s
THE CITY OF ST. LOUIS
DEPARTMENT OF HEALTH
REQUEST FOR PROPOSALS
AND
APPLICATION REQUIREMENTS
DOULA CARE SERVICES PROGRAM
MATERNAL & CHILD HEALTH / BEHAVIORAL HEALTH PROJECT
ISSUANCE DATE: September 2, 2026
APPLICATION DUE DATE: September 29, 2026
City of St. Louis Department of Health
1520 Market Street, Suite 4051
St. Louis, MO 63103
Note: If this RFP was downloaded from the City of St. Louis Website each applicant must provide contact information to the RFP
contact person to be notified of any changes in this RFP document.
TABLE OF CONTENTS
I. Purpose and Intent
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II. Contact Person & Questions
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III. Submission & Deadline
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IV. Required Qualifications & Certifications
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V. Scope of Services & Project Objectives
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VI. Method of Compensation
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VII. Required Proposal Contents
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VIII. Program Narrative
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IX. Proposal Evaluation
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X. Living Wage
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XI. Insurance Requirements
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XII. Service Contract Prevailing Wage
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XIII. Earnings Tax Requirements
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XIV. Additional RFP Terms and Conditions
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A. Indemnification
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B. Amendments
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C. Right to Withdraw Proposal
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D. Revisions to this RFP
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E. Contents of Proposals
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F. Respondents Responsibility
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G. Termination
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XV. Terms to be Required in Contracts
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A. Recordkeeping & Audits
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B. Non-Discrimination Policy
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C. Public Records Law
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D. Unauthorized Aliens Affidavit
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E. Anti-Discrimination Against Israel Certification
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F. Indemnification
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G. Subject to Appropriation of Funds
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H. Prohibition on Limitation of Liability Clauses
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I. Termination
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XVI. Governing Law and Venue
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ESTIMATED SCHEDULE (SUBJECT TO CHANGE):
Date
September 1, 2026
September 22, 2026
September 29, 2026
November 2, 2026
November 9, 2026
October 31, 2027
Activity/Time
Request for Proposals Availability Released
Deadline for Bidder’s Pre-Application Questions
Due Date of Application- NO EXCEPTIONS 5:00 PM (CDT)
Selection by Selection Committee
Tentative Contract Start Date
Tentative 1 year completion of the Project Period, plus four 1-
year renewal options (subject to funding availability)
I. Purpose and Intent
The City of St. Louis Department of Health seeks proposals for Doula Care Services Maternal &
Child Health/ Behavioral Health Project.
Doulas are nonmedical providers who support the mother, baby, and family from the beginning of
pregnancy, during the birth, and through one year postpartum. Doulas are closely trusted by the
clients they serve, leading doulas to be particularly effective advocates during the birthing journey
and liaisons to additional healthcare and social services. Doulas help families achieve healthy birth
outcomes and experiences, providing:
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24/7 on-call services at the time of birth •
Community Resource Navigation
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Prenatal & Postpartum home visits
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Early Parenthood Education
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Birth planning preparation
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Health Screening Assessments
•
Mental and Emotional Health support
•
Bonding Support
•
Lactation Support
Recent results from our pilot project for funding doula care services found that mothers who have
received doula care funded by St. Louis Department of Health saw a 78% reduction in the rate of
preterm birth. Preterm birth is closely associated with infant death, high healthcare costs,
neurodevelopmental issues, and chronic health conditions. St. Louis City has one of the highest
rates of preterm birth in the United States (12.8% of live births), leading to an F grade in the 2025
March of Dimes Report Card.
Through this RFP, the City of St. Louis Department of Health is seeking to increase the availability
of doula care services and doula workforce infrastructure.
The purpose of this RFP is to promote and ensure the fairest, most efficient means to obtain the
benefits of the most qualified, responsive, and responsible proposal. Hereinafter, organizations
interested in submitting a proposal in response to this RFP shall be referred to as “Respondents.”
Issuing an RFP does not obligate the City of St. Louis to award a contract to any provider, nor is
the City of St. Louis liable for any costs incurred by the organizations in the preparation of
proposals. Nothing in this RFP nor in any proposal in response to this RFP is intended to be, nor
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should anything be construed, as an offer of engagement. Nor shall the selection of a Respondent
be construed as an offer of engagement unless and until a contract is fully negotiated and fully
executed by all parties. The City retains the right to award parts of the contract to several bidders,
not to select any bidders, and/or to re-solicit proposals.
The City reserves the right to reject any and all proposals submitted and to waive any and/or all
non-material irregularities pertaining to the submission of the proposal. Additionally, any and all
RFP projects elements, requirements and schedules are subject to change and modification. The
City also reserves the right to modify, suspend, or terminate at its sole discretion any and all
aspect(s) of the RFP process to obtain further information from any and all respondents, and to
waive any defects as to form or content of the RFP or any responses by any organization/business.
All submitted materials will become the property of the City, may become public documents at
any time during the selection process, and will become public documents at the conclusion of the
selection process. Any and all documents submitted by the Respondent may become public if and
when they are submitted to any advisory or legislative public body, or pursuant to the Missouri
Sunshine Law. By submitting a response to this RFP, each Respondent acknowledges having read
this RFP in its entirety and agrees to all terms and conditions set out in this RFP.
II. Contact Person & Questions
Please direct all communications regarding this RFP with a clearly marked subject heading of
“DOULA CARE SERVICES PROGRAM MATERNAL & CHILD HEALTH /
BEHAVIORAL HEALTH PROJECT” to:
Ethan Bradley at the following email address: bradleye@stlouis-mo.gov
copying Bobie Williams at the following email address: williamsbo@stlouis-mo.gov
No contact with other City employees or personnel is permitted.
Questions must be submitted no later than September 22, 2026, unless the Department of Health
provides an addendum to this RFP as part of rolling acceptance of applications to expend all
funding. The Department of Health will maintain a list of all organizations or individuals
requesting copies of this RFP and will ensure that copies of all questions and responses shall be
made available in writing to each organization on such list, when requested. Answers will also
be publicly posted at https://www.stlouis-mo.gov/government/procurement/index.cfm#RFP .
Questions should be asked in consecutive order, from beginning to end, following the
organization of this RFP. Each question should begin by referencing the RFP page number and
section number to which it relates. All contacts and questions must be submitted in writing to the
designated contact person by sending an e-mail with a clearly marked subject heading of “RFP
DOULA CARE SERVICES PROGRAM MATERNAL & CHILD HEALTH /
BEHAVIORAL HEALTH PROJECT”.
Respondents should not otherwise contact the City directly, in person, by telephone, facsimile, or
by e-mail, concerning this RFP.
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Contact with the City after the submission of an application is limited to status inquiries only and
such inquiries are to be directed only to the above-named individual by email with a clearly
marked subject heading of “DOULA CARE SERVICES PROGRAM MATERNAL & CHILD
HEALTH / BEHAVIORAL HEALTH PROJECT”. Any further unsolicited contact or
information about the RFP to the City or any of its personnel will be considered an impermissible
supplementation of the Respondent’s application.
III. Submission & Deadline
Respondents must submit an application via one email to bradleye@stlouis-mo.gov (copy to
williamsbo@stlouis-mo.gov) with a clearly marked subject heading of “DOULA CARE
SERVICES PROGRAM MATERNAL & CHILD HEALTH / BEHAVIORAL HEALTH
PROJECT” electronically timestamped no later than 5:00 p.m. (CDT) on September 29, 2026
and only in standard (8 x 11-inch letter sized) in both word and PDF formats. Late or
incomplete proposals will not be accepted. Applicants must adhere to the following:
● Must be in the English language.
● Page number limits as set forth below in VII. Required Proposal Contents
● Double spaced with one-inch margins.
● Use 12-point Times New Roman or Calibri font.
● Number each page at the bottom, except for the cover page.
● Use 8.5 inch by 11-inch page size that can be photocopied
Do not assume that the reader knows your organization or program. Issuing a RFP does not
obligate the City of St. Louis Department of Health to award a contract to any provider, nor is the
City of St. Louis Department of Health liable for any costs incurred by the organizations in the
preparation of proposals.
The City of St. Louis Department of Health retains the right to award parts of the contract to
several bidders, not to select any bidders, and/or to re-solicit proposals.
IV. Required Qualifications & Certifications
Respondent must demonstrate:
1. The organization and lead staff assigned to this project have at least two (2) years of
experience in delivering Doula services of the nature identified in this RFP.
2. Doula care Services must be provided by doulas certified through a training organization
approved by MO HealthNet for reimbursement.
3. The organization has experience working in partnership and maintaining fundamental
relationships with other nonprofits, resident leaders, faith leaders, youth, justice partners,
law enforcement, city agencies and/or neighborhood-based community institutions to
provide evidence informed doula services/activities.
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This is the opportunity summary page. It provides an overview of this opportunity and a preview of the attached documentation.