House Health Care Reform Bill Mandates LGBT Data Collection

Emily Douglas

In a major breakthrough for LGBT Americans, the tri-committee health care reform bill released yesterday by the House mandates collection of health care data on sexual orientation and gender identity.

On page 987 of the House’s 1018-page health care reform bill, the Affordable Health Choices Act, an unexpected but long overdue provision appears:

"The Assistant Secretary shall…develop standards for the collection of data regarding the Nation’s health…and include standards, as appropriate, for the collection of data on health and health care by race, ethnicity, primary language, sex, sexual orientation, gender identity…"

This is "an amazing first step," says Rebecca Fox, head of the National Coalition for LGBT Health. Data collection may sound tame, but it "is the foundation of all
federal health work.  LGBT people are not counted any place infederal
health surveys. This is revolutionary for us." Advocates for Youth’s Donald Hitchcock explains, "Without accurate health data regarding the needs of the LGBT
community, we find ourselves struggling to quantify the importance of
supporting LGBT research and prevention programs."

Will this mandate survive?  "The fight now is that we have to keep it in," says Hitchcock.  The three House committees — Energy and Commerce, Ways and Means, and and Education and Labor — working together on the bill haven’t voted on it yet, and even if they pass it intact, the LGBT data collection provision must survive a floor vote in the House and reconciliation with the Senate’s version of the bill. "We do expect an amendment to try to strip it out," says Fox. But, she adds, "I think the votes are there to vote an amendment down.  We have a lot of friends in the House."

Like This Story?

Your $10 tax-deductible contribution helps support our research, reporting, and analysis.

Donate Now

The significance Fox and Hitchcock place on being counted recalls the Obama administration’s decision to recognize married same-sex couples in the 2010 census.  "This is the beginning of federal government recognition that we need to be counted," says Fox.

Last week, Rep. Tammy Baldwin (D-WI) introduced a bill addressing LGBT health disparities which includes a data collection but also would promote cultural competency among providers and establish an LGBT Office within HHS.  Advocates did not think the bill would pass this year, but cited the bill as a significant educational tool that helped spur the House’s health reform bill to identify the health care needs of LGBT Americans.

Analysis Politics

Donald Trump and Mike Pence: The Anti-Immigrant Ticket

Tina Vasquez

“My greatest fear is that this ticket doesn’t seem to realize immigrants are actually an incredible resource that fuels our country," Wendy Feliz of the American Immigration Council told Rewire.

On Friday, Republican presidential candidate Donald Trump announced Indiana Gov. Mike Pence as his running mate, giving legitimacy to concerns a Trump presidency would be anti-choice and decimate LGBTQ rights. As Rewire reported last week, Pence has voted against nondiscrimination efforts, signed a so-called religious freedom bill, opposed marriage equality, and attemptednumerous times—to defund Planned Parenthood, something Trump has promised to do if elected president.

But the two Republicans also have something else in common: They are brazenly anti-immigrant.

Despite a misleading article from the Daily Beast asserting that Pence has had a “love affair with immigration reform” and has “spent his political career decrying anti-immigrant rhetoric,” the governor’s record on immigration tells a different story.

Let’s take a look at Trump’s “xenophobic” and “racist” campaign thus far, and how closely Pence’s voting aligns with that position.

Like This Story?

Your $10 tax-deductible contribution helps support our research, reporting, and analysis.

Donate Now

Donald Trump

For months it seemed, Donald Trump’s talking points in the media rarely drifted away from anti-immigrant rhetoric. During his kickoff speech, he referred to Mexican immigrants as “rapists” and “killers” and in the months since, has promised to build a 2,000-mile-long wall along the United States-Mexico border to keep “illegals” out, a wall the billionaire has promised that Mexico will pay for.

Despite being called “racist” by members of his own party, Trump’s immigration plan is largely consistent with what many Republicans have called for: a larger border wall, increasing the number of Immigration and Customs Enforcement (ICE) officers, requiring all U.S. companies to use E-Verify to check the immigration status of employees, increasing the use of detention for those who are undocumented and currently residing in the United States, and ending “birthright citizenship,” which would mean the U.S.-born children of undocumented parents would be denied citizenship.

Again, Trump’s proposed immigration policies align with the Republican Party’s, but it is the way that he routinely spreads false, damaging information about undocumented immigrants that is worrisome. Trump has repeatedly said that economically, undocumented immigrants are “killing us by “taking our jobs, taking our manufacturing jobs, taking our money.” 

Market Watch, a publication focusing on financial news, reported that this falsehood is something that a bulk of Trump supporters believe; two-thirds of Trump supporters surveyed in the primaries said they feel immigration is a burden on our country “because ‘they take our jobs, housing and health care.'” This, despite research that says deporting the 11 million undocumented immigrants who currently call the United States home would result in a “massive economic hit” for Trump’s home state of New York, which receives $793 million in tax revenue from undocumented immigrants. A recent report by the Institute on Taxation and Economic Policy also found that at the state and local level, undocumented immigrants nationwide collectively pay an estimated $11.6 billion each year in taxes.

Trump has also been accused by Muslim Americans and members of the media of engaging in “reckless, dangerous Islamophobia” at every opportunity, using terrorist attacks to call for a ban on all Muslim immigration, while also using terrorism in a self-aggrandizing manner. In a statement released after the Pulse nightclub shooting, Trump said, “I said this was going to happen.”

These dangerous assertions that all U.S.-based Muslims are secretly harboring terrorists or that undocumented immigrants are killing “thousands of peoplea narrative he continued to push at the Republican National Convention by having the families of three Americans killed by undocumented people speak—can be deadly and inspire hatred and violence. This was made all the more clearer when in August 2015 two white brothers cited Trump when they urinated on and beat a homeless Latino man. According to Huffington Post, the men “alegedly [sic] told police they targeted the man because of his ethnicity and added, ‘Donald Trump was right, all these illegals need to be deported.’” Trump’s response? He said that his supporters are simply “passionate” people who want America “to be great again.”

Mike Pence

Wendy Feliz, a spokesperson with the American Immigration Council, succinctly summarized Pence’s immigration approach to Rewire, saying on Monday that he “basically falls into a camp of being more restrictive on immigration, someone who looks for more punitive ways to punish immigrants, rather than looking for the positive ways our country can benefit from immigrants.”

After Trump’s announcement that Pence would be his running mate, Immigration Impact, a project of the American Immigration Council, outlined what voters should know about Pence’s immigration record:

Pence’s record shows he used his time in Congress and as the Governor of Indiana to pursue extreme and punitive immigration policies earning him a 100 percent approval rating by the anti-immigration group, Federation for American Immigration Reform.

In 2004 when Pence was a senator, he voted for the “Undocumented Alien Emergency Medical Assistance Amendments.” The bill failed, but it would have required hospitals to gather and report information on undocumented patients before hospitals could be reimbursed for treating them. Even worse, the bill wouldn’t have required hospitals to provide care to undocumented patients if they could be deported to their country of origin without a “significant chance” of their condition getting worse.

Though it’s true that in 2006 Pence championed comprehensive immigration reform, as the Daily Beast reported, the reform came with two caveats: a tightening of border security and undocumented immigrants would have to “self-deport” and come back as guest workers. While calling for undocumented immigrants to self-deport may seem like the more egregious demand, it’s important to contextualize Pence’s call for an increase in border security.

This tactic of calling for more Border Patrol agents is commonly used by politicians to pacify those opposed to any form of immigration reform. President Obama, who has utilized more border security than any other president, announced deferred action for the undocumented in June 2012, while also promising to increase border security. But in 2006 when Pence was calling for an increase in border security, the border enforcement policy known as “Operation Gatekeeper” was still in full swing. According to the American Civil Liberties Union (ACLU), Operation Gatekeeper “concentrated border agents and resources along populated areas, intentionally forcing undocumented immigrants to extreme environments and natural barriers that the government anticipated would increase the likelihood of injury and death.” Pence called for more of this, although the undocumented population expanded significantly even when border enforcement resources escalated. The long-term results, the ACLU reported, were that migrants’ reliance on smugglers to transport them increased and migrant deaths multiplied.

There are more direct ways Pence has illustrated a xenophobic agenda, including co-sponsoring a congressional bill that would have made English the official language of the United States and as governor, blocking Syrian refugees en route to Indiana, saying he would not accept any more Syrian refugees out of fear they were “terrorists.” The governor also added Indiana to the Texas lawsuit challenging expanded Deferred Action for Childhood Arrivals (DACA) and Deferred Action for Parents of Americans and Lawful Permanent Residents (DAPA). And he praised the inaction by the Supreme Court last month to expand DACA and DAPA, which leaves millions of undocumented immigrants living in fear of deportation.

According to the Office of Refugee Resettlement, “when a child who is not accompanied by a parent or legal guardian is apprehended by immigration authorities, the child is transferred to the care and custody of the Office of Refugee Resettlement (ORR). Federal law requires that ORR feed, shelter, and provide medical care for unaccompanied children until it is able to release them to safe settings with sponsors (usually family members), while they await immigration proceedings.”

The ORR added that these sponsors “live in many states,” including Indiana, which received 245 unaccompanied minors between January and July 2014. Pence was reportedly unaware that unaccompanied minors were being placed in his state by the federal government, something he said he was made aware of by media reports. These are asylum seeking children, often girls under the age of 10, escaping violence in their countries of origin who arrive at the United States-Mexico border without an adult. Many, including advocacy organizations and the Obama administration, have contended that the circumstances surrounding unaccompanied minors is not simply an immigration issue, but a humanitarian crisis. Not Pence. In a letter to President Obama, the Indiana governor wrote:

While we feel deep compassion for these children, our country must secure its borders and provide for a legal and orderly immigration process …. Failure to expedite the return of unaccompanied children thwarts the rule of law and will only continue to send a distorted message that illegally crossing into America is without consequence.

In the four days since Pence was named Trump’s running mate, he’s also taken a much harsher stance on Muslim immigration. Back in December when Trump called for a “total and complete shutdown of Muslims entering the United States,” Pence tweeted that banning Muslims from entering the United States was “offensive and unconstitutional.” However, on Friday when Pence was officially named Trump’s VP pick, he told Fox News’ Sean Hannity, “I am very supportive of Donald Trump’s call to temporarily suspend immigration from countries where terrorist influence and impact represents a threat to the United States.”

Wendy Feliz of the American Immigration Council told Rewire that while Pence’s rhetoric may not be as inflammatory as Trump’s, it’s important to look at his record in relation to Trump’s to get a better understanding of what the Republican ticket intends to focus on moving into a possible presidency. Immigration, she said, is one of the most pressing issues of our time and has become a primary focus of the election.

“In a few days, we’ll have a better sense of the particular policies the Republican ticket will be pursuing on immigration. It all appears to point to more of the same, which is punitive, the punishing of immigrants,” Feliz said. “My greatest fear is that this ticket doesn’t seem to realize immigrants are actually an incredible resource that fuels our country. I don’t think Trump and Pence is a ticket that values that. An administration that doesn’t value immigrants, that doesn’t value what’s fueled our country for the past several hundred years, hurts all of us. Not just immigrants themselves, but every single American.”

News Politics

Coalition Warns of Trump-Pence Ticket’s ‘Hateful’ Record

Ally Boguhn

“Let’s be clear, the Trump-Pence ticket is the gravest threat the LGBTQ community has ever faced in a presidential election,” said Chad Griffin, president of the Human Rights Campaign.

A coalition of leaders from reproductive rights, LGBTQ, labor, and Latino organizations joined together Friday to speak on the political and legislative records of presumptive Republican nominee Donald Trump and his newly announced running mate, Gov. Mike Pence (R-IN).

“Today Donald Trump doubled down on his hateful anti-LGBTQ agenda by choosing [as] a running mate … a man who has made attacking the rights and dignity of LGBT people a cornerstone of his political career,” said Chad Griffin, president of the Human Rights Campaign, during a press call hosted by the Hillary Clinton campaign. Speaking after news broke that Pence would join Trump’s ticket, Griffin outlined the many ways Pence had previously threatened the well-being of LGBTQ Americans, including voting against nondiscrimination efforts, signing a so-called religious freedom bill in the state, and opposing marriage equality

“Let’s be clear, the Trump-Pence ticket is the gravest threat the LGBTQ community has ever faced in a presidential election,” said Griffin.  

Ilyse Hogue, president of NARAL Pro-Choice America, said that Pence’s selection was “proof positive” that the presumptive Republican nominee was moving to surround himself with “extreme ideologues,” adding that Pence had a track record of enforcing much of the anti-choice rhetoric Trump has wielded during his run for president. 

Like This Story?

Your $10 tax-deductible contribution helps support our research, reporting, and analysis.

Donate Now

“Donald Trump has promised to defund Planned Parenthood. Mike Pence actually led multiple efforts to shut down the government just so he could defund Planned Parenthood,” said Hogue. “As governor, he slashed funding for reproductive health-care clinics like Planned Parenthood to such a degree that it resulted in a public health crisis, with an uptick in HIV infections in rural areas of Indiana.”

“Donald Trump said … that he would punish women who had abortions. Under Mike Pence’s watch as governor, Purvi Patel … has been sentenced to 20 years in prison for attempting a home abortion,” continued Hogue.

“We now have two men in the race who don’t seem to get that women are half the workforce, and breadwinners in their families” said Liz Shuler, the secretary-treasurer of workers’ rights organization the AFL-CIO, in response to Pence’s selection. Shuler explained that Pence had voted against equal pay efforts such as the Paycheck Fairness Act and the Lilly Ledbetter Fair Pay Act while in the U.S. House.

Pence also repealed Indiana’s construction wage law, which set a minimum wage for workers on public construction projects, “taking money directly out of the pockets of construction workers,” said Shuler. She compared Pence’s stance on labor issues to similar positions taken by Trump, who has previously claimed wages are “too high” and supports right-to-work laws, which as Rewire has previously reported, “have had negative effects on wages, income, and access to health care for people who work in states that have seen legislators attack collective bargaining.”

Martín Garcia, director of campaigns for the Latino Victory Project, worried about a Trump-Pence ticket’s impact on “Latinos across the country.” Garcia warned that Trump’s plan to deport 11 million people would “tear families and communities apart” and that his proposed border wall could “cost taxpayers millions of dollars.” He added that such policies would be in line with Pence’s rhetoric and policymaking.

During his time in Congress, Pence co-sponsored a measure which would have changed the rules on birthright citizenship, limiting it “to children born to at least one parent who is a citizen, immigrants living permanently in the U.S., or non-citizens performing active service in the U.S. Armed Forces,” according to ABC’s Indianapolis affiliate RTV6.