Press Article: New Law in Vermont Aims to Expand Access to Doula Services
Montpelier, VT — A groundbreaking law signed by Governor Phil Scott is set to enhance access to doula services in Vermont, potentially improving maternal health outcomes. The law creates a pathway for Vermont Medicaid to cover up to $2,100 for doula services provided before, during, and after birth. This initiative, championed by Senator Martine Laroque Gulick, aims to close existing gaps in birthing resources, particularly for marginalized communities facing socioeconomic barriers.
Maria Rossi, who spearheaded the doula program at Washington County Mental Health Services, emphasized the disparities she observed over her 15 years of service. "The differences between those who can access these vital services and those who cannot were stark," she noted. Doulas play a crucial role by addressing emotional needs and can contribute to improved birthing outcomes, especially in underprivileged populations.
Statistics reveal a troubling maternal mortality rate in rural Vermont, which is threefold higher than in more urban areas. The new law is inspired by research indicating that over 80% of pregnancy-related deaths nationwide are preventable, highlighting alarming racial disparities in maternal health.
Despite the promise of the new law, concerns about funding and certification processes remain. Officials from the Department of Vermont Health Access have raised apprehensions about the compliance of the community-based certification program with federal standards. They must seek federal approval for Medicaid changes by July 2026.
Rossi views this legislative progress as an essential step toward ensuring accessible, culturally competent care for all expectant mothers in the state. With additional legislative measures aimed at reducing hurdles for birthing centers, Vermont is taking decisive steps to improve maternal healthcare access. As private insurers begin to explore coverage options for doulas, the landscape of maternity care in Vermont could see significant transformation in the coming years.
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