The proposed bill aims to enhance maternal health care in West Virginia by mandating coverage for doula services under the Public Employees Insurance Agency (PEIA) and Medicaid. It defines doula services as preventive care provided by trained, non-medical professionals who offer continuous support during pregnancy and up to 365 days post-delivery. The bill requires the Bureau for Medical Services to file a state plan amendment to extend Medicaid coverage for these services by January 1, 2026, and increases reimbursement rates for birth and delivery services from $600 to $1,000. It also establishes minimum visit requirements for prenatal and postpartum care, ensuring at least two visits for each, with provisions for additional visits at a rate of $125 each.

Additionally, the bill mandates the Public Employees Insurance Agency to submit annual reports on compliance with parity in behavioral health and medical services, including analyses of nonquantitative treatment limitations. The agency must also update its annual plan document to reflect comprehensive parity compliance. Overall, the legislation reflects a commitment to improving maternal health outcomes by expanding access to essential support services and increasing financial support for maternity care, thereby recognizing the vital role of doulas in the maternal care system.

Statutes affected:
Introduced Version: 5-16-7, 9-1-2, 9-5-12