This bill, titled the "Delivering Optimally Urgent Labor Access for Veterans Affairs Act of 2026" or the "DOULA for VA Act of 2026," requires the Secretary of Veterans Affairs to establish a five-year pilot program to furnish doula services to eligible veterans. The program's primary goal is to measure the impact of doula support on birth and mental health outcomes for pregnant veterans, integrating these services into the Department of Veterans Affairs' Whole Health model. The pilot program will consider all types of doulas, including traditional and community-based, and mandates consultation with various stakeholders, such as veteran organizations, community health professionals, and experts in health equity. Key goals include improving maternal, mental health, and infant care outcomes, enhancing the maternity care experience for women veterans, and re-engaging veterans with the Department after childbirth. The program will be implemented in specific Veterans Integrated Service Networks: three with the highest percentage of female veterans, three with the lowest, and at least one in a Frontier State serving populations at higher risk for maternal mental health disorders, including American Indian or Alaska Native veterans. Covered veterans, defined as pregnant or formerly pregnant veterans enrolled in the VA patient system, will receive up to ten doula sessions , including pre-labor, during labor, and postpartum care. The VA's Office of Women's Health will coordinate and oversee the pilot, establishing guidelines for doula training on military sexual trauma and PTSD, and recommending payment amounts not exceeding $3,500 per doula per veteran. Each participating VA medical facility will establish a Doula Service Coordinator to manage interactions between eligible entities, doulas, and veterans, and to track services. The Secretary must submit annual reports to Congress on the program's progress, with a final report including recommendations for its continuation or broader adoption.