September 19, 2017 The President The White House 1600 Pennsylvania Avenue NW Washington, DC 20500 Dear Mr. President: We thank you for your attention to advancing pro-life issues since taking office, including giving our states the freedom to direct the spending of our Title X family planning dollars to entities that match our states’ needs and values. Today, we are writing to urge you to give our states similar flexibility in our Medicaid programs. Medicaid is the largest taxpayer funding stream for the nation’s largest abortion provider, Planned Parenthood. In fact, according to research by the Charlotte Lozier Institute, Planned Parenthood commands 35% of the abortion market. In the wake of yet another state (South Carolina) seeking the same flexibility with Medicaid dollars, combined with the recent ruling in the 8th Circuit US Court of Appeals approving Arkansas’ decision not to fund abortion providers in their Medicaid program, it is essential that your administration respond quickly. It is time to remove the administrative barrier to our states’ right to direct dollars away from abortion providers: Medicaid guidance issued by the Obama administration.1 We are a coalition of almost two hundred pro-life women lawmakers in forty-three states and at the federal level. We are devoted to measures that enhance the well-being of women and show respect for the intrinsic value of every human life in our states. We have invited other lawmakers to join us on this letter; our male and female colleagues in state legislatures with whom we have gone as far as we can to ‘defund’ abortion providers with the tools we have. Now we seek your help to unlock this massive barrier to state discretion. We write to ask you to direct the Department of Health and Human Services, Centers for Medicare and Medicaid Services to rescind the interpretation that states must reimburse abortion providers and, 1 https://www.medicaid.gov/federal-policy-guidance/downloads/smd16005.pdf National Pro-Life Women's Caucus, Susan B. Anthony List 1200 New Hampshire Avenue, Suite 750 Washington, DC 20036 P 202.223.8073 * FX 202.223.8078 instead, issue guidance giving us the flexibility to set reasonable standards that are in the best interests of our respective Medicaid programs and the patients they serve. The prior administration’s attempt to force our states to fund the abortion industry must be reversed, and we must be allowed to spend these millions of dollars in a manner that is consistent with standards that are in the best interest of women’s health and safety. Thank you for your consideration. Sincerely, Representative Terri Collins Representative Jill Norgaard Alabama Arizona Senator Nancy Barto Representative David Livingston Arizona Arizona Senator Sylvia Allen Representative Vince Leach Arizona Arizona Senator Gail Griffin Representative Drew John Arizona Arizona Senator John Kavanagh Representative Kevin Payne Arizona Arizona Senator Steve Smith Representative Paul Mosley Arizona Arizona Senator Debbie Lesko Representative David Cook Arizona Arizona Senator Steven B. Yarbrough Representative Paul Boyer Arizona Arizona Senator Kimberly Yee Representative Ben Toma Arizona Arizona Senator Warren Petersen Representative Darin Mitchell Arizona Arizona National Pro-Life Women's Caucus, Susan B. Anthony List 1200 New Hampshire Avenue, Suite 750 Washington, DC 20036 P 202.223.8073 * FX 202.223.8078 Representative John Allen Senator Liz Brown Arizona Indiana Representative Kelly Townsend Senator Travis Holdman Arizona Indiana Representative Jay Lawrence Senator Erin Houchin Arizona Indiana Representative Don Shooter Senator Dennis Kruse Arizona Indiana Representative Travis Grantham Representative Sandy Salmon Arizona Iowa Representative Mark Finchem Senator Mary Pilcher-Cook Arizona Kansas Assemblyman Jim Patterson Representative Susan Humphries California Kansas Representative Kim Ransom Delegate Susan Krebs Colorado Maryland Representative Lori Saine Senator Judy Emmons Colorado Michigan Representative Scott Hilton Senator Michelle Benson Georgia Minnesota Representative Brad Raffensperger Representative Cindy Pugh Georgia Minnesota Representative Bob McDermott Representative Abigail Whelan Hawaii Minnesota Representative Tom Morrison Representative Jim Knoblach Illinois Minnesota Representative Ron Bacon Senator Robert F. Onder, M.D., J.D. Indiana Missouri National Pro-Life Women's Caucus, Susan B. Anthony List 1200 New Hampshire Avenue, Suite 750 Washington, DC 20036 P 202.223.8073 * FX 202.223.8078 Representative Donna Lichtenegger Representative Larry G. Pittman Missouri North Carolina Representative Jeanine Notter Representative Michael Speciale New Hampshire North Carolina Senator Joyce Krawiec Representative Carl Ford North Carolina North Carolina Senator Shirley B. Randleman Representative Beverly G. Boswell North Carolina North Carolina Senator Dan Bishop Representative Cody Henson North Carolina North Carolina Senator Ralph Hise Representative Kelly Hastings North Carolina North Carolina Senator Norman Sanderson Representative Debra Conrad North Carolina North Carolina Senator Tommy Tucker Representative George G. Cleveland North Carolina North Carolina Senator David Curtis Representative Phil Shepard North Carolina North Carolina Senator Deanna Ballard Representative Michele Presnell North Carolina North Carolina Senator Kathy Harrington Representative John Torbett North Carolina North Carolina Representative Pat McElraft Representative Rena Turner North Carolina North Carolina Representative John Bradford III Representative Jay Adams North Carolina North Carolina Representative Jeffrey Elmore Representative John Sauls North Carolina North Carolina National Pro-Life Women's Caucus, Susan B. Anthony List 1200 New Hampshire Avenue, Suite 750 Washington, DC 20036 P 202.223.8073 * FX 202.223.8078 Representative Mark Brody Representative Julia Howard North Carolina North Carolina Representative Mike Clampitt Representative Mitchell Setzer North Carolina North Carolina Representative Dennis Riddell Representative Brenden Jones North Carolina North Carolina Representative Allen McNeill Representative Larry Yarborough North Carolina North Carolina Representative Frank Iler Representative D. Craig Horn North Carolina North Carolina Representative Susan Martin Representative Bob Steinburg North Carolina North Carolina Representative Linda Hunt Williams Representative Donna White North Carolina North Carolina Representative Destin Hall Representative Scott D. Stone North Carolina North Carolina Representative Jason Saine Representative Chris Millis North Carolina North Carolina Representative Jonathan C. Jordan Representative Bert Jones North Carolina North Carolina Representative Pat Hurley Representative Dana Bumgardner North Carolina North Carolina Representative David Rogers Representative Kyle Hall North Carolina North Carolina Representative Jimmy Dixon Representative Donny Lambeth North Carolina North Carolina Representative Dean Arp Representative Holly Grange North Carolina North Carolina National Pro-Life Women's Caucus, Susan B. Anthony List 1200 New Hampshire Avenue, Suite 750 Washington, DC 20036 P 202.223.8073 * FX 202.223.8078 Representative Larry Potts Senator Glen Sturtevant North Carolina Virginia Senator Janne Myrdal Delegate Nick Freitas North Dakota Virginia Senator Karen Rohr Delegate R. Steven Landes North Dakota Virginia Representative Christina Hagan Delegate Tony Wilt Ohio Virginia Senator Julie Daniels Delegate Dave LaRock Oklahoma Virginia Representative Kathy Rapp Delegate John O’Bannon Pennsylvania Virginia Representative Heather Ammons Crawford Delegate Brenda Pogge South Carolina Virginia Representative Debra Moody Delegate Ben Cline Tennessee Virginia Senator Janice Bowling Delegate Riley Ingram Tennessee Virginia Representative Stephanie Klick Senator Jan Angel Texas Washington Representative Cindy Burkett Senator Mike Padden Texas Washington Senator Margaret Dayton Senator Mark Miloscia Utah Washington Senator Amanda Chase Delegate Kelli Sobonya Virginia West Virginia Senator Charles W. Carrico Delegate Kayla Kessinger Virginia West Virginia National Pro-Life Women's Caucus, Susan B. Anthony List 1200 New Hampshire Avenue, Suite 750 Washington, DC 20036 P 202.223.8073 * FX 202.223.8078 .