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Where doulas are covered by Medicaid

A U.S. map shows state efforts to expand Medicaid coverage of doulas, as of March 2026. 28 states and D.C. are actively reimbursing doula care. 13 states have taken adjacent actions. Six states have implementations in process and three have either failed to pass legislation or have not taken action.

State efforts to expand Medicaid coverage of doulas

Adapted from National Health Law Program; Map: Axios Visuals

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Doulas go mainstream

Wellness Brief

Doula care is moving into the mainstream as major insurers expand coverage and more patients incorporate it into pregnancy care. Why it matters: <a class="gtmContentClick" data-vars-link-text="Research has linked" data-vars-click-url="https://www.thelancet.com/journals/eclinm/article/PIIS2589-5370(22)00261-9/fulltext" data-vars-content-id="c9ec4175-396f-4811-840d-356d1495f323" data-vars-headline="Doulas go mainstream" data-vars-event-category="story" data-vars-sub-category="story" data-vars-item="in_content_link" href="https://www.thelancet.com/journals/eclinm/article/PIIS2589-5370(22)00261-9/fulltext" target="_blank">Research has linked</a> doula support to lower cesarean rates and fewer preterm births.

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