Tag: maternal mortality

Extension of postpartum coverage for low-income mothers expected to save lives, awaits governor’s action

      One of the measures the Missouri legislature approved before its session ended last week could save and improve the lives of mothers and their infants, and get the state out of the basement in state rankings for infant and maternal mortality.

Representative Melanie Stinnett (Photo: Tim Bommel, Missouri House Communications)

      Amendments added to two bills, Senate Bill 106 and Senate Bill 45, would extend MO HealthNet or Show-Me Healthy Babies coverage for low-income pregnant women to a full year after the end of their pregnancy.  Currently that coverage stops after 60 days. 

      At the beginning of the legislative session a bipartisan group of six House members had filed that proposal, with several more having co-sponsored it. 

      “It takes a team of people that really care about legislation to move it and I’m just proud to be a part of that team,” said Representative Melanie Stinnett (R-Springfield), one of those sponsors. 

      “I think it makes a big difference for women who are looking at what life looks like after birth and how they can take care of themselves well and make sure that their family is healthy also.  It really is going to impact children, also.  I spoke when I testified in the House hearing about how important that first year of life is for a child, and if that mom’s getting healthcare she can ask those important questions about those things that are impacting her child, as well, so I think there are a wide variety of impacts that we’re going to see for families.”

      It was the fourth time Representative LaKeySha Bosley (D-St. Louis) had brought the idea forward, and she said she was ecstatic to see one of “her babies” reach the governor’s desk, and for it to have been part of a truly bipartisan effort.

Representative LaKeySha Bosley (Photo: Tim Bommel, Missouri House Communications)

      “Everybody was just excited about actually doing something around postpartum that could really make a difference,” said Bosley.

      Legislators heard time and time again that a reason to pass this legislation is that Missouri is one of the lowest ranked states in terms of maternal and infant mortality.  Representative Patty Lewis’ (D-Kansas City) background includes more than 20 years in nursing.  She said this extension will make a huge difference for low-income Missouri mothers, and thereby help Missouri improve that ranking.

      “Currently an average of 60 Missouri women die within one year of being pregnant … seventy-five percent of these deaths are preventable, so extending the coverage from 60 days to one year will absolutely address our maternal mortality rate in this state.”

      Many Republicans point out that the measure is also fiscally conservative.  By improving outcomes for mothers, and thereby for their infants, many of them will require less state assistance and will make fewer emergency room visits.

      Sedalia Republican Brad Pollitt said, “I didn’t vote for expanded Medicaid but this isn’t an expansion, this is just an extension for a select few who kind of fall through the cracks.  I was glad that we were able to give them the opportunity to have this coverage to cut down on the number of deaths, not only in the mothers but also the babies.”

Representative Patty Lewis (Photo: Tim Bommel, Missouri House Communications)

He adds, “I’m pleased that we had a bipartisan, pro-life bill that we could come to an agreement on and pass and get it to the governor’s desk.”

      Democrats say the bill was especially important in the wake of last year’s U.S. Supreme Court decision that triggered a law banning most abortions in Missouri. 

      “We need to give [women] access to the services and the care that they need in order to stay healthy in order to raise those babies,” said Bosley.

      She noted that some groups in Missouri are impacted more greatly by infant and maternal mortality than others. 

      “As an African American woman I am three times more likely to die during childbirth in the State of Missouri and throughout this country, so to be able to give women who look like me and poor women across this state an opportunity to be able to have lifesaving [healthcare], like we’re actually changing lives, that was the purpose of us being sent here.”

      Bosley said this additional coverage for mothers and infants impacts an entire family.  People often don’t think about what a partner goes through when a mother or infant are sick.

Brad Pollitt
(Photo: Tim Bommel, Missouri House Communications)

      “From a partner’s perspective, who doesn’t know how to identify the signs of when someone is going through a postpartum, maybe postpartum depression, this also gives them the ability to learn and to advocate on behalf of their partner – behalf of the mom and baby, so not only are we saving mommy and baby’s lives, we also are saving relationships and families and building a cohort around how we can do that for mommy, baby, and papa.”

      Each of these lawmakers spoke to House Communications through huge smiles as they talked about getting this legislation to the governor. 

      Said Lewis, “One of the main reasons I ran for office is because I believed I could save more lives on a macro level through policy, and this particular bill is something that will truly save lives.”

Pollitt added, “It’s a good thing.  It’s something we should do.  I think it’s a common sense approach.”

This provision would become law immediately upon SB 106 or SB 45 becoming law. Those bills are now awaiting action by Governor Mike Parson (R), who could choose to either sign them into law, allow them to become law without his action, or veto them.


Bipartisan set of bills would extend post-pregnancy healthcare

      A bipartisan group of House lawmakers is sponsoring legislation that they hope will save the lives of women and infants in Missouri, and in doing so, move the state farther from the bottom in the nation in infant and maternal mortality.

Majority Floor Leader Jon Patterson (R) (Photo: Tim Bommel, Missouri House Communications)

      Their proposals would extend MO HealthNet or Show-Me Healthy Babies coverage for low-income pregnant women to a full year after the end of their pregnancy.  Currently that coverage stops after 60 days. 

      Six representatives have filed that proposal, including Majority Floor Leader Jonathan Patterson (R-Lees Summit).     

      “The wellbeing of the child is based upon the wellbeing of the mother, so that’s why we’re really worried about, and we really want to focus on, healthcare for the mother, because it affects the child,” said Patterson. 

      He says there are about 5,000 women in Missouri who don’t have insurance coverage either through the state, personal coverage, or an employer.

“The data are very clear that it’s critically important.  You’re talking about the physical development of the child, development of the brain, that they have support, and one of those things is having a mother that can be there.  For example if your mother is in the hospital for a mental crisis or high blood pressure they can’t be there for the child so that’s what we’re trying to avoid.”

Representative LaKeySha Bosley (Photo: Tim Bommel, Missouri House Communications)

      Governor Mike Parson (R) in his State of the State Address earlier this month said, “we are heartbroken to be failing,” in the area of infant mortality, with Missouri ranking 44th in the nation for its “abnormally high” rate.

      Kansas City Democrat Patty Lewis calls the situation, “abysmal.”  She said in a Department of Health and Senior Services report covering 2017 to 2019, “Something that was pretty astounding to me based on their findings is 75-percent of the deaths are preventable.  As [someone with a] background in nursing, if we can prevent something that’s what I want to do,” said Lewis.

      She said in the years covered by the report an average of 61 women died while pregnant or within one year of pregnancy, with 68 in 2018. 

      “If we can just save one that would be great, but saving 60 women I think would be very important to me.”

      Freshman representative Melanie Stinnett (R-Springfield) said maternal healthcare was an issue that voters talked to her about leading up to her election in November.

Representative Patty Lewis (Photo: Tim Bommel, Missouri House Communications)

      “I work in the realm of healthcare and I work with a lot of families with children with disabilities, specifically, but also work really closely with organizations like The Doula Foundation and midwife groups in Springfield so it’s certainly something that’s come up in Springfield and a topic that has been something that I’ve talked about in our community,” said Stinnett.

      Representative Brad Pollitt (R-Sedalia) said the data about how many of those deaths could have been prevented weighs heavily on him. 

He said the proposal, “is just giving a little extra healthcare to get them off on the right foot and to help the mother who may be having issues and I just think it’s the right thing to do.”

      “It’s not the state’s job, it’s not the taxpayer’s job to financially take care of every individual from birth to death.  That’s not what this is doing.  This is giving someone an opportunity to start off on a better life and if we can do that then I just think it’s the right thing to do and I think it shows that we do care as a party about life after the baby’s born, and about the mother’s life.”

The Republican sponsors of the bill acknowledge that it also relates to their party’s identity regarding its pro-life stance.  Bishop Davidson (R-Republic) said his party is often criticized as only supporting life before birth, but this bill is one thing that demonstrates otherwise. 

Representative Melanie Stinnett (Photo: Tim Bommel, Missouri House Communications)

“We carried it before that Dobbs case.  We’re going to carry it after that Dobbs case.  We’re interested in lives, and lives being fulfilled from conception to death, and so I see this piece of legislation as a part of a holistic agenda that is pro-life.” 

      Representative LaKeySha Bosley (D-St. Louis), who is for the fourth time sponsoring this proposal, says that it is “imperative” after Dobbs, “as we did pass the abortion ban, and [even] before we passed House Bill 126, the heartbeat bill, women who were in rural or underserved communities were dying [in] childbirth.”

      Patterson agrees with his fellow Republicans, “We’re a pro-life state.  I’m very proud to be pro-life, but that also means taking care of these children that are born.  This is a measure that would ensure that the mother has healthcare for a year after they’re born, which is critically important to the wellbeing of the newborn baby.”

Representative Brad Pollitt (Photo: Tim Bommel, Missouri House Communications)

      Bosley notes that while maternal mortality rates are an issue statewide, they hit some in Missouri harder than others. 

“As an African American woman, as a minority in the State of Missouri … women who look like me are dying at a higher number and at a higher rate than our white counterparts.”

      Bosley is glad that this proposal has gained more sponsors and a lot of media attention and she hopes it will lead to more. 

“I’m happy that it’s a hot topic.  Let’s go further than just the 12th months.  Let’s talk about doulas.  Let’s go into the holistic conversation about how we can provide some assistance to doulas and have them be reimbursed,” adding, “Extending the coverage from the three months to the twelve months is just one of the small things that we can do, and it may seem small but it’s going to mean so much to a lot more people across the state.”

Representative Bishop Davidson (Photo: Tim Bommel, Missouri House Communications)

      Patterson observes that the broad appeal of this plan isn’t limited to the House but extends to the Senate, where two versions have been filed and have already received a hearing.  He and the other sponsors share great optimism that this will pass this year.

      “It’s just a common sense measure that we can do to ensure the health of the babies.”

      None of the House versions of this bill have been referred to a committee.

The bills that have been filed are: House Bill 91 (Patterson), House Bill 254 (Pollitt), House Bill 286 (Lewis), House Bill 328 (Bosley), House Bill 354 (Davidson), and House Bill 965 (Stinnett).