HB 1464 — A BILL for an Act to provide for a legislative management study relating to maternal care services.

25.0993.0500025.0993.02000 Sixty-ninth Legislative Assembly of North Dakota FIRST ENGROSSMENT with Senate Amendments ENGROSSED HOUSE BILL NO.

Anderson, Brown, Finley-DeVille, Hager, Hanson, Rohr, Steiner Senators Hogan, Mathern A BILL for an Act to providecreate forand enact a legislativenew managementsection studyto chapter 23-12 of the North Dakota Century Code, relating to maternalpostpartum caredoula services.certification;

and to provide for a legislative management report.

LEGISLATIVEA MANAGEMENTnew STUDYsection -to MATERNALchapter CARE23-12 SERVICES.of the North Dakota Century Code is created and enacted as follows:

Postpartum doula certification.

DuringAs theused 2025-26in interim,this thesection: legislative management shall consider studying maternal care services.

The study must include:

An"Certified analysisdoula" ofmeans thean availabilityindividual ofwho medicalhas andreceived nonmedicala prenatalcertification servicesto inperform thedoula stateservices byfrom communitythe anddoulas geographicof serviceNorth area,America andor thean utilizationorganization ratedesignated ofby each;the department.

A"Department" reviewmeans of childbirth service availability, including in-home and health care facility-based services, and the numberdepartment of obstetrician-gynecologistshealth and familyhuman practitionersservices. routinely delivering babies by geographic service area;

A"Doula reviewservices" ofmeans prenatal,education childbirth, and postnatalsupport services coveredfor bya publicparent assistance,and privatechild, insurance,including continuous emotional and pregnancyphysical resourcesupport centers,during the postpartum period, including anup analysisto ofsix funding,months programafter evaluation,the andbirth outcomes;of the child.

d.

Consideration of previous studies related to maternal care services;

e.

Consideration of maternal care resource and asset maps, service gaps, evidence-based or innovative pilot project solutions for resolving service gaps, and approaches for increasing the use of prenatal and postnatal care services and programs;

f.

An evaluation of ways to increase the number of obstetrician-gynecologists and family practitioners practicing in the state;

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1 25.0993.05000 Sixty-ninth Legislative Assembly g.

Exploration of processes for certifying, training, and reimbursing doula and midwife services;

h.

Consideration of public assistance and private insurance policy opportunities to improve maternal and infant health outcomes;

and i.

Input and consultation from key stakeholders, including:

(1) The university of North Dakota school of medicine and health sciences;

(2) The North Dakota maternal mortality review committee;

(3) The infant mortality review panel;

(4) The foundation for a healthy North Dakota;

(5) Doulas, midwives, and home-based service providers practicing in the state;

(6) The North American college of obstetricians and gynecology;

(7) The North Dakota medical association;

(8) The women, infants, and children program;

and (9) North Dakota health tracks.

The legislativedepartment managementmay: shall report its findings and recommendations, together with any legislation required to implement the recommendations, to the seventieth legislative assembly.

a.

Designate additional doula certification organizations;

b.

Remove the designation of a doula certification organization;

and c.

Adopt rules to implement and administer this section.

3.