Thanks to an Obamacare regulation that took effect on Aug. 1, health care plans in Oregon will now be required to provide free sterilizations to 15- year-old girls even if the parents of those girls do not consent to the procedure.
When the Patient Protection and Affordable Care Act–a.k.a. Obamacare–was enacted in March 2010 it included (in Section 2713) a non-specific requirement that health care plans must provide “additional preventive services” to women. These unspecified “additional preventive services,” the law said, were to be “provided for in comprehensive guidelines supported by the Health Resources and Services Administration,” a division of the Department of Health and Human Services.
In developing the regulation to define these “additional preventive services,” HHS commissioned a federally funded committee at the Institute of Medicine (IOM) to recommend what they should to be.
Much of PPACA works this way. The bill is vague where the specifics can be determined later upon the discretion of the Secretary of Health and Human Services. So she took the recommendation of the Institute of Medicine. Their report is here.
In July 2011, this committee issued a report that said: “The committee recommends for consideration as a preventive service for women: the full range of Food and Drug Administration-approved contraceptive methods, sterilization procedures, and patient education and counseling for women with reproductive capacity.”
So sterilization is now available for free for anyone who can reproduce – at any age – without parental consent if you’re under 18, or 17, 16, 15, 14, 13, or 12 – when the menstral cycle begins.
It’s just getting started.