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Boston Globe
18 hours ago
- Health
- Boston Globe
Congress targeted Planned Parenthood, but also affected Maine healthcare provider
Vanessa Shields-Haas, a nurse practitioner, said the organization's clinics have been seeing all patients as usual and completing Medicaid paperwork for visits, but not submitting it because it appears the provision took effect as soon as the law was signed. 'Knowing how hard it is to access care in this state, not allowing these community members to access their care, it's cruel,' Shields-Haas said. Advertisement Maine clinics appear to be only others included in cuts Republican lawmakers targeted Planned Parenthood in one piece of what President Donald Trump dubbed the 'big beautiful' bill that Congress passed and Get Starting Point A guide through the most important stories of the morning, delivered Monday through Friday. Enter Email Sign Up While advocates focused on Planned Parenthood, the bill did not mention it by name. Instead, it cut off reimbursements for organizations that are primarily engaged in family planning services — which generally include things such as contraception, abortion, and pregnancy tests — and received more than $800,000 from Medicaid in 2023. The US Senate's parliamentarian rejected a 2017 effort to defund Planned Parenthood because it was written to exclude all other providers by barring payments only to groups that received more than $350 million a year in Medicaid funds. The non-profit Maine organization asserts in its legal challenge that the threshold was lowered to $800,000 this time around to make sure Planned Parenthood would not be the only affected entity. Advertisement It is the only other organization that has come forward publicly to say that its funding is at risk, too. Federal law already bars taxpayer money from covering most abortions. Instead, the money in question involves other health services, such as cancer screenings and tests, and treatment for sexually transmitted infections. Proponents of that wrinkle in the law say abortion providers use Medicaid money for other services to subsidize abortion. 'This has never been just about Planned Parenthood,' Autumn Christensen, vice president of public policy for Susan B. Anthony Pro-Life America, said in a statement. 'It's about any Big Abortion business or network that performs abortions. Taxpayers should never be forced to prop up an industry that profits from ending human lives.' The US Department of Health and Human Services, which is named in the lawsuit, declined to comment because it's a legal matter. Maine Family Planning goes beyond abortion Maine Family Planning operates 18 clinics across the state. In 2024, it had about 7,200 family planning patients, plus another 645 who obtained abortions. Services include pregnancy testing, contraception, family planning counseling, breast exams, cancer screenings, and treatment of sexually transmitted infections. Some of the sites also offer primary care services, where there are another 600 or so patients. There are about 800 gender-affirming care patients and about 200 who use its upstart mobile clinic, said George Hill, the president and CEO of the organization. Hill said that for about two-thirds of its patients, Maine Family Planning is the only place they get medical care in a typical year. Advertisement About half of the patients not seeking abortions are enrolled in Medicaid, and the clinics have been receiving about $1.9 million a year in reimbursements, which accounts for about one-fourth of the organization's budget. 'It's a difficult state to provide care in, and now we're facing this,' Hill said. In its lawsuit, the group says it has enough reserves to keep seeing patients covered by Medicaid without reimbursement only through October. Finding health care can be a struggle in this rural state Maine Family Planning says that if it had to turn away patients, it would be more complicated for them than simply finding another provider. There aren't enough in rural areas, the group notes — and many don't accept Medicaid. One patient, Ashley Smith, said she started going to Maine Family Planning about five years ago when she could not find other health care she could afford. While she's not enrolled in Medicaid, she fears clinics could be shuttered because of cuts. 'I am so worried that if my clinic closes, I don't know what I'll do or if I'll be able to see another provider,' Smith said. Maine Family Planning also supports care at more than 40 other health care facilities. Other than the Planned Parenthood locations that receive money from Maine Family Planning, those other providers don't stand to lose their Medicaid reimbursements. But, Hill said, the loss of Medicaid funding for Maine Family Planning would mean the group would have less to send to partners. The Maine clinics say the law violates their right to equal protection The Center for Reproductive Rights, which is representing Maine Family Planning in the challenge, says in its legal filing that the defunding denies it equal protection under the law because it would have funding cut off, but organizations that provide similar services would not. Advertisement 'The administration would rather topple a statewide safety network than let a patient get a cancer screening at a facility that also offers abortion care,' Meetra Mehdizadeh, a Center for Reproductive Rights lawyer, said in an interview.
The Hill
a day ago
- Health
- The Hill
Maine Family Planning sues Trump administration over Medicaid cuts
Maine Family Planning filed a lawsuit Wednesday against the Trump administration seeking to restore Medicaid funding that is set to be stripped under the president's sweeping tax and spending package. A provision in the law bans health care providers who perform abortions and receive more than $800,000 in federal reimbursements from receiving Medicaid funding for one year. Republicans included the provision in the legislation to cut off funding to Planned Parenthood even though the organization is not named in the language of the law. Planned Parenthood quickly filed an injunction against the Trump administration after President Trump signed his 'big, beautiful bill' into law and a judge temporarily paused the measure's enforcement. But the provisions stipulations mean that Maine Family Planning, which oversees the largest network of reproductive health clinics in Maine, will also be cut off from Medicaid reimbursements. 'The provision's parameters were designed to create plausible deniability that its sole target was Planned Parenthood; as a result, MFP got caught in its net,' the lawsuit reads. If the provision is enacted, thousands of low-income Mainers will lose access to abortion care as well as primary and reproductive health care unrelated to abortion, the organization argues. The Center for Reproductive Rights filed the lawsuit against the Department of Health and Human Services and the Centers for Medicare & Medicaid Services on behalf of Maine Family Planning. In the lawsuit, the plaintiffs ask for emergency relief from the provision so that the nonprofit organization would not be forced to turn away patients who rely on Medicaid and who otherwise are not able to afford to pay out-of-pocket for health care. They argue withholding Medicaid funding to Maine Family Planning denies it equal protection under the law since other organizations that also receive Medicaid reimbursements for providing the same reproductive health services are not subject to the provision. 'Targeting health care providers who serve the populations with the fewest resources, and doing it by witholding funding simply because they also provide abortion care, is completely opposed to the goal of the Medicaid program—to ensure that adults and children with limited resources can access health care,' the lawsuit states. Maine Family Planning serves about 8,700 people a year either at one its 18 clinics or via its mobile unit, according to George Hill, president and CEO of Maine Family Planning. 'Tens of thousands' of other patients receive health care at one of MFP's subcontracted clinics throughout the state, the organization said in a statement. 'In a state like Maine, which is large enough to include the rest of New England by geographic area, this is a big threat,' said Hill. 'We don't have patients that are extremely mobile, especially in winter time. We have one highway going North and South. There is no highway going East and West.' About half MFP's patients at their primary clinics get their health insurance coverage through Medicaid, and 70 percent of their patients do not see other providers for health care needs. Hill said at the moment MFP has issued a moratorium on accepting new patients at its primary care clinics but is continuing to care for existing patients with Medicaid and holding off on filing insurance claims. 'We can't do that forever, obviously,' he said.
Boston Globe
a day ago
- Health
- Boston Globe
The push to defund Planned Parenthood hit other clinics in Maine. Now their group is suing.
Vanessa Shields-Haas, a nurse practitioner, said the organization's clinics have been seeing all patients as usual and completing Medicaid paperwork for visits — but not submitting it because it appears the provision took effect as soon as the law was signed. 'Knowing how hard it is to access care in this state, not allowing these community members to access their care, it's cruel,' Shields-Haas said. Advertisement Maine clinics appear to be only others included in cuts Republican lawmakers targeted Planned Parenthood in one piece of what President Donald Trump dubbed the 'big beautiful' bill that Congress passed and the president signed earlier this month. Get Starting Point A guide through the most important stories of the morning, delivered Monday through Friday. Enter Email Sign Up While advocates focused on Planned Parenthood, the bill did not mention it by name. Instead, it cut off reimbursements for organizations that are primarily engaged in family planning services — which generally include things such as contraception, abortion and pregnancy tests — and received more than $800,000 from Medicaid in 2023. The U.S. Senate's parliamentarian rejected a 2017 effort to defund Planned Parenthood because it was written to exclude all other providers by barring payments only to groups that received more than $350 million a year in Medicaid funds. The not-for-profit Maine organization asserts in its legal challenge that the threshold was lowered to $800,000 this time around to make sure Planned Parenthood would not be the only affected entity. Advertisement It is the only other organization that has come forward publicly to say that its funding is at risk, too. Federal law already bars taxpayer money from covering most abortions. Instead, the money in question involves other health services, such as cancer screenings and tests, and treatment for sexually transmitted infections. Proponents of that wrinkle in the law say abortion providers use Medicaid money for other services to subsidize abortion. 'This has never been just about Planned Parenthood,' Autumn Christensen, vice president of public policy for Susan B. Anthony Pro-Life America, said in a statement. 'It's about any Big Abortion business or network that performs abortions. Taxpayers should never be forced to prop up an industry that profits from ending human lives.' The Associated Press has sought comment from the U.S. Department of Health and Human Services, which is named in the lawsuit. Maine Family Planning goes beyond abortion Maine Family Planning operates 18 clinics across the state. In 2024, it had about 7,200 family planning patients, including 645 who obtained abortions. Services include pregnancy testing, contraception, family planning counseling, breast exams, cancer screenings and treatment of sexually transmitted infections. Some of the sites also offer primary care services, where there are another 600 or so patients. There are about 800 gender-affirming care patients and about 200 who use its upstart mobile clinic, said George Hill, the president and CEO of the organization. Hill said that for about two-thirds of its patients, Maine Family Planning is the only place they get medical care in a typical year. Advertisement About half of the patients not seeking abortions are enrolled in Medicaid, and the clinics have been receiving about $1.9 million a year in reimbursements, which accounts for about one-fourth of the organization's budget. 'It's a difficult state to provide care in and now we're facing this,' Hill said. In its lawsuit, the group says it has enough reserves to keep seeing patients covered by Medicaid without reimbursement only through October. Finding health care can be a struggle in this rural state Maine Family Planning says that if it had to turn away patients, it would be more complicated for them than simply finding another provider. There aren't enough in rural areas, the group notes — and many don't accept Medicaid. One patient, Ashley Smith, said she started going to Maine Family Planning about five years ago when she could not find other health care she could afford. While she's not enrolled in Medicaid, she fears clinics could be shuttered because of cuts. 'I am so worried that if my clinic closes, I don't know what I'll do or if I'll be able to see another provider,' Smith said. Maine Family Planning also supports care at more than 40 other health care facilities. Other than the Planned Parenthood locations that receive money from Maine Family Planning, those other providers don't stand to lose their Medicaid reimbursements. But, Hill said, the loss of Medicaid funding for Maine Family Planning would mean the group would have less to send to partners. The Maine clinics say the law violates their right to equal protection The Center for Reproductive Rights, which is representing Maine Family Planning in the challenge, says in its legal filing that the defunding denies it equal protection under the law because it would have funding cut off, but organizations that provide similar services would not. Advertisement 'The administration would rather topple a statewide safety network than let a patient get a cancer screening at a facility that also offers abortion care,' Meetra Mehdizadeh, a Center for Reproductive Rights lawyer, said in an interview. Planned Parenthood already sued and won a reprieve from a judge, preventing its Medicaid payments cutoff — at least until July 21 — while a court considers that case. Planned Parenthood has warned that the law could put 200 of its affiliates' roughly 600 clinics across the U.S. at risk of closing.
Toronto Star
a day ago
- Health
- Toronto Star
Congress targeted Planned Parenthood for defunding, but also caught a Maine health care provider
PORTLAND, Maine (AP) — An item in Republicans' sweeping policy and tax bill intended to block Medicaid dollars from flowing to Planned Parenthood, the nation's biggest abortion provider, is also hitting a major medical provider in Maine. Maine Family Planning filed a lawsuit against the Trump administration Wednesday seeking to restore the reimbursements.
Washington Post
a day ago
- Health
- Washington Post
Congress targeted Planned Parenthood for defunding, but also caught a Maine health care provider
PORTLAND, Maine — An item in Republicans' sweeping policy and tax bill intended to block Medicaid dollars from flowing to Planned Parenthood, the nation's biggest abortion provider, is also hitting a major medical provider in Maine. Maine Family Planning filed a lawsuit against the Trump administration Wednesday seeking to restore the reimbursements.
