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AN ACT relating to Medicaid coverage for doula services. 1
Be it enacted by the General Assembly of the Commonwealth of Kentucky: 2
SECTION 1. A NEW SECTION OF KRS CHAPTER 205 IS CREATED TO 3
READ AS FOLLOWS: 4
(1) As used in this section, "doula" means a trained professional who provides 5
physical, emotional, and educational support, but not medical care, to mothers 6
before, during, and after childbirth. 7
(2) The Department for Medicaid Services and any managed care organization with 8
whom the department contracts for the delivery of Medicaid services shall provide 9
coverage for doula services if the doula has: 10
(a) Applied for and received a National Provider Identification Number from 11
the federal Centers for Medicare and Medicaid Services; and 12
(b) Completed enrollment as a Medicaid provider, as required by the 13
Department for Medicaid Services. 14
(3) In order to be eligible to enroll as a Medicaid provider, the Department for 15
Medicaid Services shall require a doula to provide at least the following: 16
(a) Evidence of having completed the following: 17
1. A doula training course offered by the International Childbirth 18
Education Association, Doulas of North America, the Association of 19
Labor Assistants and Childbirth Educators, Birthworks, the 20
Childbirth and Postpartum Professional Association, Childbirth 21
International, the International Center for Traditional Childbearing, 22
Commonsense Childbirth; or any other training course approved by 23
the Department for Medicaid Services; 24
2. At least twenty-four (24) contact hours of in-person education that 25
included any combination of childbirth education, birth doula 26
training, antepartum doula training, and postpartum doula training; 27 UNOFFICIAL COPY 22 RS BR 256
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3. At least one (1) breastfeeding class; 1
4. At least two (2) childbirth classes; 2
5. A cultural competency training course; and 3
6. A training course on client confidentiality and privacy; 4
(b) Proof of cardiopulmonary resuscitation certification for infants, children, 5
and adults; and 6
(c) At least one (1) positive reference from a licensed healthcare provider or a 7
licensed certified professional midwife as defined in KRS 314.400. 8
(4) The Department for Medicaid Services may promulgate administrative 9
regulations necessary to carry out this section. 10
Section 2. If the Cabinet for Health and Family Services or the Department for 11
Medicaid Services determines that a waiver or any other authorization from a federal 12
agency is necessary prior to the implementation of any provision of Section 1 of this Act, 13
the cabinet or department shall, within 90 days after the effective date of this Act, request 14
the waiver or authorization and shall only delay full implementation of those provisions 15
for which a waiver or authorization was deemed necessary until the waiver or 16
authorization is granted. 17