---
type: "Bill"
title: "AN ACT RELATING TO HUMAN SERVICES -- MEDICAL ASSISTANCE -- PERINATAL DOULA SERVICES (Provides for medical assistance health care for expectant mothers and would establish medical assistance coverage and reimbursement rates for perinatal doula services. Effective 7/1/22.)"
description: "AN ACT RELATING TO HUMAN SERVICES -- MEDICAL ASSISTANCE -- PERINATAL DOULA SERVICES (Provides for medical assistance health care for expectant mothers and would establish medical assistance coverage and reimbursement rates for perinatal doula services. Effective 7/1/22.)"
jurisdiction: "us/states/ri"
legislature: "Rhode Island General Assembly"
session: "2021"
identifier: "SB 484"
citation: "Rhode Island SB 484 (2021)"
classification: ["bill"]
subjects: ["Health & Safety", "Health Care Plans/Services", "Health Insurance", "Human Services", "Medical"]
status: "enacted"
primary_sponsors: ["Acosta", "Calkin", "Cano", "DiPalma", "Felag", "Lawson", "Lombardo", "Mack", "Quezada", "Valverde"]
version_count: 1
action_count: 18
vote_count: 4
first_action: "2021-03-04"
last_action: "2021-07-07"
source: "openstates"
source_identifier: "ocd-bill/cff3f8b3-17a1-4fd3-aa27-380ac127d896"
source_url: "https://status.rilegislature.gov/"
source_hash: "becae6b090f378f6dbe3bc175762f0ca47837d9d19114845794647ea9ae8d2dc"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-ri"]
---

# Rhode Island SB 484 (2021) — AN ACT RELATING TO HUMAN SERVICES -- MEDICAL ASSISTANCE -- PERINATAL DOULA SERVICES (Provides for medical assistance health care for expectant mothers and would establish medical assistance coverage and reimbursement rates for perinatal doula services. Effective 7/1/22.)

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **484 SUB A** (committee substitute) — [source](http://webserver.rilin.state.ri.us/BillText/BillText21/SenateText21/S0484A.pdf)

## Votes

- PERINATAL DOULA SERVICES — **36–0** (pass) · upper
- DOULA SERVICES — **37–0** (pass) · upper
- DOULA SERVICES — **37–0** (pass) · upper
- PASSAGE — **61–1** (pass) · upper

## Sponsors

- Acosta — primary (person)
- Calkin — primary (person)
- Cano — primary (person)
- DiPalma — primary (person)
- Felag — primary (person)
- Lawson — primary (person)
- Lombardo — primary (person)
- Mack — primary (person)
- Quezada — primary (person)
- Valverde — primary (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2021-03-04** 03/04/2021 Introduced, referred to Senate Health and Human Services `introduction, referral-committee`
- **2021-03-19** 03/19/2021 Scheduled for hearing and/or consideration (03/24/2021)
- **2021-03-24** 03/24/2021 Committee recommended measure be held for further study
- **2021-04-23** 04/23/2021 Scheduled for consideration (04/29/2021)
- **2021-04-29** 04/29/2021 Committee recommends passage `committee-passage-favorable`
- **2021-04-30** 04/30/2021 Placed on Senate Calendar (05/04/2021)
- **2021-05-04** 05/04/2021 Senate read and passed `passage`
- **2021-05-05** 05/05/2021 Referred to House Finance `referral-committee`
- **2021-06-20** 06/20/2021 Committee transferred to House Health & Human Services
- **2021-06-23** 06/23/2021 Scheduled for consideration (06/25/2021)
- **2021-06-24** 06/24/2021 Proposed Substitute
- **2021-06-25** 06/25/2021 Committee recommends passage of Sub A `committee-passage-favorable`
- **2021-06-26** 06/26/2021 Placed on House Calendar (06/29/2021)
- **2021-06-29** 06/29/2021 House passed Sub A `passage`
- **2021-06-29** 06/29/2021 Placed on Senate Calendar (07/01/2021)
- **2021-07-01** 07/01/2021 Senate passed Sub A in concurrence `passage`
- **2021-07-02** 07/02/2021 Transmitted to Governor `executive-receipt`
- **2021-07-07** 07/07/2021 Signed by Governor `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/cff3f8b3-17a1-4fd3-aa27-380ac127d896`. Confidence: reported (aggregated from official Rhode Island legislature records).