The health care bill that passed the Senate in the wee hours of the morning is much, much better on the issue of abortion funding than the original bill it amended. The most important new provision is that which requires a woman who has purchased a plan that includes abortion coverage in the federally-managed exchanges to write two premium checks, one for the basic plan and the other for the part of the plan that covers abortion services. This is very similar to the “abortion riders” that the Stupak Amendment foresaw in the House-passed bill.
Does a rider by any other name smell as sweet? Yes. The purpose of the “riders” was to demonstrate two things, both of which are important. First, a rider paid for entirely out-of-pocket would show that the federal subsidies are not paying for the abortion coverage. Here the funds are not arbitrarily segregated for accounting purposes, as the original bill decreed properly raising the charge that it was an accounting gimmick. Here the funds are not segregated because they are never combined in the first place.