1 | 1 | | III |
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2 | 2 | | 119THCONGRESS |
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3 | 3 | | 1 |
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4 | 4 | | STSESSION S. RES. 32 |
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5 | 5 | | Designating January 23, 2025, as ‘‘Maternal Health Awareness Day’’. |
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6 | 6 | | IN THE SENATE OF THE UNITED STATES |
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7 | 7 | | JANUARY23, 2025 |
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8 | 8 | | Mr. B |
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9 | 9 | | OOKER(for himself, Mrs. BRITT, Ms. ROSEN, Mr. WELCH, Mr. |
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10 | 10 | | H |
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11 | 11 | | ICKENLOOPER, Mr. LUJA´N, Mr. WYDEN, and Mr. VANHOLLEN) sub- |
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12 | 12 | | mitted the following resolution; which was referred to the Committee on |
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13 | 13 | | the Judiciary |
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14 | 14 | | RESOLUTION |
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15 | 15 | | Designating January 23, 2025, as ‘‘Maternal Health |
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16 | 16 | | Awareness Day’’. |
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17 | 17 | | Whereas each year in the United States, approximately 800 |
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18 | 18 | | women die as a result of complications related to preg- |
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19 | 19 | | nancy and childbirth; |
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20 | 20 | | Whereas the pregnancy-related mortality ratio, defined as the |
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21 | 21 | | number of pregnancy-related deaths per 100,000 live |
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22 | 22 | | births, more than quadrupled in the United States be- |
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23 | 23 | | tween 1987 and 2021; |
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24 | 24 | | Whereas, according to the United Nations Maternal Mortality |
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25 | 25 | | Estimation Inter-Agency Group, the United States is one |
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26 | 26 | | of the only countries in the world with a significant per- |
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27 | 27 | | centage increase in the maternal mortality in 2020; |
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30 | 30 | | •SRES 32 IS |
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31 | 31 | | Whereas, of all pregnancy-related deaths that occurred in the |
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32 | 32 | | United States in 2020— |
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33 | 33 | | (1) approximately 25.7 percent occurred during |
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34 | 34 | | pregnancy; |
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35 | 35 | | (2) approximately 11.1 percent occurred during |
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36 | 36 | | childbirth; |
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37 | 37 | | (3) approximately 16.2 percent occurred 1 to 6 days |
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38 | 38 | | postpartum; |
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39 | 39 | | (4) approximately 20.2 percent occurred 7 to 42 |
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40 | 40 | | days postpartum; and |
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41 | 41 | | (5) approximately 26.9 percent occurred between 43 |
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42 | 42 | | days and 1 year postpartum. |
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43 | 43 | | Whereas 83.5 percent of pregnancy-related deaths in the |
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44 | 44 | | United States are considered preventable; |
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45 | 45 | | Whereas, each year, as many as 60,000 women in the United |
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46 | 46 | | States suffer from a severe maternal morbidity, which in- |
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47 | 47 | | cludes unexpected outcomes of labor and delivery that |
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48 | 48 | | can result in significant short- and long-term health con- |
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49 | 49 | | sequences; |
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50 | 50 | | Whereas, approximately 20 percent of mothers who give birth |
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51 | 51 | | in the United States report experiencing mistreatment; |
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52 | 52 | | Whereas postpartum depression affects a significant percent- |
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53 | 53 | | age of new mothers who give birth, with estimates rang- |
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54 | 54 | | ing from 10 to 20 percent of mothers who give birth ex- |
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55 | 55 | | periencing depressive symptoms during the first year |
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56 | 56 | | after childbirth, but many postpartum depression cases |
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57 | 57 | | go undiagnosed and untreated, often due to a lack of |
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58 | 58 | | screening; |
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59 | 59 | | Whereas various social and systemic factors can influence |
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60 | 60 | | maternal health outcomes and contribute to disparities in |
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61 | 61 | | care; |
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64 | 64 | | •SRES 32 IS |
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65 | 65 | | Whereas significant disparities in maternal health outcomes |
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66 | 66 | | exist in the United States, including that— |
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67 | 67 | | (1) the pregnancy-related mortality ratio for Black |
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68 | 68 | | women is nearly 3 times higher than that of White |
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69 | 69 | | women; |
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70 | 70 | | (2) the pregnancy-related mortality ratio for Amer- |
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71 | 71 | | ican Indian and Alaska Native women is more than twice |
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72 | 72 | | as high as White women; |
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73 | 73 | | (3) the pregnancy-related mortality ratio for Black, |
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74 | 74 | | American Indian, and Alaska Native women with at least |
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75 | 75 | | some college education is higher compared to women of |
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76 | 76 | | all other racial and ethnic backgrounds with less than a |
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77 | 77 | | high school diploma; |
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78 | 78 | | (4) the rate of severe maternal morbidity for Black |
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79 | 79 | | and Asian-Pacific Islander women is approximately twice |
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80 | 80 | | as high as the rate for White women; |
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81 | 81 | | (5) women who live in rural areas have a greater |
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82 | 82 | | rate of severe maternal morbidity and mortality com- |
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83 | 83 | | pared to women who live in urban areas; |
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84 | 84 | | (6) 59 percent of rural counties are considered a |
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85 | 85 | | maternity care desert; |
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86 | 86 | | (7) rural counties with more Black and Hispanic |
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87 | 87 | | residents and lower median incomes are less likely to |
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88 | 88 | | have access to hospital obstetric services; |
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89 | 89 | | (8) the average travel distance for maternity care |
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90 | 90 | | deserts and rural counties is 28.1 and 17.3 miles, respec- |
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91 | 91 | | tively; and |
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92 | 92 | | (9) American Indian and Alaska Native women liv- |
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93 | 93 | | ing in rural communities are more than twice as likely as |
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94 | 94 | | their White counterparts to report receiving late or no |
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95 | 95 | | prenatal care; |
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98 | 98 | | •SRES 32 IS |
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99 | 99 | | Whereas 47 States and the District of Columbia have adopt- |
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100 | 100 | | ed the option to extend coverage for postpartum care |
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101 | 101 | | under Medicaid to 12 months; |
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102 | 102 | | Whereas 49 States, the District of Columbia, New York City, |
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103 | 103 | | Philadelphia, and Puerto Rico each have a formal mater- |
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104 | 104 | | nal mortality review committee or legal requirement to |
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105 | 105 | | review pregnancy-related deaths; |
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106 | 106 | | Whereas State and local maternal mortality review commit- |
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107 | 107 | | tees are positioned to comprehensively assess maternal |
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108 | 108 | | deaths and identify opportunities for prevention; |
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109 | 109 | | Whereas 49 States and the District of Columbia are partici- |
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110 | 110 | | pating in the Alliance for Innovation on Maternal Health, |
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111 | 111 | | which promotes consistent and safe maternity care to re- |
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112 | 112 | | duce maternal morbidity and mortality; |
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113 | 113 | | Whereas community-based maternal health care models, in- |
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114 | 114 | | cluding midwifery childbirth services, doula support serv- |
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115 | 115 | | ices, community and perinatal health worker services, and |
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116 | 116 | | group prenatal care, in collaboration with culturally com- |
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117 | 117 | | petent physician care, show great promise in improving |
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118 | 118 | | maternal health outcomes and reducing disparities in ma- |
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119 | 119 | | ternal health outcomes; |
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120 | 120 | | Whereas increasing the maternal health care workforce and |
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121 | 121 | | expanding telehealth services can help reduce the dispari- |
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122 | 122 | | ties in maternal health outcomes; |
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123 | 123 | | Whereas many organizations have implemented initiatives to |
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124 | 124 | | educate patients and providers about— |
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125 | 125 | | (1) all causes of, contributing factors to, and dis- |
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126 | 126 | | parities in maternal mortality; |
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127 | 127 | | (2) the prevention of pregnancy-related deaths; and |
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128 | 128 | | (3) the importance of listening to and empowering |
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129 | 129 | | all people to report pregnancy-related medical issues; and |
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132 | 132 | | •SRES 32 IS |
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133 | 133 | | Whereas several States, communities, and organizations rec- |
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134 | 134 | | ognize January 23 as ‘‘Maternal Health Awareness Day’’ |
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135 | 135 | | to raise awareness about maternal health and promote |
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136 | 136 | | maternal safety: Now, therefore, be it |
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137 | 137 | | Resolved, That the Senate— 1 |
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138 | 138 | | (1) designates January 23, 2025, as ‘‘Maternal 2 |
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139 | 139 | | Health Awareness Day’’; 3 |
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140 | 140 | | (2) supports the goals and ideals of Maternal 4 |
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141 | 141 | | Health Awareness Day, including— 5 |
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142 | 142 | | (A) raising public awareness about mater-6 |
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143 | 143 | | nal mortality, maternal morbidity, and dispari-7 |
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144 | 144 | | ties in maternal health outcomes; and 8 |
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145 | 145 | | (B) encouraging the Federal Government, 9 |
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146 | 146 | | States, territories, Tribes, local communities, 10 |
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147 | 147 | | public health organizations, physicians, health 11 |
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148 | 148 | | care providers, and others to take action to re-12 |
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149 | 149 | | duce adverse maternal health outcomes and im-13 |
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150 | 150 | | prove maternal safety; 14 |
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151 | 151 | | (3) promotes initiatives— 15 |
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152 | 152 | | (A) to address and eliminate disparities in 16 |
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153 | 153 | | maternal health outcomes; and 17 |
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154 | 154 | | (B) to ensure respectful and equitable ma-18 |
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155 | 155 | | ternity care practices; 19 |
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156 | 156 | | (4) honors those who have passed away as a re-20 |
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157 | 157 | | sult of pregnancy-related causes; and 21 |
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160 | 160 | | •SRES 32 IS |
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161 | 161 | | (5) supports and recognizes the need for mean-1 |
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162 | 162 | | ingful investments in efforts to improve maternal 2 |
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163 | 163 | | health, eliminate disparities in maternal health out-3 |
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164 | 164 | | comes, and promote respectful and equitable mater-4 |
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165 | 165 | | nity care practices. 5 |
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166 | 166 | | Æ |
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