House Budget Increase Women's Health Funding
Last week, the Texas House passed its version of the 2014-2015 budget, and the news is good. After 12 hours of floor debate, $100 million in new women's healthcare funding emerged intact, and funding levels for both the Family Planning Program and Texas Women's Health Program were maintained.
The new funding will be routed through the Texas Department of State Services (DSHS) Community Primary Care Program (Strategy B.1.4). This Primary Care expansion is expected to serve low-income women aged 18-64 with screenings, examinations, breastfeeding promotion, preventive dental care, and contraception. An estimated 100,000 women will receive contraceptive care in this program, which will use existing primary care contractors to expand services to women across the state.
Like other members of the Texas Women's Healthcare Coalition, the Healthy Futures Alliance (HFA) is pleased that Texas is restoring access to preventive care for some of the 147,000 women who lost it due to the 2011 budget cuts. Members and friends of HFA join other Texas Women's Healthcare Coalition members in congratulating and thanking Rep. Sarah Davis (R-University Place) for leading a bipartisan effort to avoid floor fights that could have derailed the additional funding. Appreciation also goes to all the House members who worked hard for restoring access to care for low-income women.
Like the Senate, the House did not restore the severe cuts to the DSHS Family Planning Program (Strategy B.1.3.). However, the House version of the budget did include a measure (Rider 90 by Rep. Donna Howard) that added $32.1 million in state funds back into the Family Planning Program. This was designed to avoid further damage to Texas' women's health "safety net" by replacing the federal Title X funding that in March was awarded to a private agency, instead of to the state, as had been the case in the past.
In the budget bill, as in the current Texas budget, Planned Parenthood clinics are excluded from receiving state funds. Studies from George Washington University suggest that it will be difficult to ensure adequate women's-health provider capacity without these clinics, and the Texas Women's Healthcare Coalition is pleased that budget riders require the state to monitor and report on both service levels and provider capacity.
The next step is for the Conference Committee to address differences in the two versions of the budget.
The Legislative Session is far from over, but the progress is to be celebrated.
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Sex Education Threatened
Sex Education is the subject of identical bills in the Texas Senate (SB 521) and House (HB 1057)
this legislative session. These measures would override the current system of local school district control, which involves parents in School Health Advisory Councils, in recommending sex education options for their district's children. These bills would exclude Planned Parenthood (and other "affiliates" of abortion providers) from providing education or materials for public schools. The bills would also impose bureaucratic requirements if any outside educators or materials are involved, even if not from Planned Parenthood. Current Texas law requires districts to notify parents in writing about what is taught in sex education classes, as well as about their right to review the materials and their right to keep their children from participating. These bills would require school districts to use an "opt in" method, asking for written parent consent at least 14 days before the instruction starts, and forbidding the permission slip to be included with any other permission slips, e.g., in the beginning-of-the-year packet. As those who work in resource-poor school districts know, such requirements mean that many teens will not be able to participate -- even when their parents very much want them to. Teens often fail to take home and return permission slips, and schools are often too short-staffed to track down and process the forms. Most parents want their teens to receive abstinence-plus education, but these hurdles will make it harder to provide what parents want.
The Healthy Futures Alliance (HFA), a community coalition to prevent teen and unplanned pregnancy in San Antonio, opposes these bills, as do the San Antonio Express-News and experts in sex education.
Last week, a House Committee Substitute stripped from the bill the "opt-in" and other hurdles to get parent permission. However, the bill still dictates to local school districts who they can invite to help with sex education and whose materials they can choose for their district. Testimony extended into the early morning of April 3, and there was a great deal of misunderstanding and misinformation evidenced by many who spoke. For some, any abstinence-plus approach to education is linked in their view to abortion providers. HB 1057 was left pending in committee. |
Court: Emergency Pill should be Available to Women of All Ages
Last week a federal court in New York ruled that the levonorgestrel emergency contraceptive pill,
must be made available over-the-counter to women of all ages, including to girls 16 and under.
Judge Edward Korman of the Eastern District of New York ruled that Secretary of Health and Human Services Kathleen Sebelius' 2011 decision to overrule the Food and Drug Administration was arbitrary and politically motivated. The court sent the case back to FDA with orders to make the pill available without a prescription and without age restrictions within 30 days.
Putting the decision into perspective, Sarah Brown, CEO of The National Campaign to Prevent Teen and Unplanned Pregnancy,
pointed out that "easing access to contraception, including emergency contraception, is an important public health goal." With the U.S.'s high rate of unplanned pregnancy, improving access for women in their 20's and 30s is essential.
Importantly, Plan B is extremely safe, and there is no evidence that making contraception available to teens promotes sexual activity or abuse.
Used within 72 hours on unprotected sex, Plan B reduces the chances of pregnancy. Its mechanism of action occurs before fertilization: Plan B keeps the ovary from releasing an egg. It also affects sperm function. However, this contraceptive does not affect implantation (attachment) of a fertilized egg to the lining of the uterus.
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Healthy Futures of Texas is committed to reducing teen and unplanned pregnancy in San Antonio
and Texas by providing and promoting science-based and culturally appropriate approaches.
We are working toward a community where every young person is able to reach their potential, and
every child is wanted, loved, and cared for.
2300 W. Commerce, Ste. 203
San Antonio, Texas, 78207
210.223.4589
info@healthyfuturestx.org
www.HealthyFuturesTX.org
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