Gov. Greg Gianforte has signed a bill that professionalizes doula care in Montana, settling a major legislative debate. Doulas are trained professionals offering nonmedical support to pregnant individuals and families throughout the birthing process. Recent studies indicate doula care improves health outcomes for mothers and children, enhancing prenatal and postnatal care.
Senate Bill 319 mandates doulas in Montana to secure licensure from the state’s Department of Labor and Industry. Practicing doulas must apply, meet departmental standards, and pay application fees. Crucially, the law allows doulas to bill Medicaid, potentially widening access to their services. Supporters argue this Medicaid coverage eliminates financial barriers, especially benefiting low-income families.
The fiscal note from the governor’s budget office suggests doulas will participate in 6% of Medicaid-covered births, costing taxpayers about $119,000 per year. Set to take effect on Jan. 1, the law will remain in place until Dec. 31, 2030. Sponsor Sen. Cora Neumann expressed relief, stating the bill offers comprehensive care, a continuum that benefits both mothers and families.
Montana is 32nd in the U.S. for maternal mortality, with Native Americans facing significantly higher rates than White women. Doula services, especially in rural areas lacking healthcare access, are shown to drastically improve outcomes, reducing instances of low-birth-weight and birth complications. Neumann emphasized the law’s life-saving potential in regions devoid of OBGYN services.
DOULAS IN MONTANA
Julianne Denny, a doula on the Rocky Boy’s Reservation, believes the law will help sustain the profession. Misty Pipe, who offers free doula services on the Northern Cheyenne Reservation, described the law as a critical step toward community healing. Stephanie Morton from Healthy Mothers, Healthy Babies praised the legislation for expanding doula access.
LEGISLATION HOTLY DEBATED
Sen. Neumann noted the bill faced significant opposition, linked to sexism and the desire for women to control their bodies. Discussions in the House and Senate resulted in amendments, prompting further hearings. Opponents questioned government funding for doula services and the necessity of licensure.
Rep. Tom Millet, R-Marion, and Sen. Tom McGillvray, R-Billings, voiced limited government concerns. However, Rep. SJ Howell, D-Missoula, argued that expanding doula access was appropriate for government involvement. Despite hesitations over the $119,000 cost, Rep. Melody Cunningham, D-Missoula, highlighted long-term savings from improved health outcomes.
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