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Maternal Mortality and Morbidity Review Committee

The Texas Maternal Mortality and Morbidity Review Committee (MMMRC) is a 23-member multidisciplinary committee. Chapter 34, Texas Health and Safety Code, Section 34.002, directs the MMMRC to study and review:  

  • Cases of pregnancy-related deaths;  
  • Trends, rates, or disparities in pregnancy-related deaths and severe maternal morbidity;  
  • Health conditions and factors that disproportionately affect the most at-risk populations; and  
  • Best practices and programs operating in other states that have reduced rates of deaths related to pregnancy.  

The MMMRC uses standard methods to review identified pregnancy-associated death cases to determine cause of death and pregnancy-relatedness. For deaths determined to be pregnancy-related, the MMMRC builds consensus to determine potential preventability, contributing factors, and actionable recommendations. The MMMRC also studies state trends in maternal morbidity and mortality rates and disparities to aid recommendation development. 

Through this process, the MMMRC develops recommendations to help reduce the incidence of preventable pregnancy-related deaths and severe maternal morbidity in the state. 

A committee member must regularly participate in case review calls and committee meetings. Committee meetings are held in Austin or virtually at least quarterly or at the call of the DSHS Commissioner. In-person meeting participation is strongly encouraged. The MMMRC may also ask members to participate in subcommittee meetings, projects, and presentations. Committee members do not receive reimbursement for travel expenses to participate on the committee. If a member misses three consecutive meetings within a one-year period, with or without notice, the member may be removed from the committee. 

Upcoming Meetings

DSHS posts future and past Texas Maternal Mortality and Morbidity Review Committee (MMMRC) meeting materials and information.

Below are the future public meeting dates, venue, and agenda. DSHS posts meeting agendas when they become available.

Date* Venue* Agenda
Friday, March 7, 2025 Texas Department of State Health Services (DSHS)
Robert Moreton Building
Room M-100, First Floor
1100 West 49th Street
Austin, Texas 78756
Agenda-7Mar2025
Friday, June 13, 2025 Texas Department of State Health Services (DSHS)
Robert Moreton Building
Room M-100, First Floor
1100 West 49th Street
Austin, Texas 78756
 
Thursday, September 11, 2025 Texas Department of State Health Services (DSHS)
Robert Moreton Building
Room M-100, First Floor
1100 West 49th Street
Austin, Texas 78756
 
Friday, December 5, 2025 Texas Department of State Health Services (DSHS)
Robert Moreton Building
Room M-100, First Floor
1100 West 49th Street
Austin, Texas 78756
 

*Dates and venue are subject to change.

Past Meetings and Materials

Below are the Texas Maternal Mortality and Morbidity Review Committee (MMMRC) approved minutes and webcast links for past meetings. The first public meeting of the MMMRC was held on Friday, Sept. 29, 2017.

Date Meeting Minutes  Webcast Recording
Friday, December 6, 2024 In Process Webcast-6Dec2024
Friday, September 27, 2024 Minutes-27Sept2024 Webcast-27Sept2024
Tuesday, June 18, 2024 Minutes-18June2024 Webcast-18June2024
Friday, March 22, 2024 Minutes-22Mar2024 Webcast-22Mar2024
Friday, December 8, 2023 Minutes-8Dec2023 Webcast-8Dec2023
Thursday, September 7, 2023 Minutes-7Sept2023 Webcast-7Sept2023
Friday, June 2, 2023 Minutes-2June2023 Webcast-2June2023
Friday, March 3, 2023 Minutes-3Mar2023 Webcast-3Mar2023
Friday, December 9, 2022 Minutes-9Dec2022 Webcast-9Dec2022
Friday, September 2, 2022 Minutes-2Sept2022 Webcast-2Sept2022
Friday, June 3, 2022 Minutes-3Jun2022 Webcast-3June2022
Friday, March 4, 2022 Minutes-4Mar2022 Webcast-4March2022

 

Committee Roster

Name City Membership Category Term Expiration Date Public Health Region

Amy Raines-Milenkov, DrPH

Fort Worth Researcher- Pregnancy-related Deaths 2025 2/3
Angeline D. Opina Gonzalez, MD Houston Physician - Cardiology 2031 6/5 South
Avi Ruderman, MD Dallas  Physician - Emergency Care 2031 2/3
Barbara Orlando, MD, Ph.D. Houston Physician - Anesthesiology 2031 6/5 South
Carey Eppes, MD, MPH Houston Physician - Maternal Fetal Medicine 2025 2/3
Presiding Officer Carla Ortique, MD Houston Physician - Obstetrics 2029 6/5 South
Christina Murphey, Ph.D., RNC-OB Corpus Christi Nurse - Labor and Delivery 2025 11
Diaa Osman, DO, MPH Austin Physician - Oncology 2031 7
Ingrid Skop, MD San Antonio Community Member - Rural  2031 8
James hill, MD, COL (ret) San Antonio Physician - Maternal Fetal Medicine 2027 8
Kelly Fegan-Bohm, MD, MPH, MA Austin DSHS Representative - State Epidemiologist Not Appointed Not Applicable 
Lavannya Pandit, MD Houston Physician - Critical Care 2025 6/5 South
Lindsey Vasquez, MD, CPE, FACOG Richmond Managed Care Organization Representative 2031 6/5 South
Manda Hall, MD Austin DSHS Representative - Associate Commissioner Community Health Improvement Division Not Appointed Not Applicable
Meenakshi Awasthi, MD, MPP, MS Houston Community member - Urban 2031 6/5 South
Meitra Doty, MD Dallas Physician - Psychiatry 2029 2/3
Morna Gonsoulin, MD Rosenberg Physician - Medical Examiner 2030 6/5 South
Nancy Puig, RN, BSN, RNC-OB, C-EFM, C-ONQS Laredo Registered Nurse 2027 11
Assistant Presiding Officer Patrick Ramsey, MD, MSPH, FACOG San Antonio Physician - Maternal Fetal Medicine 2029 8
Robin Page, Ph.D., APRN, CNM, FACMN College Station Certified Nurse - Midwife 2027 7
Sarah Hartman, MD Houston Physician - Pathologist 2030 6/5 South
Sherri Onyiego, MD, Ph.D., FAAFP Houston Physician - Family Practice 2025 6/5 South
Vacant   Social Worker/Social Service Provider    

 

Additional Information and Resources

Committee Contact

Mailing Address

Texas Department of State Health Services
Maternal Health
PO Box 149347, MC 1922
Austin, TX 78714-9347
United States