OR SB692

Oregon Health Authority must establish a community-based perinatal services access program to issue grants to culturally specific organizations, the nine federally recognized tribes, nonprofits, and businesses for doula, lactation counselor, and lactation educator training, outreach, and service expansion, with $1,000,000 appropriated from the General Fund for the 2025-2027 biennium.

Medicaid recipients must have access to doula, lactation counselor, and lactation educator services with a minimum of 24 hours of covered services (beyond labor and delivery) regardless of birth outcome, without requiring referrals or supervision from other health care providers.

Private health benefit plans covering pregnancy and childbirth must provide coverage for doula, lactation counselor, and lactation educator services with at least 24 hours minimum, no prior authorization required, and reimbursement of at least $3,760 (adjusted annually for inflation).

The Health Licensing Office must adopt rules regulating lactation counselors and lactation educators, including continuing education requirements, standards of practice, and authorization requirements.

Oregon Health Authority must report biennially to the legislature on doula workforce status, including claims data, barriers to billing, registry demographics, training programs, and disaggregated birth outcomes for patients with and without doula support.