Florida Senate - 2023 (NP) SR 1738 By Senator Jones 34-03638-23 20231738__ 1 Senate Resolution 2 A resolution recognizing April 11 — 17, 2023, as 3 “Black Maternal Health Week” in Florida to bring 4 attention to the maternal health crisis in the black 5 community and the importance of reducing maternal 6 mortality and morbidity among black women in this 7 state. 8 9 WHEREAS, the sixth annual National Black Maternal Health 10 Week (BMHW) campaign, founded and led by the Black Mamas Matter 11 Alliance (BMMA), is a week of awareness, activism, and community 12 building, and 13 WHEREAS, the national campaign strives to raise awareness 14 of the state of black maternal health, the root causes of poor 15 maternal health outcomes, and community-driven policy, program, 16 and care solutions, and 17 WHEREAS, in 2023, the BMHW theme, “Our Bodies Belong to Us: 18 Restoring Black Autonomy and Joy,” reflects BMMA’s work in 19 centering black women’s scholarship, maternity care work, and 20 advocacy across the full spectrum of sexual, maternal, and 21 reproductive health care, services, programs, and initiatives, 22 and 23 WHEREAS, the campaign also serves as a national platform 24 for black women-led entities and efforts on maternal health, 25 birth justice, and reproductive justice, including African 26 immigrant and Afro-Latin groups, and aims to enhance community 27 organizing on black maternal health through community 28 conversations, events, and outreach, and 29 WHEREAS, according to the Centers for Disease Control and 30 Prevention, black women in the United States are 2.6 times more 31 likely than white women to die from pregnancy-related causes, 32 and 33 WHEREAS, black women in the United States suffer from life 34 threatening pregnancy complications, known as maternal 35 morbidities, twice as often as white women, and 36 WHEREAS, COVID-19 dramatically worsened this nation’s 37 maternal mortality crisis, with maternal death rates increasing 38 40 percent in 2021 compared to the previous year, and 39 WHEREAS, maternal mortality rates in the United States are 40 among the highest of any member country of the Organization for 41 Economic Cooperation and Development and are increasing rapidly, 42 from 17.4 deaths per 100,000 live births in 2018 to 32.1 deaths 43 per 100,000 live births in 2021, and 44 WHEREAS, the United States has the highest maternal 45 mortality rate among affluent countries, in part because of the 46 disproportionate mortality rate of black women, and 47 WHEREAS, the rate of preterm birth among black women is 48 nearly 50 percent higher than the preterm birth rate among white 49 or Hispanic women, with the high rates of infant mortality among 50 black women spanning all income and education levels and every 51 socioeconomic status, and 52 WHEREAS, the maternal mortality rate in this state was 53 significantly higher for black and other women of color than for 54 white women, with 69.9 maternal deaths per 100,000 live births 55 among black and other women of color and 26.6 maternal deaths 56 per 100,000 live births among white women, and 57 WHEREAS, structural racism, gender oppression, and the 58 social determinants of health inequities experienced by black 59 women in this state significantly contribute to the 60 disproportionately high rates of maternal mortality and 61 morbidity among black women, and 62 WHEREAS, racism and discrimination play a consequential 63 role in maternal health care experiences and outcomes of black 64 women, and 65 WHEREAS, a fair and wide distribution of resources and 66 birth options, especially with regard to reproductive health 67 care services and maternal health programming, is critical to 68 closing the racial gap in maternal health outcomes, and 69 WHEREAS, black midwives, doulas, perinatal health workers, 70 and community-based organizations provide holistic maternal care 71 but face structural and legal barriers to licensure, 72 reimbursement, and provision of care, and 73 WHEREAS, COVID–19, which has disproportionately harmed 74 black Americans, is associated with an increased risk of adverse 75 pregnancy outcomes and maternal and neonatal complications, and 76 WHEREAS, the COVID–19 pandemic has further highlighted 77 issues within the broken health care system in this state and 78 the disproportionate harm it causes to black women, and 79 WHEREAS, data from the Centers for Disease Control and 80 Prevention indicate that black women had the highest rates of 81 maternal deaths related to COVID-19 in 2020 and 2021, at 13.2 82 per 100,000 live births, while the rate among white women was 83 4.5 per 100,000 live births, and 84 WHEREAS, even with growing concern about improving access 85 to mental health services, black women are least likely to have 86 access to mental health screenings, treatment, and support 87 before, during, and after pregnancy, and 88 WHEREAS, black pregnant and postpartum workers are 89 disproportionately denied reasonable accommodations in the 90 workplace, leading to adverse pregnancy outcomes, and 91 WHEREAS, black pregnant women disproportionately experience 92 surveillance and punishment, including being shackled during 93 labor when incarcerated, drug testing mothers and infants 94 without informed consent, separating mothers from their 95 newborns, and criminalizing pregnancy outcomes, and 96 WHEREAS, justice-informed, culturally congruent models of 97 care are beneficial to black women, and 98 WHEREAS, an investment must be made in maternity care for 99 black women, including support for care led by the communities 100 most affected by the maternal health crisis in this state; 101 continuous health insurance coverage to support black women for 102 the full postpartum period up to at least 1 year after giving 103 birth; and policies that support and promote affordable, 104 comprehensive, and holistic maternal health care that is free 105 from gender and racial discrimination, including care provided 106 to those who are incarcerated, NOW, THEREFORE, 107 108 Be It Resolved by the Senate of the State of Florida: 109 110 That April 11 — 17, 2023, is recognized as “Black Maternal 111 Health Week” in Florida to bring attention to the maternal 112 health crisis in the black community in this state and the 113 importance of reducing maternal mortality and morbidity among 114 black women. 115 BE IT FURTHER RESOLVED that Black Maternal Health Week be 116 viewed as an opportunity to deepen the conversation in this 117 state about black maternal health; to amplify community-driven 118 policy, research, and care solutions; to center the voices of 119 black mothers, women, families, and stakeholders; to provide a 120 national platform for black-led entities and efforts on maternal 121 health, birth, and reproductive justice; and to enhance 122 community organizing on black maternal health. 123 BE IT FURTHER RESOLVED that the Senate recognizes that 124 black women are experiencing high, disproportionate rates of 125 maternal mortality and morbidity in this state; that these 126 alarmingly high rates of maternal mortality among black women 127 are unacceptable; and that, in order to better mitigate the 128 effects of systemic racism, we must work to ensure that the 129 black community has safe and affordable housing, transportation 130 equity, nutritious food, clean air and water, environments free 131 from toxins, fair treatment within the criminal justice system, 132 safety and freedom from violence, a living wage, equal economic 133 opportunity, a sustained workforce pipeline for diverse 134 perinatal professionals, and comprehensive, high-quality, and 135 affordable health care with access to the full spectrum of 136 reproductive care. 137 BE IT FURTHER RESOLVED that, in order to improve maternal 138 health outcomes, we must fully support and encourage policies 139 grounded in the frameworks of human rights, reproductive 140 justice, and birth justice which address black maternal health 141 inequity, and black women must be active participants in the 142 policy decisions that impact their lives in order to ensure 143 access to safe and respectful maternal health care for black 144 women in this state.