Need new health insurance NOW?

If you experience certain life changes, you don’t have to wait for Open Enrollment in November to enroll in affordable health coverage on or your state’s marketplace. You have 60 days after the following events to apply for a Special Enrollment Period and enroll:

• Moving to a new zip code or county
• Getting married or divorced
• Having a baby, adopting or becoming a foster parent
• Becoming a U.S. citizen or getting a green card

You have 60 days before or after the following to enroll: 

• Losing your health insurance from your job
• Turning 26 and aging off your parent’s health plan

And if you are experiencing domestic violence and want to apply for your own health plan, you can do so at any time.

Learn more about Special Enrollment Periods at or call 1-800-318-2596.


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The future of Roe, on the 46th anniversary

Celebrating the 46th anniversary of Roe v. Wade!

Today marks the day—46 years ago—of the landmark Supreme Court decision Roe v. Wade, which established the constitutional right to abortion in the U.S. But even as we celebrate the anniversary of this momentous decision that gave women the right to choose if and when to have a family, we also recognize its limitations as well as its potentially uncertain future.

We are heartened by movement in progressive states to enact state-level protections for legal abortion, such as the Reproductive Health Act expected to finally pass both houses of the New York State Legislature later today. But in conservative states, women needing abortion care are facing increasing obstacles.

Despite GOP attacks on abortion, support for Roe is widespread

As we’ve noted before, Donald Trump has worked to fulfill his campaign promise to nominate only judges who would overturn undermine Roe v. Wade. With the appointment of Brett Kavanaugh, Trump did just that. Kavanaugh has made clear his position on abortion rights, giving a speech praising Justice Rehnquist’s dissent in Roe v. Wade, and dissentingin last fall’s Garza v. Hargan case about an undocumented immigrant minor seeking an abortion.

Yet Kavanaugh’s opinions on abortion do not reflect those held by the rest of the country. In a recent poll73% of respondents said they do not want Roe overturned, and 67% said abortion should be legal in all or most cases. When told that future access to abortion may depend more on the laws in their state than the Supreme Court, 63% of voters say they would want their state elected officials to protect or expand access to abortion

State attacks on abortion continue to target already marginalized groups

Even through Roe decriminalized abortion in 1973, Roe has yet to become a reality for allwomen. Because of racial and socioeconomic disparities, age, immigration status, geographic barriers and other factors, many women are already living in a post-Roe world in which it’s virtually impossible to get abortion services.

According to the Guttmacher Institute, states have been growing increasingly hostile towards abortion rights. Guttmacher’s research found that the number of states with policies hostile to abortion rights grew from only four states in 2000 to 21 states that have policies hostile or very hostile to abortion rights in 2019.
In 2018 alone, 23 abortion restrictions were enacted. State-level abortion restrictions, such as waiting periods,  targeted regulation of abortion provider (TRAP) laws, and more, make it increasingly difficult for women to get the health care they need. As a New York Times editorial from today notes, 43 percent of all women of reproductive age, or approximately 29 million women, live in areas that are hostile to abortion rights. There are currently seven states that each have just one abortion clinic left.

What have advocates been doing to “back up” Roe and secure other reproductive health protections at the state level?
If Roe v. Wade were overturned or gutted, what might abortion rights and access look like across the country? In a “post-Roe” world, the authority to regulate abortion would go to the states. Currently, nine states – including California, Connecticut, Delaware, Hawaii, Maine, Maryland, Nebraska, Oregon, and Washington – have adopted laws that protect the right to abortion at the state level prior to viability or when necessary to protect the life or health of the woman.
In addition, states with archaic pre-Roe abortion bans that are still on the books have a renewed sense of urgency to repeal them. For example, last year, our Boston-based regional coordinator, NARAL Pro-Choice Massachusetts, successfully advocated for the repeal of the state’s 173 year-old abortion ban through their Negating Archaic Statues Targeting Young Women Act.

Now, NARAL Pro Choice Massachusetts is working to build on that success as they advocate for the ROE Act, or the Act to Remove Obstacles and Expand Abortion Access. The proposed policy would reform state abortion laws to ensure that anyone, regardless of age, income, insurance or immigration status, can access safe and legal abortion. This bill would codify the right to abortion in state law; remove mandatory parental consent to abortion, which disproportionately impacts low-income teens and teens of color; allow for abortions after 24 week in case of grave fetal abnormalities; update medically inaccurate definitions of abortion and pregnancy in the law; remove a mandatory 24-hour waiting period for abortion care (though currently unenforced due to litigation); and establish safety net coverage for abortion care for those without health insurance.

In New York, RWV-NY has worked alongside its women’s health colleagues to successfully advocate for the adoption of the Reproductive Health Act, which secures and protects access to abortion in New York by strengthening and updating New York state law and bringing it in line with the standard of Roe v. Wade. It also protects health care providers who perform abortion services, and treats abortion as health care, not a criminal act. The state Senate, where Republicans blocked passage of the bill in the past, is now controlled by Democrats, who are poised to approve the bill later today. Governor Cuomo is expected to sign this piece of legislation, alongside the Comprehensive Contraception Coverage Act, which protects and expands the ACA’s contraceptive coverage requirement, and the Boss Bill, which prohibits employers from discriminating against an employee because the employee or their dependent made a reproductive health decision that conflicts with the employer’s personal beliefs.

In 2017, our Portland-based regional coordinator, NARAL Pro-Choice Oregon, successfully advocated for the adoption of one of the most far-reaching reproductive health policies to date. The Reproductive Health Equity Act requires coverage of the full range of reproductive health related services with no cost-sharing for all Oregonians, including undocumented immigrants and trans people. The new policy covers contraceptives, abortion, screenings for cancer and sexually transmitted infections and prenatal and postpartum care. Our Denver-based regional coordinator, Colorado Organization for Latina Opportunity and Reproductive Rights (COLOR), as well as our Seattle-based coordinator, Northwest Health Law Advocates, are pushing for similar measures in Colorado and Washington this year.

Advocates in somewhat more conservative states can also take action to begin building the foundation for establishing abortion protections in their state. For example, pro-choice advocates are pursuing a lawsuit in Pennsylvania that would overturn the state’s ban on Medicaid funding for abortion. As the New York Times notes, currently, only 16 states allow for Medicaid coverage of abortion. This puts abortion out of reach of low-income women who rely on Medicaid for the health care they need.
Advocates in even redder states can work to counteract the anti-choice narrative by introducing pro-choice legislation, which, despite its unlikely passage, has the potential to start an important conversation and raise awareness about the need for state-level abortion protections.
Where do we go from here?
While the future of Roe remains uncertain, advocates can act now to shore up protections at the state level for abortion as well as other reproductive health services. In addition, advocates can expand our focus beyond abortion, and push for policies that will help to achieve true reproductive justice, including policies relating to immigrants’ rights, voting rights, paid family leave, maternal health for women of color, living wages and access to health care for incarcerated women.


Whew! Birth control coverage safe for now

Nationwide injunction halts harmful Trump birth control rule

This week, federal judges in California and Pennsylvania issued injunctions halting implementation of the Trump administration’s attacks on birth control coverage under the ACA. Under the Trump rules first proposed in October 2017, employers would be able to deny their employees birth control coverage because of the employer’sreligious or moral objections.

While the injunction in California affects only the 13 states and DC that are parties to that case, the injunction in Pennsylvania blocks the Trump rules nationwide on the same day that they were set to take effect. Like Hobby Lobby and Zubik, the two previous court battles to determine whether religiously-affiliated employers must provide coverage, the current fight is likely to end up at the Supreme Court sometime next year.

As we wrote in 2017, the Trump rules throw out the existing Obama-era accommodation for religious employers. While not ideal, the Obama accommodation is a compromise that gives women access to seamless birth control coverage at no cost, while also allowing employers with religious objections to avoid paying for it themselves. Instead of an accommodation that protects employers’ religious views and women’s access to vital health care, the Trump rules would simply allow almost any employer to strip birth control coverage from their employees for either moral or religious objections to contraception. Universities can also deny birth control coverage in student health plans for religious or moral reasons. In addition, insurance companies can deny coverage for religious or moral reasons as long as the employer agrees.

Right now, 62.4 million women have insurance coverage for their birth control free from out-of-pocket costs. While the administration has argued that few women would be affected by the new rules, there are reasons to believe that the real impact could be much, much higher. In an amicus brief to the Pennsylvania case co-signed by Raising Women’s Voices last year, the amici noted that under the “moral” exemption, “any university or non-publicly-traded private entity may claim an exemption for virtually any reason given the vast nature of what could be interpreted as a ‘moral’ objection.”

In issuing her nationwide injunction, federal Judge Wendy Beetlestone wrote that “the negative effects of even a short period of decreased access to no-cost contraceptive services are irreversible” and that the harm caused by the Trump rules “is not merely speculative; it is actual and imminent. … [T]here is no need to wait for the axe to fall before an injunction is appropriate, particularly where Defendants have estimated that it is about to fall on thousands of women—and, as a corollary, on the States.”

What makes the administration’s position even more galling is that it argues the harm will be mitigated as more women use Title X family planning programs to replace their missing contraceptive coverage. Of course, we are waiting any day now for the administration to issue final regulations gutting the Title X program and sharply limiting the ability of women to access real contraceptive choices at real family planning clinics. The rule would change the definition of “family planning” to include non-medical approaches such as abstinence-only or “fertility awareness” methods that have high failure rates.
If the administration is ultimately successful in all of its schemes, women denied employer-sponsored contraceptive coverage on religious or moral grounds may find that the only “Title X provider” in their community is a religiously affiliated fake clinic offering abstinence-only counseling in lieu of birth control.

Women are marching again on Saturday!

For the third straight year, women will be marching in the streets in cities across the nation on Saturday. The first women’s march in January of 2017 was a mass expression of women’s dismay over the election of Donald Trump, who was being inaugurated that month. Last year’s march targeted many of the policies the Trump administration and Republican Congressional leaders had been pushing – including repeal of the Affordable Care Act.  Raising Women’s Voices-NY staff and interns are shown above, participating in last year’s march in New York City.
This year’s march comes just after a major victory for women – the election of dozens of women to Congress and the return of Nancy Pelosi as Speaker of the House of Representatives, with Democrats now in control of the House.  That’s means some of the more egregious things the previous Congress tried will likely be off the table for now.
But there is still much to protest this year!  On the top of our list is the ongoing shutdown of the federal government over Trump’s demand for funding of his proposed wall along the Mexican border.  Then there are the numerous proposed and final regulations the Trump administration has been issuing, including the birth control rule we described above and other rules like these:

  • The Title X “gag rule,” which tries to limit federal funding for health clinics that provide abortion to low-income women;
  •   proposed rule that would impose burdensome requirements on coverage of abortion services in health plans being offered through Affordable Care Act (ACA) marketplaces in states that permit or require abortion coverage;
  • Proposed changes to the public charge rule, which has resulted in many immigrant families dropping out of public assistance programs
  • Expansion of short term “junk” plans, which are not required to cover maternity care and other health services women need

New Jersey Citizen Action, our RWV regional coordinator in that state, will join dozens of other organizations in Trenton (the state capitol) for the Women’s March on New Jersey. The mission of that march is “to bring together kindred spirits of women, grounded in diversity, and celebrating the unique beauty of our strengths and differences. Our aim is to be a movement of authentic inclusivity – where no woman is left behind. Not because of her religion, education or lack thereof; not for the color of her skin, her economic status, or because of the person she loves. We will strive to successfully accomplish what has not been accomplished before – an unyielding solidarity borne out of love, tolerance, understanding, support and respect.”
WV Free, the RWV regional coordinator in West Virginia, will be joining the West Virginia Women’s March, ACLU-WV and Planned Parenthood South Atlantic on the steps of the West Virginia State Capitol in Charleston for a rally at which WV Free’s Anduwyn  Williams and Katie Wolfe will be speaking. The rally will be followed by a march and ending with a happy hour (great idea!).
There is also much to celebrate this year.  Joan Lamunyon Sanford, Director of the New Mexico Religious Coalition for Reproductive Choice (RCRC), which is the RWV regional coordinator for that state, will be speaking at Saturday’s march in Albuquerque.  She and other women’s health advocates in New Mexico have been celebrating the election of a new progressive governor, Michelle Lujan Grisham, and the election of a Native American woman from New Mexico, Deb Haaland, to Congress.
Some RWV regional coordinators are doing alternative actions this weekend. For example,Northwest Health Law Advocates (NoHLA) Seattle is participating in a Womxn's Day of Action on Sunday and will be co-presenting with the Somali Health Board on immigrant access to health care in Washington state. NoHLA will be discussing federal, state, and local policies that impact immigrant access to care and Somali Health Board will provide client stories to highlight how those policies impact community members directly.

In New York, where unresolved disputes have resulted in there being two separate Women’s March events on Saturday, RWV-NY will be conducting leafleting seeking women’s stories about problems with confusing and unfair medical bills. RWV-NY is part of a coalition advocating for state action requiring simpler medical bills and holding consumers harmless when they when go to a health provider they had been assured was in their health plan network, but later receive an out-of-network bill.


Tues deadline for comments on Trump abortion coverage rule!

Proposed Trump rule would undermine abortion coverage


The deadline is almost here for submitting comments on a Trump administration proposal that would impose burdensome requirements on coverage of abortion services in health plans being offered through Affordable Care Act (ACA) marketplaces. We fear the proposed rule would confuse health plan enrollees and could even prompt insurers to drop abortion coverage. Comments are due by midnight on Tuesday, Jan. 8, on this proposal, which the administration rolled out right after the mid-term elections.

How would this proposed rule undermine abortion coverage? Under the current system, insurance companies can include abortion coverage in the comprehensive health plans they offer in ACA marketplaces, so long as: 1) abortion coverage is not prohibited by state law and 2) insurers do not use any federal funds to pay for the portion of the premium that covers abortion. Under the Nelson amendment to the ACA, insurers must charge at least $1 a month in premiums to cover the cost of abortion coverage.
In the states that permit or require abortion coverage, insurers have been able to send  enrollees one monthly itemized premium bill charging, for example, $1 for abortion coverage and $99 for the rest of the health plan. Federal subsidies can be applied to lower premium costs for the rest of the plan, but individuals must cover the $1 abortion premium themselves.
Under the Trump proposal, ACA insurance plans that cover abortion would be required to issue two separate bills and ask enrollees for two separate payments. What happens to people who are confused by the new requirements and don't write a separate $1 check each month? We don't know for sure, but there are reasons to worry they might lose their entire health coverage. Moreover, we fear that insurance companies would find the new requirements too burdensome and decide to drop abortion coverage. 
The current system isn't perfect. Coverage for abortion care shouldn't be treated differently from coverage for any other kind of routine health care. But until we have successfully repealed the Hyde Amendment, it’s a system that satisfies Congressional intent without unduly burdening individuals. By contrast, it’s clear that the administration’s goal is to create so much onerous red tape that insurance companies stop offering comprehensive plans with abortion altogether.
Public comments are due by midnight Eastern time on Tuesday, Jan. 8. We strongly encourage you to join us in submitting comments explaining why you oppose these new barriers to abortion coverage. You can submit comments electronically HERE.Note that the title of the proposed rule that includes the abortion coverage restrictions is this: Patient Protection and Affordable Care Act, Exchange Program Integrity NPRM, CMS-9922-P.


New House leadership sets vote to defend ACA against TX lawsuit


Last Thursday, Nancy Pelosi (D-CA)—arguably the most successful Speaker in recent history and the first woman to ever hold the post—reclaimed the gavel, swearing in the new Democratic House majority.

The new House’s first order of business was passing a bill to re-open those federal agencies that have been shut down since late last month. Most of the programs and agencies we cover, including Health and Human Services, were funded in last September’s year-long appropriations bill and have been relatively insulated. But the ongoing federal government shutdown has had significant implications for Native women and families who receive their health care through the Indian Health Service. As NPRreported, services that meet "immediate needs of the patients, medical staff, and medical facilities" are still open, but staffed by employees currently working without pay. And many preventive services funded through IHS remain shuttered. So far, Senate Republicans are refusing to pass a clean funding bill and it’s not clear how long the shutdown will continue.
The new House majority’s second order of business was to set the stage for a vote on January 9 to formally join in defense of the ACA against the threat posed by a federal judge’s ruling last month. Given the shocking scope of Judge Reed O’Connor’sdecision overturning the law – including all of its consumer protections, subsidies, Medicaid expansion and other provisions --we’ll be watching to see if any House Republicans feel pressured to support the ACA’s defense on appeal to the Fifth Circuit.
Meanwhile, the 17 Democratic attorneys general who have been defending the ACA in place of the Trump administration were joined last week by an 18th   Attorney General. Colorado’s newly-elected AG Phil Weiser, who made it his his first official act. In two more states, Wisconsin and Maine, newly-elected Democratic AGs are looking for ways to withdraw from the GOP side of the lawsuit. In Maine, former Governor Paul LePage, a Republican, did not have the legal authority to join the lawsuit in the first place. In Wisconsin, former Republican Governor Scott Walker’s last act was to lock his state into the lawsuit and by signing legislation that would gut the powers of incoming Democrats.
Finally, the new House Democratic majority is likely to be more “ideologically and geographically cohesive” than the Democratic majority that controlled the House from 2007 to 2010, which could give progressives a bigger say in its priorities. House leadership has committed to holding hearings in the next few weeks on Medicare for All as part of a longer-term process on educating the public, working through complicated details, and setting the stage for the 2020 presidential election. Democrats were successful in passing the ACA, and Republicans unsuccessful in repealing it, in part because the former spent years using hearings to work through the legislative details that would ultimately become the ACA while the latter skipped the refinement process and sprung poorly drafted legislation on their members at the last minute.
In other positive health care news last week, Maine’s incoming Democratic Governor Janet Mills used her first executive order to finally move forward with Medicaid expansion, more than a year after voters passed expansion on referendum by an overwhelming margin.


ACA still in effect, so start using your new health coverage!

Get the most from your new ACA health coverage!

As we start 2019, the Affordable Care Act (ACA) remains the law! Over the weekend, the federal judge in Texas who ruled last month that the law should be struck down declared that the ACA will remain in effect as his decision is appealed to higher courts by 17 state Attorneys General. U.S. District Court Judge Reed O’Connor stayed the effect of his own ruling, writing that otherwise, "many everyday Americans would otherwise face great uncertainty during the pendency of appeal.

That means millions of women, LGBTQ people and families are starting 2019 with health insurance they purchased through and state-based marketplaces during the 2018 ACA open enrollment period. If you’re one of them, here are six insider tips from the pros at Raising Women’s Voices on how to get your money’s worth from your insurance.

1. Breathe a sigh of relief! You have quality insurance that complies with the ACA’s high standards. That means you’re covered for pre-existing conditions, hospitalizations, maternity care, prescription drugs and all the basics you’d expect a health plan to cover!

2. Pay your monthly bill on time! It’s especially important to pay that first bill--it was due December 31--so that your coverage actually goes into effect. If you haven’t paid it yet, call your health insurance company right away to work it out.

3. Schedule a FREE check-up! You get preventive care at no additional charge to you. So, make that appointment now with your primary care provider and/or ob/gyn. A woman’s annual check-up is called a “Well-Woman Visit.” If you need to see two different providers (such as a primary care provider and an ob-gyn) to get all of the needed preventive care, it’s still covered 100%. If you have children, schedule their preventive check-ups, too.

4. Find doctors you trust. The key to getting the most value out of your health plan is finding doctors and other health care providers you trust who take your insurance. A good way to start is by calling your health plan for help. Tell the representative what is important to you in a doctor, such as office location, languages spoken, gender, hospital affiliation or office hours. If you are looking for an LGBTQ-friendly doctor, try searching the glma directory. You can also ask friends, family or colleagues for recommendations. If you try a new doctor and you do not like him or her, you do not have to go back. You are entitled to try someone different next time.

5. Get FREE birth control. While you are at your Well-Woman Visit, discuss your options with your doctor and make the choice that's best for you. All FDA-approved forms of birth control must be 100% paid for by your health plan. Some brands may not be covered by your particular health plan, so discuss it with your provider before she writes the prescription.
6. Take care of your mental health. The ACA requires health plans to cover mental health care the same way they cover physical health care. You will pay a deductible or co-payment. After that, your insurance will pay the rest, without limits on the number of visits or cost, as long as you see a mental health provider participating in your health plan.
Need more help getting started with your new health insurance?  Raising Women’s Voices has created a website where you can learn much more. It’s called My Health, My Voice. There you can learn five important steps to getting started using your health plan, and understand the four types of costs you may pay to use your coverage (your monthly premium, co-pays, deductibles and co-insurance.) You can also download free copies of our publications: A Woman’s Step-by-Step Guide to Using Health Insurance and My Personal Health Journal. 

We’re ready for action in 2019! Can you help?

Help us champion women’s and LGBTQ health in 2019!

We’re ready to fight for women’s health and LGBTQ health in Washington and across the nation! 

Raising Women’s Voices regional coordinators from 16 states came to Washington, D.C., earlier this month to meet with our national coordinating team (from the Black Women’s Health Imperative, Community Catalyst’s Women’s Health Program and the National Women’s Health Network) and prepare for 2019 action. Here we are in a brief break from our intense discussions.

Can you help by making a year-end donation to support our work? Click here to make a donation to Raising Women’s Voices through the Women’s Health Program of Community Catalyst. 

What are we planning for 2019?

We count among our most important accomplishments this year our success in raising the visibility of health care issues among women and LGBTQ people at a crucial political moment.  Their heightened awareness enabled them to hold elected officials accountable for their votes to repeal/undermine the Affordable Care Act (ACA), slash Medicaid, impose Medicaid work requirements and attack reproductive health providers.

November saw the election of record numbers of diverse women and LGBTQ people committed to protecting and expanding health care coverage and access.  As a result, there will be new opportunities in 2019 to work with progressive members of Congress to exercise oversight of Trump administration actions and fight back against the outrageous federal judge’s decision invalidating the entire ACA. In some states, we will be able to engage newly-elected progressive governors and legislative majorities in expanding Medicaid, codifying Roe v. Wade at the state level and using state policies to protect residents from federal regulatory threats to contraceptive coverage.

During our convening, regional coordinators split up into breakout groups based on their state’s political environment. Coordinators from the “bluer” states of California, Colorado, Maine, Massachusetts, New Mexico, New York, Rode Island and Washington discussed their plans for pro-active state work, moderated by Community Catalyst Senior State Advocacy Manager Ann Danforth. In addition to contraceptive coverage and codifying Roe, they discussed efforts to enact LGBTQ-inclusive paid family leave policies, increase young people’s access to abortion, expand dental benefits to adults (especially pregnant women), prohibit discrimination against pregnant workers, lower prescription drug costs and provide driver’s licenses to Deferred Action for Childhood Arrivals, or DACA recipients.
Can you help fuel this federal and state-level work by making a year-end donation? Click here to make a donation to Raising Women’s Voices through the Women’s Health Program of Community Catalyst. 

Help us forge new directions in our work!

Some Raising Women’s Voices regional coordinators are working to address maternal health disparities.  That’s because Black women are 3-4 times more likely to die because of a pregnancy-related complication than are white women. During our recent convening in Washington, RWV Regional Field Manager Kalena Murphy (far left in photo), who works for the National Women’s Health Network, moderated a powerful panel discussion of our new work in this area.
Linda Blount Goler (second from right in photo) from the Black Women’s Health Imperative, provided a brief overview of maternal health disparities and strategies for health advocates. She noted that “85 percent of maternal deaths are preventable.” One important strategy, she said, is to lift up the stories of Black women and families about their maternity care experiences, suggesting that “we need to change the narrator, not the narrative.”

Deneen Robinson (center in photo) from The Afiya Center in Dallas discussed ways their staff are  “working to tackle this problem,” with grant support from Raising Women’s Voices.  First, they are collecting stories from families of Black women who have died from pregnancy-related causes.  The Center plans to produce a report and frame maternal mortality and morbidity data with these stories. They are also training doulas to provide six weeks of post-partum care and creating a directory of doctors who have a record of listening to women, so Afiya staff can refer clients to providers who  will give them good care and respect their concerns.
Kavelle Christie (second from left in photo) from Planned Parenthood of Southern New England highlighted PPSNE’s Healthy Neighborhood Canvass Initiative. With support from Raising Women’s Voices PPSNE is going into communities across Rhode Island to educate the public and collect stories about issues relating to Black/African American maternal mortality. “Black experience isn’t monolithic. We need to lift up cultural differences in way people experience birth,” she said. “Lift up terrible experiences, but also lift up liberatory experiences. We don’t want to normalize Black death.” The Healthy Neighborhood Canvass Initiative will lay the groundwork for PPSNE’s anticipated work in 2019 to build support for a policy that would ensure doulas are covered by Medicaid in Rhode Island.

Raising Women’s Voices is also exploring how to support and expand our regional coordinators’ existing work addressing key factors (other than coverage or access to care) that can dramatically affect our health – such as substandard housing, environmental toxins and lack of healthy food options. These factors – which are often referred to as social determinants of health – fall squarely within the reproductive justice (RJ) framework pioneered by women of color, which includes the rights to bodily autonomy and to bring up children in safe, healthy environments.  

Lois Uttley, an RWV co-founder, and Women’s Health Program Director for Community Catalyst, moderated a session on these topics.  Our newest RWV regional coordinator, Cassandra Welchlin of the Mississippi Black Women’s Roundtable (in photo at left), who is a licensed social worker, talked about her work in that state to address a wide variety of issues, including inadequate child care, wage inequality and domestic violence. Marisol Franco of California Latinas for Reproductive Justice and Lexi White from New Voices for Reproductive Justice described how their work on reproductive justice issues includes addressing such issues as wage equality, air and water quality, trauma and the long-term effects of “deep poverty”  in early childhood.

Can you help support this exciting new work by making a year-end donation? Click here to make a donation to Raising Women’s Voices through the Women’s Health Program of Community Catalyst. 

Our regional coordinators also discussed the Trump administration’s anti-immigrant policies and the potential impact on health in immigrant communities in a session moderated by RWV Outreach and Engagement Coordinator Diana Zheng (far left in photo), who works for the Women’s Health Program of Community Catalyst. Much of the discussion focused on public charge, as it is an issue causing much fear and confusion in immigrant communities.Huma Zarif, (second from right in photo) from Northwest Health Law Advocates in Seattle, explained the “chilling effect” that public charge is causing in immigrant communities, as more immigrants are forgoing health care and no longer signing up for public health programs for fear of jeopardizing their immigration status. Homelessness and hunger are also likely to increase among immigrants, as proposed changes also add SNAP and housing assistance to the public charge test, she said. Immigrant women will be disproportionately impacted by all of these changes, as they make up the majority of single-parent households and are more likely to rely on public benefit programs to make ends meet.

Karla Garcia (at right in photo) from COLOR in Denver discussed outreach strategies to help educate immigrants about public charge. Karla emphasized the importance of alternative outreach strategies like radio or in-person outreach to those who might not have access to internet. Karla encouraged advocates to reach out to elected officials to educate them on the issue and help them understand how their constituents will be impacted. She also reminded advocates that outreach and education about public charge could look different in each state, as public benefit enrollment processes can vary. For example, though ACA marketplace plans are not part of the public charge test, individuals who fill out a marketplace application in Colorado will be automatically enrolled in Medicaid if they qualify. It is important for advocates to get to know the specific circumstances surrounding enrollment in their own states.

Finally, Xyra Flores from Trans Queer Pueblo in Arizona talked about the impact of Trump’s immigration policies on LGBTQ immigrants. LGBTQ immigrants already face many barriers that prevent access to health care; anti-immigration policies like public charge only exacerbate the problem. Xyra discussed in particular how public charge will make it more difficult for trans immigrants to access hormone therapy. She described how the criminalization and detention of undocumented LGBTQ immigrants, especially trans immigrants, can put their safety, or even their lives, in danger.

Please include support for this important work in your year-end donations. Click here to make a donation to Raising Women’s Voices through the Women’s Health Program of Community Catalyst.

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