Oregon Revised Statutes Chapter 414 § 414.668 — Access

Access to services provided by doulas, lactation counselors and lactation educators. (1) In determining the types and extent of health care and services to be provided to medical assistance recipients under ORS 414.065, the Oregon Health Authority and a coordinated care organization shall ensure that recipients have access to services provided by doulas, lactation counselors and lactation educators. (2) The services described in subsection (1) of this section must: (a) Include a minimum of 24 hours of services, in addition to labor and delivery services, regardless of birth outcome, with an option for the authority or a coordinated care organization to approve additional hours based on need; (b) Be sufficient to support recipients’ robust maternal health and support positive birth outcomes; and (c) Be provided: (A) By an individual or organization from the community of the recipient, using language, structures and settings familiar to members of the community; or (B) If an individual or organization from the community of the recipient is not available, by a provider that has received cultural competency training within the preceding three years. (3) Access to doulas, lactation counselors and lactation educators: (a) Must be made available without a referral from another health care provider; and (b) May not require a signature from or supervision by any other health care provider, except as necessary to approve additional hours based on need as described in subsection (2)(a) of this section. (4) A coordinated care organization shall make information about how to access services provided by a doula, lactation counselor or lactation educator available on a website operated by or on behalf of the coordinated care organization and shall provide the information in print whenever a printed explanation of benefits is available. [2017 c.281 §4; 2025 c.539 §7]