A recent piece in Health Affairs Forefront warns that current challenges to health policies and programs could reverse progress made in tackling maternal and infant mortality in the U.S. Experts from the Secretary’s Advisory Committee on Infant and Maternal Mortality (ACIMM) emphasize the importance of Medicaid, the Healthy Start program, and robust data systems.
Medicaid’s Role
Medicaid plays a crucial role in ensuring healthy outcomes. In fact, this program covers over 40% of births in the U.S. Some states have extended Medicaid postpartum coverage from 60 days to a full year. However, recent legislation, known as OBBBA, could strip coverage from about 7.5 million people, including many women of childbearing age. Experts highlight that losing this support could worsen access to essential services, especially in areas without adequate maternity care.
The Healthy Start Program
Launched in 1991, Healthy Start aims to reduce infant mortality in underserved communities. Currently, it operates in 115 areas across 37 states and Puerto Rico. This program stands out because it engages communities directly to provide the necessary support to mothers and infants. Recent data show exceptional performance among participants: 85% of them received early prenatal care compared to just 78% of all U.S. pregnant mothers.
Despite proposed cuts to the program, recent Senate approvals indicate ongoing support. The Senate’s Labor, Health, and Human Services appropriations bill includes $145 million for Healthy Start, highlighting its critical role in improving maternal and infant health.
The Importance of Data
The Centers for Disease Control and Prevention (CDC) and the Maternal and Child Health Bureau have established vital data systems that help identify and prevent unnecessary deaths. According to the latest research, maintaining these systems is paramount for understanding maternal health trends and improving care.
In the Senate’s appropriations bill, funding for initiatives like the Safe Motherhood and Infant Health program has increased, affirming the need for enhanced data collection and program support.
Current Standing
Funding decisions for these critical programs are still pending. Both the Senate and House bills aim to sustain support for maternal and infant health initiatives, but final decisions will be crucial. Experts agree that maintaining and increasing funding is essential for reducing maternal and infant mortality rates and addressing disparities in health care access.
As we move forward, the call for strategic, evidence-based funding in these areas remains clear. Reliable support can pave the way for healthier outcomes for mothers and their children.
