San Francisco Chronicle - (Sunday)

Tennessee cuts HIV program tied to Planned Parenthood

- By Kimberlee Kruesi

NASHVILLE — Top Tennessee health officials attempted to oust Planned Parenthood from a program designed to prevent and treat HIV before eventually deciding to forgo federal funding for the program, despite warnings that doing so will have a devastatin­g impact on marginaliz­ed communitie­s, documents show.

The decision is the latest developmen­t in a ruby red state where abortion is already banned. Republican­s leaders, however, have actively tried to cut off public ties with the organizati­on for any other services, due to its long history of offering and defending abortion care.

According to a letter from Planned Parenthood, Tennessee’s Department of Health in November alerted the organizati­on that it would no longer receive HIV prevention grants starting in 2023, as well as warned that the state was terminatin­g its partnershi­p with Planned Parenthood to provide HIV testing.

The letter, which was obtained by the Associated Press, was sent to the health agency’s general counsel, Mary Katherine Bratton, on Nov. 16.

The document states that United Way — which distribute­s the HIV federal funding grant on the health agency’s behalf — said the department wanted to sever ties with Planned Parenthood “for reasons wholly unrelated to the purpose of the program.” “As United Way reported: ‘TDH said given the current political climate we are not moving forward with funding Planned Parenthood,’ and TDH ‘can no longer directly or indirectly fund (Planned Parenthood),’” wrote Planned Parenthood’s attorney Alan Schoenfeld.

Schoenfeld added that Planned Parenthood wanted to avoid litigation and requested a meeting later that month. The issue was eventually dropped until last week, when the Department of Health announced it was choosing to walk away from the federal HIV prevention, detection and treatment funding and instead would rely on state funding for such efforts starting June 1. The Commercial Appeal was the first to report the announceme­nt.

The department’s move was a shock to many of the participat­ing organizati­ons tasked with providing vital HIV services across the state.

Planned Parenthood, which has worked with the state to distribute free condoms for more than a decade, declared that Republican Gov. Bill Lee’s administra­tion was choosing the “nuclear option” in order to avoid having to work with the organizati­on.

“This is yet another public health crisis manufactur­ed by Gov. Lee,” said Ashley Coffield, president and CEO of

Planned Parenthood of Tennessee and North Mississipp­i. “They are using Planned Parenthood as the entry way to take down the whole sexual and reproducti­ve health care system. We’re often the most public target, but this affects so many groups.”

A spokespers­on for the Department of Health declined to directly answer questions about why they attempted to cut Planned Parenthood from the HIV program in November.

Instead, they provided a Jan. 17 letter explaining that “prior administra­tions” had decided to accept the federal funding for HIV surveillan­ce but the state has determined “it is in the best interest of Tennessean­s for the State to assume direct financial and managerial responsibi­lity for these services.”

“The funding for this HIV prevention program is very important and it’s important that it is spent effectivel­y and efficientl­y in the ways that best serve Tennessee,” Lee told reporters Friday. “We think we can do that better than the strings attached with the federal dollars that came our way and that’s why we made that decision.”

“There’s nothing prolife about punishing people who are living with HIV and enabling this virus to spread undetected,” said Democratic state Sen. London Lamar of Memphis.

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