The Corner

Health Care

Trump-Administration Rule Requires Obamacare Insurers to Bill for Abortion Separately

A sign on an insurance store advertises Obamacare in San Ysidro, San Diego, Calif., October 26, 2017. (Mike Blake/Reuters)

At the end of last year, the Trump administration finalized a rule intended to enforce a provision of the Affordable Care Act, requiring that insurers offering health-care plans under Obamacare collect payments for elective abortion separately from other payments.

During Barack Obama’s presidency, this provision wasn’t enforced, as the administration permitted Obamacare insurers to bill for elective-abortion procedures along with fees for other services. If the Trump administration’s new rule goes forward without challenge, it will take effect on June 27.

According to the pro-life Susan B. Anthony List, in half of the 24 states that provide taxpayer-funded Obamacare plans, at least 80 percent of the plans cover elective abortion; eight have only plans that cover elective abortion. In fact, a handful of states explicitly require all insurers offering plans in the state to cover abortion.

The pro-life lobbying effort in favor of this new rule stemmed from the fact that the majority of individuals who obtain health care through the ACA’s exchanges also receive tax subsidies to help them pay their premiums. As a result, pro-life groups argue that if payments for elective abortion are processed along with fees for health-care services, taxpayer money will be entangled in funding abortion.

Despite the efforts of pro-life Republicans at the time Obamacare was passed, Democratic lawmakers and President Obama refused to enact a version of the bill that explicitly prohibited the taxpayer funding of abortion.

In both 2018 and 2019, a large group of U.S. representatives sent letters to the Department of Health and Human Services, asking for regulations that would address what they called “the severe problems with the ACA in regard to abortion coverage.” They pointed out that the Obamacare legislation itself required insurance companies on the ACA exchanges not to use federal subsidies to pay for elective abortion, as well as to collect separate payments for abortion procedures and deposit them into a separate account to fund elective abortions.

Though this new rule isn’t the huge pro-life victory some anti-abortion groups are suggesting, it will force insurers to comply with the bare-minimum protections for taxpayers set forth in Obamacare.

Most Popular

The Need to Discuss Black-on-Black Crime

Thomas Abt’s book Bleeding Out (2019) has garnered a fair amount of attention for its proposals to deal with gun violence in mainly black urban neighborhoods. The entire focus of the book is on interventions in high-crime locations to stem the violence, including: hot-spots policing, working with young males at ... Read More

The Need to Discuss Black-on-Black Crime

Thomas Abt’s book Bleeding Out (2019) has garnered a fair amount of attention for its proposals to deal with gun violence in mainly black urban neighborhoods. The entire focus of the book is on interventions in high-crime locations to stem the violence, including: hot-spots policing, working with young males at ... Read More
U.S.

First, Restore Order

Doing evil in the service of a just cause does not change either side of the moral equation: Evil remains evil, and the just cause remains just — neither consideration cancels out the other or transmutes it. With riots and violence convulsing American cities after the horrifying death of George Floyd at the ... Read More
U.S.

First, Restore Order

Doing evil in the service of a just cause does not change either side of the moral equation: Evil remains evil, and the just cause remains just — neither consideration cancels out the other or transmutes it. With riots and violence convulsing American cities after the horrifying death of George Floyd at the ... Read More
Politics & Policy

Is It Revolution?

I knew I was tempting fate a week ago when I said that the coming nomination of Joe Biden and the COVID-19 pandemic had put America’s politics on chill during this election year. Little did I know that days later we’d be making analogies to 1968. The killing of George Floyd by a Minneapolis policeman moved ... Read More
Politics & Policy

Is It Revolution?

I knew I was tempting fate a week ago when I said that the coming nomination of Joe Biden and the COVID-19 pandemic had put America’s politics on chill during this election year. Little did I know that days later we’d be making analogies to 1968. The killing of George Floyd by a Minneapolis policeman moved ... Read More