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Last week, the state of Texas issued a long-awaited report that found at least 118 women in the state died from causes related to pregnancy in 2019. Most of those deaths were preventable. The report’s top recommendation was a familiar but often-bypassed way to reduce maternal mortality: Ensure that all people have access to health care during pregnancy and for at least a year afterward.

Congressional Democrats in Washington scrambled this month to make that a federal requirement for every state’s Medicaid program. They didn’t quite make it.

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