IN HB1049

State employee health plans, accident and sickness insurance policies, and health maintenance organization contracts must provide coverage for doula services effective July 1, 2026

Medicaid pregnancy services must include reimbursement for doula services, changing existing permissive language ("may") to mandatory ("shall")

Doulas are defined as individuals trained and certified by nationally recognized institutions to provide emotional and physical support—but not medical or midwife care—to pregnant women before, during, and after childbirth

Coverage for doula services cannot be subject to deductibles, copayments, coinsurance, or annual/lifetime limits that are more restrictive than those applying generally to the health plan

The Indiana Office of Medicaid is required to apply for necessary state plan amendments or waivers and adopt rules to implement the Medicaid coverage requirement