1 | 1 | | |
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2 | 2 | | <BillNo> <Sponsor> |
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3 | 3 | | |
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4 | 4 | | SENATE RESOLUTION 119 |
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5 | 5 | | By Lamar |
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6 | 6 | | |
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7 | 7 | | |
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8 | 8 | | SR0119 |
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9 | 9 | | 006549 |
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10 | 10 | | - 1 - |
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11 | 11 | | |
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12 | 12 | | A RESOLUTION to recognize the week of April 11 through April |
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13 | 13 | | 17, 2025, as Black Maternal Health Week. |
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14 | 14 | | |
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15 | 15 | | WHEREAS, Black Maternal Health Week was founded by Black Mamas Matter Alliance, |
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16 | 16 | | Inc., to bring national attention to the maternal and reproductive health crisis in the United |
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17 | 17 | | States and the importance of reducing maternal mortality and morbidity among Black women |
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18 | 18 | | and birthing persons; and |
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19 | 19 | | WHEREAS, according to the Centers for Disease Control and Prevention (CDC), Black |
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20 | 20 | | women in the United States are two to three times more likely than White women to die from |
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21 | 21 | | pregnancy-related causes; and |
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22 | 22 | | WHEREAS, Black women and people living in low-income and rural communities in the |
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23 | 23 | | United States are the most likely to suffer from life-threatening pregnancy complications, known |
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24 | 24 | | as "maternal morbidities"; and |
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25 | 25 | | WHEREAS, maternal mortality rates in the United States are among the highest in the |
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26 | 26 | | developed world, with 23.8 deaths per 100,000 live births in 2020, 32.9 in 2021, 22.3 in 2022, |
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27 | 27 | | and 18.6 in 2023; and |
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28 | 28 | | WHEREAS, the United States has the highest maternal mortality rate among affluent |
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29 | 29 | | countries, in part because of the disproportionate mortality rate of Black women; and |
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30 | 30 | | WHEREAS, according to the 2025 CDC Report, in 2023, the U.S. maternal mortality rate |
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31 | 31 | | decreased for White (14.5), Hispanic (12.4), and Asian (10.7) women but increased to 50.3 |
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32 | 32 | | deaths per 100,000 live births for Black women; and |
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33 | 33 | | WHEREAS, Black women are fifty percent more likely than all other women to give birth |
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34 | 34 | | to premature, low birthweight, and very low birthweight infants; and |
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35 | 35 | | |
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36 | 36 | | |
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37 | 37 | | - 2 - 006549 |
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38 | 38 | | |
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39 | 39 | | WHEREAS, the high rates of maternal mortality among Black women span across |
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40 | 40 | | income levels, education levels, and socioeconomic status; and |
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41 | 41 | | WHEREAS, the Centers for Disease Control and Prevention has found that more than |
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42 | 42 | | eighty percent of pregnancy-related deaths are preventable; and |
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43 | 43 | | WHEREAS, the leading causes of maternal mortality among Black women and birthing |
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44 | 44 | | persons include eclampsia, preeclampsia, postpartum cardiomyopathy, and obstetric embolism, |
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45 | 45 | | and these conditions impact Black women and birthing people disproportionately; and |
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46 | 46 | | WHEREAS, structural racism, gender oppression, and the social determinants of health |
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47 | 47 | | inequities experienced by Black women in the United States significantly contribute to the |
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48 | 48 | | disproportionately high rates of maternal mortality and morbidity among Black women; and |
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49 | 49 | | WHEREAS, racism and discrimination play a consequential role in maternal healthcare |
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50 | 50 | | experiences and outcomes of Black birthing people; and |
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51 | 51 | | WHEREAS, the overturn of Roe v. Wade impacts Black women's and birthing people's |
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52 | 52 | | right to reproductive health care and bodily autonomy and further perpetuates reproductive |
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53 | 53 | | oppression as a tool to control women's bodies; and |
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54 | 54 | | WHEREAS, a fair and wide distribution of resources and birth options, especially with |
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55 | 55 | | regard to reproductive healthcare services and maternal health programming, is critical to |
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56 | 56 | | addressing inequities in maternal health outcomes; and |
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57 | 57 | | WHEREAS, states and rural counties with higher Black population rates have severe |
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58 | 58 | | maternity care deserts, where there are no hospitals or birth centers offering obstetric care nor |
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59 | 59 | | any obstetric providers, and there is diminished access to reproductive healthcare providers due |
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60 | 60 | | to low Medicaid reimbursements, rising costs, and persistent healthcare workforce shortages; |
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61 | 61 | | and |
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62 | 62 | | |
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63 | 63 | | |
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64 | 64 | | - 3 - 006549 |
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65 | 65 | | |
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66 | 66 | | WHEREAS, maternity care deserts lead to higher risks of maternal morbidity and |
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67 | 67 | | mortality, as most complications occur in the postpartum period when birthing people are far |
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68 | 68 | | away from their providers; and |
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69 | 69 | | WHEREAS, Black midwives, doulas, perinatal health workers, and community-based |
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70 | 70 | | organizations provide holistic maternal care and support but face structural and legal barriers to |
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71 | 71 | | licensure, reimbursement, and provision of care; and |
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72 | 72 | | WHEREAS, Black women and birthing persons experience increased barriers to |
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73 | 73 | | accessing prenatal and postpartum care, including maternal mental health care; and |
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74 | 74 | | WHEREAS, even as there is growing concern about improving access to mental health |
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75 | 75 | | services, Black women are least likely to have access to mental health screenings, treatment, |
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76 | 76 | | and support before, during, and after pregnancy; and |
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77 | 77 | | WHEREAS, Black pregnant and postpartum workers are disproportionately denied |
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78 | 78 | | reasonable accommodations in the workplace, leading to adverse pregnancy outcomes; and |
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79 | 79 | | WHEREAS, Black pregnant people disproportionately experience surveillance and |
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80 | 80 | | punishment, including shackling incarcerated people during labor, drug testing mothers and |
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81 | 81 | | infants without informed consent, separating mothers from their newborns, and criminalizing |
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82 | 82 | | pregnancy outcomes such as miscarriage; and |
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83 | 83 | | WHEREAS, Black women and birthing people experience pervasive racial injustice in |
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84 | 84 | | the criminal justice, social, and healthcare systems; and |
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85 | 85 | | WHEREAS, justice-informed, culturally congruent models of care are beneficial to Black |
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86 | 86 | | women; and |
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87 | 87 | | WHEREAS, an investment must be made in: |
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88 | 88 | | (1) Maternity care for Black women and birthing persons, including care led by the |
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89 | 89 | | communities most affected by the maternal health crisis; |
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90 | 90 | | |
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91 | 91 | | |
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93 | 93 | | |
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94 | 94 | | (2) Continuous health insurance coverage to support Black women and birthing persons |
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95 | 95 | | for the full postpartum period at least one year after giving birth; and |
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96 | 96 | | (3) Policies that support and promote affordable, comprehensive, and holistic maternal |
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97 | 97 | | health care that is free from gender and racial discrimination, regardless of incarceration; |
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98 | 98 | | now, therefore, |
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99 | 99 | | BE IT RESOLVED BY THE SENATE OF THE ONE HUNDRED FOURTEENTH |
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100 | 100 | | GENERAL ASSEMBLY OF THE STATE OF TENNESSEE, that we recognize the week of April |
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101 | 101 | | 11 through April 17, 2025, as Black Maternal Health Week to underscore the importance of |
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102 | 102 | | reducing maternal mortality and morbidity among Black women. |
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103 | 103 | | BE IT FURTHER RESOLVED, that we recognize: |
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104 | 104 | | (1) Black women are experiencing high, disproportionate rates of maternal mortality and |
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105 | 105 | | morbidity; |
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106 | 106 | | (2) The alarmingly high rates of maternal mortality among Black women are |
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107 | 107 | | unacceptable and unjust; |
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108 | 108 | | (3) In order to better mitigate the effects of systemic and structural racism, we must |
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109 | 109 | | work toward ensuring that the Black community has: |
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110 | 110 | | (A) Safe and affordable housing; |
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111 | 111 | | (B) Transportation equity; |
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112 | 112 | | (C) Nutritious food; |
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113 | 113 | | (D) Clean air and water; |
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114 | 114 | | (E) Environments free from toxins; |
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115 | 115 | | (F) Decriminalization, removal of civil penalties, end of surveillance, and end of |
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116 | 116 | | mandatory reporting within the criminal justice and family regulation system; |
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117 | 117 | | (G) Safety and freedom from violence; |
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118 | 118 | | (H) A living wage; |
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119 | 119 | | |
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120 | 120 | | |
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122 | 122 | | |
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123 | 123 | | (I) Equal economic opportunity; |
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124 | 124 | | (J) A sustained and expansive workforce pipeline for diverse perinatal |
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125 | 125 | | professionals; and |
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126 | 126 | | (K) Comprehensive, high-quality, and affordable health care, including access to |
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127 | 127 | | the full spectrum of reproductive care; |
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128 | 128 | | (4) In order to improve maternal health outcomes, we must fully support and encourage |
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129 | 129 | | policies grounded in the human rights, reproductive justice, and birth justice frameworks |
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130 | 130 | | that address maternal health inequities; |
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131 | 131 | | (5) Black women and birthing persons must be active participants in the policy decisions |
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132 | 132 | | that impact their lives; |
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133 | 133 | | (6) In order to ensure access to safe and respectful maternal health care for Black |
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134 | 134 | | birthing people, the Black Maternal Health Momnibus Act must be passed, as well as |
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135 | 135 | | other legislation rooted in human rights that seeks to improve maternal care and |
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136 | 136 | | outcomes; and |
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137 | 137 | | (7) Black Maternal Health Week is an opportunity to: |
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138 | 138 | | (A) Deepen the national conversation about Black maternal health in the United |
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139 | 139 | | States; |
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140 | 140 | | (B) Amplify and invest in community-driven policy, research, and quality care |
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141 | 141 | | solutions; |
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142 | 142 | | (C) Center the voices of Black Mamas, women, families, and stakeholders; |
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143 | 143 | | (D) Provide a national platform for Black-led entities and efforts addressing |
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144 | 144 | | maternal and mental health, birth equity, and reproductive justice; |
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145 | 145 | | (E) Enhance community organizing on Black maternal health; and |
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149 | 149 | | |
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150 | 150 | | (F) Support efforts to increase funding and advance policies for Black-led and - |
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151 | 151 | | centered community-based organizations and perinatal birth workers that provide |
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152 | 152 | | the full spectrum of reproductive, maternal, and sexual health care. |
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153 | 153 | | |
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