“Terrifying Implications”: Texas Says “No Thanks” To Women’s Health Care
If you haven’t been worn down reading about Todd Akin’s bizarre and ignorant views about the female reproductive system, now turn to Texas, where women’s uteruses may soon have to move out of state to find health care. Late Tuesday night, a federal court of appeals ruled that Texas can exclude Planned Parenthood from the Women’s Health Program, which provides basic preventative care—like birth control and cancer screenings—for low-income women. The decision has terrifying implications in a state where women’s access to health care is already poor.
One in four women in Texas is uninsured, and the state also has the third-highest rate of cervical cancer in the country. In Texas, women’s health-care clinics serving low-income populations rely on two sources of funding: the Women’s Health Program and general state family-planning dollars. Lawmakers have attacked both streams.
In 2011, the state legislature slashed state funding for family planning—you know, the thing that prevents abortions—by two-thirds. A recent report from the Texas Observer revealed that 60 family planning facilities have already closed as a result of the cuts. While a full picture of the effect is still emerging, the Legislative Budget Board, a bipartisan committee, had estimated that when all was said and done, the cuts would lead to 20,000 additional births (which Medicaid would have to pay for). Projections show that around 180,000 women would lose health services.
Then there’s the damage to the state Women’s Health Program (WHP), a separate program that serves 130,000 low-income women. Created in 2005, the WHP is a crucial state service that provides preventative health care and family-planning services. It’s run through Medicaid, so the feds paid for 90 percent of the $40 million program. While it only serves women who are not pregnant, it saved around $75.2 million in 2009 by preventing a projected 6,700 births. The program seemed like a win-win; it decreased unplanned pregnancies and abortions, while increasing access to health care.
But the WHP may soon not exist, or at least not in a recognizable way. Lawmakers added new rules in 2011 that excluded Planned Parenthood from receiving funding. The trouble is, Planned Parenthood provided services to nearly half the women covered under the program and received about 25 percent of the program’s total funding last year. Barring the organization leaves many wondering whether those clinics left would meet demand.
Furthermore, the state violated federal policy by slashing Planned Parenthood funding, which means Medicaid can no longer foot the bill for the Women’s Health Program. Texas supposedly has a plan to transition to a state-run program by November 1; that plan will continue to exclude Planned Parenthood. The influential organization is fighting the state’s decision, and in October, the two parties begin court proceedings on whether Texas can permanently exclude the main provider of women’s health from its Women’s Health Program.
Yesterday’s decision means that between now and the court case, Texas can halt funding to Planned Parenthood clinics. It’s only a few months, but the clinics are already reeling from the family-planning cuts. The loss of WHP funding is a double whammy. Twelve Planned Parenthood clinics have already shut down, alongside the many clinics with no relation to the organization. Meanwhile, if the courts ultimately decide Texas cannot exclude Planned Parenthood from the WHP, the state may opt to shut down the program entirely.
Many, including the attorney general and Governor Rick Perry, celebrated the decision, and the state Health and Human Services Commission announced it would immediately halt funding to the group. Meanwhile, for the hundreds of thousands of low-income women in the state, there are fewer and fewer health-care options.
By: Abby Rapoport, The American Prospect, August 22, 2012
“Not To Worry Ladies”: Rick Perry And The Texas GOP Has Your Back
After doing their best to dismantle the Women’s Health Program—and losing federal funding in the process—the state’s Republicans promise they’ll find the money somehow.
Texas health officials are telling low-income women not to worry. The Women’s Health Program, the Medicaid program serving 130,000 women, will still be there for them. Of course, how it will be paid for and whether enough clinics will be left providing services are still subjects up for debate.
The Republican-dominated Texas Legislature cut funding for the program—which offers poor women basic reproductive health services like birth control and cancer screenings—by two-thirds last year. The cuts came out of fear that the health-care providers were too linked with the so-called abortion industry. Just to be safe, conservative lawmakers barred Planned Parenthood from participating in the program. Of course, since the beginning of the program, no public dollars could go to abortions, and women could only participate if they were not pregnant.
The results were swift. The budget cuts resulted in clinic closings around the state, and the decision to exclude Planned Parenthood violated federal policy, meaning that the federal government, which paid for 90 percent of the $35 million program, would no longer pay for any of it. Protests have broken out around the state. Planned Parenthood has already filed a lawsuit.
But not to worry—Governor Rick Perry promised that the state would take over the Women’s Health Program. Yesterday, state health officials unveiled their plan. Step one: Stay on the federal tab a few months longer. Step two: They’re working on it.
The Texas Health and Human Services Commission will ask the feds to keep funding them through November 1. (Texas was supposed to get cut off at the end of April.) By then, presumably, the state will find some way to free up dollars. That’s hardly a cakewalk. Texas has been in a fiscal crisis since 2011. For the last two-year budget, lawmakers had to deal with a $22 billion shortfall, resulting in unprecedented cuts to education and underfunding of Medicaid programs by almost $5 billion. The state has a structural deficit thanks to a dysfunctional tax structure. Yesterday, Perry announced his “Budget Compact,” which asks lawmakers to pledge no new or increased taxes as well as offering voters a constitutional amendment that would limit spending increases to the population growth.
Given the situation, $35 million isn’t going to be easy to find, unless the state comes up with a way to get more federal money. Which may be its best option. According to The Texas Tribune, officials “hinted the state could free up state dollars to fund the Women’s Health Program by seeking federal block grants for other programs.”
But even if they find the money, there’s still the problem of clinics. Planned Parenthood clinics served almost 50 percent of the women participating in the WHP. With those providers out of the picture, the remaining clinics have to shoulder the burden—and they have to do so with a major funding cut. As the Austin Chronicle notes, non-Planned Parenthood clinic Community Action Inc. has had to close 11 of its 13 clinics in Central Texas. The two remaining ones are in danger as well. In their plan for taking over the program, state officials say they will try to increase the number of providers.
The head of the state’s biggest health agency, Tom Suehs, has promised that things will be fine, dismissing the “scare tactics and misinformation campaigns.” The bigger challenge, he says, is “making sure women get accurate information about the program in the midst of organized attempts to confuse and frighten those who rely on it.”
Maybe it’s just me, but what’s confusing is a health-care policy that makes it hard to access health care.
BY: Abby Rapoport, The American Prospect, April 18, 2012
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