May 17, 2017

President Donald Trump
The White House
1600 Pennsylvania Avenue NW
Washington, DC 20500

Ivanka Trump, Assistant to the President
Secretary Tom Price, U.S. Department of Health and Human Services

President Trump:
As organizations committed to improving the overall health and wellbeing of women and their families,
we are compelled to respond to your statement regarding Women’s Health Week, where you
emphasized the importance of affordable, accessible, quality health care and the need for paid family
For decades, we have fought for policies and programs that improve women’s access to health care,
support women’s ability to pursue their careers and take care of their families, and dismantle unfair
barriers that impede progress for women – especially those barriers that disproportionately impact low income
women, immigrant women, and women of color. As you noted, real gains have been made as a
result of our efforts: the uninsured rate for women is at an all-time low; women have better access to
preventive and prenatal care; and because of improved access to birth control, the unintended
pregnancy rate is at a 30 year low. We are proud of the progress we have made, but more so, we are
eager to build on it – using all of the knowledge we have generated through research, experience, and
conversations with women across the country.
Unfortunately, rather than having a thoughtful and informed dialogue about how to actually improve
women’s health, you have simply co-opted “women’s health” to use as a sales pitch for harmful policy.
In fact, we are in the throes of a battle with your administration and this Congress that is literally a matter
of life and death for women in the United States and around the world. Indeed, while your statement on
Women’s Health Week notes that “women should have access to quality prenatal, maternal, and
newborn care” including a “choice in health insurance and in health care providers,” the policies of your
administration do exactly the opposite. And women in America will not be fooled.
The American Health Care Act, which you have championed, blocks millions of women from accessing
preventive care at Planned Parenthood health centers, threatens coverage for maternity and newborn
care, prescription drugs, and mental health services, and allows insurance companies to charge women
more because of pre-existing conditions, including pregnancy, and treatment related to sexual assault
and domestic violence. The bill fundamentally dismantles the Medicaid program, which women
disproportionately rely on for coverage. In fact, Medicaid is the largest source of coverage for family
planning in the United States and covers 50 percent of births. That is not investing in women’s health.
You go on to suggest that you will support women’s health by investing in community health centers, but
community health centers are not equipped to fully meet women’s health needs. Research has
consistently shown that providers who specialize in women’s health, including Planned Parenthood
health centers, better serve the needs of women. Medical experts, including the American Congress of
Obstetricians and Gynecologists and the American Public Health Association, have clearly stated that
community health centers are incapable of filling the gap if women with Medicaid coverage are
prohibited from accessing care at Planned Parenthood health centers. Regardless, politicians in
Washington, DC, have no place telling women where they can and cannot go for women’s health care –
a notion your statement seems to support.
It is both impossible and disingenuous to claim a commitment to women’s health and women’s
empowerment while aggressively pursuing such devastating policies. Look no further than the state of
Texas to understand the impact. After passing a myriad of similar policies, dozens of women’s health
centers closed, nearly 30,000 women lost access to basic preventive health care, and the maternal
mortality rate doubled – in large part driven by a dramatic increase in maternal mortality for Black
women. That is not just a health care crisis. It is a moral crisis, and it is one that will be exported across
the country if these policies come to pass via this Congress and administration.
In the global context, your administration not only reinstituted the “global gag rule,” restricting foreign
assistance to some of the most capable providers of family planning around the world, but also greatly
expanded it. A study of nearly two-dozen countries in sub-Saharan Africa found that the abortion rate
actually rose during the George W. Bush administration in countries most affected by the ban. Since
2008, the last year the global gag rule was in place, the U.S. Agency for International Development’s
(USAID) maternal and child health programs, including family planning and reproductive health, in 24
priority countries have saved the lives of 4.6 million children and 200,000 women.
A real investment in women’s health means continuing to increase public and private insurance
coverage for all women, expanding access to important women’s health services like birth control and
maternity care, ensuring women’s ability to seek care at the health provider of their choice, supporting
policies that provide paid family and medical leave and high-quality, affordable childcare for all families,
and working to eliminate persistent disparities and discrimination in health care, particularly for
immigrant women, women of color, and the LGBTQ community.
We call upon this administration to reverse course and work with Congress to pursue an agenda that
reflects a true and informed commitment to women’s health, rights, and progress.
30 for 30 Campaign
AIDS Foundation of Chicago
American Association of University Women (AAUW)
American Civil Liberties Union
Association of Reproductive Health Professionals
Black Women’s Health Imperative
Catholics for Choice
Center for Health and Gender Equity (CHANGE)
Feminist Majority
Ibis Reproductive Health
International Women’s Health Coalition
Jewish Women International (JWI)
NARAL Pro-Choice America
National Abortion Federation
National Advocates for Pregnant Women
National Asian Pacific American Women’s Forum (NAPAWF)
National Center For Lesbian Rights
National Council of Jewish Women
National Health Law Program
National Latina Institute for Reproductive Health
National Organization for Women
National Partnership for Women & Families
National Women’s Health Network
National Women’s Law Center
People For the American Way
Physicians for Reproductive Health
Planned Parenthood Federation of America
Population Connection Action Fund
Population Institute
Positive Women’s Network – USA
Raising Women’s Voices for the Health Care We Need
Sexuality Information and Education Council of the U.S. (SIECUS)
Sierra Club
SisterLove, Inc.
Social Workers for Reproductive Justice
Women’s Information Network, New York City (WIN.NYC)

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