The proposed amendments to House Bill No. 1464 focus on establishing a legislative management study related to maternal care services in North Dakota. The bill includes provisions for the Department of Health and Human Services to designate and regulate doula certification organizations, ensuring that certified doulas can provide essential education and support services to parents and children. The department is tasked with creating criteria for these organizations and is prohibited from imposing additional licensing or certification fees beyond those set by the organizations themselves.

Additionally, the bill outlines a comprehensive study to be conducted during the 2025-26 interim, which will analyze the availability and utilization of prenatal, childbirth, and postnatal services across the state. This study will involve a review of existing services, funding, and outcomes, as well as input from various stakeholders, including medical professionals and community organizations. The findings and recommendations from this study will be reported to the legislative assembly, potentially leading to new legislation aimed at improving maternal and infant health outcomes in North Dakota.