Texas Officially kicking Planned Parenthood out of Medicaid

Texas health officials on Tuesday delivered a final legal notice to nix the funding Planned Parenthood receives through the Medicaid program.

After more than a year of delays, Texas is officially kicking Planned Parenthood out of the state’s Medicaid program.

In a move that could affect thousands of low-income women, state health officials on Tuesday delivered a final legal notice to defund the organization from the Medicaid program through which it provides family planning and women’s health services to the poor. Planned Parenthood had previously received $3.1 million in Medicaid funding, but those dollars will be nixed in 30 days, according to the notice which was obtained by The Texas Tribune.

That cut-off day will only be delayed if the organization appeals the state’s decision in the next 15 days by requesting an administrative hearing with the Texas Health and Human Services Commission.

The battle over the funding Planned Parenthood received for those health services — which are separate from its abortion services that receive no public funds — began in October 2015 when Gov. Greg Abbott and state health officials first moved to cut off Medicaid dollars, about 90 percent of which comes from the federal government, to the organization’s Texas affiliates.

Feeding on outrage sparked by the release of controversial undercover videos of Planned Parenthood officials, Republicans cited the videos — and unspecified allegations of billing fraud — as proof of “acts of misconducts” by the organization and said they would cut off Medicaid funding. But the state’s threat initially appeared to be a feint.

In October 2015, Texas officials delivered a notice of intent to boot Planned Parenthood from the public insurance program and gave the organization 30 days to respond to its notice and request an “informal resolution meeting” with health commission attorneys. If the organization did not act, the state said, it would issue a “final notice of termination,” formally ending Planned Parenthood’s participation in Medicaid. That order would have gone into effect 15 days after the organization received it.

But more than a year went by without a final notice. Meanwhile, Planned Parenthood continued to provide well-woman services to roughly 12,000 low-income women.

Texas health officials did not immediately respond to a request for comment regarding the final notice and why it was delayed more than a year.

In October, a spokeswoman for the governor said Abbott was “disappointed and troubled by the lack of progress” in defunding the women’s health organization but that he still expected the issue to “move forward.”

Abbott and other Planned Parenthood opponents have repeatedly pointed to undercover videos filmed by an anti-abortion group that showed Planned Parenthood officials in Texas discussing the use of fetal tissue for research. They’ve claimed the videos serve as proof that the organization is “harvesting” fetal tissue.

But there has been no evidence so far that Planned Parenthood “harvests” fetal tissue in Texas or that it engaged in wrongdoing, as claimed by anti-abortion activists. And state officials investigating the organization over purported practices have repeatedly declined to provide details about their investigation.

The fight over Medicaid funding is likely to play out in federal court where Planned Parenthood preemptively filed a lawsuit a year ago seeking to block Texas’ efforts. At the time, it was thought that Planned Parenthood affiliates would be cut from the Medicaid program as early as Dec. 8, 2015.

But the lawsuit sat virtually idle for a year because Texas had not delivered its final legal notice to defund the organization.

Federal officials have already warned Texas that pushing Planned Parenthood out of the state’s Medicaid program could put Texas at odds with federal law. And federal courts in other states have ruled that Planned Parenthood cannot be legally kicked out of Medicaid.

Read more:

  • More than a year after lawmakers originally ordered it, Texas announced in November it would enact significant cuts to the money that it pays therapists who treat vulnerable children with disabilities in two weeks.
  • In June, the U.S. Supreme Court handed Texas abortion providers a major victory by overturning Texas’ 2013 abortion restrictions.

Disclosure: Planned Parenthood has been a financial sponsor of The Texas Tribune. A complete list of Tribune donors and sponsors can be viewed here.

Author:  ALEXA URA – The Texas Tribune