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FAST FACTS ABOUT ANTI-CHOICE ISSUES:

FAST FACTS ABOUT PRO-CHOICE ISSUES:

Who Decides?
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Fast Facts

Refusal to Provide Medical Services

Are health care providers really allowed to refuse to provide medically necessary services?

YES.  A number of state and federal laws include provisions known as "refusal clauses," which permit a broad range of individuals and institutions—including hospitals, hospital employees, health care providers, pharmacists, employers, and insurance companies—to refuse to provide, pay for, counsel, or even refer for medical treatment that they personally oppose.  Although carefully crafted refusal clauses may be acceptable in some circumstances to protect individual medical providers, broad refusal clauses deny women medically necessary information, referrals, or services.  In addition, even if individual medical providers are protected, health care corporations should not be allowed to deny women access to necessary medical services and information.

CURRENT STATE LAWS

47 states and the District of Columbia allow certain individuals or entities to refuse to provide women specific reproductive health services, information, or referrals:  AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, WA, WV, WI, WY.

CURRENT FEDERAL LAWS

Several provisions exist in federal law that allow health care companies to refuse to provide, pay for, counsel, or even refer for abortion services—and in some cases contraceptives.  Most recently, Congress passed the Federal Refusal Clause (FRC), which eliminates federal, state, and local governments' ability to ensure that abortion care and referrals are available.  Under the FRC, a federal, state, or local government may not require any health care company to provide, pay for, or refer for abortion services.  Any law or regulation that does so can be considered "discrimination" against the entity and a violation of the FRC.

2007 STATE LEGISLATION

11 states considered 20 measures that would allow certain individuals or entities to refuse to provide women specific reproductive health services, information, or referrals:  IL, IN, MI, MO, NJ, NC, RI, SC, TX, VT, WV.

  • 8 states considered 11 measures that would permit pharmacists and/or pharmacies to refuse to fill women's prescriptions for contraception, including emergency contraception:  IN, MI, MO, NJ, RI, SC, TX, VT.
     
  • 9 states considered 17 measures that would allow health-care entities and/or individuals to refuse to provide abortion services:  IL, IN, MI, MO, NC, RI, SC, VT, WV.
For a map of all states with Refusal to Provide Medical Services - click here.

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