Title V block grant, the Maternal Mortality Review Committee, the Florida Perinatal Quality Collaborative, the electronic prenatal risk screen, Healthy Babies, BH Impact for perinatal mental health, Healthy Start, WIC, family planning, telehealth maternity care, and the Pregnancy Care Network. Senators asked about delays in mortality review reporting, preterm birth, substance use disorder in pregnancy, WIC participation, cesarean rates, and the impact of the abortion ban; Holloway said the department is continuing to monitor outcomes, expand screening and telehealth, and use data and hospital partnerships to improve care. The committee then adjourned without further business.
CT
CT

Connecticut 2026 Regular Session

Medical Assistance Program Oversight Council Women and Children's Health Committee May 11th Meeting May 11th, 2026

Transcript Highlights:
  • We started working with all the other stakeholders, the obstetricians, the doulas, the doulas.
  • And then we include their doulas.
  • Are our doulas being adequately integrated? Are the lactation pieces... Working with the doulas.
  • So we meet with the doulas, DSS.
  • to those doulas.
Keywords: 962, all
Summary: The meeting focused on maternal health and behavioral health services for pregnant and postpartum people in Connecticut. Dr. Fatmata Williams of DSS gave an update on the Husky maternity payment bundle, explaining that it was created in response to worsening maternal and neonatal outcomes and racial disparities. She said the bundle, launched in 2025, shifts payment away from fee-for-service toward prospective case rates, quality measures, and shared savings, while covering services such as doulas and maintaining access to behavioral health and other non-pregnancy-related care outside the bundle. She noted 26 maternity practices are participating, quarterly quality reports have been distributed, reconciliation is planned for 2026, and DSS is considering refinements such as adding newborns, revisiting shared losses, and possibly expanding to FQHCs after further stakeholder review. Shelly Nolan of DMHAS then described the state’s women’s services and recovery continuum, including pregnant and parenting treatment programs, women’s recovery support programs, community transition support with rent subsidies, the Proud program, REACH navigation, recovery houses, and outpatient services. She emphasized that many programs are under capacity and that DMHAS uses a no-wrong-door approach, real-time bed availability, technical assistance, and training to improve access. She also reviewed initiatives tied to substance-exposed pregnancies and safe sleep, secure storage, naloxone distribution, reproductive health integration, breastfeeding support, and upcoming conferences and trainings. She said the department works closely with DCF and community partners to reduce stigma and improve family-centered care. Beth Garrigan presented on the Access Mental Health and Substance Use for Moms program, a statewide consultation service for providers serving pregnant and postpartum individuals up to 12 months after delivery. She said the program offers real-time psychiatric consultation, referral support, and one-time face-to-face assessments, and has provided more than 4,300 consultations and resource/referral support to over 700 individuals since 2022. Members and legislators praised the service and discussed how it helps providers connect patients to care, follow up on referrals, and address barriers such as fit, stigma, and workflow. No votes were taken; the meeting ended with plans for the next meeting on June 8 and a request for Dr. Williams’ slides to be posted online.
MN
MN

Minnesota 2025-2026 Regular Session

Committee on Commerce and Consumer Protection - 03/05/26

Commerce and Consumer Protection

Transcript Highlights:
  • But thankfully I had doulas present.
  • I'm, you know, support of my doulas.
  • Uh my doulas a day in doulas present.
  • > have<01:26:24.159> become components of doula care have become components of doula care
  • So we right now at hire your doula.
Keywords: 1187, senate, all
NE
NE

Nebraska 2025-2026 Regular Session

Legislative Morning Session Apr 8th, 2026

Nebraska Unicameral Floor Meeting

Transcript Highlights:
  • There's such a thing as an abortion doula.
  • But in general, a full-spectrum doula does not include abortion doula work. Okay.
  • Doula intervention is one.
  • You can get doula certification from a number of places.
  • Doula pilots are already happening.
Bills: LB878, LB958, LB958A, LB762, LB1187, LB966, LB929, LB962, LB1209, LB937A, LB962A, LB1050, LB1050A, LB965, LB1022, LB753, LB788, LB913, LB1055, LB1195, LB429, LB721, LB722, LB727, LB745, LB749, LB778, LR293, LR296, LR422, LR495, LR496, LR497, LR498, LR499, LR500, LR501, LR502, LR503, LR504
Keywords: paid parental leave, state employees, workplace benefits, family support, economic impact, Medicaid, Medical Assistance Act, home and community-based services waiver, HCBS waiver, waiver participant, assessment tool, clinical interviewing, service tier, retroactive coverage, doula, doula reimbursement, maternal health, prenatal care, pregnancy, birth outcomes
TX
TX

Texas 89th 2nd C.S.

S/C on Disease Prevention & Women's & Children's Health Apr 3rd, 2025

S/C on Disease Prevention & Women's & Children's Health

Transcript Highlights:
  • Um, I am a, um, doula, a practicing doula for the past, um, 12 years.
  • Ma'am, I show you Texas Doulas or Morgan Miles, Texas Doula Association, Gals Maternal Health Equity
  • I've been a doula for the past 12 years.
  • I want to specifically talk about doulas.
  • As someone who has been a doula since 2009.
Bills: HB46
Keywords: local government spending cap, expenditure limit, political subdivision, property tax, ad valorem tax, budget cap, taxpayer protection, spending restraint, inflation adjustment, population growth, voter approval, supermajority vote, county budget, municipal budget, school district finance, junior college district, hospital district, special district, attorney general enforcement, local fiscal limits
KY
KY

Kentucky 2025 Regular Session

Medicaid Oversight and Advisory Board (12-10-25)

Transcript Highlights:
  • <01:10:03.520> Doula makes one thing very clear. Doula makes one thing very clear.
  • Uh a also pre and postpartum doulas.
  • As of late 2025, at least 26 states already reimburse doula under Medicaid, and 14 states fund doula
  • As of late 2025, at least 26 states already reimburse doula under Medicaid, and 14 states fund doula
  • Doula care is one of the significant.
Keywords: 958, all
Summary: The Medicaid Oversight Advisory Board met with a quorum, approved the November 12 minutes by voice vote, and then heard a presentation from former Governor Ernie Fletcher and Dave Johnson on Medicaid reimbursement for substance use disorder (SUD) treatment. Fletcher argued that addiction should be treated as a chronic disease requiring a longer continuum of care, not just short residential stays, and said recovery should combine clinical treatment with social supports such as housing, transportation, employment, peer coaching, and recovery housing. He cited data on overdose trends, low treatment rates, and high costs for people with SUD, and said current reimbursement models create poor incentives and do not adequately support long-term recovery or measure outcomes well. Fletcher proposed a “carve through” model administered at the MCO level with standardized metrics, data sharing, and an independent recovery coordinator that would assess patients, coordinate care, and connect them to clinical and social recovery services. He suggested using bundled payments, shared savings, and partial risk arrangements, with recovery housing reimbursed on a PMPM or weekly basis and funded in part through existing Medicaid spending and other sources such as opioid abatement funds. He also emphasized peer support, telemedicine, criminal justice coordination, workforce and education supports, and the use of technology, including text messaging and possibly AI, to maintain long-term follow-up and identify relapse risk. Members questioned how the model would work in practice, especially the education and staffing requirements for recovery coordinators, reimbursement levels, and how many patients each coordinator or peer would serve. Fletcher said peers could be certified and would need additional training in assessments such as ASAM and recovery residence standards, but he did not give a precise salary figure, saying the market and bundled rates would determine that. He also said follow-up should continue for years, noting relapse risk over the first 18 to 24 months and that meaningful employment and ongoing peer contact help sustain recovery. No formal vote or action was taken on the substance use presentation.
VT
VT

Vermont 2025-2026 Regular Session

House Session - 2026-02-06 - 9:30AM

Vermont House Floor Meeting

Transcript Highlights:
  • In addition, H611 would delay implementation on Medicaid coverage for doula services for one year.
  • In addition, H611 would delay implementation of Medicaid coverage for doula services for one year.
  • In addition, H611 would delay implementation of Medicaid coverage for doula services for one year.
  • In addition, H611 would delay implementation of Medicaid coverage for doula services for one year.
  • In addition, H611 would delay implementation of Medicaid coverage for doula services for one year.
Keywords: 926, house, all
Summary: The House opened with a devotional by Reverend Kemp Randolph, who reflected on the idea that simpler solutions often require letting go of existing assumptions and urged lawmakers to consider what they may need to give up to achieve the greatest good. After the prayer, the chamber introduced House Bill 889, exempting disability-related income on candidate disclosure forms, and House Bill 890, aimed at reducing barriers for nonprofit religious organizations providing preventive health care services. Both bills were read the first time and referred to committee. The House also referred three bills to money committees under House Rule 35A: H.548 to Appropriations, and H.557 and H.567 to Ways and Means. Members then offered several announcements, including welcoming the guest pastor Kemp Randolph and visiting European Parliament member Maria Walsh, along with her mother and aunt. There were also notices about caucus meetings and a correction to a prior vote explanation regarding H.70. The House then took up H.611, a technical and housekeeping bill affecting the Department of Vermont Health Access. Committee testimony and floor remarks described provisions to reduce administrative burdens, update advisory committee membership, remove outdated references tied to the individual/small group market split, adjust the VARMM prescription drug assistance program, increase the allowable amount in Medicaid-related prepaid funeral arrangements, and delay Medicaid coverage for doula services by one year while federal approval is sought. The Health Care and Appropriations committees both recommended the bill, with Appropriations noting no fiscal impact and correcting a prior vote tally. The House adopted the Health Care Committee amendment to H.611 and ordered the bill to third reading. It then passed H.540, relating to recommendations of the post-adjudication reparative program working group. Finally, the House concurred in the Senate proposal of amendment with further amendment on H.50, concerning identification of underutilized state buildings and land; the committee explained changes restoring annual reporting, removing leased buildings from the inventory, and directing annual reports to the Department of Housing and Community Development through 2030. The chamber concluded with announcements about a Joint Fiscal Committee meeting on a rural health transformation grant and then adjourned until February 10, 2026.
FL
FL

Florida 2025 Regular Session

Health Policy Jan 14th, 2025

Transcript Highlights:
  • I also want to jump in on the doula issue.
  • So doula services are covered. There's increased prenatal services.
  • And I want to come back to the doula prop a question that I had earlier on certification.
  • I know now that doulas are going to be covered under Medicaid, which I'm delighted to hear.
  • I let's have a much larger conversation offline on doulas. Absolutely. Can you give us more?
Keywords: 999, senate, all
MA
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Public Health Jun 21st, 2026 at 09:00 am

Joint Committee on Public Health

Transcript Highlights:
  • Some of the key priorities include equitable reimbursement models for midwives, doulas, and community
  • Through grants and foundation funding, we have developed an interactive toolkit to support doulas and
  • Over a thousand moms on MassHealth have received doula services from over 150 doulas who speak over 15
  • Our plans are now experimenting and contracting with doulas.
  • date there's still less than 200 doulas certified.
Keywords: 995, all
Summary: The Joint Committee on Public Health held an introductory informational hearing for the new session, with Chairs Marjorie Decker and Senator Michael Driscoll outlining the committee’s scope and emphasizing the impact of the federal landscape on Massachusetts public health. They noted the hearing would focus on testimony from agencies and advocates, with short testimony limits due to the hybrid format. No votes were taken; the meeting was for briefing and discussion of priorities. Commissioner Robbie Goldstein of the Department of Public Health described the department’s budget and federal funding, warning that recent CDC grant terminations could cut nearly $100 million and affect lab testing, surveillance, vaccines, and community engagement. He highlighted DPH priorities including racial equity, maternal health, substance use and child welfare coordination, emergency preparedness, data transparency, and public hospital quality. MassHealth Assistant Secretary Michael Levine discussed MassHealth’s role covering about 2 million residents and its priorities in health equity, behavioral health, primary care, member independence, and customer service, while noting the agency relies heavily on federal Medicaid dollars and would face major strain from federal cuts. Several advocacy and provider groups focused on reproductive health and maternal health. Planned Parenthood warned of threats to Title X, 340B savings, and other federal funding, and supported a bill to eliminate parental consent and judicial bypass for abortion care for young people. Reproductive Equity Now urged stronger shield-law protections and changes to Massachusetts’ later-abortion framework. Dr. Indyamaka Anugaka called for full implementation of the maternal health law, better reimbursement for doulas and midwives, stronger data collection, and support for full-spectrum pregnancy care coverage. The Health Policy Commission said new maternal health and primary care task forces would begin work soon. Mental health and health system access were also major themes. The Mass Medical Society urged action on vaccine hesitancy, removal of non-medical school vaccine exemptions, and primary care reform. The Massachusetts Association for Mental Health and the Children’s Mental Health Campaign opposed proposed cuts to DMH and substance use services, called for more school-based supports, and raised concerns about inpatient capacity, including a unit serving LGBTQ youth. The Massachusetts Nurses Association and 1199 SEIU warned that staffing shortages, low wages, workplace violence, hospital closures, and possible Medicaid cuts threaten patient care and the health care workforce. The Betsy Lehman Center also urged investment in automated patient-safety monitoring to reduce harm and costs.
NY
NY

New York 2025-2026 Regular Session

New York State Senate Session - 04/29/2026

New York Senate Floor Meeting

Transcript Highlights:
  • Doulas provide essential services, and essential services must be covered, particularly if we are to
  • with the added stress and financial burden brought on to them when they realize their choice of a doula
  • Whether a mother chooses to give birth at a hospital or at home with a doula, insurance companies must
  • DOULAS PROVIDE ESSENTIAL SERVICES AND ESSENTIAL SERVICES MUST BE COVERED.
  • WHETHER A MOTHER CHOOSES TO GIVE BIRTH AT A HOSPITAL OR AT HOME WITH A DOULA, INSURANCE COMPANIES MUST
Keywords: 993, senate, all
Summary: The Senate convened, approved the prior journal, and discharged several identical Assembly/Senate bills from committee so they could be substituted on the calendar. The chamber then took up and previously adopted two commemorative resolutions: one designating April 2026 as Sikh Heritage Month and another honoring Korean War veterans. Senators from both parties spoke in support of the Sikh resolution, emphasizing the community’s contributions, service, and the need for recognition and inclusion; the resolution was opened for co-sponsorship and the Sikh guests in the gallery were recognized. The Korean War resolution drew remarks from members recalling family service and the sacrifices of veterans, with repeated calls to preserve their stories and honor their legacy. The Senate then moved through the calendar, passing a series of bills. Among them were measures related to charter bus safety and seat belt awareness, coverage for doula services under insurance, social services/EBT-related changes, education, navigation, highway, public service, and hospital-closure reporting. Several bills passed unanimously or with only one dissenting vote; the social services bill drew the most opposition, with Senator Murray objecting that New York should first address EBT chip technology and skimming before adding new vendor requirements. One bill on the calendar was laid aside for the day. The chamber also adopted a supplemental bill authorizing the South Country Central School District to finance certain deficits, described by Senator Murray as a necessary rescue to keep the district operating and pay staff. Senators discussed the state budget impasse during debate on an extender bill, with the sponsor explaining it was a “clean extender” to keep government running through May 4 and cover payroll, health, education, and other essential payments. Senator Helming raised concerns about the lack of rural health transformation funding and the consequences of the delayed budget for schools, local governments, and hospitals. The extender passed, and the Senate adjourned until Monday, May 4, 2026.