U.S. top court rejects challenge to strict Arkansas abortion law

Visitors to the Supreme Court are pictured in the rain in Washington, October 7, 2013. The U.S. Supreme Court will this week step into the politically charged debate over campaign finance for the first time since its controversial ruling three years ago paved the way for corporations and unions to spend more on political candidates and causes. REUTERS/Jason Reed (UNITED STATES - Tags: POLITICS CRIME LAW) - GM1E9A71U4B01

By Lawrence Hurley

WASHINGTON (Reuters) – In a setback to abortion rights advocates, the U.S. Supreme Court on Tuesday paved the way for Republican-backed restrictions on medication-induced abortions to take effect in Arkansas that could lead to the shuttering of two of the state’s three abortion clinics.

The nine justices, with no noted dissents, declined to hear an appeal by abortion provider Planned Parenthood of a lower court ruling that had revived the state law, which sets regulations regarding the RU-486 “abortion pill,” after it was earlier struck down by a federal judge. The law had remained blocked pending the outcome of the appeal to the Supreme Court.

The high court’s action may not be the final word on the matter. Planned Parenthood can still ask a judge to reimpose the injunction blocking the law.

The Supreme Court in 1973 legalized abortion nationwide, but many Republican-governed states have passed laws seeking to impose a variety of restrictions, some so demanding that they may shut down abortion clinics and make the procedure far more difficult to obtain.

The justices, in a 2016 ruling, struck down a restrictive Republican-backed Texas law that had targeted abortion clinics and doctors in a decision that was seen as reaffirming and fortifying legal protections for abortion rights. Planned Parenthood had claimed the appeals court ruling in the Arkansas case had disregarded the precedent set in the Texas case.

The St. Louis-based 8th U.S. Circuit Court of Appeals restored the law last year, reversing a 2016 ruling by a district court judge that had prevented it from going into effect.

Planned Parenthood Great Plains, which runs two of the three clinics that provide abortions in Arkansas, sued the state in 2015, saying the law would deprive many Arkansas women of their legal right to an abortion.

The law involves the RU-486 “abortion pill,” also called mifepristone (brand name Mifeprex) and misoprostol (brand name Cytotec). It requires any doctor dispensing the drug to sign a contract with another doctor who would agree to handle any medical complications from it, an unusual and difficult-to-achieve arrangement. The contracted doctor also must have admitting privileges at a hospital designated to handle emergencies.

Arkansas said the law was aimed at protecting women against the “dangerous and potentially dangerous” off-label use of the abortion pills.

RU-486 was approved by the U.S. Food and Drug Administration in 2000 subject to the instructions stated on the label. The “off-label” use prohibited by Arkansas allowed for less physician oversight when RU-486 is used. Planned Parenthood, which offers only medication-induced abortions at its two facilities in Arkansas, said the effect of the law would be to ban such abortions in the state.

The only other abortion clinic in the state, Little Rock Family Planning Services in the state capital, offers both surgical and medication abortions. The district court judge had found that women in Fayetteville, for example, would then have to make two 380-mile (610-km) round trips to get an abortion at what would be the state’s last remaining abortion clinic.

The state’s lawyers said the Arkansas law differs from the Texas law as it does not require the doctors who provide abortions to have hospital admitting privileges. They also said the abortion providers failed to provide evidence that a significant number of women would be adversely affected.

In 2013, the Supreme Court left intact an Oklahoma court ruling that struck down a state law that would have effectively banned RU-486.

In the Supreme Court’s current term, which runs through the end of June, the justices are weighing another abortion-related case in which operators of Christian-affiliated “crisis pregnancy centers” that steer women with unplanned pregnancies away from abortion are challenging a California law that requires them to post notices telling women about the availability of state-subsidized abortions.

(Reporting by Lawrence Hurley; Editing by Will Dunham)

Trump proposes taking funds away from abortion providers

U.S. President Donald Trump gestures as he delivers remarks during the Prison Reform Summit at the White House in Washington, U.S., May 18, 2018. REUTERS/Kevin Lamarque

By Roberta Rampton

WASHINGTON (Reuters) – U.S. President Donald Trump on Friday issued a proposal that would effectively stop giving government funds that subsidize birth control for low-income women to Planned Parenthood and other clinics that provide abortions.

The plan is aimed at fulfilling Trump’s campaign pledge to defund Planned Parenthood, an organization that provides abortions and other health services for women, and comes as Republicans push to energize Trump supporters ahead of November congressional elections.

Congress provided $286 million in Title X grants in 2017 to Planned Parenthood and other health centers to provide birth control, screening for diseases and cancer, and other reproductive counseling to low-income women.

The funding cannot be used for abortions, but abortion opponents have long complained that the money subsidizes Planned Parenthood itself.

“You can still get an abortion in this country. You can get it in many different places. We don’t just don’t think taxpayers should have to pay for that,” said Kellyanne Conway, a top adviser to Trump, on Fox News Channel.

Planned Parenthood said it would not back down from providing abortions and counseling, and would fight the rule in court if needed.

The group provides healthcare services to about 40 percent of the 4 million people covered by the Title X program, and said community health centers would not be able to absorb its patients.

The organization called it a “gag rule” that would roll back a requirement that medical professionals provide information about abortions.

“If a woman is pregnant and wants or needs an abortion, under this rule, her provider will be prohibited from telling her where she could get one,” Dawn Laguens, executive vice president of the group, told reporters.

REVIEW PROCESS

Groups that oppose abortion said the plan would not ban abortion counseling, but would ensure that taxpayer funding does not support clinics that also perform abortions.

The Susan B. Anthony List, a group that backs political candidates who oppose abortion, praised the move. Trump is scheduled to speak at its fundraising gala next week.

“This is a major victory which will energize the grassroots as we head into the critical midterm elections,” the group said in a statement.

The timelines and details of the proposal from the Department of Health and Human Services were not immediately available. The plan will go through a review process run by the White House Office of Management and Budget.

“The proposal would require a bright line of physical as well as financial separation between Title X programs and any program (or facility) where abortion is performed, supported, or referred for as a method of family planning,” an administration official said in a statement.

In February, the Trump administration shifted guidelines for the Title X grants toward prioritizing groups that are faith-based and counsel abstinence.

Earlier this month, Planned Parenthood and the National Family Planning & Reproductive Health Association filed lawsuits seeking to block the change.

(Reporting by Roberta Rampton; Editing by Bernadette Baum)

Supreme Court rejects anti-abortion activists’ undercover video cases

FILE PHOTO: Anti-abortion activist David Daleiden speaks at a news conference outside court in Houston, Texas, U.S., February 4, 2016. REUTERS/Ruthy Munoz/File Photo

By Andrew Chung

WASHINGTON – The U.S. Supreme Court on Monday rejected a bid by anti-abortion activists to win the release of videos they surreptitiously recorded at meetings of abortion providers.

The justices declined to take up appeals by the abortion opponents and left in place a lower court’s ruling blocking the release of videos that had the aim of exposing alleged illegal sales of aborted fetal tissue for profit. The trial judge in the case concluded there was no evidence of criminal wrongdoing by the abortion providers captured in the videos.

The activists, including anti-abortion group Center for Medical Progress founder David Daleiden, recorded the videos in 2014 and 2015 at annual meetings of the National Abortion Federation, a nonprofit organization representing abortion providers including affiliates of Planned Parenthood.

Planned Parenthood has said the videos were heavily edited to leave a false impression of wrongdoing.

The National Abortion Federation in 2015 sued Daleiden, the California-based Center for Medical Progress and former center board member Troy Newman to stop the release of videos.

The federation said the videos were illegally recorded at private meetings protected by confidentiality agreements and that the anti-abortion activists had infiltrated the meetings by posing as executives of a company that bought fetal tissue.

U.S. District Judge William Orrick in San Francisco blocked the release of the videos in 2016, ruling that enforcing the confidentiality agreements would not violate free speech rights under the U.S. Constitution’s First Amendment. Orrick discounted the claim by the abortion opponents that they were acting as “citizen journalists” in an undercover investigation.

Such confidentiality agreements help ensure privacy and safety for abortion providers given the increase in threats and violence they faced since the defendants’ release of other videos in July 2015, Orrick said.

The judge noted that in November 2015 a man fatally shot three people at a Planned Parenthood clinic in Colorado. The man told police he was upset with Planned Parenthood for performing abortions and “the selling of body parts,” according to court documents.

Orrick later found Daleiden, the Center for Medical Progress and two of his attorneys in contempt of court after they published some of the blocked material on the internet.

The San Francisco-based 9th Circuit Court of Appeals last year upheld the injunction against the videos’ publication, prompting Daleiden and Newman to appeal to the Supreme Court.

Daleiden and an associate, Sandra Merritt, last year were charged in California with filming Planned Parenthood workers without their consent.

(Reporting by Andrew Chung; Editing by Will Dunham)

Fate of Kentucky’s last abortion clinic goes to judge

FILE PHOTO: Escorts who ensure women can reach the clinic lineup as they face off protesters outside the EMW Women's Surgical Center in Louisville, Kentucky, U.S. on January 27, 2017. P REUTERS/Chris Kenning/File Photo

By Chris Kenning

(Reuters) – The fate of Kentucky’s last remaining abortion clinic is in the hands of a federal judge following a three-day trial that could make it the first U.S. state without a single clinic.

Kentucky’s anti-abortion Republican governor, Matt Bevin, earlier this year moved to revoke the license of the EMW Women’s Surgical Center clinic in Louisville, citing deficiencies in its transfer agreements with local hospitals.

The clinic filed suit and was joined by Planned Parenthood of Indiana and Kentucky, which said the state has used the same rules to block it from providing abortions in the city. The groups are asking U.S. District Judge Greg Stivers to overturn regulations they argue are medically unnecessary and create an unconstitutional barrier to abortion.

A ruling could take months, since both sides have 60 days to present post-trial briefs the judge.

“The state is trying to shut down the only abortion clinic in Kentucky by enforcing regulations that have nothing to do with women’s health,” EMW attorney Don Cox said during the trial according to WLKY-TV.

Lawyers for the Bevin administration, which waged a licensing battle in 2016 that led to the shutdown of a Lexington clinic, argued the transfer agreements in question were meant to protect women.

During the trial, a state health regulator blamed hospitals, saying they failed to provide sufficient agreements, the Courier-Journal reported. EMW and Planned Parenthood alleged the Bevin administration pressured or intimidated hospital officials into refusing to enter such agreements.

The trial has drawn anti-abortion activists and abortion rights demonstrators outside the courthouse in a city that has become a flashpoint for the debate over abortion.

If the court rules in the state’s favor and the clinic is forced to close, it would leave Kentucky the only U.S. state with no abortion provider. Six other states have only one clinic.

Conservative legislatures and Republican governors have sought in recent years to tighten regulations on abortion clinics and forced closures in states such as Texas.

But courts have pushed back. Last year, the U.S. Supreme Court struck down parts of a Texas law that required clinics to meet hospital-like standards and for clinic doctors to have admitting privileges at nearby hospitals.

The American Civil Liberties Union is providing legal help to the Kentucky clinic.

(Reporting by Chris Kenning; Editing by David Gregorio)

South Carolina governor bans abortion funding, hits healthcare

FILE PHOTO: Governor of South Carolina Henry McMaster speaks at 2017 SelectUSA Investment Summit in Oxon Hill, Maryland, U.S., June 19, 2017. REUTERS/Joshua Roberts/File Photo

By Ian Simpson

(Reuters) – South Carolina’s governor has ordered a ban on all state funding for abortion providers in a move Planned Parenthood on Friday called “political” and an attack on patients’ access to preventive healthcare.

Republican Governor Henry McMaster’s executive order bars state agencies from providing funds to any doctor or medical practice affiliated with an abortion clinic and operating with a clinic in the same site, his office said in a statement.

McMaster said there were a variety of taxpayer-funded medical agencies that provided women’s health and family planning services without performing abortions.

“Taxpayer dollars must not directly or indirectly subsidize abortion providers like Planned Parenthood,” he said in the statement.

Planned Parenthood has long been a target of those opposed to its abortion services, which it provides along with cancer screenings, birth control and testing for sexually transmitted diseases.

In his order signed on Thursday, McMaster also directed the state agency for Medicaid, the federal health insurance program for the poor and disabled, to seek permission from the federal government to bar abortion clinics from the state’s Medicaid provider network.

Under McMaster’s order, abortion providers are excluded from state family planning funds. Indiana and Arizona tried to enact similar restrictions but they were overturned in court, said Elizabeth Nash, an analyst with the Guttmacher Institute, which tracks abortion policy.

Thirteen states have some restrictions on how family planning funds are used, Nash said. Federal law has long banned the use of federal funds for abortions except in cases of rape, incest or when the mother’s life is in danger.

“South Carolina is among a handful of states that is trying something this broad,” she said in an interview.

In a statement, Planned Parenthood called the order from McMaster, who is seeking re-election next year, “politically motivated.” Planned Parenthood provides healthcare services to almost 4,000 people a year in South Carolina, it said.

“We will not stop fighting to protect our patients’ access to health care,” Jenny Black, president and chief executive of Planned Parenthood South Atlantic, said in the statement.

There were seven facilities in South Carolina providing abortions in 2014, according to the most recent available figures on the Guttmacher Institute’s website. They include one clinic operated by Planned Parenthood in Columbia.

 

(Reporting by Ian Simpson in Washington; Editing by Colleen Jenkins and Sandra Maler)

 

U.S. court rules Arkansas can block Planned Parenthood funding

U.S. court rules Arkansas can block Planned Parenthood funding

By Nate Raymond

(Reuters) – A U.S. appeals court on Wednesday reversed a ruling that prevented Arkansas from cutting off Medicaid funding to Planned Parenthood following the release of controversial videos secretly recorded by an anti-abortion group.

The 8th U.S. Circuit Court of Appeals in St. Louis reversed a ruling forbidding Arkansas from carrying through with Republican Governor Asa Hutchinson’s directive to suspend Medicaid reimbursements to a Planned Parenthood affiliate.

U.S. District Judge Kristine Baker in Little Rock had ruled in favor of three women who claimed Arkansas violated their rights under the federal Medicaid law to choose any qualified provider offering services they were seeking.

But by a 2-1 vote, a 8th Circuit said the provision of the Medicaid law the women relied on does not unambiguously create a federal right for individual patients that they could enforce in court.

U.S. Circuit Judge Steven Colloton wrote that the lack of such a right does not mean state officials have unlimited authority to terminate Medicaid providers.

“We conclude only that Congress did not unambiguously confer the particular right asserted by the patients in this case,” he wrote.

U.S. Circuit Judge Michael Melloy dissented, saying four other appeals courts have reached the opposite conclusion and found a private right of enforcement existed.

Raegan McDonald-Mosley, chief medical officer of Planned Parenthood Federation of America, in a statement said the fight “is not over.”

“We will do everything in our power to protect our patients’ access to birth control cancer screenings, and other lifesaving care,” McDonald-Mosley said.

Arkansas cut off funds for Planned Parenthood after the anti-abortion activist group Center for Medical Progress released videos in 2015 it claimed showed the group’s officials negotiating the sale of fetal body parts for profit.

Planned Parenthood has denied the allegation and says 13 states that investigated those claims have cleared it of wrongdoing.

Hutchinson, who was among Republican governors nationally who targeted the organization following those videos, welcomed Wednesday’s ruling.

“This is a substantial legal victory for the right of the state to determine whether Medicaid providers are acting in accordance with best practices and affirms the prerogative of the state to make reasoned judgments on the Medicaid program,” he said in a statement.

Planned Parenthood does not perform surgical abortions in Arkansas, which forbids public funding of abortions except in cases of rape or incest. But it provides other gynecological services as well as birth control and breast examinations.

(Reporting by Nate Raymond in Boston; Editing by David Gregorio)

Abortion rights groups sue Texas to block procedure ban

FILE PHOTO: Texas governor Greg Abbott speaks during an interview on the floor of the New York Stock Exchange in New York, U.S. on July 14, 2015. REUTERS/Brendan McDermid/File Photo

By Chris Kenning

(Reuters) – Abortion rights groups filed a lawsuit on Thursday seeking to block a Texas law that bans the most common method of second-trimester abortion which critics argue erodes women’s rights.

The challenge, which came six weeks after the state’s governor signed the law, was the latest salvo in a battle over state laws enacted by Republican-controlled state legislatures that advocates say limit access to abortion.

“The law we challenged today in Texas is part of a nationwide scheme to undermine these constitutional rights and ban abortion one restriction at a time,” Nancy Northup, president of the Center for Reproductive Rights, said in a statement.

The lawsuit was filed in U.S. District Court in Austin by Texas abortion provider Whole Woman’s Health, Planned Parenthood groups and others.

The suit, which names Texas Attorney General Ken Paxton and others as defendants, seeks an injunction and a ruling that the law is unconstitutional.

Paxton declined to comment on the challenge.

Anti-abortion group Texas Right to Life last month praised the legislation, calling it the “most significant pro-life victory” of the state’s legislative session.

The lawsuit targets a portion of the law – known as Senate Bill 8, which is set to go into effect on Sept. 1 – that bans dilation and evacuation abortion procedures.

The Texas law refers to the procedure as “dismemberment abortion,” in which a combination of suction and forceps are used to bring tissue through the cervix.

Opponents of the law say that after about 15 weeks of pregnancy it is the safest method of abortion.

Seven other U.S. states have approved similar bans, prompting legal challenges that prevented the bans from taking effect in Louisiana, Kansas and Oklahoma, according to the Center for Reproductive Rights.

Last year, Whole Woman’s Health led a legal fight that ended in the U.S. Supreme Court striking down a Texas abortion law that had shuttered nearly half the state’s clinics by imposing strict regulations on doctors and facilities.

The latest Texas law, signed in June by the state’s Republican Governor Greg Abbott, also requires abortion providers to dispose of aborted fetal tissue through burial or cremation. The plaintiffs in the lawsuit intend to challenge that provision as well.

The state law was enacted despite the fact that U.S. District Judge Sam Sparks in Austin put a temporary halt on a similar state regulation on fetal tissue disposal in January.

(Reporting by Chris Kenning; editing by Daniel Wallis, G Crosse)

U.S. Senate Republicans to issue revised health bill to win support

Speaker of the House Paul Ryan (R-WI) speaks after Senate Republicans unveiled their version of legislation that would replace Obamacare on Capitol Hill in Washington, U.S.

By Yasmeen Abutaleb and Richard Cowan

WASHINGTON (Reuters) – U.S. Senate Republicans plan to issue a revised version of their healthcare bill on Monday, according to a Republican Senate aide, as the chamber’s leaders scrambled to get legislation passed ahead of a July 4 holiday recess starting on Friday.

The aide, who is familiar with the plan, did not provide details of changes in the works. Politico reported that a likely change to the bill would be to add a provision to encourage people, mainly those who are young and healthy, to enroll in insurance plans.

President Donald Trump and his fellow Republicans in Congress have been pushing to repeal and replace Obamacare, Democratic former President Barack Obama’s signature domestic legislation. The House of Representatives passed its version of a healthcare bill last month.

The Senate bill unveiled last week was immediately criticized by both conservatives and moderates in the party. With Republicans holding only a 52-seat majority in the 100-seat Senate, the bill was unlikely to win passage in its initial form.

At least four conservative Republicans have expressed opposition to the draft legislation, saying it does not go far enough in repealing Obamacare.

A spokesman for Senate Majority Leader Mitch McConnell would not comment on whether a vote on a bill would be held in the full Senate on Thursday, as originally anticipated.

The nonpartisan Congressional Budget Office later Monday might release its assessment of the bill’s cost and impact on future budget deficits. It was not clear whether the report will also estimate how many people might lose healthcare coverage under the legislation or whether that estimate would come later.

Meanwhile, some moderate Republicans have either withheld judgment or expressed doubts about replacing Obamacare with legislation that is similar to the House version.

They are concerned that the party’s approach to healthcare would cause too many people, and especially those with low incomes, to lose insurance. Trump touted passage of the House bill as a victory but later called it “mean.”

Republicans have targeted Obamacare since it was passed in 2010, viewing it as costly government intrusion and saying individual insurance markets are collapsing. The legislation expanded health coverage to some 20 million Americans, through provisions such as mandating that individuals obtain health insurance and expanding Medicaid, the government program for the poor.

TRUMP’S INVOLVEMENT

As he did during the House negotiations, Trump has personally pushed for a Senate bill, calling fellow Republicans to mobilize support.

In the efforts by Senate Republicans to push through a bill, the party has split over a provision in the draft bill ending federal funding of Planned Parenthood, the women’s healthcare provider, for one year.

Moderates are wary of this, while conservatives have called for an end to federal funding of Planned Parenthood because it provides abortions, even though they are not performed with taxpayer dollars.

Health insurance companies are concerned about the bill’s plan to cut Medicaid and any impact on state governments as well as the prospect of losing Obamacare’s mandate on individuals to buy insurance without creating alternative incentives for people to stay in their plans.

If the Senate passes a bill, it will either have to be approved by the House, the two chambers would have to reconcile their differences in a conference committee, or the House could pass a new version and bounce it back to the Senate.

The House is also controlled by Republicans but faced a similar balancing act between moderates and conservatives to pass its version.

A Republican leadership aide in the House said if the Senate manages to pass a healthcare bill this week, no decision has been made on when the House might schedule a vote on it or whether House Republicans might seek any changes to the Senate measure.

(Writing by Richard Cowan and Frances Kerry; Editing by Jeffrey Benkoe)

California to give health clinics $20 million to counter possible Trump cuts

FILE PHOTO: Demonstrators protest over the repeal and replacement of Obamacare outside the offices of Republican congressman Darryl Issa in Vista, California, U.S., March 7, 2017. REUTERS/Mike Blake

By Lisa Lambert

WASHINGTON (Reuters) – California on Monday will announce plans to award $20 million in emergency grants to local health and Planned Parenthood clinics in anticipation of possible U.S. healthcare funding cuts, according to State Treasurer John Chiang’s office.

California and more than a dozen other Democratic-leaning states are fighting against regulatory changes and policies coming from Republican President Donald Trump and the Republican-controlled Congress.

The grants are intended to buy time for state lawmakers to address potential shortfalls caused by federal attempts to undo the Affordable Health Care Act, commonly called Obamacare, and to eliminate funding for women’s health and for contraception, the state said.

A California financing program will provide money for the grants, said Treasurer spokesman Marc Lifsher.

“The Community Clinic Lifeline Grant Program will help small or rural nonprofit clinics, including Planned Parenthood clinics, keep their doors open and provide critical services,” according to an announcement the Treasurer’s office posted on Friday.

Planned Parenthood, a national non-profit that provides contraception, health screenings and abortions, and the country’s long-standing divide over abortion are at the heart of the state’s move. Planned Parenthood representatives will join Chiang in unveiling the grant program, the announcement said.

Republicans generally oppose abortion. Recently, they approved a measure in Congress to allow states to block Planned Parenthood from receiving federal reproductive health funds. By law the funds cannot be used for abortions, but former Democratic President Barack Obama had ensured some money would go to Planned Parenthood clinics.

Actual federal funding reductions are still a while off.

In his recent proposed budget President Donald Trump called for slashing health and human services spending, and the Obamacare repeal the House of Representatives passed in April would eliminate federal funds for Planned Parenthood. But those moves do not have the force of law yet.

No other state appears to be developing a similar grant program.

(Reporting by Lisa Lambert; Editing by Cynthia Osterman)

Planned Parenthood to close four Iowa clinics after cuts

FILE PHOTO - Iowa Governor Terry Branstad arrives to testify before a Senate Foreign Relations Committee confirmation hearing on his nomination to be U.S. ambassador to China at Capitol Hill in Washington D.C., U.S. on May 2, 2017. REUTERS/Carlos Barria/File Photo

By Chris Kenning

(Reuters) – Planned Parenthood said on Thursday it would shutter four of its 12 clinics in Iowa as a result of a measure backed by Republican Governor Terry Branstad that blocks public money for family planning services to abortion providers.

Health centers in Burlington, Keokuk and Sioux City will close on June 30 and one in Quad Cities soon after as a result of losing $2 million in funds under the new measure, said Susan Allen, a spokeswoman for Planned Parenthood of the Heartland. The four clinics served 14,676 patients in the last three years, she said, including many rural and poor women.

“It will be devastating,” Allen said.

The closures marked the latest fallout from a continuing push by Republicans, including President Donald Trump, to yank funding from Planned Parenthood. Many have long opposed the organization, some on religious grounds, because its healthcare services include abortions, although it receives no federal funding for abortions, as stipulated by federal law.

The Republican-controlled U.S. House of Representatives included such a defunding measure as part of the American Health Care Act, the bill aimed at replacing Obamacare.

Iowa’s Republican-led legislature agreed in its recent budget to discontinue a federal Medicaid family planning program and replace it with a state program that bars funding to organizations that provide abortions or maintain facilities where abortions are carried out. The move cost the state about $3 million.

Texas in 2011 made a similar move that has reduced funding. A state report in 2015 found that nearly 30,000 fewer women received birth control, cancer screenings and other care as a result.

A coalition of 35 Iowa groups that oppose abortion have previously argued that funding for family planning indirectly subsidizes abortions.

“The pro-life movement is making tremendous strides in changing the hearts and minds, to return to a culture that once again respects human life,” said Ben Hammes, a spokesman for Branstad, who said there were 2,400 doctors, nurses and clinics around the state for family planning that do not provide abortions.

Planned Parenthood of the Heartland said it will continue to operate eight clinics in Iowa. They provide services including cancer screenings, birth control, STD testing and annual checkups.

The group said in a tweet on Thursday that politicians driven more by personal beliefs than facts were hurting access to women’s health care.

“The devastation in Iowa is a sign of what could be next for the rest of the nation,” Danielle Wells, an official at Planned Parenthood Federation of America, said in an email.

(Reporting by Chris Kenning; Editing by Jonathan Oatis)