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Montana Doula Collaborative Resources
Learn more about the Montana Doula Collaborative, Professional Development Opportunities, Licensing Requirements, Montana Senate Bill 319, Doula Care for all Montana Families, and Frequently Asked Questions.
Professional Development Opportunities
At MTDC we are passionate about helping doulas find their ultimate potential through professional development.
Perinatal Mental Health Conference
Cultural Safety
Improving Perinatal Care for Indigenous Families
Dr. Amy Stiffarm
CPR Certification
Licensing Requirements
Information about obtaining doula licensure in the state of Montana.
Licensing Requirements for Montana Doulas
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An applicant for doula licensure must submit the following to the Department of Labor and Industry as part of the application process:
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a completed application as provided by the department;
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current CPR certification;
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any fees required
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Application for initial license - $180.
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License renewal - $175.
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verification from all states in which the applicant holds or has held a doula license or certificate; and
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verification of either:
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successful completion of 40 hours of supervised training with a licensed doula that includes at least two unique perinatal experiences; or
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successful completion of at least 20 hours of doula training, provided by one or more entities approved by the department.
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For applicants who practiced as a doula for at least two years prior to January 1, 2026, the applicant must submit:
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a completed application as provided by the department; and
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a list of up to ten clients served within two years prior to January 1, 2026, identified by initials and including date range served. Doulas must have served a minimum of five clients to qualify under this part.
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An applicant currently licensed to practice as a doula in another jurisdiction may be licensed by endorsement. An applicant shall submit proof of active licensure in good standing from another jurisdiction, if that jurisdiction has substantially equivalent standards to Montana.
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An applicant seeking a limited license to complete supervised training must submit proof the applicant will be supervised in doula activities by a licensed doula who has been practicing for at least five years with no legal or disciplinary action taken against the doula.
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A doula license must be renewed annually
Montana Senate Bill 319 (2025)
The Montana Senate Bill 319 (2025) generally revises healthcare laws related to doulas. Key details below.
Information About Montana Senate Bill 319 (2025)
Montana Senate Bill 319 (2025) generally revises healthcare laws related to doulas, transitioning their professional status from simple certification to official licensing and regulatory framework for doulas under the Department of Labor and Industry. Sponsored by Sen. Cora Newman, the legislation expands access to care by making doula services eligible for Medicaid coverage and opening up private insurance coverage for licensed doula services to improve maternal health outcomes and reduce delivery complications.
Key details of the legislation include:
● Licensure Requirements with the Department of Labor and Industry: The bill creates professional standards for doulas, defining them as trained, nonmedical professionals who provide continuous physical, emotional, and informational support before, during, and up to 12 months after pregnancy.
● Medicaid Expansion: By establishing a formal scope of practice and licensure, the legislation clears the path for Montana Medicaid and private insurance providers to reimburse for doula care.
● Public Health Impact: Supporters advocated for the bill to combat Montana's high maternal mortality rate and improve birth outcomes, especially for rural and Tribal communities.
Doula Care for all Montana Families
Learn more about the Montana Doula Collaborative, what doulas do, the benefits of having a doula, and how doulas advance health equity.
Explainer: Doula Care for all Montana Families
The Montana Doula Collaborative is a statewide doula-led organization founded in 2022. We represent doulas, and doula groups across Montana, and also include policy advisors, allies, and stakeholders. We promote sustainable doula practices throughout Montana by developing professional services, learning opportunities, and doula directories. We are working to advance opportunities for doulas and families in Montana.
Frequently Asked Questions
Find answers to commonly asked questions.
Frequently Asked Questions
What is a doula?
Doulas are trained birth professionals who support individuals and families before, during, and after birth. They provide comprehensive, non-medical care that meets emotional, physical, social, and informational needs. Doula care is preventative care proven to significantly improve health outcomes for moms, babies and families.
What are the benefits of having a doula?
Doulas work alongside medical teams to support the whole family. Doula care improves birth outcomes for newborns and mothers and is associated with:
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37% reduction in cesarean section births
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24% reduction in preterm births
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Increased breastfeeding initiation
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Reduced risk of low birthweight
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64% reduction in postpartum anxiety and depression
These outcomes reduce healthcare costs significantly.
What is the difference between a doula and a midwife?
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Doulas provide emotional and physical support (massage, breathing techniques, advocacy) but do not perform any medical procedures.
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Midwives are licensed medical professionals who deliver babies, monitor vital signs, and manage clinical care.
Will a doula replace my partner?
No. A doula enhances the partner's role by guiding them on how to comfort and support the birthing person. They also ensure partners have time to eat, rest, and take breaks, which relieves pressure on them.
Do I need a doula if I plan to have an epidural or C-section?
Yes. Doulas do much more than natural pain management; they help with continuous emotional support, suggest positions to help labor progress, assist in advocating for your birth plan, and help you navigate unexpected situations or recovery.
What should I ask a doula before hiring one?
Interview questions can be found here.
What if I want to work with a doula but cost is an issue?
Doula services may cost several hundred dollars, and many insurance policies do not cover doula care. If you would like to work with a doula and are concerned about the costs, you can:
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Check with your insurance company to see if doula services are covered. If there is no policy, you may be able to show them evidence about benefits of doula care and influence coverage for yourself and for other women in the future. If the initial response is “no,” try asking to speak with someone in management or send a letter.
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Check if there are experienced doulas in your area who offer some services at a no or reduced costs. Some may be willing to set up a payment schedule at a rate you can afford.
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Some doulas barter if you can provide desired services in return.
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Find out if a woman who is training to become a doula (doula trainee) can attend; many such women attend births at no or no cost to gain experience.
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You can also check the hospitals and birth centers in your community to see if any have a doula program and whether you are eligible.