Family Planning
Family Planning Funding: Family planning programs largely escaped steep budget cuts in 2012. Of the 19 states in which funding decisions were made through the legislative budget process, family planning funds were the subject of steep cuts only in Maine, where funding was slashed by 25%.
Restrictions on Family Planning Providers: In 2011, seven states moved to disqualify certain family planning providers from eligibility for funding (Kansas, Wisconsin, North Carolina, New Hampshire, Tennessee, Indiana and Texas), but only two states added new restrictions in 2012. Arizona and North Carolina effectively barred family planning clinics not operated by health departments from being eligible for family planning grant funds; in practice, these restrictions affect only clinics operated by Planned Parenthood affiliates. That brings to nine the number of states that restrict access to family planning funds.
Insurance Coverage of Contraceptive Services: Provisions relating to contraceptive coverage mandates—and specifically which employers may refuse such coverage—were introduced in eight states and enacted in two. Arizona expanded its existing exemption to permit any employer or plan enrollee to opt out based on their religious belief, while Missouri attempted to add an exemption from the federal mandate included in the Affordable Care Act. The Missouri exemption has been blocked from enforcement by a state court. Eight states have an “expansive” exemption to their contraceptive coverage mandates.
Adolescents and Sex Education
Between 2007 and 2010, seven states enacted legislation related to sex education, and all but one expanded access to comprehensive sex education or added requirements that the sex education provided be medically accurate. Over the past two years, however, five states enacted legislation, and all but one supported abstinence-only education; 26 states now stress abstinence in sex education.
Sexually Transmitted Infections (STIs)
In 2012, Arkansas and Idaho expanded access to treatment for STIs. Both states enacted provisions allowing medical providers to treat a patient’s partner for chlamydia and gonorrhea without having seen the partner; 26 states now explicitly permit treatment of a patient’s partner.
Pregnancy and Birth
Ten states and the District of Columbia enacted new provisions related to pregnancy and birth in 2012. Among those, Colorado, Kentucky, Oklahoma and the District of Columbia addressed issues related to substance abuse and pregnancy; 37 states and the District of Columbia now have policies related to substance abuse and pregnancy. Further, Delaware and West Virginia expanded HIV testing of pregnant women.
Environmental Exposure to Reproductive Toxins
Six states and the District of Columbia enacted provisions related to reproductive health and exposure to harmful substances such as lead, mercury, Bisphenol-A (BPA) and pesticides. Provisions to protect children from lead exposure were enacted in Louisiana and Nebraska. Meanwhile, Connecticut, Illinois and Oregon took steps to keep mercury out of the environment. Also, Illinois banned the use of BPA in reusable bottles and cups for young children, and the District of Columbia required the development of regulations prohibiting the use of pesticides near most schools and child-occupied facilities.
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