Georgia GOP Leaders Embrace Plan to Reduce Maternal Deaths

Georgia GOP Leaders Embrace Plan to Reduce Maternal Deaths

By: AJC

Key House GOP leaders on Thursday endorsed extending Medicaid for new moms in Georgia, lending a high-level burst of support to a policy proponents say will help cut down on the state’s stubbornly high maternal mortality rate.

House Speaker David Ralston announced his chamber would move forward in the weeks ahead on a bill that would authorize the Georgia Department of Community Health to seek a federal waiver to expand Medicaid to new mothers in Georgia from two to six months following childbirth.

The measure, House Bill 1114, seeks to provide health coverage during a time when postpartum depression, high blood pressure and cardiac conditions can emerge and — if left unwatched — be fatal to new moms.

“I think it’s completely unacceptable for the No. 1 state in the nation in which to do business to have one of the highest maternal mortality rates of any state in the country,” Ralston, R-Blue Ridge, told reporters in the state Capitol.

The U.S.’ maternal mortality rate is among the highest in the developed world, and Georgia has consistently ranked among the worst of U.S. states for maternal deaths. About two-thirds of those fatalities in Georgia happen in the weeks and months after mothers give birth, according to a state study.

Currently, pregnant women in Georgia households that earn less than 200% of the federal poverty level — about $34,000 for a family of two and $52,000 for four — are eligible for Medicaid, which covers doctors’ visits, prescription drugs and hospital services, including labor and delivery. But only for up to two months after they give birth.

That’s created a coverage cliff for women who otherwise cannot afford insurance. In the weeks after giving birth, many race to take care of pressing medical procedures while they still have Medicaid and often forgo visits to the doctor after their coverage expires.

A bipartisan state study committee tasked with examining the crisis found that 60% of Georgia’s maternal deaths between 2012 and 2014 were preventable, and it recommended the Legislature extend Medicaid for a year after low-income women give birth.

But in a tight budget climate in which Gov. Brian Kemp has directed legislators to cut spending by 6% in fiscal 2021, the price tag has proved to be a big ask, and House Health and Human Services Committee Chairwoman Sharon Cooper in recent weeks floated a four-month Medicaid extension as a more wallet-friendly alternative.

“This is a step in the right way, and it gives us time to encourage new mothers (about) how important those postpartum visits are,” said Cooper, R-Marietta, a former nurse who led the state study committee.

Ralston estimated the waiver would cost the state roughly $19 million a year. He brushed away a question about why his chamber wasn’t seeking one year of Medicaid funding for new moms.

“I reject the view that if you can’t add everybody right now we shouldn’t add anybody right now,” he said.

Roughly half of all births in Georgia are covered by Medicaid.

HB 1114 would also clear the way for roughly $250,000 a year in funding for lactation care services for new mothers.

The speaker said he has not discussed the legislation with Kemp or Senate leaders. Kemp spokesman Cody Hall called called Georgia’s maternal mortality rate “alarming” and said the governor’s office “hope(s) to learn more about the House’s proposal in the coming days.”

“The Governor looks forward to working with Chairwoman Cooper, members of the General Assembly, and other stakeholders to address this critical issue,” Hall said.