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Missouri requires Department of Health and Senior Services to create a doula registry for health insurance reimbursement

Original title: HEALTH INSURANCE REIMBURSEMENT OF DOULA SERVICES

Last action · May 15, 2026: Referred: Emerging Issues(H)Sponsors: Tiffany Price and 2 others

Introduced
Committee
Floor Vote
Passed
Law

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What This Bill Would Do

The Missouri Department of Health and Senior Services must establish a registration process and statewide registry for trained s to enable health insurance reimbursement for their services. The measure requires the department to consult with organizations such as the Missouri Community Doula Council when setting application criteria, and specifies that unregistered individuals may still practice as doulas.

Why it matters

Pregnant and birthing individuals across Missouri may gain health insurance coverage for support services once providers complete the new state registration process. The measure establishes administrative rules regarding rulemaking authority tied to chapter 536, taking effect conditionally around August 28, 2026.

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

doulas

Doulas can apply for state registration to enable health insurance reimbursement for their services while retaining the right to practice without registration.

Directly affected

Department of Health and Senior Services

The department is required to create application criteria, review applications, issue approvals or denials, maintain a statewide registry, and promulgate rules.

Directly affected

pregnant and birthing women and their families

Individuals receiving childbirth support may access health insurance reimbursement for doula services provided by registered practitioners.

Key Facts

  • The Department of Health and Senior Services must review and approve doula registrations to allow health insurance reimbursement for doula services.
  • A doula is defined as an individual trained to provide physical, emotional, and educational support, but not medical or midwifery care, before, during, and after childbirth.
  • The department must create application criteria, review and approve or deny applications, provide specific reasons for any denial, and maintain a statewide registry of approved doulas.
  • When creating application criteria, the department must consult the Missouri Community Doula Council and other community doula organizations.
Show all 6 facts
  • The measure does not prohibit any person from practicing as a doula in the state regardless of whether they are registered.
  • The department must promulgate all necessary rules and regulations under chapter 536, with rulemaking authority subject to specific statutory review provisions taking effect August 28, 2026.

Frequently Asked Questions

Which state agency is responsible for managing the doula registry?
The Department of Health and Senior Services is responsible for reviewing and approving registrations, creating application criteria, and maintaining the statewide registry.

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 shift95% confidence

Creation of State Doula Registry

Establishes the state's first formal registration system specifically for doulas to qualify for health insurance reimbursement.

Connected Entities

Department of Health and Senior Services, Missouri Community Doula Council
OrganizationDepartment of Health and Senior Services“Responsible for creating criteria, reviewing applications, and maintaining the s”Map →
OrganizationMissouri Community Doula Council“Organization to be consulted when creating criteria for the doula registration a”Map →

Sources

Analysis Score

0–100
  • Significance60
    How much this matters to a regular citizen
  • Controversy15
    Intensity of disagreement among stakeholders
  • Entertainment5
    Compellingness for a non-policy-wonk reader
  • Buzz25
    Current news / social attention level

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