Advocate for family planning and funding for contraceptives

A: In addition to being a strong proponent of access to safe abortions, Bernie has been a vocal advocate for family planning and funding for contraceptives. In January 2009, he supported the Prevention First Act, which includes grants to states for family life education. These programs expand funding for family planning and access to contraceptives, and are aimed toward teens to prevent unwanted pregnancies and STDs.

Q: Why is there so much congressional activity in this area?

A: Over the past few years, there has been an "unprecedented wave of state-level abortion restrictions" rolling back progress on women's reproductive healthcare rights. Access to safe resources for healthcare have been more limited than in the past. Bernie has actively worked to combat restrictions by co-sponsoring a bill that would lift restriction on abortion, known as the Women's Health Protection Act.

Women have the right to choose, regardless of income

Voted for spending bills with Hyde Amendment, but pro-choice

SANDERS: Sometimes, in a large bill, you have to vote for things you don't like. But I think my record as being literally 100 percent pro-choice is absolutely correct. If you believe, as I do, that a woman's right to control her own body is a constitutional right, then that must apply to all women, including low-income women. That is what I have always believed, and that is what I believe right now.

Voted NO on restricting UN funding for population control policies.

Proponent's argument to vote Yes:Sen. WICKER (R-MS): This amendment with one issue and one issue only--whether US taxpayer dollars will be provided to help fund coercive population control policies, such as China's one-child policy--a policy that relies on coerced abortion and forced sterilization. Specifically, this pro-child, pro-family, pro-woman amendment would restore the Kemp-Kasten antipopulation control provision, which has been a fundamental part of our foreign policy for almost a quarter century. As it has always done, Kemp-Kasten allows the President to certify that funds are not used for coercive family practices. My amendment is needed because the underlying bill reverses this longstanding provision.

Sen. COBURN (R-OK): I stand in the corner of pro-life. But I want to debate this issue as if I were pro-choice. If we believe that women have a right to choose, why in the world would we send money to UNFP that is going to take that right away from women in other countries? You can't be on both sides of this issue. Either you believe in a woman's right to choose or you do not. Or you only believe in a woman's right to choose in America, and because the Chinese have too many people, you don't think that same human right ought to be given to women in China. There is no question that UNFP will mix this money, and we will fund forced abortions in China. [Without this amendment] American taxpayer dollars are going to go to China to enforce coercive abortion against the will of women and force sterilization against the will of women in China.

Opponent's argument to vote No:None spoke against the amendment.

Voted NO on defining unborn child as eligible for SCHIP.

SUPPORTER'S ARGUMENT FOR VOTING YES:Sen. ALLARD: This amendment will codify the current unborn child rule by amending the SCHIP reauthorization reserve fund. This amendment will clarify in statute that the term "child" includes the period from conception to birth. This is a pro-life vote.OPPONENT'S ARGUMENT FOR VOTING NO: Sen. FEINSTEIN: We already clarified SCHIP law that a pregnant woman's coverage under SCHIP law is optional. We made it obligatory so every pregnant woman has the advantage of medical insurance. This amendment undoes that. It takes it away from the woman and gives it to the fetus. Now, if a pregnant woman is in an accident, loses the child, she does not get coverage, the child gets coverage. We already solved the problem. If you cover the pregnant woman, you cover her fetus. What Senator Allard does is remove the coverage from the pregnant woman and cover the fetus.LEGISLATIVE OUTCOME:Amendment rejected, 46-52

Voted NO on prohibiting minors crossing state lines for abortion.

SUPPORTER'S ARGUMENT FOR VOTING YES:Sen. ENSIGN: This amendment enables enforcing the Child Custody Protection Act, which passed the Senate in a bipartisan fashion by a vote of 65 to 34. Too many times we enact laws, and we do not fund them. This is going to set up funding so the law that says we are going to protect young children from being taken across State lines to have a surgical abortion--we are going to make sure those people are protected. OPPONENT'S ARGUMENT FOR VOTING NO:Sen. BOXER: We already voted for $50 million to enhance the enforcement of child protective laws. If Sen. Ensign's bill becomes law, then that money is already there to be used for such a program. LEGISLATIVE OUTCOME:Amendment rejected, 49-49 (1/2 required, or 50 votes; Sen. Byrd & Sen. McCain absent)

Voted NO on barring HHS grants to organizations that perform abortions.

Proponents support voting YES because:

Sen. VITTER: Whatever side of the abortion debate you are on, we can all agree on one thing: Abortion is a very divisive topic. In that context, I think it is the right policy to say we are not going to send taxpayer dollars to support groups that perform abortions. Now, the other side will say: Well, we have current Federal law that says we are not going to use taxpayer dollars to fund abortions. But, quite frankly, that is not good enough. Because now, we send Federal dollars to abortion providers and money is fungible--it is a big shell game and it supports their organizations and, in many cases, that funding is a huge percentage of their overall revenue.

Letter of Support from Family Research Council:

Recent reports indicate that Planned Parenthood generated over $900 million in income in 2006, of which over $300 million came from government. We should not be sending taxpayer money to an organization such as Planned Parenthood that performs abortions. Your support for the Vitter amendment will uphold the principle that the US taxpayer should not have to subsidize the abortion industry.

Opponents recommend voting NO because:

Sen. BOXER: The Vitter amendment is "Big Brother" at its very worst. It tells non-governmental entities how they should spend their own private funds. This amendment punishes the very organizations that work hard every day using their own funds to provide family planning services and reproductive health care, including legal abortion services. If Sen. Vitter wants to deny these funds, he should work to outlaw all abortion. That is an honest way. But to punish a private organization that works to give women a full array of reproductive health care is really, I think, a very sorry idea.

Voted YES on expanding research to more embryonic stem cell lines.

1. have been donated from in vitro fertilization clinics;
2. were created for the purposes of fertility treatment;
3. were in excess of the needs of the individuals seeking such treatment and would otherwise be discarded; and
4. were donated by such individuals with written informed consent and without any financial or other inducements.

Proponents support voting YES because:

Since 2 years ago, the last Stem Cell bill, public support has surged for stem cells. Research is proceeding unfettered and, in some cases, without ethical standards in other countries. And even when these countries have ethical standards, our failures are allowing them to gain the scientific edge over the US. Some suggest that it is Congress' role to tell researchers what kinds of cells to use. I suggest we are not the arbiters of research. Instead, we should foster all of these methods, and we should adequately fund and have ethical oversight over all ethical stem cell research.

Opponents support voting NO because:

A good deal has changed in the world of science. Amniotic fluid stem cells are now available to open a broad new area of research. I think the American people would welcome us having a hearing to understand more about this promising new area of science. As it stands today, we will simply have to debate the bill on the merits of information that is well over 2 years old, and I think that is unfortunate.

The recent findings of the pluripotent epithelial cells demonstrates how quickly the world has changed. Wouldn't it be nice to have the researcher before our committee and be able to ask those questions so we may make the best possible judgment for the American people?
Status: Vetoed by Pres. Bush Bill passed, 63-34

Voted YES on allowing human embryonic stem cell research.

• Call for stem cells to be taken from human embryos that were donated from in vitro fertilization clinics
• Require that before the embryos are donated, that it be established that they were created for fertility treatment and in excess of clinical need and otherwise would be discarded
• Stipulate that those donating the embryos give written consent and do not receive any compensation for the donation.

Voted NO on restricting interstate transport of minors to get abortions.

• Allowing for exemptions to the law if the life of the minor is in danger or if a court in the minor's home state waive the parental notification required by that state
• Allocating fines and/or up to one year imprisonment of those convicted of transporting a minor over state lines to have an abortion
• Penalizing doctors who knowingly perform an abortion procedure without obtaining reasonable proof that the notification provisions of the minor's home state have been satisfied
• Requiring abortion providers in states that do not have parental consent laws and who would be performing the procedure on a minor that resides in another state, to give at least a 24 hour notice to the parent or legal guardian
• Specifying that neither the minor nor her guardians may be prosecuted or sued for a violation of this act

Voted NO on making it a crime to harm a fetus during another crime.

Voted NO on banning partial-birth abortion except to save mother’s life.

Voted YES on forbidding human cloning for reproduction & medical research.

Voted NO on funding for health providers who don't provide abortion info.

Voted NO on banning Family Planning funding in US aid abroad.

Voted NO on banning partial-birth abortions.

Voted NO on barring transporting minors to get an abortion.

Rated 100% by NARAL, indicating a pro-choice voting record.

For over thirty years, NARAL Pro-Choice America has been the political arm of the pro-choice movement and a strong advocate of reproductive freedom and choice. NARAL Pro-Choice America's mission is to protect and preserve the right to choose while promoting policies and programs that improve women's health and make abortion less necessary. NARAL Pro-Choice America works to educate Americans and officeholders about reproductive rights and health issues and elect pro-choice candidates at all levels of government. The NARAL ratings are based on the votes the organization considered most important; the numbers reflect the percentage of time the representative voted the organization's preferred position.

Emergency contraception for rape victims at all hospitals.

OFFICIAL CONGRESSIONAL SUMMARY: Prohibits any federal funds from being provided to a hospital unless the hospital provides to women who are victims of sexual assault:

1. accurate and unbiased information about emergency contraception;
2. emergency contraception on her request; and
3. does not deny any such services because of the inability of the woman to pay.

SPONSOR'S INTRODUCTORY REMARKS: Sen. CLINTON: This bill will help sexual assault survivors across the country get the medical care they need and deserve. It is hard to argue against this commonsense legislation. Rape--by definition--could never result in an intended pregnancy. Emergency contraception is a valuable tool that can prevent unintended pregnancy. This bill makes emergency contraception available for survivors of sexual assault at any hospital receiving public funds.

Every 2 minutes, a woman is sexually assaulted in the US, and each year, 25,000 to 32,000 women become pregnant as a result of rape or incest. 50% of those pregnancies end in abortion.

By providing access to emergency contraception, up to 95% of those unintended pregnancies could be prevented if emergency contraception is administered within the first 24 to 72 hours. In addition, emergency contraception could also give desperately needed peace of mind to women in crisis.

The FDA recently made EC available over the counter for women 18 years of age and older. Despite the ideologically driven agenda against this drug, the research has been consistently clear--this drug is safe and effective for preventing pregnancy. Women deserve access to EC. For millions of women, it represents peace of mind. For survivors of rape and sexual assault, it offers hope for healing and a tomorrow free of painful reminders of the past.

LEGISLATIVE OUTCOME:Referred to Senate Committee on Health, Education, Labor, and Pensions; never came to a vote.

Rated 0% by the NRLC, indicating a pro-choice stance.

OnTheIssues.org interprets the 2006 NRLC scores as follows:

• 0% - 15%: pro-choice stance (approx. 174 members)
• 16%- 84%: mixed record on abortion (approx. 101 members)
• 85%-100%: pro-life stance (approx. 190 members)

The ultimate goal of the National Right to Life Committee is to restore legal protection to innocent human life. The primary interest of the National Right to Life Committee and its members has been the abortion controversy; however, it is also concerned with related matters of medical ethics which relate to the right to life issues of euthanasia and infanticide. The Committee does not have a position on issues such as contraception, sex education, capital punishment, and national defense. The National Right to Life Committee was founded in 1973 in response to the Roe vs. Wade Supreme Court decision, legalizing the practice of human abortion in all 50 states, throughout the entire nine months of pregnancy.

The NRLC has been instrumental in achieving a number of legislative reforms at the national level, including a ban on non-therapeutic experimentation of unborn and newborn babies, a federal conscience clause guaranteeing medical personnel the right to refuse to participate in abortion procedures, and various amendments to appropriations bills which prohibit (or limit) the use of federal funds to subsidize or promote abortions in the United States and overseas.

In addition to maintaining a lobbying presence at the federal level, NRLC serves as a clearinghouse of information for its state affiliates and local chapters, its individual members, the press, and the public.

Provide emergency contraception at military facilities.

Requires emergency contraception to be included on the basic core formulary of the uniform formulary of pharmaceutical agents for the pharmacy benefits program of the Department of Defense.

Introductory statement by Sponsor:

Sen. CLINTON: Last year, the FDA made emergency contraception available over-the-counter for women 18 years of age and older. Research shows that emergency contraception is safe and effective for preventing pregnancy. More than 70 major medical organizations, including the America Academy of Pediatrics, recommended that Plan B be made available over-the-counter.

Women deserve access to this medically approved drug and our servicewomen are no different. By providing access to emergency contraception, up to 95% of those unintended pregnancies could be prevented if emergency contraception is administered within the first 24 to 72 hours. For survivors of rape and incest, emergency contraception offers hope for healing.

Current Department of Defense policy allows emergency contraception to be available at military health care facilities. Currently, it is available at some facilities, but not others. The Compassionate Care for Servicewomen Act would simply ensure broader access by including emergency contraception on the basic core formulary, BCF, a list of medications stocked at all military health care facilities.

There is a real need for this legislation. According to the Pentagon, the number of reported sexual assaults in the military increased approximately 24% in 2006 to nearly 3,000. We have reports from women & health providers in the military who have sought emergency contraception on an emergency basis and have been unable to obtain it quickly enough.

Ensuring that emergency contraception is more broadly available at military health care facilities is a fair, commonsense step that everyone should be able to agree on. It is my sincere hope that my colleagues join me in supporting this important legislation.

Require pharmacies to fulfill contraceptive prescriptions.

Access to Birth Control Act: Amends the Public Health Service Act to require pharmacies to comply with certain rules related to contraceptives, including:
1. providing a customer a contraceptive without delay if it is in stock;
2. immediately informing a customer if the contraceptive is not in stock and either transferring the prescription to a pharmacy that has the contraceptive in stock or expediting the ordering of the contraceptive and notifying the customer when it arrives, based on customer preference, except for pharmacies that do not ordinarily stock contraceptives in the normal course of business; and
3. ensuring that pharmacy employees do not take certain actions relating to a request for contraception, including intimidating, threatening, or harassing customers, interfering with or obstructing the delivery of services, intentionally misrepresenting or deceiving customers about the availability of contraception or its mechanism of action, breaching or threatening to breach medical confidentiality, or refusing to return a valid, lawful prescription.

Ban anti-abortion limitations on abortion services.

Congressional summary:: Women's Health Protection Act: makes the following limitations concerning abortion services unlawful and prohibits their imposition or application by any government:

• a requirement that a medical professional perform specific tests, unless generally required in the case of medically comparable procedures;
• a limitation on an abortion provider's ability to delegate tasks;
• a limitation on an abortion provider's ability to prescribe or dispense drugs based on her or his good-faith medical judgment;
• a requirement or limitation concerning the physical plant, equipment, staffing, or hospital transfer arrangements;
• a requirement that, prior to obtaining an abortion, a woman make medically unnecessary visits to the provider of abortion services or to any individual or entity that does not provide such services;
• a prohibition or ban prior to fetal viability

Opponent's argument against (Live Action News): This is Roe v. Wade on steroids. The bill is problematic from the very beginning. Its first finding addresses "women's ability to participate equally"; many have rejected this claim that women need abortion in order to be equal to men, or that they need to be like men at all. The sponsors of this pro-abortion bill also seem to feel that pro-life bills have had their time in this country, and that we must now turn back to abortion. The bill also demonstrates that its proponents have likely not even bothered attempting to understand the laws they are seeking to undo, considering that such laws are in place to regulate abortion in order to make it safer. Those who feel that abortion is best left up for the states to decide will also find this bill problematic with its overreach. Sadly, the bill also uses the Fourteenth Amendment to justify abortion, as the Supreme Court did, even though in actuality it would make much more sense to protect the lives of unborn Americans.

Access safe, legal abortion without restrictions.

Congressional Summary: Congress finds the following:

Access to safe, legal abortion services has been hindered in various ways, including blockades of health care facilities; restrictions on insurance coverage; restrictions on minors' ability to obtain services; and requirements that single out abortion providers.
• These restrictions harm women's health by reducing access to the other essential health care services offered by the providers targeted by the restrictions, including contraceptive services.
• The cumulative effect of these numerous restrictions has been that a woman's ability to exercise her constitutional rights is dependent on the State in which she lives.
• It is the purpose of this Act to protect women's health by ensuring that abortion services will continue to be available and that abortion providers are not singled out for medically unwarranted restrictions

Opponents reasons for voting NAY:(National Review, July 17, 2014): During hearings on S. 1696, Senators heard many myths from abortion proponents about the "need" for the bill's evisceration of all life-affirming legislation.

• Myth: Life-affirming laws are enacted "under the false pretext of health and safety."
  Fact: Induced abortion is associated with significant risks and potential harms to women.
• Myth: "Where abortion services are restricted and unavailable, abortions still occur and are mostly unsafe."
  Fact: Where abortion is restricted, maternal mortality rates have decreased.
• Myth: Admitting privileges laws are "not medically justified."
  Fact: Women with abortion complications are told to go to an emergency department. This would constitute malpractice in any other scenario.
• Myth: Ultrasounds and their descriptions are "cruel and inhumane."
  Fact: Allowing women the opportunity to view their ultrasounds serves an important role in providing informed consent, enabling women to exercise true choice.

Keep federal funding for family planning clinics.

Excerpts from Letter to the Senate Majority Leader from 46 Senators: The recent vote in the House to overturn rules protecting Title X health centers would deny women access to care. In 2015, Title X provided basic primary and preventive health care services such as pap tests, breast exams, and HIV testing to more than four million low-income women and men at over 4,000 health centers. In large part due to this work, the US unintended pregnancy rate is at a 30-year low, and rates of teenage pregnancy are the lowest in our nation's history. The success of the program is dependent on funding. Family planning services, like those provided at Planned Parenthood and other family planning centers, should be available to all women, no matter where they live or how much money they make.

Opposing argument: (Heritage Foundation, "Disentangling the Data"): Planned Parenthood received approximately $60 million of taxpayer money under Title X, and $390 million through Medicaid. To ensure that taxpayers are not forced to subsidize America's number one abortion provider, Congress should make Planned Parenthood affiliates ineligible to receive either Medicaid reimbursements or Title X grants if they continue to perform abortions. Taxpayer money from these programs should instead be redirected to the more than 9,000 federally qualified health center sites that provide comprehensive primary health care for those in need without entanglement in abortion.

Supporting argument: (ACLU, "Urging Title X"): Title X services help women & men to plan the number and timing of their pregnancies, thereby helping to prevent approximately one million unintended pregnancies, nearly half of which would end in abortion. However, current funding is inadequate. Had Title X funding kept up with inflation it would now be funded at nearly $700 million. We ask that Title X be funded at $375 million, which is $92 million above its current funding level.

CC:Publicly fund abortions.

The Christian Coalition Voter Guide inferred whether candidates agree or disagree with the statement, 'Public Funding of Abortions (Such as Govt. Health Benefits and Planned Parenthood)' Christian Coalition's self-description: "Christian Voter Guide is a clearing-house for traditional, pro-family voter guides. We do not create voter guides, nor do we interview or endorse candidates."

CC:No parental notification for abortions by minors.

The Christian Coalition Voter Guide inferred whether candidates agree or disagree with the statement, 'Parental Notification for Abortions by Minors ' Christian Coalition's self-description: "Christian Voter Guide is a clearing-house for traditional, pro-family voter guides. We do not create voter guides, nor do we interview or endorse candidates."

Protect the reproductive rights of women.

• Provides that a State may not restrict the right of a woman to choose to terminate a pregnancy:
• before fetal viability; or
• at any time, if such termination is necessary to protect the life or health of the woman.
• Allows a State to impose requirements medically necessary to protect the life or health of such women.
• Declares that this Act shall not be construed to prevent a State from:
• requiring minors to involve responsible adults before terminating a pregnancy; and
• protecting individuals from having to participate in abortions to which they are conscientiously opposed. Source: Freedom of Choice Act (H.R.25) 1993-H25 on Jan 5, 1993

  Ensure access to and funding for contraception.

  Sanders co-sponsored ensuring access to and funding for contraception

  A bill to expand access to preventive health care services that help reduce unintended pregnancy, reduce abortions, and improve access to women's health care. The Congress finds as follows:

  1. Healthy People 2010 sets forth a reduction of unintended pregnancies as an important health objective to achieve over the first decade of the new century.
  2. Although the CDC included family planning in its published list of the Ten Great Public Health Achievements in the 20th Century, the US still has one of the highest rates of unintended pregnancies among industrialized nations.
  3. Each year, 3,000,000 pregnancies, nearly half of all pregnancies, in the US are unintended, and nearly half of unintended pregnancies end in abortion.
  4. In 2004, 34,400,000 women, half of all women of reproductive age, were in need of contraceptive services, and nearly half of those were in need of public support for such care.
  5. The US has the highest rate of infection with sexually transmitted diseases of any industrialized country. 19 million cases impose a tremendous economic burden, as high as $14 billion per year.
  6. Increasing access to family planning services will improve women's health and reduce the rates of unintended pregnancy, abortion, and infection with sexually transmitted diseases. Contraceptive use saves public health dollars. For every dollar spent to increase funding for family planning programs, $3.80 is saved.
  7. Contraception is basic health care that improves the health of women and children by enabling women to plan and space births.
  8. Women experiencing unintended pregnancy are at greater risk for physical abuse and women having closely spaced births are at greater risk of maternal death.
  9. A child born from an unintended pregnancy is at greater risk of low birth weight, dying in the first year of life, being abused, and not receiving sufficient resources for healthy development.
  Source: Prevention First Act (S.21/H.R.819) 2007-HR819 on Feb 5, 2007

  Focus on preventing pregnancy, plus emergency contraception.

  Sanders signed Prevention First Act
  • Family Planning Services Act: Authorizes appropriations for family planning services grants and contracts under the Public Health Service Act (PHSA).
  • Equity in Prescription Insurance and Contraceptive Coverage Act: Amends the Employee Retirement Income Security Act of 1974 (ERISA) and PHSA to prohibit a group health plan from excluding or restricting benefits for prescription contraceptive drugs, devices, and outpatient services
  • Emergency Contraception Education Act: to develop and disseminate information on emergency contraception to the public and to health care providers.
  • Compassionate Assistance for Rape Emergencies Act: Requires hospitals, as a condition of receiving federal funds, to offer and to provide, upon request, emergency contraception to victims of sexual assault.

    At-Risk Communities Teen Pregnancy Prevention Act: to award grants for teenage pregnancy prevention programs & prevention research.

  • Truth in Contraception Act: Requires that any information concerning the use of a contraceptive provided through specified federally funded education programs be medically accurate and include health benefits and failure rates.
  • Unintended Pregnancy Reduction Act: to expand Medicaid's coverage of family planning services.
  • Responsible Education About Life Act: to make grants to states for family life education, including education on abstinence and contraception, to prevent teenage pregnancy and sexually transmitted diseases.
  • Prevention Through Affordable Access Act: Expands Medicaid rebates to manufacturers for the sale of covered outpatient drugs at nominal prices to include sales to student health care facilities and entities offering family planning services.
  Source: S.21&H.R.463 2009-S21 on Jan 6, 2009

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