At the start of the pandemic, women in Nebraska and across the U.S. were the first to exit the workforce. A new survey from the Institute for Women's Policy Research could offer a roadmap for employers to get more women back to work, and ensure that they can remain on the job.

Nicole Mason, president and CEO of the institute, said there is a significant gap between what women say they want and what employers are currently offering.

"Higher pay, health insurance and workplace flexibility are top among the desired benefits for women who are re-entering the workforce," said Mason.

Between March and May of 2020, more than 12 million women lost jobs or stayed home to care for family members and supervise children.

When considering future jobs, nearly nine in ten surveyed women report a living wage and health insurance to be "very important" or "important" benefits. More than eight in ten women cite retirement benefits and job security as key factors.

Even after the pandemic exposed how critical it is for sick workers to be able to stay home, paid sick and family leave remains an elusive benefit for many working women.

More than one third of women surveyed working full-time do not have paid sick leave. Mason said close to 70% fear they could lose their job if they have to take time off due to illness or to care for a family member.

"But for many lower-wage workers, especially workers employed in the hardest hit sectors, they do not have paid sick leave," said Mason. "So not being able to come to work one day can jeopardize their jobs."

More than six in ten women surveyed consider control of their schedules to be "very important" or "important." Mason said lessons learned during the pandemic show that working remotely and allowing scheduling flexibility works, and does not negatively impact worker productivity.

"And I think we have an opportunity to try to create a win-win proposition for both employers and employees," said Mason. "And to create workplaces that work for all workers, not just a small fraction of them."

New mothers in Wyoming enrolled in the Medicaid Pregnant Women Program lose their health insurance 60 days after giving birth, but a new bill making its way through the state's 67th Legislature would extend coverage for a full year.

Marissa Carpio, policy associate for the Wyoming Women's Foundation, said having health insurance is the number one determinant of good health, for mothers and newborns.

"Having health insurance means that you're more likely to seek preventive care, or get that odd symptom checked out that maybe arose during birth or after birth," Carpio observed. "And to not have to sacrifice the funds for your food or your rent to go figure out those health complications."

House Bill 4, sponsored by the Joint Labor, Health and Social Services Interim Committee, is now on General File and could get its first vote today.

Some critics have argued expanding coverage for new mothers is unnecessary because assistance is already available through Medicaid's Family Planning program. Newborns remain eligible for health insurance during their first year.

Carpio pointed out the family planning program is not comprehensive, it only covers gynecological exams and lab tests. It does not cover health issues including heart disease or stroke, which are leading causes of death for new mothers.

Working women of childbearing age are currently the largest group in Wyoming without insurance, largely because they are less likely to get coverage through their employer.

"They're more likely to be working part-time, low-paying jobs that don't offer insurance anyway," Carpio noted. "This type of program that is so specific to new mothers in our state is very important for the success of babies and communities."

According to the Wyoming Department of Health, nearly one in five new mothers participating in the Medicaid Pregnant Women Program currently end up losing health insurance.

Carpio believes healing after birth is a long and important process, and access to care will help women avoid financial and health-related stress, return to work and attain economic self-sufficiency.

"The biggest and most important thing is that continuous coverage after birth," Carpio emphasized. "When you're trying to raise a newborn child, trying to get back to work, the last thing you want to do is try to get your health insurance back to go see the doctor. You should be able to see the doctor when your family needs to."

Wyoming has managed to buck a national trend which has seen female students opting out of college at more than twice the rate of males since 2020.

Ben Moritz, deputy director of the Wyoming Community College Commission, said the percentage of women attending community college has been consistently on the rise, even during the pandemic. He believes one reason more women were able to continue their education is because the state took swift action to provide child care grants to student parents.

"Hundreds of students across the state were able to take advantage of this," Moritz explained. "Disproportionately female students, who perhaps otherwise would have had to drop out of school because they couldn't afford the child care while they were in class."

Federal CARES Act dollars were directed to Wyoming's Department of Family Services, which then partnered with community colleges to distribute child care grants. The state also directed funds to colleges to provide scholarships to students in financial need resulting from the pandemic.

Women are more likely to drop out to take care of children, parents or family members with health problems, according to the National Student Clearinghouse Research Center report, and many do not return to complete a certificate or degree.

Moritz pointed out women who do stop out are at much greater risk of facing long-term economic disadvantages than men who can stay in school.

"There's a lot of statistics that show that a student who starts a program but does not finish it," Moritz noted. "The difference between a student who starts a program and actually finishes the program -- as far as the wage earnings they get -- is significant."

Overall enrollment in community colleges and four-year institutions has been on the decline in Wyoming and across the nation during the pandemic, but Moritz emphasized Wyoming's falloff has not been as severe as other states.

He added Wyoming's decentralized, independently managed community colleges and universities have been able to react quickly to the needs of communities.

"Wyoming, as the smallest state in the union by population, is well positioned to pivot quickly," Moritz argued. "If you're turning an ocean liner around, they can't turn on a dime because they're so big. A smaller boat can turn a little bit quicker."

Support for this reporting was provided by Lumina Foundation.

Minnesota lawmakers are back at work for a new legislative session, and changes approved last year are now being implemented, including efforts to ensure new mothers get the health care they need.

Last Sunday, a new law expanded postnatal care by requiring public and private health plans to cover a series of care visits for up to 12 weeks after a baby is delivered. Two of those visits would have to involve comprehensive care.

Rep. Ruth Richardson, DFL-Mendota Heights, was the bill's sponsor and hopes it helps address the maternal mortality crisis.

"What we know about these deaths is that 80% of them are preventable," Richardson emphasized. "This is a step in the right direction to ensure that when people are in need of support that they can get it."

The U.S. has the highest maternal mortality rate among developed countries. In states such as Minnesota, the rates are higher for women of color.

A recent state health department report noted Black Minnesotans represent 13% of the birthing population but make up 23% of pregnancy-associated deaths. The disparities also exist within the infant mortality rate.

Richardson argued by expanding access to coverage in the weeks after the delivery date, there's hope for a better outcome for both the mother and child.

"It's part of that comprehensive visit," Richardson explained. "It will include things related to the infant's care; their feeding and other things as well."

Richardson acknowledged there is more work to do to close existing gaps. She pointed out another solution should involve expanding the scope of the Maternal Mortality Review Committee, which could enhance prevention efforts.

Separately, Minnesota last year joined the list of states to extend postpartum coverage for 12 months to those enrolled in Medicaid or the Children's Health Insurance Program. The option stemmed from provisions under the American Rescue Plan.