HB 1251 Maryland House of Delegates · 2025 Regular Session

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

HB 1251 (Doula and Birth Policy Transparency Act) requires hospitals and freestanding birth centers in Maryland to adopt and submit to the Department of Health a specific policy on obstetric care by January 1, 2026. The policy must guarantee birthing parents can have a certified doula present during birth, prioritize newborn bonding, prohibit significant medical interventions (like C-sections or forceps) without informed consent, and detail medical information transfers between providers. Medical liability insurers must also provide the Department of Health with coverage details for obstetric services, including vaginal birth after C-section, upon request. This bill directly affects health care facilities providing obstetric services and insurers, aiming to increase transparency and patient choice in birth settings.
Bill status signed all 5 stages cleared
Introduction
Feb 2025
Committee Review
Apr 2025
House of Delegates Passage
Apr 2025
Senate Passage
Apr 2025
Signed into Law
May 2025
Introduced Feb 7, 2025 Signed May 20, 2025
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What changed between versions

First - Health Care Facilities and Medical Professional Liability Insurers - Obstetric Services Policies (Doula and Birth Policy Transparency Act) Third - Hospitals and Medical Professional Liability Insurers - Obstetric Services Policies (Doula and Birth Policy Transparency Act) · 5 edits
MODERATE
This bill was amended to expand its scope from just health care facilities to include hospitals, clarify policy requirements around doula access and informed consent for medical interventions, and add new provisions for public access to hospital policies. The changes strengthen transparency around obstetric care practices and ensure consistent policy adoption across different facility types.
Scope change
The bill's scope was expanded from applying only to health care facilities to explicitly include hospitals, and the subtitle was updated to reflect this broader applicability.
SCOPE

Changed the bill's title and subtitle from 'Health Care Facility' to 'Health Care Facility Hospital' to explicitly include hospitals in the policy requirements.

REQUIREMENT

Added new definitions for 'doulas' and 'significant medical intervention' to clarify what constitutes covered services and who qualifies as a doula.

Added requirements for hospitals to have specific policies on doula access, informed consent for significant medical interventions, and transfer acceptance processes for home birth patients.

Added an exception allowing hospitals to set policies restricting the number of doulas or authorized guests, providing some flexibility in policy implementation.

ENFORCEMENT

Added a new requirement that the Department of Health must make hospital policies available to the public upon request, increasing transparency.

Floor votes · Senate Mar 21, 2025 · House of Delegates Mar 9, 2025

How they voted

410
Passed · 5 other
Total votes 46
Mar 21, 2025
D Democratic33
28 Yea 5
84% Yea
R Republican13
13 Yea
100% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
18
Key actions
10
Committee
6
May 20, 2025
Signed into law
Approved by the Governor - Chapter 751
executive
Apr 7, 2025
Lower · Passed
Returned Passed
lower
Apr 5, 2025
Upper · Passed
Third Reading Passed
upper
Apr 4, 2025
Upper · Passed
Favorable Adopted
upper
Apr 4, 2025
Upper · Passed
Favorable Report by Finance
upper
Mar 21, 2025
Senate · Passed
Senate Vote: pass (41-0-5)
senate
Mar 17, 2025
Committee
Referred Finance
upper
Mar 17, 2025
Lower · Passed
Third Reading Passed
lower
Mar 15, 2025
Lower · Passed
Favorable with Amendments {
lower
Mar 15, 2025
Lower · Passed
Favorable with Amendments Report by Health and Government Operations
lower
Mar 9, 2025
House Of Delegates · Passed
House of Delegates Vote: pass (137-0-2)
house of delegates
Feb 7, 2025
Committee
First Reading Health and Government Operations
lower
16 primary · 0 co-sponsors

Sponsors