Virginia · 2025 Regular Session

HB1614 Postpartum doula care; DMAS to amend state plan for medical assistance services.

Direction

Abortion funding insuranceAI label

No change to abortion access model confidence 80%

The bill adds a new provision for Medicaid payment of postpartum doula care (including up to 10 visits with prenatal and postpartum components) but retains and does not alter the existing explicit prohibition on using funds for abortion services.

For the purposes of this section, family planning services shall not cover payment for abortion services and no funds shall be used to perform, assist, encourage or make direct referrals for abortions;

✓ Quote verified word for word in the bill text

Abortion otherAI label

Expands abortion access model confidence 90%

The bill expands Medicaid coverage to include postpartum doula care with services such as emotional support, breastfeeding assistance, postpartum mental health education, and referrals, for up to 10 visits around pregnancy and birth.

A provision for payment of medical assistance for postpartum doula care. Postpartum doula care covered under such provision shall include (i) emotional and physical support for the birthing individual and family during the postpartum period; (ii) assistance with infant care, breastfeeding, and safe sleeping practices; (iii) education on postpartum mental health and referrals to mental health resources as needed; (iv) guidance on physical recovery, nutrition, and self-care for the birthing individual; (v) connection to community resources and social support systems; and (vi) culturally

✓ Quote verified word for word in the bill text

Filed (completed)
Committee (completed)
Passed one chamber (completed)
Passed both (completed)
Governor (completed)
Law

Stage: Law · step 6 of 6

Last action: 2025-05-02: Acts of Assembly Chapter text (CHAP0690)
Filed: 2025-01-03
Sponsor: Adele McClure D + 16 cosponsors (16 D)

Read official text (Chaptered)Legislature page LegiScan

Why the model tagged it this way: The bill text is an amendment to Virginia's Medicaid state plan that adds coverage for postpartum doula care (new subdivision 34), which provides support services tied to pregnancy, birth, and the postpartum period. This directly implicates abortion-related topics via the retained ban on abortion funding in the family planning provision (subdivision 7, unchanged) and the new expansion of covered perinatal support services. No provisions address firearms, transgender issues, or immigration enforcement.

Related bills

HB1182 Health insurance; coverage for contraceptive drugs & devices, including over-the-counter.Restricts abortion access Law
HB1400 Health insurance; coverage for maternal mental health screenings.No change to abortion access No change to abortion access Law
HB425 Pregnant and postpartum patients; reimbursement for remote monitoring services.Expands abortion access No change to abortion access Law
HB1389 Health insurance; coverage for standard fertility preservation procedures.Expands abortion access Expands abortion access Died (session ended)

Hearings and calendar

2025-01-16 16:00 · Hearing · House Health and Human Services - Social Services Committee Hearing House Committee Room C - 206
2025-01-21 08:30 · Hearing · House Health and Human Services Committee Hearing House Committee Room C - 206
2025-02-06 08:30 · Hearing · Senate Education and Health Hearing Senate Room A, Room 305, General Assembly Building
2025-02-12 09:00 · Hearing · Senate Finance and Appropriations Hearing Senate Room A, Room 305, General Assembly Building

Votes

Date	Chamber	Motion	Yea-Nay
2025-01-16	H	Subcommittee recommends reporting with amendment(s) and referred to Appropriations (8-Y 0-N)	8-0	Passed
2025-01-21	H	Reported from Health and Human Services with amendment(s) (21-Y 0-N)	21-0	Passed
2025-01-27	H	Amendment by Delegate Garrett passed by (49-Y 46-N)	49-46	Passed
2025-01-28	H	Read third time and passed House (89-Y 9-N)	89-9	Passed
2025-02-06	S	Reported from Education and Health and rereferred to Finance and Appropriations (14-Y 0-N)	14-0	Passed
2025-02-12	S	Reported from Finance and Appropriations (15-Y 0-N)	15-0	Passed
2025-02-13	S	Constitutional reading dispensed (on 2nd reading) (40-Y 0-N)	40-0	Passed
2025-02-14	S	Passed Senate with substitute (36-Y 0-N)	36-0	Passed
2025-02-18	H	Senate substitute agreed to by House (89-Y 7-N)	89-7	Passed
2025-04-02	H	Passed by for the day (47-Y 46-N)	47-46	Passed

Text versions

Introduced 2025-01-03
Engrossed 2025-01-27
Comm Sub 2025-02-14
Comm Sub 2025-02-14
Enrolled 2025-02-20
Chaptered 2025-05-02

History (47 actions)

Date	Chamber	Action
2025-05-02		Acts of Assembly Chapter text (CHAP0690)
2025-05-02		Approved by Governor-Chapter 690 (Effective 07/01/25)
2025-04-02		Governor's Action Deadline 11:59 p.m., May 2, 2025
2025-04-02	H	Communicated to Governor
2025-04-02	H	Passed by for the day (47-Y 46-N)
2025-03-24	H	Governor's substitute printed (HB1614H1)
2025-03-24		Governor's recommendation received by House
2025-03-05		Governor's Action Deadline 11:59 p.m., March 24, 2025
2025-03-05	H	Enrolled Bill communicated to Governor on March 5, 2025
2025-02-23	S	Signed by President
2025-02-20	H	Signed by Speaker
2025-02-20	H	Fiscal Impact Statement from Department of Planning and Budget (HB1614)
2025-02-20	H	Bill text as passed House and Senate (HB1614ER)
2025-02-20	H	Enrolled
2025-02-18	H	Senate substitute agreed to by House (89-Y 7-N)
2025-02-17	H	Fiscal Impact Statement from Department of Planning and Budget (HB1614)
2025-02-14	S	Passed Senate with substitute (36-Y 0-N)
2025-02-14	S	Engrossed by Senate - floor substitute
2025-02-14	S	Senator Aird, Lashrecse, D. Substitute agreed to
2025-02-14	S	Reading of substitute waived
2025-02-14	S	Read third time
2025-02-14	S	Floor substitute printed 25107334D-S1 (Aird)
2025-02-13	S	Passed by for the day
2025-02-13	S	Constitutional reading dispensed (on 2nd reading) (40-Y 0-N)
2025-02-13	S	Rules suspended
2025-02-12	S	Reported from Finance and Appropriations (15-Y 0-N)
2025-02-06	S	Reported from Education and Health and rereferred to Finance and Appropriations (14-Y 0-N)
2025-01-29	S	Referred to Committee on Education and Health
2025-01-29	S	Constitutional reading dispensed (on 1st reading)
2025-01-29	H	Fiscal Impact Statement from Department of Planning and Budget (HB1614)
2025-01-28	H	Read third time and passed House (89-Y 9-N)
2025-01-27	H	Printed as engrossed 25103452D-E
2025-01-27	H	Engrossed by House as amended
2025-01-27	H	Health and Human Services Amendments agreed to
2025-01-27	H	Amendments by Delegate passed by
2025-01-27	H	Amendment by Delegate Garrett passed by (49-Y 46-N)
2025-01-27	H	Read second time
2025-01-24	H	Passed by for the day
2025-01-24	H	Read second time
2025-01-24	H	Moved from Uncontested Calendar to Regular Calendar
2025-01-23	H	Read first time
2025-01-21	H	Reported from Health and Human Services with amendment(s) (21-Y 0-N)
2025-01-16	H	Subcommittee recommends reporting with amendment(s) and referred to Appropriations (8-Y 0-N)
2025-01-15	H	Fiscal Impact Statement from Department of Planning and Budget (HB1614)
2025-01-13	H	Assigned sub: Social Services
2025-01-03	H	Referred to Committee on Health and Human Services
2025-01-03	H	Prefiled and ordered printed; Offered 01-08-2025 25103452D