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OregonSB 6922025 Regular SessionSenateWALLET

Relating to perinatal services.

Sponsored By: Dacia Grayber (Democratic), Lisa Reynolds (Democratic), Rep Neron

Signed by Governor

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Bill Overview

Analyzed Economic Effects

5 provisions identified: 4 benefits, 0 costs, 1 mixed.

Health plans cover doula and lactation care

Health plans covering pregnancy and childbirth must cover at least 24 hours of doula and lactation services beyond labor and delivery. Coverage applies regardless of birth outcome, and additional hours may be approved based on need. Required hours need no prior approval, referral, provider signature, or supervision, and plans must explain how to access providers. Plans must reimburse at least $3,760 total, adjusted each January 1 using the West Region All Items Consumer Price Index; ordinary deductibles and coinsurance may still apply. The mandate covers qualifying insurance plans, health care service contracts, and multiple-employer welfare arrangements issued, renewed, or extended on or after the law’s effective date.

More doula and lactation help through Medicaid

Oregon Medicaid covers at least 24 hours of doula and lactation services beyond labor and delivery, regardless of birth outcome. Those hours require no prior approval, referral, provider signature, or supervision; more hours may be approved based on need. Services must come from your community when available, using familiar language and settings. Otherwise, providers must have cultural competency training from the past three years. Coordinated care organizations must explain access online and in print whenever they provide printed benefit explanations. Their access requirements apply to contracts entered into, amended, or renewed on or after the law’s effective date.

Grants support local pregnancy and postpartum care

Oregon creates a grant program for culturally specific community care from conception through one year after pregnancy. Eligible groups include culturally specific organizations, Oregon’s nine federally recognized tribes, nonprofits, businesses, and partners with demonstrated ability to expand access. Grants can cover training, trainee wages and benefits, outreach, service expansion, billing help, mentoring, education, research, and technical assistance. The law provides $1 million for the two-year budget period beginning July 1, 2025. A separate fund provides ongoing spending authority capped at $1 million every two years; households do not receive direct payments.

Medicaid funds care and reviews provider pay

Oregon reviews Medicaid pay for doulas and lactation providers every even-numbered year and changes rates when needed. Reviews consider workforce retention, financial stability, culturally specific access, and evidence about cost-effectiveness; no increase is guaranteed. Related coordinated care contract requirements apply when contracts are entered into, amended, or renewed on or after the law’s effective date. For the two-year budget period beginning July 1, 2025, the law adds $1.851146 million in state Medicaid funding. It also raises the federal Medicaid spending limit by $2.072116 million, excluding funds described in section 2 of Enrolled House Bill 5025.

New standards for doulas and lactation providers

Oregon sets separate qualification rules for birth and postpartum doulas serving coordinated care organizations. At least one Traditional Health Workers Commission member must represent doulas, and the commission helps shape qualification rules. The Health Licensing Office must set lactation counselor and educator rules covering practice standards, continuing education, and authorization. Those rules must bar unauthorized practice and title use, require certification from specified or approved successor organizations, and allow care regardless of birth outcome. Doulas, lactation counselors, and lactation educators must strive to provide culturally specific services when practical.

Sponsors & Cosponsors

Sponsors

  • Dacia Grayber

    Democratic • House

  • Lisa Reynolds

    Democratic • Senate

  • Rep Neron

    Affiliation unavailable

Cosponsors

  • Deb Patterson

    Democratic • Senate

  • Emerson Levy

    Democratic • House

  • Hoa Nguyen

    Affiliation unavailable

  • Pam Marsh

    Democratic • House

  • Ricki Ruiz

    Democratic • House

  • Sara Gelser Blouin

    Democratic • Senate

  • Sue Rieke Smith

    Democratic • House

  • Travis Nelson

    Democratic • House

  • Willy Chotzen

    Democratic • House

  • Wlnsvey Campos

    Democratic • Senate

Roll Call Votes

All Roll Calls

Yes: 94 • No: 11

House vote • 6/26/2025

Third reading. Carried by Grayber. Passed.

Yes: 44 • No: 4

Senate vote • 6/23/2025

Third reading. Carried by Reynolds. Passed.

Yes: 26 • No: 3

legislature vote • 6/17/2025

Ways and Means: Heard and Reported Out with Amendments

Yes: 20 • No: 3

Senate vote • 4/8/2025

Early Childhood and Behavioral Health: Heard and Reported Out with Amendments

Yes: 4 • No: 1

Actions Timeline

  1. Effective date, January 1, 2026.

    7/25/2025Senate

  2. Chapter 539, 2025 Laws.

    7/25/2025Senate

  3. Governor signed.

    7/17/2025Senate

  4. Speaker signed.

    6/27/2025House

  5. President signed.

    6/27/2025Senate

  6. Third reading. Carried by Grayber. Passed.

    6/26/2025House

  7. Second reading.

    6/25/2025House

  8. Recommendation: Do pass.

    6/25/2025House

  9. Referred to Ways and Means.

    6/23/2025House

  10. First reading. Referred to Speaker's desk.

    6/23/2025House

  11. Third reading. Carried by Reynolds. Passed.

    6/23/2025Senate

  12. Second reading.

    6/20/2025Senate

  13. Recommendation: Do pass with amendments to the A-Eng. bill. (Printed B-Eng.)

    6/19/2025Senate

  14. Work Session held.

    6/17/2025Senate

  15. Returned to Full Committee.

    6/12/2025Senate

  16. Work Session held.

    6/12/2025Senate

  17. Assigned to Subcommittee On Human Services.

    6/10/2025Senate

  18. Referred to Ways and Means by prior reference.

    4/14/2025Senate

  19. Recommendation: Do pass with amendments and be referred to Ways and Means by prior reference. (Printed A-Eng.)

    4/14/2025Senate

  20. Work Session held.

    4/8/2025Senate

  21. Public Hearing held.

    2/18/2025Senate

  22. Referred to Early Childhood and Behavioral Health, then Ways and Means.

    1/17/2025Senate

  23. Introduction and first reading. Referred to President's desk.

    1/13/2025Senate

Bill Text

  • JWM Amendment -A4 (Adopted)

    6/17/2025

    PDF

  • JWMHS Amendment -A4 (Proposed)

    6/12/2025

    PDF

  • SECBH Amendment -1 (Proposed)

    4/8/2025

    PDF

  • SECBH Amendment -2 (Adopted)

    4/8/2025

    PDF

  • A-Engrossed

    PDF

  • B-Engrossed

    PDF

  • Enrolled

    PDF

  • Introduced

    PDF

  • Senate Amendments to A-Engrossed

    PDF

  • Senate Amendments to Introduced

    PDF

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