Tuesday, June 6, 2023
Chair Cyr, Chair Decker, and members of the Joint Committee on Public Health:
My name is Jonathan Cohn, and I’m the policy director of Progressive Massachusetts, a statewide, member-based grassroots advocacy organization fighting for a more equitable, just, sustainable, and democratic Commonwealth.
We urge you to give a favorable report to S.1415, An Act relative to birthing justice in the Commonwealth, and H.2209/S.1457, An Act promoting access to midwifery care and out-of-hospital birth options.
Since the Dobbs decision last year, nearly 20 states have moved to ban or severely restrict access to abortion, with wide-reaching negative impacts on access to reproductive health care, especially for marginalized communities. Although Massachusetts has taken important strides in recent years to strengthen access to reproductive health care, which we greatly appreciate, our Commonwealth still sees severe inequalities in access to care. Indeed, Black women are twice as likely to die from pregnancy-related causes than white women. We have more work to do to break down barriers to the full spectrum of reproductive health care that still exist for Black, Indigenous, and other people of color.
An Act relative to birthing justice in the Commonwealth introduces a critical framework to improve maternal health outcomes and ensure people have the support, education, and access to resources to be empowered throughout their pregnancies. An Act promoting access to midwifery care and out-of-hospital birth options, standalone legislation which is also a core provision of the birthing justice bill, creates a pathway to licensure for Certified Professional Midwives, the key midwifery workforce trained in out-of-hospital births.
These bills advance key recommendations from the Special Commission on Racial Inequities in Maternal Health. When the Legislature creates commissions to investigate policy areas, it is incumbent upon the Legislature to listen to the recommendations. Commissions take time and work from countless legislators, administrators, staff, and outside experts, and the recommendations are the result of such underappreciated work.
By embracing those recommendations, Massachusetts can ensure all pregnant people—regardless of race—have the autonomy, support, and adequate birth options to feel empowered throughout their pregnancies.
Sincerely,
Jonathan Cohn
Policy Director
Progressive Massachusetts
