PolicyBrief
S. 4225
119th CongressMar 26th 2026
Delivering Optimally Urgent Labor Access for Veterans Affairs Act of 2026
IN COMMITTEE

The DOULA for VA Act of 2026 establishes a five-year pilot program to provide doula support services to pregnant and postpartum veterans to improve maternal, mental health, and infant care outcomes.

Cory Booker
D

Cory Booker

Senator

NJ

LEGISLATION

New VA Pilot Program Offers Pregnant Veterans Up to 10 Free Doula Sessions and Specialized PTSD Support Through 2032.

The Department of Veterans Affairs is officially expanding its 'Whole Health' approach to include a massive five-year pilot program specifically for pregnant and postpartum veterans. Dubbed the DOULA for VA Act of 2026, this bill aims to tackle the rising maternal health risks among the 600,000 women now using VA healthcare. Starting within a year of enactment, the VA will begin providing professional doula support to help veterans navigate everything from birth plans to postpartum mental health, recognizing that the transition from service member to parent comes with unique challenges.

More Than Just a Birth Partner

Under Section 2 of the bill, a 'covered veteran' can access up to 10 sessions with a doula. This isn't just about the delivery room; the care is structured to provide three or four sessions during pregnancy, support during labor, and another three or four sessions after the baby arrives. For busy parents or those in remote areas, the bill specifically allows these postpartum check-ins to happen via the VA Video Connect app. To ensure the care is high-quality, the VA can pay up to $3,500 per veteran to the doula or the organization providing the service, making professional labor support accessible to those who otherwise couldn't afford the out-of-pocket costs.

Specialized Care for Military Realities

What makes this program different from a standard birth center is the focus on veteran-specific trauma. The VA Office of Women’s Health is tasked with creating training guidelines for doulas regarding military sexual trauma (MST) and PTSD. Imagine a veteran who has experienced trauma being supported by a doula who actually understands how those past experiences might trigger anxiety during medical procedures or labor. By requiring this specialized training, the bill attempts to bridge the gap between clinical obstetric care and the mental health needs of those who served.

Targeting the High-Risk Gap

The rollout is strategically designed to hit areas where the need is greatest. The pilot will launch in the three VA networks with the highest percentage of female veterans, the three with the lowest, and at least one 'Frontier State' where a large portion of the population lives in rural or tribal lands. This is particularly relevant for American Indian or Alaska Native veterans who often face significant maternal health disparities. By placing Doula Service Coordinators at each participating facility, the VA is trying to cut through the usual red tape, ensuring that a veteran’s birthing plan is actually communicated between their community doula and their VA medical team.