►
Description
Gain a deeper understanding of infant, early childhood and maternal mental health and explore factors related to infant mortality and low birthweight.
A
Collecting
the
state
when
we
did
in
the
summer
we
had
no
other
conflicts.
However,
ncsl
is
having
a
2020
post-election
wrap-up
right
now,
I'm
sure
many
of
you
have
seen
that
invitation,
perhaps
even
registered.
So
I
did
want
to
let
you
know:
that'll
run
from
1
to
2
45
eastern
time.
So
when
we
end
you
can
certainly
hop
over
to
that
and
catch
the
better
part.
Also
that
is
being
recorded,
so
you
can
watch
it
in
its
entirety
once
it
is
archived
and
on
our
website
next
slide.
Please.
A
A
Again,
we
are
recording
and
jenny's
going
to
pop
in
the
chat
for
anyone.
That's
interested
a
location
on
ncsl's
website
where
you
can
find
the
archive
of
this
and
all
the
other
alumni
series
that
you
can
watch
at
your
pleasure
if
you're
on
the
line
and,
if
you're
able
to
enable
your
video
we'd
very
much
love
to
see
your
faces
today.
A
So
I'd
encourage
you
to
do
so
and
then,
if
you're
also
able
to
click
on
the
three
little
dots
at
the
top
of
the
screen
and
update
your
name
to
perhaps
reflect
your
title
and
your
state.
That
would
be
helpful
as
well.
After
a
few
more
brief
comments,
I'm
gonna
talk
a
little
bit
about
session.
One
provide
a
little
overview
and
recap
for
some
of
you.
I
know
that
will
be
a
reminder
for
others.
It
might
be
new
information
next
slide.
A
A
Turn
things
over
to
two
very
special
experts
who
are
going
to
discuss
the
impact
of
racism
on
birth
and
early
childhood
health
outcomes,
so
you'll
be
introduced
to
a
useful
tool.
The
state
of
babies,
yearbook
and
you'll
also
hear
from
an
ncsl
colleague
about
policies
and
legislative
activity
at
the
state
and
federal
level.
We'll
also
have
excuse
me,
two
opportunities
to
break
into
small
groups
to
have
some
dialogue
and
then
we'll
come
back
together
to
debrief
as
a
full
group.
A
I'd
be
remiss
to
not
send
a
big.
Thank
you
to
our
generous
sponsor
this
session
and
the
full
series
is
made
possible
by
a
grant
from
the
buffett
early
childhood
fund
ncsl
appreciates
their
financial
support
and
partnership,
as
we
bring
you,
this
new
series
and
programming
to
deepen
your
knowledge
around
race
and
equity
and
the
early
childhood
system
broadly
next
slide.
Please
so
now,
just
a
little
sort
of
context.
Setting
for
for
today,
racial
health
disparities
have
long
existed.
A
Seen
that
the
kovid
19
pandemic
has
exacerbated
this
point
today,
we're
really
going
to
take
a
focus
on
the
early
years,
but,
as
you
all
know,
on
the
line,
no
child
lives
independent
of
a
family
or
caregivers,
and
each
of
their
health
is
strictly
linked.
This
pandemic
has
renewed
calls
to
address
racial
inequities
in
health
across
the
nation.
A
A
I
just
think
that
that's
important
framing
to
have
in
the
back
of
your
mind
as
we
continue
today
next
slide,
please.
So
as
a
quick
refresher.
Let's
look
back
at
what
we
learned
in
session
one
this
past
september.
The
first
session
really
laid
the
foundation
for
this
five
part
series
and
now
this
session
and
the
next
three
sessions
are
going
to
focus
more
on
policy
solutions.
A
So
through
her
presentation,
we
learned
about
and
discussed
such
things
as
slavery
and
sharecropping
the
great
migration
and
redlining,
and
we
did
this
all
by
following
a
little
boy
and
learning
about
his
family
through
these
and
many
other
historical
events
for
those
on
the
line.
Dr
allen
shared
that
race
is
a
social
construct.
A
We
actually
learned
a
lot
about
the
historical
nature
of
racism
in
the
u.s
and
specifically
about
jamal's
history,
and
the
rationale
for
doing
this
and
introducing
you
to
jamal
in
session.
One
was
to
try
to
personalize
the
entire
series,
so
a
potential
way
of
creating
a
personal
relationship
and
making
the
information
shared,
perhaps
more
relatable
for
some
between
the
start
and
end
of
this
series.
We'll
continue
to
reflect
on
this
little
boy.
You'll
continue
to
hear
his
name
and
see
his
image
as
we
proceed
through
may.
With
our
session.
A
As
you
hear
the
information
that
we
share
today
next
slide,
please,
okay,
so
I
think
that's
enough
information
and
framing,
and
it's
now
time
to
move
into
the
session.
So,
first
and
foremost,
my
colleagues
and
I
want
to
learn
from
you,
our
ncsl
early
childhood,
formally
learning
fellows
alumni,
as
you
all
know,
will
be
hosting
in
person
well
remote
in
person.
I
suppose
sessions
between
now
and
may
every
other
month
and
what
we're
interested
in
knowing
from
each
of
you
is
on
those
off
months.
A
C
D
E
A
D
A
All
right,
well,
we'll
call
that
good.
So
thank
you
and
okay.
Perfect.
Thank
you
all
so
much
for
sharing
some
of
your
feedback.
We
can
go
to
the
next
slide.
Also,
riley,
we've
just
sort
of
been
interested.
You
know
how
to
stay
engaged
with
you.
Is
it
a
newsletter?
Is
it
a
touch
point?
Is
it
something
else?
So
thank
you
for
doing
that,
and
now
the
next
two
polls
are
going
to
get
us
thinking
about
the
topic
that
we're
going
to
discuss
further
today,
so
the
first
or
the
second
poll.
A
If
you
want
to
launch
the
poll,
the
question
is
the
national
average
of
maternal
mortality
occurs
at
the
rate
of
17
deaths
for
every
100
000
live
births,
but
the
rate
of
maternal
mortality
among
black
women
is
greater
and
we're
asking
you
to
select
which
of
the
following
and
for
other
ncsl
staff
on
the
line.
I'd
encourage
you
feel
free
to
to
give
your
guess.
The
answers
could
be
21.
Deaths
per
100,
000
live
deaths,
32
40
or
49
deaths
for
every
100.
000
live
births.
A
All
right
we've
got
some
very
smart
people
on
the
line,
while
it
it's
a
painful
number
to
really
say
out
loud.
You
all
are
correct:
40
deaths
forever,
every
100,
000
live
births,
and
then
our
final
poll-
and
I
should
say
those
those
are
points
that
we
will
hear
more
about
today,
and
the
final
poll
is
a
true
false
question
and
we're
asking
you
to
decide.
D
A
A
Excuse
me
so
now,
I'm
thrilled
to
introduce
two
dynamic
presenters
to
you
today,
we're
joined
by
doc
with
excuse
me
we're
joined
with
dr
myra
jones
taylor
and
miss
kind
win
and
I'd
invite
you
to
read
their
full
bios,
which
are
available
on
ncsl's
website
jenny's,
going
to
put
in
a
link
where
you
can
learn
more
about
these
extremely
intelligent
presenters.
I'll
just
say
a
few
opening
comments
about
them.
Dr
meyer
jones
taylor
is
the
chief
policy
officer
at
zero
to
three
and
today
she's
joining
us
from
washington
dc.
A
When
excuse
me
at
zero
to
three,
she
leads
the
development
and
implementation
of
their
policy
agenda,
priorities
and
strategies,
and
she
also
oversees
the
policy
center
and
miss
kind
win.
Is
a
senior
policy
specialist
in
the
health
program
here
at
ncsl
and
she's
joining
us
from
denver
colorado
in
this
role
kind
manages
the
maternal
and
child
health
fellows
program
and
conducts
policy
research
for
maternal
and
child
health
topics.
A
Dr
jones,
taylor
is
going
to
walk
through
the
second
annual
state
of
babies.
Yearbook
diving,
deeper
into
the
good
health
plank
as
you'll
hear
from
dr
jones.
Taylor,
where
children
are
born
can
affect
their
chances
for
a
strong
start
in
life.
Babies
need
good
health,
strong
families
and
positive
early
learning
experiences
to
foster
their
healthy
brain
development
and
help
them
realize
their
full
potential.
A
After
we
hear
from
dr
jones
taylor
we're
going
to
break
out
into
us
into
small
groups
for
a
little
dialogue
directions
to
follow.
Then,
when
we
return
we're
going
to
hear
from
my
colleague,
kai
nguyen
and
she's,
going
to
share
some
trends
and
legislative
examples
specifically
related
to
reducing
disparities
in
infant
and
maternal
mortality,
prenatal
care
and
code
disparities,
she
also
has
some
really
useful
resources
to
share
with
you
all
I'd
encourage
you
to
share
information
in
the
chat
and
when
the
time
is
appropriate,
even
unmute.
A
Your
line
and
join
the
conversation
we'll
have
one
more
a
breakout
after
kind
presents,
and
then
we
will
be
in
the
full
group.
My
last
point
is,
hopefully
all
of
you
received
a
personal
email
from
my
colleague
riley
sawyer
earlier
this
week
and
that
email
should
have
had
or
did
have
an
attachment
of
the
2020
state
of
babies,
yearbook
state
profile
for
the
state
that
you're
calling
from
if
you
didn't
receive
that.
A
Don't
worry
jenny
just
put
in
the
chat
where
you
can
click
and
access
the
yearbook
and
also
dig
into
your
state
data,
and
I'd,
encourage
you
to
think
about
the
information
that
shared
the
snapshot
of
how
infants
and
toddlers
and
families
are
faring.
Think
about
questions
you
might
have
think
about
how
you
might
be
able
to
use
this
resource
to
help
you
with
your
policy
in
your
state
and
to
also
talk
with
other
colleagues.
B
Oh,
thank
you
so
much
alison
and
thank
you
to
everyone.
At
ncsl,
it's
been
it's
just
such
an
honor
to
be
able
to
speak
with
you
all.
I
was
this
wasn't
in
my
bio
that
allison
shared,
but
I
was
the
founding
commissioner
of
early
childhood
for
the
state
of
connecticut,
and
I
know
how
critical
those
relationships
are
with
our
state
legislators.
How
making
sure
that
you
all
have
the
information
you
need
to
do
to
do
best
by
young
children
and
families
is
critical
in
the
success
of
you
know
any
state
leader.
B
B
The
past
year
has
laid
bare
what
many
of
us
already
knew
that
too
many
families
in
america
lack
economic
resources
required
to
meet
their
children's
basic
needs
needs
like
food
clothing,
housing
period
supplies
and
diapers
are
frequently
out
of
reach
for
caregivers
with
low
and
poverty
level
incomes,
particularly
those
who
are
struggling
with
job
loss
and
difficulty
paying
the
rent
next
slide.
Please
kovit
has,
of
course,
deepened
these
issues
right.
We
all
you
all
are
seeing
this
firsthand
in
states.
B
This
pandemic
has
widened
and
deepened
the
inequality
gap
in
our
country,
from
higher
coronavirus
infection
and
mortality
rates
to
unemployment,
health
care
and
child
care.
Communities
of
color
are
struggling
this
year
in
nearly
every
way
imaginable,
but
even
in
the
darkest
moments
there
remain
glimmers
of
hope
organizations
across
the
country
are
working
tirelessly
to
help.
Parents
meet
basic
needs,
and
I
know
many,
you
know
all
of
you
in
state
legislatures
state
legislators
are
doing
the
same,
and
that
of
course
includes
0-3,
where
I'm
honored
to
serve
as
the
chief
policy
officer
zero
to
three.
B
For
those
of
you
who
don't
know,
is
the
country's
leading
non-profit
dedicated
to
ensuring
that
every
baby
and
toddler
has
a
strong
start
in
life?
A
mission
that's
grown
even
more
complicated
and
essential.
This
year,
over
the
past
few
months,
I've
been
lucky
enough
to
work
with
a
dedicated
group
of
researchers
out
of
the
university
of
oregon,
as
they
put
together
what
they
call
the
rapid
assessment
of
pandemic
impact
on
development.
Early
childhood
survey
or,
as
most
people
prefer
to
call
it.
B
The
rapid
ec
survey
and
this
team
has
been
tracking
the
devastating
impact
that
covet
has
had
on
families,
many
of
whom
were
struggling
long
before
the
virus
reached
our
shores.
The
data
shows
that
income
loss,
financial
difficulties
and
material
hardships,
including
loss
of
child
care,
are
unequally
distributed
across
households
with
young
children
and
families
now
are
facing
new
stressors
as
they
supervise
online
learning.
As
I've
already
said,
and
as
this
stress
persists
over
time,
it
can
undermine
foundational
brain
development
on
which
all
later
learning
will
rest
next
slide.
Please.
B
So,
a
few
years
ago,
our
team
at
zero
to
three
determined
that
we
needed
to
bridge
the
gap
between
science
and
policy
by
synthesizing,
both
national
and
local
data,
state-level
data
on
the
well-being
of
america's
babies.
There
had
never
been
a
comprehensive
state-by-state
look
at
the
impact
a
baby's
birthplace
had
on
their
future.
B
And
surprise,
surprise:
we
found
that
the
state
where
a
baby
is
born
and
raised
during
their
first
few
years
of
life
makes
a
huge
difference
in
their
well-being
and
their
future
to
take
it
a
step
further.
This
year's
yearbook,
this
data
baby's
yearbook
focused
especially
on
racial
and
income
disparities
across
the
country,
and
we
confirmed
what
many
have
long
known
that
black
and
brown
babies
disproportionately
start
at
a
major
disadvantage,
no
matter
which
state
in
the
united
states
they
are
born
next
slide,
please!
B
B
When
we
dove
into
the
numbers,
we
saw
the
data
foretold
who
the
pandemic
would
hurt.
Most
we
saw
that
black
and
brown
infants
and
toddlers
are
more
likely
to
be
poor,
more
likely
to
be
born
too
soon
or
too
small,
more
likely
to
live
in
environments
that
challenge
their
families,
security,
like
crowded
housing
and
more
likely
to
lack
access
to
preventative
health
care.
B
We
saw
an
unmitigated
crisis
that
affects
babies
and
families
in
every
single
state
in
our
country,
with
long
lasting
effects
throughout
their
lives,
but
we
also
saw
that
when
we
confront
the
data
head-on,
when
we
craft
policy
solutions
that
explicitly
acknowledge
and
address
these
inequities,
we
can
build
a
path
toward
a
better
future.
Next
slide,
please.
B
So,
as
policy
makers
set
their
agendas,
science
tells
us
what
must
rise
to
the
top.
The
greatest
opportunity
to
influence
a
child's
success
begins
early
when
our
brains
are
growing
faster
than
at
any
later
point
in
life.
We
know
in
the
first
three
years
of
life
or
the
first
year
of
life.
A
child's
brain
is
developing
one
million
new
neural
connections
every
second.
So
it's
really
important
to
keep
that
in
mind.
All
families
want
to
give
their
children
a
strong
start
in
life,
but
our
policies
have
not
kept
up
with
the
reality
of
parenting.
B
B
These
tiers
represent
four
groupings
of
states
that
are
approximately
equal
in
size
and
order
from
the
highest
to
lowest
performing,
and
the
2021
yearbook
will
include
some
additional
indicators
and
continue
to
focus
on
policies.
We
know
are
important
to
baby's
wellbeing,
particularly
in
the
wake
of
the
covet
19
pandemic,
such
as
the
percentage
of
babies
and
families
with
parents
who
are
disconnected
from
work
and
whether
they
have
a
medical
home.
B
So,
let's
discuss
the
one
that
many
might
find
most
relevant
this
year.
Good
health,
it's
common
sense,
physically
and
emotionally
healthy
babies
are
more
likely
to
become
healthy,
stable
and
successful
adults
right.
Good
nutrition
nurturing
relationships
with
parents
and
caregivers
and
high
quality
medical
care,
all
support,
sound
bodies
and
minds
influencing
all
areas
of
a
child's
development,
but
the
state
of
babies.
Yearbook
shows
wide
variations
in
babies,
health
outcomes
and
their
families
access
to
care
next
slide.
B
Please,
though,
the
proportion
of
infants
and
toddlers
receiving
well-child
visits
is
relatively
high,
and
there
has
been
incremental
expansion
of
medicaid
coverage
to
support
families.
There
remain
gross
disparities,
particularly
for
black
families
and
maternal
and
infant
health
outcomes,
including
maternal
and
infant
mortality,
food
insecurity,
low
birth
weight
and
prematurity
nationally,
the
rate
of
late
or
no
prenatal
care
is
6.2
percent.
B
However,
7.7
of
latinx
women
and
9.9,
or
nearly
10
of
black
women
get
late
or
no
prenatal
care
and
mothers
who
receive
late
care
during
or
after
the
third
trimester
of
pregnancy
are
more
likely
to
have
babies
with
health
problems
and
mothers
who
do
not
receive
any
prenatal.
Care
are
three
times
more
likely
to
have
a
low
birth
weight.
Baby
and
infant
mortality
is
five
times
greater.
So
this
is
a
very
important
number
to
track.
B
It
can
also
point
to
other
social
inequities,
for
example,
in
access
to
health
care
or
safe
places
to
play
or
exposure
to
environmental
toxins
among
infants.
The
leading
causes
of
death
include
congenital
and
chromosomal
abnormalities,
problems
related
to
short
gestation
and
low
birth
weight,
as
well
as
sudden
infant
death
syndrome
about
half
of
the
difference
between
infant
mortality
rates
for
black
babies
and
white
babies
can
be
attributed
to
causes
related
to
the
higher
rates
of
preterm
births
among
black
women.
B
Just
think
about
that
overall,
six
and
one
thousand
babies
born
in
america
won't
survive
their
first
birthday,
but
for
black
babies
it's
actually
eleven
and
one
thousand
almost
double
that
national
average
and
rates
are
somewhat
lower,
but
also
concerning
for
native
or
indigenous
babies.
At
eight
in
one
thousand.
B
Research
shows
us
that
infants
and
toddlers
with
dependable
access
to
health
coverage
are
more
likely
than
their
peers
to
see
a
regular.
A
doctor
regularly
and
receive
preventative
health
care
and
treatments,
routine,
checkups
and
preventative
care
like
vaccinations
and
screenings
help
prevent
more
costly,
harmful
health
issues.
As
children
get
older,
nearly
half
of
children
under
age
3
receive
medical
coverage
through
medicaid,
and
those
covered
have
better
long-term
health,
educational
and
employment
outcomes
than
those
who
are
uninsured
and
health.
Insurance
is
a
family
of
fear.
B
If
a
parent
is
insured,
children
are
more
likely
to
be
insured
as
well.
A
significant
policy
when,
in
the
past
few
years,
is
the
expansion
of
medicaid,
which
has
improved
parents,
access
to
care
and
has
been
associated
with
lower
rates
of
infant
mortality
in
states
with
expanded
access
and,
finally,
a
quiet.
Public
health
crisis
has
been
building
in
our
country
for
decades
and
is
now
receiving
long
overdue
attention,
and
this
is
the
exceptionally
high
rates
of
pregnancy
and
childbirth-related
deaths,
maternal
mortality
and
pregnancy
and
childbirth-related
health
disorders
and
complications
or
maternal
morbidity.
Morbidity.
B
These
data,
which
put
the
united
states
in
an
unenviable
position
relative
to
our
international
peers,
are
overwhelmingly
driven
by
greatly
elevated
rates
among
black
women.
For
reasons
we
will
explore
more
deeply
as
we
continue
and
you'll
hear
from
kind
as
well.
I
believe
maternal
mortality
occurs
at
rates
of
17
deaths
for
every
100,
000
live
births,
but
maternal
mortality
rates
and
one
black
woman
we
heard
this
earlier
today
is
440
per
100
000
life
births
more
than
double
the
national
average
next
slide,
please!
B
B
Research
constantly
consistently
finds
a
deep-seated
relationship
between
the
stress
associated
with
racism
and
socio
socioeconomic
disadvantage,
on
the
one
hand
and
health
challenges
on
the
other,
at
both
an
interpersonal
level
and
as
reflected
in
discriminatory
policies
throughout
us
history,
structural
level.
Racism
has
blocked
opportunity
for
well-being
among
people
of
color.
Excuse
me.
B
Families
of
color
have
always
been
resilient
in
the
face
of
adversity,
but
the
impacts
of
historical
policy
decisions
and
the
chronic
stresses
of
disrespect
persist.
Today,
black
women
can
experience
the
daily
emotional
stress
of
racism
well
before
some
become
mothers,
accumulating,
wear
and
tear
on
their
health,
referred
to
as
weathering
substantially
in
excess
of
that
of
their
white
counterparts
and
looking
at
mothers
and
babies,
particularly
black
women's
lifelong
exposure
to
the
interpersonal
discrimination,
has
been
identified
as
an
independent
risk
factor
for
pre-term
births
and
infant
mortality.
B
In
addition
and
your
own
well-being,
of
course,
in
addition
to
racism,
black
women
and
their
families,
disproportionately
experience
risks
associated
with
poverty,
including
poor
quality
and
unstable
housing,
exposure
to
environmental
toxins,
interpersonal
and
neighborhood
violence,
along
with
inadequate
resources.
The
direct
effect
of
these
circumstances,
as
well
as
the
stress
they
create,
threaten
maternal
and
child
wellbeing.
Beginning
prenatally,
the
history
of
racism
in
this
country
includes
discriminatory
practices
and
intended
to
exclude
black
and
other
marginalized
women
from
appropriate
health
care
or
to
coerce
them
into
unwanted
medical
procedures.
B
This
history,
together
with
a
broader
legacy
of
mistreatment
of
people
of
color
by
the
health
care
system,
has
influenced
a
still
pervasive
distrust
of
the
medical
establishment
among
racial
minority
women,
women
of
color.
These
circumstances
likely
account
for
some
portion
of
the
disparity
in
receiving
timely
prenatal
care.
B
Indeed,
in
a
national
poll,
nearly
one-third
of
black
americans
reported.
They
had
personally
experienced
racial
discrimination.
I
know
this
is
one
of
the
polls
we
saw
earlier
today
during
a
visit
with
a
health
care
provider
and
22
percent
said
they
had
avoided
getting
care
because
they
were
wary
of
discrimination.
B
So
the
very
act
of
being
fearful
of
racism
is
preventing
people
from
going
in
and
getting
care,
it's
a
very
rare,
very
real
fear
and
threat.
So
what
does
this
look
like
in
practice
so
for
anna
akins?
This
translated
to
her
sitting-
and
this
is
a
family
that
we've
worked
with
through
our
strolling
thunder
campaign
for
anna
akins.
B
It
took
nine
months
during
which
time
she
felt
she
wasn't
taken
seriously
as
a
mother
and
actually
was
being
you
know,
discriminated
against
anna's
story
is
not
out
of
the
norm
and
she
shared
this
story
on
capitol
hill
with
us
a
few
years
ago.
As
part
of
our
strolling
thunder
initiative,
I
mentioned
a
minute
a
minute
ago,
a
recent
kaiser
family
foundation
poll
showed
that
one
in
six
black
adults
say
they
have
experienced
unfair
treatment
while
getting
care.
B
Meanwhile,
a
very
small
share
of
white
adults
of
white
adults
say
they've
experienced
this
type
of
treatment
slide.
Nine,
please
and
covert.
19
has
only
exacerbated
these
experiences.
We
know
that
black
latinx
and
indigenous
people
are
disproportionately
likely
to
become
infected
and
die
from
covert
19.
native
or
indigenous
and
latinx
people,
contract
copa
19.
At
almost
three
times
the
rate
for
white
people
and
black
people
die
at
a
rate
nearly
twice
as
high
as
white
people.
B
Babies
also
have
been
affected.
They
do
not
put
their
birth
and
development
on
hold
right
meeting
their
health
needs
has
become
more
complicated,
though,
even
as
their
environments
become
more
stressful
and
problems
for
young
children,
their
parents,
including
difficulties
surrounding
prenatal
care
and
giving
birth.
B
The
problems
of
pregnant
women
having
to
give
birth
alone
with
partners
or
supporters
such
as
doulas,
shut
out
of
delivery
rooms,
were
among
the
first
signs
of
the
collateral
effects
in
a
health
health
system.
Overwhelmed
by
coca-19
women
needing
prenatal
care
also
faced
obstacles
as
obstetrical
care
providers
moved
to
creative
actions,
practices,
including
telehealth
visits,
self-monitoring
and
even
curbside
monitoring.
B
B
In
addition,
women
with
low
income
and
women
of
color
are
more
likely
to
have
underlying
conditions
that
make
their
pregnancy
high
risk
and
to
have
difficulty
accessing
care
even
pre-code,
further
reducing
their
likelihood
of
receiving
adequate
care
in
the
pandemic
and
as
the
pandemic
wore
on
another
concern
for
pregnant
women
has
emerged,
heightening
the
urgency
for
ensuring
access
to
prenatal
care.
The
center
for
disease
control
of
the
cdc
warns
that
pregnant
women
are
at
a
higher
increased
risk
for
severe
illness
from
coca-19
and
for
admission
to
intensive
care.
B
B
It
presents
a
way
to
meet
the
unique
needs
of
our
communities
by
meeting
them
where
they
are,
and
yet
we
are
seeing
an
alarming
decrease
in
access.
According
to
reports
from
early
in
the
pandemic,
fewer
families
with
young
children
were
seeing
their
primary
care
practitioners
and
vaccination
rates
and
well
child
visits
have
dropped.
B
Childhood
vaccination
rates
have
come
up
from
their
low
in
the
pandemic,
but
still
are
well
below
pre-pentaneic
levels,
and
this
lag
could
leave
young
children
at
risk
for
other
diseases.
The
resulting
toll
on
pediatric
care
could
create
access
problems
post-covet,
as
well
as
providers
are
facing
closing
their
doors
for
good.
This
crisis
could
be
particularly
acute
for
young
children,
where
44
are
covered
by
medicaid
and
the
children's
health
insurance
program
chip
in
our
healthy
steps
program,
which
is
something
that
0-3
runs.
We
have
not
seen
this
trend,
though.
B
Child
development
experts,
known
as
healthy
step
specialists
who
join
the
pediatric
practice,
are
able
to
reassure
families
and
ameliorate
their
very
real
fears
about
coming
to
the
doctor.
Amid
the
pandemic
and
at
our
duke's
duke
children's
primary
care
site
in
north
carolina,
the
healthy
step
specialist
called
every
one
of
our
200
families
to
make
sure
they
did
not
miss
their
appointments,
and
now
they
are
more
up
to
date
on
well
care
than
before.
B
So
great
success
next
slide,
please
no
single
strategy
will
be
sufficient
to
achieve
racial
equity
in
preconception
and
prenatal
care
and
the
outcomes
they
influence.
Instead,
attention
must
be
given
on
multiple
fronts
if
we
are
to
measurably
improve
outcomes
which
have
become
a
systemic
barrier
to
the
success
of
our
infants
and
toddlers.
B
That's
why
it's
so
important
for
all
of
us
to
fight
for
stronger
policies
on
every
level
that
address
healthcare,
access
and
affordability,
food
security
and
nutrition,
maternal
and
child
health,
and
infant
and
early
childhood
mental
health
and
a
strong
example
exists
in
the
project.
Hope
consortium
so
project
hope,
which
stands
for
harnessing
opportunity
for
positive
equitable
early
childhood
development,
builds
capacity
of
local
communities
and
coalitions,
state
leaders
and
cross-sector
state
teams
to
prevent
social
adversities
in
early
childhood
and
promote
child
wellbeing.
B
I
could
go
on,
but
I
want
to
be
mindful
of
time,
but
I
will
say
this
alabama,
which
was
chosen
as
a
project
hope.
Focal
state
chose
to
target
two
counties
already
highlighted
in
an
ongoing
statewide
initiative
to
reduce
infant
mortality
rates.
A
team
consisting
of
staff
from
health,
mental
health
and
child
and
family
agencies
mapped
data
to
the
sub-county
level
on
indicators
such
as
infant
mortality
and
health
and
well-being,
and
brought
them
even
closer
to
the
people.
B
B
These
listening
sessions
explore
what
participants
think
is
working
well
and
what
challenges
still
pose
to
barrier
to
healthy,
healthy
birthing.
Listening
sessions
are
being
promoted
on
social
media
and
strategic
partners
are
strengthening
outreach
to
help
encourage
participation
and
lessons
learned
will
inform
2021
and
2022
statewide
legislation.
Ensuring
policies
are
deeply
rooted
in
community
voice
and,
finally,
california,
my
home
state,
california's
new
dignity
in
pregnancy
and
childbirth
act
requires
implicit
bias,
training
for
all
health
care
professionals
working
in
prenatal
services.
B
The
bill
also
contains
state
reporting
requirements
to
track
outcomes
for
pregnant
women
and
mandates,
hospitals
and
birth
centers
to
provide
information
on
how
patients
can
file
discrimination
complaints.
This
new
legislation
makes
california
the
first
state
in
the
united
states
to
require
implicit
bias,
training
for
prenatal
or
perinatal
health
care
professions.
B
One
thing
I
want
to
leave
you
all
with
is
is
a
question
around
someone
that
was
raised
with
this
issue
being
proximate,
and
I
really
appreciate
that
you
all
have
been
thinking
about
how
you
can
personalize
the
data
and
certainly,
if
you
look
through
this
database,
your
book,
there
is
a
lot
of
data
and
it's
important
to
have
real
life
stories
and
really
understand
what's
happening
at
the
community
level.
So
you
can
think
about
these
policy
solutions
policy
solutions.
B
You
have
missed
an
opportunity
to
see,
go
out
and
see
other
families
in
real
life.
Children
who
represent
a
more
complex
story
than
the
one
that
is
presented
by
jamal.
I
worry
that
what
you
have
in
that
story,
which
I
think
is
well
intended
and
going
back-
I
love
being
able
to
root
this
in
history,
but
my
fear
is
that
you
have
in
that
a
two-dimensional
caricature
if
you
will
of
what
it
is
to
be
a
five-year-old
black
boy
in
this
country.
B
B
There
are
obviously
an
injustice
for
people
in
this
country,
but
they're
also
bad
for
this
nation.
If
we
have
half
of
all
children
being
children
of
color,
and
so
many
of
them
face
these
disparities,
the
entire
country
will
not
thrive
and
will
not
be
where
we
need
to
be
if
we
leave
any
of
these
children
behind
and
these
families
behind.
A
A
If
you
don't
mind,
our
first
breakout
session
is
kind
of
going
to
give
us
an
opportunity
to
think
through
in
a
smaller
group
what
we
just
heard
from
dr
jones
taylor
and
kind
of
formulate
some
other
questions
we
might
have
so
we're
gonna
have
five
minutes
in
breakout
rooms,
with
some
ncsl
staff
helping
to
facilitate
the
conversation
you
can
see
on
your
screen
sort
of
our
prompts.
You
know
what
stood
out.
What
were
your
aha
moments?
A
What
do
you
want
to
clarify
and
learn
more
about,
and
so
we're
going
to
break
into
two
groups
for
five
minutes
and
do
a
very
quick
round
of
introductions?
So
you
know
who
all
is
in
the
room
and
unless
someone
is
very
eager
to
be
the
report
out
person
which
would
be
fine
if
you
want
to
be
the
report
out
person
consider
you
know
about
a
minute
highlight
of
what
you
all
talked
about.
A
If
no
one
wants
to
volunteer
for
that
role,
the
person
who
has
the
first
initial
of
their
first
name
closest
to
the
start
of
the
of
the
alphabet,
would
be
the
report
out
person.
So,
for
instance,
if
your
name
were
allison
chances
are
you
would
be
the
one
taking
about
a
minute
to
highlight
what
you
talk
about
in
your
small
groups,
questions
and,
if
not,
I
think,
shannon
is
going
to.
A
E
E
Benefit
of
making
sure
that
the
system
is
strong
and
in
place
to
support
all
of
our
children
and
our
children
can
thrive
the
best
and
making
sure
that
there's
not
a
false
choice
out
there
that
that
is
around
making.
I
mean
part
of
the
tensions
that
we
talked
about
that
happen
when
we
try
to
move
policy
is
around
the
is.
E
A
D
D
A
D
Hey
allison,
this
is
senator
dino
sykes
from
kansas
and
our
group
and
someone
brought
up
another
ncsl
event
that
you
had
a
demographer
who's
talking
about
the
browning
of
america
and
tying
that
in
and
really
just
you
know,
focusing
if
we
don't
focus
on
the
population.
Mathematically
we're
in
a
downward
trajectory
because
we're
not
focusing
on
any
of
our
children.
If
we're
not
focusing.
D
A
B
Yeah,
I'm
happy
so
project
hope
consortium
and,
of
course,
I'm
thinking
about
who
is
actually
sponsoring
this
and
I
apologize.
I
don't
have
it
on
in
my
notes,
but
it's
really
thinking
about
both
state
and
local
level
coalition
willing
to
think
about
what
families
mean
what
young
children
need
in
the
earliest
years
of
life
and
what's
really
great
about
it,
is
it's
these
cross-sector
teams.
So
it's
not
just
the
early
childhood
folks.
It's
you
have
health
people.
B
You
have
really
this
great
cross-section
of
all
the
things
that
we
know,
young
children
and
families
need
to
thrive
in
their
release
years.
I
will,
when
I
just
like
just
shoot
a
little
chat
just
to
make
sure
I
have
that
and
then
I
just
put
in
the
chat
think
babies.
So
that
is
our
initiative.
It's
a
national
initiative.
We've
been
doing
now
for
four
years
and
it's
it's
really
incredible:
the
kind
of
gains
that
we've
seen
in
state.
So
it's
both
a
state
and
a
federal
initiative.
Initially
the
first
year.
B
A
Great
thank
you,
and
I
see
a
few
thank
you
donna
for
adding
to
the
chat
if
other
people
want
to
share
what
their
group
talked
about.
We'd
love
to
see
that-
and
I
think
for
now
riley.
If
you
want
to
move
ahead
to
the
next
slide,
I
think
to
try
to
keep
us
on
time.
I'm
going
to
turn
things
over
now
to
kind
win
from
ncsl's
education
program
to
share
some
information.
You
see
right
there
on
her
slide
deck,
which
she's
going
to
share
with
us
so
kind.
The
floor
is
yours.
C
Hi,
thank
you
alison.
I'm
kinelin
senior
policy
specialist
in
the
health
program
here
at
ncsl
and
as
she
mentioned
earlier,
I
specialize
in
maternal
and
child
health
policy,
and
my
team
frequently
collaborates
with
the
early
care
and
education
team
just
because
of
how
our
issues
overlap
today
I'll
be
sharing
recent
federal
and
late
state
legislative
trends
to
provide
you
with
policy
options
and
examples
of
how
states
are
addressing
racial
disparities
in
maternal
and
infant
outcomes,
particularly
around
mortality.
C
C
These
are
multi-disciplinary
committees
in
cities
and
states
that
collect
analyze
and
report
data
related
to
pregnancy-related
deaths.
In
order
to
make
recommendations
to
prevent
future
deaths
for
context,
at
least
40
states
have
maternal
mortality
review
committees.
This
bill
specifically
calls
out
identifying
and
reducing
disparities.
C
Next,
but
states
have
really
been
at
the
forefront
of
legislation
in
this
area.
As
I
go
over
these
examples,
please
feel
free
to
share
others
that
you've
seen
or
ones
you
may
have
in
your
own
state
in
the
chat
box,
I've
organized
these
into
sort
of
prenatal
or
perinatal
care,
maternal
mortality
and
infant
mortality.
But
many
of
these
policies
address
multiple
areas
and
populations.
C
So
one
way
that
states
have
addressed
disparities
in
prenatal
and
perinatal
care
is
through
quality,
collaboratives,
perinatal
quality,
collaboratives
or
pqcs
health
care
processes
that
need
to
be
improved
and
use.
Quality
improvement,
principles
to
address
gaps
in
maternal
and
infant
care,
pqcs
often
aim
to
reduce
preterm
births,
severe
pregnancy,
complications
related
to
high
blood
pressure
and
hemorrhage
caesarean
births
among
low-risk
women
and
disparities
by
race
and
geography.
C
C
Delaware
specifically
requested
studying
extending
medicaid
coverage
from
the
60
days,
that's
required
by
medicaid
to
one
year
postpartum
the
cdc
cites
data
indicating
that
one-third
of
pregnancy-related
deaths
occur
between
one
week
and
one
year,
post-delivery
and
because
medicaid
covers
a
large
share
of
births
among
racial
and
ethnic
minority
groups.
Medicaid
health
plans
are
uniquely
positioned
to
identify
and
address
disparities
in
health
outcomes.
C
In
2019,
georgia
established
the
house
study
committee
on
maternal
mortality
requiring
certain
representation
from
african-american
female
legislators
to
provide
recommendations
to
reduce
maternal
mortality
and
address
disparities.
The
committee
released
its
recommendations
at
the
beginning
of
2020,
which
included
extending
postpartum
medicaid
coverage.
This
summer,
the
georgia
legislature
unanimously
passed
a
bill
extending
coverage
to
six
months
postpartum.
C
I
also
want
to
note
that,
during
the
current
national
emergency,
due
to
the
pandemic
states
receiving
certain
increased
federal
cares
act.
Funding
may
not
disenroll
valid
medicaid
enrollees,
which
effectively
keeps
pregnant
women
covered
by
medicaid
beyond
the
60
days,
at
least
for
the
duration
of
the
national
emergency
and
finally,
on
this
slide,
vermont
made
revisions
to
their
maternal
mortality
review
panel,
as
it's
called
in
their
state
related
to
its
membership
access
to
information
and
requiring
the
panel
to
consider
health
disparities
and
social
determinants
of
health,
including
race
and
ethnicity,
in
its
maternal
death
reviews.
C
C
C
C
Next,
I
also
wanted
to
include
just
a
couple
examples
of
how
states
have
addressed
covid
disparities
through
legislative
action.
This
year
in
june,
louisiana
passed
a
resolution
requesting
that
the
department
of
health
study
and
report
on
the
matter
of
racial
disparities
and
coveted
death
rates
asking
them
to
engage
and
solicit
input
from
the
covid19
health
equity
task
force,
which
was
formed
by
the
governor
in
april.
C
So
that
was
a
really
quick
and
fast
overview
of
trends.
We've
been
tracking
and
you'll
be
able
to
review
the
examples
in
more
detail
at
your
convenience
when
you
get
the
slides,
but
I
hope
this
was
helpful
in
providing
some
examples
of
recent
policy
actions
in
this
area.
Please
feel
free
to
reach
out
to
me
if
you
like
any
further
information.
C
We
have
a
searchable
database
that
tracks
14
categories
of
maternal
and
child
health
enacted,
maternal
and
child
health
enacted
state
legislation,
including
maternal
and
infant
mortality
and
csl,
is
also
preparing
to
revamp
and
launch
new
resources
around
health
disparities
legislation.
So
please
stay
tuned
for
that
soon,
and
I
also
wanted
to
highlight
that
the
health
program
has
a
maternal
and
child
health
fellows
program
modeled
after
your
successful
program.
So
you
can
find
more
information
about
the
fellows
and
slides
from
former
meetings
and
sessions
on
the
webpage
there.
A
If
anyone
has
any
legislative
examples
that
they'd
like
to
share.
As
jenny
just
said,
I
would
encourage
you
to
pop
it
in
the
chat
and
while
you're
thinking
about
things
that
you
might
want
to
talk
about.
As
a
larger
group,
I'm
going
to
ask
riley
to
advance
to
the
next
slide.
We're
going
to
just
that
slide
lies
a
little
bit.
Instead
of
six
we're
going
to
go
ahead
and
take
five
minutes,
we're
going
to
go
back
into
the
same
groups
we
were
in
before,
so
we
won't
need
to
reintroduce
ourselves
to
one
another.
A
You
just
had
we'll
come
back
into
this
full
group
after
five
minutes,
and
I
would
like,
if
maybe
two
or
three
people
would
volunteer
to
say
what
their
group
talked
about
again.
If
you
want
to
volunteer
for
that
role,
you
can
otherwise
this
time
we're
going
to
mix
it
up.
So
if
your
last
name
starts
earliest
in
the
alphabet,
you
will
be
the
one
to
share
out,
which
essentially
means
if
your
last
name
is
zika
foose.
A
A
On
the
topic
of
paid
leave.
I
actually
just
wrote
a
piece
on
the
topic,
so
I'm
going
to
drop
that
into
the
chat
in
case
anyone's
learning
interested
in
learning
a
bit
more
about
state
action
related
to
paid
leave
and
now
that
colorado
replantee-
and
I
saw
your
chat
where
I
as
a
coloradan-
I'm
excited
about
that
and
interested
in
seeing
what's
going
to
happen
next.
A
So
I'm
also
planning
on
writing
a
blog
to
talk
about
that
sort
of
win
and
also
push
out
the
the
brief
some
more
so
hopefully
that
will
be
helpful
to
those
on
the
line.
I
wonder
if
we
have
maybe
one
or
two
volunteers
that
just
want
to
quickly
share
out
a
little
bit
about
what
they
talked
about
and
then
honestly.
At
this
point
we
really,
if
you
have
other
questions
in
general,
while
we
have
kine
and
dr
jones
taylor
on
the
phone,
I
would
invite
you
to
ask
any
questions
so.
F
A
C
A
So
I
see
melissa
popped
into
the
chat,
some
examples.
Hopefully
you
all
see,
I
was
expecting
results
back
from
a
report
that
will
include
race,
equity
issues
and
we'll
set
the
stage
for
early
childhood
moving
forward.
Well,
that's
great!
I'm
assuming
rep
bergen.
That
was
your
update.
That's
nice
to
hear
and
kansas
has
established
a
caucus,
including
both
republican
and
democratic
early
childhood
issues.
A
Well,
I
know
that
I'm
glad
you
guys
are
still
meeting
and
then
csl
would
love
to
be
part
of
the
work
that
you
all
are
doing.
That
was
not
for
my
benefit.
I
realized,
I
wonder
if
we
have
anyone
else
who
wants
to
share
out
any
information
and
or
if
we
have
any
questions.
I
know
I
told
you
we'd
go
about
90
minutes
and
we're
three
minutes
short
of
that.
A
A
A
If
I
can't
answer
it,
which
I
probably
there's
a
good
likelihood
I
wouldn't
be
able
to,
but
I
work
with
really
smart
people
and
have
contacts
that
are
really
smart,
and
so
we
have
these
wonderful
presenters
that
were
with
us
today,
so
we
will
get
answers
and
share
it
back
with
you
most.
Certainly,
I
want
to
say
thank
you.
Thank
you
to
everyone
on
the
line
for
participating
in
a
robust
conversation
today.
A
I
hope
you
all
had
an
opportunity
to
process
and
think
about
things
a
little
differently
than
you
have
in
the
past
that
you'd
have
appreciated
this
time.
Thank
you
so
much
dr
jones
taylor.
Thank
you
kind.
We
really
appreciate
both
of
you
making
the
time
to
present
to
legislators
and
staff
on
these
important
topics,
and
it
would
not
be
an
ncsl
meeting
without
putting
a
plea
in
for
you
to
give
us
some
feedback.
Let
us
know
how
did
we
do
jenny
just
shared
a
link
for
a
survey
monkey.
A
It's
also
on
the
screen
in
front
of
you,
but
if
you
could
just
take
it
probably
won't.
Take
you
more
than
three
minutes
honestly
to
give
us
a
little
feedback
about
how
the
session
want
what
else
you
might
like
to
learn.
We
really
do
read
these
and,
and
we
are
trying
to
be
as
responsive
and
adaptive
as
possible,
so
we
can
be
the
best
organization
for
you
all
mark
your
calendar.
I
hope
everyone
will
be
able
to
join
us.
A
B
A
Which
is
a
friday
friday,
the
22nd
we're
moving
to
fridays
once
the
better
part
of
the
of
you
on
the
line
are
gonna
be
in
session.
So
it's
it's
our
understanding
that
friday
sometimes
are
a
little
quieter
around
the
capital.
So
I
see
senator
dembrow
saying
so.
Hopefully,
friday's
works
and,
and
you
all
be
able
to
find
some
time
to
join
us
again
noon.
Eastern
time
and
a
little
bird
told
me
we
might
have
some
really
exciting
presenters,
so
you
know
mark
it
off
on
your
calendar
and
and
stay
tuned
for
more.
A
I
hope
you
all
have
a
very
healthy
and
happy
thanksgiving
and
holiday
season.
I
know
this
is
certainly
a
unique
time
right
now,
but
stay
safe
and
and
enjoy,
and
please
questions
come
to
us.
Ncsl
is
your
organization.
You
are
members
of
our
organization.
We
feel
like
we're
an
extension
of
the
legislature
and
we
are
here
to
help
you
so
reach
out.