The right to life movement is rightly concerned with curtailing abortion. However, with the stinging defeat of HB2 perhaps it’s time to step back and look for other ways to protect life in the womb. I wrote earlier about the need for alternative ways to attack abortion. This is a follow up with a specific way that the legislature can enact this upcoming session. Some have suggested that since the posts are long that I add a “take away” paragraph at the bottom. One is present below.
Hopefully everyone learned a couple of lessons with the demise of HB2. First, a direct assault on abortion is unlikely to survive judicial challenge. Even if a conservative is appointed to the Supreme Court any legislation that directly limits abortion is unlikely to get 5 votes. Second, even if the legislation has some lip service of being a health and safety bill if it’s not truly aimed at health and safety it will be reviewed as an antiabortion bill.
With that in mind, the thought process needs to turn to what can be done to protect unborn life and still pass judicial muster? While many potential avenues exist, one of the most basic is to achieve a change of the hearts and minds of those involved in the process. Although the end result may have an indirect impact on abortion since the goal is other than abortion a piece of legislation that tries to entice others to choose life rather than death should survive review since the aim is other than a direct impact on abortion.
Planned Parenthood can object to the contrary all they want, but the truth of the matter is abortion is big business. If the business aspect of abortion can be tilted to choosing life rather than death then the incidence of abortion should drop as a result. Many groups attempt to address the financial impact from the prism of helping the mother in hopes she will choose life. However, other actors are involved from a financial aspect. Rather than trying to cut funding for abortion providers, how about trying to change the financial picture to where the doctors have an incentive to recommend treatment for prenatal issues rather than recommending abortion?
The current status of the law is that life exists in the womb, and that evidence of life is found roughly three weeks post conception. The Texas Penal Code section 1.07 defines terms found in the code and notes, “(49) “Death” includes, for an individual who is an unborn child, the failure to be born alive.” The Texas Family Code section 151.002 gives examples of what constitutes “evidence of life” to include, “beating of the heart, pulsation of the umbilical cord, or definite movement of voluntary muscles, whether or not the umbilical cord has been cut or the placenta is attached.” The medical literature varies on exactly when the heart beat begins, but the literature has a narrow range of 18-22 days. So the current status of the law is that life is established at around 3 weeks from conception.
With that as a backdrop, the question becomes how to use the current law to give financial incentive to doctors to recommend treatment rather than abortion? This goal can be achieved by implementing the current laws more fully. This can be done by requiring paternal insurance coverage to cover prenatal care along with maternal insurance coverage. It is simply a matter of legislative action and ensuring that the Affordable Care Act doesn’t explicitly speak to the contrary and cause preemption.
In terms of crafting legislation, the legislative findings and intent are critical. The actors need to be careful to establish the health and wellbeing of the child are the driving motivations. Antiabortion forces are likely to try and establish a heckler’s veto. This means legislators need to be careful not to tout any incidental impact the bill may have on abortion. Any potential changes need to be in separate bills so that they must be challenged separately if they are challenged, and are considered separately. Importantly, the committee hearings must be limited to the specific topic at hand. The committee hearings must also make specific findings of fact related to the specific ill the legislation will remedy. The legislative sponsors need to make speeches on the floor about the underlying intent of the legislation to establish the purpose of the legislation rather than allow the antiabortion forces to establish the purpose of the bill. And the legislation itself must make findings related to the committee testimony to establish a permissible action rather than allow antiabortion forces to frame the legislative intent as they did in HB2.
By way of example, a bill could be as follows:
Texas Insurance Code
Sec. 1366.003. OFFER OF COVERAGE REQUIRED. (a) Subject to this subchapter, an issuer of a group health benefit plan that provides pregnancy-related benefits for individuals covered under the plan shall offer and make available to each holder or sponsor of the plan coverage for services and benefits on an expense incurred, service, or prepaid basis for outpatient expenses that arise from in vitro fertilization procedures.
(b) Benefits for in vitro fertilization procedures required under this section must be provided to the same extent as benefits provided for other pregnancy-related procedures under the plan.
is modified to read:
Sec. 1366.003. OFFER OF COVERAGE REQUIRED. (a) Subject to this subchapter, an issuer of a group health benefit plan that provides pregnancy-related benefits for individuals covered under the plan shall offer and make available to each holder or sponsor of the plan coverage for services and benefits on an expense incurred, service, or prepaid basis for outpatient expenses that arise from in vitro fertilization procedures.
(b) Benefits for in vitro fertilization procedures required under this section must be provided to the same extent as benefits provided for other pregnancy-related procedures under the plan.
(c) In accordance with Texas Family Code section 151.002 establishing that evidence of life includes “beating of the heart” an issuer as set forth in subsection (a) must provide coverage for the unborn child regardless if the policy holder is the unborn child’s mother or father.
The list of findings can set forth the amounts of monies the state pays out for prenatal care, the burden that single mothers have meeting deductible/copay requirements, etc. With the findings directly addressing prenatal care, and the change in code directly pointing to already established pregnancy benefits rather than adding restrictions it will be difficult to argue this is an antiabortion measure. Will abortions drop as a side effect of this proposed change? Probably. Is that the purpose of the bill? No. As such, the rational relationship test rather than strict scrutiny applies. To further engrain the point, the bill can direct the attorney general’s office to move to remove any action filed in federal court to state court as the purpose of the legislation is health and safety related and therefore not appropriate for federal jurisdiction.
It’s worth noting, that a similar reasoning pattern and legislative action could be initiated to make the requirement for child support attach for the purposes of prenatal care as of the unborn child’s heartbeat.
Take away paragraph:
HB2 being struck down was a stinging defeat that establishes the need to try and protect life in the womb in other ways rather than abortion regulation. Abortion is big business, and one way to protect unborn life is to change the business underpinnings of the abortion business. The state penal code and family code already establish that life begins before birth and that a beating heart is evidence of life. To this end, a change in the insurance code to require paternal insurance as well as maternal insurance to cover prenatal care alters the financial picture so that doctors are more likely to recommend treatment rather than abortion. This will likely survive judicial review since it is a measure to expand insurance coverage rather than assail abortion. As such, it’s likely to be evaluated under a rational relationship test rather than the strict scrutiny test.