People For the American Way

Women’s and LGBTQ People’s Health Targeted by Funding Cuts and Poison Pill Policy Riders

People For in Action
Women’s and LGBTQ People’s Health Targeted by Funding Cuts and Poison Pill Policy Riders

People For the American Way is concerned about government funding proposals that target women’s and LGBTQ people’s health. PFAW has joined other women’s and LGBTQ health advocates on letters to Congress that oppose such attacks. We’ve seen proposals that cut funding to critical health programs and sneak in poison pill policy riders that promote sweeping religious refusal language, block patients from Planned Parenthood-provided health care, halt life-saving fetal tissue research, restrict abortion access for women in immigration detention, and more. You can download our latest letter here.

Dear Chairman Shelby, Vice Chairman Leahy, Chairman Frelinghuysen, and Ranking Member Lowey:

As you debate and consider the House FY19 appropriations bills, we write to strongly oppose the inclusion of ideological policy riders that are harmful to women’s health.

With bipartisan agreements in place on top-line budget levels, this fiscal year represents an opportunity to reject efforts to use the budget and appropriations process to undermine women’s access to comprehensive reproductive care, including access to safe and legal abortion. We continue to strongly oppose policy riders that deny insurance coverage of abortion for women enrolled in Medicaid, women who work for the federal government, women who live in the District of Columbia, and others as well as riders that embolden health care entities to refuse to comply with laws that ensure women’s access to abortion services.

A number of new anti-women’s health policy riders have already been included in individual FY 2019 House appropriations bills. We oppose these harmful policy riders, described below, and any additional policy riders that would harm women’s and LGBTQ people’s health.

  • Sweeping new religious refusal language allowing employers, insurers, and health care providers to deny others access to abortion. The House Labor, Health and Human Services, Education, and Related Agencies (LHHS) appropriations bill includes language, taken from the Conscience Protection Act (S.301/H.R.644), legislation that would threaten patient safety by allowing health care entities to refuse to “facilitate,” “make arrangements for,” or “otherwise participate in” abortions even where a woman’s health is in danger. This provision would allow hospitals, doctors, nurses, and other health care providers to determine a patient’s care based on the provider’s religious beliefs, not based on what is best for the patient’s health and circumstances. This could result in hospitals turning away women in serious emergency situations, and refusing to provide even information that would allow women to make an informed decision and seek treatment elsewhere. The provision would also allow bosses to interfere with women’s and LGBTQ people’s health insurance coverage for abortion, depriving women of the comprehensive coverage that enables them to make personal medical decisions.
  • A rider blocking patients from accessing care at Planned Parenthood health centers. The House LHHS bill includes a provision intended to block people from accessing care at Planned Parenthood health centers. This rider would prevent Planned Parenthood from participating in any government-funded health care programs, including Medicaid, the Title X Family Planning Program, HIV prevention grants, maternal and child health programs, and evidence-based sex education programs and would have a devastating impact on access to basic health care services for the 2.4 million women, men, and young people, including LGBTQ people, around the country.
  • A provision to block ongoing and potentially life-saving research involving fetal tissue. The House LHHS bill includes a new rider that would block federal funding for research using human fetal tissue if such tissue is obtained after an abortion. Given that every person in this country has benefited from research involving fetal tissue, this unnecessary restriction would undermine research that has led to a number of medical advancements and new preventive and therapeutic interventions for a wide range of diseases and conditions, including neurological disorders cancer, AIDS, and birth defects.
  • A provision that extends existing harmful restrictions on insurance coverage of abortion by banning all multi-state plans under the Affordable Care Act (ACA) from including such coverage. The House Financial Services and General Government (FSGG) bill includes a provision that would take away existing health insurance coverage, thereby further restricting a woman’s access to safe and legal abortion.
  • Language blocking the Reproductive Health Non-Discrimination Amendment Act (RHNDAA), a law passed unanimously by the Council of the District of Columbia. The House FSGG bill includes a provision that would stop implementation of RHNDAA, a local law that protects employees who work in DC from workplace discrimination based on the employees’ personal reproductive health care decisions, like using in-vitro fertilization or birth control.
  • Language that restricts access to abortion for women in U.S. Immigration and Customs Enforcement (ICE) detention. The House Homeland Security appropriations bill in recent years has included a ban on coverage and provision of abortion services for individuals in ICE custody except in cases of rape, incest, and a very narrow definition of life endangerment. Furthermore, the language includes a harmful refusal provision that would allow any ICE employee to refuse “to perform or facilitate in any way” any abortion.
  • Reinstatement of the global gag rule, also known as the Mexico City Policy, a provision that greatly undermines access to health care services around the world. The House State and Foreign Operations (SFOPs) bill includes the expanded global gag rule, which denies foreign organizations U.S. global health assistance if they provide information, referrals, or services for legal abortion or advocate for the legalization of abortion in their country, even if these activities are supported solely with non-U.S. funds.
  • Prohibition on U.S. contributions to the United Nations Population Fund (UNFPA). The House SFOPs bill would cut off funding for UNFPA’s life-saving maternal and reproductive health services to the poorest communities in more than 150 countries, including those facing humanitarian crises and conflict.

Additionally, we strongly oppose the draconian and ideologically driven funding cuts proposed in House bills. In particular, we urge you to reject cuts to the Title X Family Planning Program, the Teen Pregnancy Prevention Program, and international family planning and reproductive health—programs that are proven to improve health outcomes for women and LGBTQ people at home and abroad.

As you and your colleagues make critical decisions about FY 2019 funding bills, we urge you to protect women’s health by ensuring that these and any other ideological policy riders are excluded and that funding is protected for programs that improve health outcomes for women, men, and young people, including LGBTQ people.


Abortion, Affordable Care Act, budget, Countering Attacks on Women's Equality, Defending Religious Liberty, District of Columbia, family planning, fetal tissue research, Fighting the Right’s Tax and Budget Agenda, global gag rule, Immigration, International, letter, LGBTQ equality, Planned Parenthood, policy riders, religious exemptions, reproductive rights, Women's Health