Massachusetts 2025-2026 Regular Session

Massachusetts House Bill H4344

Introduced
7/31/25  

Caption

Relative to insurance coverage for doula services

Impact

If enacted, H4344 would amend multiple chapters of the Massachusetts General Laws to ensure that all health insurance plans, including those governed by MassHealth, provide coverage for doula services. Specifically, doula services would be covered without deductibles, coinsurance, or copayments, which advocates argue will reduce financial barriers for families seeking such support. Additionally, insurance policies would not require referrals for reimbursement of doula services, thus allowing greater accessibility for families in need of these services during critical periods of pregnancy and postpartum care.

Summary

House Bill 4344 seeks to mandate insurance coverage for doula services within Massachusetts. The bill defines doula services as physical, emotional, and informational support provided by trained doulas from conception until twelve months after various pregnancy outcomes such as labor, childbirth, or miscarriage. The legislation emphasizes the importance of this kind of support in improving maternal and infant health outcomes and aims to make these services more accessible to families by requiring insurers to provide coverage without any cost-sharing. This reflects a growing recognition of the role of doulas in the healthcare system as valuable support figures during the perinatal period.

Contention

The bill's proponents argue that providing insurance coverage for doula services is essential for enhancing maternal support systems and improving health outcomes. However, potential opposition may arise regarding the financial implications for insurance companies and the healthcare system overall. Critics may express concerns about the long-term sustainability of such coverage or question the implementation of the reimbursement process. Furthermore, the requirement for policies to cover at least twenty hours of prenatal and postpartum doula services per pregnancy regardless of the insurance plan may prompt discussions regarding the balance between comprehensive care and cost constraints within Massachusetts' healthcare system.

Companion Bills

MA H1312

Replaces Relative to Insurance Coverage for Doula Services

Previously Filed As

MA S680

Relative to insurance coverage for doula services

MA H1139

Relative to insurance coverage for doula services

MA H1240

Relative to Medicaid coverage for doula services

MA S782

Relative to Medicaid coverage for doula services

MA S1415

Relative to birthing justice in the Commonwealth

MA S2734

Relative to birthing justice in the Commonwealth.

MA H4999

Promoting access to midwifery care and out-of-hospital birth options

MA S2928

Site Information & Links

MA S2899

Site Information & Links

MA H4773

Promoting access to midwifery care and out-of-hospital birth options

Similar Bills

No similar bills found.