Advancing Maternal Health Equity in Southern States: What Are Medicaid Programs Doing and What More Could They Do?

The US is facing a severe maternal morbidity and mortality crisis, and Black women and other women of color are at particularly high risk. Maternal mortality is also higher in the South than in other regions. Given evidence that abortion restrictions are associated with higher maternal mortality, such risks could grow under the recent Supreme Court ruling overturning Roe v. Wade, especially in the South, where in many states abortion is now severely restricted. With more than 40 percent of all births nationally, 65 percent of births among Black women, and 59 percent of births among Hispanic women covered by Medicaid, state Medicaid policies and practices have the potential to improve maternal health and reduce racial and ethnic inequities in maternal health outcomes.For this study on Medicaid and maternal health, we conducted interviews with national experts, a national policy scan, and case studies in three Southern states (Georgia, Louisiana, and Texas) that are using various approaches to promote improvements in maternal health care for their Medicaid populations. We sought to identify facilitators of and barriers to maternal health equity and promising programs and policy levers that could advance maternal health equity to inform approaches in other Southern states

Understanding Training and Workforce Pathways to Develop and Retain Black Maternal Health Clinicians in California

Despite evidence that greater diversity in health professions increases quality of care, the maternal health field has made little progress on increasing and sustaining the number of Black maternal health care workers. In this study, Urban researchers examine opportunities for and barriers to increasing the workforce of Black obstetrician/gynecologists (OB/GYNs), labor and delivery (L&D) nurses, and midwives, especially in light of the ongoing US maternal health crisis. Through interviews with Black maternal health clinicians and training program staff, we recommend actions that federal and state policymakers, leaders at higher education and health system institutions, and philanthropies can take to address structural barriers to entering and staying within the field and to support a thriving workforce