Last week the House of Representatives voted to adopt the Stupak-Pitts Amendment to the Affordable Healthcare for America Act, prohibiting abortion coverage in the public option and restricting abortion coverage in private healthcare entities that participate in the federal subsidies exchange; you can read the Amendment
here.
Basically, the Stupak-Pitts Amendment takes stipulations from the Hyde Amendment (which prohibits coverage of abortion services to low-income women on Medicaid, federal employees and their families, women serving in the military overseas, women in federal prisons and women in DC) and applies them to the new public option and to private companies participating in the federal subsidies exchange. However, the Amendment also stipulates that any private company that sells healthcare coverage to people who are subsidized by the government must either (a) not cover abortion services, or (b) offer two plans that are identical in every way, except one doesn't cover abortion services. The latter is anticipated to... not happen.
From the
Planned Parenthood website:
The Stupak-Pitts amendment prohibits any coverage of abortion in the public option and prohibits anyone receiving a federal subsidy from purchasing a health insurance plan that includes abortion.This sounds like a compromise with anti-choice activists, and it is; a seemingly reasonable response to anti-choice taxpayers who blanch at the thought of federal money subsidizing abortions. However:
It also prohibits private health insurance plans from offering through the exchange a plan that includes abortion coverage to both subsidized and unsubsidized individuals.To summarize: even women who are purchasing private health care plans with their own money will not necessarily be covered for abortion services.
Thus, if a plan wants to offer coverage in the exchange to both groups of individuals, it would have to offer two different plans: one with abortion coverage for women without subsidies and one without abortion coverage for women with subsidies. These private insurance plans would need to be identified as either providing or not providing coverage for abortion. Health insurance plans are highly unlikely to operate in this manner, and it is not even clear that this is feasible under the administration of the exchange and affordability credits.
The Stupak amendment purports to allow women to purchase a separate, single-service “abortion rider,” but abortion riders don’t exist. In the five states that only allow abortion coverage through a separate rider, there is no evidence that they are available. Furthermore, women are unlikely to think ahead to choose a plan that includes abortion coverage, since they do not plan for unplanned pregnancy. In addition, it is not clear that health plans would even be allowed to offer two separate plans under other provisions of the act, such as the guaranteed-issue provisions. Those elements of the bill, which are very important to consumers, may make it impossible for plans to provide two separate plans, one that includes abortion and another that does not. Realistically, the actual effect of the Stupak-Pitts amendment is to ban abortion coverage across the entire exchange, for women with both subsidized and unsubsidized coverage.Bonus:
Currently, a self-employed graphic designer or writer, buying coverage from Kaiser Permanente in the individual market, likely has abortion coverage. Under the health reform plan amended by Stupak, she would purchase that same plan from Kaiser Permanente in the exchange, but it would not include abortion coverage because it would be barred. This ban would be in effect even if she were paying the full premium.What can you do to prevent the Stupak-Pitts Amendment from becoming law? ...Probably nothing. It sounds like a compromise, and it is, though it is an ill motherfucking omen. I can't wait for the litigation re: morning after pill = abortion.
But you can support Planned Parenthood in (a) its petition to sideline the Amendment, or (b) its efforts to provide reduced-rate reproductive services to those who could not otherwise afford it.