This week, the Tennessee state legislature passed a bill that would allow drug-addicted pregnant women to be prosecuted as criminals.
The bill would permit a woman who used illegal drugs during pregnancy to be charged with assault if her child is born addicted to or harmed, by the drug and to be charged with homicide if the child dies. It also would allow women to avoid those charges if they volunteer for drug treatment.
But before Tennessee’s governor makes it official with his signature, I wanted to urge him to consider that this proposed solution may only exacerbate the problem his state is trying to solve.
Dear Governor Bill Haslam:
It’s me, Melissa. I understand that the magnitude of the crisis facing your state and how daunting it must feel.
Last year, a report found that in Tennessee, babies born addicted to opiate drugs their mothers took during pregnancy was higher than ever before.
But Governor, as you think about what you’re going to do with that bill on your desk, please take a moment to consider that punishment is no substitute for protection. Particularly when the threat of that punishment could put the health and well-being of vulnerable people–both the babies and their mothers–at even greater risk.
As you have already no doubt heard from the national medical groups that have weighed in on the bill, this proposal could have the exact opposite effect of its intent of improving health outcomes for babies of drug-addicted mothers. According to a statement released by the American Medical Association:
“Pregnant women will be likely to avoid seeking prenatal or open medical care for fear that their physician’s knowledge of substance abuse or other potentially harmful behavior could result in a jail sentence rather than proper medical treatment.”
So, Governor, any government intervention to address drug dependency among pregnant women and their children must treat that addiction like what it is–a disease. And helping mothers to battle their disease requires a treatment-based approach that must first do no harm by ensuring they are not deterred from prenatal care that could reduce the effects of addiction on their babies.
Besides, even as a law enforcement measure, this bill is remarkably shortsighted because it targets only those women who used illegal drugs during their pregnancies. Yes, it’s true that 30% of mothers of drug-dependent babies born in Tennessee used the illegal drugs specified by the bill. But it’s also true that 42% of mothers of those babies used *legal* drugs prescribed to them by a doctor for legitimate treatment. And another 20% used both.








