NATIONAL NEWS

Alabama House expedites Medicaid for pregnant women, joining other states with high mortality rates

Feb 14, 2025, 8:34 AM

FILE - Dr. Max Rogers, the obstetrician-gynecologist at Grove Hill Memorial Hospital, poses for a p...

FILE - Dr. Max Rogers, the obstetrician-gynecologist at Grove Hill Memorial Hospital, poses for a photo, July 15, 2024, in Grove Hill, Ala. (AP Photo/Safiyah Riddle, File)
Credit: ASSOCIATED PRESS

(AP Photo/Safiyah Riddle, File)

MONTOGMERY, Ala. (AP) — A bill that would expedite Medicaid coverage and prenatal health care for low-income pregnant women in Alabama has advanced as lawmakers across the South try to address rising maternal and infant mortality rates.

The “presumptive eligibility” legislation states that Medicaid will pay for a pregnant woman’s outpatient medical care for up to 60 days while her application for the government-funded insurance program is being considered.

“This way we cut out some of the red tape, we get them in as quickly as possible,” said Rep. Marilyn Lands, the Democrat representing Huntsville who introduced the bill.

Processing Medicaid applications can take weeks, Lands said, and physicians say early prenatal care is vital.

Last year, nearly 1 in 5 pregnant Alabama women received prenatal care after five months of pregnancy, or otherwise received less than 50% of the appropriate number of the recommended visits throughout her pregnancy, according to .

The bill passed in the Alabama House of Representatives unanimously. It will now be considered by the Senate. Republicans celebrated the bill as a “pro-life” measure.

Alabama’s delivery health outcomes currently lag far behind the rest of the country.

found Alabama had a maternal mortality rate of 64.63 deaths per 100,000 births between 2018 and 2021, nearly double the national rate of 34.09 per 100,000 births. That jumps to 100.07 deaths for Black women in the state.

Other states have adopted a similar strategy for addressing some of the highest infant and maternal mortality rates across the country. Legislators in both Mississippi and Arkansas have introduced bills that would offer similar coverage to expectant mothers. Mississippi passed a law last year that was nearly identical to the Alabama legislation, but it was never implemented after negotiations with the federal Medicaid agency stalled, according to Mississippi Today.

Alabama and Mississippi are among 10 states nationwide that have not expanded Medicaid, which means many low-income women are only eligible for Medicaid once they become pregnant.

In Alabama, 1 in 6 women of childbearing age fall within the coverage gap, making too much to qualify for Medicaid but too little to afford private insurance, according to Alabama Arise, an advocacy group for low-income families.

A pregnant woman in Alabama with no dependents can if she makes $21,996 or less, or up to $37,704 if she is part of a household of three.

used to pay for 45% of all births in Alabama in 2023, according to the most recent report published by the Alabama Department of Public Health. More than half of all infant deaths were to mothers who used Medicaid.

Dr. Max Rogers, an obstetrician-gynecologist who works with many low-income pregnant women in rural communities, said medical care during the first trimester is essential for ensuring a woman is in a safe environment for carrying a pregnancy and identifying potentially lethal threats early on.

“The longer you have to get blood pressure under control, or get diabetes under control, the long-term outcomes are going to be much, much better,” Rogers said.

Rogers’ rural office was the fourth labor and delivery unit to close statewide in 2024. He was able to relocate an hour and a half south where he has continued seeing some of his patients — but the closures have left huge swaths of women in the state without access to prenatal care.

Rogers says he supports the bill but that it will only be effective if other measures are taken to increase access to care.

“If we don’t make sure that a patient can get there and take advantage of services, it doesn’t really have an impact, right?” he said.

National News

FILE - Students walk past a display for Asian Pacific American Heritage Month at Farmington High Sc...

Associated Press

Asian American, Native Hawaiian and Pacific Islander Heritage Month has only grown in 5 decades

It has been almost 50 years since the U.S. government established that Asian Americans, Native Hawaiians and Pacific Islanders and their accomplishments should be recognized annually across the nation. What started as just one week in May has evolved over the decades into a monthlong tribute of events in cities big and small. The nature […]

3 hours ago

Associated Press

Man driving stolen Porsche in Brooklyn fatally shot by police, NYPD says

NEW YORK (AP) — A man in a stolen Porsche trying to evade law enforcement was shot and killed by an officer Tuesday night in Brooklyn, according to the New York Police Department. The 28-year-old was driving on the Belt Parkway just after 8 p.m. when officers flagged the vehicle as “suspicious,” NYPD Chief of […]

4 hours ago

Montana Democratic Minority Leader Sen. Pat Flowers, left, speaks with Republican Sen. Josh Kassmie...

Associated Press

Montana Republicans dominated the 2024 election. How did Democrats gain power at the statehouse?

HELENA, Mont. (AP) — Following Montana Republicans’ overwhelming dominance in the fall election, a group of GOP lawmakers kicked off the 2025 Legislature with an unexpected move: ceding power to Democrats. The minority took full advantage, remaking legislative committees and banding with a handful of moderate Republicans to thwart GOP leaders’ efforts to make Montana’s […]

5 hours ago

A mural adorns a wall next to the Massapequa High School, in Massapequa, N.Y., Friday, April 25, 20...

Associated Press

A town refuses to give up the school’s Native American mascot — and gets Trump’s support

MASSAPEQUA, N.Y. (AP) — As a high school hockey player, Adam Drexler wore his Massapequa Chiefs jersey with pride. But as the Chickasaw Nation member grew up and learned about his Indigenous roots, he came to see the school’s mascot — a stereotypical Native American man wearing a headdress — as problematic. Now his Long […]

5 hours ago

The Tied Arch Bridge construction site, which will take high-speed trains over State Route 43, is s...

Associated Press

California high-speed rail leader pushes state to support private investment

SACRAMENTO, Calif. (AP) — A long-delayed project promising nonstop rail service between San Francisco and Los Angeles in under three hours may be able to secure the private funding it desperately needs if California agrees to pay the investors back, its chief executive told The Associated Press. Ian Choudri, who was appointed CEO of the […]

5 hours ago

FILE - People are seen on the beach and in the water in front of the Kahala Hotel & Resort in Honol...

Associated Press

Hawaii plans to increase hotel tax to help it cope with climate change

  HONOLULU (AP) — In a first-of-its kind move, Hawaii lawmakers are ready to hike a tax imposed on travelers staying in hotels, vacation rentals and other short-term accommodations and earmark the new money for programs to cope with a warming planet. State leaders say they’ll use the funds for projects like replenishing sand on […]

5 hours ago

Alabama House expedites Medicaid for pregnant women, joining other states with high mortality rates