Oregon lawmakers propose SB 695 to enhance maternal and infant health services

Senate Bill 695, introduced on January 17, 2025, by Oregon State Senator Reynolds and Representatives Grayber, Neron, Nelson, and Pham, aims to enhance maternal and infant health across the state. The bill directs the Oregon Health Authority (OHA) to implement significant changes in how coordinated care organizations (CCOs) operate, with a focus on improving health outcomes for mothers and infants.

The key provisions of Senate Bill 695 include requirements for CCOs to collaborate with community partners to ensure access to safe and stable housing for pregnant individuals and those in the postpartum period. Additionally, the bill mandates the development of plans to support the perinatal workforce, which encompasses doulas, community health workers, and lactation specialists. CCOs will also be required to engage in workforce development initiatives, such as funding educational opportunities and partnering with economic development organizations to recruit and retain healthcare providers.

Another notable aspect of the bill is its emphasis on a whole-person maternal health model. This model includes comprehensive needs assessments and behavioral health screenings during the first prenatal visit, as well as interventions for substance use disorders and other behavioral health issues.

The bill has sparked discussions regarding its potential impact on health equity, as it directs the Health Plan Quality Metrics Committee to develop health equity milestones for pregnancy and early childhood. The proposed changes are expected to address disparities in maternal and infant health outcomes, particularly among marginalized communities.

While the bill has garnered support for its ambitious goals, some stakeholders have raised concerns about the feasibility of implementing such extensive changes within the proposed timeline. The bill extends the duration of contracts between the OHA and CCOs to ten years, allowing for a more sustained approach to health improvements, but critics argue that the effectiveness of these measures will depend on adequate funding and resources.

Senate Bill 695 is set to take effect 91 days after the legislative session concludes, marking a significant step towards transforming maternal and infant health services in Oregon. As the bill progresses through the legislative process, its implications for healthcare delivery and health equity in the state will continue to be closely monitored.