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Sen. John Kuehn

Sen. John Kuehn

District 38

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First round debate of modifications to the state biennial budget took place last week in the Legislature. At the center of the debate was a provision that would require private agencies that receive tax dollars who provide family planning services to have objective separation from abortion services. The requirement for a clear distinction between health care services and abortion is vital for compliance with federal law, which states taxpayer money must “not provide abortion as a method of family planning”.

The provision centers around a program known as Title X (the Roman numeral “ten” not the letter “x”).  Title X is a federal grant program that awards money to the Nebraska Department of Health and Human Services. DHHS then awards these dollars as grants to private agencies that provide direct services to patients with financial need. These services include screening for STDs, breast and cervical cancer, as well as pregnancy testing and contraception. Across the state 13 clinics receive Title X funds, providing these services to 27,954 Nebraskans at 41 different locations. In total, a little under $2 million of taxpayer money is distributed to these clinics to provide services.

In order for Nebraska to remain eligible to receive these federal funds, the state must be able to demonstrate compliance with federal law. In recent history tens of millions of federal dollars have been required to be repaid by the state due to failure to comply with federal program requirements. The federal law that prohibits taxpayer dollars from being used to fund abortion services through Title X reflects the overwhelming opinion of most Americans against the use of public funds for abortions.

The objective separation requirement in the intent language of the appropriation for the Title X program is essential to protect the integrity of the program because Nebraska Title X funds have been used for abortion services. A 2015 a report by the State Auditor identified the magnitude of the problem. The audit of one clinic, Planned Parenthood of the Heartland, found that Title X dollars were used to pay for physician fees for abortions, clinic manager time for abortions, fees associated with pathology of tissue from aborted children, and employee travel to provide abortions. All of these payments were prohibited by federal law.

Clinics that receive public money under Title X are paid in advance at the beginning of each month. Thus, illegal expenditures were paid from the fund. The payments were identified in the audit of clinic expenditures by the state. Had the federal government identified these payments for abortions services before the State Auditor did, Nebraska’s eligibility for Title X funds could be denied.

The importance of the intent language in the budget bill is best stated by DHHS CEO, Courtney Phillips. In a letter to me regarding the program and audit findings, she states, “This is to say that these expenditures placed the entire program at risk. The proposed language in LB 944, Section 71 provides greater clarifications, and with it program integrity. This helps ensure Title X funds are not misused and protects access for Nebraskans”.

The ability to tax is the most significant exercise of power by the government. Once collected, those public dollars are to be used to promote the common good. I, like most Nebraskans, find the use of taxpayer dollars to fund abortion morally repugnant. At the same time, I support access of all Nebraskans to essential family planning and reproductive health care services. The intent language in the current budget bill is critical to protecting vital access to health care through ensuring compliance with federal law and the will of the people.

Sen. John Kuehn

District 38
Room #12th Floor
P.O. Box 94604
Lincoln, NE 68509
Phone: (402) 471-2732
Email: jkuehn@leg.ne.gov
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