Pass the Black Mental Health Momnibus Act
Recommendation
Congress should pass the Black Maternal Health Momnibus Act (Momnibus 2.0) package, which includes 13 bills to address alarming disparities in Black maternal health.
Background/summary
American moms are dying at the highest rate in the developed world, and the United States is the only country in the developed world with rising maternal mortality rates.[1] For every death, 70 more moms experience “near misses.”[2] Black moms are dying at three to four times the rate of their White counterparts,[3] while Native American moms are more than twice as likely to die from pregnancy-related causes.[4] Though maternal deaths have increased by 89 percent since 2018, [1] 80 percent of maternal deaths are preventable with appropriate care and treatment.[5]
The Black Maternal Health Momnibus Act includes 13 bills that would help decrease maternal deaths and reduce disparities.[6] Key provisions include:
- Funding community-based organizations to address social determinants of health that influence maternal health outcomes, like housing, transportation, and nutrition, and extending Women, Infants, and Children (WIC) eligibility in the postpartum period from 6 months to 24 months and in the breastfeeding period from 12 months to 24 months.
- Investing in digital tools to improve maternal health outcomes in underserved areas.
- Promoting payment models that incentivize maternity care and non-clinical support during and after pregnancy.
- Establishing and funding programs within hospitals to provide pregnant and postpartum patients the ability to report instances of racial, ethnic, or other types of bias.
- Funding local initiatives supporting people with mental health conditions or substance use disorders during or after pregnancy and funding programs to grow and diversify the maternal mental clinical and non-clinical healthcare workforce.
- Ending the practice of shackling pregnant people and targeting funds to federal, state, and local prisons and jails to establish programs for pregnant and postpartum women to access perinatal and postpartum healthcare.
- Requiring the Centers for Medicare and Medicaid Services (CMS) to consider models that improve the integration of telehealth services in maternal health care and establishing a new CMS Innovation Center demonstration project to promote equity and quality in maternal health outcomes for moms covered by Medicaid.
- Funding community-based programs, research, and health professional schooling that identify and address climate change-related maternal and infant health risks.
citations
1. Tikkanen, Roosa, Munira Gunja, Molly Fitzgerald, and Laurie Zephyrin. 2020. “Maternal Mortality and Maternity Care in the United States Compared to 10 Other Developed Countries.” The Commonwealth Fund. Last Updated November 18, 2020.
2. U.S. Department of Health and Human Services, Center for Disease Control and Prevention. Reproductive Health: Severe Maternal Morbidity in the United States. Last Updated July 3, 2023.
3. Marian F. MacDorman, Marian F., Marie Thoma, Eugene Declcerq, and Elizabeth A. Howell. 2021. “Racial and Ethnic Disparities in Maternal Mortality in the United States Using Enhanced Vital Records, 2016-17.” American Journal of Public Health 111(9):1673-81. Last Updated September 22, 2021.
4. U.S. Department of Health and Human Services, National Center for Chronic Disease Prevention and Health Promotion, Division of Reproductive Health. Disparities and Resilience among American Indian and Alaska Native People Who Are Pregnant or Postpartum. Last Updated November 16, 2021.
5. Trost, Susanna, Jennifer Beauregard, Gyan Chandra, Fanny Njie, Jasmine Berry, Alyssa Harvey, and David A. Goodman. Pregnancy-Related Deaths: Data from Maternal Mortality Review Committees in 36 US States, 2017-2019. Last Updated September 19, 2022.
6. Social Determinants for Moms Act. H.R.3322 and S.1594 (Hayes-Blumenthal), 118th Congress (2023-2024). Extending WIC for New Moms Act. H.R.3332 and S.1593 (McBath-Blumenthal), 118th Congress (2023-2024). Kira Johnson Act. H.R. 3310 (Adams), 118th Congress (2023-2024). Maternal Health for Veterans Act. H.R.3303 and S.2026 (Underwood-Duckworth), 118th Congress (2023-2024). Perinatal Workforce Act. H.R3523 and S.1710 (Moore-Baldwin), 118th Congress (2023-2024). Data to Save Moms Act. H.R.3320 and S.1599 (Davids-Smith), 118th Congress (2023-2024). Moms Matter Act. H.R.3312 and S.1602 (Rochester-Gillibrand), 118th Congress (2023-2024). Justice for Incarcerated Moms Act. H.R.3344 and S.341 (Pressley-Booker), 118th Congress (2023-2024). Tech to Save Moms Act and S.1699 (Menendez), 118th Congress (2023-2024). IMPACT to Save Moms Act. H.R.3346 and S.1797 (Schakowsky-Casey), 118th Congress (2023-2024). Maternal Health Pandemic Response Act. H.R.330 and S.1605 (Underwood-Warren), 118th Congress (2023-2024). Protecting Moms and Babies Against Climate Change Act. H.R.330 and S.1601 (Underwood-Markey), 118th Congress (2023-2024). Maternal Vaccination Act., H.R.3348 and S.1603 (Sewell-Kaine), 118th Congress (2023-2024). Last Accessed July 25, 2023.