The reconciliation bill has given Republicans a way to target abortion access in states that legally protect it: threatening their federal health care funding.
House Republicans added a last-minute provision to their reconciliation bill via a manager’s amendment that would block certain Affordable Care Act funds from going to state health plans that cover abortion services. There are currently 13 states — California, Colorado, Delaware, Illinois, Maine, Maryland, Massachusetts, Minnesota, New Jersey, New York, Oregon, Vermont and Washington state — with laws in the books that require insurers to cover abortion.
If the provision becomes law, it could force state officials to choose between maintaining abortion accessibility and ensuring that residents maintain their health care coverage. After years of arguing abortion policy should be left to the states, some congressional Republicans acknowledged they want to have a say in what the states do — at least when it comes to funding.