Michigan Senate passes 'momnibus' bill to improve maternal health outcomes
A 10-bill "momnibus" package aimed at improving maternal health outcomes in Michigan now heads to the state House after clearing the Democrat-controlled Sentate this week and more than a year after its introduction.
The goal of the package is to improve maternal health outcomes using antidiscrimination measures, patient protections and equitable data requirements, according to a news release.
Michigan's maternal mortality rate per 100,000 births is 19.1, below the national average of 23.2, according to March of Dimes. But nearly 14% of birthing people in Michigan also reported inadequate maternal care.
"For too long, Black mothers have faced a health care system that addresses their pain last, their needs too late, and fails to prevent the tragedies we know are avoidable," co-sponsor and state Sen. Sarah Anthony, D-Lansing, said in the news release. "This package is a direct response to that truth — it brings us one step closer toward a future where every mother receives the care she deserves."
Michigan's infant mortality rate was 6.4 per 1,000 live births as of 2022, higher than the national rate of 5.6, according to the March of Dimes, a Virginia-based nonprofit that works to improve the health of mothers and babies. The infant mortality rate for Black babies in Michigan was 13.4, more than double the rate for White babies at 4.7, according to March of Dimes.
The leading causes of infant mortality are pre-term birth, birth defects, accidents, and sudden infant death syndrome, according to March of Dimes. Pre-term birth can correspond with increased morbidities, and Detroit had the highest rate of U.S. cities with the most live births in 2023.
One bill, the Biased and Unjust Care Reporting Act, would require the Michigan Department of Health and Human Services to create a tool for patients to report obstetric racism, or the mistreatment of non-white pregnant women.
"Black and Brown mothers are no different than white mothers, yet the care they receive is too often inequitable and inadequate. In 2025, that is wholly and completely unacceptable," co-sponsor and state Sen. Sylvia Santana, D-Detroit, said in a news release. "We owe it to the countless mothers we’ve lost to fix a system that has failed them for far too long."
Another would have MDHHS include studies and reports on biased and unjust perinatal care on their website and codify the state Maternal Mortality Review Team. The Michigan Maternal Mortality Review Project works to identify and review cases of maternal death at any point during pregnancy, birth, or one year after birth, according to MDHHS. A committee then recommends intervention and prevention strategies that can help eliminate racial disparities in maternal death rates in Michigan.
Two of the bills impact Medicaid coverage, expanding it for perinatal services during the time period between the start of pregnancy and a year after birth, and requiring it for off-site and remote ultrasound procedures and fetal nonstress tests. Fetal nonstress tests are typical screenings conducted in the third trimester that monitor a baby's heart rate in response to movement.
Two other bills involve licensed midwives and would add them to Michigan's Essential Health Provider Repayment Program and require private insurers to reimburse them for services.
"Through the Michigan Momnibus package of bills, we are able to lead the way in increasing access to midwives and doulas, making Michigan a safer, more caring place to give birth and raise your family, regardless of your race or economic status," Elon Geffrard, Cofounder and Program Director of Birth Detroit, said in a news release.
The bill package was originally introduced last spring and passed by the Senate in December, but failed to make it to Gov. Gretchen Whitmer's desk. It now faces an uncertain future in the Republican-run House of Representatives.
Republican speaker of the state House of Representatives Matt Hall, R-Richland Township, did not immediately respond to a request for comment Friday afternoon.
"As the package just passed through the Senate, we are set to discuss this important legislation with our House colleagues," said State Rep. Erika Geiss, D-Taylor, a co-sponsor. "Make no mistake — these issues are nonpartisan. We are optimistic that House legislators will recognize that the progress these bills will make for Michigan mothers and babies will transcend party politics."
One bill would amend the Elliott-Larsen Civil Rights Act, which aims to prohibit discrimination in Michigan, to clarify that "sex" includes pregnancy or lactation status in public places and in the workplace. Another "momnibus" bill would protect the right of a designated patient advocate to make life-sustaining treatment decisions, regardless of pregnancy status.
hmackay@detroitnews.com
This article originally appeared on The Detroit News: Michigan Senate passes 'momnibus' bill to improve maternal health outcomes
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