(1) In determining the types and extent of health care and services to be provided to medical assistance recipients under ORS 414.065, the Oregon Health Authority and a coordinated care organization shall ensure that recipients have access to services provided by doulas, lactation counselors and lactation educators. (2) The services described in subsection (1) of this section must: (a) Include a minimum of 24 hours of services, in addition to labor and delivery services, regardless of birth outcome, with an option for the authority or a coordinated care organization to approve additional hours based on need; (b) Be sufficient to support recipients robust maternal health and support positive birth outcomes; and (c) Be provided: (A) By an individual or organization from the community of the recipient, using language, structures and settings familiar to members of the community; or (B) If an individual or organization from the community of the recipient is not available, by a provider that has received cultural competency training within the preceding three years. (3) Access to doulas, lactation counselors and lactation educators: (a) Must be made available without a referral from another health care provider; and (b) May not require a signature from or supervision by any other health care provider, except as necessary to approve additional hours based on need as described in subsection (2)(a) of this section. (4) A coordinated care organization shall make information about how to access services provided by a doula, lactation counselor or lactation educator available on a website operated by or on behalf of the coordinated care organization and shall provide the information in print whenever a printed explanation of benefits is available.
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