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HD 599

An Act to expand the doula workforce

194th Legislature (2025-2026) Introduced by Chynah Tyler

Massachusetts bill to expand doula workforce access through funding and training programs, aiming to improve maternal health outcomes and reduce healthcare disparities.

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Bill Summary · HD 599

Legislative bill overview

HD 599 seeks to expand Massachusetts' doula workforce by establishing funding mechanisms, training programs, or regulatory frameworks to increase the number of certified doulas available to pregnant people and families. The bill aims to improve access to doula services, which provide physical, emotional, and informational support during pregnancy, labor, and postpartum periods.

Why is this important

Doula services have been associated with improved maternal health outcomes, reduced cesarean section rates, and better postpartum mental health, yet many low-income and communities of color lack access due to cost and availability. Expanding the doula workforce could address maternal health disparities and reduce pressure on healthcare systems by providing evidence-based non-medical support services.

Potential points of contention

  • Cost and funding sources: Questions about how the state will fund doula training and expansion, and whether public dollars should subsidize private wellness services versus core medical care
  • Licensure and regulation: Debate over whether doulas should be formally licensed/regulated or remain independent practitioners, affecting quality control and professional standards
  • Scope creep concerns: Healthcare providers may worry about doula roles overlapping with or undermining medical authority during critical maternal health decisions

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

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