Alabama lawmakers have unanimously passed a bill that could improve access to health care for pregnant women in the state. This is especially for those from a low-income background. The health sector in the US has been undergoing a lot of changes ever since the Trump administration has come in. Many of these changes have backtracked from what it was before, with many healthcare professionals opposing the new laws. However, this proposed law, which is now awaiting the signature of Republican Gov. Kay Ivey, could in fact help pregnant women. This bill introduces "presumptive eligibility" for Medicaid, which is a policy that allows pregnant women to receive outpatient care for up to 60 days while their Medicaid applications are being processed.This move is being hailed as a critical step in addressing Alabama’s alarmingly high maternal and infant mortality rates, which are among the worst in the country.What Is Presumptive Eligibility?Presumptive eligibility allows medical providers to begin treating pregnant patients immediately under Medicaid. This is also based on preliminary information. This happens even before the full application could be reviewed. This is especially beneficial for low-income women, who often face delays due to administrative hurdles. This policy also ensures that timely prenatal care is provided to the mothers, which is also crucial in preventing complications during pregnancy and childbirth.The new legislation is expected to increase Medicaid spending in the state by approximately $1 million annually for three years. About two-thirds of that funding will come from the federal government.Why Is This Bill Important For Health Care?Alabama has one of the highest maternal mortality rates in the country — nearly double the national average. Between 2018 and 2021, the state reported 64.63 maternal deaths per 100,000 births, compared to the national rate of 34.09. For Black women in Alabama, the rate is even more alarming at over 100 deaths per 100,000 births.These statistics are compounded by poor access to prenatal care. According to The March of Dimes, nearly 20% of pregnant women in Alabama in 2023 received delayed or inadequate prenatal care. Rural hospital closures and limited Medicaid coverage have played a major role in this crisis.ALSO READ: Republican Rep In Georgia Discusses Total Abortion Bill, This Could Put Many Lives In DangerAlabama And Women's Accessibility To Health careAlabama is one of the only 10 states where Medicaid facilities under the Affordable Care Act has not been extended. This has led to a great portion of women being affected who are at the childbearing age. As of now, pregnant women in Alabama can only quality for Medicaid if they make less than $21,996 annually (for an individual), or up to $37,704 for a household of three. For many, Medicaid only becomes an option after pregnancy is confirmed, delaying much-needed early care.Medicaid paid for 45% of all births in Alabama in 2023. Notably, more than half of the state’s infant deaths occurred among families covered by Medicaid — underscoring the urgent need to improve services within this demographic.Have There Been Other Efforts To Improve Maternity Care?Another bill is already moving through Alabama's legislature that hopes to improve access to birthing care by allowing midwives to operate in freestanding birth centers. However, the amendments to the bill has faced backlash and criticism for limiting midwives' ability to perform essential newborn screenings for genetic disorders.