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WI remains outlier in not fully extending postpartum Medicaid coverage

The Centers for Disease Control and Prevention reports an estimated 9% of women of childbearing age in the United States have high blood pressure. Policy experts say expanding health coverage can open up more access to screenings, helping new moms avoid health complications.
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The Centers for Disease Control and Prevention reports an estimated 9% of women of childbearing age in the United States have high blood pressure. Policy experts say expanding health coverage can open up more access to screenings, helping new moms avoid health complications.

Wisconsin lawmakers are in the midst of their fall session and they face renewed calls to approve a plan to help new mothers with limited resources maintain health coverage.

Over the past few years, the federal government has opened more pathways for states to extend postpartum Medicaid coverage for up to 12 months. So far, 45 states and Washington, D.C. have either implemented the full extension or are in the process of doing so. Wisconsin is one of just two states seeking a more limited approach.

Sen. Joan Ballweg, R-Markesan, is co-sponsor of a bill for the full 12 months of coverage, saying the current 90-day plan awaiting federal approval is helpful, but does not go far enough in providing consistency.

"What we've seen is with new moms when they have to switch over to find other coverage," Ballweg observed. "They're losing the care provider that they've had during their pregnancy."

She pointed out they then must scramble for a new provider who has to get caught up on any chronic health conditions they are facing. Health experts said it contributes to racial disparities in the nation's maternal mortality rate. The bill has cleared the state Senate with bipartisan support, and its sponsors are hopeful about its chances in the Assembly. However, some skeptics worry about higher eligibility thresholds.

Supporters said a full extension can help to reduce overall health care costs down the road by establishing better outcomes for new moms and their babies.

Annmae Minichiello, clinical pharmacist for UW Health, said the time to wait is over with research emerging about higher cardiovascular risks for pregnant women.

"Routine follow-up doctor's visits, blood pressure management," Minichiello outlined. "All those things could really capture a lot of patients who would fall under the radar."

Minichiello, also a volunteer with the American Heart Association, added she knows the importance of coverage after developing a rare form of heart failure following the birth of her daughter. In research published this year, the Heart Association noted women who have high blood pressure prior to pregnancy may be twice as likely to develop cardiovascular disease.

Mike Moen is the Morning Edition producer and serves as a staff reporter for WNIJ. Every morning, he works with Dan Klefstad to bring listeners the latest Illinois news. He also works with the rest of the news staff on developing and producing in-depth stories. Mike is a Minnesota native who likes movies, history, and baseball. When most people hear his last name, they assume he is 100-percent Scandinavian. But, believe it or not, he is mostly German.
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