Pennsylvania 2025-2026 Regular Session

Pennsylvania House Bill HR117 Latest Draft

Bill / Introduced Version

                             
PRINTER'S NO. 955 
THE GENERAL ASSEMBLY OF PENNSYLVANIA
HOUSE RESOLUTION 
No.117 
Session of 
2025 
INTRODUCED BY MAYES, CURRY, CEPHAS, HOHENSTEIN, HILL-EVANS, 
WAXMAN, MADDEN, VENKAT, KHAN, KENYATTA, KAZEEM, N. NELSON, 
D. MILLER AND ABNEY, MARCH 13, 2025 
REFERRED TO COMMITTEE ON CHILDREN AND YOUTH, MARCH 13, 2025 
A RESOLUTION
Recognizing March 14, 2025, as "Black Midwives Day" in 
Pennsylvania.
WHEREAS, Black midwives have made longstanding and invaluable 
contributions to maternal and infant health in Pennsylvania; and
WHEREAS, Recognizing March 14, 2025, as "Black Midwives Day" 
amplifies the significance of midwifery in achieving better 
maternal health outcomes by creating greater access to high-
quality maternal health care, especially in maternal health 
deserts; and
WHEREAS, The "Black Midwives Day" campaign, founded and led 
by the National Black Midwives Alliance in 2023, is a day of 
awareness, activism, celebration, education, advocacy and 
historical preservation; and
WHEREAS, "Black Midwives Day" is an opportunity to 
acknowledge the fight to end maternal mortality in Pennsylvania; 
and
WHEREAS, In 2020, the pregnancy-related mortality ratio for 
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17 Black women in this Commonwealth was almost three times greater 
than the pregnancy-related mortality ratio for White women; and
WHEREAS, High rates of maternal mortality among Black women 
are consistent among socioeconomic statuses and education 
levels; and
WHEREAS, Maternal morbidities have devastating effects for 
families and communities, and 93.5% of pregnancy-related 
maternal deaths that occurred in this Commonwealth in 2020 were 
deemed preventable; and
WHEREAS, A lack of access to quality, affordable health care 
and postpartum care, delays in the recognition of risks and 
complications associated with pregnancy, systemic discrimination 
and implicit bias contribute to the high mortality rate among 
Black women; and
WHEREAS, Black communities are also among those most affected 
by maternity care deserts, where there is a lack of maternity 
health care resources and no hospitals, birth centers or 
providers offering obstetric care; and
WHEREAS, Other pregnancy complications, including chronic 
heart disease, hypertension, preeclampsia, hemorrhage and 
diabetes, also disproportionately affect Black women; and
WHEREAS, Black women are more likely to experience 
mistreatment by health care providers, such as being ignored or 
denied care in a reasonable amount of time; and
WHEREAS, The practice of midwifery is built upon a 
relationship-centered approach between the midwife and the 
pregnant woman, with an emphasis on the pregnant woman's 
autonomy; and
WHEREAS, Increasing the number of Black midwives in the 
workforce is critical to addressing maternal health disparities, 
20250HR0117PN0955 	- 2 - 
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30 as Black midwives offer care that builds trust, enhances 
maternal satisfaction with the pregnancy, birthing and 
postpartum experience and improves health outcomes for Black 
mothers and their babies; and
WHEREAS, Midwifery-led care has been shown to result in cost 
savings, reduced medical interventions, lower cesarean rates, 
decreased preterm births and improved health outcomes for both 
mothers and babies; and
WHEREAS, Midwives are trained to provide obstetric and 
gynecological care during pregnancy, childbirth and postpartum; 
and
WHEREAS, Midwives may provide essential maternal health care 
services in a variety of settings in hospitals, clinics, birth 
centers, homes or community-based settings, ensuring 
accessibility and continuity of care; and
WHEREAS, Black maternity care deserts lead to higher risks of 
maternal morbidity and mortality as most complications occur in 
the postpartum period when pregnant women are far away from 
their health care providers; and
WHEREAS, Black communities benefit from access to Black 
midwives for culturally sensitive and congruent care; and
WHEREAS, A lack of affordable training opportunities, 
financial barriers, State laws and variances in insurance 
coverage currently limit the capacity to practice midwifery, 
especially Black midwifery, in hospitals and birth centers; and
WHEREAS, Greater levels of integration of midwives across 
health care settings are associated with significantly higher 
rates of physiologic birth, less obstetric interventions and 
fewer adverse neonatal outcomes; and
WHEREAS, Integrating midwives across health care settings 
20250HR0117PN0955 	- 3 - 
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30 would be instrumental in reducing maternal health disparities 
and addressing both maternity care deserts and health care 
provider shortages; and
WHEREAS, Black midwives have offered high-quality care 
throughout history, despite experiencing persecution, 
enslavement, violence, racism and the systematic erasure of 
their work; and
WHEREAS, The resurgence of Black midwifery is a testament to 
the resilience, resistance and determination of spirit in the 
preservation of healing modalities practiced all over the world; 
and
WHEREAS, The National Black Midwives Alliance campaign aims 
to bring visibility to issues impacting Black midwives and the 
communities in which they work and promotes awareness, activism, 
education and community building in recognizing "Black Midwives 
Day"; and
WHEREAS, "Black Midwives Day" is important in raising 
awareness on the state of Black maternal health, the causes of 
poor maternal health outcomes and the health disparities 
impacting Black communities, while offering an opportunity to 
acknowledge efforts to end maternal mortality on the local, 
national and global levels; and
WHEREAS, In recognizing "Black Midwives Day," the 
Commonwealth will recognize and emphasize the importance of 
Black midwifery in addressing gaps to access high-quality care 
and achieving better maternal health outcomes; therefore be it
RESOLVED, That the House of Representatives recognize March 
14, 2025, as "Black Midwives Day" in Pennsylvania.
20250HR0117PN0955 	- 4 - 
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28