; and (B) by inserting and clause (xiv) of section 1903(m)(2)(A) before the period. 5. MACPAC report and CMS guidance on increasing access to doula services for Medicaid beneficiaries (a) MACPAC Report (1) In general Not later than 1 year after the date of the enactment of this Act, the Medicaid and CHIP Payment and Access Commission (referred to in this section as MACPAC ) shall publish a report on the coverage of doula services under State Medicaid programs, which shall at a minimum include the following: (A) Information about coverage for doula services under State Medicaid programs that currently provide coverage for such care, including the type of doula services offered (such as prenatal, labor and delivery, postpartum support, and community-based and traditional doula services), credentialing and provider enrollment requirements for doulas under State Medicaid programs, additional forms of support contributing to doula enrollment and reimbursement under State Medicaid programs, and data on outcomes with respect to doula services under each State Medicaid program, including the number of doulas registered under the State Medicaid program, the number of pregnant, birthing, and postpartum people served by doulas under the State Medicaid program, and the amount of time it takes for doulas to receive payment under the State Medicaid program for services provided under the program. (B) An analysis of barriers to covering doula services under State Medicaid programs. (C) An identification of effective strategies to increase the use of doula services in order to provide better care and achieve better maternal and infant health outcomes, including strategies that States may use to recruit, train, sutain, and certify a diverse doula workforce, particularly from 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