Discussion:
Obama's "Controversial" Birth Control Rule Was Law During Bush Years
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Q JINN
2012-02-10 00:51:49 UTC
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Most of Obama's "Controversial" Birth Control Rule Was Law During Bush
Years

The right has freaked out over an Obama administration rule requiring
employers to offer birth control to their employees. Most companies
already had to do that.

By Nick Baumann=A0
Wed Feb. 8, 2012 2:10 PM PST

Pete Souza=A0 /The White House

President Barack Obama's decision to require most employers to cover
birth control and insurers to offer it at no cost has created a
firestorm of controversy.

But the central mandate that most employers have to cover preventative
care for women has been law for over a decade. This point has been
completely lost in the current controversy, as Republican presidential
candidates and social conservatives claim that Obama has launched a war
on religious liberty and the Catholic Church.

Despite the longstanding precedent, "no one screamed" until now, said
Sara Rosenbaum, a health law expert at George Washington University.

In December 2000, the Equal Employment Opportunity Commission ruled=A0
that companies that provided prescription drugs to their employees but
didn't provide birth control were in violation of Title VII of the 1964
Civil Rights Act, which prevents discrimination on the basis of sex.
That opinion, which the George W. Bush administration did nothing to
alter or withdraw when it took office the next month, is still in effect
today and because it relies on Title VII of the Civil Rights Act, it
applies to all employers with 15 or more employees.

Employers that don't offer prescription coverage or don't offer
insurance at all are exempt, because they treat men and women equally
but under the EEOC's interpretation of the law, you can't offer other
preventative care coverage without offering birth control coverage, too.

"It was, we thought at the time, a fairly straightforward application of
Title VII principles," a top former EEOC official who was involved in
the decision told Mother Jones. "All of these plans covered Viagra
immediately, without thinking, and they were still declining to cover
prescription contraceptives. It's a little bit jaw-dropping to see what
is going on now "There was some press at the time but we issued
guidances that were far, far more controversial."

After the EEOC opinion was approved in 2000, reproductive rights groups
and employees who wanted birth control access sued employers that
refused to comply. The next year, in Erickson v. Bartell Drug Co., a
federal court agreed with the EEOC's reasoning. Reproductive rights
groups and others used that decision as leverage to force other
companies to settle lawsuits and agree to change their insurance plans
to include birth control.

Some subsequent court decisions echoed Erickson, and some went the other
way, but the rule (absent a Supreme Court decision) remained, and=A0over
the following decade, the percentage of employer-based plans offering
contraceptive coverage tripled to 90 percent.

"We have used [the EEOC ruling] many times in negotiating with various
employers," says Judy Waxman, the vice president for health and
reproductive rights at the National Women's Law Center. "It has been in
active use all this time. [President Obama's]=A0policy is only new in
the sense that it covers employers with less than 15 employees and with
no copay for the individual. The basic rule has been in place since
2000."

Not even religious employers were exempt from the impact of the EEOC
decision. Although Title VII allows religious institutions to
discriminate on religious grounds, it doesn't allow them to discriminate
on the basis of sex=A0 the kind of discrimination at issue in the EEOC
ruling. DePaul University, the largest Roman Catholic university in
America, added birth control coverage to its plans=A0 after receiving an
EEOC complaint several years ago. (DePaul officials did not respond to a
request for comment.)

As recently as last year, the EEOC was moderating a dispute between the
administrators of Belmont Abbey, a Catholic institution in North
Carolina, and several of its employees who had their birth control
coverage withdrawn after administrators realized it was being offered.
The Weekly Standard opined on the issue in 2009=A0 more proof that
religious employers were being asked to cover contraception far before
the Obama administration issued its new rule on January 20 of this year.

"The current freakout," Judy Waxman says, is largely occurring because
the EEOC policy "isn't as widely known and it hasn't been uniformly
enforced." But it's still unclear whether Obama's Health and Human
Services department will enforce the new rule any more harshly than the
old one. The administration has already given organizations a year-long
grace period to comply. Asked to explain how the agency would make
employers do what it wanted, an HHS official told Mother Jones that it
would "enforce this the same way we enforce everything else in the law."
=A0
Nick Baumann=A0
News Editor
Nick Baumann covers national politics and civil liberties issues for
Mother Jones' DC Bureau. For more of his stories, click here=A0 . You
can also follow him on Twitter=A0 and Facebook=A0 . Email tips and
insights to nbaumann [at] motherjones [dot] com.
Q JINN
2012-02-10 22:44:09 UTC
Permalink
http://mlvb.net/motherjones.com/mojo/2012/02/obama-birth-control-rule-chan=
ge-why-its-not-cave

Obama Didn't Cave on Birth Control

By Nick Baumann=A0
Fri Feb. 10, 2012 9:56 AM PST

President Barack Obama speaks on his birth control policy Friday
afternoon

WhiteHouse.gov

So did Barack Obama fold?

On Friday, after taking heavy criticism from Catholic groups and the
political right over a regulation that would have required
religiously-affiliated hospitals and universities (not churches)=C2=A0to
offer their employees health insurance that covers birth control (with
no copays), President Barack Obama went on live television to announce a
shift. Now, insurance companies will have to offer employees of
religious organizations the birth control coverage directly, without
charging extra for it. (The details of the new birth control coverage
plan are here=A0 .)

Some media outlets will no doubt call this a surrender by the president.
But it's not. Here's why:
Everyone who was going to get birth control coverage before will still
have access to it.

Employees of Catholic schools and hospitals aren't always Catholic, and
most sexually active women who aren't trying to get pregnant use birth
control=A0 .

The new rule will not allow the religious views of the leadership of
religiously-affiliated organizations to dictate whether birth control is
provided to their employees. The intent of the first version of the rule
was to make birth control easier to get. The new rule will achieve that
goal. "No woman's health should depend on who she is, where she works,
or how much money she makes," Obama said in his statement. This policy
ensures that.

The coverage will still feature no copayments. The insurance companies
that are being required to offer birth control coverage directly to the
employees of religious organizations will have to offer it for free.

There will be no difference in cost between the plan that covers birth
control and the plan that doesn't. The Obama administration justifies
this by noting that studies suggest that covering birth control is
cost-neutral or even saves money for health insurers=A0 because it's
cheaper than pregnancy; it spaces out pregnancies, leading to healthier
kids, and has other beneficial health effects=A0 .

The policy change still won't satisfy the US Conference of Catholic
Bishops, which opposed the birth control provision from the start=A0 .
It's not a cave if your opponents aren't getting what they actually
want. What the bishops desire is for the entire birth control rule to be
repealed. They believe that no employer=A0 "religious affiliation or
not" should be required to offer birth control coverage.

UPDATE, Friday 3:45 EST: The bishops have released a statement on the
policy change=A0 that says they're "studying" it and it's a "first step
in the right direction." It's unclear whether they'll ultimately retreat
from their original position or simply say this attempt is a good step
but not sufficient.=C2=A0

The most important reproductive rights groups Planned Parenthood, NARAL
Pro-Choice America, the American Civil Liberties Union, and so on all
support the policy shift. You can bet that these politically savvy
groups would be hollering to high heaven if they thought that women had
been betrayed.

This whole scuffle was an intriguing policy dilemma, pitting women's
health advocates versus faith leaders waving the banner of religious
freedom. But with this move, Obama has demonstrated that it's possible
to sidestep the red-hot politics of the dispute and work out a
reasonable policy outcome that's=A0 backed by reproductive rights groups
and the Catholic Health Association=A0 . It's not likely, though, that
the social conservatives who have bashed Obama as an implacable foe of
religious freedom will give it a rest.

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