It is becoming increasingly clear to me that the Senate’s language on abortion coverage in the health care reform effort is actually better than the Stupak language that passed the House.
The Stupak Amendment has the advantage of clarity: If you get a federal subsidy, you can’t buy a plan that includes abortion coverage. The Stupak Amendment foresaw the likelihood of insurance companies offering “riders” for abortion coverage, to be purchased by individuals with their own funds. The Stupak Amendment was silent about plans purchased through the exchanges that are not subject to a federal subsidy. The chief actuary for the insurance companies said, however, that the pool of people would be too small to offer such coverage, which is what drove the pro-choice groups crazy. In the event, if the exchanges grow in popularity, as seems likely, that pool would increase in size and insurance companies would offer abortion services and nothing in Stupak prevented that.