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For Immediate Release:  
For Further Information:
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January 15, 2009  

David Wald
609-292-4791

Office of The Attorney General
- Anne Milgram, Attorney General

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Attorney General Joins Lawsuit Against Federal Rule Jeopardizing Women’s Health Rights, Including Birth Control Access

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Trenton, NJ -- Attorney General Anne Milgram today joined Connecticut Attorney General Richard Blumenthal and five other state attorneys general in a lawsuit against the Bush Administration to block a federal rule -- effective next week -- that jeopardizes women’s access to vital medical services, including birth control.

Poised to take effect on the day of President-elect Barack Obama’s inauguration, the Bush Administration’s midnight regulation undercuts state contraception laws and jeopardizes billions of dollars in federal public health money, the Attorney General said.

The lawsuit, lead by the state of Connecticut, alleges that the Provider Conscience Rule violates federal law, women’s rights and states’ sovereign rights to enforce their own laws. The other states joining the lawsuit are Illinois, California, Massachusetts, Rhode Island, and Oregon.

Milgram said, “The proposed rule fails to balance the interests of patients and health care providers and undermines our state’s sovereign interests in ensuring that our health care policies are implemented fairly and uniformly. The regulation threatens New Jersey’s ability to ensure that women who are victims of sexual assault have access to all treatment options to which they are legally entitled.”

Last month, the U.S. Department of Health and Human Services (HHS) approved a controversial rule that HHS claimed was intended to protect health care providers who refuse to participate in any health care service due to religious or moral objections -- including birth control.

However, the lawsuit charges that the regulation failed to define the key term “abortion” and shrouded that term with new ambiguity, which would allow individuals to define it as encompassing many forms of contraception, including emergency contraception. Instead, the regulation encourages individuals to employ their own definition of abortion on an ad hoc basis, without providing advance notice to the state, their employer or their patients.

Late last year, a group of 13 attorneys general requested clarification of the scope of the Provider Conscience Rule because it was vague and failed to define the health care procedures that may be withheld on moral or religious grounds. But HHS disregarded the requests for clarification and positioned the rule for implementation Jan. 20.

Specifically, today’s lawsuit alleges that the regulation is illegal because:

  • The Administrative Procedures Act (APA) requires agencies promulgating regulations to adequately address, with some precision, the major comments it received from the public during the formal rulemaking process. Despite a request by attorneys general of 13 states that HHS clarify what medical procedures the proposed rule covered, and the definition of abortion, HHS declined to address this confusion.
  • The Spending Clause of the U.S. Constitution requires that, when Congress desired to condition states’ receipt of federal funds, it must do so unambiguously…enabling the states to exercise their choice knowingly, cognizant of the consequences of their participation. Because the regulation is vague, states are unsure what action or conduct will result in the withholding of federal funds. As a result, states cannot make a knowing choice about whether to comply with the regulation or forego federal funding, jeopardizing billions of dollars.
  • The Spending Clause also prohibits Congress from conditioning the receipt of federal funds in such a way as to leave the states with no practical alternative but to comply with federal restrictions. The Provider Conscience Regulation illegally forces the states to either forego enforcement of state laws or to enforce such laws at the risk of causing the states to lose billions of dollars in federal funds during one of the worst ever fiscal crises.
  • The regulation forces the states to surrender their sovereign police powers, unable to enforce their own laws.
  • Women in the United States posses a constitutional right to be free of impermissible government interference when they seek reproductive health services, including contraception. The regulation impermissibly interferes with a woman’s access to contraception in violation of the state and federal constitutions.

The lawsuit seeks, among other things, injunctive relief, enjoining the federal government from implementing the Provider Conscience Regulation.

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