Georgia 2025-2026 Regular Session

Georgia House Bill HB1264

Caption

Medical assistance; pilot program to provide coverage under Medicaid program for doula care for pregnant Medicaid recipients; provide

Impact

The introduction of HB 1264 could significantly influence the state's healthcare system by integrating doula care within the Medicaid framework. By reimbursing for doula services, the bill seeks to address disparities in maternal care access. If successful, this pilot program could serve as a model for broader implementation across the state, potentially leading to improved health outcomes and fostering a culture of supportive maternity care. The requirement for doulas to have completed appropriate training could ensure a level of professionalism and quality in care provided under the program.

Summary

House Bill 1264 aims to establish a pilot program in Georgia that provides Medicaid coverage for doula services to pregnant recipients. The bill allows for reimbursement for up to five doula visits for each pregnant Medicaid recipient, accommodating needs during prepartum, labor, and postpartum care. The initiative is designed to improve maternal health outcomes by enhancing support for pregnant women, particularly those who are part of the Medicaid program. This program is essential for expanding access to holistic care for expectant mothers, with the intent of improving overall health outcomes for both mothers and infants.

Contention

While supporters argue that this bill is a crucial step toward providing essential support for pregnant women, potential points of contention may arise regarding funding allocation and the effectiveness of the program's parameters. Critics might express concerns about the costs associated with implementing the reimbursement structure and the adequacy of five visits to truly benefit participants. Additionally, issues could arise around the qualifications required for doulas and how these standards may affect the availability of services for Medicaid recipients.

Next-steps

The pilot program is scheduled to terminate on January 1, 2029, with a requirement for a detailed report on its implementation and effectiveness to be submitted by the end of 2028. This report will assess health outcomes and make recommendations regarding future expansions, which could influence legislative decisions about the continuation and funding of doula care programs in Georgia.

Companion Bills

No companion bills found.

Previously Filed As

GA HB263

Medical assistance; pilot program to provide coverage under Medicaid program for doula care for pregnant Medicaid recipients; provide

GA HB1201

Relating to a pilot program to provide Medicaid coverage of doula services.

GA SB433

Provides for Medicaid coverage of certain medications. (1/1/27) (RE +$3,000,000 GF EX See Note)

GA SB360

Public Assistance; public option buy-in program to provide healthcare coverage to individuals not eligible for Medicaid coverage; provide

GA SB308

Medical Assistance; Medicaid coverage of postpartum maternal mental health care services; provide

GA S09868

Establishes a 14 member doula Medicaid reimbursement work group within the department of health to set reimbursement rates for doulas in the state Medicaid program and address other criteria related to their practice; requires the work group to conduct a study and evaluate the costs, benefits and issues that may be associated with Medicaid reimbursement for doulas and for providing doula care to Medicaid recipients; makes related provisions.

GA SB903

State Medicaid program; adding member to the Advisory Committee on Medical Care for Public Assistance Recipients. Effective date.

GA SB903

State Medicaid program; adding member to the Advisory Committee on Medical Care for Public Assistance Recipients. Effective date.

GA SB481

Medical Assistance; Medicaid coverage for heart and lung transplants when medically necessary; require

GA HB1231

Provides relative to Medicaid coverage for pregnant women (EG NO IMPACT See Note)

Similar Bills

No similar bills found.