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Introduction
On 15 July, 2008 the New York Times published a
story based on a
confidential document it had obtained from the U.S. Department of Health and
Human Services. The document is purported to be a briefing note and draft regulation
being circulated in the Department. The stated purpose of the proposed
regulation is "to define key terms, and to ensure that recipients of
Department funds know about their legal obligations" under federal
protection of conscience laws. In particular:
- the
Conscience Clauses/Church Amendments prohibit entities that
receive some grants, contracts, loans, or loan guarantees "from denying
admission to, or otherwise discriminating against, “any applicant
(including for internships and residencies) for training or study
because of the applicant’s reluctance, or willingness, to counsel,
suggest, recommend, assist, or in any way participate in the performance
of abortions or sterilizations contrary to or consistent with the
applicant’s religious beliefs or moral convictions;”
- the
Public Health Service Act "prohibits the Federal government
and any State or local government receiving federal financial assistance
from discriminating against any health care entity on the basis that the
entity refuses to: (1) receive training in abortion; (2) provide
abortion training; (3) perform abortions; (4) provide referral for such
abortions; or (5) provide referrals for abortion training."
- the Weldon Amendment denies
federal funds to federal agencies or programmes or State or local
government that discriminate against institutional or individual health
care entities because they do not "provide, pay for, provide coverage
of, or refer for abortions.”
On 21 August, 2008, the Department issued the final version of the draft
regulation,
Ensuring
that Department of Health and Human Services Funds Do Not Support Coercive or
Discriminatory Policies or Practices In Violation of Federal Law ,with a
deadline of 25 September, 2008 for public comments. The stated goals
of the regulation are:
(1) educate the public and health care providers on the
obligations imposed, and protections afforded, by federal law;
(2) work with State and local governments and other recipients of
funds from the Department to ensure compliance with the nondiscrimination requirements
embodied in the Church Amendments, PHS Act § 245, and the Weldon Amendment;
(3)
when such compliance efforts prove unsuccessful, enforce these nondiscrimination
laws through the various Department mechanisms, to ensure that
Department funds do not support morally coercive or discriminatory
practices or policies in violation of federal law; and
(4) otherwise take an active role in promoting open communication
within the healthcare industry, and between providers and patients,
fostering a more inclusive, tolerant environment in the health care
industry than may currently exist.”
The regulations make no judgement about the desirability of abortion or
other controversial procedures, nor do they restrict or prohibit provision
of such services by any private or government entity. They are
directed solely at preventing discrimination against individuals or health
care entities that do not wish to facilitate procedures or services to which
they object for reasons of conscience. |