on maternal health outcomes. (E) Recommendations, as MACPAC deems appropriate, for legislative and administrative actions to increase access to services that improve maternal health. (2) Stakeholder consultation In developing the report required under paragraph (1), MACPAC shall consult with relevant stakeholders. (b) Guidance on increasing access to doula services under Medicaid (1) In general Not later than 1 year after the date that MACPAC publishes the report required under subsection (a), the Secretary shall issue guidance to States on increasing access to doula services under Medicaid. Such guidance shall at a minimum include— (A) options for States to provide medical assistance for doula services under State Medicaid programs