BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                     SJR 19


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          Date of Hearing:  May 3, 2016


                            ASSEMBLY COMMITTEE ON HEALTH


                                   Jim Wood, Chair


          SJR  
          19 (Jackson) - As Amended January 12, 2016


          SENATE VOTE:  25-12


          SUBJECT:  Women's reproductive health.


          SUMMARY:  Urges the President of the United States and Congress  
          to express their support for access to comprehensive  
          reproductive health care, including the services provided by  
          Planned Parenthood and a woman's fundamental right to make her  
          own reproductive decisions, and to strongly oppose efforts to  
          eliminate federal funding for Planned Parenthood.  Specifically,  
          this resolution:  


          1)Makes various statements relating to the importance of the  
            Supreme Court decision in Roe v. Wade and women's reproductive  
            health, including, among other things, that:



             a)   January 22, 2016, marks the anniversary of the U.S.  
               Supreme Court's landmark decision in Roe v. Wade, which  
               acknowledged that every woman has a fundamental right to  
               control her own reproductive decisions and decide whether  
               to end or continue a pregnancy, and is an occasion that  








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               deserves recognition; 



             b)   Roe v. Wade has been the cornerstone of women's  
               remarkable strides toward equality in the past four  
               decades, and reproductive freedom is critical to a woman's  
               ability to participate fully in the social, political, and  
               economic life of the community; and

             c)   California is committed to protecting the public health  
               and welfare of all its residents, and recognizes that  
               access to reproductive health services, including family  
               planning and prenatal care, supports individuals and their  
               families by ensuring that babies are planned, wanted, and  
               healthy. 



          2)Makes various statements relating to the importance of the  
            services provided by Planned Parenthood to Californians,  
            including, among other things, that: 

             a)   California recognizes the importance of Planned  
               Parenthood as one of this State's largest providers of  
               women's preventive and reproductive health care services,  
               operating 115 community-based health centers across the  
               state, which provide more than 1.6 million patient visits a  
               year;

             b)   Planned Parenthood provides comprehensive health care  
               services to women and men, which may include well-woman  
               examinations, birth control, testing and treatment of  
               sexually transmitted infections and HIV, pregnancy tests,  
               life-saving cancer screenings, sex education, prenatal  
               care, primary care services, and abortion services; and,











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             c)   A sudden defunding of Planned Parenthood's health  
               centers by federal or state governments would put patients  
               across California, particularly members of underserved  
               communities, at a significant disadvantage relating to  
               their general health care because Planned Parenthood is  
               often the only source of health care services for many  
               Californians.


                


          3)States that violence against abortion providers and laws that  
            create barriers to abortion endanger the lives of both men and  
            women and would set forth statistics on the rise in threats of  
            harassment, intimidation, and violence against women's health  
            clinics, including a specific reference to a recent attack on  
            a Planned Parenthood clinic on November 27, 2015. 



          4)States that the State of California stands in strong support  
            of Roe v. Wade and the work of Planned Parenthood, of women's  
            reproductive health, and respects the principle that each  
            woman has a fundamental right to make decisions regarding her  
            pregnancy.



          5)Urges the President and Congress to express their support for  
            access to comprehensive reproductive health care, including  
            the services provided by Planned Parenthood and a woman's  
            fundamental right to control her own reproductive decisions,  
            and to strongly oppose efforts to eliminate federal funding  
            for Planned Parenthood.


          EXISTING STATE LAW establishes the California Reproductive  
          Privacy Act, which prohibits the state from denying or  








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          interfering with a women's right to choose or obtain an abortion  
          prior to viability of the fetus, or when the abortion is  
          necessary to protect the life or health of the woman, and makes  
          legislative findings and declarations that every individual  
          possesses a fundamental right of privacy with respect to  
          personal reproductive decisions, and that every woman has the  
          fundamental right to choose to bear a child or to choose and to  
          obtain an abortion, as specified.


          EXISTING FEDERAL LAW prohibits federal Medicaid (Medi-Cal in  
          California) dollars from being spent on abortion services except  
          in extraordinary circumstances, such as when the woman's life is  
          in danger, or in cases of rape or incest.



          FISCAL EFFECT:  None.
          COMMENTS:


          1)PURPOSE OF THIS RESOLUTION.  According to the author, this  
            resolution reaffirms that the State of California stands in  
            strong support of Roe v. Wade and the work of Planned  
            Parenthood, and of women's reproductive health, and respects  
            the principle that each woman has a fundamental right to make  
            decisions regarding her pregnancy.

          2)BACKGROUND.  





             a)   Roe v. Wade.  Roe v. Wade, 410 U.S. 113 (1973), is a  
               landmark decision by the United States Supreme Court on the  
               issue of abortion.  Decided simultaneously with a companion  
               case, Doe v. Bolton, the Court ruled seven to two that a  
               right to privacy under the due process clause of the 14th  








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               Amendment extended to a woman's decision to have an  
               abortion, but that right must be balanced against the  
               state's two legitimate interests in regulating abortions:   
               protecting prenatal life and protecting women's health.   
               Arguing that these state interests became stronger over the  
               course of a pregnancy, the Court resolved this balancing  
               test by tying state regulation of abortion to the trimester  
               of pregnancy.  This Legislature has on numerous occasions  
               adopted resolutions urging the President and Congress to  
               reaffirm the intent and substance of that decision.  

             b)   Planned Parenthood in the news.  Starting in July of  
               last year, Planned Parenthood, a non-profit organization  
               that provides reproductive health care services throughout  
               the U.S. through a network of affiliated clinics, was  
               prominently featured in the national news cycle after the  
               release of controversial videos purporting to show that  
               Planned Parenthood illegally sold fetal tissue for profit.   
               Planned Parenthood has denied those accusations and several  
               state investigations have turned up no wrongdoing on the  
               part of the organization.



             In the fall of 2015, news outlets reported that a Planned  
               Parenthood facility in Thousand Oaks, California suffered  
               an arson attack after a window was smashed and gasoline was  
               splashed inside and ignited.  On November 27, 2015,  
               according to reports, a man armed with an assault-style  
               rifle gun opened fire at a Planned Parenthood center in  
               Colorado Springs, Colorado, ultimately killing three  
               people, including a police officer and two civilians, and  
               wounding nine others before he finally surrendered five  
               hours later.

             c)   Medicaid funding.  Ten states have taken action or  
               recently passed legislation to cut off Medicaid funding to  
               Planned Parenthood:  Alabama, Arkansas, Arizona, Florida,  
               Louisiana, Kansas, Missouri, Oklahoma, Texas, and  








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               Wisconsin.  On April 19, 2016, the Obama Administration  
               warned officials in all 50 states that actions to end  
               Medicaid funding of Planned Parenthood may be out of  
               compliance with federal law.  A letter from the Centers for  
               Medicare and Medicaid Services is being sent to all state  
               Medicaid offices to clarify that terminating certain  
               providers from Medicaid is only justifiable if those  
               providers are unable to perform covered medical services or  
               can't bill for those services.  The guidance emphasizes  
               that states cannot target providers for impermissible  
               reasons and are required to treat similar types of provider  
               equitably.


          3)SUPPORT.  Planned Parenthood Affiliates of California (PPAC)  
            is the sponsor of this resolution and states that the ruling  
            in Roe v. Wade cemented the right for women to control their  
            own reproductive lives and eliminated the need for women to  
            receive unsafe, illegal abortion procedures.  PPAC notes  
            Planned Parenthood health centers play a substantial role in  
            delivering reproductive health care services to over a million  
            Californians each year, as well as an array of services  
            including well-woman exams, birth control, testing and  
            treatment of sexually transmitted infections and HIV,  
            pregnancy tests, life-saving cancer screenings, prenatal care,  
            sex education, primary care services, and in some locations,  
            abortion services.



          The American Federation of State, County and Municipal Employees  
            (AFSCME) states it stands firmly in support of all who utilize  
            PPAC's health care services, and that for many low-income  
            Americans, Planned Parenthood is their only choice; they rely  
            on receiving the safe and nonjudgmental health care services  
            provided by Planned Parenthood for their overall well-being  
            and health.  AFSCME concludes it will always defend the rights  
            of women, regardless of age, income, or life choices, to have  
            access to these services.








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          4)OPPOSITION.  The California Right to Life Committee (CRLC),  
            Inc., opposes this resolution stating that most Planned  
            Parenthood centers are located in communities of color where  
            low income women live and which would appear to be for  
            racially connected purposes.  CRLC contends that abortion  
            services are a major portion of Planned Parenthood  
            reproductive services in the United States and that 323,999  
            abortions were done in 2014, half of which could have been  
            female babies.  CRLC concludes that tax payers should demand  
            that no more monies go to further the horror story of the  
            dismemberment and torture of pre-born babies.


          5)PREVIOUS LEGISLATION.  


             a)   SR 55 (Jackson) adopted by the California State Senate  
               on June 14, 2013, made various statements relating to  
               women's reproductive health and the recent U.S. Supreme  
               Court decision in Burwell v. Hobby Lobby, Inc. (2014). This  
               measure declared the Senate's recognition of the critical  
               importance of a continued commitment to reproductive health  
               care and access and urged the U.S. Senate to reconsider and  
               approve Senate Bill 2578, referred to as the "Not My Boss's  
               Business Act," which would prevent employers from denying  
               coverage of contraceptives regardless of their religious  
               views.  SR 55 also declared that the California State  
               Senate reaffirms the decision of Roe v. Wade (1973).



             b)   SR 10 (Jackson) adopted by the California State Senate  
               on April 8, 2013 memorialized that on the 40th anniversary  
               of the Supreme Court decision of Roe v. Wade, the  
               California State Senate recognizes the critical importance  
               of continued access to safe and legal abortion, and urges  
               Congress and the President to protect and uphold the intent  
               and substance of that decision.  SR 10 also made various  
               statements regarding the effect of Roe v. Wade on women's  








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               ability to exercise their full rights under federal and  
               state law.



             c)   SJR 19 (Alquist, Figueroa, Kehoe) of 2005 was a similar  
               resolution to SR 10; it was referred to the Senate  
               Judiciary Committee but not set for hearing.



             d)   AJR 3 (Cohn and Karnette), Resolution Chapter 83,  
               Statutes of 2005, was almost identical to SJR 19.



             e)   AJR 57 (Jackson) Resolution. Chapter 50, Statutes of  
               2004 was almost identical to AJR 3.



             f)   AJR 2 (Jackson), Resolution Chapter 63, Statutes of  
               2003, was almost identical to AJR 57.



          REGISTERED SUPPORT / OPPOSITION:




          Support


          Planned Parenthood Affiliates of California (sponsor) 
          American Federation of State, County and Municipal Employees,  
          AFL-CIO
          Community Action Fund of Planned Parenthood
          Planned Parenthood Action Fund of the Pacific Southwest








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          Planned Parenthood Action Fund of Santa Barbara, Ventura & San  
          Luis Obispo counties
          Planned Parenthood Advocacy Project Los Angeles County
          Planned Parenthood Mar Monte


          Opposition


          California Right to Life Committee, Inc.


          Analysis Prepared by:Lara Flynn / HEALTH / (916)  
          319-2097