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Vermont considers state certification for doulas as it moves toward Medicaid coverage

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Vermont considers state certification for doulas as it moves toward Medicaid coverage


The Office of Professional Regulation wants to create a new certification process for doulas as the state inches closer towards qualifying doula services for coverage under Medicaid, the federal low-income health insurance program.

Doulas are non-medical professionals who provide support during pregnancy and childbirth, as well as in postpartum care.

About half the states, and Washington D.C., already allow Medicaid coverage for doula care or are in the process of making the change.

And as support grows in Vermont to establish rules for Medicaid reimbursement for doulas, the state wants to set up a certification program to better regulate the practice.

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“Essentially, across the country, doulas have never been regulated in any kind of overarching way. There’s no accreditation that’s codified,” said Sarah Teel, a doula who lives in the town of Washington and is a founder of the Doula Association of Vermont. “It’s a non-clinical role. We’re not part of the health care system, and so it hasn’t been a regulated profession.”

But as more states have recognized the advantages of qualifying doulas for Medicaid, which would open up the services to more low-income individuals, Teel said there needs to be some oversight of the profession.

“What has happened over the years with many, many states coming on board and implementing Medicaid coverage is there obviously needs to be some mechanism for the state Medicaid agency to have the assurance that this is a Medicaid provider that can meet the needs of the Medicaid population,” Teel said.

A 2022 report from the U.S. Department of Health and Human Services found that labor support offered by doulas significantly decreased the likelihood of cesarean delivery and reduced the need for epidural analgesia.

We’re not entirely sure how or why it works, but there’s really good evidence that it does reduce things like C-section rates and postpartum depression in other states that have started to cover doula services under Medicaid.

Bronwyn Kenny, OB-GYN at the University of Vermont Medical Center

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Vermont lawmakers last year asked the Office of Professional Regulation to look into the most appropriate way to regulate the industry, as the state contemplates qualifying doula services for Medicaid.

OPR was looking for the “least restrictive” form of regulation, according to a recent report, and it does not recommend registration or licensure at this time.

In the end, the office settled on a voluntary certification of what it calls “community-based perinatal doulas,” which are doulas who “provide doula services to under-resourced and marginalized populations at low- or no-cost, most often through community-based agencies.”

Marti Churchill is a certified nurse midwife, and founder of the volunteer doula program at UVM Medical Center.

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Churchill’s program provides free doula care to patients who don’t have the ability to pay for the service.

In the rest of the world of medical care if it were a medicine or a pill it would be definitely recommended and prescribed regularly. So this is something that’s really needed.

Marti Churchill, UVM Medical Center volunteer doula program

She said data across the country show that people from low-income backgrounds suffer more complications during pregnancy, and at the same time those populations have trouble accessing doula care.

So opening up Medicaid coverage, Churchill said, would benefit those who most need the service.

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“In the rest of the world of medical care if it were a medicine or a pill it would be definitely recommended and prescribed regularly,” Churchill said. “So this is something that’s really needed.”

“We work with doulas all the time during labor and delivery,” said Bronwyn Kenny, an OB-GYN at the University of Vermont Medical Center and a member of the Vermont Medical Society. “We’re not entirely sure how or why it works, but there’s really good evidence that it does reduce things like C-section rates and postpartum depression in other states that have started to cover doula services under Medicaid.”

The Office of Professional Regulation will work with stakeholders to determine the most appropriate certification requirements.

The office also said it will stay in contact with the Department of Vermont Health Access to make sure the new certification program aligns with federal Medicaid requirements.

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7 Prettiest Small Towns In Vermont

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7 Prettiest Small Towns In Vermont


Vermont’s small towns deliver postcard scenery in every season, and you don’t have to travel far to find one. Stowe has gondola rides at Stowe Mountain Resort and paddleboarding at the Waterbury Reservoir. Montpelier, the state capital, fits a statehouse, a walkable downtown, and a hilltop park into a population of just over 8,000. Richmond anchors the Winooski River valley around an unusual 16-sided church. Seven towns stand out as Vermont’s prettiest.

Bennington

Springtime Scene in Bennington, Vermont.

Often cited as the first town chartered in what became Vermont (1749), Bennington pairs a red-brick downtown with the hills of the Green Mountain region in southern Vermont. Streets fan out from the Bennington Battle Monument, a 306-foot stone obelisk that marks a pivotal Revolutionary War engagement. Covered bridges and Victorian architecture like the Park-McCullough House give the town visual range across the year. Bennington is best known for its autumn colors, but winter brings snow-dusted pines and a quieter version of the same scenery.

Montpelier

Winooski River at Montpelier, Vermont.
Winooski River at Montpelier, Vermont.

Montpelier is Vermont’s capital but also the least populous state capital in the country, with just over 8,000 residents. That scale is the point. The Greek Revival State House sits at the edge of a compact downtown of locally owned businesses, and Hubbard Park climbs the hill behind the capitol with trails for hiking and cross-country skiing. Montpelier is also the only U.S. state capital without a McDonald’s. The Winooski River runs through town, and you can walk from a statehouse tour to a riverbank bench in about ten minutes.

Richmond

White old round church in the Vermont town of Richmond in the fall.
The Old Round Church in Richmond, Vermont, in the fall.

Vermont gets most of its attention in autumn, and Richmond is no exception, but the town is arguably better in winter. Cochran’s Ski Area, a small family-run hill just outside downtown, has been a community fixture since 1961 and still runs on affordable lift tickets. The Winooski River bisects Richmond, and the surrounding trail network turns quiet and cinematic under snow. The town’s signature building is the Old Round Church, which despite the name is a 16-sided meetinghouse from 1812.

Stowe

Aerial view of Stowe, Vermont, in fall.
Aerial view of Stowe, Vermont, in fall.

If any Vermont town has a reputation for winter, it’s Stowe. Stowe Mountain Resort is the state’s most famous ski destination, and the gondola runs year-round for aerial views of Mount Mansfield and the Green Mountains. In warmer months, the Stowe Pinnacle trail climbs to one of the most photographed viewpoints in the state, with the summit sitting at roughly 2,660 feet above sea level. The village has a small but active art scene, with galleries along Main Street showing regional painters and craftspeople alongside traveling exhibitions.

Waitsfield

Aerial view of Waitsfield Vermont and the Mad River on Scenic Route 100.
Aerial view of Waitsfield, Vermont, and the Mad River on Scenic Route 100.

Waitsfield sits along Scenic Route 100 in the Mad River Valley and bills itself as a year-round outdoor destination. Sugarbush Resort, just down the road, is the draw in winter, with skiing and snowboarding on Lincoln Peak and Mount Ellen. The trail network is just as active in summer for hiking and mountain biking. The town itself keeps things low-key: a covered bridge on Bridge Street, a few restaurants along Route 100, and the Mad River running through the middle of it all.

Wilmington

Street view in Wilmington, Vermont.
Street view in Wilmington, Vermont. Photo Credit: danf0505 via Shutterstock

Route 9 through southern Vermont, also known as the Molly Stark Scenic Byway, runs straight through Wilmington in the heart of the Green Mountain National Forest. The Hogback Mountain Conservation Area nearby covers roughly 600 acres of protected land with wide views across southern Vermont. Mount Snow handles most of the local skiing and has an active summer mountain-biking program. The best-known spot in town is Dot’s Restaurant, a diner that was washed out by Tropical Storm Irene in 2011 and rebuilt with community funding. It reopened in 2014 and still serves the same blueberry pancakes.

Woodstock

Taftsville Covered Bridge in Woodstock, Vermont.
Taftsville Covered Bridge in Woodstock, Vermont.

Woodstock plays the same showpiece role for central Vermont that Bennington plays for the south. The Federal-era downtown wraps around a town green, and the Middle Covered Bridge carries foot and vehicle traffic over the Ottauquechee River right at the edge of it. Billings Farm & Museum operates as a working Jersey dairy and runs seasonal demonstrations of traditional farm work, including sheep shearing and plowing with draft horses. Just up the road, the Marsh-Billings-Rockefeller National Historical Park is the only national park dedicated to conservation history.

Vermont’s Prettiest Small Towns Reward A Slow Visit

For scenic small towns, Vermont covers a lot of ground. The seven above offer historic architecture, mountain access, and enough variation in season and setting to make repeat visits worthwhile. Drive between them on Route 100 or Route 9 and you’ll pass a dozen more that could just as easily have made the list.

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VT Lottery Powerball, Gimme 5 results for April 20, 2026

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Powerball, Mega Millions jackpots: What to know in case you win

Here’s what to know in case you win the Powerball or Mega Millions jackpot.

Just the FAQs, USA TODAY

The Vermont Lottery offers several draw games for those willing to make a bet to win big.

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Those who want to play can enter the MegaBucks and Lucky for Life games as well as the national Powerball and Mega Millions games. Vermont also partners with New Hampshire and Maine for the Tri-State Lottery, which includes the Mega Bucks, Gimme 5 as well as the Pick 3 and Pick 4.

Drawings are held at regular days and times, check the end of this story to see the schedule.

Here’s a look at April 20, 2026, results for each game:

Winning Powerball numbers from April 20 drawing

09-17-36-47-64, Powerball: 26, Power Play: 3

Check Powerball payouts and previous drawings here.

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Winning Gimme 5 numbers from April 20 drawing

16-17-25-33-36

Check Gimme 5 payouts and previous drawings here.

Winning Pick 3 numbers from April 20 drawing

Day: 0-5-8

Evening: 6-1-9

Check Pick 3 payouts and previous drawings here.

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Winning Pick 4 numbers from April 20 drawing

Day: 7-8-3-4

Evening: 0-0-4-9

Check Pick 4 payouts and previous drawings here.

Winning Megabucks Plus numbers from April 20 drawing

04-11-23-32-41, Megaball: 04

Check Megabucks Plus payouts and previous drawings here.

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Feeling lucky? Explore the latest lottery news & results

Are you a winner? Here’s how to claim your lottery prize

For Vermont Lottery prizes up to $499, winners can claim their prize at any authorized Vermont Lottery retailer or at the Vermont Lottery Headquarters by presenting the signed winning ticket for validation. Prizes between $500 and $5,000 can be claimed at any M&T Bank location in Vermont during the Vermont Lottery Office’s business hours, which are 8a.m.-4p.m. Monday through Friday, except state holidays.

For prizes over $5,000, claims must be made in person at the Vermont Lottery headquarters. In addition to signing your ticket, you will need to bring a government-issued photo ID, and a completed claim form.

All prize claims must be submitted within one year of the drawing date. For more information on prize claims or to download a Vermont Lottery Claim Form, visit the Vermont Lottery’s FAQ page or contact their customer service line at (802) 479-5686.

Vermont Lottery Headquarters

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1311 US Route 302, Suite 100

Barre, VT

05641

When are the Vermont Lottery drawings held?

  • Powerball: 10:59 p.m. Monday, Wednesday, and Saturday.
  • Mega Millions: 11 p.m. Tuesday and Friday.
  • Gimme 5: 6:55 p.m. Monday through Friday.
  • Lucky for Life: 10:38 p.m. daily.
  • Pick 3 Day: 1:10 p.m. daily.
  • Pick 4 Day: 1:10 p.m. daily.
  • Pick 3 Evening: 6:55 p.m. daily.
  • Pick 4 Evening: 6:55 p.m. daily.
  • Megabucks: 7:59 p.m. Monday, Wednesday and Saturday.
  • Millionaire for Life: 11:15 p.m. daily

What is Vermont Lottery Second Chance?

Vermont’s 2nd Chance lottery lets players enter eligible non-winning instant scratch tickets into a drawing to win cash and/or other prizes. Players must register through the state’s official Lottery website or app. The drawings are held quarterly or are part of an additional promotion, and are done at Pollard Banknote Limited in Winnipeg, MB, Canada.

This results page was generated automatically using information from TinBu and a template written and reviewed by a Vermont editor. You can send feedback using this form.

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74-year-old woman fulfills childhood dream as EMT at fair in Vermont

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74-year-old woman fulfills childhood dream as EMT at fair in Vermont


ESSEX JUNCTION, Vt. (Aging Untold) — For 10 days, the Champlain Valley Fair, a county fair in Vermont, becomes its own little town with thousands of people, hot afternoons and the occasional emergency.

Charlene Phelps, 74, runs the fair’s emergency response team.

“We have a lot of seniors that come and people don’t drink enough water,” Phelps said.

The team handles sprains, bee stings, heat exhaustion and whatever comes through.

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“I like taking care of people, I like helping people,” Phelps said.

Living out a childhood dream

It’s also a childhood dream.

Phelps wanted to be a nurse, but college wasn’t possible, so she found another route into care and has been showing up year after year at the fair.

Aging Untold expert Amy O’Rourke said living out your purpose can improve mental and spiritual well-being.

“When you tap into that, you’re tapping in on a place that’s a risk, that’s a challenge that inevitably creates growth inside you, gives you confidence so that if you’re in another situation you can build on that,” O’Rourke said. “Or, if you’re in an everyday situation where you’re a little anxious, it’ll help create stabilization in that place as well.”

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Saving lives at the fair

Sometimes it’s bigger than a bandage.

“Over on there near the swings way over there is Gustovo, and we saved his life,” Phelps said.

Gustovo had gone into cardiac arrest at the fair a few years ago.

“I mean he was gone,” Phelps said.

Now he’s back and working the rides.

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“Came for my hug, Gustovo,” Phelps said.

O’Rourke said stories like this are also why some people keep working past retirement age. Purpose isn’t a number, it’s a role.

“I’ve seen a 92-year-old still working as a nurse’s aid. I’ve seen people in my neighborhood chilling out and loving it,” O’Rourke said. “So, I think it’s being really self-aware of what you need and making sure that you’re getting those needs met.”

Copyright 2026 Gray Media Group, Inc. All Rights Reserved.



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