Virus bill gives states pathway to reduce maternal deaths
WASHINGTON » Labor and delivery are thought of as the riskiest times for new mothers, but many women die in the weeks and months after giving birth. Now a provision in the COVID-19 relief bill could help change that.
The legislation gives states the option of extending Medicaid coverage to women with low to modest incomes for a full year after childbirth. States are currently required to provide 60 days of coverage, but medical experts point to research showing that women can die from pregnancy-related conditions up to a year after giving birth, and that 3 in 5 of all such deaths are preventable.
The maternal health provisions would make it easier for states to cover new mothers for a full year by cutting the time and paperwork needed to obtain approval from Washington under Medicaid, as well as the Children’s Health Insurance Program. Maternal health advisory groups in 19 states, from Texas to Massachusetts, and Washington to Tennessee, have recommended such an extension.
Last year a bipartisan bill to do so cleared the House but failed to advance in the Senate.
The legislation has been shepherded by Rep. Robin Kelly, D-Ill., who serves on the House committee that oversees Medicaid, the federal-state program covering about 1 in 5 Americans, from many newborns, to low-income adults and frail nursing home residents. Kelly explained that a constituent brought the problem to her attention several years ago.
“I never realized that maternal mortality was such a big issue in this country,” said Kelly, who represents Chicago.
It’s particularly serious for Black women, whose pregnancy-related death rate is three times that of white women. “For Black women, it cuts across socioeconomic levels,” said Kelly, who is Black. “It’s a health equity issue.”
A congressional commission known as MACPAC, which advises lawmakers on Medicaid policy, is recommending that Congress go beyond what’s in the legislation. The commission recently voted to urge lawmakers that a full year of coverage be standard in every state, and that the federal government pay the entire cost.