In the final days of the legislative session, Kentucky Senate lawmakers could consider the "Momnibus" bill, which would increase access to critical prenatal and post-birth care for new moms and babies.

House Bill 10 would extend the state's voluntary home-visitation program for expectant parents to when a child reachs age three, and would include lactation assistance and telehealth.

Bonnie Logsdon, a board-certified lactation consultant and birth doula, said many women have to return to work a few weeks after giving birth and often lack the tools or knowledge to have a positive lactation experience.

"They need access to those quality supplies," she stressed, "and they need someone who can teach them how to use the pump, which is again where that lactation support would come into play."

The Momnibus bill would add pregnancy to the list of qualifying life events, so pregnant people could get health-insurance coverage and begin prenatal care visits.

Kentucky has the second-highest maternal mortality rate in the nation, according to the Centers for Disease Control and Prevention.

The bill would also expand mental-health counseling through the Lifeline for Moms Psychiatry Access Program.

In Letcher County, Courtney Rhoades said she's had a complex pregnancy, and has struggled to cope with stress and maintaining her physical health. She noted it's critical that first-time moms like herself have a place to turn for support, where they don't feel judged.

"Then to be finding out we're having twins," Rhoades said, "I am really excited to know that there's these programs available that otherwise I didn't know about."

Renee Basham, executive director of Hope's Embrace, said communities increasingly are aware of the role doulas can play in pre- and post-natal care. She added many of her clients need assistance.

"A lot of the clients that we work with, some of them have support, a lot of them don't," said Basham. "Doulas are extra important in that role, because if we weren't there, they wouldn't have anybody with them as they gave birth."

House Bill 10 would open the door to more research on the role of doulas in the birth experience, and how their expertise is being used for care and to reduce disparities in the Commonwealth.


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Oregon is in the upper echelon when it comes to the number of women in higher office.

Four of the five statewide elected positions in the state are held by women, including Tina Kotek in the governor's office. It is a rare achievement.

Debbie Walsh, director of the Center for American Women and Politics, said the national average for women in statewide elected offices is about one in three. However, the number of women in the top positions in Oregon is guaranteed to go down in November, with men running for two of the five offices. Walsh acknowledged it is the nature of politics.

"No state can just say, 'Well, we fixed the problem of women's underrepresentation in politics. We don't need to do the work of recruiting and supporting women to run.'" Walsh stressed. "That work is ongoing."

Men will be facing off in Oregon's Secretary of State and Attorney General races in November. But Walsh noted the state has set a high bar elsewhere too. Women hold half of its Congressional seats and women are in a little more than 40% of the seats in the state legislature.

Walsh pointed out women face a number of barriers to office. While they raise comparable amounts of money to men running in comparable races, they are less likely to self-fund their campaigns. She explained women are more dependent on small donors, which can be good because it means more people are investing in the campaign.

"The flip side of that is that the amount of time and energy and work that it takes to raise $1,000 is just exponentially higher and harder for a candidate who is more dependent on those low level dollars or those low dollar donations," Walsh stressed.

Women running for office has become a big storyline this year with Vice President Kamala Harris' run for president. Walsh noted if she wins, it will be a big breakthrough for women, especially women of color.

"The only downside to seeing a woman elected at the very top is that people then think that the problem is solved because we've elected a woman President of the United States," Walsh added. "Complacency will not get us to gender equity across levels of office."


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Following the signing of the Michigan Family Protection Act by Gov. Gretchen Whitmer, concerns remain about a potential federal ban on in vitro fertilization. The Act, signed in April, safeguards reproductive services such as surrogacy IVF and abortion. However, Project 2025 could limit access to these services if he wins the presidency in November.

Stephanie Jones of Grand Blanc, a mother who used IVF to conceive and had her daughter via surrogacy after secondary infertility, is a strong advocate of the procedure.

"A ban on IVF would be a ban on critical health care to hundreds of thousands of Americans, and without access to IVF, people would not be able to grow and some start their families. So it would be devastating," she contended.

Jones nearly lost her life due to a rare ectopic pregnancy, and credits an emergency abortion with saving her. Her pre-Roe experience now drives her advocacy for policies that protect IVF and support unrestricted abortion rights.

However, many right-to-life advocates contend that these reproductive services are not only morally wrong but unsafe.

Natalie Dodson, a policy analyst with The Ethics and Public Policy Center in Washington D.C., warns that reproductive service providers often downplay the health risks associated with IVF for both mothers and babies.

"In particular, the risk of non-chromosomal birth defects increase by 40%, the risk of autism is two times more likely, stillbirth increases up to 4 times compared to spontaneous conception. Additionally, women who undergo IVF experience increased health risks and poor health outcome," she said.

Dodson claims that scientifically life begins at conception, inside or outside the uterus, and said her main concern is whether embryos created through IVF have the same value as those developing naturally.


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Women's Equality Day commemorates the passage of the 19th Amendment giving women the right to vote. More than a century later, women have made progress but more work needs to be done.

Women have made major gains in elected positions across the country. In Oregon, they make up more than 40% of the seats in the legislature, the 13th highest percentage in the country.

Libra Forde, co-chair of the Oregon Commission for Women, said the 19th Amendment was a big accomplishment but it did not end the push for women's progress.

"As they saw a need during their time for us to have availability and access to things that they didn't have, I think most of the women -- especially the women of the commission -- we see a need to do the same thing for things that maybe women have not had access to yet and kind of taking the torch that's been passed to us," Forde explained.

Forde highlighted some of the issues where Oregon lawmakers could go further, such as being more vigorous in protecting women from domestic violence, sexual assault and stalking. On Aug. 26, 1920, the U.S. Secretary of State completed the ratification process for the 19th Amendment, ensuring women the right to vote.

Forde acknowledged Oregon lawmakers and groups across the state are doing a good job advocating for women's rights but added it is going to take a greater effort to protect rights for the next generation.

"We're going to need more than just women to do that work," Forde emphasized. "We need everyone to come together, kind of like they did 104 years ago, and say, hey, this is important to all of us and if we all came in on this, then I think we all can also succeed."

The Oregon Commission for Women is among the state's four advocacy commissions. It pushes for policies to support and protect women.


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