The proposed amendments to House Bill No. 1464 focus on maternal care services in North Dakota, specifically addressing postpartum doula certification and initiating a legislative management study. The bill removes previous language related to the creation of a new section for postpartum doula certification and instead provides for a legislative management study on maternal care services. The new language defines key terms such as "certified doula" and "doula services," and grants the Department of Health and Human Services the authority to designate doula certification organizations, adopt rules for implementation, and establish criteria for these organizations without imposing additional licensing or certification fees.

Additionally, the bill outlines a comprehensive study to be conducted during the 2025-26 interim, which will analyze the availability and utilization of prenatal services, review childbirth service availability, and assess the coverage of maternal care services by public assistance and private insurance. The study will also evaluate ways to increase the number of healthcare providers in the state, explore certification processes for doulas and midwives, and gather input from various stakeholders, including medical professionals and organizations involved in maternal and infant health. The findings and recommendations from this study will be reported to the seventieth legislative assembly for further action.