Tennessee Senate Bill SB0128

Tennessee 2023-2024 Regular Session

• Introduced: 1/11/23

Caption

AN ACT to amend Tennessee Code Annotated, Title 4; Title 68 and Title 71, relative to doula services.

Impact

The bill has the potential to significantly impact state laws by establishing guidelines for the integration of doula services into TennCare, thereby expanding the healthcare support network for pregnant women. This expansion could lead to improved maternal and infant health outcomes, particularly for women identified as at high risk due to medical conditions, age, or social factors. By permitting payment for doula services under TennCare, the bill also addresses barriers that previously limited access to such support, which could lead to broader recognition of doulas in the healthcare system and enhance their role in maternal care.

Summary

Senate Bill 128 aims to enhance maternal health services in Tennessee by introducing a pilot program that provides doula care services to eligible women under the TennCare program. The bill specifies that a doula is a professional who provides continuous emotional and physical support during labor, birth, and the postpartum period. The proposed pilot program will be implemented in the fiscal year 2024-2025 and is targeted at pregnant women who meet certain criteria, including being a TennCare recipient and having a healthcare provider's recommendation for doula services. These services aim to support high-risk pregnancies, offering assistance where conventional healthcare access may be insufficient, especially in rural or underserved areas.

Sentiment

The sentiment surrounding SB0128 is largely positive, with support from maternal health advocates and organizations that see doula services as a means to improve birth experiences and outcomes. Many stakeholders appreciate that the bill acknowledges the significant benefits of emotional and physical support provided by doulas. However, there may be some pushback regarding the adequacy of funding and resources allocated for the pilot program, as well as concerns about the integration of doula services within existing healthcare frameworks.

Contention

While there appears to be a consensus on the importance of improving maternal health, some contention may arise regarding the bill's implementation. Questions could be raised about the effectiveness of the pilot program and its ability to address disparities in maternal care across various regions in Tennessee. Critics may also debate the qualifications and training standards for doulas, ensuring that they provide the necessary support without compromising the medical care provided by healthcare providers. The temporary nature of the pilot program, set to terminate on July 1, 2025, may lead to discussions about its long-term viability and the potential for broader legislative action based on the program's outcomes.