Tennessee established the Maternal Mortality Review (MMR) Program on January 1, 2017 upon the effective date of the Maternal Mortality Review and Prevention Act of 2016 (T.C.A. § 63-3-601). The act was amended in 2020 to include an annual report rather than biennial (T.C.A 68-3-607). The legislation further created the MMRC to review maternal deaths and make determinations regarding the preventability of maternal deaths. Set forth in legislation, the purpose of the MMR Program is to: Identify and address the factors contributing to poor pregnancy outcomes for women and facilitate state systems changes to improve the health of women before, during and after pregnancy. The MMRC is a multidisciplinary expert panel, with representation from public health, obstetrics-gynecology, maternal and fetal medicine, anesthesiology, neonatology, pediatrics, nurse-midwifery, nursing, mental and behavioral health, domestic violence, Hospital Patient Safety, TennCare/Medicaid, District Attorney’s office, the Department of Mental Health and Substance Abuse Services, the Tennessee Senate and House of Representatives, and the State Chief Medical Examiner. The Committee is tasked to review maternal deaths and report recommendations for changes to any law, rule, and policy that would promote the safety and well-being of women and prevention of maternal deaths. As of 2019, Tennessee has approximately 77,000 live births and has had 67 pregnancy-related deaths since 2017.