An Act relative to insurance coverage for doula services

H 4344 requires all health insurance policies in Massachusetts (including employer plans and MassHealth) to cover doula services without cost-sharing like deductibles or copays. It mandates a minimum of 20 hours of prenatal/postpartum support per pregnancy, continuous labor support, and reimbursement at MassHealth rates, while prohibiting referrals and additional credentialing requirements. The bill directly affects insurers, policyholders, and doulas by standardizing coverage for non-medical support during pregnancy, birth, adoption, loss, and postpartum care. Key provisions include eliminating prior authorization for coverage and requiring policies to follow state-developed doula credentialing standards.