{"id":621,"date":"2021-11-03T22:10:21","date_gmt":"2021-11-03T22:10:21","guid":{"rendered":"https:\/\/sites.sandiego.edu\/cpil-blog\/?p=621"},"modified":"2021-11-03T22:11:55","modified_gmt":"2021-11-03T22:11:55","slug":"sb-65-becomes-law-requiring-investigation-into-serious-illness-and-deaths-associated-with-pregnancy-and-childbirth-to-reduce-racial-disparities","status":"publish","type":"post","link":"https:\/\/sites.sandiego.edu\/cpil-blog\/2021\/11\/03\/sb-65-becomes-law-requiring-investigation-into-serious-illness-and-deaths-associated-with-pregnancy-and-childbirth-to-reduce-racial-disparities\/","title":{"rendered":"SB 65 Becomes Law, Requiring Investigation into Serious Illness and Deaths Associated with Pregnancy and Childbirth to Reduce Racial Disparities"},"content":{"rendered":"<h3>By Hunter W. Collins<\/h3>\n<p><a href=\"https:\/\/leginfo.legislature.ca.gov\/faces\/billTextClient.xhtml?bill_id=202120220SB65\">SB 65 (Skinner)<\/a>, the \u201cCalifornia Momnibus Act,\u201d as amended September 2, 2021, adds section 123660, adds Article 4.7 (commencing with section 123635), and adds Article 4 (commencing with section 128295) to the Health and Safety Code to establish the California Pregnancy-Associated Review Committee effective August 1, 2022. This bill requires the Committee to identify and review all pregnancy-related deaths and severe maternal morbidity and authorizes the Committee to request from any related state or local health department death records, medical records and autopsy reports to inform its review. The Committee may incorporate the membership of the California Pregnancy-Associated Mortality Review Committee and will recommend best practices to reduce maternal and infant deaths.<\/p>\n<p>The <a href=\"https:\/\/perma.cc\/MD3J-QWM2\">Committee<\/a>, comprised of mostly physicians, will also include midwives, doulas, community advocates, and a tribal representative. All proceedings, activities, and opinions of the Committee will be kept confidential. SB 65\u2019s legislative intent includes the statement that \u201c[r]acism and racial bias in health care contribute to both the national maternal mortality and morbidity crisis and infant mortality and morbidity, in particular for pregnant and postpartum people and infants who are Black or Native American.\u201d These minority groups face disproportionate levels of risk during childbirth as \u201cCalifornia\u2019s Native American infant mortality rate is 11.7 deaths per 1,000 live births, followed by Black infants at 8.7 deaths per 1,000 live births,\u201d far above the \u201cstate\u2019s average of 4.2 deaths per 1,000 live births.\u201d<\/p>\n<p>SB 65 builds upon <a href=\"https:\/\/leginfo.legislature.ca.gov\/faces\/billNavClient.xhtml?bill_id=201920200SB464\">SB 464 (Mitchell) (Chapter 533, Statutes of 2019)<\/a>, signed October 7, 2019, which works to reduce the black maternal mortality rate by requiring all perinatal health care providers to undergo implicit bias training, and the 2021\u201322 state budget\u2019s investments to tackle racial and ethnic disparities in maternal health outcomes by including Medi-Cal coverage for doulas, extending Medi-Cal eligibility for postpartum people, providing easier access to CalWORKs for pregnant people, and establishing a guaranteed income pilot program that prioritizes pregnant Californians with low incomes.<\/p>\n<p>SB 65 impacts consumers of the Department of Managed Healthcare (DMHC) by requiring additions to <a href=\"https:\/\/perma.cc\/U5N2-RTA4\">Medi-Cal Managed Care Plans<\/a>, such as doula care, and extending full-scope Medi-Cal to a birthing parent for 12 months postpartum.<\/p>\n<p>Governor Newsom signed SB 65 on October 4, 2021 (Chapter 449, Statutes of 2021). When signing the bill, the Governor <a href=\"https:\/\/perma.cc\/CET8-L2GS\">stated<\/a> that it is \u201cunacceptable that the maternal and infant mortality rate among Black and Indigenous communities remains significantly higher than the state average\u201d and that \u201cCalifornia is committed to tackling discrimination and disparity\u201d and \u201cboth reproductive and racial justice.\u201d<\/p>\n<p>&nbsp;<\/p>\n<a class=\"synved-social-button synved-social-button-follow synved-social-size-32 synved-social-resolution-single synved-social-provider-facebook nolightbox\" data-provider=\"facebook\" target=\"_blank\" rel=\"nofollow\" title=\"Follow us on Facebook\" href=\"https:\/\/www.facebook.com\/CPILUSD\" style=\"font-size: 0px;width:32px;height:32px;margin:0;margin-bottom:5px;margin-right:5px\"><img loading=\"lazy\" decoding=\"async\" alt=\"Facebook\" title=\"Follow us on Facebook\" class=\"synved-share-image synved-social-image synved-social-image-follow\" width=\"32\" height=\"32\" style=\"display: inline;width:32px;height:32px;margin: 0;padding: 0;border: none;box-shadow: none\" src=\"https:\/\/sites.sandiego.edu\/cpil-blog\/wp-content\/plugins\/social-media-feather\/synved-social\/addons\/extra-icons\/image\/social\/circle\/64x64\/facebook.png\" \/><\/a><a class=\"synved-social-button synved-social-button-follow synved-social-size-32 synved-social-resolution-single synved-social-provider-twitter nolightbox\" data-provider=\"twitter\" target=\"_blank\" rel=\"nofollow\" title=\"Follow us on Twitter\" href=\"https:\/\/twitter.com\/cpilusd\" style=\"font-size: 0px;width:32px;height:32px;margin:0;margin-bottom:5px\"><img loading=\"lazy\" decoding=\"async\" alt=\"twitter\" title=\"Follow us on Twitter\" class=\"synved-share-image synved-social-image synved-social-image-follow\" width=\"32\" height=\"32\" style=\"display: inline;width:32px;height:32px;margin: 0;padding: 0;border: none;box-shadow: none\" src=\"https:\/\/sites.sandiego.edu\/cpil-blog\/wp-content\/plugins\/social-media-feather\/synved-social\/addons\/extra-icons\/image\/social\/circle\/64x64\/twitter.png\" \/><\/a>","protected":false},"excerpt":{"rendered":"<p>By Hunter W. Collins SB 65 (Skinner), the \u201cCalifornia Momnibus Act,\u201d as amended September 2, 2021, adds section 123660, adds Article 4.7 (commencing with section 123635), and adds Article 4 (commencing with section 128295) to the Health and Safety Code <a class=\"more-link\" href=\"https:\/\/sites.sandiego.edu\/cpil-blog\/2021\/11\/03\/sb-65-becomes-law-requiring-investigation-into-serious-illness-and-deaths-associated-with-pregnancy-and-childbirth-to-reduce-racial-disparities\/\">Continue reading <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":1013,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[132906,136804],"tags":[137914,132908,137913,137912,137911],"coauthors":[132864],"class_list":["post-621","post","type-post","status-publish","format-standard","hentry","category-department-of-managed-health-care","category-legislation-department-of-managed-health-care","tag-california-momnibus-act","tag-dmhc","tag-infant-mortality","tag-mortality-rate","tag-sb65"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>SB 65 Becomes Law, Requiring Investigation into Serious Illness and Deaths Associated with Pregnancy and Childbirth to Reduce Racial Disparities - Consumer Protection Policy Center - Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/sites.sandiego.edu\/cpil-blog\/2021\/11\/03\/sb-65-becomes-law-requiring-investigation-into-serious-illness-and-deaths-associated-with-pregnancy-and-childbirth-to-reduce-racial-disparities\/\" class=\"yoast-seo-meta-tag\" \/>\n<meta property=\"og:locale\" content=\"en_US\" class=\"yoast-seo-meta-tag\" \/>\n<meta property=\"og:type\" content=\"article\" class=\"yoast-seo-meta-tag\" \/>\n<meta property=\"og:title\" content=\"SB 65 Becomes Law, Requiring Investigation into Serious Illness and Deaths Associated with Pregnancy and Childbirth to Reduce Racial Disparities - Consumer Protection Policy Center - Blog\" class=\"yoast-seo-meta-tag\" \/>\n<meta property=\"og:description\" content=\"By Hunter W. Collins SB 65 (Skinner), the \u201cCalifornia Momnibus Act,\u201d as amended September 2, 2021, adds section 123660, adds Article 4.7 (commencing with section 123635), and adds Article 4 (commencing with section 128295) to the Health and Safety Code Continue reading &rarr;\" class=\"yoast-seo-meta-tag\" \/>\n<meta property=\"og:url\" content=\"https:\/\/sites.sandiego.edu\/cpil-blog\/2021\/11\/03\/sb-65-becomes-law-requiring-investigation-into-serious-illness-and-deaths-associated-with-pregnancy-and-childbirth-to-reduce-racial-disparities\/\" class=\"yoast-seo-meta-tag\" \/>\n<meta property=\"og:site_name\" content=\"Consumer Protection Policy Center - Blog\" class=\"yoast-seo-meta-tag\" \/>\n<meta property=\"article:published_time\" content=\"2021-11-03T22:10:21+00:00\" class=\"yoast-seo-meta-tag\" \/>\n<meta property=\"article:modified_time\" content=\"2021-11-03T22:11:55+00:00\" class=\"yoast-seo-meta-tag\" \/>\n<meta name=\"author\" content=\"Katie Gonzalez\" class=\"yoast-seo-meta-tag\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" class=\"yoast-seo-meta-tag\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" class=\"yoast-seo-meta-tag\" \/>\n\t<meta name=\"twitter:data1\" content=\"Katie Gonzalez\" class=\"yoast-seo-meta-tag\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" class=\"yoast-seo-meta-tag\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" class=\"yoast-seo-meta-tag\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/sites.sandiego.edu\/cpil-blog\/2021\/11\/03\/sb-65-becomes-law-requiring-investigation-into-serious-illness-and-deaths-associated-with-pregnancy-and-childbirth-to-reduce-racial-disparities\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/sites.sandiego.edu\/cpil-blog\/2021\/11\/03\/sb-65-becomes-law-requiring-investigation-into-serious-illness-and-deaths-associated-with-pregnancy-and-childbirth-to-reduce-racial-disparities\/\"},\"author\":{\"name\":\"Katie Gonzalez\",\"@id\":\"https:\/\/sites.sandiego.edu\/cpil-blog\/#\/schema\/person\/fdc87a266320b80c7a790bdc2a17df69\"},\"headline\":\"SB 65 Becomes Law, Requiring Investigation into Serious Illness and Deaths Associated with Pregnancy and Childbirth to Reduce Racial Disparities\",\"datePublished\":\"2021-11-03T22:10:21+00:00\",\"dateModified\":\"2021-11-03T22:11:55+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/sites.sandiego.edu\/cpil-blog\/2021\/11\/03\/sb-65-becomes-law-requiring-investigation-into-serious-illness-and-deaths-associated-with-pregnancy-and-childbirth-to-reduce-racial-disparities\/\"},\"wordCount\":413,\"commentCount\":0,\"keywords\":[\"California momnibus act\",\"DMHC\",\"infant mortality\",\"mortality rate\",\"SB65\"],\"articleSection\":[\"Department of Managed Health Care\",\"Legislation\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\/\/sites.sandiego.edu\/cpil-blog\/2021\/11\/03\/sb-65-becomes-law-requiring-investigation-into-serious-illness-and-deaths-associated-with-pregnancy-and-childbirth-to-reduce-racial-disparities\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/sites.sandiego.edu\/cpil-blog\/2021\/11\/03\/sb-65-becomes-law-requiring-investigation-into-serious-illness-and-deaths-associated-with-pregnancy-and-childbirth-to-reduce-racial-disparities\/\",\"url\":\"https:\/\/sites.sandiego.edu\/cpil-blog\/2021\/11\/03\/sb-65-becomes-law-requiring-investigation-into-serious-illness-and-deaths-associated-with-pregnancy-and-childbirth-to-reduce-racial-disparities\/\",\"name\":\"SB 65 Becomes Law, Requiring Investigation into Serious Illness and Deaths Associated with Pregnancy and Childbirth to Reduce Racial Disparities - 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