Bit by bit, regulation by regulation, the Trump administration – followed by a notable list of states — has been shrinking women’s access to birth control and abortion services. From packing the courts with anti-choice judges to repeated (failed) attempts to defund Planned Parenthood, the White House has done its best to push reproductive freedom off the table. So, when a Connecticut hospital and two neighborhood health centers announced plans to collaborate and become the New Haven Primary Care Consortium, the conversation quickly turned to women’s reproductive health—as it should. Yale New Haven Hospital and two local federally qualified health centers proposed to merge services recently, with the clinics that serve adults, women’s reproductive needs and children moving to 150 Sargent Drive (Long Wharf). This is a big deal for the state’s health care landscape.
If you are an American woman, be afraid of the Trump administration’s latest attempts to repeal Obamacare. If you are an American woman living in poverty, be very afraid. Connecticut has taken note. During the legislative session that just ended, the Connecticut Senate unanimously voted to protect 21 health benefits (such as contraceptives and mammograms) that Trumpcare would obliterate. Sadly, that bill died in the House.
Now is the time to repeal a 40-year-old law that perpetuates inequality among women. The Hyde Amendment, which bans the use of federal funds to pay for abortions except in certain circumstances, is unfair. The amendment targets women who rely on Medicaid for their health care coverage. According to the federal Centers for Medicare and Medicaid Services, roughly two out of three adult women enrolled in Medicaid are between the ages of 19 and 44—the reproductive years. Abortions can run upward of $1,000, which places the (legal) procedure out of reach for most women living in poverty.
The Affordable Care Act is providing women with an impressive array of reproductive health care options – except where it doesn’t. Whether a woman is benefitting from the ACA depends very much on her address, and the rather complicated workings of state exchanges. But with some caveats, for Connecticut women, the law is working. We should take a moment to think about that. Connecticut women are in the unusual position of having an important political promise met.