The proposed bill seeks to improve insurance coverage for doula services in Massachusetts by amending various chapters of the General Laws. It defines "doula services" as non-medical support provided by trained doulas from conception to twelve months post-pregnancy. The bill mandates that all insurance policies, including those under the Group Insurance Commission, cover doula services without cost-sharing requirements, unless federal tax regulations dictate otherwise. It also stipulates that doulas be reimbursed at a rate equivalent to MassHealth's reimbursement rate and that policies must cover a minimum of twenty hours of prenatal and postpartum doula services per pregnancy.

Additionally, the bill establishes a Doula Advisory Committee to oversee the implementation of doula service coverage, consisting of practicing doulas and community members with relevant experience. The committee will address billing standards, grievance procedures, and reimbursement rates, aiming to enhance maternal and infant health outcomes. The bill also amends Chapter 111 of the General Laws to guarantee patients the right to have their birth doula present during labor and delivery, ensuring that facilities do not impose undue restrictions on a doula's access. Furthermore, it allows for mid-term replacement of the committee chairperson and reduces the frequency of meetings with MassHealth, while ensuring reasonable compensation for committee members. The provisions will take effect for policies issued or renewed on or after September 1, 2026.