Texas lawmakers hope to advance a series of bills addressing maternal and postpartum health care when they return to Austin on Tuesday.
Some of these bills, like doula services and more up-to-date maternal mortality data, had support during the last legislative session in 2021 but didn’t get signed into law. State Rep. Shawn Thierry, D-Houston, said she feels cautiously optimistic this session.
“This is an issue that we have to continue to address,� Thierry said. “I hope people don’t take their eyes off the prize and say we’ve already solved maternal mortality and morbidity in Texas � we absolutely have not.�
Thierry has introduced a number of bills this session seeking to address the high rates of maternal mortality in Texas, including , which would create a maternal mortality and morbidity data registry.
Other bills would require cultural competency education for physicians ( and ), and the creation of a pilot program for doula services to be covered by Medicaid ().
“Healthy moms equal healthy babies,� Thierry said. “Reducing maternal mortality is going to reduce infant mortality. All of the measures are directly correlated to improving the health and well-being of babies, and so the issues go hand in hand.�
Another bill recommends adding more community representatives to the . The committee’s , released in December, showed continued racial disparities in maternal mortality in Texas, where .
“Black people should not just be a footnote in the report, we are the report,� Thierry said.
The contributing factors for maternal mortality are complex:
“It’s not just one single event that causes this tragic death, it’s a whole confluence of events,� said Jen Biundo, senior director of policy and research for Healthy Futures of Texas. “It really shows the need for structural change in a number of areas.�
Extending pregnancy Medicaid coverage
One way to address these disparities, and lower maternal mortality rates overall is after giving birth, Biundo said.
Texas lawmakers passed a bill in 2021 , but current coverage only extends . Multiple bills proposing an extension to a year have also been introduced this session.
“A large number of pregnancy-related deaths occur several months after delivery, related to mental health like postpartum depression, and so there’s a real need to continue that medical coverage,� Biundo said.
Biundo feels hopeful about expanding pregnancy Medicaid coverage, but “it’s always a little bit wait and see in the legislature.�
“You don’t know what you’ll get until the session gavel’s in,� she said.
Other health policy issues, like , access to , and , are also on deck for the 2023 legislative session.
The session begins Tuesday.
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