Are Doula Expenses Tax Deductible? (From CPA)

Pregnancy and Postpartum Care for Everyone

Yes, doula expenses can sometimes be tax deductible, but it depends on the specific situation and whether the doula’s services are considered medically necessary.

Conditions for Doula Expenses to be Tax Deductible:

  1. Medical Necessity: If a doula provides services related to medical care or therapeutic support that a doctor has recommended, those expenses may qualify as a deductible medical expense. For example, if a doula helps address a medically significant condition (such as anxiety reduction in pregnancy), a portion of their services might be considered tax-deductible.
  2. FSA and HSA Eligibility: Some Flexible Spending Accounts (FSAs) or Health Savings Accounts (HSAs) allow funds to be used for doula services, especially if recommended by a healthcare provider. This can make paying for a doula more affordable, though not technically a tax deduction.
  3. Birth-Related Services: Generally, the IRS considers only medically related expenses, such as those related to labor or postpartum recovery, to be eligible. If the doula provides general support or non-medical assistance, those costs are unlikely to qualify for deduction.

For specific guidance, it’s a good idea to consult with a tax professional who can evaluate whether doula expenses meet IRS guidelines for medical deductions in your case.


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