Mamas First Act

Sponsor: Elizabeth Warren (Democratic-MA)July 15, 2026

AI-generated ?

Report an error

Introduced

In Committee

Passed One Chamber

Passed Both Chambers

Signed into Law

Read twice and referred to the Committee on Finance.

Requires Medicaid to cover doula, midwife, and lactation support services without extra costs.

The Mamas First Act would require state Medicaid programs to cover services from doulas, midwives, tribal midwives, and lactation support providers. This means pregnant and new parents on Medicaid would get these services without having to pay extra fees. The goal is to improve maternal and infant health outcomes.

What Would Change

Today, the Social Security Act (Medicaid) does not explicitly require or define coverage for services provided by doulas, midwives, tribal midwives, or lactation support providers, nor does it ban cost-sharing for such services. After this bill, Medicaid would require states to cover these services, define who these providers are, and prohibit any extra fees for people receiving these services.

Key Provisions

Requires state Medicaid programs to cover services from doulas, midwives, tribal midwives, and lactation support providers.
Bans Medicaid programs from charging extra fees like co-pays or deductibles for these services.
Sets clear definitions for who can be considered a doula, midwife, tribal midwife, or lactation support provider under Medicaid.
Lets states delay implementing these changes if new state laws are needed.
Makes these changes generally take effect on January 1, 2027.

View on Congress.gov

S 4986 · 119th Congress · July 15, 2026 · AI Summary by gemini-2.5-flash · 8/10

Mamas First Act

What Would Change

Key Provisions

Lobbying Activity