December 5, President Barack Obama The White House 1600 Pennsylvania Avenue Washington, DC 20500

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Quentin James
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1 December 5, 2014 President Barack Obama The White House 1600 Pennsylvania Avenue Washington, DC Dear Mr. President: As organizations committed to advancing reproductive health, rights, and justice, and related social justice causes, we appreciate the important steps your Administration has taken to improve the wellbeing of women and their families, including the expansion of reproductive health care services. Moreover, the actions you have taken in prior budget proposals to eliminate certain abortion restrictions have made a real impact in driving momentum in Congress to modify such policies. Building on this tradition of executive leadership is critically important to our work. There is no doubt of the challenges we face going forward. Now, more than ever, your support protecting and improving access to the full range of reproductive health care will be critical. That is why now is the time to be bold: we need you to take a strong stand against the Hyde Amendment and related abortion funding restrictions by eliminating them from your Fiscal Year 2016 budget. These budget riders have a far-reaching impact on women enrolled in Medicaid and Medicare; federal employees and their dependents; Peace Corps Volunteers; Native American women; women in federal prisons and immigration detention centers; and residents of the District of Columbia. Withholding coverage for abortion care creates profound hardships for millions of women and families, particularly for those who already face significant barriers to receiving high-quality health care, such as low-income women, immigrant women, young women, and women of color. And while nearly one third of states provide some abortion coverage with state Medicaid dollars, data from the U.S. Census indicate that today, nearly half of Latinas and approximately 70 percent of Black women and a majority of all women of color live in states where Medicaid coverage of abortion care is denied in cases beyond those of life endangerment, rape, and incest. 1 For many women, coverage for abortion care means the difference between getting the health care they need and being denied that care. For example, approximately one in four Medicaideligible women who would have had an abortion if funds were available must carry the pregnancy to term because she is unable to afford the cost of that care. 2 The impact of such a denial can have long-term, devastating effects on a woman and her family s economic future. A 1 National Latina Institute calculations from US Census Bureau SELECTED CHARACTERISTICS OF THE UNINSURED IN THE UNITED STATES, 2013 American Community Survey 1-Year Estimates, [accessed November 18, 2014] 2 Stanley K. Henshaw et al., Restrictions on Medicaid Funding for Abortions: A Literature Review, (Guttmacher Institute, June 2009):27,

2 recent study found that a woman who seeks but is denied abortion care is three times more likely to fall into poverty than a woman who is able to get the care she needs. 3 Building on the efforts of dedicated advocates from across the country, a national movement led by Millennials, communities of color, and reproductive and economic justice advocates has risen up to call for an end to harmful bans on abortion coverage. We ask you, Mr. President, join us in standing up for the ability of women to make personal health decisions without interference. The time is now. These policies have harmed our families, our communities, and our health for far too long. We urge you to eliminate all abortion coverage restrictions in your FY 2016 budget. We look forward to working with your Administration so together we can defend access to reproductive health care, improve health equity and promote strong, healthy communities nationwide. Signed, Abortion Care Network ACCESS Women's Health Justice Advocates for Youth Advocates for Youth American Civil Liberties Union American Sexual Health Association Asian & Pacific Islander American Health Forum Baltimore Abortion Fund, Inc. Black Women's Health Imperative Blue Ridge AAF, Inc. California Women's Law Center Carolina Abortion Fund Catholics for Choice 3 Foster DG, Dobkin LM, Upadhyay UD. Denial of abortion care due to gestational age limits.contraception.2013;87 (1):3-5.

3 Center for Health and Gender Equity (CHANGE) Center for Reproductive Rights Center on Reproductive Rights and Justice at UC Berkeley School of Law Charlottesville NOW Chicago Abortion Fund CHOICES Memphis Center for Reproductive Health Civil Liberties and Public Policy Program at Hampshire College COLOR (Colorado Organization for Latina Opportunity and Reproductive Rights) DC Abortion Fund Emergency Medical Assistance, Inc. Forward Together Fund Texas Choice Hadassah, The Women's Zionist Organization of America, Inc. Hispanic Federation Ibis Reproductive Health Ipas Kentucky Health Justice Network Law Students for Reproductive Justice Legal Voice Lilith Fund for Reproductive Equity Lilith Fund for Reproductive Equity Maternal and Child Health Access Medical Students for Choice Montana Women Vote

4 NARAL Pro-Choice America National Abortion Federation National Asian Pacific American Women's Forum National Center for Lesbian Rights National Council of Jewish Women National Council of Jewish Women National Family Planning & Reproductive Health Association (NFPRHA) National Family Planning and Reproductive Health Association National Health Law Program National Institute for Reproductive Health National Latina Institute for Reproductive Health National LGBTQ Task Force National Network of Abortion Funds National Organization for Women National Partnership for Women & Families National Women's Health Network National Women's Health Network National Women's Law Center Nevada County Citizens for Choice New Jersey Abortion Access Fund New Orleans Abortion Fund New York Abortion Access Fund NM Religious Coalition for Reproductive Choice Peggy Bowman Second Chance Fund

5 Physicians for Reproductive Health Planned Parenthood Federation of America Pro-Choice Resources Religious Coalition for Reproductive Choice Religious Institute Reproductive Health Access Project Reproductive Health Technologies Project Sexuality Information and Education Council of the U.S. (SIECUS) Southwest Women's Law Center SPARK Reproductive Justice NOW! Texas Equal Access Fund Texas Equal Access Fund The Freedom Fund UltraViolet Unitarian Universalist Association Unitarian Universalist Women's Federation United Church of Christ, Justice and Witness Ministries URGE: Unite for Reproductive & Gender Equity Virginia National Organization for Women West Virginia Focus: Reproductive Education & Equality (WV FREE) Western States Center Women Donors Network Women Have Options Ohio Women's Health Specialists, Feminist Women's Health Centers of California

6 Women's Medical Fund, Philadelphia Women's Reproductive Rights Assistance Project cc: Valerie Jarrett, Tina Tchen, Hallie Schneir, Cecilia Munoz, Jeffrey Zients, Kiran Ahuja, J. Nadine Gracia, Shaun Donovan, Brian Deese, Dr. Julian Harris, Martha Coven

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