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B. v. Fl. Agency for Health Care Admin.
No. 00-989 (Fla. Sup. Ct. filed July 12, 2001) ; Clearinghouse Number: 53897
Description
Excluding Medically Necessary Abortions from Medicaid Coverage Does Not Violate Privacy Right in Florida Constitution
Abstract
The Florida Supreme Court ruled that the state’s exemption
from Medicaid coverage for medically necessary abortions did not
violate the express privacy right in the state constitution.
Petitioners were three Medicaid-eligible women who sought abortions
they alleged were medically necessary but were denied funding,
seven reproductive health clinics, two physicians, and a nonprofit
organization that gave financial aid to women who could not afford
abortions. In a 1993 class action, petitioners sought declaratory
and injunctive relief based on challenges to three rules of
respondent state agency for health care administration; these rules
excluded medically necessary abortions from Medicaid coverage,
except in cases in which the pregnancy endangered the woman’s
life or resulted from rape or incest. Denying petitioners’
summary judgment motion and granting that of respondent, the trial
court held that the challenged rules did not violate the state
constitution’s privacy or equal protection clauses. The
appellate court affirmed. Before the state supreme court,
petitioners argued that Medicaid generally covered all medically
necessary services rendered to eligible individuals and that for no
service other than abortions did the state require that a
patient’s condition be life-threatening or caused by a crime.
Agreeing with the trial court’s reasoning and persuaded by
Harris v. McRae, 448 U.S. 297, 314–17 (1980), the
supreme court concluded that the privacy right in the state
constitution protected a woman’s right to choose an abortion
but did not entitle her to the financial resources necessary to
exercise this choice. According to the supreme court, although
poverty might make it difficult for some women to obtain abortions,
the state imposed no restriction not already present on access to
abortions. Declining to address petitioners’ equal protection
claim, the supreme court approved the appellate court’s
decision.
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