Anti-abortion activists seek dismissal of California privacy case

Anti-abortion activist David Daleiden, waits outside Superior Court in San Francisco, California, U.S., May 3, 2017. REUTERS/Lisa Fernandez

By Lisa Fernandez

SAN FRANCISCO (Reuters) – Lawyers for two anti-abortion activists who secretly filmed a conference of abortion providers while pretending to work for a fetal-tissue procurement company asked a California judge on Wednesday to dismiss eavesdropping charges against the pair.

Defense attorneys asserted in court papers that the criminal complaint brought by California’s attorney general against David Daleiden, 28, and Sandra Merritt, 63, was insufficient because it failed to identify their alleged victims by name.

Daleiden and Merritt are each charged with conspiracy and 14 counts of invasion of privacy for creating false identities to infiltrate the abortion conference, then videotaping various conference participants and others without their consent.

The two are accused of fabricating a sham biomedical research firm, BioMax Procurement Services, to gain access to private meetings of the National Abortion Federation (NAF), Planned Parenthood and others affiliated with reproductive healthcare.

The individuals they taped are referred to in charging documents as DOE 1 through 14. Prosecutors filed identifying information in a sealed confidential attachment.

If the judge sides with the defense, finding prosecutors lack justification for keeping the alleged victims anonymous, the state could be forced to amend its complaint and reveal their names in order to proceed.

Defense lawyer Steve Cooley, representing Daleiden, said state Attorney General Xavier Becerra, a Democrat, was conducting a political prosecution.

Daleiden, who runs the California-based nonprofit Center for Medical Progress, and Merritt, a fellow anti-abortion activist and retired teacher, have cast themselves as “citizen journalists” who employed well-worn undercover tactics of the news media to expose wrongdoing.

But prosecutors said Daleiden and Merritt engaged in computer hacking and criminal fraud to create false IDs and a bogus corporate entity – crossing lines that bona fide journalists would avoid.

The case stems from recordings made at an April 2014 NAF conference in San Francisco and several subsequent restaurant meetings in Los Angeles and El Dorado, California.

Distribution of those tapes and others from a 2015 NAF conference in Baltimore were barred under federal court order after NAF sued Daleiden’s group in 2015.

But Daleiden has released other videos targeting Planned Parenthood purporting to show its officials trying to profit from the sale aborted fetal tissue, in violation of federal law.

Planned Parenthood accused Daleiden of using the videos to distort its practices, in which it lawfully seeks only to recover costs associated with fetal tissue donations for scientific research.

Daleiden and Merritt were indicted in January 2016 for using illegal government identifications to secretly film a Planned Parenthood facility in Texas, but that case was dropped. Both are slated for arraignment in the California case on June 8.

Daleiden surrendered to authorities last month under an arrest warrant and was released on $75,000 bond. Merritt was taken into custody at the court on Thursday and was expected to post bond later in the day.

(Additional reporting and writing by Steve Gorman in Los Angeles; Editing by Robert Birsel)

U.S. judge blocks Texas plan to cut Planned Parenthood Medicaid funds

FILE PHOTO - Planned Parenthood South Austin Health Center is seen in Austin, Texas, U.S. on June 27, 2016. REUTERS/Ilana Panich-Linsman/File Photo

By Jon Herskovitz

AUSTIN, Texas (Reuters) – A U.S. judge in Austin issued a preliminary injunction on Tuesday halting Texas’ plan to cut Medicaid funding for Planned Parenthood, saying the state did not present evidence of a program violation that would warrant termination.

U.S. District Judge Sam Sparks said state health officials “likely acted to disenroll qualified health care providers from Medicaid without cause.” He said the preliminary injunction will preserve the court’s ability to render a meaningful decision on the case’s merits.

“Such action would deprive Medicaid patients of their statutory right to obtain health care from their chosen qualified provider,” wrote the judge who was appointed by Republican former President George H.W. Bush.

The reproductive healthcare group has said the threatened funding cut, by terminating Planned Parenthood’s enrollment in the state-funded healthcare system for the poor, could affect nearly 11,000 patients across Texas as they try to access services such as HIV and cancer screenings.

Texas and several other Republican-controlled states have pushed to cut the organization’s funding since an anti-abortion group released videos it said showed Planned Parenthood officials negotiating prices for fetal tissue collected from abortions.

Texas investigated Planned Parenthood over the videos and a grand jury last January cleared it of any wrongdoing. The grand jury indicted two anti-abortion activists who made the videos for document fraud but the charges were dismissed.

The state took no further criminal action against Planned Parenthood after that but has repeated its accusations that the abortion provider may have violated state law.

Planned Parenthood has denied any wrongdoing and sued the anti-abortion activists who made the videos.

Texas Republican Attorney General Ken Paxton said his office would appeal.

“Today’s decision is disappointing and flies in the face of basic human decency,” he said in a statement.

In fiscal 2015, Planned Parenthood affiliates across Texas received about $4.2 million in Medicaid funding, the state’s Health and Human Services Commission said. Planned Parenthood said the amount for 2016 was estimated at around $3 million.

None of the money that the group received went for abortions, plaintiffs in a lawsuit against Texas and the Medicaid defunding plan have said.

Planned Parenthood has 34 health centers in Texas, serving more than 120,000 patients, 11,000 of whom are Medicaid patients, it said.

(Reporting by Jon Herskovitz; Editing by Grant McCool and James Dalgleish)

Iowa moves to cut Medicaid funding for Planned Parenthood

Planned Parenthood in Texas

By Timothy Mclaughlin

(Reuters) – The Republican-controlled Iowa state senate voted on Thursday to cut Medicaid funding for family planning services to abortion providers including Planned Parenthood.

State senators passed the bill 30-20, advancing it to the Republican-controlled House. The vote was along party lines, with one independent voting in favor of the measure.

Republican Governor Terry Branstad has said he supports the bill.

Planned Parenthood draws the ire of many Republicans because it provides abortions, and Republican President Donald Trump has pledged to defund the organization.

“This change will allow Iowa to restrict government funding to family planning services away from organizations that perform abortions that are not medically necessary,” Republican Senator Amy Sinclair, one of the bill’s sponsors, said on Thursday before the vote.

Planned Parenthood denounced the vote.

“The Republican lawmakers who continue to advance this bill should be ashamed of themselves. They are playing political games, with the lives of low-income Iowans at stake,” Planned Parenthood of the Heartland said in a statement.

“This bill does nothing to advance their extremist agenda to limit access to abortion. Instead, it blocks access to crucial family planning services for thousands of Iowans – the very services that most effectively prevent abortion. It’s a self-serving, misleading and dangerous political game.”

The bill directs the Iowa Department of Human Services to discontinue the Medicaid family planning network waiver on July 1 and replace it with a state family planning services program.

Eligibility requirements for the new network would remain the same, but no funding would be provided to organizations that provide abortions or maintain facilities where abortions are carried out.

Planned Parenthood is Iowa’s largest abortion provider with 12 clinics in the state, but no public money is used for abortions, according to the Des Moines Register.

Branstad has proposed paying for the new state-run program by shifting $2.8 million in funds from services for vulnerable adults, families and children, the newspaper reported.

Planned Parenthood is also facing a funding cut in Texas, where a judge is considering the move, which the organization has challenged in court.

(Reporting by Timothy Mclaughlin in Chicago; Editing by Cynthia Osterman)

Texas Planned Parenthood asks judge to block Medicaid funding cut

Planned Parenthood in Austin, Texas

By Jon Herskovitz

AUSTIN, Texas (Reuters) – The leaders of Texas Planned Parenthood asked a federal judge on Tuesday to block the state’s bid to halt Medicaid funding for the healthcare group, which has long been targeted by Republicans for providing abortions.

Planned Parenthood has said the threatened funding cut, by terminating Planned Parenthood’s enrollment in the state-funded healthcare system for the poor, could affect nearly 11,000 patients across Texas.

It is seeking an injunction from Judge Sam Sparks in federal court in Austin to stop the cutoff, part of a protracted legal and political fight.

Texas and several other Republican-controlled states have pushed to cut the organization’s funding since an anti-abortion group released videos it said showed Planned Parenthood officials negotiating prices for fetal tissue collected from abortions.

The defunding efforts could gain traction now that Republicans, who already control the U.S. House and Senate, are expanding their powers with this week’s inauguration of President-elect Donald Trump.

Ken Lambrecht, chief executive of Planned Parenthood of Greater Texas and a plaintiff, testified his group does not participate in fetal tissue donation for medical research.

Planned Parenthood has denied wrongdoing nationally, saying the videos were heavily edited and misleading.

The Medicaid cut was “unconscionable,” Lambrecht testified, adding it would make it more difficult for some of the state’s poorest people to access services his affiliate provides, such as cancer screenings and HIV testing.

Texas has said other medical facilities could provide similar services as Planned Parenthood.

Planned Parenthood affiliates across Texas received about $4.2 million in Medicaid funding during the 2015 fiscal year, the state’s Health and Human Services Commission said.

None of that money went to abortions, plaintiffs in the lawsuit against Texas and the Medicaid defunding plan have said.

Sparks said he does not see the videos as a central to the hearing, which opened Tuesday and is scheduled to run through Thursday. He called on the state to present evidence to back up its allegations that Planned Parenthood violated the law.

Texas investigated Planned Parenthood over the videos and a grand jury last January cleared it of any wrongdoing. The grand jury indicted two people who made the videos for document fraud but the charges were later dismissed.

The state took no further criminal action against Planned Parenthood after that but has repeated its accusations that the abortion provider may have violated state law.

Planned Parenthood gets about $500 million annually in federal funds across the United States, largely in reimbursements through Medicaid.

(Reporting by Jon Herskovitz; Editing by Tom Brown and Lisa Shumaker)

Texas moves to cut Medicaid funding for Planned Parenthood

Planned Parenthood center

By Jon Herskovitz

AUSTIN, Texas, Dec 21 (Reuters) – Texas plans to block about $3 million in Medicaid funding for Planned Parenthood operations in the state, according to a legal document obtained on Wednesday, a move the reproductive healthcare group said could affect nearly 11,000 low-income people.

Planned Parenthood said it would seek court help to block the funding halt, which would cut cancer screenings, birth control, HIV testing and other programs.

Planned Parenthood gets about $500 million annually in federal funds, largely in reimbursements through Medicaid, which provides health coverage to millions of low-income Americans.

Texas and several other Republican-controlled states have tried to cut the organization’s funding after an anti-abortion group released videos last year that it said showed officials from Planned Parenthood negotiating prices for fetal tissues from abortions it performs.

Texas sent a final termination notice to Planned Parenthood in the state on Tuesday to alert it of the funding cut, the document showed, saying the basis of the termination was the videos.

Planned Parenthood has denied wrongdoing, saying the videos were heavily edited and that it does not profit from fetal tissue donation. It has challenged similar defunding efforts in other states, calling them politically motivated.

Republican President-elect Donald Trump has pledged to defund Planned Parenthood, and at least 14 states have tried to pass legislation or taken administration action to prevent the organization from receiving federal Title X funding.

“Texas is a cautionary tale for the rest of the nation,” Cecile Richards, president of the Planned Parenthood Action Fund, said in a statement. “With this action, the state is doubling down on reckless policies that have been absolutely devastating for women.”

The Texas governor’s office was not immediately available for comment. The state investigated Planned Parenthood over the videos. A grand jury in January cleared Planned Parenthood of any wrongdoing and indicted the anti-abortion activists who made the videos for tampering with government records.

About a year ago, the Texas health department cut funding to a Houston Planned Parenthood affiliate for a nearly three-decade-old HIV prevention program. The contract was federally funded through the Centers for Disease Control and Prevention but managed by the state.

(Reporting by Jon Herskovitz; Editing by Lisa Von Ahn)

Exclusive: Abortion by prescription now rivals surgery for U.S. women

By Jilian Mincer

NEW YORK (Reuters) – American women are ending pregnancies with medication almost as often as with surgery, marking a turning point for abortion in the United States, data reviewed by Reuters shows.

The watershed comes amid an overall decline in abortion, a choice that remains politically charged in the United States, sparking a fiery exchange in the final debate between presidential nominees Hillary Clinton and Donald Trump.

When the two medications used to induce abortion won U.S. approval 16 years ago, the method was expected to quickly overtake the surgical option, as it has in much of Europe. But U.S. abortion opponents persuaded lawmakers in many states to put restrictions on their use.

Although many limitations remain, innovative dispensing efforts in some states, restricted access to surgical abortions in others and greater awareness boosted medication abortions to 43 percent of pregnancy terminations at Planned Parenthood clinics, the nation’s single largest provider, in 2014, up from 35 percent in 2010, according to previously unreported figures from the nonprofit.

The national rate is likely even higher now because of new federal prescribing guidelines that took effect in March. In three states most impacted by that change – Ohio, Texas and North Dakota – demand for medication abortions tripled in the last several months to as much as 30 percent of all procedures in some clinics, according to data gathered by Reuters from clinics, state health departments and Planned Parenthood affiliates.

Among states with few or no restrictions, medication abortions comprise a greater share, up to 55 percent in Michigan and 64 percent in Iowa.

Denise Hill, an Ohio mother who works full time and is pursuing a college degree, is part of the shift.

Hill, 26, became extremely ill with her third pregnancy, sidelined by low blood pressure that made it challenging to care for her son and daughter. In July, eight weeks in, she said she made the difficult decision to have a medication abortion. She called the option that was not available in her state four months earlier “a blessing.”

The new prescribing guidelines were sought by privately-held Danco Laboratories, the sole maker of the pills for the U.S. market. Spokeswoman Abby Long said sales have since surged to the extent that medication abortion now is “a second option and fairly equal” to the surgical procedure.

“We have been growing steadily year over year, and definitely the growth is larger this year,” Long said.

Women who ask for the medication prefer it because they can end a pregnancy at home, with a partner, in a manner more like a miscarriage, said Tammi Kromenaker, director of the Red River Women’s Clinic in Fargo, North Dakota.

GAME CHANGER

Medication abortion involves two drugs, taken over a day or two. The first, mifepristone, blocks the pregnancy sustaining hormone progesterone. The second, misoprostol, induces uterine contractions. Studies have shown medical abortions are effective up to 95 percent of the time.

Approved in France in 1988, the abortion pill was supposed to be a game changer, a convenient and private way to end pregnancy. In Western Europe, medication abortion is more common, accounting for 91 percent of pregnancy terminations in Finland, the highest rate, followed by Scotland at 80 percent, according to the Guttmacher Institute, a nonprofit research organization that supports abortion rights.

In the United States, proponents had hoped the medication would allow women to avoid the clinics that had long been targets of protests and sometimes violence.

But Planned Parenthood and other clinics remain key venues for the medication option. Of the more than 2.75 million U.S. women who have used abortion pills since they were approved in 2000, at least 1 million got them at Planned Parenthood.

Many private physicians have avoided prescribing the pills, in part out of concern that it would expose their practices to the type of protests clinics experienced, say doctors, abortion providers and healthcare organizations.

At the same time, the overall U.S. abortion rate has dropped to a low of 16.9 terminations per 1,000 women aged 15-44 in 2011, down from 19.4 per 1,000 in 2008, according to federal data. The decline has been driven in part by wider use of birth control, including long lasting IUDs.

In March, the U.S. Food and Drug Administration changed its prescribing guidelines for medication abortion. The agency now allows the pills to be prescribed as far as 10 weeks into pregnancy, up from seven. It cut the number of required medical visits and allowed trained professionals other than physicians, including nurse practitioners, to dispense the pills. It also changed dosing guidelines.

The changes were supported by years of prescribing data and reflect practices already common in most states where doctors are free to prescribe as they deem best.

Ohio, Texas and North Dakota took the unusual step of requiring physicians to strictly adhere to the original guidelines. Many abortion providers were reluctant to prescribe the pills under the older guidelines, which no longer reflected current medical knowledge, said Vicki Saporta, President and CEO of the National Abortion Federation.

Randall K. O’Bannon, a director at the anti-abortion National Right to Life organization, criticized the new guidelines but said his organization had no plans to fight them.

“What they did was make it more profitable,” O’Bannon said. “It will increase the pool of potential customers.”

Planned Parenthood said both types of abortion typically cost from $300 to $1,000, including tests and examinations. The group charges a sliding fee based on a patient’s ability to pay, regardless of which type of abortion they choose.

VARIED ACCESS

Despite a landmark U.S. Supreme Court ruling that abortion is a woman’s right, access varies widely by state. Some states maintain restrictions on both surgical and medication abortions; others have worked to increase access.

In rural Iowa, where clinics are few and far between, Planned Parenthood is using video conferencing, known as telemedicine, to expand access.

The way it works is, a woman is examined in her community by a trained medical professional, who checks vital signs and blood pressure and performs an ultrasound. The information is sent to an off-site doctor, who talks with the woman via video conference and authorizes the medications.

Since the telemedicine program began in Iowa in 2008, medication abortions increased to 64 percent of all pregnancy terminations, the highest U.S. rate.

In New York, Hawaii, Washington and Oregon, a private research institute, Gynuity Health Projects, works with clinics to send abortion pills by mail to pre-screened women.

“Medication abortion is definitely the next frontier,” said Gloria Totten, president of the Public Leadership Institute, a nonprofit that advises advocates.

And in Maryland and Atlanta, the nonprofit organization Carafem opened centers in the last 18 months that offer birth control and medication, but not surgical, abortions. It promotes its services with ads that read: “Abortion. Yeah, we do that.”

(Reporting By Jilian Mincer; Editing by Michele Gershberg and Lisa Girion)

Judge sides with Planned Parenthood over Mississippi abortion law

Boston Planned Parenthood

(Reuters) – A federal judge on Thursday sided with women’s health provider Planned Parenthood in a lawsuit aiming to block a Mississippi law that barred medical providers that perform abortions from participating in the state’s Medicaid program.

The decision by U.S. District Judge Daniel Jordan III is the latest in a string of rulings striking down similar laws elsewhere in the country against the women’s health provider.

Jordan’s two page order noted a ruling from the 5th U.S. District Court of Appeals that rejected a similar law in Louisiana, saying “essentially every court to consider similar laws has found that they violate” federal law.

Medicaid is a health insurance program for the poor run jointly by the federal government and individual states.

Planned Parenthood said in its complaint that the law, which went into effect in July, unconstitutionally limited patients’ rights to choose the healthcare provider of their choice and would have stopped it from serving low-income patients.

“Yet another court has said it is unacceptable for politicians to dictate where women can go for their health care,” Planned Parenthood Federation of America President Cecile Richards said in a statement. “Planned Parenthood will fight for our patients at every turn.”

Mississippi’s Republican Governor, Phil Bryant, expressed disappointment with the ruling, saying in a statement on Facebook: “I believe the law was the right thing to do and I will continue to stand with the legislature and people of Mississippi who do not want their hard-earned money going to the largest abortion provider in the nation.”

Mississippi was among many states adopting new abortion laws as conservatives have sought to chip away at the U.S. Supreme Court’s landmark 1973 Roe v. Wade decision legalizing abortion.

In August, a federal judge prevented Ohio from cutting federal taxpayer funding from 28 Planned Parenthood clinics in the state, setting back the governor’s hopes of stopping the women’s health services group from providing abortions.

(Reporting by Curtis Skinner in San Francisco; Editing by Simon Cameron-Moore)

Anti-abortion activists indicted in Texas for Planned Parenthood video

AUSTIN, Texas (Reuters) – Two anti-abortion activists behind the filming of videos on fetal tissue procurement by Planned Parenthood were indicted by a Texas grand jury on Monday, while clearing the women’s health group of any wrong-doing.

The videos released last summer led Texas and other Republican-controlled states to try to halt funding for local Planned Parenthood operations, with Republicans in the U.S. Congress also pushing for a funding cut.

The grand jury reviewed the case for more than two months and its decision was a result of a probe launched last year under Texas Governor Greg Abbott, a Republican, who accused Planned Parenthood of the “gruesome harvesting of baby body parts.”

“After a lengthy and thorough investigation by the Harris County District Attorney’s Office, the Texas Rangers, and the Houston Police Department, a Harris County grand jury took no action Monday against Planned Parenthood Gulf Coast,” the Harris County District Attorney’s office said in a statement.

Planned Parenthood has denied the accusation and called the probe politically motivated.

David Daleiden and Sandra Merritt were indicted by the grand jury for tampering with a governmental record, said prosecutors for the county in which Houston is located. The felony charge is punishable by up to 20 years in prison.

The two were involved in covert videos last year in which a Planned Parenthood official discussed the procurement of fetal tissue.

Daleiden, leader of the Center for Medical Progress that released the videos, was also charged with violating a prohibition on the purchase and sale of human organs, a misdemeanor, the Harris County District Attorney said.

There were no details released on the allegations against them.

“I respect their decision on this difficult case,” Harris County District Attorney Devon Anderson said of the grand jury.

The videos purported to show Planned Parenthood officials trying to negotiate prices for aborted fetal tissue. Under federal law, donated human fetal tissue may be used for research, but profiting from its sale is prohibited.

“These people broke the law to spread malicious lies about Planned Parenthood in order to advance their extreme anti-abortion political agenda,” said Eric Ferrero, vice president of Communications for Planned Parenthood Federation of America.

It is unclear what triggered the surprise indictments during the grand jury’s closed-door proceedings, said David Sklansky, faculty co-director of the Stanford Criminal Justice Center and a professor at Stanford Law School.

“It would be quite unusual for the grand jury to change direction without the cooperation and approval of the prosecutor,” Sklansky said. “But pretty much everything associated with this case seems unusual.”

Republican presidential candidate Mike Huckabee weighed in, saying in a statement: “It’s a sick day in America when our government punishes those who expose evil with a smartphone – while accommodating those who perform it with a scalpel.”

Texas leaders said they would not back down on their probe.

Arkansas and Louisiana, two neighboring states that have launched similar moves to cut state Medicaid funding after the videos, have been on the losing end of federal lawsuits, with judges blocking their attempts to halt funds.

(Reporting by Jon Herskovitz; Additional reporting by Jim Christie in San Francisco; Editing by Matthew Lewis, Bernard Orr)

Obama vetoes efforts to repeal Affordable Care Act, defund Planned Parenthood

Republican-backed legislation that would have repealed portions of the Affordable Care Act and prevented federal funds from going to Planned Parenthood was vetoed by President Barack Obama on Friday, effectively ending the legislature’s latest efforts to eliminate Obamacare.

Obama returned the bill to Congress without his signature, according to a message to lawmakers that appears on the White House’s website. A Republican majority controls both the House and Senate and had enough votes to send the bill to Obama’s desk for the first time, but the party lacks the two-thirds majority required to override his veto and force the bill to become law.

“This legislation would not only repeal parts of the Affordable Care Act, but would reverse the significant progress we have made in improving health care in America,” Obama wrote in the veto message to lawmakers. He added there have been more than 50 attempts to “ to repeal or undermine” the legislation, and criticized Republicans for continuing to pursue the goal.

“Rather than refighting old political battles by once again voting to repeal basic protections that provide security for the middle class, Members of Congress should be working together to grow the economy, strengthen middle-class families, and create new jobs,” Obama wrote Congress.

Citing data from the Congressional Budget Office, Obama wrote that the bill would have caused the number of uninsured Americans to rise by 22 million after next year, and 1.2 million people would have experienced difficulties paying other bills because of a higher cost of health care.

In sending the bill back to Congress, Obama also wrote that about 150 million Americans who obtain health insurance through their employers would have been at risk of higher premiums.

“This legislation would cost millions of hard-working middle-class families the security of affordable health coverage they deserve,” Obama wrote Congress. “Reliable health care coverage would no longer be a right for everyone: it would return to being a privilege for a few.”

Critics of the Affordable Care Act say it has actually led to increased health care costs and limited the options of many Americans since the president initially signed it into law six years ago.

In a statement, House Speaker Paul Ryan (R-Wisconsin) said Congress would hold an override vote (which will be mostly symbolic) and vowed to continue efforts to eliminate Obamacare, adding Friday’s vetoed bill “will get signed into law” if a Republican wins the presidential election this fall.

“The idea that Obamacare is the law of the land for good is a myth. This law will collapse under its own weight, or it will be repealed,” Ryan said in a statement.

Obama also wrote the bill would “effectively defund” Planned Parenthood because it would have prevented the group from obtaining federal Medicaid funding. The group is often criticized because it provides abortions, though it also provides many other health services to women.

Obama noted there are existing laws in place that prevent using federal money for abortions, unless the pregnancy was the result of rape or incest or could endanger the mother’s life.

Accused Planned Parenthood Shooter: ‘I’m Guilty’

The man accused of killing three people and wounding nine more during a shooting at a Planned Parenthood clinic in Colorado Springs last month reportedly confessed his guilt in a courtroom outburst on Wednesday afternoon, calling himself “a warrior for the babies.”

The Colorado Springs Gazette reported Robert Lewis Dear interrupted his attorney to make the comments early in the hearing. It was one of multiple outbursts he’s said to have made.

“I’m guilty. There’s no trial. I’m a warrior for the babies,” the newspaper quoted Dear as saying.

The comments appear to reference the fact that Planned Parenthood is an abortion provider, though the organization does provide several other health services to women. NBC News had previously reported Dear made the statement “no more baby parts” to police investigators.

Dear was in court to be formally charged for the Nov. 27 shooting. He’s accused of killing a police officer who responded to the scene and two people who accompanied friends to the clinic.

According to CBS Denver, prosecutors said in court that they will levy 179 charges against Dear.

The Gazette reported Dear’s attorney, a public defender, wants his client to undergo a mental health evaluation to determine if Dear is competent to stand trial.