Marco Rubio's Plan Could Cut Off Birth Control Coverage for Millions
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A new bill introduced by Sen. Marco Rubio (R-Fla.), a rising conservative star and leading contender for the Republican vice-presidential nomination in 2012, could cut off birth control coverage for millions of women who receive it through their health plans.
Rubio has sold his proposal—introduced January 31 as the "Religious Freedom Restoration Act," or S. 2043—as a way to counter President Barack Obama's controversial rule requiring even religiously-affiliated schools and universities to offer copay-free birth control to their employees. But health care experts say that its implications could be far broader.
If passed, the bill would allow any institution or corporation to cut off birth control coverage simply by citing religious grounds. (You can read the bill here or in the DocumentCloud embed below.) It has 26 cosponsors in the Senate; a similar proposal sponsored by Rep. Jeff Fortenberry (R-Neb.) has 148 cosponsors in the House. On Wednesday, Speaker of the House John Boehner (R-Ohio) vowed to repeal Obama's rule, and Sen. Mitch McConnell (R-Ky.) pointed to Rubio's bill as a potential model for doing so. Here's the key section of Rubio's proposal:
In English, this means that no entity has to cover birth control in a health plan if it can point to a religious reason for not doing so. And the entity itself is not required to have any religious affiliation. It could just be a plain old corporation. That means that if the middle-aged white guy who runs your company is religiously opposed to birth control, he can have it stripped out of your insurance plan—even if his Viagra is still covered. You could wake up the next morning and find you're paying full price for drugs that you once got for free or at much-reduced prices.
"This could be huge," says Judy Waxman, the vice president for health and reproductive rights at the National Women's Law Center (NWLC). "It's clearly more than a million women who'd be affected if it were just hospitals and universities [that were affected], but under the Rubio bill it could be any employer. It could be millions."
The scope of Rubio's plan could put him in political hot water. Nearly 90 percent of fertile, sexually active American women who do not want to become pregnant are currently using some form of contraception, according to the Guttmacher Institute. That's 43 million people. And nearly every American woman who has had sex—99 percent—has used contraception at least once. Many forms of contraception can cost hundreds of dollars a year—and jumping from zero or a low copay to full prescription prices would hit many cash-strapped female voters where it hurts: in the wallet.
Several factors could blunt the impact of Rubio's bill. Some companies wouldn't want to be seen publicly as acting for religious reasons. And if they are paying close attention to their bottom lines and their employees' health, corporations would think twice before ending birth control coverage for their employees—even for religious reasons. Birth control helps women space their pregnancies, but it's not just about sex and reproduction. It can also reduce, treat, or prevent unpleasant and sometimes expensive and dangerous problems like ovarian cysts, endometriosis, cramps, and very heavy or irregular periods. The National Business Group on Health, a consortium of large companies, has found that failing to provide birth control actually increases health costs for companies by an estimated 15 to 17 percent.
Waxman, the NWLC, and other reproductive rights advocates also fear that the Rubio bill could harm Medicaid, a federal program that provides family planning and many other health care services to poor people. Obama's health care bill included a massive expansion of Medicaid, but Rubio's bill could allow governors who are opposed to birth control to deny it to Medicaid patients who were added to the program under Obama's bill. All state Medicaid plans currently cover family planning, although the state is allowed to decide what that means. The Rubio bill would override that.
Rubio's spokesman did not respond to multiple calls and emails seeking comment. I'll update this story if I receive a response.
Read the whole bill and link to the original article can be read on Mother Jones
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FL Legislators with ALEC Ties
House of Representatives
- Rep. Larry Ahern (R-51), registered to attend 2011 ALEC Annual Meeting[51]
- Rep. Ben Albritton (R-66), registered to attend 2011 ALEC Annual Meeting[51]
- Rep. Dennis Baxley (R-Ocala), attended 2011 ALEC Annual Meeting, sponsored 2005 SB 436 "Castle Doctrine Act" based on ALEC model[52]
- Rep. Michael Bileca (R-117), registered to attend 2011 ALEC Annual Meeting[51]
- Rep. Jeff Brandes (R-52), attended 2011 ALEC Annual Meeting[52]
- Rep. Jason Brodeur (R-33), ALEC Tax and Fiscal Policy Task Force member, registered to attend 2011 ALEC Annual Meeting[51]
- Rep. Rachel Burgin (R-56), registered to attend 2011 ALEC Annual Meeting[51]
- Rep. Matt Caldwell (R-73), ALEC member who has "attended one conference to date, having paid for the membership and any conference costs with my excess campaign account"[53][51]
- Rep. Richard Corcoran (R-45), registered to attend 2011 ALEC Annual Meeting[51]
- Rep. Fred Costello (R-26), "could not afford the time out of my business to attend" the 2011 ALEC Annual meeting but looks "forward to attending ALEC in the future"[54]
- Rep. Steve Crisafulli (R-32), registered to attend 2011 ALEC Annual Meeting[51] but "not a member of the American Legislative Exchange Council"[55]
- Rep. Daniel Davis (R-13), registered to attend 2011 ALEC Annual Meeting[51]
- Rep. Jose Diaz (R-115), registered to attend 2011 ALEC Annual Meeting[51]
- Rep. Chris Dorworth (R-34), dues-paying ALEC member as of 2011[56], registered to attend 2011 ALEC Annual Meeting[51]
- Rep. Brad Drake (R -5)[17]
- Rep. Clay Ford (R-3)[17][20], ALEC Energy, Environment and Agriculture Task Force member, registered to attend 2011 ALEC Annual Meeting[51]
- Rep. Rich Glorioso (R-Longwood), attended 2011 ALEC Annual Meeting[52]
- Rep. Matt Hudson (R-101), ALEC Health and Human Services Task Force member, registered to attend 2011 ALEC Annual Meeting[51]
- Rep. Clay Ingram (R-2), attended 2011 ALEC Annual Meeting[57][51]
- Rep. Ana Rivas Logan (R-114), registered to attend 2011 ALEC Annual Meeting[51]
- Rep. Debbie Mayfield (R-80), ALEC member[58]
- Rep. Peter Nehr (R-48), registered to attend 2011 ALEC Annual Meeting[51]
- Rep. Bryan Nelson (R-38), registered to attend 2011 ALEC Annual Meeting[51]
- Rep. Jeanette Nunez (R-Miami), attended 2011 ALEC Annual Meeting[52]
- Rep. Jimmy T. Patronis, Jr. (R-6), ALEC State Chairman[59], registered to attend 2011 ALEC Annual Meeting[51]
- Rep. Ray Pilon (R-69); Public Safety and Elections Task Force
- Rep. Scott Plakon (R-37), ALEC International Relations Task Force member, worked with ALEC in 2011 on "a proposed constitutional amendment that prohibits laws that would force people to join health care plans, an attack on federal health care changes"[52]
- Rep. Stephen L. Precourt (R-41), ALEC Tax and Fiscal Policy Task Force member, registered to attend 2011 ALEC Annual Meeting[51]
- Rep. Lake Ray (R-17), registered to attend 2011 ALEC Annual Meeting[51]
- Rep. Kelli Stargel (R-64), registered to attend 2011 ALEC Annual Meeting[51]
- Rep. John Tobia (R-31), attended 2009 ALEC Annual Meeting at a taxpayer cost of $1,150; [60] in August 2011 claimed he has not attended another ALEC meeting and is not a member[61]
- Rep. Carlos Trujillo (R-116), registered to attend 2011 ALEC Annual Meeting[51]
- Rep. Will Weatherford (R-61), registered to attend 2011 ALEC Annual Meeting[51]
- Rep. John Wood (R-65), ALEC Health and Human Services Task Force member who calls himself "proud to be a member of ALEC and has attended two annual conferences - Atlanta in 2009 and most recently New Orleans in 2011"[62][51]
- Rep. Dana Young (R-Tampa), attended 2011 ALEC Annual Meeting[52]
- Former Rep. Bill Posey (now Congressman, R-Rockledge), ALEC Alumni in Congress[63] and 1999 recipient of ALEC "Legislator of the Year" Award[64]
Senate
- Sen. Anitere Flores (R-38); Education Task Force
- Sen. Lee Constantine (R-22); Energy, Environment and Agriculture Task Force
- Sen. Alan Hays (R-25)[17]
- Sen. Evelyn Lynn (R-7), attended an ALEC Conference "about 15 years ago, but I did not find the meetings informative or helpful"[65]