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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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VT Lottery Powerball, Gimme 5 results for May 11, 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 May 11, 2026, results for each game:

Winning Powerball numbers from May 11 drawing

24-30-37-56-64, Powerball: 07, Power Play: 3

Check Powerball payouts and previous drawings here.

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Winning Gimme 5 numbers from May 11 drawing

11-15-17-19-27

Check Gimme 5 payouts and previous drawings here.

Winning Pick 3 numbers from May 11 drawing

Day: 4-9-2

Evening: 5-4-6

Check Pick 3 payouts and previous drawings here.

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Winning Pick 4 numbers from May 11 drawing

Day: 4-3-0-3

Evening: 9-4-1-3

Check Pick 4 payouts and previous drawings here.

Winning Megabucks Plus numbers from May 11 drawing

06-07-08-12-27, Megaball: 05

Check Megabucks Plus payouts and previous drawings here.

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Winning Millionaire for Life numbers from May 11 drawing

42-45-46-48-56, Bonus: 03

Check Millionaire for Life payouts and previous drawings here.

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.

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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

1311 US Route 302, Suite 100

Barre, VT

05641

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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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Commentary | Afonso-Rojas: Who pays when businesses ignore risks?

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Commentary | Afonso-Rojas: Who pays when businesses ignore risks?


In 2024, when Vermont passed the nation’s first Climate Superfund law (Act 47), it did something unusual; it sent a bill. After catastrophic flooding that turned roads into rivers, damaged homes and businesses, and strained public budgets, our little green state moved to require major fossil fuel companies, such as ExxonMobil, Chevron, Shell USA, and BP America, to help pay for the costs of climate damage. It was a striking moment for policy innovation and corporate accountability. Implicit in the law is a simple idea: these costs were predictable, and someone chose not to plan for them.

For community members across Vermont, and in similar towns nationwide, Vermont’s decision is a call to action. When major companies avoid managing environmental risks, local residents pay the price through higher taxes, damaged homes, disrupted livelihoods, and strained public services. “Good” business should mean safeguarding the communities they rely on, not shifting costs onto neighbors and taxpayers. Every time companies ignore these risks, the burden lands on local taxpayers and community budgets, not just corporate balance sheets.

Thus, community benefit must be proactively built into business models from the start. They must choose prevention over mitigation. Vermont’s Climate Superfund law makes clear that when companies fail to invest in local resilience, the burden shifts to taxpayers and neighbors. Too often, companies take from communities without investing in their strength. When disaster strikes, the community pays first, while corporate donations often arrive too late or are motivated more by public relations than genuine support.

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This is inadequate and inefficient, leaving communities vulnerable and weary. Companies that prioritize local hiring, invest in regional supply chains, and partner with community organizations create stronger, more resilient neighborhoods and consumers. Local procurement reduces supply chain disruptions, and partnerships with governments and nonprofits ensure investments address real needs. Embedding community benefit is not charity; it is smart risk management that protects both businesses and residents.

However, purpose without power is empty. Many companies continue to fall into the trap of confusing “purpose” with performance, as mission statements and sustainability pledges have become synonymous with largely symbolic changes. Executives continue to be rewarded for short-term financial gains rather than long-term resilience or community impact. This results in sustainability commitments often being sidelined when they conflict with quarterly targets. If companies are serious about sustainability, they must collaborate, employ, and invest locally to reduce long-term risks and improve communities’ well-being.

Some critics of Act 47 may argue that requiring businesses to invest in sustainability and community resilience imposes unnecessary costs. But these costs do not vanish. When companies fail to manage environmental risks, families pay higher taxes, local governments stretch their budgets, and communities face lasting hardships. Vermont’s Climate Superfund law puts the responsibility back on those who caused the harm, rather than allowing community members to bear the weight.

Addressing these challenges requires companies to work directly with their stakeholders. Multi-stakeholder solutions and collaborations between businesses, governments, NGOs, and labor groups are essential for achieving meaningful impact. For example, working with local governments can improve infrastructure planning, while collaboration with community organizations ensures that projects address real needs. These partnerships transform sustainability from a corporate initiative into a collective effort with broader and more lasting benefits.

Vermont’s Climate Superfund law is, in many ways, a response to communities being left to bear the consequences of unmanaged risks. Companies must embed community benefit into their operations, align incentives with long-term outcomes, and engage in partnerships that extend beyond their own walls. Because when the bill for unmanaged risk comes due, it lands squarely on the community.

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Vi Afonso-Rojas is an Honors student at the University of Rhode Island, double-majoring in Supply Chain Management and Environmental and Natural Resource Economics. The opinions expressed by columnists do not necessarily reflect the views of Vermont News & Media.



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VT Lottery Pick 3, Pick 3 Evening results for May 10, 2026

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on


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.

Advertisement

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 May 10, 2026, results for each game:

Winning Pick 3 numbers from May 10 drawing

Day: 3-7-1

Evening: 7-1-8

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Check Pick 3 payouts and previous drawings here.

Winning Pick 4 numbers from May 10 drawing

Day: 5-6-1-9

Evening: 1-7-2-0

Check Pick 4 payouts and previous drawings here.

Winning Millionaire for Life numbers from May 10 drawing

01-03-20-35-46, Bonus: 05

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Check Millionaire for Life payouts and previous drawings here.

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.

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Vermont Lottery Headquarters

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.

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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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