Bill Text: IL SR0063 | 2019-2020 | 101st General Assembly | Enrolled
Bill Title: Urges the General Assembly to continue to investigate and identify areas in which the State can improve with respect to the prevention of maternal mortality, especially among vulnerable populations.
Spectrum: Partisan Bill (Democrat 13-0)
Status: (Passed) 2019-04-30 - Resolution Adopted [SR0063 Detail]
Download: Illinois-2019-SR0063-Enrolled.html
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1 | SENATE RESOLUTION NO. 63
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2 | WHEREAS, An estimated 700 to 900 women now die as a result | ||||||
3 | of pregnancy and childbirth-related causes, and over 60 percent | ||||||
4 | of the pregnancy-related deaths in the United States are | ||||||
5 | preventable; and
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6 | WHEREAS, Illinois had more than 150,000 births in 2016 with | ||||||
7 | 72 pregnancy-associated deaths and 985 infant deaths; and
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8 | WHEREAS, 72 percent of the pregnancy-related deaths and 93 | ||||||
9 | percent of violent-pregnancy-related deaths were deemed | ||||||
10 | preventable in Illinois by review committees; and
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11 | WHEREAS, African American women in the United States | ||||||
12 | experience maternal-related deaths at three to four times the | ||||||
13 | rate of non-Hispanic white women, according to the Mothers and | ||||||
14 | Offspring Mortality and Morbidity Awareness Act, introduced by | ||||||
15 | U.S. Representative Robin Kelly of Illinois in May 2018; and
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16 | WHEREAS, Non-Hispanic black women are six times as likely | ||||||
17 | to die of a pregnancy-related condition as non-Hispanic white | ||||||
18 | women in Illinois, according to the Illinois Maternal Morbidity | ||||||
19 | and Mortality Report; and
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20 | WHEREAS, The United States has not been able to submit a |
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1 | formal maternal mortality rate to international data | ||||||
2 | repositories since 2007, and, in order to be able to calculate | ||||||
3 | a formal maternal mortality rate, maternal mortality-related | ||||||
4 | data must be streamlined at the State level and extrapolated to | ||||||
5 | the federal level; and
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6 | WHEREAS, Leaders in maternal wellness highly recommend | ||||||
7 | that maternal deaths be investigated at the State level first; | ||||||
8 | and
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9 | WHEREAS, Among the top common causes of pregnancy-related | ||||||
10 | deaths in Illinois are hemorrhage, infection, and hypertensive | ||||||
11 | disorders of pregnancy; and
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12 | WHEREAS, The State of California has established Maternal | ||||||
13 | Mortality Review Committees to determine the most prevalent | ||||||
14 | causes of maternal mortality and recorded and shared data with | ||||||
15 | providers and researchers, who have developed and implemented | ||||||
16 | safety bundles and care protocols related to preeclampsia, | ||||||
17 | maternal hemorrhage, and other prevalent causes of maternal | ||||||
18 | mortality; and
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19 | WHEREAS, The Illinois Department of Public Health | ||||||
20 | currently works with the Maternal Mortality Review Committee | ||||||
21 | and the Maternal Mortality Review Committee for Violent Deaths | ||||||
22 | to review cases of maternal death and to develop statewide |
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1 | recommendations to prevent future maternal deaths; and
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2 | WHEREAS, In the State of California, state-based maternal | ||||||
3 | quality collaborative organizations have formed obstetrical | ||||||
4 | protocols, tool kits, and other resources to improve system | ||||||
5 | care and response as they relate to maternal complications and | ||||||
6 | warning signs for conditions such as maternal hemorrhage, | ||||||
7 | hypertension, and preeclampsia; and
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8 | WHEREAS, Illinois has begun developing protocols and | ||||||
9 | resources to address common causes of maternal mortality in the | ||||||
10 | State, such as implementing new training material regarding | ||||||
11 | hemorrhages through the Obstetric Hemorrhage Education Project | ||||||
12 | (OBHEP) in 2016; and
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13 | WHEREAS, The CDC reports that more than half of all | ||||||
14 | maternal deaths occur in the immediate postpartum period, which | ||||||
15 | is between 42 days to a full year after delivery; yet, for | ||||||
16 | pregnant women, Medicaid coverage lapses at the end of the | ||||||
17 | month on which the 60th postpartum day lands; and
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18 | WHEREAS, Expanding Medicaid and CHIP coverage for pregnant | ||||||
19 | and postpartum women has been a part of improving federal | ||||||
20 | efforts for the prevention of maternal mortality; and
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21 | WHEREAS, Research has shown that, relative to white |
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1 | patients, black patients are less likely to be given pain | ||||||
2 | medications, and, when pain medication is given, they receive | ||||||
3 | lower quantities; and
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4 | WHEREAS, A 2015 study from JAMA Pediatrics found that black | ||||||
5 | children with appendicitis were less likely to receive pain | ||||||
6 | medication than their white counterparts; and
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7 | WHEREAS, A study examining disparities in the triaging, or | ||||||
8 | giving a degree of urgency to, pediatric emergency department | ||||||
9 | patients concluded that black, Hispanic, and Native American | ||||||
10 | patients received lower acuity triage scores than whites when | ||||||
11 | presenting subjective complaints, such as breathing difficulty | ||||||
12 | or abdominal pain; and
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13 | WHEREAS, Researchers have also documented an association | ||||||
14 | between race and increased mortality from stroke, and others | ||||||
15 | have found that minority patients are less likely to receive | ||||||
16 | thrombolytics than white patients; and
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17 | WHEREAS, A study in the Proceedings of the National Academy | ||||||
18 | of Sciences contributes bias in pain assessment and management | ||||||
19 | of patients partially to the fact that about half of medical | ||||||
20 | students and residents believed inaccurate biological | ||||||
21 | differences between black and white people, including that | ||||||
22 | black people have less sensitive nerve endings or that a black |
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1 | person's blood coagulates more quickly, as well as other | ||||||
2 | unconscious biases; and
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3 | WHEREAS, Biases in patient assessment and treatment affect | ||||||
4 | the level of care for pregnant women, particularly women of | ||||||
5 | color; and
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6 | WHEREAS, The provider pool is not primed with many people | ||||||
7 | of color, nor are providers consistently required to undergo | ||||||
8 | implicit bias, cultural competency, or empathy training on a | ||||||
9 | consistent, on-going basis; and
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10 | WHEREAS, Studies have also shown that women are generally | ||||||
11 | less likely to be diagnosed with diseases, such as heart | ||||||
12 | disease, and are less likely to receive aggressive treatment | ||||||
13 | for pain management and certain diseases than men; and
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14 | WHEREAS, There have been efforts to address implicit bias | ||||||
15 | and cultural competency at the federal level by awarding | ||||||
16 | cooperative agreements for the establishment or support of | ||||||
17 | regional centers of excellence addressing implicit bias and | ||||||
18 | cultural competency in patient-provider interactions for the | ||||||
19 | purpose of enhancing and improving how health care | ||||||
20 | professionals are educated in implicit bias and delivering | ||||||
21 | culturally competent health care; therefore, be it
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1 | RESOLVED BY THE SENATE OF THE ONE HUNDRED FIRST GENERAL | ||||||
2 | ASSEMBLY OF THE STATE OF ILLINOIS, that the State of Illinois | ||||||
3 | recognizes the importance of investigating and addressing | ||||||
4 | maternal mortality issues in the State; and be it further
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5 | RESOLVED, That we urge the General Assembly to investigate | ||||||
6 | and identify areas in which the State can improve with respect | ||||||
7 | to the prevention of maternal mortality, especially among | ||||||
8 | vulnerable populations.
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