Utah § 49-20-422 - Coverage of pregnancy and childbirth services, including doula, direct- entry midwife, and birthing center services.
Full text of Utah Utah Code § 49-20-422 — Coverage of pregnancy and childbirth services, including doula, direct- entry midwife, and birthing center services., with citation guidance and answers to common questions.
§ 49-20-422. Coverage of pregnancy and childbirth services, including doula, direct- entry midwife, and birthing center services.
Effective 5/3/2023 49-20-422.
Coverage of pregnancy and childbirth services, including doula, direct- entry midwife, and birthing center services.
(1)
As used in this section:
(a)
"Doula" means an individual who:
(i)
provides information and physical and emotional support:
(A)
to a pregnant or postpartum individual; and
(B)
related to the pregnant or postpartum individual's pregnancy; and
(ii)
is certified by one or more organizations approved by the program.
(b)
"Pregnancy and childbirth services" means services provided to a pregnant individual before, during, or shortly after childbirth:
(i)
by a doula for the services described in Subsections (1)(a)(i) and (ii); and
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.
(c)
"Qualified individual" means a covered individual who is:
(i)
within the state employees' risk pool; and
(ii)
(A)
is pregnant; or
(B)
was pregnant within the past six months.
(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)
The program may establish limits for coverage under Subsection (2), including limits based on:
(a)
the type or number of services provided;
(b)
a qualified individual's physical or emotional condition; and
(c)
conditions for provider participation.
(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:
(a)
covered providers;
(b)
covered services;
(c)
provider payment rates;
(d)
covered-individual cost sharing;
(e)
total provider payments and covered-individual cost sharing; and
(f)
any indicators of whether pregnancy and childbirth services covered under Subsection (2) have:
(i)
reduced pregnancy or postpartum coverage costs; or
Section 49-20-422 ("Coverage of pregnancy and childbirth services, including doula, direct- entry midwife, and birthing center services.") is part of the Utah Code, the codified statutory law of Utah. It sets out the legal rule or procedure described in the text above. Statutes are amended regularly, so always verify against the official source.
How do I cite Utah § 49-20-422?
A common citation format is "Utah Code § 49-20-422" (Utah). Legal writing may require the code abbreviation, section number, and year or edition. Match the style required by your court, professor, or publisher.
Is this the official text of Utah law?
No. This page is for research and education and may not include the most recent amendments. For official current law, check the Utah official source linked on this page or consult a licensed Utah attorney.
How does Utah § 49-20-422 apply to my situation?
Statutes are interpreted in context, and application depends on your specific facts. Only a licensed attorney in Utah can advise on how this section applies to you. Contact your state or local bar association for a referral.
