Expanding Medicaid Coverage for Doulas in Republican-Led States Boosts Maternal and Infant Health

Doulas, historically considered a luxury service for new mothers, are increasingly being included in Medicaid coverage, even in states governed by Republicans. This shift is driven by bipartisan support and mounting evidence of the health benefits that doulas provide during pregnancy, childbirth, and postpartum. In South Carolina, for instance, two bills aim to require Medicaid and private insurers to cover doula services for those who choose to use them. This initiative reflects a nationwide trend, with over 30 states either reimbursing doulas through Medicaid or actively working to do so.

Research highlights significant health improvements associated with doula support, such as a 47% reduction in cesarean deliveries and a 29% decrease in preterm births for Medicaid-enrolled women. These outcomes not only benefit families but could also lower healthcare costs by reducing the need for costly interventions and complications.

Conservative policymakers support these efforts, citing personal connections and the potential for improving maternal and infant health, especially among Black and rural populations who often face higher mortality rates and limited access to obstetric care. For example, Montana recently passed law to reimburse doulas, aiming to address disparities in rural and Indigenous communities.

Additionally, national organizations and research assert that expanding access to doula care aligns with broader goals of maternal health equity and reducing disparities. Despite uncertainty regarding federal Medicaid funding cuts, the momentum behind legislation to include doulas continues to grow, reflecting a bipartisan acknowledgment of their vital role in supporting mothers and reducing adverse birth outcomes.