Medicaid Coverage for Doula Services.

SB 463 requires North Carolina Medicaid to cover doula services during pregnancy and the postpartum period, directly affecting Medicaid-enrolled pregnant and postpartum individuals and doulas seeking to provide these services under Medicaid. The bill mandates the state health department to develop coverage rules, including reimbursement rates and provider requirements focused on doula training in areas like childbirth education, lactation support, and cultural awareness. It appropriates $1 million annually from the state general fund (matching $1.8 million in federal funds) for Medicaid coverage changes and $550,000 annually for doula workforce support services. The coverage must be implemented upon federal CMS approval, with a report to lawmakers by March 1, 2026.