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Proposed HHS Regulation Could Still Be Used to Block Access to Contraception, Other Health Services

Our guest blogger is Jessica Arons, the Director of the Women’s Health and Rights Program at the Center for American Progress Action Fund.

HHS has released its proposed regulation to “help protect health care providers from [religious] discrimination.” The good news is it no longer attempts to re-define abortion to include birth control. But don’t breathe a sigh of relief just yet.The regulation no longer defines pregnancy or abortion at all. But in a telephone news conference, Sec. Mike Leavitt left open the possibility that individuals might be able to define those terms for themselves in determining what they find morally objectionable, which means they still may be able to deny women access to oral contraceptives, emergency contraception, and the IUD, among other commonly used methods of birth control.

And that’s just the beginning.

While most of the regulation limits the scope of allowable moral objections to training, performing, counseling, or referring for abortion and sterilization, some sections are not so restricted.

Entities to whom this subsection 88.4(d) applies shall not require any individual to perform or assist in the performance of any part of a health service program or research activity funded by the Department if such service or activity would be contrary to his religious beliefs or moral convictions.

That seems to be an exception you could drive a truck through.

Also note the objections can be based not only on religious beliefs but on any personal moral convictions. This is much broader than the traditional conscience clauses, including those that allowed for conscientious objectors during the Vietnam War.

Finally, the proposed regulation would extend protection from doctors and nurses to just about anyone who might come into contact with a patient, and even some who might not.

[A]n employee whose task it is to clean the instruments used in a particular procedure would be considered to assist in the performance of the particular procedure.

By that logic, an ambulance driver, a receptionist, and even the person who processes health insurance forms might be able to refuse to perform their jobs if related to a health care service they find morally objectionable. Volunteers are explicitly protected too.

The public may submit comments on the regulation during the next 30 days to http://www.Regulations.gov or via email to consciencecomment@hhs.gov.

UPDATE: NFPRHA has more.

McCain’s Contradictory Rhetoric On Home Health Care

Yesterday, in an answer to a question about providing affordable care to Americans with disabilities, Sen. John McCain (R-AZ) said he would “encourage home health care as opposed to institutional care”:

And we need to have policies that encourage home health care as opposed to institutionalized care. And we need to treat people on an outcome basis, that don’t pay for every test or every procedure, every visit to the doctor; but treat them for a period of time and then pay that provider.

McCain’s answer may have surprised disability advocates. Just last month, during a Town Hall event in Denver, McCain expressed strong opposition to the Community Choice Act, which would make more home care available to people on Medicaid.

After the audience member asking the question explained that the act — which has a total of 113 co-sponsors in the House and 21 in the Senate– “would end the institutional bias and allow people with disabilities to chose where we would live and receive services,” McCain expressed no support for home-based care and instead insisted that he “will not” support the act “because I don’t think that it’s the right kind of legislation.”

Watch both answers:

During the event in Denver in July, McCain implied that he had discussed the act with advocates in April. But by June, McCain seemed to have forgotten about the legislation. When an audience member asked the senator “would you support the Community Choice Act, Senate Bill 799,” McCain said, “I’m not sure which — I don’t know bills by their numbers” and instead touted his support for the Americans with Disabilities Act, which did nothing to promote home care.

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