MO HB3269

Expands the Pregnancy-Associated Mortality Review Board from 18 to 22 members and requires at least one member from each congressional district with demographic diversity by race, ethnicity, sex, age, and rural/urban populations

Adds new statutory definition of "maternity care deserts" as counties lacking hospitals or birth centers offering obstetric care and without obstetric clinicians

Requires the board to identify maternity care deserts throughout Missouri and investigate approaches from other states to reduce racial inequities in maternal deaths

Mandates annual report data be disaggregated by race, ethnicity, language, nationality, age, zip code, presence of maternity care deserts, and level/timing of prenatal and postnatal care

Adds board duties to examine data collection adequacy, review prenatal/postnatal care timing, and develop recommendations on community-driven strategies, health care accessibility, and insurance availability barriers