Maternal mortality becomes political hot potato

TEXAS – Stateline reports that every state has a committee of medical and public health experts tasked with investigating deaths that occur during and after pregnancy. But as data paints a clearer picture of the impact that state policies such as abortion bans and Medicaid expansion can have on maternal health, leaders in some states are rushing to limit their review committee’s work — or halt it altogether. In November, Georgia officials dismissed all 32 members of the state’s maternal mortality review committee after investigative reporters used internal committee documents to link the deaths of two women to the state’s six-week abortion ban. In September, Texas announced its committee would not review 2022 and 2023 maternal deaths — the two years immediately following its near-total abortion ban. And two years ago, Idaho effectively disbanded its committee when conservative groups went after members for calling on the state to extend Medicaid coverage for postpartum women.

In March, Arkansas Republican Gov. Sarah Huckabee Sanders created her own maternal health advisory group after Arkansas’ maternal mortality review committee, like Idaho’s, recommended extending the amount of time that low-income postpartum women can qualify for Medicaid coverage — something Sanders has staunchly opposed. The maternal mortality rate for U.S. women is far higher than in any other high-income country, and Black women are more than twice as likely to die during pregnancy or after birth than the national average. Research has shown most of these maternal deaths are preventable. State officials have given varying reasons for their decisions. Sanders has called an extension of postpartum Medicaid “duplicative” because Arkansas has other insurance options. The maternal mortality review committee chair in Texas said the panel would skip a full review of the 2022 and 2023 deaths in order to offer analysis and recommendations based on the most recently available data. And Georgia’s state health officer said she dismissed committee members because they violated state law by sharing confidential information. Georgia plans to replace them with new appointees.