underserved communities, communities of color, and communities facing linguistic or cultural barriers. (D) Recommendations for legislative and administrative actions to increase access to doula services in State Medicaid programs, including actions that ensure doulas may earn a sustainable living wage that accounts for their time and costs associated with providing care and community-based doula program administration and operation. (2) Stakeholder consultation In developing the report required under paragraph (1), MACPAC shall consult with relevant stakeholders, including— (A) States