White House Misrepresents Sterilization and Contraception Mandate
The U.S. Conference of Catholic Bishops has issued the following response to the February 2 post on the White House blog.
Full text follows:
The Obama administration, to justify its widely criticized mandate for contraception and sterilization coverage in private health plans, has posted a set of false and misleading claims on the White House blog (“Health Reform, Preventive Services, and Religious Institutions,” February 1). In what follows, each White House claim is quoted with a response.
Claim: “Churches are exempt from the new rules: Churches and other houses of worship will be exempt from the requirement to offer insurance that covers contraception.”
Response: This is not entirely true. To be eligible, even churches and houses of worship must show the government that they hire and serve primarily people of their own faith and have the inculcation of religious values as their purpose. Some churches may have service to the broader community as a major focus, for example, by providing direct service to the poor regardless of faith. Such churches would be denied an exemption precisely because their service to the common good is so great. More importantly, the vast array of other religious organizations – schools, hospitals, universities, charitable institutions – will clearly not be exempt.
Claim: “No individual health care provider will be forced to prescribe contraception: The President and this Administration have previously and continue to express strong support for existing conscience protections. For example, no Catholic doctor is forced to write a prescription for contraception.”
Response: It is true that these rules directly apply to employers and insurers, not providers, but this is beside the point: The Administration is forcing individuals and institutions, including religious employers, to sponsor and subsidize what they consider immoral. Less directly, the classification of these drugs and procedures as basic “preventive services” will increase pressures on doctors, nurses and pharmacists to provide them in order to participate in private health plans – and no current federal conscience law prevents that from happening. Finally, because the mandate includes abortifacient drugs, it violates one of the “existing conscience protections” (the Weldon amendment) for which the Administration expresses “strong support.”
Claim: “No individual will be forced to buy or use contraception: This rule only applies to what insurance companies cover. Under this policy, women who want contraception will have access to it through their insurance without paying a co-pay or deductible. But no one will be forced to buy or use contraception.”
Response: The statement that no one will be forced to buy it is false. Women who want contraception will be able to obtain it without co-pay or deductible precisely because women who do not want contraception will be forced to help pay for it through their premiums. This mandate passes costs from those who want the service, to those who object to it.
Claim: “Drugs that cause abortion are not covered by this policy: Drugs like RU486 are not covered by this policy, and nothing about this policy changes the President’s firm commitment to maintaining strict limitations on Federal funding for abortions. No Federal tax dollars are used for elective abortions.”
Response: False. The policy already requires coverage of Ulipristal (HRP 2000 or “Ella”), a drug that is a close analogue to RU-486 (mifepristone) and has the same effects.[i] RU-486 itself is also being tested for possible use as an “emergency contraceptive” – and if the FDA approves it for that purpose, it will automatically be mandated as well.
Claim: “Over half of Americans already live in the 28 States that require insurance companies cover contraception: Several of these States like North Carolina, New York, and California have identical religious employer exemptions. Some States like Colorado, Georgia and Wisconsin have no exemption at all.”
Response: This misleads by ignoring important facts, and some of it is simply false. All the state mandates, even those without religious exemptions, may be avoided by self-insuring prescription drug coverage, by dropping that particular coverage altogether, or by taking refuge in a federal law that pre-empts any state mandates (ERISA). None of these havens is available under the federal mandate. It is also false to claim that North Carolina has an identical exemption. It is broader: It does not require a religious organization to serve primarily people of its own faith, or to fulfill the federal rule’s narrow tax code criterion. Moreover, the North Carolina law, unlike the federal mandate, completely excludes abortifacient drugs like Ella and RU-486 as well as “emergency contraceptives” like Preven.
Claim: “Contraception is used by most women: According to a study by the Guttmacher Institute, most women, including 98 percent of Catholic women, have used contraception.”
Response: This is irrelevant, and it is presented in a misleading way. If a survey found that 98% of people had lied, cheated on their taxes, or had sex outside of marriage, would the government claim it can force everyone to do so? But this claim also mangles the data to create a false impression. The study actually says this is true of 98% of “sexually experienced” women. The more relevant statistic is that the drugs and devices subject to this mandate (sterilization, hormonal prescription contraceptives and IUDs) are used by 69% of those women who are “sexually active” and “do not want to become pregnant.” Surely that is a minority of the general public, yet every man and woman who needs health insurance will have to pay for this coverage. The drugs that the mandate’s supporters say will be most advanced by the new rule, because they have the highest co-pays and deductibles now, are powerful but risky injectable and implantable hormonal contraceptives, now used by perhaps 5% of women. The mandate is intended to change women’s reproductive behavior, not only reflect it.
Claim: “Contraception coverage reduces costs: While the monthly cost of contraception for women ranges from $30 to $50, insurers and experts agree that savings more than offset the cost. The National Business Group on Health estimated that it would cost employers 15 to 17 percent more not to provide contraceptive coverage than to provide such coverage, after accounting for both the direct medical costs of potentially unintended and unhealthy pregnancy and indirect costs such as employee absence and reduced productivity.”
Response: The government is violating our religious freedom to save money? If the claim is true it is hard to say there is a need for a mandate: Secular insurers and employers who don’t object will want to purchase the coverage to save money, and those who object can leave it alone. But this claim also seems to rest on some assumptions: That prescription contraceptives are the only way to avoid “unintended and unhealthy pregnancy,” for example, or that increasing access to contraceptives necessarily produces significant reductions in unintended pregnancies. The latter assumption has been cast into doubt by numerous studies (see http://old.usccb.org/prolife/issues/contraception/contraception-fact-sheet-3-17-11.pdf).
Claim: “The Obama Administration is committed to both respecting religious beliefs and increasing access to important preventive services. And as we move forward, our strong partnerships with religious organizations will continue.”
Response: False. There is no “balance” in the final HHS rule—one side has prevailed entirely, as the mandate and exemption remain entirely unchanged from August 2011, despite many thousands of comments filed since then indicating intense opposition. Indeed, the White House Press Secretary declared on January 31, “I don’t believe there are any constitutional rights issues here,” so little was placed on that side of the scale. The Administration’s stance on religious liberty has also been shown in other ways. Recently it argued before the Supreme Court that religious organizations have no greater right under the First amendment to hire or fire their own ministers than secular organizations have over their leaders– a claim that was unanimously rejected by the Supreme Court as “extreme” and “untenable.” The Administration recently denied a human trafficking grant to a Catholic service provider with high objective scores, and gave part of that grant instead to a provider with not just lower, but failing, objective scores, all because the Catholic provider refused in conscience to compromise the same moral and religious beliefs at issue here. Such action violates not only federal conscience laws, but President Obama’s executive order assuring “faith-based” organizations that they will be able to serve the public in federal programs without compromising their faith.
[i] See A. Tarantal, et al., 54 Contraception 107-115 (1996), at 114 (“studies with mifepristone and HRP 2000 have shown both antiprogestins to have roughly comparable activity in terminating pregnancy when administered during the early stages of gestation”); G. Bernagiano & H. von Hertzen, 375 The Lancet 527-28 (Feb. 13, 2010), at 527 (“Ulipristal has similar biological effects to mifepristone, the antiprogestin used in medical abortion”).
Our Sunday Visitor Story on State Catholic Conference Religious Liberty Battles
North Dakota Efforts Discussed
Concerns over religious freedom have taken center stage in recent months as one of the primary issues on the agenda of the U.S. Conference of Catholic Bishops. And though the bishops’ national effort is just beginning, similar battles are well under way at the state level.
State Catholic conferences, which serve as the local bishops’ public policy arm, have for more than a decade been embroiled in a variety of struggles to ensure that laws do not infringe upon Catholics’ right to practice their faith. Of late, those battles have intensified.
Read more . . .
New Page on Conscience Protection
Find out how to take action.
Read the bishop’s letters.
See the list of North Dakota Catholic leaders opposing the rule.
And more . . .
Action Alert: Protect Conscience
Write To Congress CLICK HERE
On January 20, the U.S. Department of Health and Human Services (HHS) reaffirmed a rule that virtually all private health care plans must cover sterilization, abortifacients, and contraception. The rule is set to take effect August 1, 2012. Non-profit religious employers that do not now provide such coverage, and are not exempt under the rule’s extremely narrow definition of religious employer, will be given one year—until August 1, 2013—to comply.
Responding to the announcement, Cardinal-designate Timothy Dolan, archbishop of New York and president of the U.S. Conference of Catholic Bishops, stated: “In effect, the president is saying we have a year to figure out how to violate our consciences.” Cardinal-designate Dolan continued: “To force Americans to choose between violating their consciences and forgoing their healthcare is literally unconscionable. . . It is as much an attack on access to health care as on religious freedom.” Noting that the Obama administration “has now drawn an unprecedented line in the sand,” the Cardinal-designate urged that the HHS mandate be overturned. “The Catholic bishops are committed to working with our fellow Americans to reform the law and change this unjust regulation.” See:www.usccb.org/news/2012/12-012.cfm. For more information, see:www.usccb.org/conscience
Last August, the HHS issued a list of “preventive services for women” to be mandated in almost all private health plans under the new health care law, the Patient Protection and Affordable Care Act (PPACA). The mandated services include sterilization, all FDA-approved birth control (such as the IUD, Depo-Provera, ‘morning-after’ pills, and the abortion-inducing drug Ella), and “education and counseling” to promote these among all “women of reproductive capacity.” HHS’s interim final rule allowed only a very narrow exemption for a “religious employer.” The January 20 announcement makes this interim rule final.
To correct the threats to religious liberty and rights of conscience posed by PPACA, the Respect for Rights of Conscience Act has been introduced in Congress (H.R. 1179, S. 1467). This measure will ensure that those who participate in the health care system “retain the right to provide, purchase, or enroll in health coverage that is consistent with their religious beliefs and moral convictions.” It is more important than ever that Members of Congress be urged to co-sponsor this measure. For co-sponsors, please check H.R. 1179 and S. 1467 at: thomas.loc.gov.
ACTION: Contact your U.S. Representative by e-mail, phone, or FAX letter:
- Call the U.S. Capitol switchboard at: 202-224-3121, or call your Members’ local offices.
- Send an e-mail through NCHLA’s Grassroots Action Center at: HERE.
- Additional contact info can be found on Members’ web sites at: www.house.gov andwww.senate.gov.
MESSAGE: “Please co-sponsor the Respect for Rights of Conscience Act (H.R. 1179, S. 1467). This measure ensures that the rights of conscience of all participants in our nation’s health care system will be respected.”
WHEN: Now is the time to build cosponsors. Please act today! Thanks!
Bishops Decry HHS Rule, Urge Catholics To Stand Up For Religious Liberty And Conscience Rights In Homilies At Vigil For Life
Both the president of the U.S. bishops and the bishops’ Pro-Life chairman called on the thousands of Catholics gathered for the National Prayer Vigil for Life to speak out for the protection of conscience rights and religious liberty.
“From a human point of view, we may be tempted to surrender, when our government places conception, pregnancy and birth under the ‘center for disease control,’ when chemically blocking conception or aborting the baby in the womb is considered a ‘right’ to be subsidized by others who abhor it,” said Cardinal-designate Timothy Dolan, archbishop of New York and president of the U.S. Conference of Catholic Bishops (USCCB) at the vigil’s closing Mass at the Basilica of the National Shrine of the Immaculate Conception on January 23.
His words referred to the January 20 announcement by the Department of Health and Human Services (HHS) that nearly all employers will be forced to cover drugs and procedures that violate their conscience in their health insurance plans.
“When the ability of feeding, housing, and healing the struggling of the world is curtailed and impeded if one does not also help women abort their babies, one can hardly be faulted for being tempted to the ‘sin against the Holy Spirit’ and just consider all as lost,” Cardinal-designate Dolan said.
Addressing the opening Mass the previous evening, Cardinal Daniel DiNardo, archbishop of Galveston-Houston and chairman of the USCCB Committee on Pro-Life Activities, excoriated the HHS rule.
“Never before in our US History has the Federal Government forced citizens to directly purchase what violates our beliefs. At issue here as our President of the Conference stated it this past Friday, is the survival of a cornerstone constitutionally protected freedom that ensures respect for conscience and religious liberty,” said Cardinal DiNardo.
He cited the January 19 address of Pope Benedict XVI to U.S. bishops visiting Rome, in which the pope said, “it is imperative that the entire Catholic community in the United States come to realize the grave threats to the Church’s public moral witness presented by a radical secularism which finds increasing expression in the political and cultural spheres. The seriousness of these threats needs to be appreciated at every level of ecclesial life.”
Cardinal DiNardo said that the pope had “nailed” the issue in light of the HHS announcement and tied the issue directly to the March for Life. “His calls for courage to counter a reductive secularism which would delegitimize the Church’s participation in public life and debate have targeted the issues we face in our pro-life efforts, to defend those who defend human life and to defend their religious liberty!”
The full text of both homilies is available online: www.usccb.org/about/media-relations/resources/2012-national-prayer-vigil-for-life-homilies.cfm
THOUSANDS TO PRAY FOR END TO ABORTION AT NATIONAL PRAYER VIGIL FOR LIFE
Over 10,000 worshippers, many of them youth from schools around the nation, are expected to gather in the Basilica of the National Shrine of the Immaculate Conception to pray for an end to abortion at the Opening Mass of the National Prayer Vigil for Life, Sunday, January 22, at 6:30 p.m., the eve of the 2012 March for Life. January 22 marks the anniversary of Roe v. Wade, the 1973 Supreme Court decision legalizing abortion.
Cardinal Daniel DiNardo, archbishop of Galveston-Houston and chairman of the U.S. bishops’ Committee on Pro-Life Activities, will be the principal celebrant and homilist at the Vigil Mass, concelebrated by fellow cardinals and many of the nation’s bishops and priests. Following the Opening Mass, the Vigil will continue in the Crypt Church of the Basilica with confessions, a National Rosary for Life, Night Prayer according to the Byzantine Rite, and holy hours led by seminarians from across the country from midnight until 6:00 a.m.
That same evening, The Catholic University of America will host close to 1,300 pilgrims overnight.
On Monday, January 23, the Basilica will host Morning Prayer at 6:30 a.m. in the Crypt Church and the Closing Mass at 7:30 a.m. in the Great Upper Church. Cardinal-designate Timothy Dolan of New York will be the principal celebrant and homilist. At the conclusion of the National Prayer Vigil for Life, participants will join in the national March for Life.
The National Prayer Vigil for Life is co-sponsored by the Secretariat of Pro-Life Activities of the United States Conference of Catholic Bishops (USCCB), the Basilica of the National Shrine of the Immaculate Conception and The Catholic University of America.
Media are welcome to attend the Mass and speak with and interview pilgrims. Deirdre McQuade of the USCCB Pro-Life Secretariat will be available for interviews before and after the Vigil Mass. To schedule an interview in advance, please call 571-331-7018.
Media should check in at the Basilica’s Great Upper Church Sacristy and present press credentials to Jacquelyn Hayes or a designated Basilica press representative to receive a press pass. Advance registration is preferred. Footage from the Mass may also be obtained by Satellite TV feed courtesy of the Eternal Word Television Network (EWTN). For coordinates, or to register, contact Jacquelyn Hayes, director of communications for the Basilica, at 202-281-0615 or jmh@bnsic.org.
CARDINAL-DESIGNATE DOLAN SPEAKS OUT AGAINST HHS RULE, CALLS FOR ACTION IN NEW WEB VIDEO
WASHINGTON—Cardinal-designate Timothy Dolan of New York, president of the U.S. Conference of Catholic Bishops (USCCB), sharply criticized the decision by the Obama administration in which it “ordered almost every employer and insurer in the country to provide sterilization and contraceptives, including some abortion-inducing drugs, in their health plans.” He made the statement in a web video posted at: http://bcove.me/ob5itz9v
“Never before has the federal government forced individuals and organizations to go out into the marketplace and buy a product that violates their conscience. This shouldn’t happen in a land where free exercise of religion ranks first in the Bill of Rights,” Cardinal-designate Dolan said.
On January 20, Kathleen Sebelius, secretary of the Health and Human Services, announced that non-profit employers will have one year to comply with the new rule.
Cardinal-designate Dolan urged Catholics and the public at large to speak out in protest. “Let your elected leaders know that you want religious liberty and rights of conscience restored and that you want the administration’s contraceptive mandate rescinded,” he said.
U.S. BISHOPS VOW TO FIGHT HHS EDICT
Unconscionable to force citizens to buy contraceptives against their will No change in limited exemption, only delay in enforcement Matter of freedom of conscience, freedom of religion
WASHINGTON—The Catholic bishops of the United States called “literally unconscionable” a decision by the Obama Administration to continue to demand that sterilization, abortifacients and contraception be included in virtually all health plans. Today’s announcement means that this mandate and its very narrow exemption will not change at all; instead there will only be a delay in enforcement against some employers.
“In effect, the president is saying we have a year to figure out how to violate our consciences,” said Cardinal-designate Timothy M. Dolan, archbishop of New York and president of the U.S. Conference of Catholic Bishops.
The cardinal-designate continued, “To force American citizens to choose between violating their consciences and forgoing their healthcare is literally unconscionable. It is as much an attack on access to health care as on religious freedom. Historically this represents a challenge and a compromise of our religious liberty.”
The HHS rule requires that sterilization and contraception – including controversial abortifacients – be included among “preventive services” coverage in almost every healthcare plan available to Americans. “The government should not force Americans to act as if pregnancy is a disease to be prevented at all costs,” added Cardinal-designate Dolan.
At issue, the U.S. bishops and other religious leaders insist, is the survival of a cornerstone constitutionally protected freedom that ensures respect for the conscience of Catholics and all other Americans.
“This is nothing less than a direct attack on religion and First Amendment rights,” said Franciscan Sister Jane Marie Klein, chairperson of the board at Franciscan Alliance, Inc., a system of 13 Catholic hospitals. “I have hundreds of employees who will be upset and confused by this edict. I cannot understand it at all.”
Daughter of Charity Sister Carol Keehan, president and chief executive officer of the Catholic Health Association of the United States, voiced disappointment with the decision. Catholic hospitals serve one out of six people who seek hospital care annually.
“This was a missed opportunity to be clear on appropriate conscience protection,” Sister Keehan said. Cardinal-designate Dolan urged that the HHS mandate be overturned. “The Obama administration has now drawn an unprecedented line in the sand,” he said. “The Catholic bishops are committed to working with our fellow Americans to reform the law and change this unjust regulation. We will continue to study all the implications of this troubling decision.”
Religious Leaders Join Together In Support Of Marriage, Religious Liberty
Open letter highlights connection between protecting marriage, religious freedom
Letter is a “sign of hope” and “compelling argument,” Cardinal-designate Dolan says
Elected officials need to defend marriage, religious liberty
WASHINGTON—Leaders of some of the largest religious communities in the United States have joined together in an open letter to all Americans to voice their shared concern for marriage and religious freedom.
The letter, titled “Marriage and Religious Freedom: Fundamental Goods That Stand or Fall Together,” was released January 12. It can be found at www.usccb.org/issues-and-action/marriage-and-family/marriage/promotion-and-defense-of-marriage/ecumenical-and-interreligious-activities.cfm. Signatories include leaders from Anglican, Baptist, Catholic, Evangelical, Jewish, Lutheran, Mormon, and Pentecostal communities in the United States.
Cardinal-designate Timothy Dolan, archbishop of New York and president of the United States Conference of Catholic Bishops, was one of the four signing Catholic bishops.
“Marriage and religious liberty are at a crisis point in the United States,” he said. “This letter is a sign of hope. Not only are tens of millions of believing citizens represented in the letter’s signatories, but the letter itself testifies to the growing and shared awareness of just how important marriage and religious freedom are to the well being of our country. The letter makes a compelling argument that needs to be heard by all of us, especially those in positions of authority: anyone truly concerned with religious freedom must also be a defender of marriage’s perennial definition.”
In the letter, the leaders counter a common claim that the principal threat to religious freedom is the possibility of ministers being forced to officiate same-sex “weddings.”
The leaders wrote: “We believe the most urgent peril is this: forcing or pressuring both individuals and religious organizations—throughout their operations, well beyond religious ceremonies—to treat same-sex sexual conduct as the moral equivalent of marital sexual conduct. There is no doubt that the many people and groups whose moral and religious convictions forbid same-sex sexual conduct will resist the compulsion of the law, and church-state conflicts will result.”
They added that “these conflicts bear serious consequences.”
“They will arise in a broad range of legal contexts, because altering the civil definition of ‘marriage’ does not change one law, but hundreds, even thousands, at once. By a single stroke, every law where rights depend on marital status—such as employment discrimination, employment benefits, adoption, education, healthcare, elder care, housing, property, and taxation—will change so that same-sex sexual relationships must be treated as if they were marriage. That requirement, in turn, will apply to religious people and groups in the ordinary course of their many private or public occupations and ministries—including running schools, hospitals, nursing homes and other housing facilities, providing adoption and counseling services, and many others,” they said.
The leaders warned that redefining marriage has consequences for the religious freedom of all Americans and urged civic leaders to defend marriage so as also to defend religious liberty.
“We especially urge those entrusted with the public good to support laws that uphold the time-honored definition of marriage, and so avoid threatening the religious freedom of countless institutions and citizens in this country,” the religious leaders said. “Marriage and religious freedom are both deeply woven into the fabric of this nation.”
The release of the letter comes days before the presidential proclamation for Religious Freedom Day (January 16) and a few weeks before World Marriage Day (February 12) and National Marriage Week USA (February 7-14). The letter follows a letter of shared commitment released December 6, 2010 (also available at www.usccb.org/issues-and-action/marriage-and-family/marriage/promotion-and-defense-of-marriage/ecumenical-and-interreligious-activities.cfm).
BISHOPS HAIL COURT DECISION UPHOLDING RELIGIOUS LIBERTY
Great day for First Amendment, says Bishop Lori
Who chooses ministers, chooses message
‘Ministerial Exception’ grounded in First Freedom
WASHINGTON—“It’s a great day for the First Amendment,” said Bishop William E. Lori of Bridgeport, Connecticut, chairman of the U.S. Conference of Catholic Bishops’ Ad Hoc Committee on Religious Liberty.
Bishop Lori spoke January 11, shortly after the U.S. Supreme Court voted unanimously to uphold a church’s right to determine who its ministers are and banned government interference in the process. His statement follows.
The Supreme Court decision marks a victory for religious liberty and the U.S. Constitution. Freedom of Religion is America’s First Freedom and the Court has spoken unanimously in favor of it. The Founding Fathers would be proud. Respect for the long-standing “ministerial exception,” which is grounded in the Religion Clauses of the First Amendment and prevents the government from interfering in the employment relationship between a Church and its ministers. This decision makes resoundingly clear the historical and constitutional importance of keeping internal church affairs off limits to the government—because whoever chooses the minister chooses the message. It’s a great day for the First Amendment.
Bishop William E. Lori
Chairman
U.S. Bishops’ Ad Hoc Committee for Religious Liberty
