California Black Media

“Shameful” Cal DOJ Report: Hospitals Ignored Racial Bias Training Mandated to Address Black Women’s High Maternal Death Rate

Four years ago this month, Senate Bill (SB) 464, also known as the California’s Dignity in Pregnancy and Childbirth Act, was signed into law by Gov. Gavin Newsom. The law, authored by Los Angeles County Supervisor Holly Mitchell, when she served in the State Senate, mandated that health care facilities implement training to address unconscious racial bias toward expectant mothers relative to California’s high maternal death rate among Black women.

Published

1 year ago

November 3, 2023

Oakland Post

From Left to Right) U.S. Rep. Sydney Kamlager-Dove (D-CA-37), Assemblymember Akilah Weber (D-La Mesa), Sen. Lola Smallwood-Cuevas (D-Ladera Heights), L.A. County Supervisor Holly Mitchell, California Attorney General Rob Bonta and Gabrielle Brown, Black Women for Wellness Maternal and Infant Health Program Coordinator at a California Department of Justice press conference. Photo courtesy of the Office of the Attorney General, State of California.

By California Black Media

Four years ago this month, Senate Bill (SB) 464, also known as the California’s Dignity in Pregnancy and Childbirth Act, was signed into law by Gov. Gavin Newsom.

The law, authored by Los Angeles County Supervisor Holly Mitchell, when she served in the State Senate, mandated that health care facilities implement training to address unconscious racial bias toward expectant mothers relative to California’s high maternal death rate among Black women.

However, a report released by the California Department of Justice on Oct. 27 found that most hospitals and clinics either failed to implement the training or instituted it late.

“The disparity in maternal death rates in California reflects the deep and shameful racial inequities in our healthcare system,” said Attorney General Rob Bonta in a statement the DOJ released on Oct. 27.

“In California, people of color, particularly Black women, continue to die at three to four times the rate of white women,” Bonta continued. “This is unacceptable. With today’s report, the California Department of Justice has taken an important step forward in addressing this issue by successfully building upon the California Dignity in Pregnancy and Childbirth Act.”

According to Bonta, the United States has the highest maternal death rate in the developed world. He disclosed that one year into the program, less than 17% of health facilities in the state had initiated the mandated staff training, as reported to the DOJ.

It was only after Bonta wrote a letter in 2021 threatening state intervention for non-compliance, that the percentage began to rise.

“As a Black woman, a mother, a legislator, and as a board-certified OBYGN, this topic of implicit bias and Black maternal mortality is both personally and professionally important to me,” said Assemblymember Akilah Weber (D-La Mesa), a member of the California Legislative Black Caucus (CLBC), in a statement.

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Oakland Post: Week of December 18 – 24, 2024

The printed Weekly Edition of the Oakland Post: Week of December 18 – 24, 2024

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December 20, 2024

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December 13, 2024

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California Takes Steps to Address Rising Homelessness Among Aging Adults

The lack of accessible and available housing, health-related behaviors, medical problems, social isolation, and limited resources are some of the root causes of homelessness and poverty among aging Californians. Speaking on own her behalf — not representing CCoA — Brown said more alternatives for affordable housing and services would provide a much-needed safety net for older adults in the state.

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2 weeks ago

December 8, 2024

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Shutterstock. Los Angeles, CA. USA: 2024 August 01: Homeless, unhoused people living in an encampment, temporary shelters and tents on the sidewalk.

By Antonio‌ ‌Ray‌ ‌Harvey‌, California‌ ‌Black‌ ‌Media‌

The California Commission on Aging (CCoA) has published a Housing Policy Brief that offers recommendations for reducing housing insecurity and homelessness among older adults in California.

The brief summarizes a more in-depth report titled “Housing Those Hardest Hit: Addressing Older Adult Homelessness.” It also includes seven actionable recommendations to mitigate older adult homelessness in three settings: permanent housing, independent housing, and assisted living.

“Expanding housing capacity across all settings in the older adult continuum of care is critical as our state confronts the pressing issues of housing insecurity and homelessness among older adults,” stated CCoA Executive Director Karol Swartzlander.

“The need is urgent, and the time to act is now,” she emphasized.

The CCoA serves as the principal advocating body for older Californians, and it administers programs that support and celebrate Californians as they age. In addition, the CCoA advises the Governor and Legislature, along with state, federal, and local agencies on programs and services that affect older adults in the state.

From 2017 to 2022, the number of adults aged 55-64 who accessed homelessness services across California increased by over 90%, while the number of adults over 65 in the state, overall, increased by over 166% – exceeding any other age group, according to the report.

According to CCoa, the commission blends housing solutions within a comprehensive continuum of care, presenting policymakers with targeted strategies that accommodate the diverse housing and supportive service needs of older adults.

Efforts to address homelessness is now one of CCoA’s top priorities, says Swartzlander.

“The need is urgent, and the time to act is now,” she added.

In 1990, 11% of the homeless population was over the age of 50 while in 2023 older adults represented nearly half of the state’s homeless population. Among this population, 41% first experienced homelessness after the age of 50.

According to the U.S. Department of Housing and Urban Development’s annual Point-in-Time Count, 38,028 adults aged 55 and older experienced homelessness in California in 2023. Furthermore, the report stated that 41% first experienced homelessness after the age of 50.

Former Assemblymember Cheryl Brown (D-San Bernardino), who just completed a six-year term as chairperson of the CCoA, said there must be policies in place to “remedy the problem” of older adults becoming homeless in the state.

“We need to go back to square one and come up with some policies that would help older adults have options,” Brown said. “It’s a tragedy that these people have paid into the system (taxes, social security), and did it the right way, and they still need these services.”

In the policy brief, the CCoA presents seven recommendations to mitigate aging adult homelessness. They are exploring a statewide subsidy for older adults at-risk of homelessness; developing a state homeshare program; expanding ministerial approval for smaller assisted living facilities; reforming housing laws; expanding assisted living waivers; and funding community care suggestions.

Editorial Note: California Black Media will follow up this article with more investigations into the lived experiences of older adults impacted by the of homelessness and housing insecurity crisis in the state.