Maternal and reproductive health laws by state

SB 626: Perinatal health screenings and treatment.

Health care service plans and health insurers must develop perinatal mental health programs including screenings during pregnancy and postpartum and perinatal periods, provide case management and care coordination for enrollees and insureds during the perinatal period, and annually report utilization and outcomes to the department and post on their websites. Licensed health care practitioners must offer screening or appropriately screen patients for perinatal mental health conditions and may satisfy this by referral.

Takes effect 1 January 2027

AB 1696: Emergency services and care: nurse-midwives.

Health facilities and health care service plans shall not require physician supervision of a nurse-midwife licensed under Business and Professions Code Section 2746.5 when the nurse-midwife provides emergency services and care in labor and delivery units, obstetric triage, or dedicated emergency obstetric evaluation units within the scope of licensure, or when specifically requested by the treating physician for obstetric consultation.

Takes effect 1 January 2027

AB 2531: Public health: abortion services.

Medi-Cal enrolled providers may apply for grants to provide abortion and contraception services at no cost or reduced cost to individuals with household income at or below 400 percent of the federal poverty level and to veterans who lack coverage for both services. The Department of Veterans Affairs must publish a link to the abortion.ca.gov website on its women veterans resources page.

Takes effect 1 January 2027

AB 82: Health care: legally protected health care activity.

Persons, businesses, or associations must not knowingly post, display, disclose, or distribute personal information or images of designated health care services providers, employees, volunteers, or patients on internet or social media with intent to incite imminent great bodily harm or threaten them. Persons must not solicit, sell, or trade such information with those intents. Gender-affirming health care providers, employees, and volunteers may apply for address confidentiality.

SB 497: Legally protected health care activity.

Providers of health care, health care service plans, and contractors must not release medical information related to individuals seeking or obtaining gender-affirming health care or mental health care in response to subpoenas based on another state's laws that interfere with such rights. State and local agencies must not provide CURES data or resources to further out-of-state investigations based on another state's laws regarding legally protected health care activity.

AB 836: Midwifery Workforce Training Act.

Upon legislative appropriation, requires the Department of Health Care Access and Information to fund and administer a statewide study on midwifery education conducted by an outside consultant, and to report findings to the Legislature and post the report online within 36 months.

SB 520: Nurse-midwifery education program.

The Department of Health Care Access and Information shall administer the California Nurse-Midwifery Education Fund, establish competitive application criteria for selecting education program sites within California State University or University of California, ensure master's degrees are offered, and support annual operating costs through first cohort graduation or five years, whichever is shorter.

SB 669: Rural hospitals: standby perinatal services.

Participating critical access hospitals must establish and maintain standby perinatal services meeting specified standards, including Level I maternal and neonatal care capabilities, 24-hour physician and nursing coverage within 30 minutes, required equipment and supplies, quality improvement programs, and quarterly data reporting to the State Department of Public Health.

AB 260: Sexual and reproductive health care.

Pharmacists may dispense mifepristone and medication abortion drugs without standard labeling requirements (patient name, prescriber name, pharmacy name and address) if a prescription number identifies the prescription, and must maintain a log of such dispensations. Healing arts practitioners and licensed clinics cannot be subject to criminal, civil, disciplinary, or licensing action for prescribing, furnishing, or transporting mifepristone or medication abortion drugs lawful in California.

AB 50: Pharmacists: furnishing contraceptives.

A pharmacist may furnish over-the-counter contraceptives without standardized procedures or protocols. A pharmacist may furnish self-administered prescription-only hormonal contraceptives and emergency contraception drug therapy according to specified standardized procedures or protocols. A pharmacist may furnish up to a 12-month supply of FDA-approved self-administered hormonal contraceptives or over-the-counter contraceptives at a patient's request.

HB 1411: Changes to Cover All Coloradans Program

The state department of health care policy and financing must create a state medical assistance program beginning no later than January 1, 2025, offering benefits and services at the same cost to beneficiaries as the medical assistance program. Pregnant women and children under nineteen not eligible for medical assistance solely due to immigration status with family household income not exceeding two hundred sixty percent of the federal poverty line are eligible, subject to specified limitations on dental services, behavioral health, accountable care collaborative services, and managed care beginning specified dates in 2026 and 2027.

HB 1335: Abortion Medication Access on College Campuses

HB 1044: Measures to Improve Black Maternal Health Equity

Health facilities must make electronically available to birthing parents and their companions a required notice by January 1, 2027 describing components of respectful labor and childbirth, including freedom from harm, dignity, informed consent, and culturally sensitive care, plus complaint filing information. Boards must adopt rules requiring CME credit hours on health disparities, reproductive health, cultural competence in maternal care, and bias.

SB 25-146: Fingerprint-Based Criminal History Record Checks

Regulators must require applicants for specified licenses (funeral directors, embalmers, cremationists, audiologists, dentists, dental hygienists, physician assistants, social workers, counselors, midwives, occupational therapists, and speech-language pathologists) to submit fingerprints for fingerprint-based criminal history record checks. Applicants must pay costs and authorize fingerprint submission to the Colorado Bureau of Investigation and Federal Bureau of Investigation.

HB 25-1309: Protect Access to Gender-Affirming Health Care

All health benefit plans issued or renewed in Colorado must provide coverage for gender-affirming health care as medically necessary and prescribed by a physical or behavioral health-care provider, regardless of the covered person's sex or gender. Health benefit plans shall not deny or limit such coverage when medically necessary and prescribed in accordance with generally accepted standards of care.

SB 25-183: Coverage for Pregnancy-Related Services

All individual and group health benefit plans issued or renewed in Colorado must provide coverage for the total cost of abortion care, except employers whose sincerely held religious beliefs conflict with providing such coverage or public employers prohibited by the state constitution from using public funds for induced abortions. The Medical Services Board must include abortion care in the schedule of health-care services for all enrolled pregnant persons on and after January 1, 2026.

Took effect 1 January 2026

HB 7102: An act concerning maternal and infant health care.

Requires the Commissioner of Health Strategy to develop a strategic plan to increase birth centers and birthing hospitals in underserved areas with high Medicaid populations. Increases Medicaid reimbursement for doulas and expands the CFI Council's role to include supporting fathers in maternal health.

Took effect 1 July 2025

HB 7213: An act concerning access to reproductive health care.

Physicians and other health care providers must not divulge information about services, examination, or treatment related to pregnancy and pregnancy prevention provided to a minor child without the minor child's express consent, including by sending bills. Any minor child may consent to such services without parental consent or notification.

HB 169: An act to amend title 16 of the delaware code relating to the behavioral health consortium and the prescription opioid distribution commission.

Restructures the Behavioral Health Consortium and Prescription Opioid Settlement Distribution Commission by reducing Consortium membership from 27 to 25, adding term limits of 6 years maximum for appointed members, and making the Commission independent with a single chair rather than co-chairs, removing Consortium approval authority over fund distributions.

HB 205: An act to amend titles 10, 11, 18, 24, and 29 of the delaware code relating to healthcare services.

No insurer may increase premiums or take other adverse action against a healthcare professional or healthcare organization when issuing or renewing an insurance policy if the professional or organization performs or assists in providing reproductive health services that are legal in Delaware to out-of-state individuals, including prescribing medication for pregnancy termination via telehealth.

HB 1875: Relating to health care.

Covered entities must not disclose protected health information for investigations into persons seeking, receiving, providing, or facilitating reproductive or gender-affirming health care services lawful in Hawaii. Insurers issuing medical malpractice policies must not deny, cancel, or refuse to renew policies solely because providers offer such lawful services. Health carriers must not terminate contracts with providers on that sole basis.

Took effect 1 July 2026

HB 1194: Relating to midwives.

Midwives must obtain and maintain licensure as either certified midwives or certified professional midwives. Licensed midwives must complete thirty continuing education contact hours per triennium, maintain current CPR and neonatal resuscitation certifications, participate in peer review of minimum five clinical cases per triennium, and submit required data. Certified midwives only may prescribe drugs within specified formulary.

H 639: MIDWIFERY – Amends and adds to existing law to provide for a licensed midwife to obtain and administer medication indicated for maternal care or neonatal care if a midwife possesses requisite education, training, and experience.

Licensed midwives may obtain and administer medications indicated for maternal care or neonatal care if they possess requisite education, training, and experience, as defined in the formulary and protocol established by the board. The board must adopt rules defining the formulary, protocols, scope of practice standards, and peer review systems for midwifery care.

Took effect 1 July 2026

HB 5295: Reproductive health privacy

Electronic health networks must prevent disclosure of patients' coded private health care information related to abortion, gender dysphoria, and abortion-related services to out-of-state providers unless for technical support, quality assurance, payment, health care operations, or with patient consent. Electronic health networks must develop technological capabilities to parse, segregate, and allow patients to control sharing of such information.

Takes effect 1 July 2027

HB 2688: Nurse practice act midwives

Advanced practice registered nurses certified as nurse midwives, clinical nurse specialists, or nurse practitioners must file a notarized attestation with the Department documenting at least 250 hours of continuing education and 4,000 hours of clinical experience after national certification to practice without a written collaborative agreement. For nurse midwives, clinical experience must be in collaboration with a certified nurse midwife with full practice authority.

Took effect 1 January 2026

HB 3489: Pharmacists-contraceptives

Pharmacists must complete an accredited educational training program on patient self-screening risk assessment, contraceptive counseling, and dispensation before dispensing contraceptives including emergency contraception. Pharmacists may dispense up to a 12-month supply pursuant to valid prescription or standing order, must have patients complete self-screening risk assessment tools, provide counseling on all contraceptive methods, and maintain appropriate records.

Took effect 1 January 2026

HB 2517: Maternal mortality education

The Department of Public Health shall create and administer a professional development course of at least one hour addressing racial disparities in maternal health treatment and their impact on non-Hispanic Black and American Indian women. The Department shall require each health care professional licensed or registered under specified Acts to complete this course.

Took effect 1 January 2026

HB 90: AN ACT relating to maternal health and declaring an emergency.

The cabinet must establish licensure standards for freestanding birthing centers requiring accreditation by the Commission for the Accreditation of Birth Centers, medical malpractice insurance, location within thirty miles of a hospital, and a licensed physician medical director. Freestanding birthing centers must obtain written informed consent, maintain patient transfer agreements with hospitals and emergency medical services, and prohibit abortion services.

LD 163: An Act To Require Health Insurance Coverage For Federally Approved Nonprescription Oral Hormonal Contraceptives And Nonprescription Emergency Contraceptives

Nonprofit hospital and medical services plans, insurers offering individual and group health policies, and health maintenance organizations must provide coverage for all federally approved nonprescription oral hormonal contraceptives and nonprescription emergency contraceptives without deductibles, coinsurance, copayments, or cost-sharing. Coverage must last 12 months and require no prescription.

HB 377: Physician Assistants and Midwives - Parity With Other Health Care Practitioners

Expands the scope of physician assistants to perform actions previously limited to other health care practitioners, including guardianship evaluations, mental health facility admissions, emergency allergy treatment authorization, and attendant care program certification. Requires the Maryland Health Care Commission to study emergency department length of stay for involuntary admission patients.

Took effect 1 October 2026

HB 422: Public Health - Expedited Partner Therapy - Bacterial Vaginosis and Licensed Certified Midwives

Physicians, advanced practice registered nurses with prescriptive authority, authorized physician assistants, registered nurses employed by local health departments, and licensed certified midwives may prescribe, dispense, or otherwise provide antibiotic therapy to sexual partners of patients diagnosed with chlamydia, gonorrhea, trichomoniasis, or bacterial vaginosis without personally assessing the partner. Pharmacists may dispense such prescribed antibiotics.

Took effect 1 October 2026

SB 326: Physician Assistants and Midwives - Parity With Other Health Care Practitioners (Physician Assistant Parity Act of 2026)

Expands the scope of actions physician assistants may perform to include guardianship certifications, mental health facility admissions, emergency epinephrine prescriptions, and primary care provider selection in health maintenance organizations, effective October 1, 2026.

Took effect 1 October 2026

SB 293: Professional Liability Insurance Coverage - Nursing Homes, Assisted Living Facilities, Nurse Midwives, and Licensed Certified Midwives - Disclosure (Nyeli Rose Lewis Act of 2026)

Nursing homes, assisted living programs, nurse midwives, and licensed certified midwives must notify residents, prospective residents, or patients in writing or by written electronic communication if they do not maintain professional liability insurance coverage or if such coverage has lapsed and not been renewed. Notifications must be signed and retained in records. Facilities and practitioners without coverage must post conspicuous notice.

Took effect 1 October 2026

HB 1251: Hospitals and Medical Professional Liability Insurers - Obstetric Services Policies (Doula and Birth Policy Transparency Act)

Health care facilities providing obstetric care must adopt and provide evidence to the Maryland Department of Health of a policy allowing certified doulas at birth, prioritizing newborn bonding, prohibiting significant medical interventions without informed consent, detailing processes for receiving medical information from health care providers, and establishing transfer processes for pregnant persons. Insurers issuing medical professional liability insurance in the State must provide the Department information regarding their obstetric services coverage policies upon request.

Took effect 1 October 2025

HB 1380: Health Care Facilities - Hospitals and Freestanding Birthing Centers - Perinatal Care Standards

The Maryland Department of Health must adopt regulations establishing minimum perinatal care standards that meet or exceed the Maryland Perinatal System Standards for hospitals and freestanding birthing centers providing obstetrical services. Each hospital and freestanding birthing center must comply with these standards as a condition of licensure.

Took effect 1 October 2025

HB 838: Health Occupations - Licensed Direct-Entry Midwives - Revisions

Licensed direct-entry midwives must practice independently without requiring oversight by another health care practitioner, except for required transfers and consultations. They must transfer care to health care practitioners for patients with specified medical conditions and must consult with health care practitioners for patients with certain other conditions. They must develop written emergency transfer plans and patient-specific care plans.

Took effect 1 June 2025

SB 676: Health Care Facilities - Hospitals and Freestanding Birthing Centers - Perinatal Care Standards

The Maryland Department of Health, in coordination with the Maryland Institute for Emergency Medical Services Systems, must adopt regulations establishing minimum perinatal care standards that meet or exceed the Maryland Perinatal System Standards. Each hospital providing obstetrical services and each freestanding birthing center must comply with these standards as a condition of licensure.

Took effect 1 October 2025

SB 854: Health Occupations - Licensed Direct-Entry Midwives - Revisions

Licensed direct-entry midwives must practice independently without requiring oversight by another health care practitioner, except for transfers required under § 8–6C–03 or consultations required under § 8–6C–04. They must comply with reporting requirements adopted by the Board in regulations in consultation with the Committee and other stakeholders.

Took effect 1 June 2025

SB 94: Maryland Medical Assistance Program - Maternal Health Self-Measured Blood Pressure Monitoring

Beginning January 1, 2026, the Maryland Medical Assistance Program must provide coverage for self-measured blood pressure monitoring for eligible program recipients, including validated home blood pressure monitors and reimbursement for health care provider time for patient training, data transmission, interpretation, remote monitoring, and delivery of co-interventions. The Program must develop and implement an education campaign about blood pressure monitoring technology.

Took effect 1 July 2025

SB 213: Health - Maternal and Child Health Population Health Improvement Fund - Use

Extends the date through which the Maternal and Child Health Population Health Improvement Fund may be used for maternal and child health population health improvements from December 31, 2025 to December 31, 2027.

Took effect 1 July 2025

SB 319: Generally revise health care laws related to doulas

Beginning January 1, 2027, a person may not practice as a state-certified doula unless licensed under Title 37, chapter 1. The department of labor and industry shall license persons as doulas who pay prescribed fees, submit completed applications, satisfactorily complete required competencies, have not engaged in unprofessional conduct, and are not subject to disciplinary proceedings.

HB 475: Regulate restraints on women while giving childbirth

Detention centers must prohibit restraints on pregnant inmates during labor and delivery except in extraordinary circumstances where an individualized determination finds the inmate is an established flight risk or poses a clear threat of harm. Leg or waist restraints are prohibited under all circumstances. Any restraints used must be the least restrictive necessary and must be removed when the risk is mitigated or upon request of a health care professional.

LB 867: Change provisions relating to special needs trusts, fingerprints under the Uniform Credentialing Act, child care grants, the Title IV-D Division Customer Service Unit, eligibility for young adults in the bridge to independence program, licensed and self-funded insurers under the Medical Assistance Act, medicaid nursing facility rates, assistance to aged, blind, or disabled persons, and the state Commodity Supplemental Food program; provide for a money follows the person program for medicaid benefits, a youth afterschool eligibility letter for child care employment, use of wholesale drug distributor license fees for the prescription drug monitoring program, and maintenance of epinephrine by certain schools; change provisions of and rename the Alzheimer's Disease and Other Dementia Support Act , the Alzheimer's Disease and Other Dementia Advisory Council, the State Advisory Committee on Mental Health, the Division of Developmental Disabilities of the Department of Health and Human Services, and the Director of Developmental Disabilities; and eliminate provisions relating to divisions of the Department of Health and Human Services, the Division of Medicaid and Long-Term Care Advisory Committee on Aging, the Maternal and Child Health and Public Health Work Fund, and an obsolete Nurse Licensure Compact

Each state agency providing governmental benefits to individuals with disabilities through means-tested programs must adopt rules and regulations regarding special needs trusts that are not more restrictive than federal law, allow pooled trust accounts without financial limits, permit funding without age limits or transfer penalties except for individuals sixty-five or older, and allow assignment of legally assignable income or resources without limit.

SB 138: Makes revisions governing health care for pregnant women and newborn children. (BDR 40-580)

Hospitals providing birthing services must enroll as a qualified provider or contract with a qualified entity to determine if pregnant women are presumptively eligible for Medicaid and notify parents or legal guardians of newborns with qualifying conditions about Supplemental Security Income Program and Medicaid eligibility. Parents or legal guardians of newborns in neonatal intensive care units have specified rights including receiving updates, participating in care decisions, and accessing support resources.

HB 712: limiting breast surgeries for minors, relative to residential care and health facility licensing, and relative to the collection and reporting of abortion statistics by health care providers and medical facilities.

S 2260: Secures protections for patients and providers accessing and providing reproductive health care services; establishes right of residents to reproductive health care activity that is restricted in other states.*

Persons must not interfere with reproductive or gender-affirming health care services by inflicting bodily injury, physically obstructing facility access, intimidating patients or providers, damaging property, or recording individuals within 100 feet of facilities without consent. Law enforcement must order dispersal of gatherings substantially impeding facility access during business hours.

HB 56: Medicaid reimbursements for birth centers

The secretary of the health care authority shall adopt rules to ensure that medicaid recipients receive services at birth centers reimbursed at the same rate as equivalent services provided at hospitals.

S 4914: Protects individuals who provide or receive legally protected health activity from criminal or civil liability or professional sanctions imposed by jurisdictions outside the state; repealer

New York courts, county clerks, and attorneys must refuse to issue subpoenas or discovery orders in out-of-state proceedings targeting legally protected health activity unless the requesting party affirms under penalty of perjury that the proceeding does not seek to impose liability for such activity, or falls within narrow exceptions. Health care practitioners, insurers, and state employees must not take adverse action against persons solely for engaging in legally protected health activity.

A 914: Relates to maternal health care and birthing best practices; repealer

The commissioner of health shall evaluate and make recommendations for maternal health care and birthing best practices in conjunction with hospitals, obstetricians, midwives, doulas, maternal health care provider organizations, mental health care provider organizations, and other stakeholders. The commissioner must publish these recommendations on the department of health's website no later than one year after the effective date and update them at least once thereafter.

SB 1565: Medicaid; establishing powers and duties related to Transforming Maternal Health (TMaH) Model; requiring inclusion of nutrition support services. Effective date. Emergency.

The Oklahoma Health Care Authority must accept and expend federal funds from the Centers for Medicare and Medicaid Services for the Transforming Maternal Health Model to develop and contract for maternal health services for pregnant and postpartum Medicaid members. Upon federal approval and funding, the Authority must include nutrition support services, including medically tailored home-delivered meals designed by a Registered Dietitian Nutritionist. The Authority must submit a final report to the Governor and legislative leaders after the TMaH Model concludes.

Took effect 1 July 2026

HB 4088: Relating to health; and declaring an emergency.

Requires the Oregon Health Authority to study long-term outcomes of gender-affirming treatment for individuals under 18 and report findings to legislative health care committees by September 15, 2027. This requirement repeals January 2, 2028.

SB 692: Relating to perinatal services.

The Oregon Health Authority must establish a community-based perinatal services access program issuing grants to eligible entities for activities increasing access to doulas, lactation counselors, and lactation educators during the perinatal period. The authority must review and revise reimbursement rates biennially and report on doula status to legislative committees.

Took effect 1 January 2026

SB 507: An Act amending the act of December 20, 1985 (P.L.457, No.112), entitled "An act relating to the right to practice medicine and surgery and the right to practice medically related acts; reestablishing the State Board of Medical Education and Licensure as the State Board of Medicine and providing for its composition, powers and duties; providing for the issuance of licenses and certificates and the suspension and revocation of licenses and certificates; provided penalties; and making repeals," further providing for definitions, for midwifery and for nurse-midwife license; and providing for certified midwife license.

Nurse-midwives and certified midwives must practice under specified conditions: those not employed by health systems or hospitals must maintain collaborative agreements with physicians; those employed must obtain clinical staff privileges. Both may prescribe controlled substances only for acute pain, medication-assisted treatment for opioid use disorder, or primary gynecologic conditions, subject to dose and duration limits. Non-employed midwives must provide written disclosures to patients including emergency plans.

Took effect 5 July 2026

HB 6038: An act relating to business and professions -- pharmacies

Pharmacists may prescribe and dispense short-term FDA-approved hormonal contraceptives if they complete approved educational training, provide patients with self-screening risk assessments based on CDC criteria, furnish written records, notify patients' primary care providers, and dispense contraceptives as soon as practicable. Initial prescriptions are limited to a three-month supply.

HB 5495: An act relating to health and safety -- maternal and child health services for children with special health care needs

Physicians, midwives, nurse practitioners, and physician assistants attending newborn children must cause those children to be subject to newborn screening tests for metabolic, endocrine, and hemoglobinopathy disorders and other conditions with medical benefit to early detection and treatment, and an assessment for developmental risk. The department of health must establish rules requiring screening tests for all disorders on the federal Recommended Uniform Screening Panel and add new disorders within two years of federal addition.

HB 169: Insurance, Health, Accident - As enacted, expands the definition of a health benefit plan; requires a health benefit plan that amends, renews, or delivers a policy of coverage on or after January 1, 2026, and that provides coverage for prescription contraceptives, to provide coverage for a 12-month refill of contraceptives obtained at one time by an insured person. - Amends TCA Title 56 and Title 71.

A health benefit plan that amends, renews, or delivers a policy of coverage on or after January 1, 2026, and that provides coverage for prescription contraceptives, must provide coverage for a 12-month refill of contraceptives obtained at one time by an insured person.

Took effect 1 January 2026

SB 449: Health Care - As enacted, enacts the "Fertility Treatment and Contraceptive Protection Act." - Amends TCA Title 63 and Title 68.

Enacts the Fertility Treatment and Contraceptive Protection Act, establishing that individuals have a right to engage in activities associated with fertility treatment and contraception, and prohibiting state law from restricting these activities.

SB 569: Pharmacy, Pharmacists - As enacted, makes certain changes to the practice of pharmacy, including removing the present prohibition on requiring a patient to pay an administrative fee for pharmacist-provided hormonal contraceptives when the patient is insured or covered and receives a pharmacy benefit that covers the cost of the hormonal contraceptives. - Amends TCA Title 53, Chapter 10; Title 56, Chapter 32 and Title 63, Chapter 10.

Removes the prohibition on requiring patients to pay administrative fees for pharmacist-provided hormonal contraceptives when insured or covered by pharmacy benefits, and expands pharmacist authority in certain medical contexts.

Took effect 1 July 2025

HB 7: Relating to prohibitions on the manufacture and provision of abortion-inducing drugs, including the jurisdiction of and effect of certain judgments by courts within and outside this state with respect to the manufacture and provision of those drugs, and to protections from certain counteractions under the laws of other states and jurisdictions; authorizing qui tam actions.

A person may not manufacture, distribute, mail, transport, deliver, prescribe, or provide abortion-inducing drugs in any manner to or from any person or location in Texas, except for treating medical emergencies, removing ectopic pregnancies, removing dead unborn children from spontaneous abortion, or other purposes not involving performing or inducing abortion.

SB 31: Relating to exceptions to otherwise prohibited abortions based on a physician's reasonable medical judgment.

Licensed physicians may perform abortions when a pregnant female has a life-threatening physical condition aggravated by, caused by, or arising from pregnancy that places her at risk of death or poses serious risk of substantial impairment of a major bodily function, exercising reasonable medical judgment. Physicians treating such conditions must provide treatment in a manner that provides the best opportunity for unborn child survival unless doing so would create greater risk to the pregnant female.

HB 122: Pregnant and Postpartum Inmate Amendments

The Department of Corrections and each county jail must provide pregnant inmates and those in postpartum recovery (12 weeks after birth) access to a social worker for 12 weeks to arrange childcare, establish reunification and substance abuse treatment plans. They must provide postpartum care for 12 weeks. Restraints during postpartum recovery require individualized security determination. Both must report annually on pregnant inmates, restrained births, and inmate parents.

Took effect 6 May 2026

HB 559: Pregnancy and Infant Loss Amendments

Health care facilities that provide birthing services must comply with rules established by the Division of Licensing and Background Checks regarding bereavement practices when individuals experience pregnancy or infant loss, including memory-making opportunities, grief counseling access, and other specified practices. The Division of Professional Licensing must develop optional bereavement training for health care professionals in emergency care, obstetrics, and labor and delivery settings.

Took effect 6 May 2026

HB 363: Maternal and Infant Amendments

The Department of Corrections and county jails must ensure each female prisoner younger than 50 years old is offered a pregnancy test upon admission or within a reasonable time. The Department of Health and Human Services must publish a privacy consent form for newborn infant testing and destroy biological samples and genetic data unless parents consent to retention. Hearing loss testing is required for all newborn infants regardless of annual birth numbers at the facility.

Took effect 7 May 2025

S 18: An act relating to licensure of freestanding birth centers

No person shall establish, maintain, or operate a birth center without first obtaining a license from the Department of Health. Birth centers shall not offer epidural anesthesia or cesarean delivery. No person shall represent itself as a birth center without licensure.

HB 1403: Severe Maternal Mortality Surveillance and Review Program; established.

The Maternal Mortality and Severe Maternal Morbidity Review Team must review every maternal death and instance of severe maternal morbidity in Virginia. The Team must develop operating procedures, improve data collection on causes, recommend prevention programs, and compile annual statistical data for the Governor and General Assembly on a publicly accessible interactive data dashboard.

HB 838: State plan for medical assistance services; adds provision related to doula care.

The Board of Medical Assistance Services must include in the state plan a provision for payment of medical assistance for postpartum community doula care services for pregnant and postpartum members, covering support during labor and delivery plus up to ten doula visits (up to four during pregnancy and up to six during the twelve months after birth), with additional visits if medically necessary, and doulas may receive up to two linkage-to-care incentive payments.

Took effect 1 July 2026

SB 133: Parental prenatal & postnatal substance use; work group to evaluate Commonwealth's response to use.

Directs the Departments of Social Services, Behavioral Health and Developmental Services, and Health to convene a work group to study the Commonwealth's response to parental prenatal and postnatal substance use, identify service and data gaps, review existing practices, and submit findings and recommendations by December 1, 2026.

Took effect 1 July 2026

HB 425: Pregnant and postpartum patients; reimbursement for remote monitoring services through pregnancy.

The Board of Medical Assistance Services must include in the state plan a provision for payment of medical assistance for remote patient monitoring services via telemedicine for high-risk pregnant persons through 12 months postpartum. The Department must assess other states' coverage of remote patient monitoring for pregnant persons 35 years or older and report findings by November 1, 2026.

Took effect 1 July 2026

HB 6: Contraception; definitions, establishes right to obtain, applicability, enforcement.

Persons have the right to obtain contraceptives and engage in contraception. Health care providers have the right to provide contraceptives and contraception-related information within their scope of practice. The Commonwealth and localities must not prohibit, restrict, or exempt contraceptives in ways that impede access.

SB 596: Contraception; definitions, establishes right to obtain, applicability, enforcement.

The Commonwealth and localities must not administer, implement, or enforce any law, regulation, or policy that prohibits or restricts the sale, provision, or use of contraceptives or that prohibits or restricts any person from aiding another person in obtaining contraceptives. A person has the right to obtain contraceptives and contraception-related information without government interference.

HB 1716: Contraception; establishes right to obtain, applicability, enforcement.

The Commonwealth and any locality must not administer, implement, or enforce any law, regulation, or policy that prohibits or restricts the sale, provision, or use of contraceptives approved by the U.S. Food and Drug Administration, or that prohibits aiding another person in obtaining such contraceptives.

HB 1923: Health insurance; reimbursement for services rendered by certain practitioners, etc.

Insurers and nonstock corporations must not deny reimbursement for services legally performed by specified licensed practitioners including chiropractors, optometrists, psychologists, physical therapists, athletic trainers, licensed acupuncturists, and others, provided the services are covered by the policy and performed in required settings. Reimbursement for licensed certified midwives and licensed midwives must equal that paid to certified nurse midwives.

Took effect 1 July 2025

HB 2371: Health insurance; coverage for contraceptive drugs and devices.

SB 1418: Postpartum doula care; DMAS to amend state plan for medical assistance services.

The Board of Medical Assistance Services must amend the state plan for medical assistance services to include a provision for payment of medical assistance for postpartum doula care. Eligible individuals receive up to 10 doula visits: up to four during pregnancy and up to six during the 12 months after birth, with additional visits if medically necessary.

Took effect 1 July 2025

SB 780: Health insurance; coverage for contraceptive drugs and devices.

Insurers, corporations, and health maintenance organizations offering prescription drug coverage must provide coverage for all FDA-approved contraceptive drugs and devices, including over-the-counter options. They cannot impose copayments, coinsurance, or fees on contraceptives that differ from those on other prescription drugs, except they may cost-share multiple therapeutically equivalent versions if at least one version is available without cost-sharing.

HB 1635: Certified nurse midwives; licensed certified midwives; independent practice; organized medical staff.

Certified nurse midwives with fewer than 1,000 hours of practice must practice in consultation with a certified nurse midwife with at least two years experience, a licensed physician, or an independent practice midwife under a practice agreement. Licensed certified midwives with fewer than 1,000 hours must practice in consultation with a licensed physician or independent practice midwife under a practice agreement. Licensed certified midwives may prescribe Schedules II through VI controlled substances per Board regulations.

HB 2539: Dental care services for pregnant women; state plan for medical assistance services, report.

The Board must include in the state plan for medical assistance services a provision for payment of comprehensive dental care services for pregnant women, including preventive, diagnostic, restorative, emergency, and periodontal services, with at least four dental visits during pregnancy and additional visits upon dentist or obstetrician recommendation.

Took effect 1 July 2025

HB 2753: Maternal health; protocols and resources for hospitals and outpatient providers, etc.

The Virginia Neonatal Perinatal Collaborative shall develop training materials and standardized management protocols for inpatient and outpatient providers regarding obstetric emergencies and maternal warning signs. All hospitals with emergency departments or labor and delivery, freestanding emergency departments, and birthing centers must implement standardized protocols for identifying and responding to obstetric emergencies. The VNPC shall collect implementation data and submit annual reports by October 1.

SB 5917: Improving access to abortion medications.

The department is authorized to acquire, receive, possess, sell, resell, deliver, dispense, distribute, and engage in pharmacy or wholesale distribution activities with respect to abortion medications. The department shall establish and operate a program to deliver, dispense, and distribute abortion medications to health care providers and health care entities for reproductive health care including abortion care.

SB 5557: Codifying emergency rules to protect the right of a pregnant person to access treatment for emergency medical conditions in hospital emergency departments.

Hospitals must provide emergency treatment to pregnant persons with emergency medical conditions consistent with applicable standard of care, including pregnancy termination if that is the standard treatment. Hospitals must not withhold care or prioritize fetal health over the pregnant person's health and safety absent informed consent.

SB 5498: Concerning contraceptive coverage.

Health benefit plans issued or renewed on or after January 1, 2026, that include contraceptive drug coverage must provide reimbursement for a 12-month supply obtained at one time, unless the enrollee requests less or the prescribing provider instructs a smaller supply. Plans must allow on-site dispensing at provider offices if available.

Took effect 1 January 2026

HB 4196: To offer long-acting reversible contraception to patients receiving methadone and suboxone at the treatment facility for the methadone and suboxone

Opioid treatment programs must offer long-acting reversible contraception to patients recovering from addiction through shared decision-making contraceptive counseling available to both male and female patients. Programs must either have a trained licensed healthcare provider on staff to place or insert contraception, or establish a referral system to a licensed healthcare provider or clinic capable of full contraceptive service delivery.

HB 42: Regulation of surgical abortions.

Surgical abortion facilities must be licensed as ambulatory surgical centers and comply with department of health rules. Physicians performing surgical abortions must be Wyoming-licensed, have admitting privileges at a hospital within ten miles, and report each abortion to the department of health. Only physicians licensed in Wyoming may perform surgical abortions.