The proposed bill H. 3108 aims to amend the South Carolina Code of Laws by introducing Chapter 145 to Title 44, which establishes guidelines for the reimbursement of doula services through private insurance and Medicaid. The bill outlines the criteria for Medicaid coverage, including the requirement for doulas to obtain a National Provider Identification Number and complete specific training competencies. It also mandates the creation of a doula certification organization responsible for regulating statewide certification and maintaining a registry of certified doulas. Additionally, the bill specifies that doula services will be reimbursed on a fee-for-service basis and sets a minimum coverage amount of $850 per pregnancy for various doula-related activities.

Furthermore, the bill adds Section 38-71-134 to Article 1, Chapter 71, Title 38, requiring all individual or group health insurance contracts issued or renewed in South Carolina after January 1, 2026, to provide coverage for perinatal doula services. Insurers are prohibited from requiring supervision or referral from other healthcare providers for reimbursement of doula services. The bill also mandates that insurers report utilization and cost information related to doula services to the Department of Insurance annually, while excluding certain types of insurance coverage from these requirements. The act will take effect upon approval by the Governor.

Statutes affected:
12/05/2024: 38-71-134
Latest Version: 38-71-134
12/06/2024: 38-71-134