Fields, Buckner Bill to Improve Black Maternal Health Care Coverage Earns Committee Approval

More than 80 percent of pregnancy-related deaths are preventable

DENVER, CO – The Senate Health and Human Services Committee today passed legislation that aims to improve perinatal health outcomes, especially in Black and historically marginalized communities. 

SB24-175, sponsored by Senators Rhonda Fields, D-Aurora, and Janet Buckner, D-Aurora, would require large employer health benefit plans to cover doula services in alignment with Medicaid. The bill would also instruct hospitals that provide labor and delivery or neonatal care services to participate in at least one maternal or infant health quality improvement initiative. 

Additionally, the Department of Public Health and Environment (CDPHE) would contract with a Colorado perinatal care quality program to provide maternal and infant health equity improvement initiatives to hospitals; track disparity and health outcome data; and address disparate outcomes particularly among American Indian, Native Alaskan, and Black birthing populations.

“The United States has the highest maternal mortality rate of any rich country and significant disparities in outcomes – and the crisis will continue to worsen unless we act,” said Fields. “This legislation is incredibly important as it addresses gaps in coverage and holds hospitals accountable for ensuring equitable care for all people, and I’m proud to see it move forward.” 

“No Black woman should lose their life, or come close to losing their life, in an attempt to birth their child,” Buckner said. “While maternal mortality rates around the world fell 44 percent, maternal mortality rates in the United States increased by 16.7 percent during that same period of time. It's unacceptable. Working to solve our maternal health crisis – especially for Black and historically marginalized communities – will lead to better economic, health, and social outcomes while saving lives.”

Under this bill, CDPHE would create a program that provides financial support to hospitals in rural areas, hospitals serving a higher percentage of Medicaid and uninsured patients, or hospitals with lower-acuity maternal and neonatal care. Lastly, the bill requires coverage of over-the-counter and prescribed choline supplements for pregnant people.

Black women are three times more likely to die from a pregnancy-related cause than white women. According to the CDC, multiple factors contribute to these disparities, such as variation in quality health care, underlying chronic conditions, structural racism, and implicit bias. SB24-175 intends to address systemic racism in health care and develop better care for historically marginalized communities.

The bill now heads to the Senate Appropriations Committee. Follow its progress HERE.