IV 

118TH CONGRESS 

1ST SESSION H. RES. 289 

Recognizing the designation of the week of April 11 through April 17, 2023, 

as the sixth annual ‘‘Black Maternal Health Week’’ to bring national 

attention to the maternal health crisis in the United States and the 

importance of reducing maternal mortality and morbidity among Black 

women and birthing persons. 

IN THE HOUSE OF REPRESENTATIVES 

APRIL 13, 2023 

Ms. ADAMS (for herself, Ms. UNDERWOOD, Ms. CLARKE of New York, Ms. 

LEE of Pennsylvania, Mr. PAYNE, Mr. CONNOLLY, Mr. MOULTON, Ms. 

BLUNT ROCHESTER, Ms. KELLY of Illinois, Mr. TRONE, Ms. STEVENS, 

Ms. JACOBS, Ms. MOORE of Wisconsin, Ms. SEWELL, Mr. SABLAN, Ms. 

STANSBURY, Ms. BROWN, Ms. PLASKETT, Mrs. WATSON COLEMAN, Mr. 

CLEAVER, Mr. COHEN, Ms. LEE of California, Mr. CARSON, Ms. 

BONAMICI, Ms. PRESSLEY, Ms. MENG, Mr. VEASEY, Ms. WASSERMAN

SCHULTZ, Mrs. CHERFILUS-MCCORMICK, Mr. MEEKS, Mr. 

KRISHNAMOORTHI, Mr. NADLER, Ms. BUSH, Ms. OMAR, Mr. CARTER of 

Louisiana, Mr. GARCI ́A of Illinois, Ms. ROSS, Ms. KAMLAGER-DOVE, Ms. 

DAVIDS of Kansas, Ms. CHU, Ms. SCANLON, Mrs. MCCLELLAN, Ms. 

BUDZINSKI, Mrs. HAYES, Mr. MORELLE, Mr. EVANS, Mr. SMITH of 

Washington, Mr. ALLRED, Mrs. BEATTY, Ms. CASTOR of Florida, Mr. 

GARAMENDI, Ms. CROCKETT, Ms. ESCOBAR, Ms. SLOTKIN, Mrs. DINGELL, Mr. SOTO, Mr. CROW, Mr. GOTTHEIMER, Ms. SCHOLTEN, Ms. 

KUSTER, Mr. MCGOVERN, Ms. BALINT, Mr. BOWMAN, Mr. GOLDMAN of 

New York, Mr. CA ́RDENAS, Mrs. SYKES, Mr. THANEDAR, Ms. LOIS

FRANKEL of Florida, Ms. MCCOLLUM, and Ms. STRICKLAND) submitted 

the following resolution; which was referred to the Committee on Energy 

and Commerce, and in addition to the Committees on Financial Services, 

Transportation and Infrastructure, Education and the Workforce, the Judiciary, Natural Resources, Agriculture, and Veterans’ Affairs, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned 


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•HRES 289 IH 

RESOLUTION 

Recognizing the designation of the week of April 11 through 

April 17, 2023, as the sixth annual ‘‘Black Maternal 

Health Week’’ to bring national attention to the maternal 

health crisis in the United States and the importance 

of reducing maternal mortality and morbidity among 

Black women and birthing persons. 

Whereas, according to the Centers for Disease Control and 

Prevention, Black women in the United States are 2.6 

times more likely than White women to die from pregnancy-related causes; 

Whereas Black women in the United States suffer from lifethreatening pregnancy complications, known as ‘‘maternal morbidities’’, twice as often as White women; 

Whereas maternal mortality rates in the United States are— 

(1) among the highest of any member country of the 

Organisation for Economic Co-operation and Development; and 

(2) increasing rapidly, from 17.4 deaths per 100,000 

live births in 2018, to 32.1 deaths per 100,000 live births 

in 2021; 

Whereas the United States has the highest maternal mortality rate among affluent countries, in part because of 

the disproportionate mortality rate of Black women; 

Whereas the rate of preterm birth among Black women is 

nearly 50 percent higher than the preterm birth rate 

among White or Hispanic women; 

Whereas the high rates of maternal mortality among Black 

women span across— 

(1) income levels; 


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•HRES 289 IH 

(2) education levels; and 

(3) socioeconomic status; 

Whereas structural racism, gender oppression, and the social 

determinants of health inequities experienced by Black 

women and birthing persons in the United States significantly contribute to the disproportionately high rates of 

maternal mortality and morbidity among Black women 

and birthing persons; 

Whereas racism and discrimination play a consequential role 

in maternal health care experiences and outcomes of 

Black birthing persons; 

Whereas a fair and wide distribution of resources and birth 

options, especially with regard to reproductive health care 

services and maternal health programming, is critical to 

closing the racial gap in maternal health outcomes; 

Whereas Black midwives, doulas, perinatal health workers, 

and community-based organizations provide holistic maternal care but face structural and legal barriers to licensure, reimbursement, and provision of care; 

Whereas COVID–19, which has disproportionately harmed 

Black Americans, is associated with an increased risk of 

adverse pregnancy outcomes and maternal and neonatal 

complications; 

Whereas the COVID–19 pandemic has further highlighted 

issues within the broken health care system in the United 

States and the harm of that system to Black women and 

birthing persons; 

Whereas data from the Centers for Disease Control and Prevention indicates that Black women had the highest rates 

of maternal deaths related to COVID–19 in 2020 and 


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•HRES 289 IH 

2021, at 13.2 per 100,000 live births, while the rate 

among White women was 4.5 per 100,000 live births; 

Whereas, even as there is growing concern about improving 

access to mental health services, Black women are least 

likely to have access to mental health screenings, treatment, and support before, during, and after pregnancy; 

Whereas Black pregnant and postpartum workers are disproportionately denied reasonable accommodations in the 

workplace, leading to adverse pregnancy outcomes; 

Whereas Black pregnant people disproportionately experience 

surveillance and punishment, including shackling incarcerated people in labor, drug testing mothers and infants 

without informed consent, separating mothers from their 

newborns, and criminalizing pregnancy outcomes; 

Whereas justice-informed, culturally congruent models of care 

are beneficial to Black women; and 

Whereas an investment must be made in— 

(1) maternity care for Black women and birthing 

persons, including support of care led by the communities 

most affected by the maternal health crisis in the United 

States; 

(2) continuous health insurance coverage to support 

Black women and birthing persons for the full 

postpartum period up to at least 1 year after giving 

birth; and 

(3) policies that support and promote affordable, 

comprehensive, and holistic maternal health care that is 

free from gender and racial discrimination, regardless of 

incarceration: Now, therefore, be it 

1 Resolved, That the House of Representatives recog2 nizes that— 


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•HRES 289 IH 

1 (1) Black women are experiencing high, dis2 proportionate rates of maternal mortality and mor3 bidity in the United States; 

4 (2) the alarmingly high rates of maternal mor5 tality among Black women are unacceptable; 

6 (3) in order to better mitigate the effects of 

7 systemic and structural racism, Congress must work 

8 toward ensuring that the Black community has— 

9 (A) safe and affordable housing; 

10 (B) transportation equity; 

11 (C) nutritious food; 

12 (D) clean air and water; 

13 (E) environments free from toxins; 

14 (F) fair treatment within the criminal jus15 tice system; 

16 (G) safety and freedom from violence; 

17 (H) a living wage; 

18 (I) equal economic opportunity; 

19 (J) a sustained workforce pipeline for di20 verse perinatal professionals; and 

21 (K) comprehensive, high-quality, and af22 fordable health care with access to the full spec23 trum of reproductive care; 

24 (4) in order to improve maternal health out25 comes, Congress must fully support and encourage 


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•HRES 289 IH 

1 policies grounded in the human rights, reproductive 

2 justice, and birth justice frameworks that address 

3 Black maternal health inequity; 

4 (5) Black women and birthing persons must be 

5 active participants in the policy decisions that im6 pact their lives; 

7 (6) in order to ensure access to safe and re8 spectful maternal health care for Black birthing per9 sons, Congress must reintroduce and pass the Black 

10 Maternal Health Momnibus Act of 2021 (S. 346, 

11 H.R. 959, 117th Congress); and 

12 (7) ‘‘Black Maternal Health Week’’ is an oppor13 tunity to— 

14 (A) deepen the national conversation about 

15 Black maternal health in the United States; 

16 (B) amplify community-driven policy, re17 search, and care solutions; 

18 (C) center the voices of Black mothers, 

19 women, families, and stakeholders; 

20 (D) provide a national platform for Black21 led entities and efforts on maternal health, 

22 birth, and reproductive justice; and 

23 (E) enhance community organizing on 

24 Black maternal health. 

Æ 


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