Florida Healthy Start’s Concerns with the Senate Budget Proposal
Healthy Start has significant concerns with the Senate proposed $41 million budget redirection and associated conforming bill language (SPB 2518 lines 514-541) that changes /moves the Healthy Start contract with AHCA to a system of subcontracts with each of the health plans.
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Investing in a Healthy Start for Florida’s Children
In a tight budget year, it is vital to remember that the highest rate of return on investment is during the earliest years (ages 0-3) . This is why it is critical to ensure that every baby has a chance at a Healthy Start.
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Racial Disparities in Birth Outcomes
Prematurity is a leading cause of infant deaths in Florida and across the country, and can lead to life-long health issues for infants that survive. There are also considerable racial disparities in premature birth –the preterm birth rate. In Florida, the preterm birth rate among black women is 52% higher than the rate among all other women.
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Perinatal Depression
Pregnant women with depression are 3.4 times more likely to deliver preterm and four times as likely to deliver a low birth-weight baby than non-depressed women. Perinatal depression also contributes to long-term health and developmental issues in children. Children of depressed mothers are at higher risk of experiencing development delays at 18 months, and physical health problems in early childhood, resulting in later social and emotional problems during adolescence and adulthood.
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Maternal Mortality
Around 700 women die annually in the United States as a result of pregnancy or delivery complications. The maternal mortality rate has increased from 12.7 per 100,000 in 2002 to 17.4 per 100,000 in 2018. Black mothers in Florida are 2-3X more likely to die from pregnancy-related causes than White mothers.
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Substance Use Disorder
An estimated five percent of women — or more than 11,000 in Florida — use one or more addictive substances during pregnancy. Smoking tobacco or marijuana, taking prescription pain relievers, or using illegal drugs during pregnancy is associated with poor birth outcomes, including stillbirth.
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Enhancing Medicaid Benefits 12 Months Postpartum
According to the Perinatal Periods of Risk research, most fetal and infant deaths are due to the health of the mother before she gets pregnant. Currently, women in Florida who qualify for Medicaid due to pregnancy lose their coverage 60 days after their pregnancy ends leaving them uninsured until their next pregnancy and unable to address ongoing health issues such as hypertension. While current coverage allows for a postpartum visit (usually at six weeks), many pregnancy-related complications arise beyond this period.
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