1. (1) As used in this section:

   1. (a) "Doula" means an individual who:

      1. (i) provides information and physical and emotional support:

         1. (A) to a pregnant or postpartum individual; and
         2. (B) related to the pregnant or postpartum individual's pregnancy; and
      2. (ii) is certified by one or more organizations approved by the program.

   2. (b) "Pregnancy and childbirth services" means services provided to a pregnant individual before, during, or shortly after childbirth:

      1. (i) by a doula for the services described in Subsections (1)(a)(i) and (ii); and

      2. (ii) at a birthing center that:

         1. (A) is licensed under Title 26B, Chapter 2, Licensing and Certifications, or accredited by the Commission for the Accreditation of Birth Centers; and
         2. (B) may include services by a direct-entry midwife licensed under Title 58, Chapter 77, Direct-Entry Midwife Act, if the direct-entry midwife is engaged in the practice of direct-entry midwifery, as defined in Section 58-77-102.

   3. (c) "Qualified individual" means a covered individual who is:

      1. (i) within the state employees' risk pool; and

      2. (ii)

         1. (A) is pregnant; or
         2. (B) was pregnant within the past six months.
2. (2) For a plan year that begins on or after July 1, 2023, and before July 1, 2026, the program shall cover pregnancy and childbirth services to a qualified individual.

3. (3) The program may establish limits for coverage under Subsection (2), including limits based on:

   1. (a) the type or number of services provided;
   2. (b) a qualified individual's physical or emotional condition; and
   3. (c) conditions for provider participation.

4. (4) The program shall report to the Health and Human Services Interim Committee on or before October 1 of each year regarding coverage provided under Subsection (2), including:

   1. (a) covered providers;
   2. (b) covered services;
   3. (c) provider payment rates;
   4. (d) covered-individual cost sharing;
   5. (e) total provider payments and covered-individual cost sharing; and

   6. (f) any indicators of whether pregnancy and childbirth services covered under Subsection (2) have:

      1. (i) reduced pregnancy or postpartum coverage costs; or
      2. (ii) improved pregnancy or postpartum care.

Enacted by Chapter 292, 2023 General Session