Creates provisions relating to maternal health care services
Impact
The bill is expected to enhance access to crucial services for expecting mothers, particularly those from low-income families who may qualify for the MOHealthNet program. It establishes a separate health insurance program called the 'Show-Me Healthy Babies Program' targeted at low-income unborn children, ensuring that prenatal care is accessible and comprehensive. The act will require greater collaboration among healthcare providers and community organizations to integrate the support that doulas provide into the broader maternal healthcare system. In addition, it requires the Department of Health and Senior Services to maintain a statewide registry of certified doulas and to outline necessary competencies and certifications for these professionals.
Summary
House Bill 2654, also known as the Missouri Doula Reimbursement Act, introduces significant changes to the way perinatal doula services are covered under the state's healthcare programs. This legislation mandates that health benefit plans offering maternity benefits must include coverage for perinatal doula services, provided these services fall within the doula's area of professional competence as defined by state regulations. The bill aims to improve maternal and infant health outcomes by facilitating support from trained doulas before, during, and after childbirth, recognizing their role in providing emotional, informational, and physical support to mothers.
Contention
Notably, while the bill has generated support for its intention to lower maternal and infant mortality rates, there are concerns about the training and certification requirements imposed on doulas. Some stakeholders argue that these requirements could create barriers to entry for aspiring doulas, particularly those from the communities they serve. Furthermore, the funding and sustainability of the reimbursement process, especially for the new Show-Me Healthy Babies Program, may be contested as it depends on federal appropriations and potential appropriations by the state legislature. The ongoing requirement for reporting utilization and costs to the Department of Social Services may also lead to administrative burdens that some health providers may find challenging to meet.