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Montana judge temporarily blocks rule requiring preauthorization for Medicaid
abortions
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MONTANA JUDGE TEMPORARILY BLOCKS RULE REQUIRING PREAUTHORIZATION FOR MEDICAID
ABORTIONS

 * Holly Michels
 * May 1, 2023
 * 2 hrs ago
 * 0

The Montana Department of Public Health and Human Services building in Helena.

MATT VOLZ / KHN
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Holly Michels

A Helena judge on Monday put a temporary block on an administrative rule that
would have required preauthorization for abortions covered by Medicaid, changed
what counts as a medically necessary abortion and limited who can provide
abortions in Montana.

The temporary restraining order was issued after three abortion providers — All
Families Healthcare, Blue Mountain Clinic and Planned Parenthood of Montana —
filed a lawsuit last Friday challenging the administrative rule and asking for a
block on the law while the litigation played out.



The rule was initially set to take effect Monday, but a press release from
Planned Parenthood of Montana said it was delayed to May 8 after the lawsuit was
filed. The Montana Legislature has also passed a bill seeking to do the same
thing as the rule, but would instead codify the policy.


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Download PDF

The order from Judge Mike Menahan said the plaintiffs were likely to succeed in
showing the rule violates the state Constitution's guarantees of privacy and
equal protection, as upheld by the state Supreme Court's past Armstrong and
Weems decisions that recognized the right to an abortion from a provider under
the patient’s choosing and that abortion care cannot be limited to physicians
only. His order also cited the Jeannette R. v. Ellery case, which said the state
health department is required to cover medically necessary abortions through
Medicaid.




“Plaintiffs have established that absent immediate injunctive relief,
enforcement of the rule will result in immediate, grave health consequences for
Medicaid-eligible Montanans seeking abortion care," Menahan wrote.

He continued “ … Granting a temporary restraining order will serve the public
interest by ensuring that Medicaid-eligible Montanans continue to have access to
constitutionally protected abortions and safe, effective medical care.”



In a statement Monday, the plaintiffs welcomed the order.



“We are incredibly grateful that the court stopped this dangerous,
unconstitutional new Medicaid rule from going into effect on May 8," a statement
from the plaintiffs read.



" ... It shouldn’t matter what zip code you live in, how much money you make, or
what insurance you use — everyone deserves access to the full range of
reproductive health care services available in Montana. We will continue to
fight this rule to protect pregnant Montanans with low incomes and their freedom
to make decisions about their bodies, lives and futures.”

The state Department of Public Health and Human Services, which is the defendant
in the lawsuit, did not immediately respond to a request for comment on the
temporary restraining order.

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Holly Michels is the head of the Montana State News Bureau.  You can reach her
at holly.michels@lee.net


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TAGS

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 * Montana Legislature 2023
 * Abortion
 * Abortion Rule
 * Medicaid
 * Law
 * Medicine
 * Social Services


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HOLLY MICHELS

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