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Health

Pennsylvania Legislature Will Consider Defunding Planned Parenthood

A bill to defund Planned Parenthood will be introduced in the Pennsylvania state legislature this week.

The bill, like similar efforts in Texas and Arizona, will put the women’s health provider at the end of the list for any federal funding, according to the Huffington Post. But it isn’t even written by the Pennsylvania state legislature. Rather, the bill is an effort by the anti-abortion group the Susan B. Anthony List:

[State Rep. Daryl] Metcalfe’s bill, the Whole Woman’s Health Funding Priority Act, would put health care providers that offer abortion services at the bottom of the priority list for state funding. The anti-abortion activist group Susan B. Anthony List wrote the bill, which closely resembles the one Arizona lawmakers used to defund Planned Parenthood earlier this year.

Planned Parenthood clinics receive a substantial percentage of their money through state and federal government funding streams, including Medicaid and Titles V, X and XX. The clinics use the funds to offer breast cancer screenings, STD testing and treatment, pap smears, maternity care and other medical services for low-income and uninsured patients.

Federal funding cannot be used for abortion services at Planned Parenthood. However, that funding is used for vital well woman care, particularly for low-income women, and women who live in rural areas and have few health care options.

Health

New Wisconsin Law Forces Another Abortion Clinic To Stop Providing Medication Abortion Services

A Wisconsin clinic, Affiliated Medical Services, has stopped distributing abortion-inducing medication because a new state law makes it extremely difficult for abortion providers to offer non-invasive medication abortions. According to RH Reality Check, it is now impossible for women to receive a medical abortion from a provider in the state.

Planned Parenthood of Wisconsin suspended medication abortions in April because of the ambiguous anti-abortion measure that Gov. Scott Walker (R) signed into law, which requires women to make at least three separate visits to their doctor for the procedure.

NARAL Pro-Choice Wisconsin Executive Director Lisa Subeck said in a statement that women will “suffer” because Walker and state Republicans have limited women’s health care options in the state:

Wisconsin women will suffer because of Governor Walker’s actions. It is unacceptable that women are losing health care options because Walker has put his extreme social agenda ahead of what is best for women’s health. [...] Women lose out when out of control politicians like Scott Walker practice medicine without a license and interfere in the relationship between doctors and their patients.”

Dr. Fredrik Broekhuizen, a Wisconsin medical director, told RH Reality Check in April that “[i]f we follow the FDA rules and follow protocol, we would violate this law. And we have no ability to defend ourselves,” he said of the restrictions on medication abortions.

The fight over women’s access to abortion has been particularly fierce in Wisconsin. A Planned Parenthood clinic was firebombed in early April before Walker quietly signed anti-abortion legislation into law later in the month.

NEWS FLASH

43 Catholic Institutions File 12 Separate Lawsuits Against Obama’s Birth Control Rule | The University of Notre Dame, Catholic University of America, the Archdiocese of Michigan, and the Archdiocese of New York have filed a lawsuit against an Obama administration regulation requiring employers and insurers to offer preventing health services — including contraception — without additional cost sharing. The suit, one of 12 filed Monday, argues that the requirement violates the Catholic institutions’ religious freedom — even though regulators have included an accommodation for religious organizations. Planned Parenthood President Cecile Richards has called the challenges “unbelievable” and claimed, “This isn’t a religious or political issue – it’s a medical issue, and that’s where we should keep it.” An overwhelming majority of Americans — and Catholics — support the coverage rule.

Update

Ian Millhiser points out that eight years ago, a similar case against contraceptive access “earned barely any support even on one of the most Republican courts in the country.”

Health

This Women’s Health Week, What Is Congress Doing To Protect Women’s Health?

President Obama declared this week as women’s health week, and though we too often hear about the attacks on women’s health, it seems like a good time to think about the positive measures in Congress — be them very few — to protect women’s health.

Believe it or not, Congress does have a few bills out there that are protections of women’s health, instead of attacks on it. So here are the top three bills in Congress aimed at protecting women’s health:

The Pregnant Workers Fairness Act aims to protect pregnant workers from discrimination in the workplace by ensuring that their employers cannot deny them necessities to their prenatal health. Mothers-to-be sometimes need a water bottle or a stool to sit on, particularly as they near their delivery date or if they have any complications with their pregnancy. Yet women have been fired to trying to access these necessities on the job. The bill, introduced by Reps. Jerrold Nadler (D-NY), Carolyn Maloney (D-NY), Jackie Speier (D-CA), Susan Davis (D-CA) and George Miller (D-CA), requires employers to meet these needs.

The Violence Against Women Act has been hotly debated in both the House and Senate, but at its core, it is a bill meant to safeguard women’s health. Unfortunately, rape and assault are a part of the health care that many women receive in their lives — roughly one in six women is sexually assaulted, and one in four experience domestic violence. VAWA protects victims of domestic violence so that incidents occur less frequently, but it also sets up rapid response for when those incidents do occur.

The Protecting Women’s Access to Health Care Act is a Republican response to all of the attacks on Planned Parenthood. Introduced by Rep. Robert Dold (R-IL), the bill seeks to ensure that Planned Parenthood can not be denied funding under Title X, Congress’s family planning funding. Dold said, “We should not discriminate against hospitals and organizations that provide access to basic, preventative, and in some cases life-saving services.”

Aside from these legislative efforts, President Obama’s contraceptive mandate requires that employers provide contraception to their employees — an important step for improving women’s health and access to health care. So there is some good news for women’s health, with Democrats and some Republicans supporting legislation in favor of women’s interests. Now the nation will have to wait and see if Congress agrees to pass these measures.

Health

Planned Parenthood Claims Victory After Helping To Oust NC Legislator Who Voted For Anti-Abortion Bill

Planned Parenthood helped knock a 28-year incumbent out of the North Carolina General Assembly after the conservative Democrat sided with Republicans to vote in favor of a controversial anti-abortion bill last year. State Rep. Jim Crawford (D) joined four other Democrats who helped Republicans override Gov. Bev Perdue’s (D) veto to pass legislation that requires women get ultrasound exams, receive counseling, and wait 24 hours before having an abortion.

Planned Parenthood responded by supporting Rep. W.A. “Winkie” Wilkins’ (D) campaign against Crawford in a redrawn district that favored Wilkins. The women’s health organization claimed victory in statements released after Tuesday’s election:

“There is no question,” says Melissa Reed, vice president of public policy for Planned Parenthood Health Systems Action Fund. “Women were watching as Jim Crawford cast the deciding vote in support of legislation to undermine a woman’s right to make personal health decisions without government intrusion.” [...]

“Nowhere has the attack on women’s health been waged more viciously than in North Carolina” added Paige Johnson, vice president of public affairs for Planned Parenthood Action Fund of Central North Carolina. “Yesterday’s defeat of Jim Crawford by Winkie Wilkins shows clearly that women have had enough. We are mobilizing to help elect candidates like Winkie Wilkins, who will stand strong for women’s health in 2012 and beyond.”

Planned Parenthood also got involved in a Pennsylvania election, spending $100,000 on an ad attacking Republican Ryan Mackenzie for his support of an invasive ultrasound bill. And as state legislatures have approved another round of restrictive abortion regulations so far this year, it’s likely that women will continue to target Republicans who voted to limit their health care options.

Health

GOP Freshman Breaks With His Party To Support Planned Parenthood Funding

As another state has banned Planned Parenthood funding, Rep. Robert Dold (R-IL) introduced a bill to protect federal funds to Planned Parenthood. Dold, one of the few pro-choice Republicans in Congress, said today that he was pushing for the bill because of the importance of Title X family planning funds for women’s health:

We have seen several attempts to block funds and exclude health care providers from participating in the Title X program simply because they separately offer services beyond the scope of Title X. We should not discriminate against hospitals and organizations that provide access to basic, preventative, and in some cases life-saving services for so many underprivileged women through Title X.

Dold said he wants to “bring both sides together” in support of Planned Parenthood and health care for women, but it’s unclear how much support he will get. Rep. Cliff Stearns (R-FL), Energy and Commerce Oversight subcommittee chairman who launched an investigation into Planned Parenthood, told Politico that he did not understand why Dold’s bill was necessary because “there’s no discrimination against Planned Parenthood.”

In recent years, eight states have voted to block Planned Parenthood from receiving funds. And last year, the GOP-controlled House voted to prevent the women’s health organization from receiving Title X money. Dold was one of seven Republicans to break from their party, and he spoke out against the measure, saying it would be “shortsighted and would negatively impact the lives of women who depend on these health care services.”

But the need to protect women’s access to health care has not stopped other Republicans from defunding Planned Parenthood. Texas Republicans’ decision to cut Planned Parenthood out of the state’s Women’s Health Program endangered care for 130,000 women.

NEWS FLASH

President Obama: Women Should ‘Control Their Own Health Choices’ | In the kickoff of his 2012 campaign last weekend, President Obama attacked Republicans for starting a “political fight” over abortion and contraception. Speaking to a crowd in Columbus, Ohio, the President said, “We don’t need another political fight about ending a woman’s right to choose, or getting rid of Planned Parenthood — or taking away access to affordable birth control. I want women to control their own health choices, just like I want my daughters to have the same opportunities as your sons.” Watch here (relevant portion begins at 3:48):

-Zachary Bernstein

NEWS FLASH

Three-Judge Panel Lifts Republican Judge’s Stay Of Texas Planned Parenthood Decision | Earlier this week, Republican Fifth Circuit Judge Jerry Smith issued an unusual single-judge order staying another judge’s decision suspending a Texas law that cuts off funding for Planned Parenthood. Today, a three-judge panel of the same court, which includes Judge Smith, lifted Smith’s order — meaning that the Texas anti-Planned Parenthood law is suspended once again. As a practical matter, however, today’s order will have little real impact. The Texas law will not actually cut off the relevant Planned Parenthood funding until November, and today’s order expedites this case so that it will be heard in July. Accordingly, it is likely that the Fifth Circuit will have reached a final decision on whether to affirm or reverse the lower court’s pro-Planned Parenthood order before that order could actually make a difference.

Justice

Republican Judge Jerry Smith Blocks Pro-Planned Parenthood Order Just Hours After It Was Issued

Last month, Republican Fifth Circuit Judge Jerry Smith pitched a tantrum in open court, demanding that the Department of Justice respond to some imprecise political rhetoric by President Obama in an attempt to embarrass the president. Today, the staunch Republican judge raised further doubt about his ability to separate politics from the law by suspending a decision benefiting Planned Parenthood just hours after it was handed down by another judge.

Yesterday afternoon, a federal trial court in Texas granted a preliminary injunction preventing the state from cutting off women’s health funds to Planned Parenthood. The trial court’s opinion was written by Judge Lee Yeakel — a George W. Bush appointee — and it is 24 pages long, including substantial analysis of difficult constitutional doctrines such as the scope of the First Amendment right to free speech and the “unconstitutional conditions” doctrine. Significantly, the Bush-appointed trial judge was concerned that Texas stripped funds from Planned Parenthood because it disapproved of the organization’s advocacy in favor of women’s health — a direct attack on Planned Parenthood’s First Amendment rights if Yeakel is correct.

This morning, less than 24 hours after Yeakel handed down his decision, Judge Smith handed down a two sentence decision of his own:

IT IS ORDERED that appellant’s motion for stay pending appeal is GRANTED pending further order of this court. This order is entered by a single judge pursuant to FED. R. APP. P. 8(a)(2)(D).

Several things are significant about this very brief order. First, Judge Smith is a court of appeals judge, and it is very rare for an appeals judge to act alone in this way. Federal appeals courts almost always act as three judge panels, and for very good reason. Judge Yeakel is no less a federal judge than Judge Smith, and he is no less competent that Smith to interpret the Constitution. A court of appeals’ legitimacy generally flows from the fact that it brings more minds to a legal question than a trial court — but this cannot happen when a single judge acts alone.

It is true, as Judge Smith notes, that the Federal Rules of Appellate Procedure permit a single judge to stay a lower court’s decision, but that rule only permits the judge to do so in “an exceptional case in which time requirements make that procedure impracticable.” It’s not at all clear what kind of exceptional time constraints justified allowing Judge Smith to act alone here rather than first consulting with two of his colleagues before issuing this unusual order.

More importantly, it’s unlikely that Smith gave his order much thought at all before handing it down. Judge Yeakel handed down his order weeks after this case was filed, and he produced a 24 page explanation of why it was justified. Smith spent, at most, a few hours — and he offered no explanation whatsoever.

If nothing else, today’s order highlights the foolishness of Smith’s partisan tantrum several weeks ago. Unusual orders — even unusual orders handed down by single judges — are sometimes justified even if the legal reasoning behind such an order is not immediately apparent. Nevertheless, the legitimacy of such orders flows from the public’s trust that they are motivated by obedience to the law and not by partisanship, ideology or personal grievances. Judge Smith thumbed his nose at that trust when he lashed out at Obama last month, and undermined the legitimacy of the entire judiciary in the process.

NEWS FLASH

Texas Court Stops State From Defunding Planned Parenthood | A federal court in Texas today stopped the Texas legislature from denying Planned Parenthood funding from the state’s Women’s Health Program. The federal judge imposed a preliminary injunction on the law, over which Planned Parenthood sued a few weeks ago. Texas’s Planned Parenthood provides medical services to over 130,000 Texan women every year, and the law would apply to even those health clinics that do not provide abortion. According to Planned Parenthood, “over 40 percent of women who received services through the Women’s Health Program chose to rely on a Planned Parenthood health center for Women’s Health Program services.” In a response to today’s decision by the court, Patricio Gonzales, CEO of Planned Parenthood Association of Hidalgo County, said “The health and well-being of our patients is our number-one priority. We hope that this decision will allow us to continue our lifesaving work of providing high-quality health care and cancer screenings to some of Texas’ most vulnerable women.”

Update

An appellate judge granted the state a stay in yesterday’s ruling, which the Texas attorney general had quickly appealed. Judge Jerry Smith granted the stay on yesterday’s ruling Monday night.

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