Morning Briefing
Summaries of health policy coverage from major news organizations
Biden To Rescind Trump's Policies Limiting Abortion Access
President Joe Biden is due to sign executive orders on Thursday aimed at rolling back some of the Trump administration鈥檚 most far-reaching abortion restrictions, including one denying U.S. aid to health groups abroad that provide information about the procedure, according to a White House document and three sources familiar with the plans. The actions will begin restoring federal support to abortion providers and organizations that offer abortion counseling while promoting the new administration's reproductive rights agenda on the global stage. (Ollstein, 1/28)
Biden will be fulfilling a campaign promise in the memorandum, rescinding the so-called Mexico City Policy, a ban on US government funding for foreign nonprofits that perform or promote abortions. The Trump administration reinstated the restriction in 2017 by presidential memorandum and then extended it to cover all applicable US global health funding. That made some $9.5 billion in aid for everything from HIV treatment to clean water projects and child immunizations contingent on groups agreeing not to discuss or perform abortions. (Kelly and Gaouette, 1/28)
In abortion developments from Utah, Iowa, Illinois and South Carolina 鈥
A Utah Republican lawmaker proposed a bill in the state House of Representatives on Wednesday that would require women to watch a video that includes ultrasounds of a developing fetus before undergoing an abortion.聽State Rep. Steve Christiansen (R) introduced a bill in the Utah House that would mandate women to sign a document in front of a health care witness saying they鈥檝e watched the Utah Department of Health video, under the penalty of perjury, before an abortion procedure. (Coleman, 1/27)
Completing this online module is already a mandatory step before an abortion in Utah 鈥 although right-wing advocates argue the current informed process is too porous and believe women might be skimming over or skipping the course. But abortion rights groups see these new proposed restrictions as yet another episode in a long campaign to block access to pregnancy-ending procedures in Utah. (Rodgers, 1/28)
Iowa voters are a step closer to being able to vote on whether the Iowa Constitution guarantees a right to an abortion. The Iowa House approved House Joint Resolution 5 that would add language to make clear there is no constitutional right to an abortion or requirement for public funding of abortions. Shortly after 9 p.m., the House approved the resolution 55-44, with three Republicans joining House Democrats in casting 鈥渘o鈥 votes. (1/27)
The amendment now heads to a Senate subcommittee, which is expected to take it up next week. In order for the Iowa Constitution to be amended, the bill must be passed through the legislature twice and be approved by Iowa voters in an election. (1/27)
The U.S. Department of Health and Human Services has launched an investigation to determine whether Illinois has violated federal law by enacting and enforcing the 2019 Reproductive Health Act which, among other things, requires certain health insurance plans to cover abortion services. In a letter dated Jan. 19, which was the last full day of the Trump administration, HHS鈥檚 Office of Civil Rights notified the Chicago-based Thomas More Society that it had received a complaint the group filed in October 2019 and had agreed to open an investigation to determine if certain portions of the act violate federal law. (Hancock, 1/27)
Illinois' Reproductive Health Act requires private insurers to cover abortion. It's unclear how the investigation will proceed under Biden's leadership, but it resembled a similar investigation HHS undertook that ultimately resulted in threatening to revoke Medicaid funding for California. (Dorman, 1/27)
A bill to ban most abortions in South Carolina took another step closer to passage Wednesday over the fierce protests of Democratic lawmakers who excoriated the Republican majority for devoting hours of legislative time on that issue while the coronavirus pandemic continues to rage across the state. In a key procedural step, the S.C. Senate voted 29-17 in favor of moving forward with the legislation, which would prohibit abortions after a fetal heartbeat is detected, which typically occurs around six to eight weeks into pregnancies. (Lovegrove, 1/27)
Charleston County Sheriff Kristin Graziano took to Twitter on Wednesday to decry a Statehouse proposal that would give her department the names of any rape or incest victims who get abortions. The amendment, part of the so-called聽鈥渇etal heartbeat鈥 bill, would require聽any doctor who performs an abortion for an adult patient who reports that the pregnancy resulted from rape or incest to give the patient鈥檚 contact information to the local sheriff within 24 hours. Currently, doctors may refer victims to law enforcement or recovery services, but wouldn鈥檛 do so without the patient鈥檚 consent. (Coello, 1/27)
In global developments 鈥
A contentious near-total ban on abortion in Poland went into effect late Wednesday, despite rampant opposition from hundreds of thousands of Poles who began protesting in the fall in the largest demonstrations in the country since the 1989 collapse of communism. Thousands of outraged women, teenagers and allies returned to the streets Wednesday night bundled up against the cold after word that a ruling that halts the termination of pregnancies for fetal abnormalities 鈥 virtually the only kind of abortion performed in Poland 鈥 would come into force. (Kwai, Pronczuk and Magdziarz, 1/27)
Thailand鈥檚 Parliament has voted to make abortion legal in the first trimester, while keeping penalties in place for women who undergo it later in their pregnancies. Lawmakers in the Senate voted 166 to 7 on Monday to amend a law that had imposed prison terms of up to three years for anyone having an abortion, and up to five years for those who perform one. The new version allows any woman to end a pregnancy in the first 12 weeks. (Suhartono and Ives, 1/28)