Testimony concerned: (1) problems a high-risk, low-income mother had in receiving prenatal care; (2) dimensions of the infant mortality problem in Chicago, Illinois; (3) programs of the Illinois Department of Public Aid (IDPA) that address the problem; (3) the need for the IDPA to design a plan to implement SOBRA (the 1986 Sixth Omnibus Budget Reconciliation Act) and immediately begin providing medical assistance for prenatal care to all women whose family incomes fall below the federal poverty level; (5) dehumanization and other problems indigent pregnant women experience in accessing prenatal care programs; (6) fundamental causes of the inaccessibility of prenatal services to indigent women; (7) basic factors inhibiting the improvement of prenatal services; (8) the activities of the Infant Mortality Networks; (9) costs of malpractice insurance to physicians; (10) viewpoints and activities of the Chicago Urban League; (11) health issues in three predominantly Hispanic communities; (12) the influence of the level of malpractice insurance costs on service provision; and (13) the role of the churches in disseminating information about prenatal care. Materials in the record focus on viewpoints of the American Academy of Pediatrics, and a study of infant mortality bearing on the meaning of the concept "risk." A cost-effective strategy for providing medical coverage for uninsured pregnant women is included. (RH)