Birth doulas provide continuous physical, emotional, and informational support to a pregnant person before, during, and shortly after childbirth, and have been shown to improve outcomes for both infants and parents. Research shows stronger beneficial effects for families who are low income. However, birth doulas are mostly available to families who can afford to pay out-of-pocket. The Alliance supports Voices for Vermont’s Children’s efforts to guarantee access to birth doulas to pregnant people covered by Medicaid. This is an evidence-based policy that can support safer, less expensive births and improve perinatal and infant outcomes. This policy would address multiple issues of public health concern in a cost effective way.