House endorses new abortion provider regulations; sends bill to the Missouri Senate

The Missouri House has passed a Senate bill that proposes new restrictions on abortion.  The House made several changes to the bill, so it goes back to the Senate for consideration.

Representative Diane Franklin carried Senate Bill 5 in the House during the legislature’s second extraordinary session of 2017. (photo; Tim Bommel, Missouri House Communications)

The bill would allow the attorney general to prosecute abortion law violations without first involving local prosecutors; repeal a St. Louis ordinance that bars discrimination in housing and employment against women who have had an abortion, use birth control, or are pregnant; and require annual, unannounced state inspections of abortion facilities, among other provisions.

“The bill that we received from the Senate, we thought, was a good framework but it did not really specifically meet the governor’s call, so we re-put in provisions that helped to provide for the health and safety of women,” said Representative Diane Franklin (R-Camdenton), who carried Senate Bill 5 in the House.

Democrats argue the legislation is not about women’s health and safety, saying it is about making it more difficult for women to get abortions in Missouri.

“For the entire last week the only word I’ve heard was, ‘abortion,’” said Representative Deb Lavender (D-Kirkwood)“It’s actually a scam that we think – we’re saying – that we’re protecting women when actually all we’re doing is putting additional hurdles in their way for them to access healthcare.”

Franklin said a key provision for her is language that would require that all tissue removed after an abortion is sent to a pathologist, rather than a sample as is required now.  A pathologist would have to account for all tissue and note any issues.  The Department of Health would follow up any inconsistencies with an investigation.  It would also report annually to the legislature all information it gathers regarding fetal tissue handling.

Franklin has carried various forms of such language going back several sessions, after a series of videos emerged alleging that Planned Parenthood was selling fetal tissue after abortions.

“I think that especially important that I worked on have been the fetal tissue portion of that – the tracking of that – so that we have the assurance that it is indeed going where it should be going and that our department is able to keep track of that,” said Franklin.

The bill also aims to bar laws that would interfere with the operations or speech of alternatives to abortion agencies.  Representative Hannah Kelly (R-Mountain Grove) says those agencies do a lot to help pregnant women.

“They offer pregnancy testing; ultrasounds – I’ve heard many, many, many stories directly from young mothers who … were in a place where they didn’t have any other options.  They needed alternatives and they needed help, and coming back to me, in particular, and saying, ‘I saw my baby.  I saw my baby move,” said Kelly.

Democrats are critical of information given out at alternatives to abortion agencies, saying it is medically inaccurate and skewed toward discouraging a woman from having an abortion.  Republicans say the agencies give women information with which they can form their own decisions.

Representative Cora Faith Walker offered an amendment that would have required quarterly reporting from alternatives to abortion agencies, but it was voted down. (photo; Tim Bommel, Missouri House Communications)

Ferguson Democrat Cora Faith Walker also questioned the effectiveness of those agencies.

“In total there are about 70-plus alternatives to abortion agencies that exist here in the state of Missouri and yet we still have issues with infant mortality rates and maternal mortality rates that surpass national averages,” said Walker.  “In specific areas of Missouri where there seem to exist several alternative to abortion agencies that are supposed to be providing healthcare and other services to women as an alternative to abortion, we still have these very, very high infant mortality rates.”

The legislature returned to Jefferson City in a special session to consider abortion legislation at the call of Governor Eric Greitens (R).  Democrats used debate of SB 5 to criticize the governor for what they said was a stunt meant to help him politically.

“Make sure we’re not letting a governor bring us back to special session for political gain,” said St. Louis City Democrat Bruce Franks, Junior“I know how passionate you (Republicans) all are about this issue.  I would never take that away from you.  I know how passionate we (Democrats) are.  But we’re not paying attention to how we’re being played … Now just because this is one of our particular issues that we feel so strongly about doesn’t mean it’s right that we’re here.”

Republicans called the session an important opportunity for the state to reaffirm a commitment to protecting unborn children and making sure women receive proper care from abortion providers.

House Speaker Todd Richardson (R-Poplar Bluff), when asked about lawmakers’ attitudes toward the governor, said, “I think we’ve been focused here in the House on issues, and I think the issues that we’ve worked on back in regular session and through these two special sessions are issues that are of particular importance to the House, and they’re of particular importance to members of the Senate as well, so the fact that we’ve got a governor that’s willing to engage on these issues has been positive and helpful.”

Representative Jay Barnes (left) talks with House Speaker Todd Richardson. Barnes offered several amendments that contributed to the final form of Senate Bill 5. (photo; Tim Bommel, Missouri House Communications)

Democrats note courts have ruled against laws that placed similar restrictions on facilities that provide abortions, and say this legislation will likely be thrown out as well.

“You already know this is going to straight to litigation once it goes into effect, and you also know the [financial cost to the state of defending it],” said St. Louis Democrat Stacey Newman.

Richardson believes if the bill the House passed is challenged in court, it will be upheld.

“This is obviously a very highly litigated area of the law.  It will continue to be a highly litigated area of the law in every state, but I’m very confident that the state of Missouri, if this law is challenged, will prevail,” said Richardson.

The state Senate is expected to debate the House’s changes to SB 5 in the coming days.

Work underway in House in special session on abortion issues

The state House has started work on the second extraordinary session of 2017; this one called by Governor Eric Greitens (R) for the legislature to deal with issues related to abortion.

Representative Hannah Kelly (photo; Tim Bommel, Missouri House Communications)

Republicans say the special session is an important chance for the state to reaffirm a commitment to protecting unborn children and making sure women receive proper care from abortion providers.  Democrats say it is about attacking women’s healthcare in the face of recent court decisions.

Representative Kathy Swan (R-Cape Girardeau), who has a nursing background, is sponsoring House Bill 3, which would change the laws regarding the conditions and care at abortion providers.  She said it is based in part on violations of medical procedures and protocols that have occurred at those facilities.

“Such as expired drugs, or single-use drugs that were still there – single use drugs obviously are to be utilized on a single patient and then discarded – dusty equipment, rusty equipment, that sort of thing,” said Swan.  “That’s what I have been saying for the last four to five years is that those standards need to be maintained regardless of the procedure, regardless of the facility.”

Swan’s bill would require facilities that provide abortions to prove that doctors performing abortions are physicians licensed in Missouri; to be subject to rules at least equal to those for ambulatory surgical centers; and be subject to unannounced on-site inspections at least once a year.  HB3 would also create the misdemeanor crime of “interference with medical assistance,” for preventing or seeking changes in medical care to a patient.

Democrats including Stacey Newman (D-St. Louis) note the Supreme Court struck down a Texas law regarding regulations of abortion providers in that state, and a court has placed an injunction against a similar law in Missouri.  She argues that the additional regulations Swan and others propose will also prove unconstitutional.

“This is up to a court to decide, but that’s again another waste of time and money that we’re wanting to pass more things that are really going to fit under that same purview,” said Newman.

Representative Hannah Kelly (R-Mountain Grove) has filed House Bill 9 that she said aims to protect pregnancy resource centers and maternity homes from undue discrimination and ensure protection of women’s healthcare.  She is also concerned additional abortion clinics could open in St. Louis thanks in part to a law passed by St. Louis earlier this year.

“If we don’t put a stop to it, it will be in two words an ‘abortion sanctuary,’ that we will be responsible for and the blood will be on our hands because we didn’t do anything to protect the lives that have the promise in the Declaration of Independence of life, liberty, and the pursuit of happiness,” said Kelly.

Representative Crystal Quade (photo; Tim Bommel, Missouri House Communications)

Democrats defend the St. Louis statute as preventing discrimination in housing and employment against women who are having or have had abortions, are pregnant, or use birth control.  Springfield Democrat Crystal Quade said her constituents view that less as an issue of being for or against abortion, and more about local governments being able to govern.

“If my city council members and our mayor, or by a vote of the people, determine that something for our city is best, the fact that the legislature comes in and will look at a specific city and a specific thing that their people have decided is best for them and say, ‘No, you can’t do that,’ is worrisome,” said Quade.  “I think that we have a real concern – I know I do – with just the separate branches of government and if we’re actually following what we should be, and I think that goes to the governor’s call as well – how he was so very specific to what statutes he wanted us to look into.  I personally feel like he was legislating through that call.”

The House has held a committee hearing Wednesday on some of its legislation dealing with these and other abortion-related issues, but has not met as a full body.  Several House members say it will seek first to take up any legislation the Senate is successful in passing and debate whether pass that.

The House is anticipated to take up the Senate’s legislation next week.