Full Text of SR0063 101st General Assembly
SR0063sam001 101ST GENERAL ASSEMBLY |
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| 1 | | AMENDMENT TO SENATE RESOLUTION 63
| 2 | | AMENDMENT NO. ___. Amend Senate Resolution 63 by replacing | 3 | | everything after the heading with the following: | 4 | | "WHEREAS, An estimated 700 to 900 women now die as a result | 5 | | of pregnancy and childbirth-related causes, and over 60 percent | 6 | | of the pregnancy-related deaths in the United States are | 7 | | preventable; and | 8 | | WHEREAS, Illinois had more than 150,000 births in 2016 with | 9 | | 72 pregnancy-associated deaths and 985 infant deaths; and | 10 | | WHEREAS, 72 percent of the pregnancy-related deaths and 93 | 11 | | percent of violent-pregnancy-related deaths were deemed | 12 | | preventable in Illinois by review committees; and | 13 | | WHEREAS, African American women in the United States | 14 | | experience maternal-related deaths at three to four times the |
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| 1 | | rate of non-Hispanic white women, according to the Mothers and | 2 | | Offspring Mortality and Morbidity Awareness Act, introduced by | 3 | | U.S. Representative Robin Kelly of Illinois in May 2018; and | 4 | | WHEREAS, Non-Hispanic Black women are six times as likely | 5 | | to die of a pregnancy-related condition as non-Hispanic white | 6 | | women in Illinois, according to the Illinois Maternal Morbidity | 7 | | and Mortality Report; and | 8 | | WHEREAS, The United States has not been able to submit a | 9 | | formal maternal mortality rate to international data | 10 | | repositories since 2007, and, in order to be able to calculate | 11 | | a formal maternal mortality rate, maternal mortality-related | 12 | | data must be streamlined at the State level and extrapolated to | 13 | | the federal level; and | 14 | | WHEREAS, Leaders in maternal wellness highly recommend | 15 | | that maternal deaths be investigated at the State level first; | 16 | | and | 17 | | WHEREAS, Among the top common causes of pregnancy-related | 18 | | deaths in Illinois are hemorrhage, infection, and hypertensive | 19 | | disorders of pregnancy; and | 20 | | WHEREAS, The State of California has established maternal | 21 | | Mortality Review Committees to determine the most prevalent |
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| 1 | | causes of maternal mortality and recorded and shared data with | 2 | | providers and researchers, who have developed and implemented | 3 | | safety bundles and care protocols related to preeclampsia, | 4 | | maternal hemorrhage, and other prevalent causes of maternal | 5 | | mortality; and | 6 | | WHEREAS, The Illinois Department of Public Health | 7 | | currently works with the Maternal Mortality Review Committee | 8 | | and the Maternal Mortality Review Committee for Violent Deaths | 9 | | to review cases of maternal death and to develop statewide | 10 | | recommendations to prevent future maternal deaths; and | 11 | | WHEREAS, In the State of California, state-based maternal | 12 | | quality collaborative organizations have formed obstetrical | 13 | | protocols, tool kits, and other resources to improve system | 14 | | care and response as they relate to maternal complications and | 15 | | warning signs for conditions such as maternal hemorrhage, | 16 | | hypertension, and preeclampsia; and | 17 | | WHEREAS, Illinois has begun developing protocols and | 18 | | resources to address common causes of maternal mortality in the | 19 | | State, such as implementing new training material regarding | 20 | | hemorrhages through the Obstetric Hemorrhage Education Project | 21 | | (OBHEP) in 2016; and | 22 | | WHEREAS, The CDC reports that more than half of all |
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| 1 | | maternal deaths occur in the immediate postpartum period, which | 2 | | is between 42 days to a full year after delivery; yet, for | 3 | | pregnant women, Medicaid coverage lapses at the end of the | 4 | | month on which the 60th postpartum day lands; and | 5 | | WHEREAS, Expanding Medicaid and CHIP coverage for pregnant | 6 | | and postpartum women has been a part of improving federal | 7 | | efforts for the prevention of maternal mortality; and | 8 | | WHEREAS, Research has shown that, relative to white | 9 | | parents, black patients are less likely to be given pain | 10 | | medications, and, when patient medication is given, they | 11 | | receive lower quantities; and | 12 | | WHEREAS, A 2015 study from JAMA Pediatrics found that black | 13 | | children with appendicitis were less likely to receive pain | 14 | | medication than their white counterparts; and | 15 | | WHEREAS, A study examining disparities in the triaging, or | 16 | | giving a degree of urgency to, pediatric emergency department | 17 | | patients concluded that black, Hispanic, and Native American | 18 | | patients received lower acuity triage scores than whites when | 19 | | presenting subjective complaints, such as breathing difficulty | 20 | | or abdominal pain; and | 21 | | WHEREAS, Researchers have also documented an association |
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| 1 | | between race and increased mortality from stroke, and others | 2 | | have found that minority patients are less likely to receive | 3 | | thrombolytics than white patients; and | 4 | | WHEREAS, A study in the Proceedings of the National Academy | 5 | | of Sciences contributes bias in pain assessment and management | 6 | | of patients partially to the fact that about half of medical | 7 | | students and residents believed inaccurate biological | 8 | | differences between black and white people, including that | 9 | | black people have less sensitive nerve endings or that a black | 10 | | person's blood coagulates more quickly, as well as other | 11 | | unconscious biases; and | 12 | | WHEREAS, Biases in patient assessment and treatment affect | 13 | | the level of care for pregnant women, particularly women of | 14 | | color; and | 15 | | WHEREAS, The provider pool is not primed with many people | 16 | | of color, nor are providers consistently required to undergo | 17 | | implicit bias, cultural competency, or empathy training on a | 18 | | consistent, on-going basis; and | 19 | | WHEREAS, Studies have also shown that women are generally | 20 | | less likely to be diagnosed with diseases, such as heart | 21 | | disease, and are less likely to receive aggressive treatment | 22 | | for pain management and certain diseases than men; and |
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| 1 | | WHEREAS, There have been efforts to address implicit bias | 2 | | and cultural competency at the federal level by awarding | 3 | | cooperative agreements for the establishment or support of | 4 | | regional centers of excellence addressing implicit bias and | 5 | | cultural competency in patient-provider interactions for the | 6 | | purpose of enhancing and improving how health care | 7 | | professionals are educated in implicit bias and delivering | 8 | | culturally competent health care; therefore, be it | 9 | | RESOLVED BY THE SENATE OF THE ONE HUNDRED FIRST GENERAL | 10 | | ASSEMBLY OF THE STATE OF ILLINOIS, that the State of Illinois | 11 | | recognizes the importance of investigating and addressing | 12 | | maternal mortality issues in the State; and be it further | 13 | | RESOLVED, That we urge the General Assembly to investigate | 14 | | and identify areas in which the State can improve with respect | 15 | | to the prevention of maternal mortality, especially among | 16 | | vulnerable populations."
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