Abortion fight thrust into midterm elections by Trump
WASHINGTON—The Trump administration acted Friday to bar taxpayer-funded family planning clinics from referring women for abortions, energizing its conservative political base ahead of crucial midterm elections while setting the stage for new legal battles.
The Health and Human Services Department sent its proposal to rewrite the rules to the White House, setting in motion a regulatory process that could take months. Scant on details, an administration overview of the plan said it would echo a Reagan-era rule by banning abortion referrals by federally funded clinics and forbidding them from locating in facilities that also provide abortions.
Planned Parenthood, a principal provider of family planning, abortion services and basic preventive care for women, said the plan appears designed to target the organization. “The end result would make it impossible for women to come to Planned Parenthood, who are counting on us every day,” said executive vice president Dawn Laguens.
But presidential counselor Kellyanne Conway told Fox News that the administration is simply recognizing “that abortion is not family planning. This is family planning money.”
The policy was derided as a “gag rule” by abortion rights supporters, a point challenged by the administration, which said counseling about abortion would be OK, but not referrals. It’s likely to trigger lawsuits from opponents, and certain to galvanize activists on both sides of the abortion debate going into November’s congressional elections.
The policy “would ensure that taxpayers do not indirectly fund abortions,” White House press secretary Sarah Sanders said in a statement.
Social and religious conservatives have remained steadfastly loyal to President Donald Trump despite issues like his reimbursements to attorney Michael Cohen, who paid hush money to a porn star alleging an affair, and Trump’s past boasts of sexually aggressive behavior. Trump has not wavered from advancing the agenda of the religious right.
Tuesday night, Trump is scheduled to speak at the Susan B. Anthony List’s “campaign for life” gala. The group works to elect candidates who want to reduce and ultimately end abortion. It says it spent more than $18 million in the 2016 election cycle to defeat Hillary Rodham Clinton and promote a “pro-life Senate.”
The original Reagan-era family planning rule barred clinics from discussing abortion with women. It never went into effect as written, although the Supreme Court ruled it was an appropriate use of executive power. The policy was rescinded under President Bill Clinton, and a new rule took effect requiring “non-directive” counseling to include a full range of options for women.
The Trump administration said its proposal will roll back the Clinton requirement that abortion be discussed as an option along with prenatal care and adoption.
Known as Title X, the family-planning program serves about 4 million women a year through clinics, costing taxpayers about $260 million.
Abortion remains legal, but federal family planning funds cannot be used to pay for the procedure. Planned Parenthood clinics now qualify for Title X family planning grants, but they keep that money separate from funds that pay for abortions.
Abortion opponents say a taxpayer-funded program should have no connection to abortion. Doctors’ groups and abortion rights supporters say a ban on counseling women trespasses on the doctor-patient relationship.
The American College of Obstetricians and Gynecologists said the administration action amounts to an “egregious intrusion” in the doctor-patient relationship and could force doctors to omit “essential, medically accurate information” from counseling sessions with patients.
Planned Parenthood’s Laguens hinted at legal action, saying, “we will not stand by while our basic health care and rights are stripped away.”