1 | 1 | | 81R7695 BPG-D |
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2 | 2 | | By: Smith of Tarrant H.C.R. No. 91 |
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3 | 3 | | |
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4 | 4 | | |
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5 | 5 | | CONCURRENT RESOLUTION |
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6 | 6 | | WHEREAS, Family planning services are essential to promoting |
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7 | 7 | | reproductive health and, by extension, healthy young families in |
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8 | 8 | | communities of all types throughout Texas, and federal programs |
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9 | 9 | | provide significant financial support to facilities offering these |
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10 | 10 | | services; among the four federal programs that provide funds for |
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11 | 11 | | family planning services in Texas, those operating under Title X of |
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12 | 12 | | the Public Health Service Act and Medicaid require family planning |
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13 | 13 | | facilities to provide confidential contraceptive services to |
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14 | 14 | | anyone who seeks them, regardless of age, in exchange for receiving |
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15 | 15 | | money from the federal government; and |
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16 | 16 | | WHEREAS, Established by Congress in 1970, Title X of the |
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17 | 17 | | Public Health Service Act was designed "to assist in making |
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18 | 18 | | comprehensive voluntary family planning services readily available |
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19 | 19 | | to all persons desiring such services"; in 1997, these services, |
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20 | 20 | | including the availability of contraception, were extended to |
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21 | 21 | | minors under the age of 16 as a result of the United States Supreme |
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22 | 22 | | Court decision in Carey v. Population Services International, 431 |
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23 | 23 | | U.S. 678 (1977); consequently, Title X clinics can provide minors |
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24 | 24 | | with free contraceptives without a parent's knowledge or consent; |
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25 | 25 | | and |
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26 | 26 | | WHEREAS, In 1972, Medicaid funding for family planning was |
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27 | 27 | | authorized to cover health care services for low-income women |
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28 | 28 | | through a cooperative federal-state program; in Texas, any provider |
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29 | 29 | | receiving Title X funds from the state must also provide services to |
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30 | 30 | | Medicaid-eligible clients, and, in accepting federal matching |
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31 | 31 | | funds for the Medicaid program, the state cannot require minors to |
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32 | 32 | | obtain parental consent before receiving family planning services, |
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33 | 33 | | including contraceptives; and |
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34 | 34 | | WHEREAS, Taken together, these requirements effectively |
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35 | 35 | | force the state to provide contraceptives to children under the age |
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36 | 36 | | of 16 in order to finance critical family planning services and |
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37 | 37 | | reduce the likelihood of parental involvement at a time in a child's |
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38 | 38 | | sexual development when emotional capacity is not likely to |
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39 | 39 | | correspond to physical maturity; additionally, family planning |
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40 | 40 | | programs operating under Title V and Title XX of the Social Security |
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41 | 41 | | Act are not explicitly prohibited from requiring parental consent |
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42 | 42 | | for the dispensation of prescriptions, devaluing the implication |
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43 | 43 | | that confidentiality is a necessity and sending a mixed message to |
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44 | 44 | | state administrators of family planning programs; now, therefore, |
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45 | 45 | | be it |
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46 | 46 | | RESOLVED, That the 81st Legislature of the State of Texas |
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47 | 47 | | hereby respectfully urge the Congress of the United States to |
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48 | 48 | | remove confidentiality mandates for minors from family planning |
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49 | 49 | | services programs operating under Title X of the Public Health |
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50 | 50 | | Services Act and Medicaid; and, be it further |
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51 | 51 | | RESOLVED, That the Texas secretary of state forward official |
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52 | 52 | | copies of this resolution to the president of the United States, to |
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53 | 53 | | the speaker of the house of representatives and the president of the |
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54 | 54 | | senate of the United States Congress, and to all the members of the |
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55 | 55 | | Texas delegation to the Congress with the request that this |
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56 | 56 | | resolution be officially entered in the Congressional Record as a |
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57 | 57 | | memorial to the Congress of the United States of America. |
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