Doula changes draw support at hearing

AP FILE PHOTO/STEVEN SENNE

AP FILE PHOTO/STEVEN SENNE AP FILE PHOTO/STEVEN SENNE

By ALISON KUZNITZ

State House News Service

Published: 12-02-2024 5:16 PM

Modified: 12-02-2024 5:33 PM


BOSTON — MassHealth recently expanded access to its doula services program, and regulatory changes that state officials made on an emergency basis yielded scant public feedback Monday.

During a roughly 10-minute hearing, only a state health official and one maternal health care provider spoke about the changes that took effect on Nov. 8, including allowing doulas to be eligible for MassHealth reimbursement at non-doula group practices, including in hospital settings. Those practices are also now able to bill MassHealth for doula services.

The MassHealth doula program, which the Healey administration rolled out last December in response to worsening maternal health care outcomes among people of color, previously limited coverage to doulas working independently or in a doula-only group practice.

Josefa Scherer, program director at Moms Do Care-EMPOWER, said she was in “full support of expanding doula access for doulas that are employed otherwise than individually, and for doula group practices.”

The Massachusetts Health and Hospital Association wrote in its newsletter Monday that it supports the regulatory changes, particularly removing the “billing restriction” on hospital-based doulas. MHA said some doula programs “have been in existence for 25 years or more bringing care to underserved populations,” and “been funded historically through grants or philanthropy programs.”

“Doulas provide important emotional, educational and physical support to individuals and families from pregnancy to the postpartum period, and they are especially valuable in advancing equitable care, as evidence shows doulas improve health outcomes for historically underserved populations,” Alex Levie, MHA’s senior manager of regulatory policy, said. “Removing this restriction allows the programs that have been successfully operating in our hospitals for years to continue and expand.”

The recent changes also ensure doula services are covered for adoptive parents until their infant turns one. Arvin Isabel, doula services program manager at the Executive Office of Health and Human Services, said officials implemented the regulatory changes on an emergency basis in response to the maternal health care law signed by Gov. Maura Healey in August.

The regulations are not anticipated to increase annual aggregate MassHealth expenditures, according to the hearing notice.

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