HB 2423 Illinois House · 104th Regular Session

MEDICAID-MATERNAL HLTH-DOULAS

Summary
Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires hospitals and birthing centers to adopt and maintain written policies and procedures authorizing a patient enrolled in the medical assistance program to select an Illinois Medicaid certified and enrolled doula of the patient's choice to accompany the patient within the facility's premises for the purposes of providing support before, during, and after labor and childbirth, and during the patient's entire postpartum stay. Provides that the doula shall be considered part of the patient's care team and shall not be counted as a support person or against any guest quota. Requires hospitals and birthing centers to provide a written copy of their policies and procedures to maternity patients, the facilities' maternity health care providers, and any other person at the patient's request. Requires publication of the written policies on each facility's website. Contains provisions concerning hospital and birthing center liaisons and doulas certification acknowledgment requirements. Permits the Department of Healthcare and Family Services and the Department of Public Health to establish standing recommendations to meet Centers for Medicare and Medicaid Services requirements and ensure access to preventive services, including Medicaid-covered maternal and reproductive health supports and services.
Bill status passed 3 of 5 stages cleared
Introduction
Apr 2025
Committee Review
Jun 2026
House Passage
Apr 2025
Senate Passage
Governor
Introduced Apr 14, 2025 Last action Jun 1, 2026
Maddy AI version diff · 1 comparison

What changed between versions

Introduced Engrossed · 6 edits · Apr 10, 2025
MODERATE
The bill was amended to clarify that hospitals must adopt policies within 6 months of enactment and to explicitly exclude doulas from guest quotas. The text was also updated to remove references to postpartum doula stays and liability protections, while adding a specific exemption for doulas if their presence conflicts with medical standards.
Scope change
The scope of applicability was narrowed by removing the requirement for doulas to accompany patients during the entire postpartum stay and by adding a medical necessity exception that allows facilities to deny doula access if it conflicts with accepted medical practices.
TIMELINE

Added a specific deadline requiring hospitals to adopt doula policies within 6 months of the bill's effective date.

REQUIREMENT

Removed the requirement for doulas to accompany patients during the patient's entire postpartum stay.

Added a provision stating that doulas are not counted against guest quotas.

Updated the requirement for posting policies to include contact information for doulas on the facility's website.

DEFINITION

Added a specific exemption allowing facilities to deny doula access if it is inconsistent with generally accepted medical standards.

ENFORCEMENT

Added explicit language stating that hospitals are not liable for the acts or omissions of doulas.

Floor votes · House Apr 10, 2025

How they voted

1120
Passed · 6 other
Total votes 118
Apr 10, 2025
D Democratic78
74 Yea 4
94% Yea
R Republican40
38 Yea 2
95% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
76
Key actions
10
Committee
17
Amendments
6
Jun 1, 2026
Committee
Rule 3-9(a) / Re-referred to Assignments
upper
Dec 1, 2025
Committee
Pursuant to Senate Rule 3-9(b) / Referred to Assignments
upper
Jun 2, 2025
Committee
Rule 3-9(a) / Re-referred to Assignments
upper
May 15, 2025
Upper · Passed
Do Pass as Amended Executive; 009-004-000
upper
May 14, 2025
Upper · Passed
Senate Committee Amendment No. 1 Adopted
upper
May 14, 2025
Upper · Passed
Senate Committee Amendment No. 1 Assignments Refers to Executive
upper
May 13, 2025
Committee
Senate Committee Amendment No. 1 Referred to Assignments
upper
May 13, 2025
Introduced
Senate Committee Amendment No. 1 Filed with Secretary by Sen. Don Harmon
upper
May 9, 2025
Upper · Passed
Rule 2-10 Committee Deadline Established As May 23, 2025
upper
May 8, 2025
Committee
Assigned to Executive
upper
Apr 14, 2025
Committee
Referred to Assignments
upper
Apr 14, 2025
Introduced
Arrive in Senate
upper
Apr 10, 2025
Amended
House Floor Amendment No. 1 Tabled
lower
Apr 10, 2025
Lower · Passed
Third Reading - Short Debate - Passed 112-000-000
lower
Apr 10, 2025
Lower · Passed
House Floor Amendment No. 2 Adopted
lower
Apr 9, 2025
Lower · Passed
House Floor Amendment No. 2 Recommends Be Adopted Human Services Committee; 012-000-000
lower
Apr 8, 2025
Lower · Passed
House Floor Amendment No. 2 Rules Refers to Human Services Committee
lower
Apr 7, 2025
Committee
House Floor Amendment No. 2 Referred to Rules Committee
lower
Apr 7, 2025
Introduced
House Floor Amendment No. 2 Filed with Clerk by Rep. Yolonda Morris
lower
Mar 25, 2025
Lower · Passed
House Floor Amendment No. 1 Rules Refers to Human Services Committee
lower
Mar 24, 2025
Committee
House Floor Amendment No. 1 Referred to Rules Committee
lower
Mar 24, 2025
Introduced
House Floor Amendment No. 1 Filed with Clerk by Rep. Yolonda Morris
lower
Mar 19, 2025
Lower · Passed
Do Pass / Short Debate Human Services Committee; 012-000-000
lower
Feb 25, 2025
Committee
Assigned to Human Services Committee
lower
Feb 4, 2025
Committee
Referred to Rules Committee
lower
2 primary · 32 co-sponsors

Sponsors