Missouri
Missouri lawmakers look to expand doula program based on early success
In the past year, Christian King, a doula based in Kansas City, has supported more than 40 mothers enrolled in Medicaid through their pregnancy, birth and postpartum.
In that role, she helps educate and support families about birth and babies, but her work also takes on a more nontraditional approach.
When one mother’s water was shut off at four weeks postpartum, King helped her find reconciliation services to turn the utilities back on. When another mom couldn’t afford car repairs, King found an organization in Raytown that provided financial assistance. She helped one client secure a car seat from the local health department and another fill her closet with baby clothes.
King, 35, hopes that soon, “just like going to the dentist and going to the eye doctor, obtaining a doula and having a doula present is also one of those things that you just have to have on your team as part of services for maternity.”
Doulas do not deliver babies. They advocate for the physical and mental wellbeing of mothers and their families.
For the past 15 months in Missouri, anyone enrolled in Medicaid while pregnant and postpartum can have a doula by their side for free. Now, a group of bipartisan lawmakers are hoping to expand the program in an effort to continue combating the state’s poor infant and maternal outcomes.
“The statistics tell a devastating story of the lives lost that could’ve been saved if we put in the proper measures,” said state Sen. Barbara Washington, a Democrat from Kansas City who proposed one iteration of the legislation. “There are third-world countries that have better maternal mortality rates than we do.”
The bill is estimated to cost around $300,000. While substantial amid a predicted state budget shortfall, state Rep. Becky Laubinger, a Republican from Park Hills who also filed legislation to expand the program, said she believes the long-term savings of having fewer Missourians who require medical attention will make up for the cost.
On average, 70 women die each year in Missouri during childbirth or in the first year postpartum. Of those deaths, 80% are deemed preventable.
In Missouri, women on Medicaid were seven times more likely to die within a year of pregnancy than women on private insurance, according to a 2024 report published by the state’s Pregnancy-Associated Mortality Review that looked at women who gave birth between 2017 and 2021. A 2023 March of Dimes report gave Missouri a D- for preterm births, and also pointed to doulas as a solution.
In fall 2024, the Missouri Department of Social Services issued an emergency rule authorizing Medicaid to reimburse doula services, citing “an immediate danger to the public health, safety or welfare of pregnant women in Missouri.”
Since the program’s inception, there have been about 625 participants insured through Medicaid who accessed doulas during their pregnancy and postpartum, said Baylee Watts, a spokeswoman for the Department of Social Services. As of this month, 108 doulas were enrolled in the program.
“The department is encouraged by the level of engagement so far,” Watts said in a statement. “And views the doula benefit as an important component of broader efforts to improve maternal health outcomes across Missouri.”
Legislation filed by state Rep. Tara Peters, a Rolla Republican, has moved the farthest this year, clearing committee in February as part of a sweeping health care bill. Her bill seeks to increase the number of covered doula visits from six to 16.
The average out-of-pocket cost for a doula in Missouri is about $1,500, according to the Missouri Doula Association.
“I’ve just noticed how much extra care a doula can provide, especially for women in high need situations,” said Laubinger. “Doulas can provide some great education and support for people who maybe don’t have the extra support.”
This support can also look like serving as an interpreter between medical professionals and pregnant people, navigating insurance, ensuring access to nutritious food or coordinating transportation to medical appointments.
Laubinger, who previously served as executive director of Monarch Family Resource Center in Farmington, said expanding the number of covered visits can be particularly helpful for women who experience postpartum depression in the year after giving birth.
Her legislation, like Peters’, expands the number of reimbursable visits from six to 16, and includes access to doulas for prenatal, birth, postpartum and lactation support.
She said the legislation also hopes to correct some issues doulas have had getting full reimbursement after being in the room for a scheduled c-section, listed as a scheduled surgery, a classification she said muddled the reimbursement process.
The Department of Social Services previously said the reimbursements could lead to savings for the state in the coming years, including by potentially reducing the Cesarean rate. Watts said it’s too early to get an accurate look at this result.
Laubinger said doulas can be a lifesaving set of eyes and ears in homes where women experience domestic violence, a leading cause of pregnancy-associated deaths in Missouri.
“The doula birth worker can also have a voice in those situations and see what’s going on outside of that medical office,” she said. “And maybe be able to provide some rescuing relief from dangerous situations for mom.”
To be eligible, doulas must be credentialed and certified through a national or Missouri-based doula training organization. From there, they will be added to a list of eligible doulas overseen by the Missouri Community Doula Council.
Sandra Thornhill, a social justice doula who has advocated in Jefferson City for better legislation for doulas, said it was beautiful to see this policy issue reach across the aisle. And she was happy to see some of the proposals pushing for increased visits, especially in postpartum.
She said it’s not a question of if doulas should be reimbursed, but of how the state honors the traditional practices and values of doulas in that process. She is wary of any policies that place community health workers under medical or state authority. Instead she hopes to see more collaborative models.
”My concern is not with recognizing doulas in the Medicaid policy, but with how the bill structures authority and governance over that work,” said Thornhill, who describes herself as a womb warrior and policy griot. “The question is whether the policy structure strengthens community birth workers or will it place unnecessary burden or medical authority that doesn’t reflect the roots of the work.”
But she said the progress made in acknowledging and supporting doula’s work in the past few years is striking, especially as many doulas live “birth to birth” as they struggle to pay the bills.
Prior to the state’s Medicaid reimbursement plan, The Independent spoke with several doulas who spoke of giving up wages to help families in need for free as they navigated growing their families.
“They do it because they love their people and their community so much that they’re willing to make this great sacrifice,” Thornhill said. “ However, it is not healthy. And it is not fair for the community to have to suffer like that when there are resources available to change that. But again, those resources cannot come with a slap on the wrist. They cannot come with a backlash of ‘now you’re under our thumb.’”
A representative with America’s Health Insurance Plans voiced opposition to Washington’s bill in a committee hearing last month.
“We are very concerned about issues with education, standardization and making sure doulas are all on the same page and we know exactly how they’ve been trained,” he said. “There seems to be some resistance out there and a lot of independence within the organizations.”
Washington’s legislation also seeks to ensure health benefit plans offer coverage for midwifery services. She said this is especially crucial in rural parts of the state, where families don’t have access to nearby hospitals with maternity wards.
“Currently, our law does not explicitly require private health plans to cover midwifery. This would close that loophole,” Washington said, adding that this change would shift power back to patients to choose their own provider, especially in rural communities “where the hospitals are closing at alarming rates.”
This story was first published at missouriindependent.com.
Spring baseball in Missouri is officially off and running, and through the first two-plus weeks of the 2026 season, the state’s landscape is already taking shape. Defending state champions are proving they belong. Undefeated small-school programs are making noise. Blue-chip programs that entered the year with high expectations are adjusting to the reality of a competitive schedule.
These rankings incorporate every available analytical lens: official MSHSAA win-loss records and run differential data,. The result is the most complete statewide picture available at this stage of the 2026 season, across all six classifications.
One number tells this story early: run differential. The teams at the top of this list are not just winning — they are winning by margins that signal a gap between other teams. This is Missouri baseball in April. There is a lot left to be decided.
1. Rock Bridge (10-1)
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The Bruins lead all of Missouri with 10 wins, and they have done it the right way — against competition. Rock Bridge is putting up 7.73 runs per game while holding opponents to 4.36, producing a margin of victory of 3.36 across 11 games. That consistency is the product of a program that went 30-7 last year and returned the infrastructure intact.
2. Blue Springs South (7-2)
The defending Class 6 state champion, and they are still the standard. One loss came against Kansas No. 4 Olathe East in a narrow pitcher’s duel — a quality out-of-state defeat that only strengthens their résumé. The Jaguars are scoring 9.78 runs per game, the highest offensive rate of any team in this top 25. Blue Springs South is a legitimate No. 1 argument; the two losses keep them here for now.
3. Jackson (9-1)
Jackson is averaging 8.8 runs per game while surrendering just 2.1 — a run differential of 6.7 that ranks among the best in the state across any classification. Their pitching staff is tremendous. The one loss is the analytical anchor holding them from the top; the numbers otherwise say No. 1.
4. Willard Tigers (10-2)
The Tigers continue their dominant run in southwest Missouri. Ten wins through 12 games, with 104 runs scored against just 36 allowed — a margin of 5.67 per game. Willard’s pitching has been as advertised, and Matthew Angel remains one of the most complete position players in the state. The Wildcats’ only notable blemish was a 6-4 loss to Logan-Rogersville — a team that sits inside this top 10 itself. That loss tells you how competitive the top of the state is right now.
5. Fort Zumwalt West (8-3)
Fort Zumwalt West made a statement after defeating Francis Howell to claim the Troy Buchanan Tournament Championship, and the wins over Seckman, Timberland, and Westminster Christian add real value to the résumé. The Jaguars are 8-3 with 62 runs scored and 45 allowed — a modest 1.55 margin that reflects the level of competition they have played. A Class 6 postseason threat with proven results against quality opponents.
6. Eureka (8-2)
One of the fastest-rising programs in the state. Eureka has climbed four spots in the MaxPreps algorithm and sits 8-2 through 10 games with an 8.6 strength of schedule — the highest of any program in this tier. Ace Jaxson Joggerst (Indiana commit) is one of the elite arms in Missouri, and Craig Ringe anchors the offense. The Wildcats are built to peak in May, and they are already showing the profile of a deep playoff run.
7. Francis Howell (7-4)
The Vikings have had a bumpy early season by their own lofty standards, dropping to 7-4 after losses to Edwardsville (IL) and a Fort Zumwalt West squad that took the Troy Buchanan Tournament Championship in the process. But context matters here: Francis Howell has played one of the most demanding schedules in Class 6, and a 7-4 record against that slate is not a collapse. The Vikings need a signature win to stabilize their ranking, but they have the roster to deliver one.
8. Nixa (10-3)
No team in Missouri has played more games than Nixa, and with 10 wins, they have made the most of it. The Eagles are averaging 8.46 runs per game. Their schedule is the toughest of any team in the top five. Three losses against that competition is not a problem; it is a credential. RHP Jackson Gamble and multi-sport standout Adam McKnight are the engines of a well-constructed roster.
9. Lafayette (8-2)
This program demands recognition. Lafayette (Wildwood) is putting up 7.7 runs per game against an OPPG of just 3.7 — a margin of 4.0 through 10 games. Senior Chase Roeder has been a standout in the batters box with 12 hits and 11 RBIs. This is one of the best Class 6 team right now.
10. Vianney (8-2)
Vianney has a record of 8-2 with 54 runs scored and just 19 allowed, good for an OPPG of 1.9 that is the lowest of any top-25 team in this piece. A margin of victory of 3.5 reflects a pitching staff and defense that simply do not give games away. Senior Logan DeClue remains the offensive catalyst. The Griffins remain a legitimate Class 5 state title contender.
11. Logan-Rogersville (8-1)
Logan-Rogersville has officially claimed the No. 1 small-school spot, with their résumé highlighted by an impressive 6-4 victory over Class 5’s Willard, with their only blemish being a loss to a rising Licking squad. The Wildcats are scoring 8.11 runs per game against 2.67 allowed — a 5.44 margin — and carry the highest strength of schedule index of any small-school program tracked. An 8-1 record with that kind of résumé is as good as it gets at this stage.
12. Liberty North (7-2)
The Eagles are 7-2 with 81 runs scored and 42 allowed — a 4.33 margin of victory — against a Greater Kansas City Suburban Conference schedule that does not offer any soft spots. Their experience from last season is showing. Every win on the ledger has been earned. A big stretch of conference play is ahead, and this is the kind of team that gets better as the schedule gets harder.
13. Marquette (8-1)
The biggest mover in Missouri this season. Marquette is 8-1 out of Chesterfield with 78 runs scored against just 41 allowed — a margin of 4.11 per game. For a program that was a preseason question mark, this start demands full attention. One of the most impressive early stories in the state.
14. Fort Zumwalt East (6-1)
Fort Zumwalt East has a 6.57 margin of victory (8.57 RPG, 2.0 OPPG). Six wins against one loss, and they are holding opponents to 14 total runs across seven games. Performance agaisnt a schedule that will only get tougher is a key factor to watch.
15. Harrisonville (5-0)
The only undefeated team across all of Class 4, and the numbers are stunning. Harrisonville is outscoring opponents by 7.2 runs per game — the highest margin of victory of any team in Class 4. They are scoring 10.6 runs per game while allowing just 3.4. The Wildcats are the biggest sleeper in these rankings and a program worth watching all the way to the state tournament.
16. SLUH (7-2)
St. Louis University High is 7-2 with 63 runs scored and just 24 allowed — an OPPG of 2.67 that ranks among the best in Class 6. A 4.33 margin of victory reflects a pitching staff that consistently dominates, and the Billikens’ offensive core led by Jack Friedman and Cole Chambers gives them a balanced threat on both sides of the ball. A top-10 caliber team when their full schedule comes together.
17. Moberly (10-1)
A potential top Class 4 team. Moberly is 10-1 with 61 runs scored and just 27 allowed. The Spartans have been stellar this spring, securing key wins over Boonville and Southern Boone. Their SOS remains the one concern but the volume of wins and coaches’ validation cannot be ignored.
18. Chillicothe (8-1)
A program that looks like a Class 4 state title contender. Chillicothe is scoring 10.56 runs per game while allowing 3.11 producing a 7.44 margin of victory. This has been a dominant start, outscoring opponents by a massive margin. The Hornets are built to win big and doing exactly that. A top-15 candidate with more schedule tests ahead.
19. Liberty (8-2)
Liberty may be the most quietly impressive Class 6 team in Missouri right now. An 8-2 record with 67 runs scored against 46 allowed — a 2.1 margin of victory — does not leap off the page statistically, but their schedule does. The Eagles have played a demanding Kansas City-area slate and collected wins over Kearney, Lee’s Summit West, Lee’s Summit, and Grain Valley. A big game against Staley is on the horizon. Liberty is for real.
20. Rockwood Summit (7-3)
Rockwood Summit has been one of the steadier Class 5 programs in the St. Louis corridor this spring, sitting at 7-3 with 89 runs scored and 47 allowed — a 4.2 margin of victory across 10 games. The Falcons are putting up 8.9 runs per game, among the higher offensive outputs in Class 5. Three losses against top teams keep them toward the bottom of this list for now, but this is a team with the offensive firepower to make noise when the district bracket is set in May.
21. Oakville (7-3)
The Tigers are scoring 7.2 runs per game with a 3.3 margin of victory — steady, consistent production from a roster that does not beat itself. Every win Oakville has collected came against programs with postseason aspirations of their own. This is a well-coached team that plays within its identity and has the depth to sustain a run deep into May. Do not sleep on the Tigers.
22. Platte County (8-4)
Platte County has been one of the busier programs in Class 5 this spring, playing 12 games and collecting eight wins against a schedule that includes legitimate Kansas City-area competition. The Pirates are scoring 6.92 runs per game with an 8-4 record that reflects a team still finding its ceiling. This team has the DNA of a district contender and has been battle-tested in ways that teams with softer early schedules have not.
23. Lindbergh (3-6-1)
Lindbergh earns a spot here on program trajectory and the strength of the Suburban South Conference schedule they navigate every season. The Flyers are a St. Louis-area Class 6 program that consistently develops talent and competes deep into May, and early indications in 2026 suggest another competitive run is taking shape. Lindbergh’s path to a district title runs through some of the better programs in the area, and how they handle that gauntlet over the next three weeks will determine whether they rise significantly in the next edition of these rankings.
24. Rockhurst (7-4)
Rockhurst belongs in this conversation. Head coach Will Gorden brings experience to a program that returned multiple varsity players who got meaningful reps at a young age last season, and returning pitchers give Rockhurst the rotation depth to sustain a long postseason run.
25. Seckman (7-5)
The Jaguars appeared on the résumé of Fort Zumwalt West which speaks to the level of competition Seckman has been willing to schedule early. Playing tough opponents and absorbing early losses is a strategy that pays dividends by May. Seckman has the roster pieces to be a postseason factor in a loaded Class 6 field, and this ranking is as much a projection as it is a reflection of what they have done so far.
Missouri baseball earned its first series win of Southeastern Conference play on Sunday by taking a 5-4 win over No. 24 Kentucky in Game 3 of the series.
It’s the first time since 2014 that the Tigers won a series against Kentucky in Lexington. The win puts Missouri at three conference wins on the season, marking the total it earned through all of 2025.
The win was built off a massive, four-run inning from the Tigers in the fifth to take the lead it would hold onto for the remainder of the game. The first run came off of a sac-fly from Kam Durnin. The final run was scored with the bases loaded when freshman Juliomar Campos drew a walk.
Freshman pitcher Sam Rosand made his first career start for the Tigers, allowing two runs and five hits in four innings. Meanwhile, Juan Villarreal and Eli Skidmore closed out the game to help the Tigers hold on to their lead.
The win came off the heels of a 9-2 loss on Saturday. The Tigers earned a 5-4 win in Game 1.
Missouri will return to play early in the week for an in-state matchup, hosting Missouri State at 6 p.m. Tuesday.
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In a wide-ranging interview, Washington University Chancellor Andrew D. Martin discussed the university’s engagement with the Trump administration, financial challenges, the acquisition of the University of Health Sciences and Pharmacy, the implementation of Workday, the decline in international graduate student enrollment, the use of artificial intelligence, and emergency preparedness following a recent armed person alert on campus.
Why it matters
As a leading research institution, WashU’s relationship with federal policymakers and its ability to navigate financial uncertainties have significant implications for the university’s future. The chancellor’s comments provide insight into how the school is adapting to evolving challenges in higher education.
The details
Chancellor Martin detailed WashU’s efforts to advocate for issues like research funding and protecting endowments through engagement with Congress and the Trump administration. He also explained the university’s steps to improve its financial position, including pausing capital projects, cutting central administration expenses, and the strategic acquisition of the University of Health Sciences and Pharmacy. Additionally, Martin discussed the university’s transition to the Workday system and the decline in international graduate student enrollment, which has put financial pressure on some master’s programs.
- The chancellor met with the Trump administration in the fall to discuss issues important to WashU.
- In his State of the University address, Martin said the university is in a stronger financial position than a year ago.
The players
Andrew D. Martin
The chancellor of Washington University in St. Louis, leading the university through a period of financial and policy challenges.
Mark West
The provost of Washington University, leading the university’s efforts to integrate artificial intelligence into the curriculum.
University of Health Sciences and Pharmacy
A pharmacy school that WashU recently acquired, a “once-in-a-century opportunity” according to the chancellor.
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What they’re saying
“To be clear, the conversations with the administration weren’t explicitly about the compact. They were about the importance of American higher education, the importance of academic freedom, the importance of research funding, the importance of protecting our endowments so we can fund professorships and student scholarships and the like.”
— Andrew D. Martin, Chancellor
“I was scared and completely freaked out. The safety and security of this campus is our most important responsibility.”
— Andrew D. Martin, Chancellor
What’s next
The judge in the case will decide on Tuesday whether or not to allow Walker Reed Quinn out on bail.
The takeaway
This interview highlights the complex challenges facing a major research university like WashU, from navigating federal policy changes and financial constraints to ensuring campus safety and preparing students for the rise of artificial intelligence. The chancellor’s comments suggest the university is taking a thoughtful, strategic approach to addressing these issues while upholding its core academic mission.
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