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High Impact

Missouri House Bill 1949 creates provisions for maternal health care services including doula coverage and medical standing orders

Original title: HEALTH CARE

Last action · May 15, 2026: Referred: Emerging Issues(H)Sponsors: LaKeySha Bosley and 1 other

Introduced
Committee
Floor Vote
Passed
Law

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What This Bill Would Do

The bill creates provisions relating to maternal health care services, including authorizing medical s for prenatal vitamins and service recommendations, establishing the Missouri Doula Reimbursement Act under , and enacting the Show-Me Healthy Babies Program.

Why it matters

Low-income pregnant residents and families gain explicit state-funded insurance access to services, prenatal care support, and childbirth education classes through the program.

Who It Would Affect

Groups the bill's text would affect if enacted, as described in the record. Being affected is not a position for or against it.

Directly affected

MO HealthNet participants

Eligible pregnant individuals gain access to coverage for doula services, lactation consultations, and childbirth education classes.

Directly affected

Doulas

Doulas meeting specific training and insurance requirements become eligible to enroll as MO HealthNet providers and receive fee-for-service reimbursements.

Directly affected

MO HealthNet providers

Providers receive advance written notice requirements for any changes to audit interpretations and reimbursement application rules.

Key Facts

You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.

Frequently Asked Questions

What doula services are covered under the MO HealthNet program?
Covered services include a combined total of six prenatal and postpartum support sessions, one birth attendance, up to two lactation consultation visits, and community navigation services billed up to ten times total.
Who is eligible to provide covered doula services under MO HealthNet?
A must be enrolled as a provider, be 18 years of age or older, hold liability insurance, and possess a current certificate from a recognized training organization or verified training meeting established curriculum guidelines.
Are gender transition treatments covered under MO HealthNet according to this bill?
No, the bill explicitly states there shall be no payments made under the section for gender transition surgeries, cross-sex hormones, or puberty-blocking drugs for the purpose of a gender transition.

What else do you want to know?

News Coverage

No news coverage found yet. Articles are indexed twice daily.

Where This Stands

Currently in committee. The next step in the legislative lifecycle is Floor Vote.

Procedural history

4 actions
  1. May 15, 2026HouseCommittee
    Referred: Emerging Issues(H)
  2. Jan 8, 2026HouseFloor
    Read Second Time (H)
  3. Jan 7, 2026HouseIntroduced
    Read First Time (H)
  4. Dec 1, 2025HouseIntroduced
    Prefiled (H)

Version history

Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.

View official text →

Lobbying Activity

No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.

Full breakdown

Who this bill affects and the strongest case for and against it, written only from the bill’s own text.

Sponsors

Discoveries

1 pattern noticed across the record

Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.

policy shift98% confidence

Formalization of Doula Services in Medicaid

The legislation establishes a structured reimbursement framework and specific credentialing criteria for doulas within the state's MO HealthNet program.

Connected Entities

Department of Mental Health, General Assembly, Department of Health and Senior Services and 4 more
OrganizationDepartment of Mental Health“State department involved in mental health services and medical standing orders”Map →
OrganizationGeneral Assembly“State legislative body of Missouri”Map →
OrganizationDepartment of Health and Senior Services“State department involved in health care administration and medical standing ord”Map →
PersonLaKeySha Bosley“Representative for District 079 introducing House Bill 1949”Map →
PersonKem Smith“Representative for District 068 listed as cosponsor”Map →
OrganizationShow-Me Healthy Babies Program“Children's health insurance program for low-income unborn children”Map →
OrganizationMO HealthNet Division“Division of the department of social services administering medical assistance”Map →

Sources

Analysis Score

0–100
  • Significance75
    How much this matters to a regular citizen
  • Controversy40
    Intensity of disagreement among stakeholders
  • Entertainment5
    Compellingness for a non-policy-wonk reader
  • Buzz35
    Current news / social attention level

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