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Michigan Senate passes ‘Momnibus’ legislative package on final day of Black Maternal Health Week

By Michigan Advance

April 18, 2025

BY JON KING, MICHIGAN ADVANCE

MICHIGAN—A 10-bill package to reduce racial inequities in maternal mortality in Michigan passed through the Michigan Senate Thursday, with supporters hoping that the second time will be the charm to getting the so-called “momnibus” signed into law.

The legislation, which passed with bipartisan support, had received a similar reception when it was originally introduced in April 2024, but then failed to make it across the finish line after Republican lawmakers boycotted the lame duck session in December in protest to minimum and tipped wage reforms not being placed for a vote.

The main sponsor of the package is Sen. Erika Geiss (D-Taylor), who said the legislation incorporates a variety of approaches to improve prenatal and perinatal health outcomes in Michigan.

“By dismantling systemic barriers that disproportionately impact Black and brown birthing people, the Michigan Momnibus brings us one step closer to achieving equity and justice and reproductive and obstetric care,” Geiss told her colleagues prior to the vote. “It is a multifaceted bill package that works to improve integrity and accountability in Michigan’s maternal health care system, ensuring that every family has an equitable opportunity to have a healthy, joyful pregnancy, birthing, and postpartum experience that truly centers their needs.”

The Momnibus legislative package includes:

  • Senate Bill 29 mandates the Michigan Department of Health and Human Services to compile annual data on racial and ethnic disparities in health care, as well as review statewide maternal deaths in order to complete a report to the legislature starting in 2026 and then continuing every three years. The department would also have to come up with a statewide plan to reduce such ethnic and racial disparities in health care.
  • Senate Bill 30 would enact the “Biased and Unjust Care Reporting Act” which requires the state health department to take and analyze reports of unfair treatment by pregnant or postpartum individuals who say they received improper medical care that was not culturally informed or treatment that caused them harm. The department would have to create a reporting tool to accept such complaints while also maintaining the patients’ privacy.

 

  • Senate Bill 31 bars hospital leadership from discriminating against a patient on the basis of their pregnancy or lactating status and would require a health facility to stabilize a patient or resident going through labor before ceasing care for the patient upon the patient’s refusal or denial of care. The facility would have to author a policy on patient rights and adhere to the policy.

 

  • Senate Bill 32 requires insurance companies offering medical malpractice insurance policies to provide the Department of Insurance and Financial Services with a review of the policies related to perinatal care on an annual basis.

 

  • Senate Bill 33 clarifies that a patient’s pregnancy would not preclude a designated patient advocate from making life-sustaining treatment decisions for the patient.

 

  • Senate Bill 34 clarifies Michigan’s Elliott-Larsen Civil Rights Act to bar discrimination on the basis of sex, including pregnancy and lactation status.

 

  • Senate Bill 36 amends the public health code to include eligible midwives who attended midwifery programs to participate in the state health department’s Michigan Essential Health Provider Repayment program.

 

  • Senate Bill 37 requires insurance companies that cover gynecological and pregnancy services to cover such services whether they be in a hospital or a patient’s home, by a qualified physician or nurse midwife or midwife.

 

  • Senate Bill 38 and Senate Bill 39 amends the Social Welfare Act to require the Healthy Michigan Plan to cover ultrasound procedures and fetal nonstress tests in offsite locations and permit Medicaid eligible individuals to be able to receive perinatal and gynecologic care under the Healthy Michigan Plan under certain circumstances.

 

Statistics have long corroborated disparities in maternal outcomes for women of color, with maternal mortality rates for Black women in the U.S. nearly 3.5 times the rate for non-Hispanic white women, according to the Centers for Disease Control and Prevention. Additionally, the CDC says the rate of preterm birth among Black women is 12.34%, or about 1.5 times higher than the rate of preterm birth among white or Hispanic women, which stands at 7.64% and 8.72% respectively.

A lack of access to quality health care and educational resources are some of the reasons for the inequity, and are among the nonmedical factors that influence health outcomes. Known as the social determinants of health, the CDC says those factors include the conditions in which people are born, grow, work, live, worship, and age.

“Social determinants of health prevent many people from racial and ethnic minority groups from having fair opportunities for economic, physical, and emotional health,” said the CDC.

Geiss noted that the passage of the bills through the Senate came on the final day of Black Maternal Health Week.

“This has been a long road for the Michigan Momnibus, but by keeping the Momnibus moving, we can affirm a commitment to ensuring that healthy pregnancies and equitable care must transcend partisan racial, class, and economic divides, as every family deserves access to the care they need to thrive,” said Geiss.

The legislation was immediately referred to the Michigan House for consideration, where it was assigned to the Health Policy Committee.

READ MORE: Trump administration tries to claw back $400M in public health funding from Michigan

This coverage was republished from Michigan Advance pursuant to a Creative Commons license. 

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CATEGORIES: STATE LEGISLATURE
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