WASHINGTON – This pass Friday, The Trump administration threatened California with a potential loss of federal health care funds over the state’s requirement that insurance plans cover abortions.
The announcement, timed to coincide with the anti-abortion March for Life in the nation’s capital, came hours prior before President Trump was scheduled to address the marchers in person, becoming the first president to do so. Religious conservatives are a core element of Trump’s political coalition, and his administration went the extra mile to deliver on their demands.
The federal Health and Human Services Department issued the state of California a “notice of violation,” which gives the state 30 days to comply with a federal law known as the Weldon amendment. This law bars federal health care funding from being provided to states or entities that practice “discrimination” against a health care organization on the basis that it “does not provide, pay for, provide coverage of, or refer for abortions.”
The head of the HHS Office for Civil Rights, Roger Severino, states California is violating that restriction by requiring insurance plans to cover abortions. According to Severino, 28,000 people in California had abortion-free plans prior to the state’s requirements and have now lost that option. The federal government has received complaints from an order of nuns — the Missionary Guadalupanas of the Holy Spirit — as well as a church.
“If states receive federal funds … they cannot discriminate against a health plan that declines to cover abortions,” said Severino.
Severino did not specify which of many streams of federal health care funds amounting to tens of billions of dollars might be in jeopardy for California. This may include money for community health centers, Medicaid health insurance for low-income people, and basic public health activities like educating parents about vaccines.
“Our goal is to seek compliance, and we are going to give them 30 days, so we do not have to cross that bridge,” said Severino. Other states could also face federal actions.
Federal law had stopped the use of taxpayer money to pay for abortions, except in cases of rape, incest, or to save the life of the woman. That bipartisan consensus could possibly change if a Democrat wins the White House in November, since the Democratic candidates have pledged to take a more assertive stance on abortion rights.
The HHS civil rights office headed by Severino has traditionally mainly handled complaints about privacy violations. Under Trump, it added a new division to handle cases of alleged discrimination on the basis of religious or moral scruples. A federal judge in New York last year struck down a Trump administration rule that could have opened the way for more clinicians and health care workers to refuse to participate in abortions and other procedures because of religious or moral objections.