Committee advances doula bill after amendment clarifying beneficiary language; debate centered on Medicaid fit and budget priorities
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Summary
Senate Bill 319, which would revise health care laws related to doulas and Medicaid coverage, was amended and passed out of committee. Supporters argued the service benefits vulnerable birthing people; opponents said Medicaid priorities and fiscal constraints weigh against expansion.
The committee considered Senate Bill 319, a bill to revise health care law as it relates to doulas. Senator McGillivray offered a narrow amendment to clarify language in line 20 to reference pregnant people (the amendment text referenced 'women' in committee discussion). The amendment was adopted and the committee later passed the bill in executive action.
Supporters argued the service can reduce risks associated with childbirth and postpartum mental health. Senator Flowers cited two acquaintances who died in postpartum crises and said services that reduce such risks are "well worth it." Opponents framed the question as a Medicaid priority and urged the legislature be cautious about adding coverage for services that some described as nonessential or traditionally provided by family or community.
Fiscal considerations: The fiscal note indicates Medicaid coverage would require inclusion in the biennial budget (House Bill 2) before state dollars would be committed; multiple senators noted that Medicaid fiscal inclusion would be handled during the HB2 process.
Outcome: After roll‑call, the committee passed Senate Bill 319 and forwarded it for further consideration.
Ending: Sponsors and supporters urged the bill as a fit for Medicaid coverage for vulnerable, often rural, birthing people; opponents asked the legislature to prioritize essential services in a constrained budget.