Breaking Down AB 904: California’s New Legislation on Doula Services

written by, Haley Cottrell | Breathe Bitch Doula Founder

California--the wokest state in the Union--has just out-woke itself in the best way possible with the implementation of AB 904. This game-changing legislation is putting doula services front and center, proving once again that California knows how to party (in the Labor & Delivery room). Signed into law in 2024, AB 904 mandates that health insurance plans regulated by the state must cover doula services starting on January 1st, 2025. This law is going to revolutionize the birth space, putting maternal health and birth equity in the spotlight like never before across California.

What Is AB 904?

AB 904 requires private health insurers and Medi-Cal, California’s Medicaid program, to include coverage for doula services. Doulas are trained professionals who provide emotional, physical, and informational support to individuals before, during, and after childbirth. The law specifies that insurance coverage must:

• Include at least four prenatal visits, continuous support during labor and delivery, and two postpartum visits.
• Be provided without requiring prior authorization, ensuring timely access to care.
• Cover services in both hospital and home birth settings.

Why Doula Services Matter

The stats don’t lie: people who have doulas on their support team are:

• Less likely to have a cesarean delivery.
• More likely to report positive childbirth experiences.
• Less likely to experience postpartum depression.

Doula support isn’t just care; it’s advocacy in action. By addressing racial and socioeconomic disparities in maternal health, doulas are leveling the playing field and empowering communities to thrive. For Black, Indigenous, and other communities of color, who often face higher risks of complications during childbirth, doula services can be life-changing.

How to Take Advantage of Doula Coverage

If you’re an expectant parent in California, here’s how you can benefit from AB 904:

1. Check Your Insurance Plan: Confirm that your health plan includes doula services as mandated by the new law.
2. Find a Doula: Check out Breathe, Bitch Doula for experienced and compassionate care. Whether you're looking for guidance through your pregnancy, birth, or postpartum--we've got your back.
3. Ask Questions: Discuss your birth preferences and ensure the doula’s approach aligns with your needs.

AB 904 isn’t just a step forward—it’s a full-on sprint toward a better future for birthing parents. If you’re a Californian preparing to welcome a new addition to your family, don’t wait—book your doula today with Breathe, Bitch Doula. Let’s make your birthing experience empowering and unforgettable. Your journey into parenthood deserves the care and guidance that doula services offer.

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