Here’s one issue blue and red states agree on: Preventing deaths of expectant and new mothers

Also, committee records and reports are de-identified — stripped of any information that might point to a particular woman, caregiver or hospital. Thus the review is of little use in assigning responsibility for individual deaths, or evaluating whether some hospitals, doctors or nurses are especially prone to error. Still, recommendations and findings from reviews have proven helpful in states such as California in shaping preventive efforts that have reduced maternal mortality rates.

Indiana epitomizes the national movement to use the review committee process to scrutinize maternal deaths. There, the focus had long been on reducing infant mortality: The state has the highest rate of neonatal deaths outside the South. Maternal deaths weren’t on the radar, even though the state’s maternal mortality rate is around 41 women per 100,000 births, according to a new analysis of federal data by United Health Foundation — or double the rate of maternal deaths in neighboring Illinois and Ohio.

“I’ll be honest,” said state Sen. Jean Leising, a Republican from rural southeastern Indiana. “I’m on the Health Committee ... and I had no idea our maternal statistics were so lousy.”

The bill she sponsored — creating a committee for the next five years to study not just maternal mortality but also life-threatening complications, or severe maternal morbidity — sailed through the legislature, in part because of a change in governors. Holcomb, who replaced Mike Pence and is seen as more of a pragmatist, appointed a female obstetrician-gynecologist to be his new health commissioner.

The bill’s supporters drew a connection between maternal and infant mortality, said Dr. Brownsyne Tucker Edmonds, legislative chair for the Indiana chapter of the American Congress of Obstetricians and Gynecologists: “We could bring forth the idea that healthy moms have healthy babies.”

Oregon’s bill, which also passed easily this month, creates a review committee that will start by focusing on maternal deaths; by 2021, it will also begin looking at severe maternal morbidity. Over that period, it will cost the state more than $450,000 — a significant public commitment to a women’s health initiative.

“I did think, wow, that’s more money than I thought it was going to be, but no one blinked an eye,” said Rep. Alissa Keny-Guyer of Portland, the bill’s chief sponsor. “That just shows how much support this idea has.”