25.0993.05000 Sixty-ninth Legislative Assembly of North Dakota Introduced by Representatives Dobervich, K. Anderson, Brown, Finley-DeVille, Hager, Hanson, Rohr, Steiner Senators Hogan, Mathern A BILL for an Act to provide for a legislative management study relating to maternal care services. BE IT ENACTED BY THE LEGISLATIVE ASSEMBLY OF NORTH DAKOTA: SECTION 1. LEGISLATIVE MANAGEMENT STUDY - MATERNAL CARE SERVICES. 1.During the 2025-26 interim, the legislative management shall consider studying maternal care services. The study must include: a.An analysis of the availability of medical and nonmedical prenatal services in the state by community and geographic service area, and the utilization rate of each; b.A review of childbirth service availability, including in-home and health care facility-based services, and the number of obstetrician-gynecologists and family practitioners routinely delivering babies by geographic service area; c.A review of prenatal, childbirth, and postnatal services covered by public assistance, private insurance, and pregnancy resource centers, including an analysis of funding, program evaluation, and outcomes; d.Consideration of previous studies related to maternal care services; e.Consideration of maternal care resource and asset maps, service gaps, evidence-based or innovative pilot project solutions for resolving service gaps, and approaches for increasing the use of prenatal and postnatal care services and programs; f.An evaluation of ways to increase the number of obstetrician-gynecologists and family practitioners practicing in the state; Page No. 1 25.0993.05000 ENGROSSED HOUSE BILL NO. 1464 FIRST ENGROSSMENT with Senate Amendments 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 Sixty-ninth Legislative Assembly g.Exploration of processes for certifying, training, and reimbursing doula and midwife services; h.Consideration of public assistance and private insurance policy opportunities to improve maternal and infant health outcomes; and i.Input and consultation from key stakeholders, including: (1)The university of North Dakota school of medicine and health sciences; (2)The North Dakota maternal mortality review committee; (3)The infant mortality review panel; (4)The foundation for a healthy North Dakota; (5)Doulas, midwives, and home-based service providers practicing in the state; (6)The North American college of obstetricians and gynecology; (7)The North Dakota medical association; (8)The women, infants, and children program; and (9)North Dakota health tracks. 2.The legislative management shall report its findings and recommendations, together with any legislation required to implement the recommendations, to the seventieth legislative assembly. Page No. 2 25.0993.05000 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17