News Law and Policy

GOP Obamacare Alternative Doesn’t Cover Contraception, Maternity Care

Emily Crockett

The day after House Republicans voted for the 56th time to repeal Obamacare, three congressional Republicans offered an alternative plan that would leave the decision on which “essential health benefits” to cover up to the states.

The day after House Republicans voted for the 56th time to repeal Obamacare, three congressional Republicans offered an alternative plan that would not guarantee coverage of either maternity care or contraception.

Both maternity care and contraception are guaranteed benefits under the Affordable Care Act (ACA), and contraceptives have to be covered with no co-pay. The decision on which of these and other “essential health benefits” to cover would be left up to states, under a new plan released Wednesday by House Energy and Commerce Committee Rep. Fred Upton (R-MI), Senate Finance Committee Chairman Orrin Hatch (R-UT), and Sen. Richard Burr (R-NC).

Because the plan is to repeal the health-care law in its entirety, that also means the contraceptive benefit would be repealed, Tom Wilbur, a spokesperson for Rep. Upton, confirmed to Rewire. 

Before the passage of the ACA, only about 12 percent of insurance plans covered maternity care, and more than half of women had at some point had trouble affording the birth control they needed.

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Before the ACA banned gender disparities in insurance premiums, women used to pay much more for insurance than men—even for many plans that didn’t offer any maternity coverage.

The plan would also make subsidies less generous, replacing a subsidy for people making up to 400 percent of the federal poverty level with a tax credit for those making up to 300 percent. The Republican plan would eliminate the ACA’s Medicaid expansion, turning instead to block grants that would likely shrink over time and benefit fewer people from the outset.

The plan would only forbid discrimination based on preexisting conditions for people who are continuously insured, which could turn a job loss or long-term unemployment into a health hazard.

Also left up to the states under the new GOP plan would be any and all health-care exchanges. The plan would eliminate the federal health exchange—which insures about 7.5 million of the ten million people who have coverage through the public exchanges this year.

Republicans don’t specify what would happen to those millions of people’s insurance plans.

A list of frequently asked questions about the plan prepared by the House commerce committee doesn’t give a straight “yes” answer to its own first question: “If consumers like the health plan they have, with your plan, can they keep it?”

Fourteen states so far have set up their own exchanges. Residents of the other 36 states are already in danger of losing their ACA subsidies depending on how the Supreme Court rules in King v. Burwell, in which the plaintiffs seek to end the federally run exchanges.

That case, and the likely catastrophe it would bring upon the insurance market if the subsidies are struck down by the conservative Roberts Court, has motivated the GOP to start talking more about their ideas for replacements, even if those ideas aren’t fully realized.

The new proposal, which hasn’t yet been written up into actual legislation, doesn’t include a formal estimate of the cost or the number of people who would be covered, and there are no plans for formal hearings on it.

Sen. Ron Wyden (D-OR), ranking member of the Senate Finance Committee, issued a statement calling the proposal a “lethargic rehash” of a similar proposal that didn’t go far in 2014.

“It effectively raises taxes on the middle class, removes bedrock protections for consumers and chips away at key coverage benefits that Americans rely on,” Wyden said.

News Politics

Senate Democrats Object to Contraception Limits in Blocking GOP Zika Agreement

Christine Grimaldi

“Republicans don’t want to treat Zika as an emergency and they don’t want to expand access to birth control," Sen. Barbara Mikulski (D-MD) said in a statement. "It begs the question: Will they be willing to pay the costs associated with every child born in this country with Zika-related birth defects?”

Democrats in the U.S. Senate Tuesday temporarily blocked a $1.1 billion GOP-engineered agreement to combat the Zika virus amid objections to the strings attached, including restrictions on contraceptive access.

Their Republican counterparts needed 60 votes to end debate and proceed to a vote on the measure. The 52-48 vote fell short of that threshold.

The Zika aid is part of a sweeping conference report (H. Rept. 114-640) that also provides fiscal year 2017 military construction and veterans affairs funding. The U.S. House of Representatives passed the conference report last week in a largely party-line vote with few Democrats on board. Prior to the vote, Democrats involved in negotiations had refused to sign off on the plan, which would limit contraceptive services in the United States and Puerto Rico and falls short of the Obama administration’s $1.9 billion request for emergency supplemental Zika funding.

As Rewire reported last week, the Republican agreement limits women to obtaining contraceptive services from public health departments, hospitals, and Medicaid Managed Care clinics. This could prove particularly challenging for women in Puerto Rico, a sprawling territory with few such options. Republicans would also prohibit subgrants to outside groups “that could provide important services to hard-to-reach populations, especially hard-to-reach populations of women that want to access contraceptive services,” according to a Democratic summary.

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Senate Majority Leader Mitch McConnell (R-KY) took to the Senate floor to argue that the Republican agreement actually provides “more resources for women’s health services” through the three options.

“It’s really puzzling to hear Democrats claim to be advocates for women[’s] health measures when they are the ones trying to block the Zika legislation and its critical resources to protect women’s health,” McConnell said.

Senate Appropriations Committee Vice Chairwoman Barbara Mikulski (D-MD), however, criticized Republicans for effectively prohibiting contraceptive services between many women and their doctors or primary care clinics.

“I know the issue of birth control is difficult for some, but we know that Zika has terrible consequences for women and babies,” Mikulski said in a statement. “Republicans don’t want to treat Zika as an emergency and they don’t want to expand access to birth control. It begs the question: Will they be willing to pay the costs associated with every child born in this country with Zika-related birth defects?”

The Centers for Disease Control and Prevention concluded that Zika causes microcephaly, an incurable neurological disorder that impairs brain and skull growth in utero, as well as other severe fetal brain defects. Advocates have said the virus underscores the urgent need for better contraceptive access, particularly since Zika can be sexually transmitted.

Online requests for abortion medications have spiked in Latin American countries that issued warnings to pregnant people about Zika-related complications yet outlaw or restrict the health care, according to a recent New England Journal of Medicine study.

A White House spokesperson June 23 said that President Barack Obama would veto the funding package in its current form. McConnell will attempt to bring up the Republican agreement after the Senate returns from its July 4 recess, according to a leadership spokesperson.

Senate Minority Leader Harry Reid (D-NV) and other party leaders in the chamber called for a new round of Zika talks.

“The conference report includes a restriction that would limit funding for providers of birth control services—a backdoor way of restricting care from women’s health providers like Planned Parenthood and family planning centers that would have serious consequences for women’s health,” they said in a letter to McConnell and House Speaker Paul Ryan (R-WI).

Roundups Politics

Trump Taps Extremists, Anti-Choice Advocates in Effort to Woo Evangelicals

Ally Boguhn

Representatives from radical anti-abortion group Operation Rescue praised Trump’s commitment to its shared values during the event. “I’m very impressed that Mr. Trump would sit with conservative leaders for multiple questions, and then give direct answers,” said the organization's president, Troy Newman, who was in attendance at a question-and-answer event on Tuesday.

Making a play to win over the evangelical community, presumptive Republican nominee Donald Trump met with more than 1,000 faith and anti-choice leaders on Tuesday for a question-and-answer event in New York City and launched an “evangelical advisory board” to weigh in on how he should approach key issues for the voting bloc.

The meeting was meant to be “a guided discussion between Trump and diverse conservative Christian leaders to better understand him as a person, his position on important issues and his vision for America’s future,” according to a press release from the event’s organizers. As Rewire previously reported, numerous anti-choice and anti-LGBTQ leaders—many of them extremists—were slated to attend.

Though the event was closed to the media, Trump reportedly promised to lift a ban on tax-exempt organizations from politicking and discussed his commitment to defending religious liberties. Trump’s pitch to conservatives also included a resolution that upon his election, “the first thing we will do is support Supreme Court justices who are talented men and women, and pro-life,” according to a press release from United in Purpose, which helped organize the event.

Marjorie Dannenfelser, president of the anti-choice Susan B. Anthony List, told the New York Times that the business mogul also reiterated promises to defund Planned Parenthood and to pass the Pain-Capable Unborn Child Protection Act, a 20-week abortion ban based on the medically unsupported claim that a fetus feels pain at that point in a pregnancy.

In a post to its website, representatives from radical anti-abortion group Operation Rescue praised Trump’s commitment to their shared values during the event. “I’m very impressed that Mr. Trump would sit with conservative leaders for multiple questions, and then give direct answers,” said the group’s president, Troy Newman, who was in attendance. “I don’t believe anything like this has ever happened.” The post went on to note that Trump had also said he would appoint anti-choice justices to federal courts, and repeal and replace the Affordable Care Act (ACA).

Just after the event, Trump’s campaign announced the formation of an evangelical advisory board. The group was “convened to provide advisory support to Mr. Trump on those issues important to Evangelicals and other people of faith in America,” according to a press release from the campaign. Though members of the board, which will lead Trump’s “much larger Faith and Cultural Advisory Committee to be announced later this month,” were not asked to endorse Trump, the campaign went on to note that “the formation of the board represents Donald J. Trump’s endorsement of those diverse issues important to Evangelicals and other Christians, and his desire to have access to the wise counsel of such leaders as needed.”

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Much like the group that met with Trump on Tuesday, the presumptive Republican nominee’s advisory board roster reads like a who’s-who of conservatives with radical opposition to abortion and LGBTQ equality. Here are some of the group’s most notable members:

Michele Bachmann

Though former Minnesota Rep. Michele Bachmann once claimed that “women don’t need anyone to tell them what to do on health care” while arguing against the ACA during a 2012 appearance on NBC’s Meet the Press, her views on the government’s role in restricting reproductive health and rights don’t square away with that position.

During a December 2011 “tele-town hall” event hosted by anti-choice organization Personhood USA, Bachmann reportedly falsely referred to emergency contraception as “abortion pills” and joined other Republican then-presidential candidates to advocate for making abortion illegal, even in cases of rape, incest, or life endangerment. During the event, Bachmann touted her support of the anti-choice group’s “personhood pledge,” which required presidential candidates to agree that:

I stand with President Ronald Reagan in supporting “the unalienable personhood of every American, from the moment of conception until natural death,” and with the Republican Party platform in affirming that I “support a human life amendment to the Constitution, and endorse legislation to make clear that the 14th Amendment protections apply to unborn children.

Such a policy, if enacted by lawmakers, could outlaw abortion and many forms of contraception. A source from Personhood USA told the Huffington Post that Bachmann “signed the pledge and returned it within twenty minutes, which was an extraordinarily short amount of time.”

Bachmann has also claimed that God told her to introduce a measure to block marriage equality in her home state, that being an LGBTQ person is “ part of Satan,” and that same-sex marriage is a “radical experiment that will have “profound consequences.”

Mark Burns

Televangelist Mark Burns has been an ardent supporter of Trump, even appearing on behalf of the presidential candidate at February’s Faith and Family Forum, hosted by the conservative Palmetto Family Council, to deliver an anti-abortion speech.

In March, Burns also claimed that he supported Donald Trump because Democrats like Hillary Clinton supported Black “genocide” (a frequently invoked conservative myth) during an appearance on the fringe-conspiracy program, the Alex Jones show. “That’s really one of my major platforms behind Donald Trump,” said Burns, according to the Daily Beast. “He loves babies. Donald Trump is a pro-baby candidate, and it saddens me how we as African Americans are rallying behind … a party that is okay with the genocide of Black people through abortion.”

Burns’ support of Trump extended to the candidate’s suggestion that if abortion was made illegal, those who have abortions should be punished—an issue on which Trump has repeatedly shifted stances. “If the state made it illegal and said the premature death of an unborn child constituted murder, anyone connected to that crime should be held liable,” Burns told the Wall Street Journal in April. “If you break the law there should be punishment.”

Kenneth and Gloria Copeland

Kenneth and Gloria Copeland founded Kenneth Copeland Ministries (KCM), which, according to its mission statement, exists to “teach Christians worldwide who they are in Christ Jesus and how to live a victorious life in their covenant rights and privileges.” Outlining their opposition to abortion in a post this month on the organization’s website, the couple wrote that abortion is wrong even in cases of rape, incest, or life endangerment. “As the author of life, God considers an unborn child to be an eternal being from the moment of its conception,” explained the post. “To deliberately destroy that life before birth would be as much premeditated murder as taking the life of any other innocent person.”

The article went on to say that though it may “seem more difficult in cases such as those involving rape or incest” not to choose abortion, “God has a plan for the unborn child,” falsely claiming that the threat of life endangerment has “been almost completely alleviated through modern medicine.”

The ministries’ website also features Pregnancy Options Centre, a crisis pregnancy center (CPC) in Vancouver, Canada, that receives “financial and spiritual support” from KCM and “its Partners.” The vast majority of CPCs  regularly lie to women in order to persuade them not to have an abortion.

Kenneth Copeland, in a June 2013 sermon, tied pedophilia to the Supreme Court’s decision in Roe v. Wade, going on to falsely claim that the ruling did not actually legalize abortion and that the decision was “the seed to murder our seed.” Copeland blamed legal abortion for the country’s economic woes, reasoning that there are “several million taxpayers that are not alive.”

Copeland, a televangelist, originally supported former Republican presidential candidate Sen. Ted Cruz (TX) in the 2016 Republican primary, claiming that the candidate had been “called and appointed” by God to be the next president. His ministry has previously faced scrutiny about its tax-exempt status under an investigation led by Sen. Chuck Grassley (R-IA) into six ministries “whose television preaching bankrolled leaders’ lavish lifestyles.” This investigation concluded in 2011, according to the New York Times.

James Dobson

James Dobson, founder and chairman emeritus of Focus on the Family (FoF), previously supported Cruz in the Republican primary, releasing an ad for the campaign in February praising Cruz for defending “the sanctity of human life and traditional marriage.” As Rewire previously reported, both Dobson and his organization hold numerous extreme views:

Dobson’s FoF has spent millions promoting its anti-choice and anti-LGBTQ extremism, even dropping an estimated $2.5 million in 2010 to fund an anti-choice Super Bowl ad featuring conservative football player Tim Tebow. Dobson also founded the … Family Research Council, now headed by Tony Perkins.

Dobson’s own personal rhetoric is just as extreme as the causes his organization pushes. As extensively documented by Right Wing Watch,

Dobson has:

Robert Jeffress

A Fox News contributor and senior pastor of First Baptist Church of Dallas, Jeffress once suggested that the 9/11 attacks took place because of legal abortion. “All you have to do is look in history to see what God does with a nation that sanctions the killing of its own children,” said Jeffress at Liberty University’s March 2015 convocation, according to Right Wing Watch. “God will not allow sin to go unpunished and he certainly won’t allow the sacrifice of children to go unpunished.”

Jeffress spoke about the importance of electing Trump during a campaign rally in February, citing Democrats’ positions on abortion rights and Trump’s belief “in protecting the unborn.” He went on to claim that if Sen. Bernie Sanders (I-VT) or Hillary Clinton were elected, “there is no doubt you’re going to have the most pro-abortion president in history.”

After Trump claimed women who have abortions should be punished should it become illegal, Jeffres rushed to defend the Republican candidate from bipartisan criticism, tweeting: “Conservatives’ outrage over @realDonaldTrump abortion comments hypocritical. Maybe they don’t really believe abortion is murder.”

As documented by Media Matters, Jeffress has frequently spoken out against those of other religions and denominations, claiming that Islam is “evil” and Catholicism is “what Satan does with counterfeit religion.” The pastor has also demonstrated extreme opposition to LGBTQ equality, even claiming that same-sex marriage is a sign of the apocalypse.

Richard Land

Richard Land, now president of the Southern Evangelical Seminary, was named one of Time Magazine‘s “25 Most Influential Evangelicals in America” in 2005 for his close ties with the Republican party. While George W. Bush was president, Land participated in the administration’s “weekly teleconference with other Christian conservatives, to plot strategy on such issues as gay marriage and abortion.” Bush also appointed Land to the U.S. Commission on International Religious Freedom in 2002.

According to a 2002 article from the Associated Press, during his early academic career in Texas, “Land earned a reputation as a leader among abortion opponents and in 1987 became an administrative assistant to then-Texas Gov. Bill Clements, who fought for laws to restrict a woman’s right to an abortion” in the state.

Land had previously expressed “dismay” that some evangelicals were supporting Trump, claiming in October that he “take[s] that [support] as a failure on our part to adequately disciple our people.”