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Virginia · 2025 Regular Session
SB1418Postpartum doula care; DMAS to amend state plan for medical assistance services.
Direction
Abortionfunding insuranceAI label
=No change to abortion accessmodel 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
AbortionotherAI label
↑Expands abortion accessmodel confidence 90%
The bill expands Medicaid coverage to include postpartum doula care services (emotional/physical support, infant care, breastfeeding, mental health education, recovery guidance, and up to 10 visits spanning pregnancy and 12 months postpartum) for eligible birthing individuals.
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 (CHAP0706)
Why the model tagged it this way: The bill text adds a new subdivision (34) requiring the state Medicaid plan to cover postpartum doula care services (with details on what is included and limits of up to 10 visits), which expands access to these supportive services in the postpartum period. It also retains without change the longstanding prohibition on using Medicaid funds for abortion services in subdivision (7), resulting in no net change for abortion funding. No provisions address firearms, transgender issues, or immigration enforcement.
Related bills
HB1182Health insurance; coverage for contraceptive drugs & devices, including over-the-counter.↓Restricts abortion access Law
HB1400Health insurance; coverage for maternal mental health screenings.=No change to abortion access=No change to abortion access Law
HB425Pregnant and postpartum patients; reimbursement for remote monitoring services.↑Expands abortion access=No change to abortion access Law
HB1389Health insurance; coverage for standard fertility preservation procedures.↑Expands abortion access↑Expands abortion access Died (session ended)
Hearings and calendar
2025-01-28 16:00 · Hearing · Senate Education and Health-Health Hearing Senate Room C, Room 311, General Assembly Building
2025-01-30 08:30 · Hearing · Senate Education and Health Hearing Senate Room A, Room 305, General Assembly Building
2025-02-11 00:00 · Hearing · House Health and Human Services Committee Hearing House Committee Room C - 206
2025-02-11 07:30 · Hearing · House Health and Human Services Committee Hearing House Committee Room C - 206
Votes
Date
Chamber
Motion
Yea-Nay
2025-01-30
S
Reported from Education and Health (15-Y 0-N)
15-0
Passed
2025-01-31
S
Constitutional reading dispensed (on 1st reading) (39-Y 0-N)
39-0
Passed
2025-02-03
S
Constitutional reading dispensed (on 3rd reading) (40-Y 0-N)
40-0
Passed
2025-02-03
S
Passed Senate (40-Y 0-N)
40-0
Passed
2025-02-11
H
Reported from Health and Human Services with substitute (22-Y 0-N)