CONGRESSIONAL RECORD — SENATE S2415 March 14, 2024
Black birthing people, and the need for com-
munity-driven policies, programs, and care
solutions;
Whereas the United States is experiencing
a maternity care desert crisis in which
2,200,000 women of childbearing age live in
maternity care deserts where they do not
have access to hospitals or birth centers of-
fering maternity care or obstetric providers;
Whereas maternity care deserts lead to
higher risks of maternal morbidity and mor-
tality as most complications occur in the
postpartum period when birthing people are
far away from their providers;
Whereas incorporating midwives fully into
the maternity care system in the United
States would reduce maternal health dispari-
ties and help to address the maternity care
desert crisis;
Whereas, despite the medicalization of
childbirth in the United States, the maternal
mortality rates in the United States are
among the highest in high-income countries,
increasing rapidly and disproportionately
higher among Black birthing people;
Whereas maternal health is intractably
linked to infant health, as the United States
infant mortality rate rose 3 percent from a
rate of 5.44 infant deaths per 1,000 live births
in 2021 to 5.60 infant deaths per 1,000 live
births in 2022, the largest increase in the in-
fant mortality rate in 2 decades;
Whereas Black birthing people in the
United States suffer from life threatening
pregnancy complications, known as ‘‘mater-
nal morbidities’’, twice as often as White
birthing people;
Whereas deaths from maternal morbidities
have devastating effects on Black children
and families, and the vast majority of mate-
rial morbidities are entirely preventable
through assertive efforts to ensure that
Black birthing people have access to infor-
mation, services, and supports to make their
own health care decisions, particularly
around pregnancy and childbearing;
Whereas the high rates of maternal mor-
tality among Black birthing people span
across income levels, education levels, and
socioeconomic statuses;
Whereas structural racism, gender oppres-
sion, and the social determinants of health
inequities experienced by Black birthing
people in the United States significantly
contribute to the disproportionately high
rates of maternal mortality and morbidity
among Black birthing people;
Whereas Black birthing people are more
likely to report experiences of disrespect,
abuse, and neglect when birthing in facility-
based settings as compared to White people;
Whereas Black families benefit from access
to Black midwives to receive culturally sen-
sitive and congruent care established
through trust and respect backed with the
wisdom of time-honored techniques and best
practices;
Whereas the work and contributions of
past and present midwives who have ushered
in new life have done so despite a history
fraught with persecution, enslavement, vio-
lence, racism, and the systematic erasure of
traditional and lay Black midwives through-
out the 20th century;
Whereas the decline of midwifery across
the southern United States reduced the num-
bers of Black midwives from thousands to
dozens throughout the 20th century, leaving
many communities without care providers;
Whereas some States have criminalized
and suppressed direct-entry midwives, de-
spite rising maternal mortality rates across
the United States;
Whereas the resurgence of Black midwifery
is a testament to the resilience, resistance,
and determination of spirit in the preserva-
tion of healing modalities that are practiced
all over the world;
Whereas the focus of Black midwifery on
holistic care, which involves caring for the
whole person, family and community, is
what makes a difference in midwifery;
Whereas midwifery honors the right to
bodily autonomy for the birthing person and
can be facilitated at home, in a birth center,
or hospital by working in tandem with
doulas, community health workers, obstetri-
cians, pediatricians, and other maternal, re-
productive, and perinatal health care pro-
viders;
Whereas the Midwifery Model of Care has
been proven to have better pregnancy out-
comes, including by reducing infant mor-
tality and morbidity, preterm births, reduc-
ing medical interventions, and providing the
birthing person continuous support;
Whereas, in 2022, the Committee on the
Elimination of Racial Discrimination (re-
ferred to in this preamble as ‘‘CERD’’) of the
United Nations expressed concerns regarding
the impact of systemic racism and inter-
secting factors on access to comprehensive
sexual and reproductive health services for
women, and the limited availability of cul-
turally sensitive and respectful maternal
health care, particularly for those with low
incomes, rural residents, individuals of Afri-
can descent, and indigenous communities;
Whereas CERD recommended that the
United States further develop policies and
programs to eliminate racial and ethnic dis-
parities in the field of sexual and reproduc-
tive health and rights, while integrating an
intersectional and culturally respectful ap-
proach in order to reduce the high rates of
maternal mortality and morbidity affecting
racial and ethnic minorities, including
through midwifery care;
Whereas, in 2023, the Human Rights Com-
mittee of the United Nations expressed simi-
lar concerns as CERD and further rec-
ommended that the United States take
measures to remove restrictive and discrimi-
natory legal and practice barriers to mid-
wifery care, including those affecting Black
and indigenous peoples;
Whereas a fair distribution of resources,
especially with regard to reproductive health
care services, is critical to closing the racial
disparity gap in maternal health outcomes;
Whereas an investment must be made in
robust, quality, and comprehensive health
care for Black birthing people, with policies
that support and promote affordable and ho-
listic maternal health care that is free from
gender and racial discrimination;
Whereas it is fitting and proper on Black
Midwives Day to recognize the tremendous
impact of the human rights, reproductive
justice, and birth justice frameworks have
on protecting and advancing the rights of
Black birthing people;
Whereas Black Midwives Day is an oppor-
tunity to acknowledge the fight to end ma-
ternal mortality locally, nationally, and
globally; and
Whereas Congress must mitigate the ef-
fects of systemic and structural racism to
ensure that all Black people have access to
midwives, doulas, and other community-
based, culturally matched perinatal health
providers: Now, therefore, be it
Resolved, That the Senate—
(1) recognizes March 14, 2024, as ‘‘Black
Midwives Day’’;
(2) encourages the Federal Government and
State and local governments to take
proactive measures to address racial dispari-
ties in maternal health outcomes by sup-
porting initiatives aimed at diversifying the
perinatal workforce, increasing access to
culturally congruent maternal health care;
(3) commits to collaborating with relevant
stakeholders to develop and enact policy so-
lutions that promote health equity, address
systemic racism, and support the advance-
ment of Black midwifery;
(4) calls for increased funding for edu-
cation, training, and mentorship programs
that focus on promoting and sustaining
Black midwifery across all training path-
ways;
(5) encourages the Federal Government and
State and local governments to authorize
the autonomous practice of all midwives to
the full extent of their training;
(6) promotes TRICARE and Medicaid cov-
erage of maternity care provided by mid-
wives of all training pathways in the setting
of choice of the birthing person; and
(7) supports and recognizes the long-
standing and invaluable contributions of
Black midwives to maternal and infant
health in the United States.
f
SENATE RESOLUTION 589—HON-
ORING WADEE ALFAYOUMI, A 6-
YEAR-OLD PALESTINIAN-AMER-
ICAN BOY, MURDERED AS A VIC-
TIM OF A HATE CRIME FOR HIS
PALESTINIAN-MUSLIM IDENTITY,
IN THE STATE OF ILLINOIS
Mr. DURBIN (for himself, Ms.
D
UCKWORTH
, Mr. W
YDEN
, Ms. S
TABE
-
NOW
, Mrs. M
URRAY
, Mr. K
AINE
, Mr.
W
ELCH
, Mr. M
ERKLEY
, Mr. S
ANDERS
,
and Mr. M
ENENDEZ
) submitted the fol-
lowing resolution; which was referred
to the Committee on the Judiciary:
S. R
ES
. 589
Whereas Wadee Alfayoumi, a 6-year-old
Palestinian-Muslim-American boy, was loved
by his family and friends as an energetic,
loving, and joyous light who brought sun-
shine to his loved ones and classmates;
Whereas, on October 14, 2023, at 11:30 a.m.,
Wadee Alfayoumi was brutally stabbed 26
times by a hate-driven perpetrator and trag-
ically succumbed to his injuries;
Whereas Wadee Alfayoumi’s perpetrator
has been indicted for a hate crime by the
Will County, Illinois, grand jury, and the De-
partment of Justice has opened a hate
crimes investigation into the events leading
to Wadee Alfayoumi’s death, as there is evi-
dence the perpetrator yelled during the bru-
tal killing, ‘‘All Muslims must die and your
people must die’’ and has been observed to be
a consumer of media containing dehuman-
izing and hateful rhetoric that is anti-Mus-
lim and anti-Palestinian;
Whereas Wadee Alfayoumi was born and
raised in the United States, and his family
wanted the United States to provide them a
life of safety away from dehumanizing and
hateful rhetoric toward Palestinian people;
Whereas no one should be a target of hate
because of their ethnicity or religion, wheth-
er such ethnicity or religion is expressed ver-
bally or through how one dresses, such as
through the wearing of a hijab, keffiyeh, tur-
ban, mitpahat, tichel, shpitzel, sheitel,
kippah, or yarmulke;
Whereas dehumanizing misinformation and
disinformation fuel sentiments of hate that
result in violence against those who belong
or who are perceived to belong to a certain
ethnic or religious group;
Whereas the Palestinian community’s mi-
gration to the United States dates back to
the late 19th century;
Whereas the United States is home to one
of the largest Palestinian diasporas in the
world that is made up of lawyers, doctors,
teachers, business owners, law enforcement,
and others, all who contribute to the history,
arts, commerce, promise, and character of
the United States;
Whereas Wadee Alfayoumi shared a herit-
age, history, love, culture, tradition, and
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