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

Replaced gender-specific terms like 'birthing women' with gender-neutral terms like 'birthing individual' and 'postpartum individuals' throughout the text.

Added a requirement that doula care must be culturally appropriate and individualized to the specific needs of the birthing person.

Established a specific deadline of December 31, 2026, for the first annual report on the implementation and outcomes of the doula care program.

Increased the number of covered doula visits from a maximum of six postpartum visits to a total of ten visits, split between four prenatal visits and six postpartum visits.

Added requirement for the Department of Medical Assistance Services to submit an annual report to the Governor and General Assembly on postpartum doula care implementation, including usage statistics, health outcome analysis, and stakeholder feedback, with the first report due December 31, 2026.

Changed document header from 'HOUSE SUBSTITUTE' to 'GOVERNOR SUBSTITUTE NOT ADOPTED' and updated bill tracking numbers and dates, reflecting the bill's progression through the legislative process.

Reformatted the bill text with different spacing and line breaks in the Governor Substitute version compared to the House Substitute version, but the substantive policy language remains identical.