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Commentary: Health equity means healthy babies and healthy moms. Why every state should follow Maryland’s lead – Maryland Matters

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Commentary: Health equity means healthy babies and healthy moms. Why every state should follow Maryland’s lead – Maryland Matters


Maryland passed the Healthy Babies Equity Act in 2022. Photo by Roberto Westbrook/Getty Images

By Karla Madera Tejada and Thomas J. Rachko, Jr. 

The writers descend from immigrant backgrounds and both serve at The George Washington University Cisneros Hispanic Leadership Institute and The Immigrant Well-Being Scholar Collaborative.

Today marks Pregnancy and Infant Loss Remembrance Day, an urgent reminder that we need to do everything we can to protect pregnant people and children, including undocumented mothers and their unborn babies. A new policy solution gives this often-overlooked part of the population hope. Last year, Maryland enacted a new law — the Healthy Babies Equity Act — that provides comprehensive health care coverage to pregnant people regardless of immigration status.

Introduced by Del. Joseline A. Peña-Melnyk, an immigrant mother of three from the Dominican Republic herself, this legislation allows pregnant individuals with income up to 250% of the federal poverty level to receive full benefits from Medicaid or the Maryland Children’s Health Program, including prenatal, delivery, and postpartum care for up to four months. It covers care for the child as well, up to one-year-old. The coverage also includes dental, lab work, prescription drug services and notably, mental health care.

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The bill went into effect on July 1, and the impact has already been tremendous. In its first two months, more than 3,700 pregnant people have been enrolled. The Maryland Department of Health estimates up to 6,000 people will be eligible for the program in its first year.

The bill represents not only a significant investment in community health but also a cost savings for state taxpayers: Del. Peña-Melnyk says the bill could save Maryland upwards of $120 million — the costs associated with pregnant people having to give birth in the emergency room. In cases where undocumented pregnant people give birth in an emergency room, costs are typically covered by emergency Medicaid funds.

A study conducted in California in 2000, following the approval of a 1994 state proposition that required all publicly funded health care facilities to deny nonemergency care to undocumented immigrants, sought to assess the economic costs of eliminating prenatal care for undocumented immigrants. The study found that the cost of postnatal care without prenatal care was $2,341 more initially and $3,247 more when longer-term costs were factored in. For every dollar cut from prenatal care, they expected an increase of $3.33 in the cost of postnatal care and $4.63 in incremental long-term cost. Elimination of publicly funded prenatal care for undocumented women was estimated to save the state $58 million, but could cost taxpayers as much as $194 million more in postnatal care, resulting in a net cost of $136 million initially and $211 million in long-term costs.

Stories are already emerging about the life-changing effects of Maryland’s law. It has been celebrated as a victory by immigrants’ rights advocates for public health.

Immigrant mothers who previously had limited access to health care can now safely access prenatal care, give birth in a hospital instead of an emergency room, and get medical attention in the critical postpartum period — drastically reducing risks of complications and death.Studies show significant racial disparities in infant and maternal health for Black, brown, Latina, and indigenous populations. For example, women in majority Hispanic communities have a 32% higher rate of severe maternal morbidity than women in white communities. The analysis also shows that Black and Hispanic women have a substantially higher prevalence than white women of the most common factors that put women at risk of severe maternal morbidity. This highlights the incredible need for more nation-wide legislation like Maryland’s law to bridge the gap that communities of color face in maternal health.

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Medical bills disproportionately affect Latino communities even more compared to other racial and ethnic groups, with the exception of African Americans. The U.S. Census Bureau found that households with a member of Hispanic origin were more likely to hold medical debt (21.7%) than households without (18.6%). The Consumer Financial Protection Bureau found that past-due medical debt is more prevalent among Black (28%) and Hispanic (22%) individuals than white (17%) and Asian (10%) individuals. Medical debt is also more common in the Southeastern and Southwestern U.S., in part because states in those regions have not expanded Medicaid coverage, demonstrating the need for increased access across the board.

The Healthy Babies Equity Act sets a model every state should emulate. Enacting such policies upholds the right to health for all while reducing long-term costs. It is the morally right thing to do and fiscally responsible as well. Health care should not be determined by immigration status. Everyone benefits when children get a healthy start to life.

State lawmakers around the country should take action to pass their own laws. At the federal level, Congress should incentivize states to provide equitable pregnancy coverage by increasing Medicaid funds. Another possibility is to expand the State Plan Amendment to the Children’s Health Insurance Program, which states can use to cover pregnant individuals through the unborn child option; regardless of the mother’s immigration status. Currently, only 20 states provide this option.

As Del. Peña-Melnyk shared with us: “Healthcare should know no borders when the lives of mothers and children are on the line. The Healthy Babies Equity Act in Maryland sets a model every state should emulate. It’s the morally right thing to do and fiscally responsible as well. On Pregnancy and Infant Loss Remembrance Day, let us remember that everyone benefits when children get a healthy start to life.”

Maryland has taken a stand for health care as a human right for everyone in the state — not just a privilege for some. Pregnancy and Infant Loss Remembrance Day serves as a poignant reminder that the United States should put forth lifesaving solutions that prioritize the health and well-being of pregnant people and children, with equity at the fore.

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Maryland

3 Takeaways from the Spartans’ Victory over Maryland

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3 Takeaways from the Spartans’ Victory over Maryland


The Michigan State Spartans under head coach Jonathan Smith are 2-0 thanks to a road win against a tough Maryland team, 27-24.

Resilience might be the word to describe this squad so far. The Spartans made some big blunders against the Terrapins and still found a way to battle back. The gritty performance might have been enough to get the Spartans into a bowl game.

Here are three takeaways from the Spartans’ win.

Aidan Chiles: Very Young, Very Talented

Chiles looked vastly improved from the home opener against Florida Atlantic. Again, he looked like an 18-year-old quarterback.

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Chiles got not just his first passing touchdown as a Spartan, but three passing touchdowns to go with 24 of 39 passing and 363 yards. He also had three interceptions, which very nearly cost the Spartans the game.

Chiles has about as strong an arm as any quarterback to wear the green and white in recent memory. He is dangerous when he is on the move.

Perhaps a critique is that he should try to make more plays with his legs, he has seemed cautious to these first two games. The first pass rusher to get to Chiles likely won’t bring him down — Chiles has a great feel for the pocket and he is quite slippery.

Chiles overcame some poor mistakes and throwing mechanics (his feet tend to get wide and it factors into his overthrows) to lead the Spartans in the most critical of situations against a sturdy Maryland defense.

Huge game for Chiles, who showed why the hype was so promising.

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Can the Spartans Stay Healthy on Defense?

Already, this Spartans squad is beaten up. Dillon Tatum, a key defensive back, lost for the season. Wide receiver Alante Brown, whose injury allowed for Nick Marsh to announce himself to the world, lost for the foreseeable future. Kristian Phillips at guard was huge.

During the Maryland game, several Spartans were beat up. Few even had to go into the tent on the sideline. It will be crucial for the Spartans to remain healthy, especially on defense. Most especially in the defensive backfield.

The Spartans are very confident in their young defensive backs — Justin Denson Jr., Andrew Brinson IV, and Jaylen Thompson can all be very good players, but they need more time to develop.

If more Spartans fall to injury, the defensive backfield could get very young.

Nick Marsh is the Real Deal

Marsh was the recruiting gem of 2024, the best player in a class with plenty of good talent. A highly-rated four-star, Marsh was the No. 107-ranked player in the class by 247Sports. Marsh, of course, stood out in fall camp like the high-profile recruit he was.

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6-foot-3, 208 pounds, Marsh already had a man’s body. At just 18 years old.

“Possesses the size, athleticism, and multi-sport profile that projects very well in the long term,” 247Sports’ Gabe Brooks wrote. “Traitsy mismatch wideout with high-major impact potential and the ceiling to develop into an NFL Draft candidate.”

With the loss of Brown, Marsh was asked to step up. Step up he did — eight receptions for 194 receiving yards and a touchdown. Wide receivers coach Courtney Hawkins might have his next in the line of Jalen Nailor, Jayden Reed and Keon Coleman.

Don’t forget to follow the official Spartan Nation Page on Facebook Spartan Nation WHEN YOU CLICK RIGHT HERE, and be a part of our vibrant community group Go Green Go White as well WHEN YOU CLICK RIGHT HERE.



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Maryland, D.C. and Virginia get more money for house calls for moms and infants – WTOP News

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Maryland, D.C. and Virginia get more money for house calls for moms and infants – WTOP News


The U.S. Health Resources and Services Administration will provide an additional $23.1 million in federal aid to the agency’s national Home Visiting Program in the District, Maryland and Virginia.

More money is on the way for a home-visiting health care program designed to provide better care for pregnant women, new parents and infants.

The U.S. Health Resources and Services Administration (HRSA) announced an additional $23.1 million in federal aid to the agency’s national Home Visiting Program in the District, Maryland and Virginia.

The extra money is the first time in a decade that the program has received an increase in federal funds, HRSA administrator Carol Johnson said.

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“What those resources mean is that we’re able to support nurses, social workers and trained home visitors, and help with those early days of being a new parent,” Johnson said. “All of this has been shown to really make a difference in kids’ outcomes. Kids are so much stronger because they get these kinds of supports.”

Johnson said the program’s success hinges on convenient health visits in a comfortable at-home setting.

“When you’re a new parent, if you have to take off from work and take a few buses to get to an appointment, you’re probably not going to do it,” she said. “But if that person comes to your house and they’re full of resources and knowledge, it’s going to make a huge difference to you.”

Rockville, Maryland-based HRSA spearheads the national program, teaming up with local health organizations to target and reach parents.

Home health care workers can provide breastfeeding support, safe sleep tips and developmental screening for babies. They can even help parents find key services like affordable child care or job and educational opportunities.

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“It’s changed my life,” past program participant Fatima Ray said.

Ray said she was introduced to the program in 2015 when she needed help with her infant daughter. She and her husband were first-time parents and stumbled through the first few months with a newborn.

“It felt good, like I had someone on my team,” Ray said. “Those questions you forget to ask the doctor sometimes, she would answer them.”

The experience impressed Ray so much that she became a home health visitor. She is the maternal health coordinator at Primo Center, a homeless shelter for families in Chicago.

“The same care that was given to me, I just want to pass it on,” Ray told WTOP. “I know how much it made a difference in my life. Home visiting matters.”

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President Joseph Biden signed bipartisan legislation in 2022 that doubles funding for the program over five years. The move was part of a campaign promise to lower risks linked to pregnancy and improve maternal health, especially among women in rural, tribal and low-income communities.

The national home visiting program will receive $440 million Maryland’s local programs will get $10 million of those funds. Virginia is slated to receive $11 million and D.C.’s home visiting programs will see a $2.5 million increase.

“This will push home visiting forward a lot more,” Ray said. “It’s just going to help tremendously.”

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Watch Aidan Chiles, Nick Marsh talk MSU win over Maryland

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Watch Aidan Chiles, Nick Marsh talk MSU win over Maryland


Michigan State won a big time road game over Maryland, improving their record to 2-0, and giving head coach Jonathan Smith his first Big Ten conference victory as the head man of the Spartans.

A big part of that win was the connection between Aidan Chiles and Nick Marsh, and more specifically their 77-yard touchdown connection tying the game 24-24 late in the fourth quarter.

Chiles and Marsh spoke to the media after the team’s win, which you can watch via Spartan Mag on YouTube:

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Contact/Follow us @The SpartansWire on X and like our page on Facebook to follow ongoing coverage of Michigan State news, notes and opinion. You can also follow Cory Linsner on X @Cory_Linsner





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