Sen. Denise Ricciardi introduces the second installment of her 2023 โ€œMomnibusโ€ bill on Wednesday.
Sen. Denise Ricciardi introduces the second installment of her 2023 โ€œMomnibusโ€ bill on Wednesday. Credit: Charlotte Matherly /MONADNOCK LEDGER-TRANSCRIPT

Two years after expanding Medicaid coverage for pregnant women and mothers, a bipartisan group of senators is ready to take the next step.

Spearheaded by Bedford Republican Sen. Denise Ricciardi โ€“ย whose district includes Greenfield, Jaffrey, Lyndeborough, Sharon and Temple —ย Senate Bill 246ย would increase health care access and job protections for new moms. Lawmakers have coined it โ€œMomnibus 2.0โ€ after the first installment, which was signed into law in 2023.

It seeks to reduce behavioral health issues, including substance use, which are the leading cause of pregnancy-associated deaths in New Hampshire.

โ€œSenate Bill 246 is going to improve maternal mental health screening and address barriers to accessing that mental health care,โ€ Ricciardi said at a press conference before the public hearing. โ€œThe bill gives resources to our providers so they can feel prepared to address maternal mental health with their patients.โ€

It would allocate $150,000 over the next two years to train emergency medical providers in the stateโ€™s more rural areas on how to deliver a baby in emergencies and complicated cases. In rural areas, Democratic Sen. Sue Prentiss said, pregnant women often have to go farther away from home for care.

โ€œSome of them donโ€™t even have the transportation they need to get where they need to go,โ€ Prentiss said. โ€œSo, should they face an emergency, it is incumbent upon us โ€“ and this bill addresses this โ€“ to make sure our incredible EMTs and paramedics โ€ฆ have the additional training and support they need.โ€

The bill would also order further study on barriers to the sustainability of independent birth centers, as well as the consideration of a new perinatal peer support program.

The Health and Human Services Committee unanimously approved the bill, sending it to the House floor, where state representatives will vote on it in a few weeks.

Charlotte Matherly is the statehouse reporter for the Concord Monitor and Monadnock Ledger-Transcript in partnership with Report for America. Follow her on X at @charmatherly, subscribe to her Capital Beat newsletter and send her an email at cmatherly@cmonitor.com.

Charlotte Matherly is the statehouse reporter, covering all things government and politics. She can be reached at cmatherly@cmonitor.com or 603-369-3378. She writes about how decisions made at the New...