Many states cover doula care, but access is often out of reach
Doula care has been associated with improved breastfeeding initiation and less maternal anxiety. Perinatal doula care includes education about pregnancy and birth, advocacy for new parents in the hospital, and help after delivery with lactation and recovery. Doulas often work alongside doctors or midwives who provide medical care.
This report explores the challenges surrounding access to doula care across various states, despite many now covering the services. While doula care has been linked to better breastfeeding initiation rates and reduced maternal anxiety, factors like administrative hurdles and low reimbursement rates have limited participation in Medicaid programs.
In Virginia, only 19 doulas based in Northern Virginia accept Medicaid payment, resulting in fewer than 1% of Medicaid births utilizing doula services during 2022-2024. The low reimbursement rate of $859 per pregnancy, coupled with a fee from private payers, doesn't reflect the full value of doula services. Despite these obstacles, Medicaid coverage still provides some benefits, such as increased access to a "birthing bestie" for parents.
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