Government
Sen. Kamala Harris Reintroduces Legislation Addressing Black Maternal Mortality Crisis
MICHIGAN CHRONICLE — U.S. Senator Kamala D. Harris (D-CA) on Wednesday reintroduced the Maternal Care Access and Reducing Emergencies (Maternal CARE) Act, legislation to address persistent biases and shortcomings in our nation’s medical system that have contributed to the ongoing crisis in Black maternal mortality.
U.S. Senator Kamala D. Harris (D-CA) on Wednesday reintroduced the Maternal Care Access and Reducing Emergencies (Maternal CARE) Act, legislation to address persistent biases and shortcomings in our nation’s medical system that have contributed to the ongoing crisis in Black maternal mortality.
The United States is one of only thirteen countries in the world where the rate of maternal mortality is now worse than it was 25 years ago. For Black women, the risk of dying from pregnancy-related causes is three to four times higher than that of white women. Further, Black women are twice as likely to suffer from life-threatening pregnancy complications.
“Black mothers across the country are facing a health crisis that is driven in part by implicit bias in our health care system. We must take action to address this issue, and we must do it with the sense of urgency it deserves,” said Harris. “My Maternal CARE Act will establish implicit bias training throughout the medical profession and help ensure that women—especially Black women—have access to comprehensive, culturally competent care.”
Companion legislation has been introduced in the House of Representatives by Rep. Alma Adams (D-NC).
“We cannot address the black maternal health crisis facing this country until we address racial disparities in healthcare. The Maternal CARE Act will confront the persistent biases in our health system to ensure Black women have equal access to the quality pre – and post-natal care they deserve,” said Congresswoman Adams, founder and co-chair of the Black Maternal Health Caucus. “I thank Senator Harris for her leadership in the Senate and look forward to continuing to work together to address this public health crisis.”
The Maternal CARE Act:
- Creates a new $25 million program to address racial bias in maternal health care. The new grant program will be directed to medical schools, nursing schools, and other health professional training programs to support evidence-based implicit training that will improve care for Black women by reducing bias in judgment or behavior resulting from implicit attitudes or stereotypes.
- Allocates $125 million to identify high-risk pregnancies, and provide mothers with the culturally competent care and resources they need. The new grant program will help states develop and carry out pregnancy medical home programs. These programs improve care by incentivizing maternal health care providers to deliver integrated health care services to pregnant women and new mothers and reduce adverse maternal health outcomes, maternal deaths, and racial health disparities in maternal mortality and morbidity.
- Helps medical schools incorporate bias recognition in clinical skills testing by directing the National Academy of Medicine to study and make recommendations.
Supporters of the legislation include the American College of Nurse-Midwives, American College of Obstetricians and Gynecologists, Association of Maternal & Child Health Programs, Black Mamas Matter Alliance, Black Women Birthing Justice, Black Women’s Health Imperative, Center for Reproductive Rights, Children’s Hospital of Philadelphia, Commonsense Childbirth – National Perinatal Task Force, Every Mother Counts, In Our Own Voice: National Black Women’s Reproductive Justice Agenda, March of Dimes, National Association to Advance Black Birth, National Birth Equity Collaborative, National Black Midwives Alliance, National Health Law Program, National Partnership for Women & Families, National WIC Association, National Women’s Law Center, Planned Parenthood Federation of America, Society for Maternal-Fetal Medicine, WomenHeart, and 1,000 Days.
“The American College of Obstetricians and Gynecologists is proud to support the Maternal Care Access and Reducing Emergencies (Maternal CARE) Act,” said Ted Anderson, M.D., Ph.D., president, ACOG. “We strongly believe that every woman should receive the high quality affordable care she needs, regardless of her zip code or the color of her skin, and are committed to the goal of eliminating preventable maternal deaths. Achieving this goal requires that physicians – and all clinicians – eliminate implicit bias in health care, and we see great potential to improve the delivery and quality of care for women through pregnancy medical homes, two key components of this important legislation. ACOG thanks Sen. Harris and Rep. Adams for recognizing this important problem and for their leadership in helping improve outcomes for pregnant women.”
“We applaud the collaborative efforts of Senator Kamala Harris and Representative Alma Adams in the reintroduction of the Maternal CARE Act,” said Angela Doyinsola Aina, MPH, Co-Director of the Black Mamas Matter Alliance. “Community-based models of maternity care that is grounded in birth and reproductive justice are effective approaches in advancing optimal maternal health outcomes for Black women and their families. Most importantly, we commend the inclusion of perinatal health workers and Doulas within the Pregnancy Medical Home model to represent the communities most affected by maternal health disparities.”
In addition to Harris, the Maternal CARE Act is co-sponsored by Senators Tammy Baldwin (D-WI), Richard Blumenthal (D-CT), Cory Booker (D-NJ) Sherrod Brown (D-OH), Ben Cardin (D-MD), Bob Casey (D-PA), Tammy Duckworth (D-IL), Dick Durbin (D-IL), Mazie Hirono (D-HI), Doug Jones (D-AL), Tim Kaine (D-VA), Amy Klobuchar (D-MN), Ed Markey (D-MA), Jeff Merkley (D-OR), Bernie Sanders (I-VT), Debbie Stabenow (D-MI), Elizabeth Warren (D-MA), and Ron Wyden (D-OR).
This article originally appeared in the Michigan Chroncile.
Activism
Oakland Post: Week of March 5 – 11, 2025
The printed Weekly Edition of the Oakland Post: Week of March 5 – 11, 2025

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Activism
Undocumented Workers Are Struggling to Feed Themselves. Slashed Budgets and New Immigration Policies Bring Fresh Challenges
Founded more than 20 years ago, Street Level Health Project started with a handful of nurses and volunteers visiting day laborer sites in East Oakland to provide medical assistance and other resources to newly arrived immigrants. They quickly spotted symptoms common among day laborers: nausea, fatigue, and headaches. Sitting in the sun for hours waiting for work is typical. Once on a job, some men shared incidents of nearly passing out while working. Volunteer nurses also noticed signs of hunger among the men, with some going days without eating a proper meal.

By Magaly Muñoz
Up and down the streets of the Fruitvale neighborhood in Oakland, immigrant workers head to empty parking lots and street corners waiting for a job. Some are as young as 14 and as old as 60.
Diego, a man in his late thirties, is a construction worker who arrived in the United States nine months ago. He, like many of the men standing beside him at the day laborer site, came to the U.S. in the hopes of providing a new life for his family. Now, Diego and other immigrants are worried as threats of deportation increase from the Trump administration.
Also worried are organizations such as Street Level Health Project, an Oakland-based nonprofit dedicated to providing access to health care and basic services to these laborers.
Street Level Health Project’s funding primarily comes from federal and local grants, These are in jeopardy because of city budget constraints and proposed cuts to federal social service dollars.
Already, the nonprofit’s local funding has been cut. The City of Oakland decreased one of the organization’s grants by $35,000 in one of its latest rounds of budget cuts, with city officials citing a looming budget deficit.
“Our primary day laborer program funding right now is secured, but we do have concerns in this next budget cycle if it will continue to be secured, given [the budget shortfall], and the recent cut to 13 community grants across the city,” said Executive Director Gabriela Galicia.
Founded more than 20 years ago, Street Level Health Project started with a handful of nurses and volunteers visiting day laborer sites in East Oakland to provide medical assistance and other resources to newly arrived immigrants. They quickly spotted symptoms common among day laborers: nausea, fatigue, and headaches. Sitting in the sun for hours waiting for work is typical. Once on a job, some men shared incidents of nearly passing out while working. Volunteer nurses also noticed signs of hunger among the men, with some going days without eating a proper meal.
“We’re the safety net to the safety net,” said Galicia. As Oakland’s sole organization devoted to helping undocumented workers, Street Level is often tasked with “picking up the leftovers” for groups that provide resources to the larger immigrant or underserved communities, she added. Now, that mission is under threat.

Level Health Project is a nonprofit organization in East Oakland that provides health and employment resources for immigrant day laborers and their families. The staff upped their efforts to provide information about immigration rights in the wake of Donald Trump’s presidency. Photo by Magaly Muñoz.
At day laborer sites in East Oakland, several workers said that they often skip buying groceries or meals for themselves in order to save money for rent or other necessities.
Diego, who like others interviewed for this story asked to not share his full name because of his undocumented status, said he’s lucky if he makes $300 a week. He said that is enough to pay for the small room he and his son rent in the Fruitvale – but not enough to feed them both. Diego said that he will sometimes go days without food.
The family Diego rents from is more fortunate, he said, because they’re able to afford meat and rice. At times, Diego said, it’s hard to ignore the savory smell that finds its way to his bedroom. Diego tells his son to look away from his landlord’s table to avoid feeling envious about what they cannot buy themselves.
“It’s hard because I know there’s food at the store, but there’s never enough [money] to buy it,” Diego said. “We barely have enough to pay our rent every month.”
On top of paying for the basics here in the U.S., day laborers also face pressure to support relatives in their home countries.
Pedro, interviewed on his BART ride home after an unsuccessful day of trying to find work in East Oakland, said his family in Guatemala regularly goes days without eating because he can’t make enough money in the Bay Area to send home to them.
“A lot of [day laborers] have their families back in [Latin America], making it harder to keep up with our needs here,” Pedro said. Some days he said the only thing he eats is the fruit that some local organizations hand out to workers like him.

Street Level Health Project is providing weekly grocery bags to immigrant day laborers and their families to address the growing need for food in the community. Photo by Magaly Muñoz.
Bracing for bigger challenges
Before the pandemic, Street Level Health Project had a hot meal lunch program at their central office in the Fruitvale, where the organization provided meals twice a week for over 50 people. The organization also had a hot meal breakfast program where they prepared 50 to 90 meals, three times a week.
Understanding the food insecurity that many day laborers face, the project launched a food distribution program in 2011, distributing nearly 70 bags of groceries weekly. Thanks to additional funding, they were able to increase that to 150 food bags a week during the pandemic.
In recent years, Street Level Health Project reduced its weekly grocery distribution back to 70 bags and cut its hot meal program completely. Galicia, the director, said that’s because of the end of COVID-19 funding and staffing reductions.
Street Level Health Project also receives regular donations from the Alameda County Food Bank, but Galicia said it has not been enough to restore the food distribution program to what it was during the pandemic.
Currently, Street Level has a $100,000 grant from the city of Oakland to provide wrap-around services for day laborers, such as getting jobs for the workers, providing assistance with CalFresh and MediCal applications, and referring people to legal aid or immigration assistance. Galicia said that funding is barely enough to do the amount of work that the city expects.
Meanwhile, the $35,000 cut in funding has impacted the organization’s workers’ rights outreach and education services, she said.
The Oakland Post tried reaching out to city and county officials several times for comment but did not get a response.
Galicia fears city leaders will make even harsher cuts during the upcoming budget cycle this spring to balance a $130 million shortfall. Last year, Oakland cut funding for public safety, arts and culture programs, and 13 other nonprofits that serve the city’s most vulnerable populations.
Yet the budget concerns don’t stop with local government.

In the wake of Trump 2.0, organizations across the country are handing out “red cards” with the rights that immigrants should be aware of when encountering immigration officers. Photo by Magaly Muñoz.
Since President Donald Trump’s second inauguration, immigrant communities and the organizations that serve them have been in crisis mode.
Trump, who ran on a promise to deport millions of immigrants, has signed executive orders to stop birthright citizenship, shipped migrants to Guantanamo Bay, and attempted to freeze federal funding to social programs. Undocumented residents are increasingly anxious that their families might get separated.
Galicia said this is the time for local and state governments to invest in their organizations’ staff and direct resources, not take them away, from the people on the frontlines.
“I think that it’s just as important that funders are able to give to our teams, not just for the community but because the people doing the work have to be well, and we need ample resources to be able to do this work to support our community,” Galicia said.
For Pedro, the day laborer in Oakland, the combination of less support from nonprofits like Street Level Health Project, along with fear raised by the Trump administration’s deportation threats, has left him fearful. He is not alone, he said. He has noticed fewer day laborers showing up to their usual spots. Pedro said he himself fears encountering an immigration officer on his way to work.
“We don’t want to leave our homes, but at the same time, if we don’t go outside, we don’t work,” he said. “If we don’t work, we can’t afford to live.”
Oakland Post reporter Magaly Muñoz produced this story as part of a series as a 2024 USC Annenberg Center for Health Journalism Data Fellow and Engagement Grantee.
Activism
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