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Full Text of HR0237
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HR0237 - 104th General Assembly
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HR0237
LRB104 12780 MST 24051 r
1
HOUSE RESOLUTION
2
WHEREAS, According to the Centers for Disease Control and
3
Prevention, Black women in the United States are two to three
4
times more likely than White women to die from
5
pregnancy-related causes; and
6
WHEREAS, Black women and people living in low-income and
7
rural communities in the United States are most likely to
8
suffer from life-threatening pregnancy complications, known as
9
maternal morbidities; and
10
WHEREAS, Maternal mortality rates in the United States are
11
among the highest in the developed world with 23.8 deaths per
12
100,000 live births in 2020, 32.9 in 2021, 22.3 in 2022, and
13
18.6 in 2023; and
14
WHEREAS, The United States has the highest maternal
15
mortality rate among affluent countries, in part because of
16
the disproportionate mortality rate of Black women; and
17
WHEREAS, According to the 2025 CDC Report, in 2023, the
18
U.S maternal mortality rate decreased for White (14.5),
19
Hispanic (12.4), and Asian (10.7) women but increased to 50.3
20
deaths per 100,000 live births for Black women; and
HR0237
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LRB104 12780 MST 24051 r
1
WHEREAS, KFF, which was formerly known as The Kaiser
2
Family Foundation, reported that from 2018-2022, the maternal
3
mortality rate in Illinois was 18 per 100,000 live births; and
4
WHEREAS, Black women are 50 percent more likely than all
5
other women to give birth to premature, low birth weight, and
6
very low birth weight infants; and
7
WHEREAS, The high rates of maternal mortality among Black
8
women span across income levels, education levels, and
9
socioeconomic status; and
10
WHEREAS, The Centers for Disease Control and Prevention
11
found that more than 80 percent of pregnancy-related deaths
12
are preventable; and
13
WHEREAS, The leading causes of maternal mortality among
14
Black women and birthing persons include eclampsia,
15
preeclampsia, postpartum cardiomyopathy, and obstetric
16
embolism, and these conditions impact Black women and birthing
17
people disproportionately; and
18
WHEREAS, Structural racism, gender oppression, and the
19
social determinants of health inequities experienced by Black
20
women in the United States significantly contribute to the
21
disproportionately high rates of maternal mortality and
HR0237
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LRB104 12780 MST 24051 r
1
morbidity among Black women; and
2
WHEREAS, Racism and discrimination play a consequential
3
role in maternal health care experiences and outcomes of Black
4
birthing people; and
5
WHEREAS, The overturn of Roe v. Wade impacts Black women
6
and birthing people's right to reproductive healthcare and
7
bodily autonomy and further perpetuates reproductive
8
oppression as a tool to control women's bodies; and
9
WHEREAS, A fair and wide distribution of resources and
10
birth options, especially with regard to reproductive health
11
care services and maternal health programming, is critical to
12
addressing inequities in maternal health outcomes; and
13
WHEREAS, States and rural counties with higher Black
14
population rates have severe maternity care deserts, where
15
there are no hospitals or birth centers offering obstetric
16
care and no obstetric providers and diminished access to
17
reproductive healthcare providers due to low Medicaid
18
reimbursements, rising costs, and persistent healthcare
19
workforce shortages; and
20
WHEREAS, Illinoisans face higher rates of maternity care
21
deserts with 34.3 percent of counties defined as maternity
HR0237
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LRB104 12780 MST 24051 r
1
care deserts compared to the 32.6 percent national average,
2
where women of childbearing age do not have access to
3
hospitals or birth centers offering maternity care or
4
obstetric providers; and
5
WHEREAS, Maternity care deserts lead to higher risks of
6
maternal morbidity and mortality as most complications occur
7
in the postpartum period when birthing people are far away
8
from their providers; and
9
WHEREAS, Black midwives, doulas, perinatal health workers,
10
and community-based organizations provide holistic maternal
11
care and support but face structural and legal barriers to
12
licensure, reimbursement, and provision of care; and
13
WHEREAS, Black women and birthing persons experience
14
increased barriers to accessing prenatal and postpartum care,
15
including maternal mental health care; and
16
WHEREAS, COVID-19, which has disproportionately harmed
17
Black Americans, is associated with an increased risk for
18
adverse pregnancy outcomes and maternal and neonatal
19
complications; and
20
WHEREAS, New data from the Centers for Disease Control and
21
Prevention has indicated that since the COVID-19 pandemic, the
HR0237
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LRB104 12780 MST 24051 r
1
maternal mortality rate for Black women has increased by 26
2
percent; and
3
WHEREAS, There are concerted efforts to increase uptake of
4
maternal vaccinations; and
5
WHEREAS, Even as there is growing concern about improving
6
access to mental health services, Black women are least likely
7
to have access to mental health screenings, treatment, and
8
support before, during, and after pregnancy; and
9
WHEREAS, Black pregnant and postpartum workers are
10
disproportionately denied reasonable accommodations in the
11
workplace, leading to adverse pregnancy outcomes; and
12
WHEREAS, Black pregnant people disproportionately
13
experience surveillance and punishment, including shackling
14
incarcerated people during labor, drug testing mothers and
15
infants without informed consent, separating mothers from
16
their newborns, and criminalizing pregnancy outcomes such as
17
miscarriage; and
18
WHEREAS, Black women and birthing people experience
19
pervasive racial injustice in the criminal justice, social,
20
and health care systems; and
HR0237
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LRB104 12780 MST 24051 r
1
WHEREAS, Justice-informed, culturally congruent models of
2
care are beneficial to Black women; and
3
WHEREAS, An investment must be made in maternity care for
4
Black women and birthing persons, including care led by the
5
communities most affected by the maternal health crisis in the
6
State of Illinois, continuous health insurance coverage to
7
support Black women and birthing persons for the full
8
postpartum period at least one year after giving birth, and
9
policies that support and promote affordable, comprehensive,
10
and holistic maternal health care that is free from gender and
11
racial discrimination, regardless of incarceration; therefore,
12
be it
13
RESOLVED, BY THE HOUSE OF REPRESENTATIVES OF THE ONE
14
HUNDRED FOURTH GENERAL ASSEMBLY OF THE STATE OF ILLINOIS, that
15
we declare April 11-17, 2025 as Black Maternal Health Week in
16
the State of Illinois; and be it further
17
RESOLVED, That we recognize that Black women are
18
experiencing high, disproportionate rates of maternal
19
mortality and morbidity in the State of Illinois; and be it
20
further
21
RESOLVED, That we recognize that the alarmingly high rates
22
of maternal mortality among Black women are unacceptable and
HR0237
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LRB104 12780 MST 24051 r
1
unjust; and be it further
2
RESOLVED, In order to better mitigate the effects of
3
systemic and structural racism, the Black community must have
4
(1) safe and affordable housing, (2) transportation equity,
5
(3) nutritious food, (4) clean air and water, (5) environments
6
free from toxins, (6) decriminalization, removal of civil
7
penalties, end of surveillance, and end of mandatory reporting
8
within the criminal and family regulation system, (7) safety
9
and freedom from violence, (8) a living wage, (9) equal
10
economic opportunity, (10) a sustained and expansive workforce
11
pipeline for diverse perinatal professionals, and (11)
12
comprehensive, high-quality, and affordable health care,
13
including access to the full spectrum of reproductive care;
14
and be it further
15
RESOLVED, That in order to improve maternal health
16
outcomes, we must fully support and encourage policies
17
grounded in the human rights, reproductive justice, and birth
18
justice frameworks that address maternal health inequities;
19
and be it further
20
RESOLVED, That Black women and birthing persons must be
21
active participants in the policy decisions that impact their
22
lives; and be it further
HR0237
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LRB104 12780 MST 24051 r
1
RESOLVED, That in order to ensure access to safe and
2
respectful maternal health care for Black birthing people, the
3
Black Maternal Health Momnibus Act and other legislation
4
rooted in human rights that seeks to improve maternal care and
5
outcomes must be passed; and be it further
6
RESOLVED, That Black Maternal Health Week is an
7
opportunity (1) to deepen the national conversation about
8
Black maternal health in the United States, (2) to amplify and
9
invest in community-driven policy, research, and quality care
10
solutions, (3) to center the voices of Black Mamas, women,
11
families, and stakeholders, (4) to provide a national platform
12
for Black-led entities and efforts on maternal and mental
13
health, birth equity, and reproductive justice, (5) to enhance
14
community organizing on Black maternal health, and (6) to
15
support efforts to increase funding and advance policies for
16
Black-led and centered community-based organizations and
17
perinatal birth workers that provide the full spectrum of
18
reproductive, maternal, and sexual healthcare.
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