IV 119THCONGRESS 1 STSESSION H. RES. 332 Supporting the designation of the week of April 11 through April 17, 2025, as the eighth annual ‘‘Black Maternal Health Week’’, founded by Black Mamas Matter Alliance, Inc. (BMMA), to bring national attention to the maternal and reproductive health crisis in the United States and the importance of reducing maternal mortality and morbidity among Black women and birthing people. IN THE HOUSE OF REPRESENTATIVES APRIL14, 2025 Ms. A DAMS(for herself, Ms. UNDERWOOD, Mr. VEASEY, Mr. BISHOP, Ms. W ASSERMANSCHULTZ, Mr. TORRESof New York, Mrs. BEATTY, Mrs. W ATSONCOLEMAN, Mrs. RAMIREZ, Ms. CROCKETT, Ms. TLAIB, Mr. C OHEN, Mr. JACKSONof Illinois, Mr. MRVAN, Ms. MCCLELLAN, Mr. M ORELLE, Ms. OMAR, Ms. MOOREof Wisconsin, Ms. SCANLON, Mr. S MITHof Washington, Mr. KRISHNAMOORTHI, Ms. KELLYof Illinois, Ms. C LARKEof New York, Mr. KHANNA, Mr. GOTTHEIMER, Mr. MEEKS, Mrs. F OUSHEE, Mrs. SYKES, Mr. CONNOLLY, Ms. PRESSLEY, Ms. SE- WELL, Ms. BROWN, Ms. NORTON, Mr. TONKO, Ms. LEEof Pennsylvania, Mr. B ELL, Mrs. MCIVER, Ms. KAMLAGER-DOVE, Ms. WILLIAMSof Geor- gia, Ms. S A´NCHEZ, Mrs. CHERFILUS-MCCORMICK, Ms. WILSONof Flor- ida, Mr. D AVISof Illinois, Ms. BARRAGA´N, Mr. THOMPSONof Mississippi, Ms. G ARCIAof Texas, Mr. JOHNSONof Georgia, Mrs. TORRESof Cali- fornia, Mr. K ENNEDYof New York, and Mr. THANEDAR) submitted the following resolution; which was referred to the Committee on Energy and Commerce RESOLUTION Supporting the designation of the week of April 11 through April 17, 2025, as the eighth annual ‘‘Black Maternal Health Week’’, founded by Black Mamas Matter Alli- ance, Inc. (BMMA), to bring national attention to the VerDate Sep 11 2014 20:46 Apr 14, 2025 Jkt 059200 PO 00000 Frm 00001 Fmt 6652 Sfmt 6652 E:\BILLS\HR332.IH HR332 ssavage on LAPJG3WLY3PROD with BILLS 2 •HRES 332 IH maternal and reproductive health crisis in the United States and the importance of reducing maternal mor- tality and morbidity among Black women and birthing people. Whereas, according to the Centers for Disease Control and Prevention, Black women in the United States are 2–3 times more likely than White women to die from preg- nancy-related causes; Whereas Black women and people living in low-income and rural communities in the United States suffer from life- threatening pregnancy complications, known as ‘‘mater- nal morbidities’’, twice as often as White women; Whereas the maternal mortality rate in the United States— (1) is among the highest in the developed world; and (2) was 23.8 deaths per 100,000 live births in 2020, 32.9 in 2021, 22.3 in 2022, and 18.6 in 2023; Whereas the United States has the highest maternal mor- tality rate among affluent countries, driven in part by systemic inequities in health care that disproportionately and unjustly affect Black women; Whereas, according to the Centers for Disease Control and Prevention, in 2023, the United States maternal mor- tality rate decreased for White (14.5), Hispanic (12.4), and Asian (10.7) women but increased to 50.3 deaths per 100,000 live births for Black women; Whereas Black women are 50 percent more likely than all other women to give birth to premature and low birth weight infants; Whereas the high rates of maternal mortality among Black women span across— (1) income levels; VerDate Sep 11 2014 20:46 Apr 14, 2025 Jkt 059200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6300 E:\BILLS\HR332.IH HR332 ssavage on LAPJG3WLY3PROD with BILLS 3 •HRES 332 IH (2) education levels; and (3) socioeconomic status; Whereas the Centers for Disease Control and Prevention found that more than 80 percent of pregnancy-related deaths in the United States are preventable; Whereas the leading causes of maternal mortality among Black women and birthing people include obstetric embo- lism, obstetric hemorrhage, eclampsia and preeclampsia, and postpartum cardiomyopathy, and these conditions impact Black women and birthing people disproportion- ately; Whereas Black mothers have the highest rate of cesarean sec- tion deliveries; Whereas structural racism, gender oppression, and the social determinants of health inequities experienced by Black women in the United States significantly contribute to the disproportionately high rates of maternal mortality and morbidity among Black women; Whereas racism and discrimination play a consequential role in maternal health care experiences and outcomes of Black birthing people; Whereas the overturn of Roe v. Wade (410 U.S. 113 (1973)) impacts Black women and birthing people’s right to re- productive health care and bodily autonomy and further perpetuates reproductive oppression as a tool to control women’s bodies; Whereas a fair and wide distribution of economic resources and birth options, especially regarding reproductive health care services and maternal health programming, including prenatal, postpartum, family planning, and VerDate Sep 11 2014 20:46 Apr 14, 2025 Jkt 059200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6300 E:\BILLS\HR332.IH HR332 ssavage on LAPJG3WLY3PROD with BILLS 4 •HRES 332 IH education programs, is critical to addressing inequities in maternal health outcomes; Whereas communities of color are disproportionately affected by maternity care deserts, where there are no or limited hospitals or birth centers offering obstetric care and no or limited obstetric providers, and have diminishing ac- cess to reproductive health care due to low Medicaid re- imbursements, rising costs, and ongoing staff shortages; Whereas Black midwives, doulas, perinatal health workers, and community-based organizations provide holistic ma- ternal health care, but face systemic, structural, eco- nomic, and legal barriers to licensure, reimbursement, and provision of care; Whereas Black women and birthing people experience in- creased structural and financial barriers to accessing pre- natal and postpartum care, including maternal mental health care; Whereas COVID–19, which has disproportionately harmed Black Americans, is associated with an increased risk for adverse pregnancy outcomes and maternal and neonatal complications; Whereas new data from the Centers for Disease Control and Prevention has indicated that since the COVID–19 pan- demic, the maternal mortality rate for Black women has increased by 26 percent; Whereas Black pregnant women have historically low rates of vaccinations, which is associated with higher disparities in maternal health outcomes; Whereas, even as there is growing concern about improving access to mental health services, Black women are least VerDate Sep 11 2014 20:46 Apr 14, 2025 Jkt 059200 PO 00000 Frm 00004 Fmt 6652 Sfmt 6300 E:\BILLS\HR332.IH HR332 ssavage on LAPJG3WLY3PROD with BILLS 5 •HRES 332 IH likely to have access to mental health screenings, treat- ment, and support before, during, and after pregnancy; Whereas Black pregnant and postpartum workers are dis- proportionately denied reasonable accommodations in the workplace, leading to adverse pregnancy outcomes; Whereas Black pregnant people disproportionately experience surveillance and punishment, including shackling incar- cerated people in labor, drug testing mothers and infants without informed consent, separating mothers from their newborns, and criminalizing pregnancy outcomes such as miscarriage; Whereas Black women and birthing people experience perva- sive racial injustice in the criminal justice, social, and health care systems; Whereas justice-informed, culturally congruent models of care are beneficial to Black women; and Whereas an investment must be made in— (1) maternity care for Black women and birthing people, including care led by the communities most af- fected by the maternal health crisis in the United States; (2) continuous health insurance coverage to support Black women and birthing people for the full postpartum period at least 1 year after giving birth; and (3) policies that support and promote affordable, comprehensive, and holistic maternal health care that is free from gender and racial discrimination, regardless of incarceration: Now, therefore, be it Resolved, That the House of Representatives recog-1 nizes that— 2 VerDate Sep 11 2014 20:46 Apr 14, 2025 Jkt 059200 PO 00000 Frm 00005 Fmt 6652 Sfmt 6201 E:\BILLS\HR332.IH HR332 ssavage on LAPJG3WLY3PROD with BILLS 6 •HRES 332 IH (1) Black women are experiencing high, dis-1 proportionate rates of maternal mortality and mor-2 bidity in the United States; 3 (2) the alarmingly high rates of maternal mor-4 tality among Black women are unacceptable and un-5 just; 6 (3) in order to better mitigate the effects of 7 systemic and structural racism, Congress must work 8 toward ensuring that the Black community has— 9 (A) safe and affordable housing; 10 (B) transportation equity; 11 (C) nutritious food; 12 (D) clean air and water; 13 (E) environments free from toxins; 14 (F) decriminalization, removal of civil pen-15 alties, end of surveillance, and end of manda-16 tory reporting within the criminal and family 17 regulation system; 18 (G) safety and freedom from violence, es-19 pecially violence perpetrated by government ac-20 tors; 21 (H) a living wage; 22 (I) equal economic opportunity; 23 (J) a sustained and expansive workforce 24 pipeline for diverse perinatal professionals; and 25 VerDate Sep 11 2014 20:46 Apr 14, 2025 Jkt 059200 PO 00000 Frm 00006 Fmt 6652 Sfmt 6201 E:\BILLS\HR332.IH HR332 ssavage on LAPJG3WLY3PROD with BILLS 7 •HRES 332 IH (K) comprehensive, high-quality, and af-1 fordable health care including access to the full 2 spectrum of reproductive care; 3 (4) in order to improve maternal health out-4 comes, Congress must fully support and encourage 5 policies grounded in the human rights, reproductive 6 justice, and birth justice frameworks that address 7 maternal health inequities; 8 (5) Black women and birthing people must be 9 active participants in the policy decisions that im-10 pact their lives; 11 (6) in order to ensure access to safe and re-12 spectful maternal health care for Black birthing peo-13 ple, Congress must pass the Black Maternal Health 14 Momnibus Act and other legislation rooted in human 15 rights that seek to improve maternal care and out-16 comes; and 17 (7) ‘‘Black Maternal Health Week’’ is an oppor-18 tunity to— 19 (A) deepen the national conversation about 20 Black maternal health in the United States; 21 (B) amplify and invest in community-driv-22 en policy, research, and quality care solutions; 23 VerDate Sep 11 2014 20:46 Apr 14, 2025 Jkt 059200 PO 00000 Frm 00007 Fmt 6652 Sfmt 6201 E:\BILLS\HR332.IH HR332 ssavage on LAPJG3WLY3PROD with BILLS 8 •HRES 332 IH (C) center the voices of Black Mamas Mat-1 ter Alliance, inc., women, families, and stake-2 holders; 3 (D) provide a national platform for Black- 4 led entities and efforts on maternal and mental 5 health, birth equity, and reproductive justice; 6 (E) enhance community organizing on 7 Black maternal health; and 8 (F) support efforts to increase funding and 9 advance policies for Black-led and centered 10 community-based organizations and perinatal 11 birth workers that provide the full spectrum of 12 reproductive, maternal, and sexual health care. 13 Æ VerDate Sep 11 2014 20:46 Apr 14, 2025 Jkt 059200 PO 00000 Frm 00008 Fmt 6652 Sfmt 6301 E:\BILLS\HR332.IH HR332 ssavage on LAPJG3WLY3PROD with BILLS