Last edited Wed Nov 12, 2025, 02:22 AM - Edit history (1)
From the article:
To satisfy Democratic demands to comply with the Hyde amendment when Obamacare passed in 2010, the law does not allow federal funds to cover abortions. Some states allow people insured under Obamacare to access abortion coverage using state or other funding. Republicans want to change that.
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Katie Keith, a Georgetown Law professor and founding director of its Center for Health Policy and the Law, said existing law bans any federal funds from flowing to abortion care through ACA plans, including the premium tax credits and cost-sharing reduction payments, consistent with the Hyde amendment.
States have the option to create separate revenue streams where enrollees can pay a surcharge to gain abortion coverage through their plans. Twenty-five states ban abortion coverage through ACA marketplaces entirely. The rest are split between requiring it through additional state funding or deferring to insurers.
Still, even for states that allow ACA plans to cover abortion, “there are strict segregation requirements,” Keith said. “Since the law was enacted, no federal funds flow toward abortion care.”
https://www.nbcnews.com/politics/congress/republicans-demand-tougher-abortion-restrictions-extend-obamacare-fund-rcna243206
If the GOP objection is that some states cover abortion under the ACA with state funding, I think there is a way to finesse this so that the state is no longer paying for the abortion using the ACA mechanism but through a whole separate mechanism, like a state voucher. That way, the Republicans in Congress can pander to their creepy forced birth base and say they got the ACA to stop paying for abortions (even though it never did pay for abortions) as a face saving gesture to allow the Republicans to vote to pass the ACA subsidy extension.
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