California Black Media

What You Should Know: California Has Added Doula Services to Medi-Cal Coverage

Medi-Cal, California’s version of the federal medical assistance program Medicaid, has announced that it is expanding access to maternal health, including doula services. The expansion is expected to have a critical impact on the health of Black mothers and expectant moms. Nearly half of Black Californians are enrolled in Medi-Cal.

Published

5 months ago

August 27, 2024

Oakland Post

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By Edward Henderson, California Black Media

Medi-Cal, California’s version of the federal medical assistance program Medicaid, has announced that it is expanding access to maternal health, including doula services.

The expansion is expected to have a critical impact on the health of Black mothers and expectant moms. Nearly half of Black Californians are enrolled in Medi-Cal.

Black mothers are approximately four times more likely to die than their White counterparts to die from pregnancy-related complications, according to The California Department of Public Health (CDPH). The Black maternal mortality rate is three times higher than the rate of mothers of White Hispanic and Asian moms. And Black babies are two times as likely to die before their first birthday than White babies.

Erica Holmes, Chief of Benefits Divisions for the California Department of Health Care Services spoke during an online news briefing in June organized by Ethnic Media Services (EMS) to provide more details about Medi-Cal’s expansion into the doula space.

“The department has issued a standing recommendation for doula services. Medi-Cal members don’t have to get a separate written referral for services. All they need to do is find a doula who accepts medical to start receiving care. The department also has a doula directory where members can find doulas who accept medical by county.”

According to Medi-Cal, the doula services are available to expectant moms as a birthing care pathway for members who elect to use it from conception through 12 months. It is also available to new moms with services such as postpartum care, parent-child dyadic care, and other benefits.

Kairis Chiaji, a Medi-Cal approved doula services provider with 25 Years of experience, spoke during the online news briefing, informing attendees about the value of doulas and the services they provide.

“A lot of people don’t know what doulas do. I would liken it to a personal trainer, but for childbirth. Our job is to get to know you, what your goals are for your body and baby, to help you come up with a plan and remember your plan,” she said.

Doulas are trained professionals who provide physical, emotional and informational support to patients before, during and after childbirth. In the past, their services were not covered by most medical insurance plans.

Now with Medi-Cal’s new expansion, they are.

Chiaji spoke about the value a doula of color brings to the birthing process. The disparities in care and service women of color experience in medical care are well documented. Chiaji says her practice prioritizes Black and indigenous women.

“As people of color and community members, we also have shared experience with our clients. We have been those birthing people in the various environments,” she added. We have encountered the same language or culture barriers, we have had the same unanswered questions and understand the benefit of having someone who not only can explain it but really be a bridge between the community member and the birthing environment, especially in hospital settings.”

Due to the Medi-Cal expansion, doulas will now be reimbursed at the same rate as other service care providers, which Chiaji says is a game changer.

“We were able to move our state into a position of understanding that a large part of healthcare is leveraging relationships. The group that has the ability to found and maintain those relationships are birth workers.”

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Oakland Post: Week of January 8 – 14, 2025

The printed Weekly Edition of the Oakland Post: Week of January 8 – 14, 2025

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3 days ago

January 11, 2025

Oakland Post

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2024 in Review: 7 Questions for Former Assemblymember Chris Holden

While in office, Holden championed efforts to improve education outcomes for students and advocated for social and racial justice. Legislation he wrote or sponsored also focused on, innovation in transportation, protecting developmental disability service providers and improving public health, more broadly.

Published

1 week ago

January 6, 2025

Oakland Post

Hon. Chris Holden. File photo.

By Edward Henderson, California Black Media

In 2012, Assemblymember Chris Holden was first elected to the California State Assembly representing the 41^st District in the San Gabriel Valley.

He was re-elected to that position for the following four terms.

Holden, a graduate of San Diego State University, lives in Pasadena with his wife, Melanie, and children Nicholas, Alexander, Austin, Mariah and Noah. Holden is the son of former State Senator and LA City Councilmember Nate Holden.

Before he closed out his final year of service in the Assembly, California Black Media (CBM) spoke with Holden. He reflected on his accomplishments this year and his goals moving forward.

Looking back at 2024, what stands out to you as your most important achievement and why? 

A project I’ve been working on for well over 36 years — the light rail system — made its way into Pasadena from downtown LA. Now it’s making its way through the San Gabriel Valley to Pomona.

How did your leadership and investments contribute to improving the lives of Black Californians? 

Having an opportunity to represent a multi-ethnic and diverse district is exciting, but to be able to bring a voice for a lived African American experience from the San Gabriel Valley is very important.

What frustrated you the most over the last year?

I still am frustrated that we aren’t seeing the kind of progress on affordable housing to allow underrepresented communities to be able to afford to live in the community that they grew up in.

What inspired you the most over the last year?

There has been a lot of movement around reparations through community engagement. Dr. Shirley Weber put forth the bill to establish a reparations task force and that task force met for a number of years. Two members of our caucus served on it, Sen. Steven Bradford and Assemblymember Reggie Jones-Sawyer. A thousand-page report and a hundred recommendations or more came out of that. And now we’re in the process of finding ways to implement some of those recommendations. It’s going to be a longer process, but I’m hopeful because California, once again, is on the front end of taking on a really challenging issue.

What is one lesson you learned in 2024 that will inform your decision-making next year?

Always be mindful how quickly the winds can change. We’ve gone from 10 years of having budget surpluses to this year having a $45 billion deficit.

In one word, what is the biggest challenge Black Californians face?

Inequality.

What is the goal you want to achieve most in 2025?

Well, I won’t be in the legislature in 2025, but I love public policy. I’d like to find myself in a position where I’m continuing to have an influence on how public policy is shaped and formed. I’m just looking forward to being a vital voice going into next year in a different role. It will also be an opportunity to lay a foundation to take another run, possibly for a seat on the LA County Board of Supervisors in 2028.

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2024 in Review: 7 Questions for Equality California Political Director Shay Franco-Clausen

Shay Franco-Clausen is an award-winning public advocate, speaker, political strategist and former elected official. She has contributed her thought leadership to drafting seventeen pieces of legislation in California. Notable among these accomplishments is her role in extending the statute of limitations for felony domestic violence survivors, advocating for the rights of foster youth, preserving endangered open spaces, and championing the restoration of voting rights for individuals on parole.

Published

1 week ago

January 5, 2025

Oakland Post

Shay Franco-Clausen Equality California Political Director (Facebook).

By Edward Henderson, California Black Media

Shay Franco-Clausen is Political Director for Equality California, the nation’s largest statewide LGBTQ+ civil rights organization.

Franco-Clausen is an award-winning public advocate, speaker, political strategist and former elected official. She has contributed her thought leadership to drafting seventeen pieces of legislation in California. Notable among these accomplishments is her role in extending the statute of limitations for felony domestic violence survivors, advocating for the rights of foster youth, preserving endangered open spaces, and championing the restoration of voting rights for individuals on parole.

California Black Media (CBM) spoke with Franco-Clausen about her successes, frustrations and future plans heading into 2025.

Looking back at 2024, what stands out to you as your most important achievement and why? 

In the role that I sit in as the political director for Equality California, we endorsed 216 candidates. I think the one achievement after this election that I’m proud of is that we overturned Prop 8 to protect same-sex marriages here because they’re about to attack our rights on the federal level, come 2025.

I’m glad at least we changed our California constitution to reflect and protect my marriage.

How did your leadership and investments contribute to improving the lives of Black Californians? 

I contribute through my lived experience. I may have achieved a lot, but I come from those same communities that are marginalized, East Oakland, East San Jose, Watts. It gives me a different perspective. I am a formerly incarcerated youth who was in foster care. I think I contribute that bit of understanding, and I operate from an equity lens. I’m willing to push people to make them recognize that hey, you cannot forget about Black people. We are the most marginalized.

What frustrated you the most over the last year?

What frustrates me is our inability to recognize that we forget people. I was tapped to work on the Harris campaign from Equality California. And through that, being at that table, I was frustrated that they weren’t listening to Americans and not looking at the data.

The reason Trump won is because he had consistent messaging, and we didn’t debunk it. I think I’m more frustrated that we don’t fully listen to people all the time when they’re critiquing us.

What inspired you the most over the last year?

All those people that came out to support Kamala Harris. I was proud that my son voted for the first time for a Black woman for President.

What is one lesson you learned in 2024 that will inform your decision-making next year?

Be fearless. Sometimes I second-guess myself. I push back, but I could push more because I’m qualified. I have the education, I have the experience, and I know what I’m talking about in all the rooms that I go in. And I must be confident in that.

In one word, what is the biggest challenge Black Californians face?

Prioritization.

We’re still not seen as a priority, but everyone likes to add us to their talking points.

What is the goal you want to achieve most in 2025?

Writing a book. I think it’s important for us to tell our stories.

I am also kicking off my campaign for Hayward City Council.