Urgent Momentum Builds for Maternal Health Legislation: How Congressional Cuts Could Reverse Progress

The U.S. has a troubling record: it leads high-income countries in maternal mortality rates. Shockingly, over 80% of these deaths could be avoided. To tackle this, the Black Maternal Health Momnibus Act was introduced by Representatives Alma Adams and Lauren Underwood, along with Senator Cory Booker. This legislation, made up of 13 proposals, aims to enhance maternal health outcomes through various approaches. Although the Act hasn’t been reintroduced in Congress recently, many states are taking initiative by launching their own health improvement measures.

One significant change came in 2021 when Congress allowed states to extend Medicaid postpartum coverage from 60 days to a full year. States like California and Delaware have already adopted “Momnibus” packages to improve support for pregnant individuals and their families. These packages include initiatives for doulas, community health workers, and enhanced training for healthcare providers.

A recent trend shows that 23 states and Washington D.C. have now approved Medicaid funding for doula care. Experts believe that having a doula can significantly lower the chances of complications during pregnancy and childbirth, emphasizing the critical need for support in these settings.

Despite uncertainties around federal support for Medicaid, states continue to push forward. Virginia’s recent legislation emphasizes bias training for healthcare providers, pathways for midwives to practice privately, and the establishment of emergency protocols in birthing facilities. These changes aim to build a safer space for mothers during childbirth.

Michigan lawmakers recently reintroduced their Momnibus package, focusing on issues like unjust perinatal care and allowing patients to bring support into the delivery room. This legislative effort aims to address systemic inequalities and enhance advocacy for maternal rights.

In Oregon, where 72% of pregnancy-related deaths are deemed preventable, state Senator Lisa Reynolds introduced multiple bills targeting health-related social needs, such as housing and income support for families. This approach recognizes that maternal health is not just about medical care but also about the living conditions surrounding the families.

Even states like New Hampshire are engaging in this effort. Their proposed “Momnibus 2.0” focuses on maternal mental health support. It aims to provide screenings for postpartum depression and enhance access to health services for new mothers.

North Carolina’s recent MOMnibus 3.0 Act seeks to fund community-based organizations and ensure implicit bias training for healthcare professionals working in perinatal care. This effort highlights a growing recognition of the need for comprehensive support systems in maternal health.

In Pennsylvania, the government is actively trying to reduce maternal mortality rates, particularly among Black women. New proposals aim for expanded Medicaid coverage, mental health access, and supportive resources for new parents.

While states strive to improve maternal health, challenges from the federal level loom. Proposed cuts to Medicaid could significantly reduce coverage for millions, disproportionately affecting pregnant and postpartum women. Experts warn that such cuts could lead to more deaths among mothers and infants, raising serious questions about the direction federal policies are heading.

As states initiate these vital changes, the conversation around maternal health continues to evolve. It’s clear that a community-based approach can provide the necessary support and resources to improve outcomes for mothers and their families.



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