Contents
Preface
Chapter 1
Improving Maternal Health: Legislation to Advance Prevention Efforts and Access to Care(
Opening Statement of Hon. Anna G. Eshoo, a Representative in Congress from the State of California
Prepared Statement of Hon. Anna G. Eshoo
Opening Statement of Hon. Michael C. Burgess, a Representative in Congress from the State of Texas
Prepared Statement of Hon. Michael C. Burgess
Opening Statement of Hon. Frank Pallone, Jr., a Representative in Congress from the State of New Jersey
Prepared Statement of Hon. Frank Pallone, Jr.
Opening Statement of Hon. Greg Walden, a Representative in Congress from the State of Oregon
Prepared Statement of Hon. Greg Walden
Statements of Wanda Irving, Mother of Dr. Shalon Irving; Patrice Harris, MD, President, Board of Trustees, American Medical Association; Elizabeth A. Howell, MD, Director, Blavatnik Family Women’s Health Research Institute, Icahn School of Medicine at...
Statement of Wanda Irving
Statement of Wanda Irving, House Energy & Commerce Committee, Health Subcommittee, Hearing on Improving Maternal Health, September 10, 2019
Shalon Grew into a Strong, Vibrant, Beautiful Woman
Shalon Was Smart
Shalon Was Well Travelled
Shalon Was a Brilliant Writer and Published Author
Shalon Was the Epitome of a Modern-Day Renaissance Woman
Shalon Was a Distinguished Scientist
Most Importantly, Shalon Had a Passion for Ending All Health Disparities
Statement of Patrice Harris, MD
Statement of the American Medical Association to the U.S. House of Representatives, Committee on Energy & Commerce, Subcommittee on Health, Re: Improving Maternal Health: Legislation to Advance Prevention Efforts and Access to Care, Presented by: Patr...
The Problem: Rising Maternal Mortality and Morbidity in the U.S.
Health Equity and Social Determinants of Health
SDOH Impact on Maternal Mortality and Morbidity
Insurance and Access to Quality Reproductive Health Care
Reduced Access to Quality Maternity Care
Mental Health throughout the Pregnancy Spectrum
What the AMA Is Doing to Address Maternal Mortality and Morbidity
Providers’ and Health Care Systems’ Role in Maternal Morbidity and Mortality
Conclusion
Statement of Elizabeth A. Howell, MD
Testimony of Elizabeth A. Howell, MD, MPP, Professor of Population Health Science & Policy and Obstetrics, Gynecology, and Reproductive Science, Director of the Blavatnik Family Women’s Health Research Institute, Icahn School of Medicine at Mount Sin...
References
Statement of David Nelson, MD
UTSouthwestern Medical Center, David Nelson, MD, Assistant Professor, Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, September 6, 2019
Statement of Usha Ranji
Medicaid and Health Coverage for Low-Income Women in Pregnancy and After Childbirth, Usha Ranji, MS, Associate Director, Women’s Health Policy the Kaiser Family Foundation, Prepared for the Committee on Energy and Commerce, Subcommittee on Health, U...
Introduction
Appendix
Statement for the Record Submitted by Stacey D. Stewart, President and CEO, March of Dimes, Hearing of the House Energy & Commerce Committee’s Subcommittee on Health, “Improving Maternal Health: Legislation to Advance Prevention Efforts and Access to ...
Maternal Mortality and Severe Maternal Morbidity Are a Public Health Crisis
Opportunities for Congressional Action
Statement for the Record of the American College of Obstetricians and Gynecologists, Before the House Committee on Energy & Commerce, Subcommittee on Health, Regarding the Hearing, Improving Maternal Health: Legislation to Advance Prevention Efforts a...
Background
Accelerating Evidence-Based Patient Safety Changes
Addressing Racial Disparities
Extending Medicaid Coverage Postpartum
What Can Congress Do: Enact a MOMNIBUS
Statement of the American Hospital Association, for the Subcommittee on Health of the Committee on Energy and Commerce of the U.S. House of Representatives, “Improving Maternal Health: Legislation to Advance Prevention Efforts and Access to Care,” Sep...
AHA Activity on Maternal Health
Supporting Changes in Legislation and Accreditation
Mothers and Offspring Mortality and Morbidity Awareness (MOMMA’s) Act
Quality Care for Moms and Babies Act
Healthy MOMMIES Act
Maternal Care Access and Reducing Emergencies (CARE) Act
Joint Commission
Conclusion
Statement for Hearing on “Improving Maternal Health: Legislation to Advance Prevention Efforts and Access to Care,” Submitted to the House Energy and Commerce Committee, September 10, 2019
Women’s Health Care Is a Priority for Health Insurance Providers
Preventive Care Is the Foundation of Good Health
Breaking Down Social Barriers to Good Health
Networks Rely on Meeting Clinical Guidelines, Quality Metrics, and Accreditation Standards
Engaging Mothers during Pre-Natal and Postpartum Care
A Commitment to Work Together for Healthy Moms and Babies
Statement for the Record Submitted by the Premier Inc. Healthcare Alliance, “Improving Maternal Health: Legislation to Advance Prevention Efforts and Access to Care,” House Energy and Commerce Subcommittee on Health, September 10, 2019
Statement for the Record of Gauss Surgical, Inc., to the U.S. House of Representatives, Committee on Energy and Commerce, Subcommittee on Health
Hemorrhage Is the Leading Preventable Cause of Maternal Mortality in the United States
Ineffective Blood Loss Monitoring Hinders Hemorrhage Management
Artificial Intelligence (AI) Enabled Technology Can Significantly Improve Hemorrhage Recognition and Response
Clinical Evidence Suggests Substantial Improvement in Hemorrhage Recognition and Response with the use of Technology
Quantification of Blood Loss with Technology Should be a Required Standard of Care in US Hospitals
Conclusion
References
Bandle of JoyTM, Maternal & Infant Health Trends
About the Bundle of Joy™ Campaign
Premier Maternal & Infant Analysis: Key Findings
U.S. Hospitals Are Demonstrating a Dramatic Decrease in Delivery-Related Maternal Deaths
Severe Maternal Morbidity Has Increased
The Race Disparity Gap Remains Open for SMM
The Maternal Population Is Aging
Patients with Commercial Insurance Have the Lowest SMM Rates
Maternal Substance Use and Neonatal Abstinence Syndrome
Conclusion
Lost Mothers: Nothing Protects Black Women from Dying in Pregnancy and Childbirth
Watch the Video
Read More: The New U.S. Maternal Mortality Rate Fails to Capture Many Deaths
Additional Questions for the Record, Subcommittee on Health, Hearing on "Improving Maternal Health: Legislation to Advance Prevention Efforts and Access to Care," September 10, 2019, Patrice Harris, M.D., M.A. President, Board of Trustees, American ...
The Honorable Nanette Diaz Barragan
The Honorable Michael C. Burgess (R-TX)
The Honorable Gus M. Bilirakis (R-FL)
Additional Questions for the Record, Subcommittee on Health, Hearing on "Improving Maternal Health: Legislation to Advance Prevention Efforts and Access to Care," September 10, 2019, Elizabeth Howell, M.D., M.P.P., Director, Blavatnik Family Women's H...
The Honorable Robin L. Kelly (D-IL)
The Honorable Nanette Diaz Barragan (D-CA)
The Honorable Michael C. Burgess (R-TX)
The Honorable Gus M. Bilirakis (R-FL)
Additional Questions for the Record, Subcommittee on Health, Hearing on "Improving Maternal Health: Legislation to Advance Prevention Efforts and Access to Care," September 10, 2019
The Honorable Nanette Diaz Barragan (D-CA)
The Honorable Michael C. Burgess (R-TX)
The Honorable Gus M. Bilirakis (R-FL)
Dr. Nelson - Conclusion
Additional Questions for the Record, Subcommittee on Health, Hearing on "Improving MaternalHealth: Legislation to Advance Prevention Efforts and Access to Care," September 10, 2019, Ms. Usha Ranji, Associate Director, Women's Health Policy, Kaiser Fam...
The Honorable Nanette Diaz Barragan (D-CA)
Chapter 2
Examining State Efforts to Undermine Access to Reproductive Health Care(
Statement of Jennifer Box, St. Louis, Missouri
Statement of Colleen Mcnicholas, MD, OB/GYN, Chief Medical Officer, Planned Parenthood of the St. Louis Region and Southwest Missouri
Statement of Fatima Goss Graves, President and Chief Executive Officer, National Women’s Law Center
Statement of Allie Stuckey, Carrollton, Texas
Statement of Marcela Howell, Founder and President, Chief Executive Officer, in Our Own Voice: National Black Women’s Reproductive Justice Agenda
Chapter 3
Threats to Reproductive Rights in America(
Statements of Melissa Murray, Esquire, Professor of Law, New York University School of Law, New York, New York; Busy Philipps, Actor and Advocate, Oak Park, Illinois; Owen Phillips, MD, FACOG, The University of Tennessee Health Science Center, Memphis...
Statement of Melissa Murray
Testimony of Melissa Murray, Professor of Law, New York University School of Law, before the Subcommittee on the Constitution, Civil Rights, and Civil Liberties, Hearing on Threats to Reproductive Rights in America, June 4, 2019
The Constitution's Protection of Personal Liberty, Including Access to Contraception and the Right to Abortion, Is Central to Women's Dignity and Equality and to Other Important Rights
The United States Supreme Court Has Consistently Upheld and Protected the Right Recognized in Roe v. Wade
Whether It Is Regulated out of Existence or Overturned Outright, the Right to Abortion Is Imperiled
Restrictions on Legal Abortion Will Disproportionally Impact Communities That Already Face Barriers to Health Care, Economic Security, and Social and Political Equality
Conclusion
Statement of Busy Philipps
Statement of Owen Phillips, MD, FACOG
Statement of Christina Bennett
Statement of Melissa Ohden
Statement of Jennifer Dalven
Statement of Jennifer Dalven, Director, Reproductive Freedom Project, American Civil Liberties Union, for a Hearing on Threats to Reproductive Rights in America, before House Judiciary Committee, Subcommittee on the Constitution, Civil Rights, and Civ...
Statement of Yashica Robinson
Testimony of Yashica Robinson, MD, before the House Judiciary Committee Subcommittee on the Constitution, Civil Rights, and Civil Liberties, June 4, 2019
Statement of H. K. Gray
Testimony Submitted to House Committee on the Judiciary Subcommittee on the Constitution, Civil Rights, and Civil Liberties, June 3, 2019, via Electronic Transmission
House Committee on the Judiciary, Subcommittee on the Constitution, Civil Rights, and Civil Liberties, Hearing on “Threats to Reproductive Rights in America,” June 4, 2019
Appendix. Black Women’s Maternal Health: A Multifaceted Approach to Addressing Persistent and Dire Health Disparities, April 2018
Background: Black Maternal Health Disparities
Too Many Black Women Are Dying in Pregnancy and Childbirth
Black Women Experience More Maternal Health Complications Than White Women
Black-Serving Hospitals Provide Lower Quality Maternity Care
Many Black Women Have a Difficult Time Accessing the Reproductive Health Care That Meets Their Needs
Policymakers, Health Care Professionals and Communities Can Improve Black Women's Maternal Health
Expand and Maintain Access to Health Coverage
Provide Patient-Centered Care That Is Responsive to the Needs of Black Women
Address the social Determinants of Health
Expand Paid Family and Medical Leave
Expand Access to Quality, Patient-Centered and Comprehensive Reproductive Health Care
Expand and Protect Access to Trusted Community Providers
Expand Protections for Pregnant Workers
Invest in Health Care Safety and Quality Improvement Initiatives
Conclusion
Fighting Back against Lies and Misinformation About Abortion Care, May 2019
Punch Back with Facts (Adapted from Planned Parenthood’s Messaging Guidance)
Put Them on Their Heels
Index
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