[Page H1595]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]




                     BLACK MATERNAL HEALTH MOMNIBUS

  The SPEAKER pro tempore. The Chair recognizes the gentlewoman from 
North Carolina (Ms. Adams) for 5 minutes.
  Ms. ADAMS. Mr. Speaker, today I rise to speak about the Black 
Maternal Health Momnibus, an historic and comprehensive package that 
tackles one of the greatest public health crises of our time.
  My work on Black Maternal Health began when my daughter, a Black mom 
herself, survived a complicated pregnancy that almost claimed her life. 
How many people my age aren't as lucky, and now have grandkids who grew 
up without a mommy?
  I knew when I got to Congress, I had to make this a priority.
  In 2018, Senator Kamala Harris and I worked with the Black Mamas 
Matter Alliance to introduce resolutions honoring the first Black 
Maternal Health Week, as well as the Maternal CARE Act. That effort led 
to last April, when Congresswoman Lauren Underwood and I launched the 
Black Maternal Health Caucus.
  This issue was deeply personal for both of us. We wanted to raise 
awareness, educate our colleagues, and shine a bright spotlight on the 
maternal health crisis--of mothers needlessly dying during what should 
be one of the most joyous times of their lives.

  Our caucus has grown to more than 100 members in less than a year, 
which I imagine might be a record feat, but it speaks to the importance 
of this issue and how it resonates so deeply within Congress and across 
party lines.
  Black maternal health is not a partisan issue. It is a life-and-death 
issue. The main goal of the caucus is to develop and advance evidence-
based policy solutions.
  The Black Maternal Health Momnibus Act of 2020 builds upon existing 
maternal health legislation by filling gaps through nine new bills to 
comprehensively address every aspect of the Black maternal health 
crisis. Throughout the process, we were very intentional about 
centering the voices of Black women and ensuring that Black women-led 
organizations were consulted early and often.
  The Momnibus makes investments in social determinants of health, 
community-based organizations, the growth and diversification of the 
perinatal workforce, improvements in data collection and quality 
measures, digital tools like telehealth and innovative payment models.
  In addition to direct efforts to improve Black maternal health 
outcomes, the Momnibus focuses on high-risk populations, including 
women veterans, incarcerated women, and Native Americans.
  Mr. Speaker, I also want to take a moment to speak about the bill 
that I am leading within the package: The Kira Johnson Act.
  Kira was an entrepreneur, she traveled the world, and she was a 
mother to a healthy, little boy.
  On April 12, 2016, she checked into a hospital with her husband, 
Charles, to give birth to their second child, Langston.
  Despite being in excellent health, despite being a successful 
businesswoman, despite having health insurance, and doing everything 
right, Kira did not make it out alive. She died from hours of neglect 
and severe hemorrhaging, nearly 12 hours after safely delivering her 
second son.
  Kira Johnson mattered.
  Kira deserved better.
  And this legislation says, unequivocally, that Black Mamas matter. It 
makes investments in community-based organizations that are leading the 
charge to protect moms: By supporting maternal mental health conditions 
and substance use disorders; by supporting doulas and perinatal health 
workers; and addressing social determinants of health, like housing, 
transportation, and nutrition.
  It also supports research, bias and racism training programs, and the 
establishment of Respectful Maternity Care Compliance offices to 
address bias and racism.
  At its core, this bill is about accountability and empowering our 
community health partners who have been providing safe and culturally-
sensitive care to Black moms for years.
  Again, I am thrilled for the accumulation of nearly a year of 
research, information-gathering, and collaboration with key 
stakeholders.
  For decades, the U.S. maternal mortality and morbidity rates have 
gotten worse for all mothers, but especially for Black women whose 
health outcomes are further compounded by systemic and structural 
racism.
  The Black Maternal Health Momnibus is an historic piece of 
legislation that not only targets failures in maternal healthcare, but 
also addresses pervasive maternal health disparities through solutions 
that are culturally competent and proven effective.
  It provides a roadmap so that our healthcare systems, our providers, 
and society will finally make Black maternal and infant health a 
priority. No one should have to lose another friend, auntie, sister, 
daughter, or mommy to this crisis.
  Mr. Speaker, let's get it done for all of the moms out there.

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