CORRECTED: Bishops to Senators: Bill Fails to Protect Life, Dignity, Consciences and Health of All

As the U.S. Senate moves toward final consideration of its health care reform bill, the U.S. Bishops office has sent a letter to the senators urging them to oppose the bill unless its moral flaws are corrected. The letter can be found here.

Among the bill's problems:

  • The abortion provisions do not maintain this commitment to the legal status quo on abortion funding;

  • Federal funds will help subsidize, and in some cases a federal agency will facilitate and promote, health plans that cover elective abortions;

  • All purchasers of such plans will be required to pay for other people’s abortions in a very direct and explicit way, through a separate premium payment designed solely to pay for abortion;

  • There is no provision for individuals to opt out of this abortion payment in federally subsidized plans, so people will be required by law to pay for other people’s abortions;

  • States may opt out of this system only by passing legislation to prohibit abortion coverage;

  • The bill does not prevent governmental discrimination against health care providers that decline involvement in abortion;

  • The bill includes no conscience protection allowing Catholic and other institutions to provide and purchase health coverage consistent with their moral and religious convictions on other procedures;

  • The bill forbids undocumented immigrants from purchasing health care coverage in the exchange;

  • The bill maintains the five-year ban on legal immigrants accessing federal health benefit programs, such as Medicaid, the Children’s Health Insurance Program, and Medicare; and

  • The bill still leaves over 23 million people in our nation without health insurance. This falls far short of what is needed in both policy and moral dimensions.

Contact Senators Kent Conrad and Byron Dorgan and ask them to oppose the health care reform bill until these fundamental flaws are remedied.

Senator Kent Conrad
Washington: (202) 224-2043 
Bismarck: (701) 258-4648 
Toll Free: 1-800-223-4457 
Fargo: Telephone: (701) 232-8030 
Grand Forks: Telephone: (701) 775-9601 
Minot: Telephone: (701) 852-0703 

http://conrad.senate.gov/contact/webform.cfm

Senator Byron L. Dorgan
Washington: (202) 224-2551
Bismarck: (701) 250-4618
Toll Free: 1-800-666-4482
Fargo: (701) 239-5389
Grand Forks: (701) 746-8972
Minot: (701) 852-0703
http://dorgan.senate.gov/contact/

Action Alert! Stop Abortion Funding in Health Care Reform!

On November 7, during floor debate on the Affordable Health Care for America Act (H.R. 3962), the House approved, 240 to 193, the Stupak-Pitts Amendment, to enact a permanent ban on federal funding of elective abortions or health plans that include such abortions. The House then narrowly passed H.R. 3962.
The Senate is preparing for a vote on its health care reform bill, the Patient Protection and Affordable Care Act (H.R. 3590). A final vote on cloture is expected on December 23 and the vote on passage is expected on December 24. On December 8, the Senate voted to table the Nelson-Hatch-Casey Amendment, 54-yes, 45-no. This amendment, like the Stupak-Pitts Amendment, would prevent the legislation from mandating abortion coverage or providing federal funds for coverage that includes elective abortions.
Subsequently, Senate Majority Leader Harry Reid (D-NV) introduced his Manager’s Amendment, which represents the health care reform bill that the Leader intends the Senate to pass. The abortion and conscience provisions in this proposal are not acceptable. In a December 22 letter to the Senate, the U.S. Bishops state that the Manager’s Amendment does not meet the three moral criteria articulated by the bishops throughout the debate: keeping in place current federal law on abortion funding and conscience protection; protecting access to health care that immigrants currently have and removing barriers to access; and including strong provisions for affordability and coverage standards. “Specifically, it violates the longstanding federal policy against the use of federal funds for elective abortions and health plans that include such abortions. . .” The bill also does not provide adequate conscience protection. The bishops strongly urged the Senate “not to move its current health care reform bill forward without incorporating essential changes to ensure that needed health care reform legislation truly protects the life, dignity, consciences and health of all.” The bishops conclude: “Until these fundamental flaws are remedied the bill should be opposed.” For the full text of this letter, see:
nchla.org/docdisplay.asp?ID=313.
ACTION: Contact Members through e-mail, phone calls or FAX letters. 1) To send an e-mail, click here. 2) Call the U.S. Capitol switchboard at: 202-224-3121, or call your Members’ local offices.
Senator Kent Conrad
Washington: (202) 224-2043 
Bismarck: (701) 258-4648 
Toll Free: 1-800-223-4457 
Fargo: Telephone: (701) 232-8030 
Grand Forks: Telephone: (701) 775-9601 
Minot: Telephone: (701) 852-0703 

http://conrad.senate.gov/contact/webform.cfm

Senator Byron L. Dorgan
Washington: (202) 224-2551
Bismarck: (701) 250-4618
Toll Free: 1-800-666-4482
Fargo: (701) 239-5389
Grand Forks: (701) 746-8972
Minot: (701) 852-0703
http://dorgan.senate.gov/contact/

MESSAGE—SENATE: "The health care reform proposal now before the Senate violates the longstanding federal policy against the use of federal funds for elective abortions and health plans that include such abortions. It also fails to provide adequate conscience protection. Please do not move this bill forward at this time but continue to discuss and approve changes that would make it morally acceptable. If this does not occur, the bill should be opposed.”
WHEN: In the Senate a final vote on cloture is expected December 23 and the vote on passage is expected December 24. Thanks!

Health Reform Bill Needs More Work Despite New Language On Abortion, Say Catholic Bishops

Federal government must not expand its role enabling abortions

Bill should not go forward unless and until problems remedied

Protection of life, conscience rights; fairness to legal immigrants; affordability top issues


WASHINGTON--The Senate health reform bill should not move forward in its current form, Cardinal Daniel DiNardo of Galveston-Houston, Bishop William Murphy of Rockville Centre, New York, and Bishop John Wester of Salt Lake City said December 19, as senators proceeded closer to a vote. Cardinal DiNardo chairs the bishops' Committee on Pro-life Activities. Bishop Murphy chairs the bishops' Committee on Domestic Justice and Human Development. Bishop Wester chairs the bishops' Committee on Migration.

"Yesterday the bishops commented on good-faith efforts by Senator Robert Casey (D-PA) to improve the pending Senate health care reform bill on the issues of abortion and conscience rights," Cardinal DiNardo, Bishop Murphy and Bishop Wester said. "Today a Manager's Amendment was proposed to make final changes in that bill. The amendment includes some improvements from Senator Casey's proposal, including adoption tax credits and assistance for pregnant women, but differs from that proposal in other ways: It does not seem to allow purchasers who exercise freedom of choice or of conscience to "opt out" of abortion coverage in federally subsidized health plans that include such coverage. Instead it will require purchasers of such plans to pay a distinct fee or surcharge which is extracted solely to help pay for other people's abortions. Further the government agency that currently manages health coverage for federal employees will promote and help subsidize multi-state health plans that include elective abortions, contrary to longstanding law governing this agency.

Therefore, while we appreciate the good-faith efforts made by Senators Robert Casey and Ben Nelson (D-NE) to improve the bill, our judgment is the same as it was yesterday: This legislation should not move forward in its current form. It should be opposed unless and until such serious concerns have been addressed. The bishops' conference continues to study that 383-page amendment's implications from the perspective of all the bishops' moral concerns -- protection of life and conscience, affordable access to health care, and fairness to immigrants. We will continue to work vigorously for authentic health care reform that clearly reflects these fundamental principles because such reform is a public good, moral imperative and urgent national priority."

‘Abortion Compromise’ Does Not Address Core Problem In Senate Health Bill, Says Cardinal DiNardo, Bishops’ Pro-Life Chair -Update

IMPORTANT INFORMATION : THIS POST REFERS TO A COMPROMISE PROPOSED BY SENATOR CASEY THURSDAY AND FRIDAY. IT DOES NOT REFER TO THE COMPROMISE WITH SENATOR NELSON IN THE MANAGER'S AMENDMENT. MORE INFORMATION ON THAT AMENDMENT IS FORTHCOMING.



‘Compromise’ would make citizens pay for others’ abortions Senate should mirror House of Representative’s Hyde amendment language Bill doesn’t meet goals of affordability, fairness to legal immigrants, protection of life

WASHINGTON—Responding to reports of a new “compromise” proposal on abortion in the U.S. Senate’s health care reform bill, Cardinal Daniel DiNardo today reaffirmed the position of the U.S. Conference of Catholic Bishops that the legislation will be morally unacceptable “unless and until” it complies with longstanding current laws on abortion funding such as the Hyde amendment. Cardinal DiNardo is Archbishop of Galveston-Houston and Chairman of the Conference’s Committee on Pro-Life Activities.

The Cardinal commented on efforts by Senator Robert Casey (D-PA) to improve the Senate bill’s treatment of abortion. “Senator Casey’s good-faith effort to allow individuals to ‘opt out’ of abortion coverage actually underscores how radically the underlying Senate bill would change abortion policy. Excluding elective abortions from overall health plans is not a privilege that individuals should have to seek as the exception to the norm. In all other federal health programs, excluding abortion coverage
is the norm. And numerous opinion polls show that the great majority of Americans do not want abortion coverage.”

“I welcome Senator Casey’s good-faith effort to improve this bill, said Cardinal Dinardo.” In particular he has sought to improve protection for conscience rights, and to include programs of support for pregnant women and adoptive parents that we favor in their own right. However, these improvements do not change the fundamental problem with the Senate bill: Despite repeated claims to the contrary, it does not comply with longstanding Hyde restrictions on federal funding of elective abortions and health plans that include them.”

Cardinal DiNardo had written to the Senate on December 14, saying that “the Catholic bishops of the United States strongly support authentic reform of our ailing health care system.” His letter cited “three moral criteria for reform: respect for life and conscience; affordability for the poor; and access to much-needed basic health care for immigrants,” noting that so far the Senate bill “has fallen short of the example set by the House version of this legislation in each of these areas.”

On abortion funding, the Cardinal urged the Senate to “incorporate into this bill the longstanding and widely supported policies of current law, acknowledged and reaffirmed by the Senate itself” when it approved the Consolidated Appropriations Act for the new fiscal year on December 13. This Act reaffirmed the Hyde amendment and other laws that exclude elective abortions from health plans receiving federal funds -- including the plans that cover the Senators themselves and all other federal employees. The Senate so far has failed to reflect this same policy in its health care bill as the House has done, he said [see
www.usccb.org/healthcare/DiNardo_1214_letter.pdf].

Cardinal DiNardo said December 18: “We continue to oppose and urge others to oppose the Senate bill unless and until this fundamental failure is remedied. And whatever the immediate outcome in the Senate, we will continue to work for health care reform which truly protects the life, dignity, conscience and health of all. As the bishops have said many times, ‘providing affordable and accessible health care that clearly reflects these fundamental principles is a public good, moral imperative and urgent national priority.’ In particular we will work vigorously to ensure that the substance of the House’s provision on abortion funding is included in final legislation. A special debt of gratitude is owed to House and Senate members, especially Rep. Bart Stupak (D-MI) and Sen. Ben Nelson (D-NE), who have placed their votes and reputation on the line to stand up for unborn children. Making this legislation consistent with longstanding federal law on abortion will not threaten needed authentic reform, but will help ensure its passage.”

Hyde Amendment and Nelson-Hatch Compared

The United States Conference of Catholic Bishops has made available a side-by-side comparison of the language of the Hyde Amendment, the Federal Employees Health Benefits Program (FEHBP) and the proposed Nelson/Hatch/Casey Amendment. The resource can be found online at: http://www.usccb.org/healthcare/hyde-s-by-s-landscape--AP-Marks.pdf.

The Hyde and FEHBP provisions, which prohibit federal funding of abortion or insurance benefits packages that include abortion, are current law. The Nelson/Hatch/Casey Amendment, which applies the same policy to the Senate health care bill, was tabled by the Senate in a December 8 vote, after many Senators claimed that, by not allowing use of federal funds for health plans that include elective abortions, the amendment marked a radical departure from current law.

On December 13, however, the Senate approved both the Hyde and FEHBP language as part of the Consolidated Appropriations Act.

The next day, Cardinal Daniel DiNardo, Chairman of the U.S. Bishops’ Committee on Pro-Life Activities, wrote to the Senate: “
In that vote, almost all Democrats, including almost every Senator who claimed the Nelson amendment’s policy goes too far, voted in favor of that exact policy. For these Senators voted to retain the actual current language of the Hyde amendment, and of the parallel provision governing abortion in the Federal Employees Health Benefits Program – and that language clearly requires a policy in all other federal health programs that is identical to that of the Nelson amendment.”

Bishops Want Health Care Reform Aligned With Current Abortion Funding Laws; Urge Support For Menendez Amendment To Waive Waiting Period For Legal Immigrants

Don’t permit federal funds for elective abortion coverage for first time in decades
Let legal immigrants access health benefits for which they pay taxes
Three issues for bishops: respect life and conscience; affordability; fair access for immigrants

WASHINGTON—The U.S. bishops again urged senators to place Hyde Amendment language into proposed health care reform legislation, a step that would align the legislation with policies now governing all other federal health programs and the just-passed Consolidated Appropriations Act.

They made their request in a December 14 letter from Cardinal Daniel DiNardo of Galveston-Houston, chair of the United States Conference of Catholic Bishops’ (USCCB) Committee on Pro-Life Activities (
http://www.usccb.org/healthcare/DiNardo_1214_letter.pdf)

In a separate letter, also sent Dec. 14, Cardinal DiNardo and Bishop John Wester of Salt Lake City, chair of the bishops’ Committee on Migration, and Bishop William Murphy of Rockville Centre, New York, chair of the Domestic Policy Committee, urged support of the Menendez Amendment (
http://www.usccb.org/healthcare/legalfiveyears.pdf). The Menendez Amendment, proposed by Rep. Robert Menendez (D-NJ), would give states the option to lift the five-year waiting period for legal immigrants to obtain Medicaid coverage.

The letter on the Hyde Amendment sought to clarify misrepresentation of an amendment sponsored by Senators Ben Nelson (D-NE), Orrin Hatch ((R-UT) and Robert Casey (D-PA) that the Senate tabled on December 8. The bishops pointed out the irony that senators supported the policy of the Nelson/Hatch/Casey Amendment when they voted overwhelmingly for the Consolidated Appropriations Act on December 13. The appropriations act contains Hyde language banning federal funding for health coverage that includes elective abortion, and maintains laws protecting conscience rights such as the Hyde/Weldon Amendment.

A major problem with the current health care reform legislation in the Senate , Cardinal DiNardo said, is that “it explicitly authorizes the use of federal funds to subsidize health plans covering elective abortions for the first time in history.”

“Health care reform is too urgently needed to be placed at risk by one lobbying group’s insistence on changing the law. Before the Senate considers final votes on its health care reform legislation, please incorporate into this bill the longstanding and widely supported policies of current law,” Cardinal DiNardo added.

In supporting the Menendez Amendment, Cardinal DiNardo, Bishop Wester and Bishop Murphy noted that “legal immigrants, who work, pay taxes, and are on a path to citizenship, should have access to health care services, such as Medicaid, for which they help pay.

“Moreover, providing low-income legal immigrants access to Medicaid would help ensure that the general public health of immigrant communities and the nation is served,” they said.

Support the Menendez Amendment that Stands for Fairness to Legal Immigrants!

Action Needed: The full Senate is considering their health care reform bill. The bishops are strongly urging the Senate to incorporate essential changes to the Senate’s health care reform bill to ensure that needed health care reform legislation truly protects the life, dignity, consciences and health of all. The amendment could come to the Senate floor as early as today! Please contact your Senators today!

Ask your Senators to stand for fairness in health care reform.
For far too long, legal immigrants have been denied the opportunity to gain access to affordable health insurance. Under the Senate health care reform plan, legal immigrants are required to have health insurance, but must wait five years before they can access insurance programs like Medicaid. Now, the Senate has their first chance to make things better for these communities.

Senator Bob Menendez (D-NJ) has joined with five other policymakers to introduce Senate Amendment 2991 to health care reform legislation, which would give states the option to eliminate the five-year waiting period for lawfully residing immigrants who need access to Medicaid.

Ask your Senators to vote against amendments being offered Senators Ensign (R-NV) and Jeff Sessions (R-AL) that would create barriers to immigrants from obtaining health care coverage for which they are eligible.

Votes on these amendments could come in the next few of days.

MESSAGE—SENATE: “Please support the Menendez amendment that provides fairness to legal immigrants and oppose amendments that are harmful to immigrants and the health care of their families.

WHEN: Today! The Senate spent the weekend working on spending bills and will resume debate on the health care bill today.

Senator Kent Conrad
Washington: (202) 224-2043 
Bismarck: (701) 258-4648 
Toll Free: 1-800-223-4457 
Fargo: Telephone: (701) 232-8030 
Grand Forks: Telephone: (701) 775-9601 
Minot: Telephone: (701) 852-0703 

http://conrad.senate.gov/contact/webform.cfm

Senator Byron L. Dorgan
Washington: (202) 224-2551
Bismarck: (701) 250-4618
Toll Free: 1-800-666-4482
Fargo: (701) 239-5389
Grand Forks: (701) 746-8972
Minot: (701) 852-0703
http://dorgan.senate.gov/contact/

Bishops Deeply Disappointed By Senate Vote To Table Nelson-Hatch-Casey Amendment

WASHINGTON—“The Senate vote to table the Nelson-Hatch-Casey amendment is a grave mistake and a serious blow to genuine health care reform,” said Cardinal Francis George, President of the United States Conference of Catholic Bishops. “The Senate is ignoring the promise made by President Obama and the will of the American people in failing to incorporate longstanding prohibitions on federal funding for abortion and plans that include abortion.”

Bishop William Murphy, Chair of the bishops’ Committee on Domestic Justice and Human Development, said: “Congress needs to retain existing abortion funding restrictions and safeguard conscience protections because the nation urgently needs health care reform that protects the life, dignity, conscience and health of all. We will continue to work with Senators, Representatives and the Administration to achieve reform which meets these criteria. We hope the Senate will address the legislation’s fundamental flaw on abortion and remedy its serious problems related to conscience rights, affordability and treatment of immigrants.”

Cardinal Daniel DiNardo, Chair of the bishops’ Committee on Pro-Life Activities, said: “Congress needs to separate facts and truth from political rhetoric on abortion funding. Even our opponents claim they do not support federal funding for elective abortions and they want current restrictions to apply. The way to settle this often misleading debate is simply, clearly and explicitly to apply Hyde restrictions to all the federal funds in the legislation. That is what the House did and what the final bill must do. The Senate should not approve this bill in its current form.”

Bishop John Wester, Chair of the bishops’ Committee on Migration, pointed out: “For many years the bishops have strongly supported accessible and affordable health care for all. Health care must protect, not threaten, human life and dignity; respect, not violate, consciences of providers, taxpayers, and others. We believe universal coverage should be truly universal, not deny health care to those in need because of where they come from or when they arrive here. The Senate proposal falls short in these areas. Immigrants deserve access to health care for their benefit and the common good of all of society. We urge Senators to resist amendments that would leave immigrants and their families behind as the nation reforms health care. We urge Senators to support amendments that improve health-care access for immigrants and their families and to oppose efforts that deny them access.”

Cardinal George concluded: “While we deplore the Senate’s refusal to adopt the Nelson-Hatch-Casey amendment, we remain hopeful that the protections overwhelmingly passed by the House will be incorporated into needed reform legislation. Failure to exclude abortion funding will turn allies into adversaries and require us and others to oppose this bill because it abandons both principle and precedent.”

Senate Tables Nelson Amendment - Dorgan and Conrad Vote ProLife

The Senate voted 54 - 45 to table the pro-life Nelson-Hatch Amendment to restrict funding for abortion in the health care reform bill. The motion means that the amendment will not come up for a formal vote, which would have needed 60 votes for passage.

Senators Kent Conrad and Byron Dorgan voted
against the motion to table. A vote against the motion is a pro-life vote.

Thank you to everyone who contacted the senators. Be sure to contact them and thank them for their vote.

More information to come.

U.S. Bishops Urge Senators To Support Nelson-Hatch-Casey Amendment On Health Care Reform; Urge Constituents To Back It

U.S. BISHOPS URGE SENATORS TO SUPPORT NELSON-HATCH-CASEY AMENDMENT ON HEALTH CARE REFORM; URGE CONSTITUENTS TO BACK IT
 

Amendment precludes use of federal dollars for elective abortion coverage
Bishops want Stupak-style House amendment included in Senate bill
Oppose making people pay for other people’s abortions

 
WASHINGTON—The U.S. bishops have voiced support for the Nelson-Hatch-Casey Amendment to the Senate health reform bill and have asked voters to back it.

The bishops took the position in a Dec. 7 letter to all U.S. senators, after Senators Ben Nelson (D-NE), Orrin Hatch (R-UT) and Robert Casey (D-PA) proposed an amendment to prevent the health reform bill from using federal funds to pay for health plans that include elective abortions. The ban would be similar to the Hyde Amendment, passed in 1976, to ban federal funds in the Health and Human Services’ appropriations bill from paying for coverage that includes most abortions.

Similar bans are part of other federal programs, including the Children’s Health Insurance Program and the Federal Employee Health Benefits Program, and included in the House-passed “Affordable Health Care for America Act.”

“We urgently ask you to support an essential amendment to be offered by Senators Ben Nelson (D-NE), Orrin Hatch (R-UT) and Robert Casey (D-PA) to keep in place the longstanding and widely supported federal policy against government funding of health coverage that includes elective abortions,” the letter said.

The bishops also sent to the senators two fact sheets: Abortion and Conscience Problems in the Senate Health Care Reform:
http://www.usccb.org/healthcare/hatch-nelson120409.pdf and and one on What the Nelson-Hatch-Casey Amendment Does: http://www.usccb.org/healthcare/nelsondo.pdf

The letter was signed by Bishop William Murphy of Rockville Centre, New York, chair of the bishops’ Committee on Domestic Justice and Human Development; Daniel Cardinal DiNardo of Galveston-Houston, chair of the bishops’ Committee on Pro-Life Activities, and Bishop John Wester of Salt Lake City, chair of the bishops’ Committee on Migration.

“This amendment will have the same effect as the Stupak-Smith-Ellsworth-Kaptur-Dahlkemper-Pitts Amendment already accepted in the House by an overwhelming bipartisan majority,” the letter said. “Like that amendment, it does not change the current situation in our country: Abortion is legal and available, but no federal dollars can be used to pay for elective abortions
or plans that include elective abortions. This amendment does not restrict abortion, or prevent people from buying insurance covering abortion with their own funds. It simply ensures that where federal funds are involved, people are not required to pay for other people’s abortions.”

The letter said that the bill currently before the Senate “allows the HHS Secretary to mandate abortion coverage throughout the government-run ‘community health insurance option.’ It also provides funding for other plans that cover unlimited abortions, and creates an unprecedented mandatory ‘abortion surcharge’ in such plans that will require pro-life purchasers to pay directly and explicitly for other people’s abortions. The bill does not maintain essential nondiscrimination protections for providers who decline involvement in abortion. The Nelson-Hatch-Casey amendment simply corrects these grave departures from current federal policy.”

“We urge the Senate to support the Nelson-Hatch-Casey amendment keeping the health care bill abortion-neutral. As other amendments are offered to the bill that address our priorities on affordability and fair treatment of immigrants, we will continue to communicate our positions on these issues to the Senate,” the bishops said.

In supporting the amendment the bishops urged Catholics to work for passage by contacting their senators. One vehicle to do this is through
www.usccb.org/action.

The entire letter follows. 
December 7, 2009
United States Senate
Washington, DC 20510
 
Dear Senator:
 
On behalf of the United States Conference of Catholic Bishops (USCCB), we strongly urge the Senate to adopt essential changes to the health care reform bill to ensure that needed health care reform legislation truly protects the life, dignity, consciences and health of all.
 
Therefore we urgently ask you to support an essential amendment to be offered by Senators Ben Nelson (D-NE), Orrin Hatch (R-UT) and Robert Casey (D-PA) to keep in place the longstanding and widely supported federal policy against government funding of health coverage that includes elective abortions.
 
Sadly, the current Senate bill fails to keep in place the longstanding federal policy against the use of federal funds for elective abortions or health plans that include elective abortions -- a policy upheld in all health programs covered by the Hyde Amendment, the Children’s Health Insurance Program, the Federal Employee Health Benefits Program -- and now in the House-passed “Affordable Health Care for America Act.” We believe legislation that violates this moral principle is not true health care reform and must be amended to reflect the Hyde restrictions. If that fails, the current legislation should be opposed.  
 
This amendment will have the same effect as the Stupak-Pitts-Ellsworth-Kaptur-Dahlkemper-Smith-Lipinski Amendment already accepted in the House by an overwhelming bipartisan majority (see attached fact sheet). Like that amendment, it does not change the current situation in our country: Abortion is legal and available, but no federal dollars can be used to pay for elective abortions or plans that include elective abortions. This amendment does not restrict abortion, or prevent people from buying insurance covering abortion with their own funds. It simply ensures that where federal funds are involved, people are not required to pay for other people’s abortions.
 
The bill currently before the Senate allows the HHS Secretary to mandate abortion coverage throughout the government-run “community health insurance option.” It also provides funding for other plans that cover unlimited abortions, and creates an unprecedented mandatory “abortion surcharge” in such plans that will require pro-life purchasers to pay directly and explicitly for other people’s abortions. The bill does not maintain essential nondiscrimination protections for providers who decline involvement in abortion. The Nelson-Hatch-Casey amendment simply corrects these grave departures from current federal policy.
 
We urge the Senate to support the Nelson–Hatch-Casey amendment. As other amendments are offered to the bill that address our priorities on conscience protection, affordability and fair treatment of immigrants, we will continue to communicate our positions on these issues to the Senate.
 
The Catholic bishops have long supported adequate and affordable health care for all. As pastors and teachers, we believe genuine health care reform must protect human life and dignity, not threaten them, especially for the most voiceless and vulnerable. We believe health care legislation must respect the consciences of providers, taxpayers, and others, not violate them. We believe universal coverage should be truly universal, not deny health care to those in need because of their condition, age, where they come from or when they arrive here. Providing affordable and accessible health care that clearly reflects these fundamental principles is a public good, moral imperative and urgent national priority.
 
 
Sincerely,
Most Reverend William F. Murphy
Bishop of Rockville Centre
Chairman
Committee on Domestic Justice
and Human Development
 
 
Daniel Cardinal DiNardo
Archbishop of Galveston-Houston
Chairman
Committee on Pro-life Activities
 
Most Reverend John Wester
Bishop of Salt Lake City
Chairman
Committee on Migration

URGENT - Tell Senators Don't Weaken Hyde Amendment

Contact Senators Conrad and Dorgan and tell them not to weaken the Hyde Amendment.

The full Senate is considering their health care reform bill. The bishops are strongly urging the Senate to incorporate essential changes to the Senate’s health care reform bill to ensure that needed health care reform legislation truly protects the life, dignity, consciences and health of all. The amendment to maintain the prohibition on federal funding of abortion could be voted on as early as Monday, December 7. Please contact your Senators today!

Senators Orrin Hatch (R-UT) and Ben Nelson (D-NE) have submitted an amendment that like the Stupak amendment that was included in the final House bill, prevents this legislation from mandating abortion coverage or providing federal funds for coverage that includes elective abortions. Those wishing to purchase abortion coverage may continue to do so with their own private funds, but not in the government-run health care plan or with the help of federal subsidies.

Senate: On November 18, Senate leadership unveiled its health care reform bill, The Patient Protection and Affordable Care Act. This bill has been brought to the floor by inserting its text into H.R. 3590, an unrelated House-passed tax measure. Debate and votes have begun and may continue until the Christmas recess.

In a November 20 letter to the U.S. Senate, the U.S. bishops urged essential changes in the Senate bill: to retain federal policy on abortion funding and conscience protection; to protect access to health care for immigrants; and to provide for adequate affordability and coverage standards. The bishops said: “Sadly, the legislative proposal recently unveiled in the Senate does not meet these moral criteria.” The bishops specifically said that if the bill’s serious defects on abortion are not corrected, “the current legislation should be opposed.”

Message: Vote Yes on the Hatch-Nelson Amendment to Preserve the Hyde Amendment in Health Care Reform.

When: Now! The Senate could vote on the amendment within the next few days.

Where:


Senator Kent Conrad
Washington: (202) 224-2043 
Bismarck: (701) 258-4648 
Toll Free: 1-800-223-4457 
Fargo: Telephone: (701) 232-8030 
Grand Forks: Telephone: (701) 775-9601 
Minot: Telephone: (701) 852-0703 

http://conrad.senate.gov/contact/webform.cfm

Senator Byron L. Dorgan
Washington: (202) 224-2551
Bismarck: (701) 250-4618
Toll Free: 1-800-666-4482
Fargo: (701) 239-5389
Grand Forks: (701) 746-8972
Minot: (701) 852-0703
http://dorgan.senate.gov/contact/

WATCH FOR ADDITIONAL ACTION ALERTS! As the Senate continues to consider amendments to the health care bill on abortion funding, conscience protections, improving affordability and coverage and protecting immigrants’ health care, the USCCB will send Action Alerts to update you on advocacy needed to support health care legislation that protects the life and dignity of all people from conception until natural death.

U.S. Bishops Voice Disappointment In Abortion-Funding Provisions In Senate Health Bill, Urge Better Care For Immigrants And Affordability

WASHINGTON—The United States Conference of Catholic Bishops urged the Senate to make essential changes its health reform bill in order to keep in place federal law on abortion funding and conscience protection on abortion, protect access to health care for immigrants and include strong provisions for adequate affordability.

The bishops called the Senate health care bill an “enormous disappointment” that creates new and unacceptable federal policy for funding and coverage of abortions, as well as rights of conscience. Bishop William Murphy, Cardinal Daniel DiNardo and Bishop John Wester voiced their wish for better health care reform legislation in a November 20 letter to the Senate. They chair the bishops’ Committees on Domestic Justice and Human Development, Pro-Life Activities and Migration, respectively.

The letter, which was accompanied with a fact sheet on the House Stupak Amendment (
http://www.usccb.org/mr/mediatalk/StupakAmendmentFactsheet.pdf), urged Senators to improve the Senate health care bill in the key areas of affordability, immigration, federal funding and coverage of abortion and conscience rights.

According to the bishops, the bill “does
not live up to President Obama’s commitment of barring the use of federal dollars for abortion and maintaining current conscience laws.” They cited an “abortion surcharge” that would force insurance purchasers to pay for other people’s abortions, provisions that would allow the HHS Secretary to mandate unlimited abortion coverage nationwide, and that the bill does not even allow for religious institutions to offer their own employees coverage that conforms to their institution’s teaching.

“The Catholic bishops have advocated for decades for affordable and accessible health care for all, especially the poor and marginalized,” the bishops said. “The Senate bill makes great progress in covering people in our nation. However, the Senate bill would still leave over 24 million people in our nation without health insurance. This is not acceptable.”

The bishops encouraged expanding Medicaid eligibility for those living at 133 percent or lower of the federal policy level. They also urged an end to the five-year ban on legal immigrants for accessing federal health benefits programs and said that undocumented persons should not be barred from purchasing insurance plans with their own money.

“Providing affordable and accessible health care that clearly reflects these fundamental principles is a public good, moral imperative and urgent national priority,” said the bishops.

The text of the letter can be found online at
http://www.usccb.org/sdwp/national/2009-11-20-ltr-usccb-health-care-to-senate.pdf and in Spanish at http://www.usccb.org/sdwp/national/SP_1080_hc_reform_Sen_1120.pdf.

Reminder - Bulletin Inserts!

Just a friendly reminder to use the nationwide bulletin insert this weekend.  Senate debate on the health care bill could begin this weekend.  Even if you distributed the earlier bulletin insert a few weeks ago, it is important to also distribute the updated insert. 

Updated Bulletin Inserts!

A few weeks ago, diocesan and parish leaders were asked by the U.S. Bishops Conference to distribute a nationwide bulletin insert on health care reform. Thank you for your great cooperation in that effort. On November 7, the U.S. House of Representatives passed major health care reform which reaffirmed longstanding and widely supported policy that no federal funds will be used to pay for elective abortions (the Stupak Amendment). Your efforts made a difference.

It is now critical that the
Senate adopt the House-approved Stupak Amendment language that restricts federal funding for elective abortions and for plans which include elective abortions. This language, approved by the House by a large majority, ensures that Americans are not forced to pay for the destruction of unborn children as a part of needed health care reform. The Senate needs to address other essential moral priorities such as protecting conscience rights, making health care more affordable and accessible for those without coverage, and ensuring that immigrants do not lose or will not be denied needed health care coverage.

Given upcoming Senate action, the U.S. bishops have asked that the UPDATED: Nationwide Bulletin Insert on health care reform be printed or hand-stuffed in every parish bulletin and/or distributed in pews or at church entrances as soon as possible. Senate votes may take place soon. If your Arch/bishop approved disseminating the original bulletin insert last month, this is an update to that bulletin insert.

Also included are suggested
Pulpit Announcements and a Prayer Petition.  Please encourage parishioners to pray for this effort as well. More information can be found at www.usccb.org/healthcare.

Thank you for your urgent actions and prayers on behalf of this nationwide effort!

What the Stupak Amendment Really Does

On November 7, 2009, during consideration of the Affordable Health Care for America Act (H.R. 3962), Rep. Bart Stupak (D-MI) and other pro-life members offered an amendment to prevent the health care reform bill from subsidizing coverage of elective abortions. Other sponsors included Rep. Joseph Pitts (R-PA), Brad Ellsworth (D-IN), Marcy Kaptur (D- OH), Kathy Dahlkemper (D-PA), Chris Smith (R-NJ) and Dan Lipinski (D-IL). The amendment was adopted 240 to 194, with the support of 64 Democrats. The bill was later approved 220 to 215, and sent to the Senate where debate will continue.

There are a number of misunderstandings and false claims regarding the Amendment adopted by the House.
Here is a summary of what it really does,1 and some answers to frequently asked questions.

Cardinal George Lauds House Action To Ban Federal Funds For Abortion; Promises Vigilance As Senate Pursues Health Care Reform, Wary About Affect On Poor, Elderly

House action backs President Obama’s promise to not expand abortion Senate must follow House example Bishops still concerned for poor, elderly

WASHINGTON—Cardinal Francis George of Chicago, president of the United States Conference of Catholic Bishops, lauded the November 7 decision of the U.S. House of Representatives to block federal health care reform money from paying for elective abortions.

In a statement issued November 9, two days after the Saturday night decision, Cardinal George voiced thanks that “the Representatives honored President Obama’s commitment to the Congress and the nation that health care reform would not become a vehicle for expanding abortion funding or mandates.”

“The Conference will remain vigilant and involved throughout this entire process to assure that these essential provisions are maintained and included in the final legislation,” He added.

“We remain deeply concerned about other aspects of health care reform as the debate now moves to the Senate, especially as it affects the poor and vulnerable, and those at the beginning and end of life. We will continue to insist that health care reform legislation must protect conscience rights. We support measures to make health care more affordable for low-income people and the uninsured. We remain deeply concerned that immigrants be treated fairly and not lose the health care coverage that they now have,” he said also.

The full statement follows.

Over the weekend, the US House of Representatives advanced major legislation to provide adequate and affordable health care to all. The Catholic Bishops of the United States have long advocated that adequate health care be made available to everyone. In an essential step, the House voted overwhelmingly to reaffirm the longstanding and widely supported precedent that no federal funds will be used to pay for elective abortions. In doing so, the Representatives honored President Obama’s commitment to the Congress and the nation that health care reform would not become a vehicle for expanding abortion funding or mandates. The Conference will remain vigilant and involved throughout this entire process to assure that these essential provisions are maintained and included in the final legislation. We will work to persuade the Senate to follow the example of the House and include these critical safeguards in their version of health care reform legislation. We also thank the members of the House who took this courageous and principled step to oppose measures that would force Americans to pay for the destruction of unborn children, and the Democratic leadership for allowing the Representatives to vote on this amendment that protects the common good.

In the national discussion on how to provide the best kind of health care, we bishops do not claim or present ourselves as experts on health care policy. We are not prepared to assess every provision of legislation as complex as this proposal. However, health care legislation, with all its political, technical and economic aspects, is about human beings and hence has serious moral dimensions. Our focus is the concrete realities of families with children and their access to doctors, the poor and the elderly, those with limited means and those with few or even no means, such as the mother carrying a child in her womb. Our Catholic commitment to health care picks up the pieces of our failing system in our emergency rooms, clinics, parishes and communities. This is why we believe our nation’s health care system needs reform which protects human life and dignity and serves the poor and vulnerable as a moral imperative and an urgent national priority.

We remain deeply concerned about the debate that now moves to the Senate, especially as it will affect the poor and vulnerable, and those at the beginning and end of life. We will continue to insist that health care reform legislation must protect conscience rights. We support measures to make health care more affordable for low-income people and the uninsured. We remain deeply concerned that immigrants be treated fairly and not lose the health care coverage that they now have. We will continue to raise our voices in public and in prayer; we ask our people to join us in making the moral case for genuine health care reform that protects the life, dignity, consciences and health of all.
 

Stupak Amendment Passed!

As most of you know, the pro-life Stupak Amendment passed last night, 240 - 194, clearing the way for health care reform to move forward.

Congressman Earl Pomeroy voted for the amendment. Please take a moment to send him a note of appreciation.


Representative Earl Pomeroy
Washington: United States House of Representatives
1501 Longworth House Office Building
Washington, D.C. 20515
Telephone: (202) 225-2611
FAX: (202) 226-0893
Bismarck: Telephone: (701) 224-0355
Fargo: Telephone: (701) 235-9760
http://www.house.gov/formpomeroy/zipauth.htm

Bishops Urge Passage Of Stupak-Ellsworth Anti-Abortion Amendment For Health Reform Bill

WASHINGTON—The U.S. bishops November 7 urged members of the House of Representatives to vote for the Stupak-Ellsworth Amendment to the health care reform.

“The Stupak-Ellsworth-Pitts-Kaptur-Dahlkemper-Lipinski-Smith Amendment will keep in place current federal law on abortion funding and conscience protections in the Affordable Health Care for America Act (H.R. 3962),” they said.

The letter was signed by Cardinal Justin Rigali, chair of the bishops’ Committee on Pro-life Activities, and Bishop William Murphy of Rockville Centre, New York, chair of the Committee on Domestic Justice and Human Development

The letter follows.

Dear Representative:

On behalf of the United States Conference of Catholic Bishops (USCCB), we strongly urge you to vote for the Stupak-Ellsworth-Pitts-Kaptur-Dahlkemper-Lipinski-Smith Amendment and to support a fair process in the House of Representatives to consider this essential improvement in health care reform legislation. The Stupak-Ellsworth-Pitts-Kaptur-Dahlkemper-Lipinski-Smith Amendment will keep in place current federal law on abortion funding and conscience protections in the Affordable Health Care for America Act (H.R. 3962).

Despite some claims to the contrary, H.R. 3962 does not reflect the status quo on abortion. It fails to explicitly and clearly include the longstanding policy prohibiting federal funding of elective abortion and plans which include elective abortion (Hyde Amendment). Medicaid, Medicare, Children’s Health Insurance Program (CHIP), and other federal health legislation include this provision. Currently H.R. 3962 has some helpful provisions on conscience protection and non- preemption of state laws, but it utterly fails to maintain current prohibitions on abortion mandates and abortion funding. Instead it creates elaborate measures requiring people to pay for other people’s abortions with their taxes, private premiums or federal subsidies. Significantly, the Federal Employee Heath Benefit Program, which covers all members of Congress and their families, has long been governed by the Hyde amendment in all its aspects and is widely seen as a model for reform.

Additionally, H.R. 3962 allows the U.S. Secretary of Health and Human Services to mandate that the “public option” will include unlimited abortions. Millions of purchasers will be forced to pay an “abortion surcharge,” which requires purchasers of many plans to pay directly and explicitly for abortion coverage.  This is unprecedented in federal law.

The Stupak-Ellsworth-Pitts-Kaptur-Dahlkemper-Lipinski-Smith Amendment will not affect coverage of abortion in non-subsidized health plans, and will not bar anyone from purchasing a supplemental abortion policy with their own funds. Thus far, H.R. 3962 does not meet President Obama’s commitment of barring use of federal dollars for abortion and maintaining current conscience laws.

If the Motion to Recommit focuses on denying immigrants needed health care, as reported, we strongly urge Members to oppose the Motion to Recommit.

Our Bishops’ conference has been working for many years to support health care reform legislation that truly protects the life, dignity, health and consciences of all. Adopting this amendment will help move us move toward this essential national priority and moral imperative.

Sincerely,

Bishop William Murphy Cardinal Justin Rigali Diocese of Rockville Centre Archdiocese of Philadelphia Chairman Chairman Committee on Domestic Justice and Committee on Pro-life Activities Human Development

Last Minute Push!

Late last night we got we wanted - a chance to vote on the pro-life Stupak amendments to the House health care reform bill.

Contact Congressman Earl Pomeroy's office now and ask him to:

(1) Vote "Yes" on the Stupak Amendment;

(2) Vote "Yes" on the Rule (if Stupak Amendment Passes)

(3) Vote "No" on the Motion to Commit (which has an anti-immigrant provision).

Act Now! Debate on the bill has started!

Representative Earl Pomeroy
Washington: United States House of Representatives
1501 Longworth House Office Building
Washington, D.C. 20515
Telephone: (202) 225-2611
FAX: (202) 226-0893
Bismarck: Telephone: (701) 224-0355
Fargo: Telephone: (701) 235-9760
http://www.house.gov/formpomeroy/zipauth.htm

Bishops To House: Keep Abortion Funding Out Of Health Care Reform, Make Health Care Available To Vulnerable

Washington—The U.S. bishops sent an urgent message to the U.S. House of Representatives November 6, as House members steeped themselves in debate over procedures related to abortion and the health care reform bill.
       
Moments before meeting to discuss proposed amendments to the bill, the bishops called for “a fair process” that would permit discussion of “an amendment to keep in place current federal law on abortion funding and conscience protections.” Some in the House seek a “closed rule,” a procedure banning amendments from the bill.
     
The letter was signed by Bishop William Murphy of Rockville Centre, New York, Chairman of the bishops’ Domestic Justice Committee, Cardinal Justin Rigali, chair of the Committee on pro-life Activities; and Bishop John Wester of Salt Lake City, chair of the Committee on Migration.
     
The letter follows.

Dear Representative:
 
On behalf of the United States Conference of Catholic Bishops (USCCB), we write to strongly urge you to vote for essential changes and a fair process in the House of Representatives to ensure that needed health care reform legislation truly protects the life, dignity, health and consciences of all. Unfortunately, the legislation moving to the House floor falls fundamentally short of this essential goal. We urge members of the House to:
 
·
                     support an amendment to keep in place current federal law on abortion funding and conscience protections and to oppose a closed rule that would prevent the House from voting on this crucial matter;
 
·
                     oppose measures that would leave immigrants, especially legal immigrants, worse off as a result of health reform;
 
·
                     support access for immigrants to the health-insurance exchange, regardless of legal status, and support removal of the five-year ban on legal immigrants accessing Medicaid and other federal health-care programs; and
 
·
                     support strong provisions that would make health care more affordable and accessible, especially for the poor and vulnerable, by expanding Medicaid to adults who are living at 150 percent or lower of the Federal Poverty Level and offering adequate affordability credits for households up to 400 percent of the Federal Poverty Level.
 
The Catholic Bishops of the United States have long supported adequate and affordable health care for all. We believe universal coverage should be truly universal, not denying health care to those in need because of their condition, age, where they come from or when they arrive here.
 
Protecting Human Life and Conscience
We are concerned because the current legislation before the House of Representatives fails to keep in place the longstanding federal policy against the use of federal funds for elective abortion or for plans that include elective abortion – a policy upheld by the Hyde Amendment, Children’s Health Insurance Program, Federal Employee Health Benefits Program and other federal health initiatives. Without such protection we will have to oppose the current legislation until this fundamental flaw is remedied.
 
For this reason, we ask you to vote for an amendment that will keep in place the longstanding and widely supported federal policy against government funding for elective abortions or for plans which include elective abortions. To accomplish this we also urge you to support efforts to guarantee that the House will have a clear and fair opportunity to vote on this essential matter. Please vote against a “closed rule” if necessary so the amendment can be considered. Currently, H.R. 3962 allows the U.S. Secretary of Health and Human Services to mandate that any “public option” will include unlimited abortions. The Congressional Research Service has confirmed that all money paid out by this plan for medical procedures will be federal outlays. Federal subsidies will also be used to pay the overall costs of establishing and maintaining private health plans that cover elective abortions. Millions of purchasers will be forced to use their premium dollars for abortion coverage they do not want, through a new mandatory fee. The creation of this “abortion surcharge,” a mandatory payment requiring pro-life purchasers of many plans to pay directly and explicitly for abortion coverage, is unprecedented in federal law. Such a proposal runs counter to the principles of the longstanding “Hyde amendment.” Affirming the Hyde Amendment continues the government’s long standing policy without affecting coverage of abortion in non-subsidized health plans, and without barring anyone from purchasing a supplemental abortion policy that is funded solely by the private funds of those who choose it.
 
Thus far, H.R. 3962 does not meet President Obama’s commitment of barring use of federal dollars for abortion and maintaining current conscience laws. While Section 259 of the bill maintains essential nondiscrimination protections for providers who decline involvement in abortion, the legislation also requires each region of the insurance exchange to include at least one health plan with unlimited abortion, contrary to the policy of all other federal health programs; and conscience protection on issues beyond abortion have yet to be included in this bill.
 
Immigrants in Health Care Coverage
We support the inclusion of all immigrants, regardless of status, in the health-care exchange. 
Regardless of status, immigrants living in our country need to have access to health care just as any other human being. Finding ways to provide them with health care is preferable to compelling them to have access only to emergency room care which is an unfair burden on hospitals in urban and other high immigrant areas of our country.
 
We also support the removal on the five-year ban on legal immigrants accessing federal health benefit programs, such as Medicaid, the Children’s Health Insurance Program (CHIP), and Medicare. Legal immigrants, who work and pay taxes, should have access to such programs, if needed.   Removing the ban would help ensure that legal immigrants, who were widely praised in past immigration debates for their many contributions and for playing by the rules, will still have access to health-care.  
 
Accessible and Affordable Health Care
Because we support and advocate in favor of affordable and accessible health care for all, especially the poor and marginalized, we want legislation that expands Medicaid eligibility for adults living at 150 percent or lower of the federal poverty level. This will help lower-income families purchase insurance coverage through the Health Insurance Exchange. Provisions in Title I (Immediate Reforms) should be helpful in providing relief to the uninsured and underinsured. The House legislation provides reforms that will strengthen families and protect low-income and vulnerable people by eliminating denial of coverage based on pre-existing conditions including pregnancy; eliminating life time caps; offering long-term disability services; and extending dependant coverage to uninsured young adults. 
 
These are not marginal issues or special interest concerns. They are at the heart of the health care debate. Our
concerns outlined in this letter reflects our longstanding commitment to health care and our centuries old experience as providers of health care to all, especially the poor and the vulnerable. In that spirit we reiterate our Catholic tradition that teaches that health care is a basic human right, essential to protecting human life and dignity.
 
For many months, our Bishops’ conference has been working with members of Congress, the Administration and others to fashion health care reform legislation that truly protects the life, dignity, health and consciences of all. Our message has been clear and consistent throughout. We urge the House of Representatives to permit a vote and to adopt essential changes so that, as long time advocates of health care for all, we are not compelled to oppose this flawed legislation.   We hope and pray that the Congress and the country will come together around genuine reform.

New Parish Resources

Thank you for the tremendous response in sharing the USCCB Nationwide Bulletin Insert in your dioceses.  Action has begun in the House this week, so continued parish distribution of the Bulletin Insert is still needed.  Action in the Senate will follow the House.  Please continue to push the Bulletin Insert (also in Spanish) and Pulpit Announcements.

Our Catholic faith teaches that health care is a basic human right – from the moment of conception until natural death.  Therefore, the Catholic Bishops of the United States have clearly required that longstanding federal protections that restrict abortion funding and mandates and that protect conscience rights must be reflected in health reform legislation. In addition, the bishops have focused on efforts to ensure that coverage is affordable to families and that immigrants have better health care as a result of reform.

The bishops have long supported adequate and affordable health care for all. As pastors and teachers, they believe genuine health care reform must protect human life and dignity, not threaten them, especially for the most voiceless and vulnerable. The bishops believe health care legislation must respect the consciences of providers and taxpayers not violate them, and that universal coverage should be truly universal, not denying health care to those in need because of their condition, age, where they come from or when they arrive here. Providing affordable and accessible health care for all that clearly reflects these fundamental principles is a public good, moral imperative and urgent national priority.


Sadly, the current legislation before the House of Representatives does not meet these moral criteria.  Specifically, it fails to keep in place the longstanding federal policy against the use of federal funds for elective abortion or for plans that include elective abortion --a policy upheld by the Hyde Amendment, Children’s Health Insurance Program, Federal Employee Health Benefits Program and other federal health initiatives. The bishops have made it clear that legislation which violates such moral principles is not true health care reform and must be amended to reflect them. If that fails, the bishops have stated that the current legislation should be opposed until this fundamental flaw is remedied.


To assist you with information on the current legislation, attached are fact sheets on:     

 Myths and Facts: The Capps Amendment to H.R. 3962 (updated Nov 2)                
Current Policy on Federal Funding of Abortion
The effort to pass legislation that protects the life, dignity and health care of all, will certainly require our efforts, but most especially our prayers.  Please ask parishioners to spend time in prayer, and especially encourage Eucharistic Adoration in parishes.  

Suggested prayers include the attached resources in English and Spanish:                                                

Prayer for the Uninsured                                                                                                           
Holy Hour for Life   
Prayer for the Protection of Unborn Children and Conscience Rights                                    
Prayer of the Faithful
Thank you for your urgent actions and prayers on behalf of this nationwide effort! 

 
capps_re3962

funding_abortion

HC_PrayerResources

SP_HC_PrayerResources

New Fact Sheet on Capps Amendment

Tired of misinformation about abortion and health care reform but not sure how to respond? Check out this fact sheet.

Urgent Bulletin Inserts

The U.S. Bishops are asking that the following action alert be distributed at every parish as soon as possible. Every priest, deacon, and parish administrator should download the following materials immediately.

(1)
Nationwide Bulletin Insert

(2)
Pulpit Announcements

(3)
Flyer

Thank you for your cooperation on this vital issue!

Federal Abortion Funding: What Some People Want to "Hyde" from You

LIFE ISSUES FORUM
For Immediate Release
October 16, 2009
Federal Abortion Funding:
What Some People Want to “Hyde” from You
By Susan E. Wills

Addressing health care reform in his September 9 speech to Congress, President Obama assured the American public that “under our plan, no federal dollars will be used to fund abortions.”

This was truly a welcome pledge. Up to this point, one Congressional committee after another has rejected pro-life amendments to do exactly this.

At press time for this column, we are approaching the eleventh hour. Five bills have been reported by Congressional committees, and all five would permit or mandate the use of federal revenues for health coverage that includes elective abortions.

Now would be an excellent time for the Administration to weigh in on a federal abortion funding ban. Such a move would make sense politically as well as morally. A September 2009 survey commissioned by the Catholic bishops’ conference found that 67% of Americans oppose “measures that would require people to pay for abortion coverage with their federal taxes” while only 19% favor such measures; 68% said they do not want abortion in their own insurance coverage while 24% said they do. Earlier this year, Catholics mailed over 30 million postcards to Congress, asking their elected representatives to oppose the Freedom of Choice Act “and retain laws against federal funding and promotion of abortion.”

But recent comments by White House spokesman Robert Gibbs suggest that the Administration may not be lobbying Congress for a funding ban. Twice Mr. Gibbs took issue with letters the Catholic bishops have written urging Congress to remove abortion funding from the health care reform bills.

In one letter the bishops noted: “So far the health reform bills … have not met President Obama’s challenge of barring the use of federal dollars for abortion.” Asked if the President agreed, Mr. Gibbs responded: “I would mention there’s a law that precludes the use of federal funds for abortion. That isn’t going to be changed in these health-care bills.” He refers, of course, to the Hyde Amendment, which Congress has reaffirmed every year for over three decades.

Two days later, a reporter asked Gibbs if the President will “call on Congress to have an explicit prohibition of abortion funding.” He replied: “My answer isn’t different than it was on Wednesday. There may be a legal interpretation that has been lost here, but there’s a fairly clear federal law prohibiting the use of federal money for abortion. I think it is – again, it’s exceedingly clear in the law.”

Contrary to Mr. Gibbs’ assertion, however, it is “exceedingly clear” that the Hyde Amendment does not apply to any of the health care reform bills. Here’s why:

Between 1973 and 1976, courts interpreted broadly-worded language on health benefits in the Medicaid statute to include abortion. Taxpayers were forced to pay for the abortion deaths of about 300,000 children annually. In 1976 the Hyde Amendment was passed, as a rider to the annual Health and Human Services (HHS) appropriations bill. Hyde prevents federal funding of elective abortions and of health benefits packages that include such abortions. But it is not permanent law, and it applies only to funds appropriated under the annual HHS bill, not to funds appropriated under other statutes. So specific prohibitions on abortion funding have been written into laws governing other federal programs, such as federal employee health benefits, foreign aid, and military hospitals. An explicit prohibition must also be included in the final health care reform bill to avert a huge expansion of federal abortion funding. Without it, and notwithstanding their strong support for health care reform, the bishops will have no choice but to oppose the final bill vigorously.

Please contact Congress today to state your opposition to expanded federal abortion funding. A visit to www.nchla.org will allow you to send a message to your Senators and Representative with just two clicks. For more information on supporting genuine health care reform that respects the life and dignity of all, go to www.usccb.org/healthcare.

Susan Wills is assistant director for education and outreach, United States Conference of Catholic Bishops’ Secretariat of Pro-Life Activities.

New Bulletin Insert on Health Care Reform

Some of you have asked for action alerts on health care reform suitable as a parish bulletin insert that would still be timely by the weekend. Here is the latest from USCCB.

If you want to include just a portion in a bulletin, use the following:

How You Can Respond

Call Congress now (find your Representative and Senators at house.gov and senate.gov; Capitol Switchboard: 202-224-3121) and tell them health care reform should respect the life and dignity of all people. Specifically:

1. Exclude mandated coverage for abortion, and incorporate longstanding policies against abortion funding and in favor of conscience rights. No one should be required to pay for or participate in abortion. No current bill meets this test.

For SENATE: “During floor debate on the health care reform bill, please support a floor amendment to incorporate longstanding policies against abortion funding and in favor of conscience rights. The final bill should be opposed until these serious concerns are addressed.”

For HOUSE: “Support the Stupak Amendment that addresses pro-life concerns on abortion funding and conscience rights and a Rule on the health care bill that allows Members to vote on the amendment. If these serious concerns are not fixed, the final bill should be opposed until they are addressed.”

2. Adopt measures that protect and improve people’s health care. Reform should make quality health care affordable and accessible to everyone, particularly those who are poor and vulnerable.

3. Include effective measures to safeguard the health of immigrants, their children and all of society. Ensure that legal immigrants and their family members have comprehensive, affordable, and timely access to health care coverage. Maintain an adequate safety net for those who remain uncovered.

U.S. Bishops: Current Health Care Bills Violate Essential Principles; Will Seek Changes or Have to Oppose

WASHINGTON—Three chairmen of the bishops’ committees working on health care reform urged the U.S. Congress to improve current health care reform legislation, expressing their “disappointment that progress has not been made on the three priority criteria for health care reform” cited in their previous letters.

The October 8 letter from Bishop William Murphy, Cardinal Justin Rigali and Bishop John Wester reiterated the bishops’ main concerns: that no one should be forced to pay for or participate in an abortion, that health care should be affordable and available to the poor and vulnerable, and that the needs of legal immigrants are met.

Bishop Murphy, Cardinal Rigali and Bishop Wester chair the U.S. bishops’ committees on Domestic Justice and Human Development, Pro-Life Activities and Immigration, respectively.

The bishops reaffirmed their commitment to working with Congress and the Administration toward genuine health care reform, but stated, “If final legislation does not meet our principles, we will have no choice but to oppose the bill.”

“We sincerely hope that the legislation will not fall short of our criteria,” wrote the bishops. “However, we remain apprehensive when amendments protecting freedom of conscience and ensuring no taxpayer money for abortion are defeated in committee votes.”

The United States Conference of Catholic Bishops (USCCB) has advocated for health care reform for decades. The bishops wrote that “Catholic moral tradition teaches that health care is a basic human right, essential to protecting human life and dignity. Much-needed reform of our health care system must be pursued in ways that serve the life and dignity of all, never in ways that undermine or violate these fundamental values. We will work tirelessly to remedy these central problems and help pass real reform that clearly protects the life, dignity and health of all.”

The full text of the letter can be found online at:
www.usccb.org/sdwp/national/2009-10-08-healthcare-letter-congress.pdf

USCCB: Senate Committee Addresses Some Issues, Failies to Correct Abortion Problems and Immigration Concerns

WASHINGTON— Officials of the United States Conference of Catholic Bishops (USCCB) saw mixed results when the Senate Finance Committee completed voting on amendment to its proposed health care reform bill this week.

In a recent letter to the Senate, the USCCB had called for improvements in the bill to meet the bishops’ key criteria for genuine health care reform: protecting life and dignity, affordability, and inclusion of immigrants.  For the text of this letter see
www.usccb.org/sdwp/national/2009-09-30-healthcare-letter-senate.pdf.

The Committee rejected pro-life amendments offered by Senator Orrin Hatch (R-UT) which the USCCB supported.  One amendment would write into this bill the abortion funding policy that has long governed all federal health programs: no federal subsidies for benefits packages that cover abortion, with rare exceptions; insurers could offer supplemental abortion policies if they were funded solely by the private premiums of those choosing to purchase them. Another amendment would forbid federal agencies, and state and local governments receiving federal funds under this bill, to discriminate against health care providers that decline to perform, refer for, or pay for abortions. 

“The bill remains deeply flawed on these issues and must be corrected,” said Richard Doerflinger, Associate Director of the USCCB’s Secretariat of Pro-Life Activities. “It is especially disheartening that the Senate committee would not even support longstanding conscience language on abortion that has already been accepted as part of the House Energy and Commerce Committee’s health care reform bill.”

The USCCB’s recent letter had said that “so far, the health reform bills considered in committee, including the new Senate Finance Committee bill, have not met President Obama’s challenge of barring use of federal dollars for abortion and maintaining current conscience laws.”  Doerflinger said this remains true, so “these problems must be corrected on the House and Senate floor.”        

On affordability, Kathy Saile, Director of Domestic Social Development for the USCCB, said the bill took some steps toward making health care more affordable, but that “many families are still vulnerable to high health care costs. As Congress continues to debate health care reform, it should take further steps to help at-risk poor and low-income families and implement access as soon as possible.” As an example, Saile said, “Expansion of access to programs such as Medicaid should be implemented as soon as possible.”

On inclusion of immigrants, the Committee defeated amendments opposed by the USCCB, which would have placed additional restrictions on legal immigrants and their families from accessing health-care, but failed to improve the access immigrants currently have. 

“Legal immigrants, who work hard and pay taxes, should be treated equally with U.S. citizens,” said Kevin Appleby, director of Migration Policy and Public Affairs for the USCCB.  “It is counterproductive to the general public health to leave them outside of the system, unable to access preventive treatment and dependent on emergency care.  The U.S. bishops will continue to push for affordability grants to legal immigrants and their families and a removal of the five-year waiting period for legal immigrants to access Medicaid.”

For more information on the U.S. bishops’ position on health care reform, visit
www.usccb.org/healthcare.

UPDATE: Committee Rejects PL Amendments; Thank Conrad for Vote

The Sentate Finance Committee yesterday rejected Senator Orrin Hatch's pro-life and conscience protection amendments to the health care reform bill.

Senator Kent Conrad voted
in favor of the amendments. Please contact Senator Conrad and thank him for his vote in favor of the Hatch amendments on abortion funding and conscience protection. Hearing from constituents will help solidify his support if the full Senate votes on the same amendments.

Senator Conrad also voted in favor of restoring funding for abstinence education. The committee approved
that amendment.

Senator Kent Conrad
Washington: (202) 224-2043 
Bismarck: (701) 258-4648 
Toll Free: 1-800-223-4457 
Fargo: Telephone: (701) 232-8030 
Grand Forks: Telephone: (701) 775-9601 
Minot: Telephone: (701) 852-0703 

http://conrad.senate.gov/contact/webform.cfm

U.S. Bishops Raise Concerns Over Health Care, the Protection of Life, Immigrants and Affordability in Letter to Senate

U.S. Bishops Raise Concerns Over Health Care, the Protection of Life, Immigrants and Affordability in Letter to Senate

WASHINGTON—Three U.S. bishops raised their concerns over human life and dignity, immigrants and affordability in a September 30 letter to the U.S. Senate. Cardinal Justin Rigali, Bishop William Murphy and Bishop John Wester chair the Committees on Pro-Life Activities, Domestic Justice and Human Development, and Migration, respectively, for the United States Conference of Catholic Bishops (USCCB).

“Our Catholic moral tradition teaches that health care is a basic human right, essential to protecting human life and dignity,” the bishops wrote. “These moral principles and our everyday experience lead us to work for three central priorities for health care reform.”

The bishops outlined three criteria that need special attention as legislation moves forward: respect for life and dignity, affordability, and inclusion of immigrants.

“Health care reform legislation should reflect longstanding and widely supported current policies on abortion funding, mandates and conscience protections because they represent sound morality, wise policy and political reality,” the bishops wrote. “So far the health reform bills considered in committee, including the new Senate Finance Committee bill, have not met President Obama’s challenge of barring use of federal dollars for abortion and maintaining current conscience laws. These deficiencies must be corrected.”

On affordability, the bishops criticized the Senate Finance Committee bill for it “would impose financial burdens on low-income and moderate-income families and those families with significant and chronic illnesses.” They urged Congress to support measures that would help low-income families, including further limiting premium costs and other out of pocket expenses for all citizens and legal immigrants.

“The Catholic bishops renew our appeal to provide equity for legal immigrants in access to health care,” the letter said. “Immigrants pay the same taxes as citizens and their health needs cannot be ignored. Leaving them outside a reformed system is both unfair and unwise,” the bishops concluded.

The full text of the bishops’ letter can be found online at: www.usccb.org/sdwp/national/2009-09-30-healthcare-letter-senate.pdf

Respect Life Sunday Statement

www.usccb.org/prolife/programs/rlp/09rigali-stmt.pdf.
In a statement to mark Respect Life Sunday, October 4, Cardinal Justin Rigali of Philadelphia called attention to those who are most vulnerable in recent debates on health care reform – the unborn, the poor, the elderly and the immigrant – and called upon Catholics to “examine how well we, as a nation and individually, are living up to our obligation to protect the rights of those who, due to age, dependency, poverty or other circumstances, are at risk of their very lives.”

Cardinal Rigali chairs the Committee on Pro-Life Activities of the United States Conference of Catholic Bishops (USCCB).

Cardinal Rigali noted that the lives of the unborn are those most at risk in America and “despite the opposition of 67% of Americans to taxpayer-funded abortion, all current health care proposals being considered by Congress would allow or mandate abortion funding, either through premiums paid into government programs or out of federal revenues.”

Noting that the unborn are not alone in being under attack in current proposals, Cardinal Rigali called for health care that recognizes the humanity of the immigrant. “How can a just society deny basic health care to those living and working among us who need medical attention? It cannot and must not,” he said.

Cardinal Rigali also addressed a dangerous and false cultural attitude that some persons are not worth protecting because of their perceived “low quality of life.” He stated that “death is not a solution to life’s problems. Only those who are blind to the transcendent reality and meaning of human life could support killing human beings to mitigate economic, social or environmental problems.”

“The antidote to such myopia is to recover an appreciation for the sanctity and dignity of each unique human being,” he said.

Begun in 1972, the Respect Life Program stresses the value and dignity of human life. It is observed in the 195 Catholic dioceses in the United States. This year's theme is "Every Child Brings Us God’s Smile.” The full statement follows and may be found online at

Register Now for the Health Care Reform Conference

Health Care Reform 
Questions and Answers


The annual meeting of North Dakota's Catholic Health Care Providers will focus on health care reform.  Keynote speaker is Kathy Curran, Senior Director of Public Policy for the Catholic Health Association.  

October 15, 2009

St. Alexius Medical Center
Workshop will begin at 9 am and conclude by 3 pm
Go here for more information or register online!  

Still Time to Contact Conrad on Health Care Reform Amendments

The Senate Finance Committee will start work again tommorrow (Tuesday, September 29.) There is still time to contact Senator Conrad and urge him to vote for the Enzi and Hatch amendments to the health care reform bill. Get the action alert here.

Action Alert: Fix Pro-Life Provisions of Senate Finance Bill -REVISED

On September 22, the Senate Finance Committee, which includes Senator Kent Conrad, began markup of its health care reform bill, America’s Healthy Future Act. The bill is written in a descriptive or conceptual form and was introduced by committee chairman Sen. Max Baucus (D-MT) as the chairman’s Mark.

Sens. Orrin Hatch (R-UT) and Michael Enzi (R-WY) have submitted amendments to correct flaws in the chairman’s Mark on abortion and conscience rights. It is especially important that the following amendments be supported:

1. Hatch Amendment #C14: Abortion Funding Prohibition. The Mark authorizes federal tax credit subsidies for private health benefits packages that cover elective abortion. Everyone purchasing such a package would be required to pay a surcharge to help pay for others’ abortions. This is contrary to longstanding federal policy, including the Federal Employees’ Health Benefits Program, where benefits packages with elective abortion may not receive federal support. Hatch Amendment #C14 prohibits federal funds authorized or appropriated in the Mark from being used for abortion and the cost of plans that cover abortion, except to save the mother’s life, or in cases of rape or incest. Insurers wanting to offer broader abortion coverage may do so only in a supplemental policy funded solely by the private premiums of those who choose to purchase it. This policy has worked in North Dakota for decades. Urge Senator Conrad to support this amendment because it reflects the wishes of North Dakotans and the policy of our state.

2. Hatch Amendment #C13: Nondiscrimination on Abortion. The Mark lacks a provision in current law that prevents government bodies receiving federal funds from discriminating against health care providers who decline involvement in abortion (Weldon Amendment). Hatch Amendment #C13 states that a federal agency or program, or state or local government receiving federal funds under this Act, may not discriminate against individual or institutional health care providers that decline to perform, refer for, or pay for abortion. Identical language has already been approved as part of the House Energy and Commerce Committee’s version of the health care reform bill, H.R. 3200.

3. Enzi Amendment #C15: Respect for Moral and Religious Convictions. The Mark does not apply longstanding federal policies on conscience rights in health care to this new program. Enzi Amendment #C15 ensures that governmental bodies receiving funds under this bill may not discriminate against health care providers who do not provide specific items or services to which they have a moral or religious objection. This amendment respects conscience and religious freedom beyond the abortion context.

ACTION: Contact Senator Kent Conrad through e-mail, phone calls, or FAX letters.

MESSAGE: “Support the Hatch and Enzi Amendments on abortion funding and conscience rights. Give us health care reform that respects the life and conscience of all!”

WHEN: The Senate Finance Committee began markup on September 22. Please act immediately! Thanks!

WHERE:

Senator Kent Conrad
Washington: (202) 224-2043
Bismarck: (701) 258-4648
Toll Free: 1-800-223-4457
Fargo: Telephone: (701) 232-8030
Grand Forks: Telephone: (701) 775-9601
Minot: Telephone: (701) 852-0703

New Survey: Most Americans Want Health Care Reform, Oppose Abortion Coverage


Sixty-eight percent do not want abortion coverage in their own policy, whether public or private
Sixty-three percent favor keeping conscience protection laws

 


WASHINGTON—A nationwide survey commissioned by the United States Conference of Catholic Bishops (USCCB) has found widespread public opposition to including abortion in health care reform and majority support for conscience rights protection – views shared by those who favor efforts to pass health care reform.
 
           Conducted by International Communications Research (ICR) from September 16-20, 2009, the phone survey of 1,043 U.S. adults found that 60 percent favor – and only thirty percent oppose – “efforts to pass health care reform to provide affordable health insurance for all.” Focusing on that sixty percent, the survey found that:

Two to one: U.S. adults favor ‘reform to provide affordable health insurance for all’

Sixty percent of those favoring reform oppose – and only 25 percent support – “measures that would require people to pay for abortion coverage with their federal taxes.”
  • By a 49-39 percent plurality, those who favor reform oppose “measures that would require people to pay for abortion coverage with their health insurance premiums”; and
  • Among those favoring reform, those who favor maintaining “current federal laws that protect doctors and nurses from being forced to perform or refer for abortions against their will” outnumber those who oppose keeping such laws in place by a margin of two to one (60-30).

  •             Opposition to abortion coverage was somewhat stronger in the total sample of U.S. adults – for example, 67 percent of the total sample opposed requiring people to pay for abortion coverage through their taxes and 56 percent opposed making them do so through their insurance premiums.

                The survey also asked: “If the choice were up to you, would you want your own insurance policy to include abortion?” Sixty-eight percent of U.S. adults said ‘No’ and only 24 percent said ‘Yes.’

                “The USCCB survey confirms other recent polls conducted by Public Opinion Strategies (August 30-September 1) and Rasmussen Reports (September 14-15) on health care policy and abortion,” said Deirdre McQuade, Assistant Director for Policy & Communications at the USCCB’s Secretariat of Pro-Life Activities. “With each passing week it gets clearer: The American public generally does not want to pay for abortion coverage and does not want health care reform used to promote abortion,” she said.

                “Abortion is not health care. The bishops of the United States are working hard to ensure that health care reform serves the most vulnerable among us – especially the poor, immigrants, and the unborn,” McQuade said.
                            For more information on the U.S. bishops’ position on health care reform, visit
    www.usccb.org/healthcare.
     
    Survey Methodology
    ICR / International Communications Research, based in the Philadelphia suburb of Media, PA, is a top-ranked and nationally recognized market research organization. ICR fielded this study in their national, weekly EXCEL Omnibus telephone survey on behalf of the USCCB from September 16-20, 2009, interviewing a nationwide sample of 1,043 adults aged 18 and older. EXCEL is weighted to provide nationally representative and projectable estimates of the population ages 18+. At a 95 percent level of confidence, the margin of error for this sample of 1,043 is +/-3.0 percent. A full methodology and profile of the pollster are available upon request.

    Officials Welcome President Obama’s Statements On Abortion, Care For The Poor

    WASHINGTON—Calling it an important contribution to a crucial national debate, officials speaking on behalf of the United States Conference of Catholic Bishops welcomed President Obama’s September 9 address on health care reform, particularly his statements regarding abortion and the uninsured.

                “We agree that ‘no one should go broke because they get sick,’” said Kathy Saile, Director of Domestic Social Development at the USCCB. “That’s why the U.S. Bishops have worked for decades for decent health care for all. The Catholic Church provides health care for millions, purchases health care, picks up the pieces of a failing health system, and has a long tradition of teaching on ethics in health care. Health care reform that respects the life and dignity of all is a moral imperative and urgent national priority. We welcome the President's speech as an important contribution to this essential national debate and task.”

                “We especially welcome the President's commitment to exclude federal funding of abortion, and to maintain existing federal laws protecting conscience rights in health care,” said Richard Doerflinger, Associate Director of Pro-Life Activities at the USCCB. “We believe that incorporating essential and longstanding federal laws on these issues into any new proposal will strengthen support for health care reform. We will work with Congress and the Administration to ensure that these protections are clearly reflected in new legislation, so no one is required to pay for or take part in abortion as a result of health care reform.”

                “We agree with the President that there are details that need to be ironed out,” said Saile. “And with his address last night, we see the opportunity to work towards a truly universal health policy with respect for human life and dignity, access for all with a special concern for the poor, and inclusion of legal immigrants. We also see the possibility of meeting the bishops’ goal to pursue the common good and preserve pluralism, including freedom of conscience and a variety of options, and restraining costs and applying them equitably across the spectrum of payers.”

    Seeing Imaginary Divisions

    The New York Times last week published a story attempting to portray the U.S. bishops as divided on health care reform. The story contained a number of inaccuracies. Some of which were later corrected by the paper. Others have been set straight by Our Sunday Visitor here and here, a letter from Bishop Murphy and Cardinal Rigali printed here, and the USCCB Media blog.

    Unfortunately, Catholic bloggers making the same mistakes, claiming that bishops are lining up in opposition to health care reform.

    At the heart of all these misinterpretations of bishop statements is the mistaken belief that
    emphasis of one particular issue or teaching, excludes all other issues and teachings. A fundamental principle of Catholic social teaching is that it is not divisible. Thus, an emphasis on subsidiarity does mean that there is no solidarity. An emphasis on the protection of human life does not mean that there is no preferential option for the poor and so on.

    Abortion and Health Care - plus ça change, plus c'est pareil ?

    Efforts to include abortion funding and mandates threaten to derail genuine reform. We faced this problem before. North Dakota Catholic Conference executive director, Christopher Dodson wrote the this column in January of 1993 for the Inland Catholic. It is reprinted here with permission from the Diocese of San Bernardino.

    Health Care Reform: Questions and Answers - Annual Conference

    The North Dakota Catholic Conference's Annual Conference for Catholic Health Care Providers is October 15, 2009 in Bismarck.

    The keynote address is "Health Care Reform: Questions and Answers" by Jeff Tieman, Senior Director of Health Reform Initiatives for the Catholic Health Association.

    Go here to find out more and get registration information.

    Register Online!

    The public is invited.

    Two Bishops - Two Letters - One Teaching

    Within days of each other, both bishops of North Dakota issued letters to their priests and the faithful of their respective dioceses on health care reform.

    The bishops did not coordinate the timing of the letters. The fact that both bishops released letters at this time, however, is not surprising. The debate over health care reform had reached high intensity when members of Congress went home for the “August recess.” Health care reform activity shifted to the states.

    Much of the activity focused on North Dakota in particular. Each member of the state’s congressional delegation is considered important to the outcome of health care reform legislation and Senator Kent Conrad is one of just six senators charged with developing legislation for consideration by the Senate.

    As Bishop Paul A. Zipfel stated in his letter: “At the heart of the matter, the question of whether to reform our health care system and how to do it is a moral issue.” After all, health care reform touches upon questions of abortion, religious liberty, care for the poor and the immigrant, the role of government, and the stewardship of precious resources. As spiritual leaders and shepherds of the Church, the bishops have something to say on this important issue. Political developments led both of them to conclude that this was the right time.

    Although parts of the letters emphasize different aspects of Catholic teaching with regards to how they apply to the question of health care reform, both letters reflect on the one Teaching of the Church.

    Both bishops affirm the
    centrality of human life. Bishop Samuel A. Aquila writes, “Any attempt to provide greater access to health care without safeguarding human life from the moment of conception is inherently inconsistent” and the "killing of unborn children through abortion or as a means to do research has nothing to do with promoting health.” Citing Caritas in Veritate and Evangelium Vitae, Bishop Aquila notes the “clear the teaching of the Church that the destruction of human life by abortion and other evils can never be a neutral question or one that is promoted by any faithful Catholic.” Bishop Zipfel writes that health care legislation must “expressly and specifically prohibit any agency from funding abortion, mandating abortion coverage, or preempting state laws on abortion coverage.”

    Both bishops affirm the need for reform that truly expands
    health care coverage to all. Bishop Zipfel states: “Catholic teaching insists that basic health care is a right and is essential to protect human life and dignity. Health care reform that protects human life and advances universal coverage is a moral imperative and urgent national priority.” Bishop Aquila writes: “Access to health care ought to be available to all people, including the poor, legal immigrants, the handicapped, and especially the elderly and unborn members of society.”

    Both bishops call for
    real conscience protection. Bishop Zipfel states that any health care reform proposal must include protection for health care providers. Bishop Aquila expands on the subject, noting the importance of legal protection of conscience not just for health care providers, but also for other participants in the delivery and financing of health care.

    Both bishops urge
    reform that includes legal immigrants. In Catholic teaching, health care should not depend on where you are from. The call for inclusion of legal immigrants reflects a priority of USCCB. Bishop Zipfel reminds us that “Legal immigrants pay taxes and contribute to the U.S. economy and social life in the same manner as U.S. citizens do. Moreover, since health care is a basic human right having access to it should not depend on where you were born.” Bishop Aquila’s letter mentions the same need twice, noting that care for the legal immigrants cannot be overlooked for utilitarian reasons. In Catholic teaching, health care should not depend on where you are from.

    Both bishops call for a system a system that
    respects the different segments and entities in a strong health care system. Reaffirming the position of the U.S. Conference of Catholic Bishops, Bishop Zipfel calls for pursuing the common good and preserving pluralism that includes variety of options and restrains costs equitably across the spectrum of payers. Bishop Aquila ties this same concept to the Church’s teaching on subsidiarity. Subsidiarity is the principle that states “a community of a higher order should not interfere in the internal life of a community of a lower order, depriving the latter of its functions, but rather should support it in case of need” (Catechism of the Catholic Church, 1883). According to the classic principle of subsidiarity in Catholic social thought, many different communities within society share responsibility for the common good. “Honoring the principle of subsidiarity will enable all men and women to be true participants in contributing to the goal of providing greater access to health care,” writes Bishop Aquila.

    Even as they affirm the same principles, the two bishops provide different reflections. Bishop Aquila, for example, reflects on the duties of Catholics to form their conscience on such matters to the natural law. Bishop Zipfel focuses more on the priorities for reform at this present time.

    Both bishops have something to offer to all Catholics of North Dakota on this fundamentally moral issue.

    Read the letter of Bishop Paul A. Zipfel, Bishop of Bismarck

    Read the letter of Bishop Samuel J. Aquila, Bishop of Fargo

    Bishop Zipfel on Health Care Reform

    The Most Reverend Paul A. Zipfel, Bishop of the Diocese of Bismarck, has sent a letter in support of healthcare reform and, among other things, taking a strong stand against federal funding for abortion. "At the heart of the matter, the question of whether to reform our health care system and how to do it is a moral issue" writes the bishop. Read it here.

    Diocese of Fargo Bishop Calls Upon Catholics to Consider Four Principles for Health Care Reform

    In an Aug. 28 letter, Most Rev. Samuel J. Aquila, bishop of the Catholic Diocese of Fargo, encouraged priests, deacons, religious sisters and parishioners to “become engaged in promoting genuine health care reform” and presented four principles upon which the “moral value and justice of a given plan to provide health care” should be evaluated.

    Health care plans must exclude any “provisions for actions which deny the dignity of human life, especially abortion, euthanasia, whether passive or active, and embryonic stem cell research”, he wrote. Second, “freedom of consciences” for both health professionals and the general public must be safeguarded. Third, access to health care “ought to be available to all people” and fourth, the principle of subsidiarity must govern any health care plan.

    On why health care reform cannot include abortion, Bishop Aquila wrote, “any attempt to provide greater access to health care without safeguarding human life from the moment of conception is inherently inconsistent” and that “the destruction of human life by abortion and other evils can never be a neutral question or one that is promoted by any faithful Catholic.”

    Bishop Aquila noted that conscience protection is important for everyone: health care professionals as well as participants in health care plans. Concerning the general public, he wrote “In no way should taxpayers or policy holders be forced to participate in plans, whether private or public, which fund procedures that violate the moral precepts of the faith.”

    Genuine reform, wrote Bishop Aquila, also means access for all. He noted that “finding ways to provide medical care to those who have none is a perennial priority for the Church” and that “we must ensure that the poor, the elderly, the handicapped, legal immigrants and the unborn, together with all citizens of our nation, have access to health care.”

    Citing the Church’s teaching on subsidiarity, Bishop Aquila wrote that a diversity of social entities share the responsibility of ensuring access to health care, noting that “these various strands of community life within society build up a strong and cohesive social fabric that is the hallmark of a true communion of persons.”

    Catholic Health Association Reiterates Position

    Rumors continue to spread that the Catholic Health Association has endorsed specific health care proposals. Today, CHA reiterated that it has not endorsed any proposal and that the current proposals are unacceptable because of their abortion funding and mandate provisions. Here is the statement:

    Catholic Health Association Reaffirms Long-Standing Commitment to Reform Health Care But Waits to Endorse Any Specific Bill

    WASHINGTON, D.C. (August 28, 2009) — The Catholic Health Association of the United States (CHA) has long been committed to a goal of health coverage for all people in the United States. CHA has not, however, endorsed any of the bills currently under consideration.
    "Our message has always been clear," said Sr. Carol Keehan, DC, president and chief executive office of the association. "Health care must respect and protect human dignity from conception to natural death. In that spirit, coverage for everyone is a moral imperative and a matter of social justice."
    Nearly two years before the national reform conversation began, CHA put forward a set of principles to guide the effort. The "Vision For U.S. Health Care" document, developed collaboratively with members of the Catholic health ministry, begins with values from Catholic social teaching including human dignity, justice and the common good. "The values and principles set forth in the Vision document guide our advocacy for effective health reform," Sr. Carol noted.
    "To date, CHA has not endorsed any health care reform bill, but our message to lawmakers is unchanged: Health reform should not result in an expansion of abortion, and it must maintain conscience protections for health care providers who do not want to participate in abortions or other morally objectionable procedures," Sr. Carol stressed.
    CHA is working closely with the United States Conference of Catholic Bishops to bring about health reform that respects the life and dignity of every person, from conception to natural death. This means care that respects the unborn, the patient with multiple sclerosis, the person living with cancer, the young mother, the addicted, the mentally ill, the frail elderly, the dying patient.
    CHA did collaborate earlier this summer with other major hospital groups to reach an agreement with the Chairman of the U.S. Senate Finance Committee, Sen. Max Baucus, and the White House on contributions to finance health care reform. The agreement, which holds hospitals to Medicare payment reductions and delivery system reforms that amount to approximately $155 billion over 10 years, protects hospital payments until there is significant new coverage of the uninsured. The agreement is also consistent with the principle in CHA's Vision document calling for shared responsibility for financing.
    "The agreement did not include any commitments to endorse specific legislation but marked major progress in advancing reform and working together to finance health care in this country," Sr. Carol added.
    "Catholic health care is privileged and proud to serve our patients, our communities and our country — and to be sure the most vulnerable are always represented and cared for," Sr. Carol said. "Now, as the reform conversation reaches a pivotal point, our message stays the same: it's time to create the health care system the American people deserve and can be proud of."

    Bishop Aquila Issues Letter on Health Care Reform

    Bishop Samuel J. Aquila of the Diocese of Fargo has issued a letter on the principles concerning the Church and health care reform.

    FAQs on the Bishops and Health Care Reform

    The U.S. Conference of Catholic Bishops recently launched a web site devoted solely to the subject of health care reform.  Here's a look at just one resource from that site.

    "Genuine health care reform that protects the life and dignity of all is a moral imperative and a vital national obligation" - Bishop William F. Murphy

    Questions and Answers About the U.S. Bishops' Position on Health Care Reform

    From the USCCB Health Care Reform Web Site


    The Catholic bishops support health care reform. What are the bishops’ key criteria for health care reform?


    The bishops have been consistent advocates for comprehensive, life-affirming reform to the nation’s health care system. Health care reform needs to reflect basic moral principles. The bishops believe access to basic, quality health care is a universal human right not a privilege. In this light they offer four criteria to guide the process: a truly universal health policy that respects all human life and dignity, from conception to natural death; access for all with a special concern for the poor and inclusion of legal immigrants; pursuing the common good and preserving pluralism including freedom of conscience and variety of options; and restraining costs and applying them equitably across the spectrum of payers.

    Why are the bishops so vocal about health care reform?

    One out of three Americans under the age of 65 went without health insurance for some period of time during 2007 and 2008. Of these, four out of five were from working families. Sixty four percent of the uninsured are employed full time, year round. This state of affairs is unacceptable. In the Catholic tradition, health care is a basic human right not a privilege. It is a fundamental issue of human life and dignity.

    Are the bishops trying to promote an anti-abortion agenda through health care reform?

    No. The bishops will continue to fight against the evil of abortion by all means available. But they have not demanded that urgently needed health care reform become a vehicle for advancing the pro-life cause, and they likewise believe it should not be used to advance the cause of abortion. In this sense, the bishops have asked that health care reform be “abortion neutral,” this is, that existing laws and policies with regard to abortion and abortion funding be preserved, allowing health care reform to move forward and serve its legitimate goals.


    Why are the bishops insistent that healthcare reform be “abortion neutral”?

    Abortion advocacy groups are trying to use health care reform to advance their agenda, by having Congress or a federal official establish abortion as a “basic” or “essential” health benefit, guaranteeing “access” nationwide and requiring Americans to subsidize abortion with their tax dollars or insurance premiums. This would reverse a tradition of federal laws and policies that have barred federal funding and promotion of abortion in all major health programs for over three decades (e.g., the Hyde amendment, 1976), and have respected the right of health care providers to decline involvement in abortion or abortion referrals. This agenda would also endanger or render irrelevant numerous local and state laws regulating abortion. The bishops cannot, in good conscience, let such an important and pressing issue as health care reform be hijacked by the abortion agenda. No health care reform plan should compel anyone to pay for the destruction of human life, whether through government funding or mandatory coverage of abortion. Any such action would be morally wrong and politically unwise.

    Are the bishops promoting socialized medicine by advocating for universal access?


    All people need and should have access to comprehensive, quality health care that they can afford, and it should not depend on their stage in life, where or whether they or their parents work, how much they earn, where they live, or where they were born. There may be different ways to accomplish this, but the Bishops’ Conference believes health care reform should be truly universal and genuinely affordable.

    Health care is already expensive. Why advocate for legal immigrants to be covered too?

    Legal immigrants pay taxes and contribute to the U.S. economy and social life in the same manner as U.S. citizens do. Therefore, there should be equity for legal immigrants in access to health care. In the Catholic tradition, health care is a basic human right, like education, and having access to it should not depend on where you were born. Achieving equality in this case, for instance, means repealing the five year ban currently in effect for legal immigrants to access Medicaid, and ensuring that all pregnant women in the United States, who will be giving birth to U.S. citizens, are eligible along with their unborn children for health care.

    What kind of actions do the bishops recommend to make quality healthcare accessible for all and genuinely affordable?

    Many lower income families simply lack the resources to meet their health care expenses. For these families, significant premiums and cost sharing charges can serve as barriers to obtaining coverage or seeing a doctor. Medicaid cost-sharing protections should be maintained and new coverage options should protect the lowest income enrollees from burdensome cost sharing. The bishops have urged Congress to limit premiums or exempt families earning less then 200 percent of the Federal Poverty Level from monthly premiums; they also recommend limiting co-payments and other costs which could discourage needed care, and increasing eligibility levels for Medicaid and CHIP (Children’s Health Insurance Program). They have urged Congress to provide states with resources to expand coverage and ensure sufficient funding for safety net clinics, hospitals and other providers serving those who will continue to fall through the cracks even after the system is reformed.


    Have more questions? Looking for resources? The USCCB Health Care Reform Web Site is full of information for Catholics and anyone concerned about health care reform.

    U.S. Bishops Launch Web Site on Health Care Reform

    WASHINGTON—The United States Conference of Catholic Bishops (USCCB) launched a Web page promoting its support of “truly universal health policy with respect for human life and dignity.” The page, www.usccb.org/healthcare, includes letters from bishops to Congress, videos, facts and statistics, frequently asked questions, and links for contacting members of Congress.

    Letters to Congress include an August 11 letter by Cardinal Justin Rigali, the bishops’ Pro-Life chairman, criticizing abortion provisions in the House version of health care legislation and a July 17 letter from Bishop William Murphy, the bishops’ Domestic Social Justice chairman, outlining the bishops concerns and priorities for health care reform as a whole.

    The site will feature Web videos of USCCB policy staff discussing the bishops’ position on health care. Kathy Saile, director of Domestic Social Development, outlines the general position and concerns. Richard Doerflinger, associate director of Pro-Life Activities, describes how abortion relates to the health care reform debate.

    The page also contains facts and statistics about Catholic health care in the United States, which includes 624 Catholic hospitals, 164 home health agencies, and 41 hospice organizations.

    Legal Immigrants and Health Care

    Why legal immigrants should not be made worse off by health care reform.

    Issues Related to Low Income Coverage

    Here's a USCCB backgrounder on how well the current health care bills help low income families.

    Abortion Provisions in House Bill "Unacceptable"

    Pro-Life Chairman urges Representatives to amend H.R. 3200
    Abortion as a mandated benefit is ‘radical change’ from current law
    Says much-needed reform cannot become vehicle for promoting abortion

     
    ABORTION PROVISIONS IN HOUSE’S HEALTH CARE BILL UNACCEPTABLE, SAYS CARDINAL IN LETTER TO HOUSE
     
    WASHINGTON—Cardinal Justin Rigali of Philadelphia urged preservation of “longstanding federal policies that prevent government promotion of abortion and respect conscience rights,” and called current House health care legislation “seriously deficient” on the issue of mandated   coverage and funding of abortion. He cited his concerns in an August 11 letter to the U.S. House of Representatives.

    Cardinal Rigali, Chairman of the United States Conference of Catholic Bishops (USCCB) Committee on Pro-Life Activities, reaffirmed the bishops’ position that genuine health care reform that respects life and dignity is urgently needed. He also welcomed provisions in America’s Affordable Health Choices Act (H.R. 3200) that do not preempt state laws regulating abortion or current federal conscience laws on abortion. But he criticized the bill for delegating to the Secretary of Health and Human Services “the power to make unlimited abortion a mandated benefit in the ‘public health insurance plan’ the government will manage nationwide.” He called this a “radical change” since federal law excludes most abortions from federal employees’ health benefits, and no federal health program mandates coverage of elective abortions.

    Cardinal Rigali also criticized the bill for bypassing the Hyde Amendment and other longstanding provisions that prevent federal funding of abortion and health benefits packages that include abortion. He called the provisions to separate funding for abortion created by the House Energy and Commerce Committee a “legal fiction,” one that would force low-income Americans, who may only be able to afford the public plan, to subsidize abortions for others and abortion coverage for themselves “even if they find abortion morally abhorrent.”

    “Much-needed reform must not become a vehicle for promoting an ‘abortion rights’ agenda or reversing longstanding policies against federal funding and mandated coverage of abortion,” Cardinal Rigali said. He added that “no federal program mandates coverage for elective abortions, or subsidizes health plans that include such abortions. Most Americans do not want abortion in their health coverage, and most consider themselves ‘pro-life,’ with a stronger majority among low-income Americans.”

    “By what right, then, and by what precedent, would Congress make abortion coverage into a nationwide norm, or force Americans to subsidize it as a condition for participating in a public health program?” he asked.

    Cardinal Rigali reiterated the USCCB’s long-time support of genuine health care reform that respects human life and dignity from conception till natural death, provides access to quality care for all with special concern for the poor and immigrants, respects pluralism and conscience rights, and shares costs equitably. He urged members of the House to support amendments to correct the “unacceptable features” currently in H.R. 3200 and to oppose any rule for considering the bill that would block such amendments.

    The full text of the letter can be found online at:
    http://www.usccb.org/prolife/CardRigaliHealthCareReformLetter-08-11-09.pdf

    Lines in the Sand

    LIFE ISSUES FORUM                                                                   August 7, 2009
                                                                                                   
    For Immediate Release
    Lines in the Sand
    By Tom Grenchik  
    As members of Congress head home for their August recess, we now have a better picture of where everyone stands on health care reform. While the U.S. bishops support genuine health care reform, there is a clear line in the sand between our bishops and some congressional leaders.
    On July 17, Bishop William Murphy, Chairman of the bishops’ Committee on Domestic Justice and Human Development, wrote to Congress saying: “The USCCB looks forward to working with you to reform health care successfully in a manner that offers accessible, affordable and quality health care that protects and respects the life and dignity of all people from conception until natural death.”  Then Bishop Murphy drew a line, declaring that “no health care reform plan should compel us or others to pay for the destruction of human life, whether through government funding or mandatory coverage of abortion.”
    Some seemed surprised at this, since abortion was not specifically mentioned in draft health care bills until recently. Those with longer memories may recall that the Medicaid statute doesn’t mention abortion either, but it was funding 300,000 abortions a year in the 1970s until we put a stop to that with the Hyde amendment.  In any case, numerous amendments to keep abortion out of health care reform have been defeated in committee, and it is now apparent that some leaders have every intention of threatening the health care reform process by forcing Americans to accept abortion mandates and/or fund unlimited abortion in their health coverage.  
    Cardinal Justin Rigali, Chairman of the U.S. Catholic bishops’ Committee on Pro-Life Activities, followed up with a July 29 letter to the House Energy and Commerce Committee, declaring that “much-needed reform must not become a vehicle for promoting an ‘abortion rights’ agenda or reversing longstanding current policies against federal abortion mandates and funding.”  The Cardinal urged Committee members to preserve longstanding federal policies that prevent government promotion of abortion and respect conscience rights. 
    But Bishop Murphy and Cardinal Rigali are not the only ones drawing lines. Millions upon millions of American Catholics are with them. Earlier this year, dioceses across the country broke all previous records by ordering more than 34 million postcards so their parishioners could urge Congress to “retain laws against federal funding and promotion of abortion.”  Now that members of Congress are heading home, they need to be reminded of this message at the local level, in the context of health care reform.
    As Congress takes its vacation, various proposals have been left behind.  These proposals need to be examined to see how well they provide accessible, affordable and quality health care and how they impact immigrants and the poor. But one thing is certain. The bills approved so far by House and Senate committees include mandated abortion coverage and abortion funding, and that is a line we can never cross. 
    Now is the time to take action. Contact congressional members through e-mail, phone calls or FAX letters. E-mails can be sent by visiting
    www.usccb.org/prolife and clicking on the Health Care Reform Action Alert. You can also call the U.S. Capitol switchboard at 202-224-3121, attend town hall meetings in your local district, or call the local offices of your representative and senators. Full contact info can be found on Members’ web sites at www.house.gov and www.senate.gov.
    The message is simple: “Support genuine health care reform that respects the life and dignity of all. A fair and just health care reform bill must exclude mandated coverage for abortion, and uphold longstanding laws that restrict abortion funding and protect conscience rights.”
     
    Tom Grenchik is Executive Director of the Secretariat of Pro-Life Activities, U.S. Conference of Catholic Bishops. Go to www.usccb.org/prolife to learn more about the bishops’ pro-life activities.
     

    Statement of Catholic Charities USA on Health Care Reform

    "In response to inaccurate online media reports, Catholic Charities USA states unequivocally that it does not support any plan to reform health care and/or any proposed legislative provision that allows or promotes the funding of abortions or that compels any health care provider or institution to provide such a service. In fact, Catholic Charities USA will continue to work with the Catholic Health Association and the United States Conference of Catholic Bishops to ensure that any health care reform legislation will not include such provisions. All media accounts or public comments that misrepresent this position are inaccurate.

    'These attacks appear to be politically motivated by opponents of health care reform. They are distortions of the truth and disingenuous. Catholic Charities USA will continue to work to reform health care in a way that is consistent with the teachings of our faith.' said Fr. Larry Snyder, President."

    Summary of Current Life-Related Amendments to House Health Care Bill

    This just in from USCCB Pro-Life Department:

    Here’s an analysis of amendments on abortion in health care reform, as approved in House Energy and Commerce Committee last night.

    While meeting last night to mark up the health care reform legislation (HR 3200), the House Energy and Commerce Committee approved a confusing set of amendments on abortion -- some of them helpful, others showing that more work needs to be done.

    The Capps amendment, presented as a compromise, has the following features. Beginning with the most unacceptable features and working our way down to those that are more positive:

    - The "public plan" (government-run health plan offered in every region of the country) will include whatever abortions are eligible for federal funding in a given year, and will include ALL abortions if the HHS Secretary approves that.

    - Federal subsidies will help pay the premiums for health benefits that include unlimited abortions. But if abortions in the plan do go beyond what the Hyde amendment allows funding for in that year, the premium amount for the additional abortions must be paid for by the covered party's private funds. This is a bookkeeping exercise, a complicated actuarial exercise that artificially separates the abortion premium on paper from the rest of the premium. The plans including elective abortions will cost (at a minimum) one dollar more a month. This is a major departure from the Hyde amendment and similar provisions in current law, which simply prohibit federal funding of elective abortions and of any benefits package that includes them.

    - Each regional poll or "Exchange" must have at least one plan that includes abortions, and at least one that does not include them beyond the Hyde exceptions (and the latter may, if it wishes, exclude all abortions).

    - Neither the Act nor the HHS Secretary may mandate that private plans either include or exclude abortions.

    - Nothing in the Act alters rights and responsibilities under Title VII of the Civil Rights Act (religious accommodation for employees) or current state or federal laws requiring provision of emergency services. (The federal law on this subject, known as EMTALA [Emergency Medical Treatment and Active Labor Act], does not mention abortion and has never been used to require anyone to perform an abortion.)

    - No health plan in an “Exchange” may discriminate against a health care provider or facility based on his, her or its willingness OR unwillingness to provide abortions.

    - Nothing in the Act may be construed to preempt state laws on abortion or abortion coverage, or federal laws on conscience protection or discrimination based on abortion.

    Also approved was a very positive Pitts/Stupak amendment that writes the Weldon amendment on conscience protection into the Act: A federal agency, or state or local government receiving federal funds under the Act, may not discriminate against an individual or institutional health care provider because the provider does not provide, pay for, provide coverage of, or refer for abortions. (The amendment originally included a provision on conscience rights in contexts other than abortion, but this drew strong opposition and had to be dropped.)

    There was a second Stupak/Pitts amendment to apply the traditional Hyde amendment language to federal funding under this Act, so federal funds would not subsidize any part of a health plan that includes elective abortions. This would mean purchase of such abortion coverage would be truly private and voluntary, done by purchasing an optional rider with one's own funds. This amendment failed late Friday afternoon.

    In addition to the "paper separation" provision of the Capps Amendment, weakening application of the Hyde amendment, the major objectionable abortion-related provision in the bill now is the requirement that the "public plan" (the government-run plan that may become a norm for health plans across the country) will include abortions, contrary to the practice in every other federal government-run health program in the nation. However, we have made good progress in terms of retaining current abortion laws, preserving conscience rights (at least on abortion), and ensuring that some private plans excluding abortion will be available. We hope to improve the legislation further on the House floor and to pursue better solutions to some of these problems in the Senate.

    In this situation I would simply like to acknowledge the special and courageous role played by Rep. Bart Stupak (D-MI), Democratic co-chair of the House Pro-Life Caucus. He tried to negotiate a solution with committee chair Henry Waxman, and when that broke down over the issues of public funding and mandates for abortion he stood up to his own party leadership by insisting that Congress should do a better job of advancing health care reform that respects human life. He will continue to work to improve this legislation and will need our help.

    CARDINAL RIGALI URGES HOUSE COMMITTEE TO SUPPORT PRO-LIFE AMENDMENTS TO HEALTH CARE REFORM BILL

    Health care: a basic right for all, from conception to natural death
    Reform must not be vehicle for ‘abortion rights’ agenda
    Congress: Follow President Obama’s pledge to preserve conscience rights

     
    CARDINAL RIGALI URGES HOUSE COMMITTEE TO SUPPORT PRO-LIFE AMENDMENTS TO HEALTH CARE REFORM BILL
     
    WASHINGTON—Cardinal Justin Rigali, Chairman of the U.S. Catholic bishops’ Committee on Pro-Life Activities, wrote on July 29 to the members of the House Energy and Commerce Committee urging them to amend “America’s Affordable Health Choices Act” (H.R. 3200) to retain longstanding government policies on abortion and conscience rights.
    Cardinal Rigali reiterated criteria for “genuine health care reform” set forth by Bishop William Murphy, Chairman of the bishops’ Committee on Domestic Policy, in his letter to Congress on July 17.  He described health care as “a basic right belonging to all human beings, from conception to natural death” and said that “the United States Conference of Catholic Bishops is working to ensure that needed health reform is not undermined by abandoning longstanding and widely supported policies against abortion funding and mandates and in favor of conscience protection.”
               
    The Cardinal enumerated several problems with the bill as introduced: It would be used to mandate abortion coverage in private health plans, expand abortion funding, override state laws that limit or regulate abortion, and endanger existing laws protecting the conscience rights of health care providers.

    “Much-needed reform must not become a vehicle for promoting an ‘abortion rights’ agenda or reversing longstanding current policies against federal abortion mandates and funding,” he wrote. “In this sense we urge you to make this legislation ‘abortion neutral’ by preserving longstanding federal policies that prevent government promotion of abortion and respect conscience rights.”

    “Several federal laws have long protected the conscience rights of health care providers,” Cardinal Rigali added. “President Obama recently stated that he accepts these current laws and will do nothing to weaken them. Congress should make the same pledge, by ensuring that this legislation will maintain protection for conscience rights.”

    The Cardinal closed by urging the House Energy and Commerce Committee to support amendments by Reps. Bart Stupak (D-MI) and Joseph Pitts (R-PA) to address these problems in H.R. 3200. The full text of his letter is available at:
    www.usccb.org/prolife/CardRigali-AbortionNeutralReform-7-29-09.pdf.

     
    For more information on the USCCB position on Health Care Reform, visit
    www.usccb.org/prolife/issues/healthcare and www.usccb.org/sdwp/national/health1.shtml

    Action Alert from NCHLA on Abortion and Health Care

    “A fair and just health care reform bill must exclude mandated coverage for abortion, and uphold longstanding laws that restrict abortion funding and protect conscience rights.”

    This
    action alert should be read and used with the information posted here.

    Three Important Documents on Health Care Reform and Abortion

    Bishop William F. Murphy, Chairman of the USCCB Committee Domestic Justice and Human Development has written a strongly worded letter to members of Congress calling for health care reform that protects human life and dignity.

    The letter states that the "bishops want to support health care reform" but "must insist that health care reform excludes abortion coverage or any other provisions that threaten the sanctity of life." It goes on to state that any plan that includes abortion would be morally wrong, politically unwise, and would not pass.

    In addition, the letter states the bishops believe that health care "should be truly universal and it should be genuinely affordable," leaving no one out. Anticipating that some individuals, such as immigrants, may not be included in health care reform, the letter urges maintaining a safety-net system for those providers who serve those who fall through the cracks.

    Read the full text of the letter.

    USCCB also released today a fact sheet on current policies on abortion coverage in federal law. The facts demonstrate that the bishops are not asking Congress to "roll-back" existing policies, but to maintain what has been the accepted
    status quo.

    Get the fact sheet.

    Finally, USCCB has provided an action alert on health care reform suitable for parish use.

    Get the Action Alert.

    Labor-HHS Appropriations Affirm Conscience Protections

    The House Labor, Health and Human Services, Education and Related Agencies Subcommittee has approved its FY2010 appropriations legislation with conscience clause protections for health care providers intact. The protections, known as the Hyde-Weldon amendments, have been included in previous Labor-HHS appropriations and are strongly supported by the Catholic health ministry. Following the subcommittee's approval, the amendments are likely to remain in the legislation as it goes to consideration by the full House Appropriations Committee. Source: Catholic Health Association

    Health Care Reform Update from Catholic Health Association

    Hospital Groups Announce Reform Agreement

    Catholic Health Association President and CEO Sr. Carol Keehan, DC, joined Vice President Joe Biden and representatives from the American Hospital Association and Federation of American Hospitals at the White House July 8 to announce agreement on financing provisions for health reform legislation still being developed in Congress. The agreement, worked out in negotiations between all three hospital groups, the Administration and the Senate Finance Committee, outlines $155 billion in spending reductions and delivery system reforms over ten years to help support legislation to cover an estimated 95 percent of the population. The agreement represents a substantial reduction from the amount of payment cuts originally proposed by the Administration and also protects hospital payments until there is significant new coverage of the uninsured. In announcing the agreement, the hospital representatives noted that disproportionate share hospital (DSH) payments would not be reduced until 2015, and reductions would only occur if coverage expansions actually took place. The agreement also maintains the current community benefit standards for not-for-profit hospitals rather than establishing any new charity care benchmarks.

    Even with this development, the Senate Finance Committee still has not finalized the reform legislation and is not expected to do so for at least another week. Outstanding issues include whether to include a public insurance option in the bill, and issues around taxation of employer-sponsored health benefits. Meanwhile, the Senate Health, Education, Labor and Pensions Committee continued to consider amendments to its health reform bill, adding long-term care provisions to the bill this week after the Obama Administration urged their inclusion in the final legislation. The HELP Committee bill contains measures outlined in the Community Living Assistance Services and Supports (CLASS) Act, supported by CHA, and the provisions added this week would establish a voluntary long-term care insurance program to assist adults who are unable to perform two or more daily living activities. The "Tri-Committee" legislation in the House is expected to be finalized at the end of the week, and mark-ups are scheduled to begin next week.

    Mark Your Calendars!

    The North Dakota Catholic Conference will hold its annual Healthcare Workshop October 15, 2009 at St. Alexius Medical Center in Bismarck, ND. The topic of this year's workshop is Healthcare Reform.

    The workshop will feature presentations from Jeff Tieman, Senior Director of Health Reform Initiatives at Catholic Health Association, and Christopher Dodson, Executive Director of the North Dakota Catholic Conference.

    Registration for this event will begin September 1st and materials will be made available within the next few weeks.

    Celebrate Independence Day and Help Reform Health Care

    A call to action from the U.S. Conference of Catholic Bishops:

    Bishops, Catholic Health Care, Unions find Common Ground on Respecting Rights of Health Care Workers

    Unprecedented Dialogue among Leaders of Catholic Health Care, Labor and Bishops leads to ‘Guidance and Options’ on new ways forward on applying Catholic Teaching in workplace 

    WASHINGTON—The United States Conference of Catholic Bishops (USCCB), along with leaders from Catholic health care and the labor movement, released “guidance and options” for creating a fair process for health care workers to decide whether or not to form a union. Outlined in a new document entitled Respecting the Just Rights of Workers: Guidance and Options for Catholic Health Care and Unions, the principles reflect a unique and ground-breaking consensus between Catholic health care employers and unions and are the result of a dialogue that began more than a decade ago. The document can be found on the USCCB Web site at: www.usccb.org/sdwp/national/respecting_the_just_rights_of_workers.pdf
    The three-way dialogue was initiated by the USCCB in an effort to find common ground on alternative approaches for carrying out Catholic social teachings on the rights of workers to freely choose whether or not to be represented by unions.

    “Though they had different perspectives and points of view in many areas, the participants shared the conviction that it is up to workers—not bishops, hospital managers, or union leaders—to decide how they will be represented in the workplace,” said Cardinal Theodore McCarrick, who chaired the dialogue. “This remarkable dialogue produced an unprecedented agreement because of the principles of Catholic social teaching and the quality of the leaders involved.”

    The new
    Guidance and Options document offers seven key principles for appropriate conduct by both employer and union representatives that will help ensure that employees are able to make an informed decision without undue influence or pressure from either side. The document suggests that unions and employers agree, in writing, on the specific ways they will:
    • demonstrate respect for each other’s organization and mission,
    • provide workers with equal access to information from both sides,
    • adhere to standards for truthfulness and balance in their communications,
    • create a pressure-free environment,
    • allow workers to vote through a fair and expeditious process,
    • honor employees’ decision regardless of the outcome, and
    • create a system for enforcing these principles during the course of an organizing drive.
    “This approach depends on civil dialogue between unions and employers focusing on how the workers’ right to decide will be respected,” said Bishop William Murphy, Chairman of the Bishops’ Committee on Domestic Justice and Human Development and a dialogue participant. “By placing workers at the center of the process, the group affirmed the core of Catholic Social Doctrine.”

    Guidance and Options does not bind individual bishops, hospitals or unions. Rather it offers principles and practical alternatives for leaders of Catholic health care and unions who want to avoid the tension and conflict that often accompanies organizing drives. More than 600,000 employees work in nearly 600 Catholic hospitals nationwide.

    It took more than two years to reach agreement on the new principles, which build on the recommendations of an initial working paper issued in 1999 by the USCCB Subcommittee on Catholic Health Care and Work. In December 2006, the USCCB reconvened leaders of Catholic health care and unions to develop additional, practical guidance for achieving the recommendations in the original “A Fair and Just Workplace” paper.

    “Because Catholic Health Care is a ministry not an industry, how it treats its workers and how organized labor treats Catholic Health Care are not simply internal matters, but should reflect Catholic teaching on work and workers, heath care and the common good,”  said Cardinal McCarrick.

    CHA Project: I Can't Wait for Health Care Reform

    A new video from the Catholic Health Association:


    Learn more about the Catholic Health Association's commitment to health care reform at: www.OurHealthCareValues.org

    Go here for more on the bishops' position on health care reform.

    Affordable Health Insurance Elusive in Rural America

    From NCRLC:

    Family farmers and ranchers are considered small business owners and do not qualify for competitive health insurance rates. You can hear the challenges faced by Iowa farmer Linus Solberg in a story that aired this past weekend on
    National Public Radio.

    You will also hear from Larry Harbour, an entrepreneur and rural small business owner in Nebraska. Larry is one accident away from losing it all. Insurance would cost his family at least $24,000 per year, so he and his wife go without.

    Small business is the backbone of rural America, and
    Center for Rural Affairs Research Director Jon Bailey reports in the story that if you work for or own a small business, you are more likely to have inadequate health insurance, or none at all.

    Bishops Renew Call for Health Care Reform

    WASHINGTON—Expressing hope that the current dialogue would bring about real reform, Bishop William F. Murphy of Rockville Centre, N.Y. offered the U.S. bishops’ principles and criteria for health care reform in a May 20 statement to the Senate Committee on Finance’s Roundtable Discussion on “Expanding Health Care Coverage.” On May 21, the U.S. Conference of Catholic Bishops (USCCB) sent letters expressing the same message to the House, Senate and White House.

    Bishop Murphy, chairman of the Committee on Domestic Social Justice and Human Development of the USCCB, noted that the bishops “have been and continue to be consistent advocates for comprehensive health care reform leading to accessible and affordable health care for all,” renewing the bishops’ long-term support for health care reform.

    Saying it involves fundamental issues of human life and dignity, Bishop Murphy called health care a “critical component” of the ministry of the Catholic Church.

    “The Church provides health care, purchases health care and picks up the pieces of a failing health care system,” Bishop Murphy said. “The Catholic community encounters and serves the sick and uninsured in our emergency rooms, shelters and on the doorsteps of our parishes. One out of six patients is cared for in Catholic hospitals. We bring strong convictions and everyday experience to the issue of health care.”

    Bishop Murphy added that Congress should continue the federal funding prohibition on abortions and noted that, “No health care reform plan should compel us or others to pay for or participate in the destruction of human life.” Bishop Murphy further stated, “To preserve this principle is morally right and politically wise as well. No health care legislation that compels Americans to pay for or participate in abortion will find sufficient votes to pass.”

    He offered on behalf of the U.S. bishops, principles and criteria for health care reform. These included respect for life, priority concern for the poor, access for all, comprehensive benefits, equitable financing, pluralism and freedom of conscience.

    Noting that the U.S. bishops look forward to working with Congress on this issue, Bishop Murphy added, “Health care is a social good, and accessible and affordable health care for all benefits both individuals and the society as a whole. The moral measure of any health care reform proposal is whether it offers affordable and accessible health care to all, beginning with those most in need. This can be a matter of life or death, of dignity or deprivation.”

    The full text of Bishop Murphy’s statement is available online at
    http://www.usccb.org/sdwp/national/2009-05-usccb-health-care-statement.pdf.

    North Dakota to Set Up Health Care Directives Registry

    It is the result of SB 2237. Read about it here.

    Learn more about health care directives.

    Action Alert: SCHIP

    Contact Your Representatives and Ask them to Help North Dakota's Children --
    Vote Yes on HB 1478

    The North Dakota House of Representatives will soon vote on HB 1478 which would expand the current State Children's Health Insurance Program.   A conference committee met today on the bill, and we need to urge Representatives to support the Conference Committee report, which expands the program to cover children of the working poor who do not have health insurance up to 200% of the federal poverty level. 

    When: Contacts are needed Immediately in support of this effort.

    Message:
     Please support the Conference Committee report on HB 1478.

    When: Immediately.

    Who:
     North Dakota Representatives 

    Where:
     1-888-NDLEGIS (635-3447) or 701-328-3373 (local) or e-mail at the address listed at the Legislative Council website More information on contacting your legislators


    New Poll Shows Strong Support for Conscience Rights

    WASHINGTON—A nationwide poll conducted on March 23-25 found that 87 percent of adults surveyed believe it is important to “make sure that healthcare professionals in America are not forced to participate in procedures and practices to which they have moral objections.” Conducted by the polling company™, inc./WomanTrend on behalf of the Christian Medical Association (CMA), the survey also showed majority support even among self-identified “pro-choice” respondents for the two-month-old conscience protection regulation now at risk of being rescinded by the Department of Health and Human Services (HHS). Deirdre McQuade, spokeswoman on abortion at the U.S. Conference of Catholic Bishops (USCCB), welcomed the data and urged HHS to keep the current regulation in place.
                “The Obama administration has moved to rescind a vital HHS regulation protecting the conscience rights of health care providers,” McQuade said, “But according to this new survey, the majority of Americans—whether ‘pro-life’ or ‘pro-choice’, male or female, Republican or Democratic—support the regulation and oppose its rescission.”
                The survey summary and methodology are available at
    www.freedom2care.org. The Freedom2Care Coalition is an ad hoc coalition organized by the CMA to defend the conscience rights of health care professionals and students.
                The USCCB and Freedom2Care are helping Americans voice their support for the regulations by midnight April 9 when the public comment period draws to a close. To date, a total of over 73,000 e-mail messages have been sent to HHS through Freedom2Care.org and the
    USCCB’s e-mail campaign facilitated by its partner organization, the National Committee for a Human Life Amendment.
    “Only one day remains to defend the existing regulation,” McQuade explained. “I urge all concerned citizens to e-mail HHS and pray for the protection of conscience rights.”
                The USCCB has advocated for the strongest possible protection for conscience rights since the current regulation was first considered in the summer of 2008. For additional resources, including links to the e-mail campaign and bi-lingual YouTube videos of medical professionals and USCCB president Cardinal Francis George, visit: www.usccb.org/conscienceprotection.

    Protecting Conscience Rights in Health Care: Our Voice is Needed!

    The U.S. Department of Health and Human Services (HHS) is inviting public comment on a proposal to rescind an important federal regulation issued in December. The regulation implements and enforces three federal laws protecting the conscience rights of health care providers, especially those at risk of being discriminated against because of their moral or religious objection to abortion.

    The Catholic community must speak out to protect Catholic doctors, nurses and hospitals.

    Additional Information & Conscience Protection Resources

    Update on Various Bills

    The state legislature will take up several important bills when it returns from the flood-fighting recess. Now is the time to contact your legislators on these bills.

    Senate Bill 2278 - Adds Sexual Orientation to Human Rights Act


    The bill goes to the House floor for a final vote next week.

    While the Catholic Church condemns arbitrary discrimination and prejudice against a person because of sexual attraction, the North Dakota Catholic Conference opposes this bill for several reasons.

    • The bill contains no real protections for religious entities
    • The bill contains no protections for faith-driven organizations not owned by churches
    • It does not expressly exempt youth and scouting organizations
    • The bill’s definition of “sexual orientation” encompasses acts, including sexual acts outside of marriage
    • Existing law already protects workers engaged in lawful activities outside of work

    Contact your Representatives and urge them to vote “No” on SB 2278. Let them know you do not condone unjust discrimination because of sexual attraction, but that SB 2278 is a bad bill.


    Senate Bill 2283 - Health Care for Pregnant Women and Unborn Children


    The bill is on the House calendar and could be voted on as early as Monday.

    Contact your Representatives and urge them to vote “Yes” on SB 2283.

    Go here to find out more.


    House Bill 1371 - Ultrasound Bill


    Received a favorable recommendation from the Human Services Committee, but the full Senate still has to vote on it.

    Contact your Senator and urge him or her to vote “Yes” on HB 1371.


    House Concurrent Resolution 3015 - Anti-FOCA Resolution


    Received a favorable recommendation from the Human Services Committee, but the full Senate still have to vote on it.

    Contact your Senator and urge him or her to vote “Yes” on HCR 3105.


    House Bill 1445 - Woman told before abortion that the act will terminate the life of a whole, separate, unique, living human being.


    The bill is still in the Senate Judiciary Committee, which will probably act on it early next week.

    The North Dakota Catholic Conference does not send out action alerts until a committee completes action on the bill. You may contact the Judiciary Committee and urge them to support HB 1445 without amendments.


    House Bill 1572 - “Personhood Bill”


    The bill is still in the Senate Judiciary Committee, which will probably act on it early next week.

    The North Dakota Catholic Conference does not send out action alerts until a committee completes action on the bill. You may contact the Judiciary Committee and urge them to support the Catholic Conference’s proposed amendments to HB 1572.

    Go here for more information.


    House Bill 1478 - Children’s Health Insurance


    The Human Services Committee restored the Governor’s recommendation to expand coverage to 200% of the federal poverty level. The bill is now being reviewed by the Senate Appropriations Committee.

    The North Dakota Catholic Conference does not send out action alerts until a committee completes action on the bill. You may contact the Appropriations Committee and urge them to support funding the Children’s Health Insurance Program to at least 200% of the federal poverty level.

    Contact Information:

    1-888-NDLEGIS (635-3447) or 701-328-3373 (local) or e-mail at the address listed at the Legislative Council website.

    More information on contacting your legislators.

    Senate Judiciary (for HB 1445 and HB 1572)
    Dave Nething - Chairman
    Curtis Olafson - Vice Chairman
    Tom Fiebiger
    Stanley W. Lyson
    Carolyn Nelson
    Mac Schneider

    Senate Appropriations Committee (For HB 1478)
    Ray Holmberg - Chairman
    Bill Bowman - Vice Chairman
    Tony S. Grindberg - Vice Chairman
    Randel Christmann
    Tom Fischer
    Ralph L. Kilzer
    Aaron Krauter
    Karen K. Krebsbach
    Elroy N. Lindaas
    Tim Mathern
    Larry J. Robinson
    Tom Seymour
    Rich Wardner
    John Warner

    Action Alert: Health Care for Pregnant Women and their Unborn Children

    Call Your Representatives and Ask them to Help Low-income Pregnant Women and their Unborn Children --Vote Yes on SB 2283

    The North Dakota House of Representatives will soon vote on SB 2283, which would expand medical assistance to low-income pregnant women. Calls are needed Immediately in support of this modest, but important, effort to ensure that poor pregnant women and their unborn children receive essential health care.

    Message: Please vote Yes on Senate Bill 2283, to help pregnant women and their unborn children.

    When:
    Immediately. The bill is already on the House calendar.

    Who:
    North Dakota Representatives

    Where: 1-888-NDLEGIS (635-3447) or 701-328-3373 (local) or e-mail at the address listed at the Legislative Council website.

    More information on contacting your legislators.

    More information about SB 2283:

    • North Dakota ranks at the bottom among states when it comes to providing prenatal care to low-income women and their unborn children.
    • The bill only extends coverage to pregnant women at less than 165% of the federal poverty level.
    • Most of the funding for the bill comes from federal sources.
    • Coverage does not include abortion.
    • Mothers who do not receive prenatal care are three times more likely to give birth to a low weight baby and their baby is five times more likely to die.
    • In Catholic teaching, a person’s access to basic health care should not depend on how much a person earns. This is especially true for the unborn child, who should not be denied health care because his or her mother cannot afford it.

    Cover the Uninsured Week

    "Cover the Uninsured Week" is coming up soon: March 22-28, 2009. The nation has begun a vigorous debate and this is an opportune time to begin praying, learning and advocating for health care reform. Here is a two-page handout with resources for you to use and to share with others.

    Children's Health Care

    The conference testified today in support of HB 1478 and in favor of amending the bill to reflect the Governor’s budget recommendation of covering children to 200% of the poverty level. Read the testimony and contact members of the Senate Human Services Committee and express your support for the Governor’s proposal.

    Judy Lee - Chairman
    Robert S. Erbele - Vice Chairman
    Dick Dever
    Joan Heckaman
    Richard Marcellais
    Jim Pomeroy

    Action Alert - Children's Health Insurance

    The North Dakota Catholic Conference supports two bills to cover more children in the state’s SCHIP program and one to help pregnant women.

    House Bill 1478 contains Governor Hoeven’s recommendation to boost coverage levels to 200% of the federal poverty level. The bill is now before the House Human Services Committee.

    Senate Bill 2362 contains the same proposal, but also includes a buy-in program on sliding fee scale for families above that level. The bill is in the Senate Human Services Committee.

    Also before the
    Senate Human Services Committee is Senate Bill 2283, which would expand medical assistance coverage for poor pregnant women.

    U.S. Senate Rejects SCHIP Unborn Child Amendment

    The U.S. Senate failed to adopt the Hatch Amendment to allow states to include unborn children in the SCHIP program. Both Senators Conrad and Dorgan voted against the amendment. Please contact them to respectfully express your disappointment.

    Urgent Action Alert -- SCHIP Unborn Child Amendment

    Within the next couple of days the U.S. Senate will vote on an important amendment to SCHIP.

    Senator Orrin Hatch (R-Utah) has introduced an amendment to the SCHIP authorization bill that would codify in the law provisions currently included in regulations that allow states to interpret the word "child" to include the period from conception to birth. This move would allow states to retain choice and flexibility in how best to provide essential health services to pregnant women and children. Access to prenatal care will allow more children to be born in good health, without a need for more extensive and expensive medical intervention.

    Senator Kent Conrad and Senator Byron Dorgan have been identified as key to getting this amendment passed.

    Please call or e-mail Senators Conrad and Dorgan and ask them to support the Hatch Unborn Child Amendment to the SCHIP Authorization Bill.

    Read U.S. Bishops Letter to Members of the Senate

    Senator Kent Conrad
    Washington: (202) 224-2043
    Bismarck: (701) 258-4648
    Toll Free: 1-800-223-4457
    Fargo: Telephone: (701) 232-8030
    Grand Forks: Telephone: (701) 775-9601
    Minot: Telephone: (701) 852-0703
    senator@conrad.senate.gov

    Senator Byron L. Dorgan
    Washington: (202) 224-2551
    Bismarck: (701) 250-4618
    Toll Free: 1-800-666-4482
    Fargo: (701) 239-5389
    Grand Forks: (701) 746-8972
    Minot: (701) 852-0703
    senator@dorgan.senate.gov

    Action Alert from USCCB on SCHIP

    Call Your Senator: Urge Support and Improvements to Children’s Health Bill (SCHIP)

    TAKE ACTION NOW! Call your senators about the State Children’s Health Insurance Program (SCHIP) and urge them to support:

    • increased funding to reduce the number of uninsured children by nearly half, maintaining and expanding coverage, reducing enrollment barriers, and expanding outreach, and respecting the roles of families;
    • provisions in the legislation allowing states to interpret the word “child” to include the period from conception to birth;
    • coverage for legal immigrant children and legal immigrant pregnant women;

    Read the Full Action Alert!

    Two New Testimonies Posted

    Two new testimonies have been posted:

    SB 2195 - Relating to Organ Donation

    HB 1185 - To Prohibit Human Trafficking

    Rob Peter to Pay Paul? Important Action Alerts!

    The House Finance and Tax Committee will consider three important bills on Wednesday (January 14.)

    The first is House Bill 1190. This bill allows a North Dakota tax credit for contributions made to nonprofit private colleges or high schools.
    Urge Committee Members to Support HB 1190.

    The second bill is HB 1200. This bill will take away the property tax exemptions for hospitals and nursing homes and make them subject to local taxes for fire, law enforcement and emergency services. The bill also removes the exemption for group homes, YMCAs and other organizations. The bill would have a major impact on public charities and must be defeated.
    Urge Committee Members to Oppose HB 1200.

    The third bill is HB 1203. This bill allows North Dakota tax credits for contributions to nonprofit foundations with certain endowments. This will be a major benefit to Catholic schools and other nonprofit organizations. Urge Committee Members to Support HB 1203.

    2009 House Finance and Taxation Committee

    Wesley R. Belter wbelter@nd.gov R-Leonard, - Chairman
    David Drovdal
    ddrovdal@nd.gov R – Arnegard, - Vice Chairman
    Michael D. Brandenburg,
    mbrandenburg@nd.gov R-Edgeley
    Glen Froseth,
    gfroseth@nd.gov R-Kenmare
    Bette B. Grande,
    bgrande@nd.gov R – West Fargo
    Craig Headland,
    cheadland@nd.gov R - Montpelier
    Dave Weiler, dweiler@nd.gov R - Bismarck
    Dwight Wrangham,
    dwrangham@nd.gov R - Bismarck
    Rod Froelich,
    rfroelich@nd.gov D - Selfridge
    Scot Kelsh,
    skelsh@nd.gov D – Fargo
    Louis Pinkerton,
    lpinkerton@nd.gov D-Minot
    Arlo E. Schmidt,
    arschmidt@nd.gov D – Maddock
    Lonny Winrich,
    lbwinrich@nd.gov D-Grand Forks

    Some First Week Numbers


    Legislative Days So Far: 4
    Bills Introduced: 471
    Bills Being Watched by the North Dakota Catholic Conference: 70
    Number of those Bills Related to Health Care: 20
    Kids without health insurance who would be added to the SCHIP Program under the Governor's plan: 1,158

    Dignitas Personae

    The Congregation for the Doctrine of the Faith has released an important document on the dignity of human life at its earliest stages. The document addresses a number of issues, focusing on how the dignity of the human person is violated, challenged, and threatened by new scientific and political practices.

    Find the the document and related items here.

    Covering the Children

    In Catholic teaching, health care is a right, not a privilege. As lawmakers prepare for the next legislative session, there is a move to cover more of the children of the working poor. A recent graphic from the Forum illustrates the situation.


    Governor Releases Budget

    Governor John Hoeven has released his budget recommendations for the 2009-11 biennium. Among the highlights (as reported by the Associated Press):

    MEDICAL COSTS: Reimbursement rates for medical providers, including doctors, dentists and chiropractors, who provide services to Medicaid patients are increased to a higher base level. Hoeven also proposes increasing those higher rates by 7 percent annually.

    CHILD HEALTH CARE: North Dakota families with incomes up to twice as high as the federal poverty level would be eligible for health insurance coverage for their children. The current limit for the Children's Health Insurance Program is 150 percent of the poverty level. The proposal would make more than 3,000 children newly eligible for the program.

    Hoeven's budget includes $1.1 million in state funds to increase eligibility to 200 percent, which equals an annual income of $42,400 for a family of four. The total added expense is $4.4 million. The remaining $3.3 million would be paid by the federal government.

    FEDERAL MONEY: Congress is being asked to provide almost 37 percent of Hoeven's proposed $7.71 billion budget over two years. Federal money provides significant chunks of the budgets of two of the state's largest agencies, the Department of Human Services and the Department of Transportation.

    CHILD CARE CHECKS: Attorney General Wayne Stenehjem's office would get $900,000 and authorization to hire five new employees to cover the Bureau of Criminal Investigation's costs for conducting criminal background checks on child care workers.

    Register for ND Catholic Health Care Annual Conference

    Registration is now open for the annual conference of North Dakota Catholic Health Care Providers.

    The theme for this year’s conference is: Faithfully Facing our Future: Challenges and Choices in Catholic Health Care in North Dakota.

    The program features:

    Carl Middleton, Vice President of Theology and Ethics, Catholic Health Initiatives

    Lynette Dickson, Program Director of the Center for Rural Health, University of North Dakota

    Christopher Dodson, Executive Director, North Dakota Catholic Conference

    Registration is open to the public.

    Go here to register online.

    Register for ND Catholic Health Care Annual Conference

    Registration is now open for the annual conference of North Dakota Catholic Health Care Providers.

    The theme for this year’s conference is: Faithfully Facing our Future: Challenges and Choices in Catholic Health Care in North Dakota.

    The program features:

    Carl Middleton, Vice President of Theology and Ethics, Catholic Health Initiatives

    Lynette Dickson, Program Director of the Center for Rural Health, University of North Dakota

    Christopher Dodson, Executive Director, North Dakota Catholic Conference

    Registration is open to the public.

    Go here to register online.

    Mental Health Bill Included in Senate Tax Measure

    Mental health parity legislation has been included in another must-pass measure prior to adjournment, the tax extenders bill in the Senate. The House still plans to consider the mental health bill as a stand-alone measure, probably next week. The legislation previously had passed in both the House and Senate to address health insurance discrimination due to federal law allowing arbitrary barriers to coverage of needed mental health services, but failed to make it out of conference committee. The Catholic Health Association supports legislation to close the loopholes in the existing partial parity law by outlawing arbitrary benefit limits, and has urged Congress to approve a final version of the legislation before adjourning.

    Catholic Health Care Conference

    Faithfully Facing our Future: Challenges and Choices for Catholic Health Care in North Dakota

    North Dakota’s Catholic Health Care providers will gather for their annual conference on October, 14, 2008 in Bismarck.

    This year’s conference will focus on how to preserve mission and make ethically-based choices in an increasingly difficult financial environment. Guest speakers include:

    Carl Middleton
    Vice President,  Theology and Ethics
    Catholic Health Initiatives

    Lynette Dickson
    Project Director for the State Office of Rural Health (SORH) Grant Program at the Center for Rural Health at the University of North Dakota (UND)

    The conference is open to the public.

    For registration information, call 1-800-419-1237 or
    contact the North Dakota Catholic Conference.

    Senate Approves Medicare Bill

    A veto-proof majority voted July 9 to approve the House-passed Medicare physician payment fix, with 18 Republicans joining all Democrats to approve the bill two weeks after it initially failed to gain cloture. Although the White House expressed continuing opposition to the bill following the vote, the 69-30 tally indicates the potential support to override a veto, as did the 359-55 earlier vote in the House. The Catholic Health Association and others supported efforts to prevent the physician payment cuts and improve access and coverage for low-income Medicare beneficiaries.

    Senate Vote Falls Short on House Approved Medicare Package

    News from the Catholic Health Association on legislation that would help North Dakota’s hospitals:

    The Senate cloture vote that would have led to passage of the House approved Medicare bill (HR 6331) failed, 58-40, falling short of the 60 votes required. Senate Majority Leader Reid only allowed a floor vote on the House approved Medicare bill and did not bring the tentative Medicare compromise worked out earlier in the week between Senator Max Baucus, D-MT, and Sen. Charles E. Grassley, R-Iowa, to the floor for a vote. Senate Democratic leadership believed that with the overwhelming veto proof vote in the House, the Senate would be able to muster the 60 votes.

    The House voted earlier this week 355-59 to approve the Medicare Improvements for Patients and Providers Act, H.R. 6331, that would block a July 1 physician payment cut, strengthens low-income beneficiary protections, and includes a number of hospital provisions. The bill would freeze physician payments for 2008 and provide a 1.1% increase for physicians in 2009. Similar to the legislation sponsored by Senate Finance Chairman Max Baucus (D-MT), the bill also would extend the Medicare Rural Hospital Flexibility grant program; provide rebasing for sole community hospitals; extend and expand the outpatient hold-harmless provision for small rural and sole community hospitals; and extend Section 508 reclassification. In addition, the House bill would delay for 18 months the competitive bidding program for Durable Medical Equipment (DMEPOS).

    With the cuts to physician rates now scheduled to go through, Congress will have the option of returning after the recess and passing a retroactive bill that will restore payment rates and make up for the cuts. That will likely create an administrative headache, however, and had long been seen as an undesirable outcome.

    SCHIP Expansion Approved

    The North Dakota Catholic Conference was among those who supported a plan in the 2007 session to expand eligibility in the state children’s health insurance program from 140% of the poverty level to 150%. This proposal, however, hit a federal rule snag and did not go into effect. This week, the Department of Human Services received approval from the Center for Medicare and Medicaid Services to increase the eligibility level.

    Health Care Directive Workshop

    The North Dakota Catholic Conference conducts workshops on completing the Catholic Health Care Directive. A pdf version of the workshop slides is now available.

    New Column

    New column posted on the new health care directives, Faithful Citizenship, and upcoming health care conference.

    New Health Care Directives and Website

    Three years ago, the North Dakota Catholic Conference published a Catholic health care directive that met North Dakota law, reflected Catholic teaching, and incorporated the advice of  health care providers, ethicists, lawyers, chaplains, and experienced laypersons.  

    The Catholic health care directive proved very popular.  Thousands were requested and sent out from our office.  Other state Catholic conferences and diocese have used the documents as a model for their own advance directives. 
     
    We have now revised the Catholic health care directive.  Don’t worry if you used the 2005 version.  It is still good.  The new version merely incorporates some facts we learned during the last three years, makes it more user-friendly, and even a little shorter.

    We have also created a 
    new website. The new site has an easy to use order/download form.  You can download the copies you need or order multiple copies from the conference at no charge.  The website also contains useful information on directives, end-of-life care, Catholic principles on health care decisions, bulletin inserts and links to additional information.

    Please visit the
    new site and take advantage of this opportunity to ensure that health care decisions conform to your Catholic wishes.

    HHS Secretary Leavitt Praised For Defending Physicians’ Conscience Rights

    WASHINGTON— Health and Human Services Secretary Mike Leavitt was praised for defending physicians’ conscience rights by Deirdre McQuade, spokesperson on pro-life issues for the U.S. Conference of Catholic Bishops. She made her comments on March 19 following a public attack on Secretary Leavitt by the Religious Coalition for Reproductive Choice.

    The attack was prompted by a March 14 letter from Secretary Leavitt to the American Board of Obstetrics and Gynecology (ABOG), expressing concern about a new ethics opinion from the American College of Obstetricians and Gynecologists (ACOG) calling on conscientiously opposed physicians to perform or refer for abortions. Ms. McQuade’s statement follows.


    “Secretary Leavitt should be commended for defending federal laws protecting the conscience rights of physicians. The new ACOG ethics opinion calling on pro-life OB/GYNs to perform or refer for abortions is in direct conflict with the policy reflected in federal law since 1973. Indeed, just yesterday, a federal judge in California dismissed a challenge to a federal law protecting physicians in government programs from being forced to do abortion referrals.
     
    “If the American Board of Obstetrics and Gynecology relies on the ACOG opinion when deciding whether to grant board certifications, hospitals could find themselves illegally discriminating against perfectly qualified physicians who have been denied certification for ideological reasons. Any HHS Secretary should be concerned about the possibility of federal health care institutions placing themselves in conflict with federal law.
     
    “The Religious Coalition for Reproductive Rights (RCRR), formerly known as the Religious Coalition for Abortion Rights, has nonetheless launched a personal attack on Secretary Leavitt for doing his job. RCRR’s March 18 news release accuses the Secretary of displaying a ‘narrow view of conscience,’ ‘disregard’ for women,’ and a ‘dogmatic indifference to the patient.’ 
     
    “But it is RCRR that has a narrow view of conscience – so narrow as to recognize a genuine conscience claim only among those who happen to agree with RCRR about abortion. In fact, women and men, physicians and non-physicians, have a fundamental right not to be forced to participate in actions they believe are gravely wrong, especially actions involving the taking of an innocent human life. Moreover, most OB/GYNs in training today are themselves women, and these women have rights, too.
     
    “The abortion industry -- and its allies in medical groups -- have often complained that so few doctors are willing to perform abortions, but that is no excuse for coercing pro-life physicians to do their dirty work. The movement that used to call itself “pro-choice” is becoming a parody of itself.”
     

    Senate Approves Pro-Life Vitter Amendment -- North Dakota Senators Voted Against

    Today, February 26, the U.S. Senate approved the Vitter Amendment, 52-yes, 42-no, 6-not voting (Roll Call 30). The Vitter Amendment places the language of the Hyde Amendment abortion funding restrictions in the bill reauthorizing the Indian Health Service, the Indian Health Care Improvement Act Amendments, S. 1200.

    Senators Kent Conrad and Byron Dorgan voted AGAINST the amendment.

     
    Please contact them and express your disappointment that they did not support this amendment to ensure that taxpayer funds are not used for abortion on demand.

    Senator Byron L. Dorgan

    Washington: (202) 224-2551
    Bismarck: (701) 250-4618
    Toll Free: 1-800-666-4482
    Fargo: (701) 239-5389
    Grand Forks: (701) 746-8972
    Minot: (701) 852-0703
    senator@dorgan.senate.gov

    Senator Kent Conrad

    Washington: (202) 224-2043
    Bismarck: (701) 258-4648
    Toll Free: 1-800-223-4457
    Fargo: Telephone: (701) 232-8030
    Grand Forks: Telephone: (701) 775-9601
    Minot: Telephone: (701) 852-0703
    senator@conrad.senate.gov
       

    Action Alert: Support SCHIP and the Unborn Child Rule

    Please call your Senators and tell them to support a State Children’s Health Insurance Program (SCHIP) bill that includes codifying the unborn child rule.  
     
    The Senate is expected to vote on the SCHIP bill the week of October 29.
     
    You may call your Senators through the Capitol switchboard at 202-224-3121 or:

    Senator Kent Conrad
    Washington: (202) 224-2043
    Bismarck: (701) 258-4648
    Toll Free: 1-800-223-4457
    Fargo: Telephone: (701) 232-8030
    Grand Forks: Telephone: (701) 775-9601
    Minot: Telephone: (701) 852-0703
    senator@conrad.senate.gov

    Senator Byron L. Dorgan
    Washington: (202) 224-2551
    Bismarck: (701) 250-4618
    Toll Free: 1-800-666-4482
    Fargo: (701) 239-5389
    Grand Forks: (701) 746-8972
    Minot: (701) 852-0703
    senator@dorgan.senate.gov

      
    Action Needed:
     
    Congress should improve the SCHIP bill and garner strong bipartisan support. The bill can be improved in ways that will strengthen and increase support for SCHIP by making the regulation providing states the option to enroll the unborn child in their SCHIP programs permanent.
     
    A final SCHIP reauthorization should codify the unborn child rule, so states are secure in being able to choose life-affirming health services for needy children and their mothers without involvement in abortion. Without the unborn child option, the only way states could provide prenatal care would be by defining the pregnant woman as the patient in need of “child health assistance," which would trigger funding for abortion. Also, many children born as U.S. citizens would not receive needed prenatal care because of their mother’s immigration status.
     
    The legislation should also maintain and expand coverage, reduce enrollment barriers, and expand outreach. Sufficient funding should be included in order to provide health care coverage to an additional four million more low-income children, reducing the number of uninsured children by nearly half. 

    USCCB Position:
     
    “As Catholic organizations united by our common faith and committed to the principles of Catholic social teaching, we recognize and affirm the sanctity of human life from conception to natural death and the inherent dignity of every human being. We consider access to adequate health care to be a basic human right, necessary for the development and maintenance of life and for the ability of human beings to realize the fullness of their dignity. A just society is one that protects and promotes fundamental human rights and dignity, with special attention to meeting the basic needs of children and the vulnerable, including the need for safe and affordable health care.” (Letter to Senate Budget Committee from USCCB, Catholic Charities USA, and Catholic Health Association, March 15, 2007)
     
    “The United States Conference of Catholic Bishops has worked persistently to support and strengthen the nation’s vital efforts to provide adequate and affordable health care, especially to the most vulnerable members of our society, our children. We have joined with Catholic Health Association and Catholic Charities USA to encourage Congress to strengthen, expand and improve the State Children’s Health Insurance Program (SCHIP). We urge the Congress not to turn away from this essential national priority, but to renew its efforts to enact a strong, effective and improved national investment in the health of our children.
     
    ...We are convinced the bill can also be improved in ways that will strengthen and increase support for SCHIP. In 2002, the Department of Health and Human Services improved SCHIP by allowing states to interpret the word “child” in the statute to include the period from conception to birth. Twelve states (AR, CA, IL, LA, MA, MI, MN, RI, TN, TX, WA, WI) have already chosen to provide health care to pregnant women and their unborn children under this regulatory option.
     
    Codifying this option will allow states to retain choice and  flexibility in how best to provide essential health services to pregnant women and children. Access to prenatal care will allow more children to be born in good health, without a need for more extensive and expensive medical intervention. States will be able to choose improved coverage for unborn children and their mothers, without being required to expand state funding for abortions which would be especially tragic in a program dedicated to the lives and health of children…” (Letter to members of U.S. Congress from Bishop DiMarzio, Chairman of the USCCB Domestic Policy Committee, October 24, 2007)

     
    We urge Congress not to turn away from the effort to reauthorize SCHIP. Congress has a responsibility to support this successful program and improve it by including coverage of the unborn child. Congress should enact a strong, effective, and improved national investment in the health of our children.
     

    Background:
     
    The SCHIP program is now in the process of being reauthorized. Temporary funding for SCHIP has been included in the Continuing Resolution (H.J. Res. 52) that will keep the government running to November 16, 2007. A first bill (H.R. 976) was vetoed by the president, and the veto was sustained. A revised bill (H.R. 3963) was passed by the House on October 25, 2007 by a vote of 265-142. This is not a veto proof majority. It is expected that the Senate will act on the legislation during this week. The president has threatened to veto the revised bill in its current form.

    For more information on the unborn child rule see:
    http://www.nchla.org/actiondisplay.asp?ID=258
    To see a copy of at letter from USCCB to the Senators: http://ndcatholic.org/files/SenateSCHIPLetter.pdf

    SCHIP Position

    The North Dakota Catholic Conference has long supported the State Children's Health Insurance Program and has supported its expansion in North Dakota. The conference has also called on the federal government to renew and adequately fund the program.

    Since the vote on whether to override the President's veto is a federal matter, the North Dakota Catholic Conference will take direction, if any, on the matter from the United States Conference of Catholic Bishops (USCCB.) USCCB has historically supported SCHIP and has been involved in discussions regarding the renewal of the program. At this time, however, it has not expressed a position on the vote on whether to override the President's veto.

    Since some abortion proponents attempted to include abortion funding in SCHIP and to prohibit states from including unborn children as “children” under the law, some persons are under the impression that USCCB opposes the current legislation. This is not true. Those efforts were defeated and the bill sent to President Bush retain the current law's prohibitions on using SCHIP for abortion.

    For further clarification, the Catholic Health Association and Catholic Charities – USA supported the SCHIP legislation passed by Congress and which the President vetoed.

    Vatican Answers Questions on Nutrition and Hydration

    Here's the Press Release from USCCB:

    WASHINGTON—In response to a request by the U. S. Conference of Catholic Bishops, the Congregation for the Doctrine of the Faith has reaffirmed the Catholic Church’s teaching on providing nutrition and hydration to patients in a persistent “vegetative state.”


    The bishops presented two questions in a formal manner, known as a “dubium,” to the Congregation. The reply, which was approved by Pope Benedict XVI.


    The responses reaffirm the church position that patients in a “vegetative state” are living human beings with inherent dignity and deserve the same basic care as other patients. This basic care would include nutrition and hydration, even when provided through artificial assistance.

    “The administration of food and water even by artificial means is, in principle, an ordinary and proportionate means of preserving life,” according to the Congregation’s response. “It is therefore obligatory to the extent to which, and for as long as, it is shown to accomplish its proper finality, which is the hydration and nourishment of the patient. In this way suffering and death by starvation and dehydration are prevented.”

    The bishops also asked for clarification as to whether nutrition and hydration could be removed if physicians determined that the patient would never recover consciousness. The Congregation affirmed that the patient must receive “ordinary and proportionate care which includes, in principle, the administration of water and food even by artificial means” regardless of the prognosis of recovery of consciousness.

    A Vatican commentary noted some possible exceptions.

    “When stating that the administration of food and water is morally obligatory in principle, the Congregation for the Doctrine of the Faith does not exclude the possibility that, in very remote places or in situations of extreme poverty, the artificial provision of food and water may be physically impossible,” it said.

    “Nor is the possibility excluded that, due to emerging complications, a patient may be unable to assimilate food and liquids, so that their provision becomes altogether useless. Finally, the possibility is not absolutely excluded that, in some rare cases, artificial nourishment and hydration may be excessively burdensome for the patient or may cause significant physical discomfort, for example resulting from complications in the use of the means employed.”

    “These exceptional cases, however, take nothing away from the general ethical criterion, according to which the provision of water and food, even by artificial means, always represents a natural means for preserving life, and is not a therapeutic treatment. Its use should therefore be considered ordinary and proportionate, even when the “vegetative state” is prolonged,” it added.

    The bishops asked the Holy See for clarification of the Church’s teaching after Pope John Paul II’s address on March 20, 2004, to an international congress sponsored by the Pontifical Academy for Life and the World Federation of Catholic Medical Associations.

    “We are grateful that the Congregation for the Doctrine of the Faith responded to our request with such a thorough investigation and explanation,” Bishop William E. Lori of Bridgeport, Connecticut, chair of the U.S. bishops’ Committee for Doctrine, said in introducing the Response. “We hope the Church’s documents on this issue will provide help and guidance to pastors, ethicists, doctors, nurses and families involved in the care of those diagnosed as being in a persistent ‘vegetative state.’”

    The responses from the Congregation for the Doctrine of the Faith (CDF)  ( www.usccb.org/comm/hydrationletter.doc ), a CDF commentary ( www.usccb.org/comm/hydrationcommentary.doc ), approved by Cardinal William Levada and bishop members of the Congregation for the Doctrine of the Faith, and a Q&A from the USCCB Committee on Doctrine and Committee on Pro-Life Activities  ( www.usccb.org/comm/hydrationq&a.doc ) can be found on the Web.

    Life Issues Workshop October 27

    The Respect Life Office of the Fargo Diocese will host a one-day workshop on Life Issues Saturday, October 27, 2007, 9 am. - 4 pm at Cardinal Muench Seminary, 100 35th Ave NE, Fargo.

    Morning presentations on beginning-of-life issues include: “Prenatal Testing and Perinatal Hospice” by Dr. Richard Vetter and “Women’s Health Issues” by Dr. Mary W. Martin, FACOG.

    Afternoon workshops will focus on end-of-life care. Presentations include “Ethical Approach to End-of-Life Care Decisions” by Fr. Dale Kinzler, “The Catholic Health Care Directive” by Christopher Dodson, and “Catholic Funerals and Cremation” by Fr. Brian Moen.

    Parish nurses, health care providers and interested persons are encouraged to attend. Contact hours will be available for nurses. Cost is $10/person. Lunch will be provided. Registration is required. For more information contact Rachelle, 701-356-7910, e-mail: rachelle.sauvageau@fargodiocese.org.
    Click here for a registration form.

    Story on SCHIP and North Dakota

    Today's Fargo Forum has a story on the success of the state children's health insurance program and the efforts in Washington to renew the program.

    Organ Donation Conference -- Registration Form Now On-Line

    Go here for more information on the Catholic Health Care Conference on Organ Donation on October 9, 2007 in Bismarck.

    CHA Brings 30 Diverse Organizations Together To Support SCHIP Reauthorization and Oppose the President's Veto Threat

    As congressional action progresses in both chambers on children's health legislation, Catholic Health Association organized a large, diverse group to emphasize support for SCHIP reauthorization at a press conference July 25 in the U.S. Capitol. The coalition included representatives from prominent health care, labor, business, religious, consumer, child advocacy groups, and think tanks. Speakers urged Congress to keep moving forward and quickly reauthorize SCHIP, while also asking the Administration to reconsider its opposition to the legislation currently proposed. CHA President and CEO Sr. Carol Keehan, DC, also released new polling data commissioned by CHA showing strong public support for SCHIP as well as opposition to the president's veto threat. Following the press conference, CHA delivered teddy bears symbolizing the coalition's theme ("Losing SCHIP Would Be Unbearable") to congressional offices along with the coalition message to keep supporting the children's health coverage program. More information about the press event is available on the CHA website.

    Health Care Conference on Organ Donation

    North Dakota's Catholic Health Care providers will gather October 9, 2007 for their annual conference. This year's conference will focus on ethical issues in human organ transplantation The conference “Sharing the Gift of Life: Organ Donation and Transplantation” will host speakers Fr. Tadeusz Pacholczyk, PhD, National Catholic Bioethics Center, Dr. Bhargav Mistry, Director Transplant Program, Meritcare, and Susan Mau Larson, APR, Life Source.  The conference will be held at St. Alexius Hospital, Bismarck, ND. Cost is $75 per person and includes lunch. This event is sponsored by the North Dakota Catholic Conference and the Diocese of Fargo Respect Life Office. For more information contact Rachelle Sauvageau, 701-356-7910. 

    Check back for more information.

    Health Care Directives Pages Revised

    We've revised the Catholic Health Care Directives pages to reflect two new laws that go into effect August 1, 2007.

    Cover the Uninsured Week - Must Visit Links

    April 23 - 29 is Cover the Uninsured Week

    In North Dakota, out of a total population of 636,677 people, 12.2% do not have health insurance coverage. 8.6% of North Dakota's children are uninsured -- that is over 12,400 children!

    Go here for more information about the uninsured in North Dakota.

    Find out about the U.S. Bishops' Involvement in Cover the Uninsured Week.

    Find out about the Catholic Health Association's involvement in Cover the Uninsured Week.

    Visit the Cover the Uninsured Week web site.

    Children's Health Insurance -- State Activities

    There was hope this session that the legislature could expand the number of children eligible for Healthy Steps, the state's children's health insurance program. House Bill 1463, along with a "continuous eligibility" provision in Senate Bill 2012 (the Department of Human Services budget) were supposed to accomplish this goal.

    However, the proposal has hit a snag due to a federal regulation
    and the House Appropriations Committee has removed the continuous eligibility provision in SB 2012.

    It's not over yet, though. The proposal could still be salvaged. Doing so should be a top priority.

    Children's Health Insurance -- National Activities

    The leaders of three national Catholic organizations have called on Congress to strengthen and expand a federal health program that provides health insurance coverage for children.

    In a letter to the House and Senate Budget Committees, the United States Conference of Catholic Bishops (USCCB), Catholic Health Association of the United States (CHA), and Catholic Charities USA urged Congress to adequately fund the State Children’s Health Insurance Program (SCHIP) so that all children eligible for the program get health care.

    In a related action, the three national Catholic organizations, along with the Society of St. Vincent de Paul, the Conference of Major Superiors of Men; Ladies of Charity United States of America; the Leadership Conference of Women Religious; and the Catholic schools of social work are mobilizing Catholics across the country to contact their U.S. representatives and senators on March 21 to support increased funding for children's health insurance coverage through reauthorization of SCHIP.

    See the full story.

    National Call-In Day for Children’s Health Care Wednesday, March 21st

    More than 9 million children in our country are uninsured.  Millions of these children are eligible for the State Children’s Health Insurance Program (SCHIP) or Medicaid but are not enrolled.  During SCHIP reauthorization this year, we have a significant opportunity to ask Congress to improve and expand the program— so that all children in need have the health care they deserve. 

    Catholic Charities USA, the United States Catholic Conference of Bishops, the Catholic Health Association and other Catholic organizations
    will be hosting in a national advocacy call-in day on Wednesday, March 21st.  You can participate by calling your members of Congress at the toll-free number below.

    Action Needed: 
    Call your Senators and Representatives toll-free at 1-877-509-KIDS.  When you call, tell your member of Congress:

    • Please make meeting the needs of poor and vulnerable people at home and abroad a top budget priority.
    • Today, SCHIP provides high quality, vital health coverage to more than 4 million children in great need.  The program reaches children whose families would otherwise be unable to afford health insurance. 
    • Congress must provide
    adequate funding so the millions of children currently enrolled in SCHIP can continue to get heath care.
    • Congress must expand health care access to the millions of children still uninsured, who are eligible for SCHIP or Medicaid but not enrolled.
    To do this, states will need approximately $60 billion in new federal funds over the next five years.

    Background:  The Catholic community has consistently worked for access to affordable health care for all.   The United States Catholic Conference of Bishops, Catholic Charities USA and the Catholic Health Association have written to the House and Senate Budget Committees asking them to include funding in the FY 2008 budget resolution to maintain and expand health insurance coverage for children.

    Bill to Provide Health Care to Uninsured Children Gets Committee Approval

    The Senate Human Services Committee has given HB 1463 a "do pass" recommendation. The bill would expand both medicaid and the state children's health insurance program to so that some currently uninsured children would receive health coverage. The bill now goes to the Senate Appropriations Committee.

    Medicare Part D: 4000 Not Signed-Up

    The Forum reports that, according to Insurance Commissioner Jim Poolman, more than 100,100 people with Medicare benefits in North Dakota have signed up for prescription drug coverage. That leaves about 4,000 people in the state who are eligible for Part D who have not signed up. Poolman believes most of those are low income and will receive prescription coverage for free through the Low Income Subsidy. They may request coverage at any time.

    Anyone with questions about Part D or people who think they may qualify for the Low Income Subsidy should contact the Insurance Department’s Senior Health Insurance Counseling (SHIC) program at (888) 575-6611 for assistance.

    Senate Approves Changes to Health Care Directives

    The Senate has approved two bills that would make changes to the state's laws on health care directives. SB 2308 would allow a person to have a health care agent make decisions without lacking capacity. SB 2212 removes extra paperwork that must be done when a person completes a health care directive in a hospital or nursing home.

    Go here for more information on health care directives.

    The Year to Shore-up and Expand Health Care for the Poor? Children in Need

    While it looks at Medicaid reimbursement rates, the legislature will also look at helping children without any health insurance coverage. An estimated 12,000 children in the state lack basic health coverage, mostly because their parents cannot afford it, but earn too much to qualify for Medicaid or the state's children's health insurance program. Legislators introduced five bills to expand coverage for children. A combination of political will to do something about the problem and the state's healthy budget increases the likelihood that the state will expand health insurance coverage for these needy children.

    The Year to Shore-up and Expand Health Care for the Poor? Medicaid Reimbursement

    For decades, Medicaid has been the primary method of providing health care to the poor in this country. Although not perfect, the program, by-and-large, works. To keep working, however, the program must ensure the availability of health care and adequately reimburse their services. Unfortunately, North Dakota is failing in that regard.

    A study commissioned by the North Dakota Legislature concluded that the state’s reimbursement rate is both inadequate and much lower than surrounding states. Hopefully, the North Dakota legislature will give hospitals and other health care providers the boost in reimbursements needed to sustain the state's commitment to the poor and needy.

    The editorial board of the Bismarck Tribune apparently agrees.

    Organ and Tissue Donation

    The Senate is considering adopting the new Uniform Anatomical Gift Act (SB 2163). The bill does not change definitions for determining death or interfere with a person's wishes. Rather, it provides an improved system for organ and tissue donation.

    The Catholic Church supports organ and tissue donation. Nevertheless, many Catholics do not donate their organs and tissue because they think doing so is against Church teaching. Perhaps it would help to know that Pope Benedict XVI is a registered organ donor.

    In 1999, then Cardinal Ratzinger, gave
    this interview with ZENIT explaining why he is a registered donor and why doing so is an "act of love."

    Marriage and Children's Health Bills

    Legislative committees held hearings yesterday on two bills supported by the conference. SB 2041 would provide a discount in a marriage license fee for couple who have received premarital counseling. It was heard in the Senate Judiciary Committee. HB 1047 would expand the number of children covered under the state's Healthy Steps program, which is the state's State-Children's Health Insurance Program. It was House Human Services Committee. Both committees will not meet again until Monday, so there is time to reach the committee members and express your support for these bills.