Members
are urging Leadership to include the Black Maternal Health Momnibus Act and a
permanent expansion of yearlong postpartum Medicaid coverage
WASHINGTON—
Today, Senator Cory Booker (D-NJ) and Representatives Lauren Underwood (IL-14),
Robin Kelly (IL-02), and Alma Adams (NC-12) led 163 Members of Congress
urging House and Senate Leadership to prioritize policies to address the U.S.
maternal health crisis in the next coronavirus recovery package. The members
are pushing for the inclusion of Booker’s and Underwood’s Black
Maternal Health Momnibus Act and a permanent expansion of yearlong
postpartum Medicaid coverage. Members emphasized that these policies are
necessary investments to save lives, advance health equity, and affirm the
fundamental principle that in America, every family has a right to thrive—a
principle that begins with a safe and healthy pregnancy and birth.
“Recognizing
the urgent need to address these alarming trends, President Biden’s American
Families Plan includes a much-needed $3 billion investment in maternal health.
The President’s proposal provides an opportunity to make considerable
investments in federal funding to address this crisis, including policies
included in the Black Maternal Health Momnibus Act of 2021 and
a permanent expansion of yearlong postpartum Medicaid coverage. By advancing
these two priorities in the upcoming recovery package, we can comprehensively
address every driver of our nation’s maternal health crisis,” members
wrote.
The
following Senators co-signed the letter: Dick Durbin (D-IL), Tammy Baldwin
(D-WI), Chris Van Hollen (D-MD), Tina Smith (D-MN), Elizabeth Warren (D-MA),
Michael Bennet (D-CO), Kristin Gillibrand (D-NY), Tammy Duckworth (D-IL), Amy
Klobuchar (D-MN), Tim Kaine (D-VA), Richard Blumenthal (D-CT), Ed Markey
(D-MA), Sherrod Brown (D-OH), and Diane Feinstein (D-CA).
A
copy of the letter can be found here and below.
June 17,
2021
The
Honorable Nancy
Pelosi
The
Honorable Charles E. Schumer
Speaker Majority Leader
United
States House of Representatives
United States Senate
Washington,
DC
20515 Washington,
DC 20510
Dear Speaker
Pelosi and Majority Leader Schumer:
As
you begin work on the next phase of developing a recovery package, we urge you
to include policies to end our nation’s maternal mortality crisis and eliminate
racial and ethnic disparities in maternal health outcomes. Fifteen months into
a global pandemic that has disproportionately harmed communities of color, the
risks facing Black women and other birthing people of color are at a crisis
point. Any recovery package that will successfully and meaningfully address
the pandemic’s impact on people of color must directly address the effects
of coronavirus disease of 2019 (COVID-19) on pregnant people and new
moms. Specifically, we urge you to include the full $3 billion called for
in President Biden’s plan to address our maternal health crisis, as well
as a permanent expansion of yearlong postpartum Medicaid coverage for
every mother in every state.
As
you know, the United States has the highest maternal mortality rate of any
high-income country and the only rate that is rising. The pregnancy-related mortality
rate for Black women in the U.S. is three to four times higher than the rate
for white women,2 and other women and birthing people of color also face
elevated rates of mortality and morbidity.3
The
risks for pregnant people have only grown during COVID-19: according to the
Centers for Disease Control and Prevention (CDC), “pregnant and recently
pregnant women are at an increased risk for severe illness from COVID-19
compared to nonpregnant women.”4 CDC also found that pregnant people with
COVID-19 are at an increased risk for adverse pregnancy outcomes.5 In
addition to clinical risks, the pandemic has affected social determinants of
health that contribute to maternal health disparities, like increased food
insecurity, which disproportionately impacts Black and Hispanic
families.6 Without bold and immediate action to address the heightened
clinical and non-clinical threats to pregnant people and their growing
families, our national recovery from COVID-19 will only exacerbate the
inequities that existed before the pandemic and worsened over the past
year.
Recognizing
the urgent need to address these alarming trends, President Biden’s American
Families Plan includes a much-needed $3 billion investment in maternal
health.7 The President’s proposal provides an opportunity to make
considerable investments in federal funding to address this crisis, including
policies included in the Black Maternal Health Momnibus Act of 2021 (H.R. 959/S. 346) and a permanent
expansion of yearlong postpartum Medicaid coverage. By advancing these two
priorities in the upcoming recovery package, we can comprehensively address
every driver of our nation’s maternal health crisis. Taking
bold action to address maternal mortality in the next legislative package
builds on important progress we made under your leadership through
the American Rescue Plan Act of 2021, which included a provision to
create a pathway for states to extend postpartum Medicaid coverage from the
current standard of 60 days to one full year after the end of a pregnancy. This
historic step will allow new mothers to access the care they need and deserve
for the full postpartum period. However, the state plan option to extend
postpartum coverage in the American Rescue Plan Act expires in five
years. We cannot afford to take coverage away from new moms at a time when they
need it most: we must include legislation like the MOMMA’s Act (H.R. 3407/S. 411) and the MOMMIES
Act (H.R. 3063/S. 1542) to make
yearlong postpartum Medicaid coverage a permanent reality for every mom in
every state in the next recovery package. It
is also essential that the upcoming legislative package includes provisions
that target the multifaceted causes of our nation’s maternal mortality crisis,
such as those in the Momnibus, a suite of 12 essential bills that include
bipartisan policies to save moms’ lives, end racial and ethnic disparities, and
achieve true equity and justice for all mothers and birthing people.
The
Momnibus includes investments that will be needed during and after the COVID-19
pandemic, including investments in community-based organizations, policies to
grow and diversify the perinatal workforce, expanded access to maternal mental
health care treatments and support, measures to address the impacts of climate
change on maternal and infant health outcomes, and provisions to protect
pregnant people during this pandemic and future public health emergencies.
These provisions build on other critical policies, like the investments in
evidence-based national obstetric emergency protocol, CDC technical guidance on
best practices in maternal mortality and morbidity prevention, and standardized
maternal health data collection in the MOMMA’s Act.
Permanently
expanding postpartum Medicaid coverage and advancing policies in the Momnibus
are necessary investments that will save lives, promote health equity, and
advance the fundamental principle that in America, every family has a
right to thrive—a principle that begins with a safe and healthy pregnancy and birth. We
look forward to working with you to advance this urgent priority.
Sincerely,
###