Medical researchers and providers consider a woman's postpartum period to be up to 12 months after the delivery of baby, but too often, health insurance doesn't see it the same way. Nearly half of the births in the United States are covered by Medicaid or the Children's Health Insurance Program (CHIP) and while the babies who are born during these births are eligible for Medicaid or CHIP for a year, their mothers often lose their coverage 60 days after delivering their child. There is clear data showing 70% of new moms will have at least one health complication within a year of giving birth.
This week, members of Congress' Subcommittee on Health met to mark up H.R. 4996, the "Helping Medicaid Offer Maternity Services (MOMS) Act of 2019, and it was favorably forwarded to the full Committee.
What does this mean? It means that while this bill still has a ways to go before it potentially becomes law, its success would see states get the option to provide 12 months of continuous coverage postpartum coverage to mothers on Medicaid. This would save lives.
As we at Motherly have said many times, it takes a considerable amount of time and energy to heal from birth. A mother may not be healed 60 days out from delivering. She may still require medical care for perinatal mood disorders, breast issues like thrush and mastitis, diabetes, and the consequences of traumatic births, like severe vaginal tearing.
Cutting off Medicaid when her baby is only 2 months old makes mom and baby vulnerable, and the Helping Moms Act could protect families from dire consequences.
The United States has the highest rate of maternal deaths in the developed world, and according to the CDC, "about 700 women die each year in the United States as a result of pregnancy or delivery complications." This is not okay, and while H.R. 4996 is not yet signed into law this bill could help change this. It could help address the racial disparities that see so many Black mothers and Native American mothers dying from preventable causes in the first year of motherhood.
A report from nine American maternal mortality review committees found that there were three leading causes of death that occurred between 43 days and one year postpartum: cardiomyopathy (32.4%), mental health conditions (16.2%), and embolism (10.8%) and multiple state maternal mortality review committees have recommended extending Medicaid coverage to one year postpartum in order to prevent these deaths.
Basically, making sure that moms have have continuous access to health care the year after a birth means doctors can spot issues with things like depression, heart disease and high blood pressure at regular check-ups and treat these conditions before they become fatal.
The Helping Moms Act is a step forward in the fight for maternal health and it proves that maternal health is truly a bipartisan issue. Republicans and Democrats alike recognize the value in providing support for mothers during the postpartum period.
The Helping MOMS Act was was introduced by Democratic Congresswoman Robin Kelly of Illinois, chair of the Congressional Black Caucus Health Braintrust. It was co-lead by Texas Republican Michael Burgess (who is also a medical doctor), as well as Georgia Republican Buddy Carter, Washington Republicans Jaime Herrera Beutler and Cathy McMorris Rodgers and Ayanna Pressley from Massachusettes and Lauren Underwood of Illinois (both Democrats).
"Incentivizing postpartum Medicaid expansion is a critical first step in preventing maternal deaths by ensuring new moms can see their doctor. I'm proud that my colleagues, on both sides of the aisle, came together to put an end to the sad reality of American moms dying while growing their families," said Kelly. "We can't allow the perfect to be the enemy of the good. This is a good, bipartisan first step, but it must be the first of many."
It doesn't matter what your political stripes, reducing America's maternal mortality stats should be a priority.