Millennials rally for repro rights and Planned Parenthood at the State House


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2016-03-23 Planned Parenthood State House 005Planned Parenthood of Southern New England held a Reproductive Freedom Lobby Day at the State House yesterday, perhaps coincidentally coinciding with the Supreme Court hearing oral arguments in Zubik v Burwell, in which various religious non-profits and colleges, including the Sisters of the Poor, are arguing that the Affordable Care Act’s birth-control mandate should not apply to them on First Amendment, religious freedom grounds.

Zubik is the reason the anti-choice group RI Right to Life took over the main rotunda, holding what was essentially a religious service in the center of the State House.

Above the Mass being conducted on the rotunda, outside the House and Senate chambers, nearly two dozen millennials in bright pink Planned Parenthood tee shirts held signs and met with their representatives to make the case for preserving their reproductive health care choices. After the House and Senate went into session they marched to Governor Gina Raimondo’s office to deliver a letter encouraging her to support a woman’s right to choose.

Let’s be clear: As the Supreme Court case shows, for those opposed to reproductive rights, the issue is not simply about abortion. It’s about controlling women’s bodies, enforcing gender stereotypes and exerting religious control over all aspects of our healthcare. After the Mass in the rotunda and the Rise of the House, Barth Bracy, director of RI Right to Life, argued in the House Health, Education and Welfare Committee against legislation that would allow terminally ill patients to make important end-of-life decisions and against a bill expanding the duties of physician’s assistants.

There is no area of our lives, no decision we can make, that RI Right to Life and the Catholic Church do not want to control for us.

Fortunately a group of fearless millennials and long time supporters of a woman’s right to choose let our representatives know that our rights are not up for discussion or debate.

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Raimondo causes thousands of families to lose abortion coverage


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2015-08-31 ECOS 02 Gina Raimondo
Gina Raimondo

Thousands of HealthSource RI subscribers lost medical coverage for abortion this year, and most had no idea this was happening.

Under new policies mandated by Governor Gina Raimondo, insurers must now offer one plan that does not cover abortion at every level in which they offer a plan that does. As a result of the Governor’s actions and a minor change in the law that allows insurers to re-enroll subscribers into new health plans if their previous plan no longer exists, 9,000 out of 32,000 families have lost this crucial coverage.

Raimondo made two decisions earlier this year that lead to this crisis. First, she settled the Doe v. Burwell lawsuit when she didn’t have to. Doe, who chose to remain anonymous because of his HIV+ status, claimed that he was unable, due to his religious beliefs, to contribute money to any health plan that covered abortion, and that his needs as an HIV+ man meant that waiting until 2017 for the one plan that does not cover abortion mandated under federal law was not practical.

Doe was represented in his lawsuit by the conservative Alliance Defending Freedom (ADF) and supported by both RI Right to Life and the Roman Catholic Diocese of Providence. It was far from certain that Doe and the ADF would win the suit since HealthSource RI was operating fully in accordance with Federal law and accommodations had been offered to Doe.

But Raimondo caved, and caved hard. After settling a case she did not have to, she went further than existing federal law and submitted legislation mandating that insurers offer multiple plans that omit abortion coverage. Every insurer was forced to offer a plan at every tier of coverage. Federal law mandates that at least one plan on a state exchange offer no coverage for abortion. Raimondo insisted on what amounts to nine plans.

All insurers on the HealthSource RI exchange had to roll out new plans. Two insurers decided to modify existing plans as well, which meant that many health plan subscribers had to be moved to whichever new plans were deemed most similar to their old plan. Whether or not the new plan covered abortion was not a consideration.

According to the Providence Journal, “Out of HealthSource’s three insurers, two mapped subscribers into plans with limited abortion coverage — Blue Cross & Blue Shield of Rhode Island and Neighborhood Health Plan of Rhode Island. United Healthcare did not.”

Now, 9,000 families are without abortion coverage, unless they change their enrollment by December 23. Many more people, when looking at the new plans on offer, may switch into plans that do not cover abortion – not because they are anti-choice, but because some of the anti-choice plans might appear to be cheaper.

Figuring out which plans are cheaper is a difficult, if not impossible task. There is the monthly fee to consider, but there are also differences among plans in terms of deductibles, medication costs and co-pays. Ultimate cost may depend more on usage than monthly contributions. Figuring out how much a family saves by choosing an abortion free plan may be an exercise in futility, even though the law requires such plans to be cheaper, if only by a few cents.

Nobody plans on having an abortion, so abortion coverage is often not a big consideration when choosing a healthcare plan. Those who may find themselves most at risk of discovering they are suddenly out of pocket for abortion expenses are young adults covered under their parent’s healthcare plan until age 26. Others at risk include couples who might want to have a baby, but encounter a crisis at a late stage. Costs associated with additional testing and termination of a nonviable late term pregnancy can be in the tens of thousands of dollars and require a hospital stay.

As a result, some families will face the kind of financial ruin that Obamacare was instituted to prevent.

This is the kind of information that may have been revealed had Raimondo introduced her legislation openly, as a bill submitted to the General Assembly to be debated and commented on by the public. Instead, the governor slipped these changes into the budget as an eleventh hour amendment and with as little fanfare as possible. It worked: the measure passed with little outcry.

Just before Governor Raimondo signed the budget into law, mandating the changes that have resulted in thousands losing abortion coverage, Barth Bracy, executive director of RI Right to Life, said, “Due to the complexity of Obamacare, and its implementation in Rhode Island, neither the media nor our opponents at Planned Parenthood and in the pro-abortion caucus of the General Assembly, yet appear to understand the extent of our victory.”

I guess now we do.

If Governor Raimondo is truly a pro-choice candidate, she has a strange way of showing it. No recent RI governor has been nearly as successful in stripping families of their reproductive rights.

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Gina Raimondo no champion of reproductive rights


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Gina Raimondo

When Governor Gina Raimondo signed the budget on Tuesday, she officially signed into law language that stands as the most extreme anti-abortion language passed in Rhode Island in two decades. And because it was slipped into the budget as part of the language that codifies HealthSource RI, the state’s highly successful Obamacare insurance exchange, and not submitted as a bill, this new law was passed with no legislative debate and no chance for any input from the public.

Shockingly, this end run around democracy and against reproductive rights came from Rhode Island’s first woman governor, Gina Raimondo, who sailed to victory with the endorsement of Emily’s List and Planned Parenthood, and with the help of a putatively Democratic majority legislature.

How did this happen?

In Rhode Island, support for the right to abortion polls at 71 percent, surprisingly high for a state that hosts by percentage the greatest number of Catholics in the country. Former Governor Lincoln Chafee, a stalwart defender of reproductive rights, vetoed a “Choose Life” license plate bill, a bill that would have split the money for the vanity plate between the state and right wing Christian “abortion counseling” centers that offer false hope to women dealing with crisis pregnancies. Rhode Island stands as one of the few states to have defeated these license plates.

Simply put, in Rhode Island, reproductive rights are only controversial among a small group of right wing activists, fronted by the Rhode Island State Right to Life Committee and the Roman Catholic Diocese of Providence, who use the issue to advance their narrow political objectives.

It was this small group of activists that helped concoct two lawsuits, with the help of the right wing religious advocacy group the Alliance Defending Freedom (ADF). Doe v Burwell  and Howe v Burwell were brought against HealthSource RI because there no plans offered on the state’s health exchange that did not cover abortion.

Doe, who chose to remain anonymous because of his HIV+ status, claimed that he was unable, due to his religious beliefs, to contribute money to any health plan that covered abortion, and that his needs as an HIV+ man meant that waiting until 2017 for the one plan that does not cover abortion mandated under Federal law was not practical. In addition to his health concerns, Doe claimed he was liable for fines fines levied against him for not selecting one of the plans currently available on the exchange.

The government’s reaction to the Doe lawsuit was swift: They completely caved. The state agreed to dismiss Doe’s fines, enroll him into a special plan that satisfied his moral objections to abortion, and require that the Rhode Island Office of Health Insurance Commissioner issue a mandate that there be a plan offered on the state’s health exchange that did not cover abortion at every tier of coverage.

In return, the ADF withdrew their lawsuit. Ten days later, on May 29, Governor Raimondo added the agreed upon language to her proposed budget as an amendment.

Under federal law, at least one plan that did not cover abortion had to be made available on all state exchanges by 2017. The settlement the state agreed to went far beyond that mandate.

In Rhode Island, adding new language through the budget process means that there will be no opportunity for public comment or meaningful public debate. The budget is submitted by the governor and re-crafted by the RI House of Representatives in a process that is conducted mostly behind the scenes. John Marion, executive director of Common Cause RI, a government accountability group, has called it “transactional politics.” When the budget comes to the House floor for a vote, specific parts can be debated by legislators, and amendments can be added, but the public gets no chance to directly comment.

The language Raimondo added is problematic for businesses. James Rhodes, director of public policy & government relations at Planned Parenthood Southern New England, asked, “How does a small employer, whether a religious organization or not, claim a religious exemption from covering abortion? Do they have a form to fill out to submit to the Office of Health Insurance Commissioner to declare their objection in order to get a new plan variation from an insurer? Is there any requirement to notify insured employees that their insurance does not cover this service, which is standard coverage in the small group market?”

The new language provided no process by which employers declared their objections and no process by which employees were to be notified of their employers decisions. This is important because a woman might think her health plan covers abortion, only to find out that her employer has decided, on personal religious grounds, not to cover the procedure without informing the employees.

“It is worth emphasizing that the federal health care law already imposes significant restrictions on abortion access through health care exchanges,” Steve Brown, executive director of the RI ACLU. “The additional burdens that passage of this budget article could impose, particularly on unwitting employees, is deeply troubling.”

As I tweeted at the time, “Gina Raimondo’s budget addition may allow a thousand Hobby Lobbies to bloom across Rhode Island.”

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Nicholas Mattiello

Immediately after Raimondo’s amendment was submitted, rumors began to swirl that the language was inserted as some sort of backroom deal to save HealthSource RI at the expense of women’s reproductive rights. Indeed, Speaker of the House and right wing Democrat Nicholas Mattiello had been vocal about his desire to turn the state health exchange over to the federal government.

Language that limited women’s access to abortion was rumored to be the price paid for keeping control of the health exchange in Rhode Island. However, it has been impossible to source this rumor. Rather than being concerned with limiting women’s abortion access, Mattiello’s public statements were all about the high cost of administering the health exchange on the state level.

For instance, Mattiello said that, “he would not have signed on [to including HealthSource RI in the budget] unless HealthSource administrators had significantly reduced their cost projections to the point where the surcharge could be “at or below” the level it would be if the state handed the exchange over to the federal government…”

On the House floor, during the strangely curtailed debate on the budget, an amendment was approved that somewhat mitigated the damage done by Raimondo’s abortion language. This new language, crafted with the help of Planned Parenthood and the ACLU, required any non-religious employer, as defined by the IRS, that elects to not include abortion coverage in their employee health plan, to allow employees to opt out of the company plan, and select any other plan, paying any additional costs.

This makes Rhode Island the first state to build language into its state exchange that protects those who want a health care plan that provides abortion coverage. A minor victory, considering that this imposes additional health care costs on women. If an employer elects not to cover abortion in their health plans, women pay additional fees out of pocket.

Additionally, women may find themselves in a difficult spot when it comes to dealing with employers who choose not to cover abortion. Opting out of the employer’s health plan may serve as a signal to employers that the employee is pro-choice. This may have an effect on a woman’s ability to secure raises, promotions or other workplace benefits if an employer chooses to act on this assumption in a biased or bigoted manner.

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Bernard Healey converses with Arthur Corvese on the House floor

The Planned Parenthood amendment was supported by an unlikely coalition of legislators, including long time pro-choice Representative Edie Ajello and long time abortion and LGBTQ rights foe Representative Arthur Corvese. But behind the scenes, no one was happy with the compromise. A source confided to me that Barth Bracy, executive director of RI Right to Life, Providence Catholic Diocese lobbyist Bernard Healey and conservative Democratic Representative John DeSimone, were railing against the compromise language during last minute backroom negotiations.

The amended amendment passed and the entire budget passed unanimously and in record time.

After the budget passed the House, both sides declared victory.

Bracy explained in a newsletter that the “victory” was “the fruit of six years of intense legislative, political, and legal battle.” (Bracy did not explain how the seeds of this victory were planted a year before Obamacare became law.) Bracy further explained, or rather, did not explain, that, “Due to the complexity of Obamacare, and its implementation in Rhode Island, neither the media nor our opponents at Planned Parenthood and in the pro-abortion caucus of the General Assembly, yet appear to understand the extent of our victory.”

Bracy promises to explain the completeness of his victory after the Governor signs the budget.

Meanwhile, James Rhodes of Planned Parenthood claimed partial victory, dinging Raimondo for choosing “to widely expand the number of plans that do not cover abortion beyond federal minimum standards” while doing “nothing to protect abortion access for employees of small businesses in Rhode Island.”

Rhodes went on to say, “In the wake of the Hobby Lobby Supreme Court decision, we were surprised the Governor did not seek protections for employee access to comprehensive reproductive health care. It is clear that leaders in the House and Senate recognized this budget loophole. The passed budget includes an invaluable amendment that will allow employees of small businesses that claim an objection to covering abortion, to enroll in the HealthSource RI Full Employee Choice program.”

In the end, the right of some women to access reproductive health care has been eroded in favor of the fake right of employers to not provide such healthcare on religious grounds. For her part, the Governor’s office has refused repeated requests for clarification.

Given the transactional and punitive nature of RI politics, no one in the legislature seems willing to go on record about this debacle.

This new assault on women’s rights is the spawn of the odious SCOTUS Hobby Lobby decision, based on the Religious Freedoms Restoration Act (RFRA), writ small a thousand times. I’ve argued before that it’s past time to repeal or at least seriously amend Rhode Island’s RFRA, and just recently the ACLU seems to have reached the same conclusion.

Meanwhile, those who supported Gina Raimondo’s bid for Governor of Rhode Island might want to seriously reconsider their support. She has revealed herself as no champion of reproductive rights.

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No winners in state budget abortion compromise


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Nicholas Mattiello

Language added to the Rhode Island 2016 budget by Representative Raymond Gallison before passage somewhat balanced the last minute addition of extreme anti-abortion language submitted by Governor Gina Raimondo.

The new language added to article 18 reads:

(e) Health plans that offer a plan variation that excludes coverage for abortion services as 31 defined in 45 CFR 156.280(d)(i) for a religious exemption variation in the small group market 32 shall treat such a plan as a separate plan offering with a corresponding rate.

Except for religious Employers (as defined in Section 6033(a)(3)(A)(i) of the Internal Revenue Code), employers selecting a plan under this religious exemption subsection may not designate it as the single plan for employees, but shall offer their employees full-choice of small employer plans on the exchange, using the employer-selected plan as the base plan for coverage. The employer is not responsible for payment that exceeds that designated for the employer-selected plan.

An employer who elects a religious exemption variation shall provide written notice to prospective enrollees prior to enrollment that the plan excludes coverage for abortion services as defined in 45 CFR 156.280(d)(1). The carrier must include notice that the plan excludes coverage for abortion services as part of the Summary of benefits and Coverage required by 42 U.S.C. 300g-15.

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Arthur Corvese

Signs of a behind the scenes compromise were apparent based on the odd assortment of representatives who rose to second the amendment, including Rep Edie Ajello, well known for her advocacy of reproductive rights, and Rep Arthur Corvese, well known for publicly and repeatedly referring to legalized abortion as a “culture of death.”

What does the new language mean? At bottom, any non-religious employer, as defined by the IRS, that elects to not include abortion coverage in their employee health plan, must allow employees to opt out of the company plan, and select any other plan, paying any additional costs out of pocket.

Rhode Island is now the first state to build language into the law that protects those who want a health care plan that provides abortion coverage.

Under Federal law, employees must be notified when their plan covers abortion. It does not require, as Rhode Island will under this new language, that employees be notified when they do not have abortion coverage. The language passed last night mandates that employees be told that the chosen plan does not cover abortion before they enroll, and that the lack of abortion coverage is confirmed after enrollment.

Ultimately, the notification requirement is similar to language concerning religious employers who choose not to cover contraception coverage as part of their health plans otherwise mandated by state or federal law.

There is a problem for employees inherent in this language. If my employer doesn’t want to cover abortion due to religious objections, and I decide to opt out of the plan chosen by my company, my employer will know of my objection, and may act in a discriminatory way against me because of my beliefs. I shouldn’t have to worry about job security or job advancement because of my decisions regarding reproductive health care for my family and me. Medical coverage, including reproductive services, are a private matter. How can that privacy be maintained under this provision?

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Lobbyist Healey

Before the passage of the budget, Barth Bracy, executive director of RI Right to Life told me that he and Bernard Healey, State House lobbyist for the Roman Catholic Diocese of Providence, were present to track the progress of the anti-abortion language the Governor inserted. Bracy told me that the language was the result of an agreement made in the wake of Doe v. Burwell, in which an anonymous man sued the state because there were no plans on the exchange that did not cover abortion.

ProJo reporter Richard Salit confirmed this when he wrote that “The lawsuit brought against Rhode Island was withdrawn in May when a Christian legal group said it had been assured that Rhode Island would begin offering multiple plans for abortion foes in 2016. According to HealthSource RI, the state Office of the Health Insurance Commissioner has required that in 2016 insurers offer a choice for abortion foes in every “metal” level (bronze, silver, gold and platinum) that they offer traditional health plans.”

This does not answer the question as to why Rhode Island did not simply require the addition of one plan to not cover abortion, as is required by federal law by 2017. It also does not answer why the amendment came from Governor Raimondo’s office, instead of being introduced as a bill that could be debated and publicly commented on. Had this democratic and open process been followed, the end result may have been more satisfying to all parties.

Despite this large concession to abortion foes, they were still unhappy with the newly added language. A source confided to me that Bracy, Healey and Representative John DeSimone were railing against the compromise language during last minute negotiations.

This makes me wonder if the RI Right to Life and the Providence Roman Catholic Diocese will begin looking for a non-religious employer to bring a Hobby Lobby like lawsuit against HealthSource RI under the state level RFRA (Religious Freedom Restoration Act.) There is little difference between Rhode Island’s RFRA and the federal version the Supreme Court based their Hobby Lobby decision on.

As I pointed out before, this new language may allow a thousand Hobby Lobbies to bloom in Rhode Island.

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Barth Bracy wags the dog


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Barth BracyThe hearings held in the State House Judiciary Committee had a slightly different format than usual.

With 12 bills on the agenda, the first 12 speaking positions were reserved for the legislators who introduced each piece of legislation. Seven of the bills introduced seek to expand women’s access to reproductive services and the remaining five seek to further limit this right.

Representatives Tomasso, O’Neill, Ferri, Handy, Tanzi, Finn and Almeida were all on hand to present the legislation they introduced to support women’s health care. Those introducing bills that would restrict women’s access, save for Representatives Macbeth and McLaughlin, were nowhere to be found.

Representatives Palumbo, Corvese and Fellela instead chose to allow lobbyist Barth Bracy, executive director of RI’s Right to Life organization, to introduce the bills for them. This does make a certain amount of sense, because it is probable that Bracy had quite a bit to do with authoring the bills these representatives put their names on, but literally could not be bothered to stand behind.

It must be easier for our state representatives to introduce bills that seek to strip away the reproductive rights of women when you don’t have to look them in the eye while you do so.

More silliness from Barth E. Bracy


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DSCF1248Barth Bracy of the Rhode Island State Right to Life Committee is at it again. From his half-cooked story about Occupiers in armbands engaging in military style condom drops on Catholic schoolgirls to his “mostly false” ranking at Politifact Rhode Island, regarding the public’s attitudes about reproductive rights, Bracy seems to maintain a cordial, if distant relationship to the truth.

Now he’s complaining about HealthSourceRI, the web portal through which thousands of Rhode Islanders will finally be able to access decent, affordable healthcare for the first time in their lives. Bracy’s complaint is that his “layman’s reading” of the Affordable Care Act suggests that HealthSourceRI is somehow out-of-compliance with federal law.

Tax dollars sent to help cover plans that offer abortion will be separated from accounts used to pay for abortion services.  Federal law prevents the use of any federal money from being used to access abortion, except in the case of incest, rape or danger to the life of the mother. This is the Stupak-Pitts Amendment, and was inserted by President Obama into the law through an executive order.  Bracy’s claim that there will be “government subsidies for insurance plans that cover abortion-on-demand” is conspiracy minded foolishness, and false.

Bracy’s complaint seems to stem from the fact that right now all of the 28 plans being offered on the exchange cover abortion. For those interested in such a plan, I would suggest waiting a bit. The law mandates that at least one such health care plan be included on the exchange by 2017, and most likely, before that date rolls around, there will be more than one such plan to choose from.

In the meantime, Bracy might want to calm down and think carefully before making any more outrageous claims.