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Pennsylvania looks to expand access to doula services in 2024 – Pennsylvania Capital-Star

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Pennsylvania looks to expand access to doula services in 2024 – Pennsylvania Capital-Star


After witnessing a friend and patient’s pregnancy end in stillbirth years ago, Heather Burke Bradley, a labor doula at the time, founded Pittsburgh Bereavement Doulas, a nonprofit helping pregnant people in the Allegheny County area, and their families, navigate perinatal loss.

“I just noticed that there was a gap in the care,” Bradley said. “There weren’t people — there was no one really —  that was knowledgeable on how to take care of a family when they had a pregnancy loss. What to expect during when they meet their baby and spending time with their baby. There was a gap in care even in the hospital system.”

Doulas, who are non-medical, trained professionals provide emotional, informational, and physical support before, during, and after pregnancy and childbirth, such as help with breastfeeding, breathing techniques during labor, and planning the birthing process. Doulas have been praised by medical professionals and lawmakers who say their services help improve maternal health outcomes in Pennsylvania. 

“The research is very clear on doula care,” Bradley said. “It has been for a long time on how it improves birth outcomes. So I think everybody should have a doula.”

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Despite the clear benefits, doula services are not currently covered by Medicaid, something the Pennsylvania Department of Human Services (DHS) and industry groups are hoping to change. 

“Doulas can help to make certain women are caring for themselves as they care for their babies,” Brandon Cwalina, a spokesperson for DHS, told the Capital-Star.

The state agency held a meeting with stakeholders in October to identify ways to expand access to doula care under Medicaid in 2024.

“DHS is working toward including doulas in the care team for maternity care covered by Medicaid,” Cwalina said. 

Supporting the Doula Workforce

To expand support for doula services in Pennsylvania, DHS’ Office of Medical Assistance Programs (OMAP) has assisted the Pennsylvania Doula Commission (PADC), a nonprofit organization working to promote access to doula services through workforce development initiatives, such as the creation of a certification for professional doulas, “which recognizes and promotes the doula profession, making it a little easier for pregnant women on Medicaid to receive this level of support,” Cwalina said.

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To become a doula in Pennsylvania, individuals must have a Certified Perinatal Doula license, which is administered by the state certification board, and pay a $50 fee. 

The PADC is offering financial assistance to cover the costs of the state certification needed to become a licensed doula through Dec. 31, 2023. 

Doula nonprofit offers financial assistance for state certification

“That’s really exciting that doulas in Pennsylvania are feeling more comfortable and having a better understanding of why the credential is important and more people are taking advantage of that subsidy that we have so that they’re not having to pay for that application for that CPD credential out of pocket.” Gerria Coffee, president of the PADC, said.

As of Nov. 9, the commission has granted 41 subsidies for the state doula certification, exceeding their expectations for the program.

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DHS is currently working with managed care organizations (MCOs), which aim to reduce healthcare costs, “to monitor and work on strategies to address doula care in Pennsylvania,” according to Cwalina, who did not provide a specific timeline on when expanded support for doula services could be available under Medicaid.

Cwalina said DHS “will be able to share more details when the MCO agreements are finalized.”

“We continue to work with the Commission on an enrollment and reimbursement strategy, details of which will be available in the coming months,” he said.

Christine Haas, executive director of The Midwife Center in Pittsburgh, said that the current healthcare system “isn’t set up” to reimburse alternative types of maternity care, but added that services, such as doulas, reimbursable, through private and public insurers will make that care more accessible. The Midwife Center has provided maternal and reproductive care for patients since 1982.

Doulas and birth centers are a part of how to address the “persistent and preventable” problems facing maternal health care in Pennsylvania, such as maternal mortality and maternal care deserts, Haas said, noting that while The Midwife Center doesn’t provide doula care, they welcome them at the center, and even encourage families to take advantage of their services. 

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“More attention is being paid both in the media and policymakers reacting to that and trying to come up with solutions,” Haas said. “There’s definitely reasons to be optimistic.”

Bradley shared her optimism, adding that making doula services reimbursable through Medicaid would have a positive impact on maternal and infant health outcomes in Pennsylvania, particularly among Black birthing people. 

“I think everybody, especially in the Black community, should be served by a Black birth worker, who can advocate for them and who they feel safe with, and who they can just tell information to,” Bradley said. “They can talk to them about having a safer pregnancy and things like that, encouraging them to go to their appointments and be someone who’s just going to sit there and talk to them and be there for them. The doctors aren’t doing that and their 15-minute appointments.”

Legislative Efforts to Expand Medicaid Services

This is not the first time Pennsylvania has moved to expand Medicaid to further support pregnant people.

In 2021, Pennsylvania opted to extend postpartum Medicaid coverage from 60 days to one year after the end of a pregnancy. 

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The extension, which was part of the American Rescue Plan, took effect April 1, 2022 and will remain in place for five years — until 2027.

Pa. extends postpartum Medicaid coverage for pregnant persons

“Our Medicaid extension for postpartum care will go a long way to ensure women have the access to care they need well past the end of a pregnancy, when care is also critical,” Cwalina said. 

With such big changes on the horizon, Coffee said she’s feeling hopeful about the future for doulas and the services they provide. 

“As a Commonwealth, it seems that everyone is really eager to provide support and set up systems to make sure that the families are supported and the professionals, who are supporting those families, are supported,” Coffee said. “So, I’m hopeful and I’m interested to see how things will turn out and absolutely we’ll be on the front lines looking for ways that we can support doulas and how, as doulas, how we can support families. I think it’s going to be good. I hope it’ll be good.”

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Pennsylvania Game Commission asking public to report any turkey flocks they see across state

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Pennsylvania Game Commission asking public to report any turkey flocks they see across state


The Pennsylvania Game Commission is asking for the public to report any turkey flocks they see across the state.

The information is being collected through March 15 to help the Game Commission trap them for ongoing projects.

You are asked to provide the date of the sighting, the location and the type of land (public, private or unknown) where the birds were seen. The Game Commission will then assess these sites to potentially trap the bird. Leg bands will be put on the male turkeys and then released back. In four Wildlife Management Units – WMUs 2D, 3D, 4D and 5C – female turkeys, hens, also will be leg banded and about 130 hens also will be outfitted with GPS transmitters, then be released back on site, to be monitored over time.

Trapping turkeys during winter is part of the Game Commission’s ongoing population monitoring, and provides information for large-scale turkey studies, as well.

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Hunters who harvest these marked turkeys, or people who find one dead, are asked to report the band number and/or transmitter, either by calling toll-free or reporting it online.

“The data give us information on annual survival rates and annual spring harvest rates for our population model, and provides the person reporting the information on when and approximately where the turkey was banded,” said Mary Jo Casalena, the Game Commission’s turkey biologist. “In the four WMUs where hens are getting the GPS transmitters, we’re studying turkey population and movement dynamics, disease prevalence, and other aspects that may limit populations.”

The studies are being done in partnership with Penn State University and the University of Pennsylvania’s Wildlife Futures Program.

“The public was so helpful the last few years and some even helped with monitoring sites and trapping,” Casalena said. “We look forward to continuing this winter.”

This field study will conclude at the end of December 2025.

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DEP urges all Pennsylvanians to test their homes for radon this January

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DEP urges all Pennsylvanians to test their homes for radon this January


PITTSBURGH (KDKA) – There’s a new alert to all Pennsylvanians about radon testing still being crucial in homes, schools, and businesses to protect your health.

A state radon expert is shining a light on why people should take “National Radon Action Month” seriously, no matter where they live in the state. 

We’re deep in the coldest days of the year; Homes are closed up and the heat is cranked up. It’s the best time to check your home for radon.

“Pennsylvania is probably the most radon-prone state in the country…We have results at least 25 times the EPA guideline of every county and some much more than others,” said Bob Lewis, the radon program manager for the Pennsylvania Department of Environmental Protection’s Bureau of Radiation Protection. 

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According to the American Lung Association, about 40 percent of Pennsylvania homes are believed to have radon levels, specifically above the EPA action level of 4 picocuries per liter (PCI/L).

Lewis said the naturally occurring radioactive gas can get into your home from the ground.

“It’s easily able to move from the soil and the rocks below the foundation, into the foundation,” he said.

You can’t smell, taste, see, or feel radon.

“Out of sight, out of mind, we can’t see it,” said Lewis.

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He said breathing high levels of radon into your lungs can lead to serious health problems.

“So, we’re breathing this radioactive gas into our lungs and that’s where it’s deposited and that’s where it can do potential damage. These radioactive particles basically get lodged on the epithelial lining of your lung, the surface of the lung, mostly in the upper tracheobronchial areas. And over long-term exposure, they can increase one’s risk of getting lung cancer,” Lewis said.

According to the EPA, radon is responsible for an estimated 21,000 lung cancer deaths every year in the U.S., and radon is the second leading cause of lung cancer behind smoking.

Lewis said the first step to protect yourself and your family from the dangers is to buy an easy-to-use test kit at a hardware store or online. Then test your home and send the sample to a PA-certified lab. You can also hire a state-certified testing company.

“Get your test in the basement, and turn it back to the lab. You’ll get some test results after a week and a half or so,” he said.

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If your test results are high, take action to reduce the levels in your home. You’ll need a certified radon mitigation contractor to install a radon reduction system.

“It’s an active system that uses some PVC pipe in the basement and it draws the air from underneath the basement floor to the outside and then dumps at the roof line. So basically, you have a vacuum cleaner underneath your house. Those systems work very well. They’re relatively low maintenance, about $1,000, generally speaking, for a system to be installed,” Lewis said.

The last step is to remember to monitor your mitigation system. According to the DEP, you should periodically check if the fan is running by looking at the U-tube manometer on the PVC piping of your system. The fluid levels on each side of the glass tube should be uneven.

Lewis said you should also do a radon test in the winter once every two years to make sure the mitigation system is still working properly.

While you have to pay for the system out of your own pocket, Lewis said taking radon dangers seriously is worth it in the end.

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“It’s obviously a health benefit for you and your family. And it’s also a benefit when once you go then you go to sell the house too, at least if you’ve taken care of it,” he said.

You might not think about the dangers if you don’t own a house, but it’s recommended radon testing be done in rental homes, schools, and businesses too.

“We encourage, besides home, private homes, schools, and businesses to test as well. We’ve Been working with the Department of Education for quite a few years trying to get all the school districts to test,” Lewis said.

Call the DEP the Radon Hotline at 800-237-2366 for help with understanding test results and what action to take after getting back high results.

A list of state-certified radon contractors, labs, and testers is also available on DEP’s website. 

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The Allegheny County Health Department is providing more than 900 free radon test kits for residents. Pick up a test M-F between 8 AM and 4 PM at the Housing and Community Environment office (3190 Sassafras Way, Pittsburgh, PA 15201). One kit per household while supplies last so call ahead at 412-350-4046.

The American Lung Association is also offering free radon test kits. You can order them online.

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Suspect in killing of woman in Pa. motel in custody in N.J., cops say

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Suspect in killing of woman in Pa. motel in custody in N.J., cops say


A suspect in the homicide of a woman in Bensalem, Pennsylvania is in custody at the Trenton Police Department, police said Wednesday afternoon.

The suspect and victim’s identities have not been made public.

The Bensalem, Pennsylvania police and the Buck County District Attorney’s Office said in a statement that officers found a woman dead at the Sleep Inn & Suites, on Street Road, early Wednesday. They did not detail the circumstances of her death.



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