HB 5583
bill making Medicaid pay for doulas
Died in committee
Verdict: No flags
Initial review · graded Oct 20, 2026 · Headline, summary and grade are analysis of the bill text, not a finding about any person · How we grade
Caption
relating to Medicaid coverage and reimbursement of doula services.
Caption from analyzed text · version I.
Summary
Coaching and support through pregnancy, labor, delivery and after birth.
The bill requires the state Medicaid program to pay for doula services, defined as nonmedical childbirth education, coaching, and emotional and physical support during pregnancy, labor, delivery, and after birth. It touches Medicaid patients who are pregnant or recently gave birth, the doulas who serve them, and the Health and Human Services Commission. The commission must seek federal approval of a Medicaid plan change by October 1, 2026, and it may wait to start paying until any needed federal waiver is granted.
Labels
Labels: NEVER GOT A HEARING. Filed Mar 14, 2025 and referred to the House Human Services committee. No public hearing. The bill died.
Receipt
The receipt
89R-HB5583 · 2025-03-14
SOLD BY
+ 1 coauthor
ITEM
relating to Medicaid coverage and reimbursement of doula services.
WHAT IT DOES
Coaching and support through pregnancy, labor, delivery and after birth.
The bill requires the state Medicaid program to pay for doula services, defined as nonmedical childbirth education, coaching, and emotional and physical support during pregnancy, labor, delivery, and after birth. It touches Medicaid patients who are pregnant or recently gave birth, the doulas who serve them, and the Health and Human Services Commission. The commission must seek federal approval of a Medicaid plan change by October 1, 2026, and it may wait to start paying until any needed federal waiver is granted.
CHARGES
[ ] NONE FOUND
TOTAL
No fiscal note in the loaded record.
HISTORY
- Filed
- Read first time
- Referred to Human Services
FILED UNDER
No verified beat found.
THANK YOU FOR CHECKING THE RECEIPT
CAMPAIGN PAID FOR BY
CAMPAIGN PAID FOR BY
Donors
Not tied to this bill.
Sources
The author's campaign account only. Own money and internal transfers are separate on the member page.
Derived itemized flow · Jul 3, 2024 to Oct 24, 2026. State data as of Nov 4, 2026.
Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.
Texans for Lawsuit Reform PAC$20,000.00
Texans for Lawsuit Reform PAC
$20,000.00
- Cash
- $20,000.00
- Paid by others
- $0.00
- Total
- $20,000.00
Also funds 124 other sitting lawmakers.
Derived recipient stock · Jul 10, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.
TEC account match.
TeamSources
Derived itemized flow · Jun 23, 2025 to Oct 8, 2026. State data as of Nov 4, 2026.
Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.
Report IDs: 101007132, 101027774, 101071421.
Missing data does not establish zero giving. Display amounts are rounded.
Texans for Lawsuit Reform PAC
$20,000.00
- Cash
- $20,000.00
- Paid by others
- $0.00
- Total
- $20,000.00
Also funds 124 other sitting lawmakers.
Derived recipient stock · Jul 10, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.
TEC account match.
TeamSources
Derived itemized flow · Jun 23, 2025 to Oct 8, 2026. State data as of Nov 4, 2026.
Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.
Report IDs: 101007132, 101027774, 101071421.
Votes
No floor vote loaded for this bill.
Fiscal
No fiscal note in the loaded record.
How this was graded
Analysis of text version I by claude-opus-5-5, Oct 20, 2026, against the published rubric.
Sources
Texas House · Filed Mar 14, 2025
04/07/2025 H Referred to Human Services: Apr 7 2025 5:28PM
Texas Legislature Online · Introduced
Data snapshot Oct 26, 2026 at 4:20 AM CDT. Grades, charges, quotes and corrections follow the published record.
House committee · Human Services · Final status: Died in committee
Subjects
Human Services--Medical Assistance
MEDICAID
PREGNANCY & CHILDBIRTH
HEALTH & HUMAN SERVICES COMMISSION
Text
The text as introduced · 318 words
By: Shofner H.B. No. 5583 A BILL TO BE ENTITLED AN ACT relating to Medicaid coverage and reimbursement of doula services. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Subchapter B, Chapter 32, Human Resources Code, is amended by adding Section 32.02481 to read as follows: Sec. 32.02481. MEDICAL ASSISTANCE REIMBURSEMENT FOR DOULA SERVICES. (a) In this section: (1) "Doula" means a nonmedical birthing professional who provides doula services. (2) "Doula services" means nonmedical childbirth education, coaching, and support services, including emotional and physical support provided during pregnancy, labor, delivery, and the postpartum period, or provided intermittently during pregnancy and the postpartum period. (b) In addition to reimbursement a doula may receive under Section 32.024(qq) for case management services, the commission shall ensure that medical assistance reimbursement is provided for doula services provided by a doula to a medical assistance recipient. SECTION 2. (a) As soon as practicable after the effective date of this Act but not later than October 1, 2026, the executive commissioner of the Health and Human Services Commission shall seek from the appropriate federal agency an amendment to the state Medicaid plan to implement Section 32.02481, Human Resources Code, as added by this Act. (b) In developing the amendment to the state Medicaid plan described by Subsection (a) of this section, the executive commissioner of the Health and Human Services Commission shall consult with individuals who represent interested stakeholders, including medical assistance recipients, doulas, physicians, nurses, and health care facilities in the state. (c) Notwithstanding Subsection (a) of this section, if before implementing any provision of this Act the Health and Human Services Commission or other state agency determines that a waiver from a federal agency is necessary for implementation of that provision, the agency shall request the waiver and may delay implementing that provision until the waiver is granted. SECTION 3. This Act takes effect September 1, 2025.