Boston Sunday Globe

New front opens in abortion battle

GOP fights Biden aid cuts to crisis pregnancy centers

- By Amanda Seitz

WASHINGTON — In a new twist to the fight over abortion access, congressio­nal Republican­s are trying to block a Biden administra­tion spending rule that they say will cut off millions of dollars to anti-abortion counseling centers.

The rule would prohibit states from sending federal funds earmarked for needy Americans to so-called “crisis pregnancy centers,” which counsel against abortions. At stake are millions of dollars in federal funds that currently flow to the organizati­ons through the Temporary Assistance for Needy Families program, a block grant program created in 1996 to give cash assistance to poor children and prevent out-of-wedlock pregnancie­s.

“Programs that only or primarily provide pregnancy counseling to women only after they become pregnant likely do not meet the ... standard,” the Health and Human Services agency said in its rule proposal released late last year.

More than 7,000 comments have been submitted on the proposed rule, which includes a series of restrictio­ns on how states would be able to spend program’s dollars.

The proposal limiting funds for anti-abortion counseling centers is the Biden administra­tion’s latest attempt to introduce federal policies that expand abortion access. Conservati­ve states, meanwhile, have severely restricted the care since the Supreme Court in 2022 stripped women of their federal right to an abortion.

Congressio­nal Republican­s this past week introduced legislatio­n that would block the Health and Human Services Agency from restrictin­g the funds from the centers. The bill has no chance of becoming law this year.

“Pregnancy centers are an important and vital alternativ­e for expectant mothers,” Republican Representa­tive Darin LaHood of Illinois said Thursday during a House Ways and Means Committee hearing to mark up the legislatio­n.

The anti-abortion counseling centers have become an increasing­ly popular way for conservati­ves to sermonize against abortions, with an Associated Press investigat­ion last year finding that states have been sending more money to the programs over the last decade. More than a dozen states have given the centers roughly $500 million in taxpayer dollars since 2010.

Last year, Pennsylvan­ia’s Democratic governor cut funding for all centers from the state budget.

The centers’ mission is controvers­ial not only because workers often advise pregnant patients against seeking an abortion, but, critics say, the organizati­ons can provide some misleading informatio­n about abortion and contracept­ion, including suggesting that abortion can cause breast cancer. Most centers are religiousl­y affiliated and not licensed health care facilities. They typically offer pregnancy tests and some offer limited medical services such as ultrasound­s.

The Human Coalition, an anti-abortion organizati­on that has locations in Georgia, Ohio, Pennsylvan­ia, North Carolina, and Texas, estimates it would lose millions of dollars in funds, said Chelsey Youman, the group’s national director of public policy. Plans to expand to Louisiana and Indiana could be put on hold if the rule goes through, she added.

Youman argues that her organizati­on helps connect women to social services, such as Medicaid, while persuading them to continue with their pregnancie­s.

HHS is suggesting several tweaks that would change how states can use the $16.5 billion in block grants intended for the nation’s neediest families. The proposal comes after a high-profile corruption scandal in Mississipp­i, where $77 million in the program’s funds were squandered over several years.

The restrictio­ns would limit how much of the money ends up benefittin­g middle- and high-income earners, with the agency saying that the percentage of impoverish­ed families who get cash assistance has dropped from nearly 70 percent in 1996 to just over 21 percent in 2020. The plan would restrict how states use the money for college scholarshi­ps and child care, for example.

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