WeVote
Log In

Bill

Bill

SD 998

An Act relative to insurance coverage for doula services

194th Legislature (2025-2026) Introduced by Liz Miranda

Massachusetts bill requires health insurers to cover doula services to improve maternal health outcomes and expand birthing support access for low-income pregnant people.

House concurred
0
WeVote Research Nonpartisan
Bill Summary · SD 998

Legislative bill overview

SD 998 would require health insurance coverage for doula services in Massachusetts. Doulas are trained birth coaches and postpartum support providers who work alongside medical professionals during pregnancy, labor, and postpartum recovery. The bill aims to expand access to these services by mandating insurance reimbursement.

Why is this important

Doula services have demonstrated benefits in maternal health outcomes, including reduced cesarean section rates and improved postpartum mental health, according to research cited by doula advocacy groups. Currently, most insurance plans do not cover doulas, making these services inaccessible to low-income pregnant individuals who could benefit most. This bill would address a healthcare equity gap by ensuring broader access regardless of ability to pay.

Potential points of contention

  • Cost and insurance premiums: Insurers may argue that mandated coverage increases overall healthcare costs, potentially raising premiums for all policyholders; actuarial data on cost impact is limited
  • Scope and qualification standards: The bill's specific requirements for doula training, certification, and credentials are unclear, raising questions about who qualifies and which services are covered
  • Medical necessity debate: Some in the medical community question whether doula services should be considered essential medical care versus complementary wellness services, affecting insurance classification and coverage mandates

Compiled from official sources — confirm details with the bill’s official record.

Sign in to ask a question.