by Micole Allekotte, Health Fellow,
National Women's Law Center
Ezra Klein recently posted to his blog about how the Stupak amendment unfairly limits low- and middle-income women’s access to insurance plans that cover abortion.
The House health reform bill creates an insurance exchange where people who receive government subsidies will go to choose among insurance plans. The Stupak amendment forbids plans that are offered to people who receive subsidies from covering abortion. This means that people receiving subsidies will not be able to buy a comprehensive insurance plan that covers abortion, even if the abortion coverage would have been paid for using the personal premium dollars and not the subsidies (which was the compromise reached before the Stupak amendment). Because most people will receive subsidies, insurance plans on the exchange will also be unlikely to offer a separate comprehensive plan that covers abortion for non-subsidized individuals, so even people who do not receive subsidies at all may not be able to find a plan that covers abortion on the exchange.
Mr. Klein’s post reminded me of three thoughts:
1) Low income women already get no respect when it comes to being allowed to make reproductive decisions. All women should have the right to make whatever decision is best for themselves and their families. But Medicaid doesn’t cover abortions because of the Hyde Amendment, which prohibits federal funds from being used for abortion except in extremely narrow exceptions. Only 17 states use their own funds to cover all medically necessary abortions for women on Medicaid. Health reform makes many more women eligible for Medicaid, which means more women will have health insurance, but at the expense of the government taking the power to make personal decisions away from women.


