North Dakota 2025-2026 Regular Session

North Dakota House Bill HB1464 Compare Versions

Version 1 (Old)

Version 2 (New)

Old	New		Differences
1		-	25.0993.05000
	1	+	25.0993.02002
	2	+	Title.04000
	3	+	Adopted by the Senate Human Services
	4	+	Committee
2	5		Sixty-ninth
	6	+	March 19, 2025
3	7		Legislative Assembly
4	8		of North Dakota
5	9		Introduced by
6	10		Representatives Dobervich, K. Anderson, Brown, Finley-DeVille, Hager, Hanson, Rohr,
7	11		Steiner
8	12		Senators Hogan, Mathern
9		-	A BILL for an Act to provide for a legislative management study relating to maternal care
	13	+	A BILL for an Act to create and enact a new section to chapter 23-12 of the North Dakota
	14	+	Century Code, relating to postpartum doula certification; and to provide for a legislative
	15	+	management report.for an Act to provide for a legislative management study relating to
	16	+	maternal care services; and to provide an appropriation.
	17	+	BE IT ENACTED BY THE LEGISLATIVE ASSEMBLY OF NORTH DAKOTA:
	18	+	SECTION 1. A new section to chapter 23-12 of the North Dakota Century Code is created
	19	+	and enacted as follows:
	20	+	Postpartum doula certification.
	21	+	1. As used in this section:
	22	+	a. "Certified doula" means an individual who has received a certification to perform
	23	+	doula services from the doulas of North America or an organization designated
	24	+	by the department.
	25	+	b. "Department" means the department of health and human services.
	26	+	c. "Doula services" means education and support services for a parent and child,
	27	+	including continuous emotional and physical support during the postpartum
	28	+	period, including up to six months after the birth of the child.
	29	+	2. The department may:
	30	+	a. Designate additional doula certification organizations;
	31	+	b. Remove the designation of a doula certification organization; and
	32	+	c. Adopt rules to implement and administer this section.
	33	+	Page No. 1 25.0993.02002
	34	+	ENGROSSED HOUSE BILL NO. 1464
	35	+	FIRST ENGROSSMENT
	36	+	PROPOSED AMENDMENTS TO
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	57	+	Legislative Assembly
	58	+	3. The department shall establish criteria for the designation of doula certification
	59	+	organizations and maintain a list of designated organizations on the department's
	60	+	website for purposes of facilitating the availability of certified doulas to provide doula
	61	+	services under section 2 of this Act.
	62	+	4. The department may not impose a licensing or certification fee in addition to any fees
	63	+	imposed by a doula certification organization meeting the criteria established by the
	64	+	department.
	65	+	SECTION 2. LEGISLATIVE MANAGEMENT REPORT - POSTPARTUM DOULA
	66	+	CERTIFICATION. During the 2025-26 interim, the department of health and human services
	67	+	shall provide a report to the legislative management regarding postpartum doula certification,
	68	+	including the status of implementing and administering the responsibilities relating to
	69	+	postpartum doula certification under section 1 of this Act and the impact of certified doula
10	70		services.
11		-	BE IT ENACTED BY THE LEGISLATIVE ASSEMBLY OF NORTH DAKOTA:
12	71		SECTION 1. LEGISLATIVE MANAGEMENT STUDY - MATERNAL CARE SERVICES.
13	72		1.During the 2025-26 interim, the legislative management shall consider studying
14	73		maternal care services. The study must include:
15	74		a.An analysis of the availability of medical and nonmedical prenatal services in the
16	75		state by community and geographic service area, and the utilization rate of each;
17	76		b.A review of childbirth service availability, including in-home and health care
18	77		facility-based services, and the number of obstetrician-gynecologists and family
19	78		practitioners routinely delivering babies by geographic service area;
20	79		c.A review of prenatal, childbirth, and postnatal services covered by public
21	80		assistance, private insurance, and pregnancy resource centers, including an
22	81		analysis of funding, program evaluation, and outcomes;
23	82		d.Consideration of previous studies related to maternal care services;
24	83		e.Consideration of maternal care resource and asset maps, service gaps,
25	84		evidence-based or innovative pilot project solutions for resolving service gaps,
26	85		and approaches for increasing the use of prenatal and postnatal care services
27	86		and programs;
28	87		f.An evaluation of ways to increase the number of obstetrician-gynecologists and
29	88		family practitioners practicing in the state;
30		-	Page No. 1 25.0993.05000
31		-	ENGROSSED HOUSE BILL NO. 1464
32		-	FIRST ENGROSSMENT
33		-	with Senate Amendments
	89	+	Page No. 2 25.0993.02002
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56	122		g.Exploration of processes for certifying, training, and reimbursing doula and
57	123		midwife services;
58	124		h.Consideration of public assistance and private insurance policy opportunities to
59	125		improve maternal and infant health outcomes; and
60		-	i.Input and consultation from key stakeholders, including:
	126	+	i.Input and consultation from key stakeholders including:
61	127		(1)The university of North Dakota school of medicine and health sciences;
62	128		(2)The North Dakota maternal mortality review committee;
63	129		(3)The infant mortality review panel;
64	130		(4)The foundation for a healthy North Dakota;
65	131		(5)Doulas, midwives, and home-based service providers practicing in the state;
66	132		(6)The North American college of obstetricians and gynecology;
67	133		(7)The North Dakota medical association;
68	134		(8)The women, infants, and children program; and
69	135		(9)North Dakota health tracks.
70		-	2.The legislative management shall report its findings and recommendations, together
	136	+	2.The legislative management shall report its findings and recommendations together
71	137		with any legislation required to implement the recommendations, to the seventieth
72	138		legislative assembly.
73		-	Page No. 2 25.0993.05000
	139	+	SECTION 2. APPROPRIATION - DEPARTMENT OF HEALTH AND HUMAN SERVICES -
	140	+	MATERNAL CARE SERVICES STUDY - ONE-TIME FUNDING. There is appropriated out of
	141	+	any moneys in the general fund in the state treasury, not otherwise appropriated, the sum of
	142	+	$200,000, or so much of the sum as may be necessary, to the department of health and human
	143	+	services for the purpose of contracting for consulting services with a public health program in
	144	+	the North Dakota higher education system for the maternal care services study, under section 1
	145	+	of this Act, for the biennium beginning July 1, 2025, and ending June 30, 2027. The
	146	+	appropriation in this section is considered a one-time funding item.
	147	+	Page No. 3 25.0993.02002
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