The Columbus Dispatch

Trump officials consider delay of abortion curbs

- By Ricardo Alonso-zaldivar

WASHINGTON — The Trump administra­tion has told federally funded family planning clinics that it’s considerin­g a delay in enforcing a controvers­ial rule that bars them from referring women for abortions. That comes after clinics had vowed defiance.

Two people attending meetings this week between the Department of Health and Human Services and clinic representa­tives told The Associated Press that officials said the clinics should be given more time to comply with the rule’s new requiremen­ts. The people spoke on condition of anonymity because they weren’t authorized to speak publicly before any decision has been announced.

HHS said Friday that its policy has not changed.

On Monday, agency officials announced that the government would immediatel­y begin enforcing the rule, catching the clinics off-guard and prompting an outcry. Planned Parenthood said its 400 clinics would defy the requiremen­t. Some states, including Illinois and Maryland, backed the clinics. The family planning program serves about 4 million women a year, and many low-income women get basic health care from the clinics.

The administra­tion’s abortion restrictio­ns, cheered by social and religious conservati­ves, are being challenged in court by groups representi­ng the clinics, several states, and the American Medical Associatio­n. The litigation is still in its early stages. An enforcemen­t pause might allow for a clearer indication of where the court cases are headed.

The people who spoke to AP said that HHS Office of Population Affairs Director Diane Foley told representa­tives of the clinics the administra­tion is considerin­g rewinding the clock on enforcemen­t. Instead of requiring immediate compliance, the administra­tion would issue a new timetable and start the process at that point.

Some requiremen­ts would be effective in 60 days, others in 120 days, and others would take effect next year.

The clinics had complained to HHS that the agency gave them no guidance on how to comply with the new restrictio­ns, while expecting them to do so immediatel­y.

The rule bars the family planning clinics from referring women for abortions. Abortion could still be discussed with patients, but only physicians or clinicians with advanced training could have those conversati­ons. All pregnant patients would have to be referred for prenatal care, whether they request it. Minors would be encouraged to involve their parents in family planning decisions.

Under the rule, facilities that provide family planning services as well as abortions would have to strictly separate finances and physical space.

Known as Title X, the family-planning program funds a network of clinics, many operated by Planned Parenthood affiliates. The clinics also provide basic health services, including screening for cancer and sexually transmitte­d diseases. The program distribute­s about $260 million a year in grants to clinics, and those funds cannot be used to pay for abortions.

The family planning rule is part of a series of Trump administra­tion efforts to remake government policy on reproducti­ve health to please conservati­ves who are a key part of Trump’s political base.

Other regulation­s tangled up in court would allow employers to opt out of offering free birth control to women workers on the basis of religious or moral objections.

Abortion is a legal medical procedure, but federal laws prohibit the use of taxpayer funds to pay for abortions except in cases of rape, incest or to save the woman.

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