Alma Adams has reintroduced the Kira Johnson Act, legislation aimed at addressing legal and systemic gaps contributing to maternal mortality in the United States, with a particular focus on enforceable accountability measures in healthcare settings.
The bill, introduced alongside Raphael Warnock, is named after Kira Johnson, who died following childbirth after medical staff allegedly failed to respond to signs of internal hemorrhaging for more than 10 hours. Her case has become a focal point in ongoing legal and policy debates over patient rights, medical negligence, and racial disparities in maternal care.
Adams, a co-founder of the Congressional Black Maternal Health Caucus, framed the legislation as a necessary intervention in what she described as a preventable public health and legal crisis.
“It’s been 10 years since Kira Johnson’s death, yet Black women are still two to three times more likely than white mothers to die in childbirth,” Adams said, noting that approximately 80% of maternal deaths are considered preventable.

From a legal standpoint, the Kira Johnson Act seeks to establish clearer compliance and reporting mechanisms within maternity care systems. Central to the bill is the creation of Respectful Maternity Care Compliance Programs, which would provide formal channels for patients to report instances of bias, neglect, or substandard care during pregnancy and postpartum treatment.
The legislation also proposes federal funding to support community-based organizations working on maternal health equity, while mandating initiatives aimed at addressing implicit bias and systemic racism in clinical decision-making.
Raphael Warnock described maternal mortality disparities as a “moral stain,” adding that Black women in states like Georgia face significantly higher risks of death from pregnancy-related complications—a disparity that has prompted increased scrutiny of healthcare providers and regulatory frameworks.
Legal analysts note that the bill’s emphasis on accountability could intersect with existing malpractice and civil rights laws, potentially expanding avenues for patient complaints and institutional oversight. While the legislation does not create new criminal penalties, it reinforces compliance obligations that could expose healthcare providers and facilities to heightened regulatory and civil liability.
The Kira Johnson Act is one component of the broader “Momnibus” legislative package, a multi-bill initiative designed to address maternal health disparities through coordinated legal, medical, and policy reforms.
Charles Johnson, Kira Johnson’s husband and founder of the advocacy group 4Kira4Moms, said the legislation reflects a growing push to translate advocacy into enforceable standards.
“The Kira Johnson Act represents a meaningful opportunity to ensure that what happened to Kira does not happen to other families,” he said.
The bill has attracted a wide coalition of congressional co-sponsors, though its legislative trajectory will depend on committee review and broader negotiations over healthcare policy.
As maternal mortality continues to draw national attention, the reintroduction of the Kira Johnson Act underscores a shift toward embedding accountability, equity, and patient protections more firmly within the legal framework governing maternal healthcare in the United States.

