VT S0018

Creates a new state licensing framework for freestanding birth centers, defined as facilities providing midwifery care and low-risk deliveries for stays generally under 24 hours, excluding hospitals, ambulatory surgical centers, and home births

Requires birth centers to obtain a license from the Department of Health with a $250 fee for initial licensure, renewals, or ownership changes, and prohibits facilities from using the term "birth center" without proper licensure

Prohibits birth centers from offering epidural anesthesia or cesarean deliveries, and requires written policies for hospital transfer procedures and collaboration with other healthcare providers

Mandates health insurance plans providing maternity benefits to cover services by licensed midwives and certified nurse midwives at birth centers, effective January 1, 2027

Directs the Agency of Human Services to seek federal approval for Vermont Medicaid to cover prenatal, maternity, postpartum, and newborn services at licensed birth centers, including separate reimbursement for facility and professional fees