Pennsylvania for Women’s Health Agenda Update

Logo for the Pennsylvania Agenda for Women's Health

Logo for the Pennsylvania Agenda for Women’s Health

Last September, a bicameral, bipartisan caucus was created in the Pennsylvania General Assembly to review, discuss, and propose legislation to improve the health of women in the Commonwealth by addressing the genuine needs and concerns of women in the state. The Pennsylvania Agenda for Women’s Health was created as a comprehensive plan to address the real-life stories and concerns of women in terms of protecting and expanding women’s reproductive health, improving women’s economic security, and improving safety in their lives.

The First Set of Bills

On December 11, the first five bills were presented and introduced into both the House of Representatives and the Senate. The first set of bills addressed a variety of concerns for women by:

  • Making sure that women receive pregnancy accommodations in their workplace;
  • Creating a 15-foot buffer zone around entrances to health to make sure women seeking reproductive healthcare are able to access it in an orderly and safe manner;
  • Addressing “pay secrecy” and the “factor other than sex” loophole will help to end practices that have enabled employers to pay women less than men for the same work;
  • Expanding access to cervical cancer treatment. This bill is a state Pay Equity bill similar to the federal Paycheck Fairness Act;
  • Eliminating local ordinances that penalize landlords and/or tenants who call the police or emergency services “too frequently;” and
  • Outlawing “revenge porn,” a form of digital intimate-partner violence.

Of the first six set of bills, four have had some movement since my first detailed look at the bills on January 22.

Pregnant Workers’ Fairness Act

The House version of the Pennsylvania Pregnant Workers’ Fairness Act (HB 1892) was formally introduced and referred to the House Labor and Industry Committee where it is still awaiting a hearing. The companion Senate bill (SB 1209) was introduced on March 31 and was referred to the Senate Labor and Industry Committee; it too is awaiting its first hearing.

Pay Equity

The Pay Equity Bill basically hasn’t moved since being introduced. The House version (HB 1890) was introduced and referred to House Labor and Industry Committee on February 19. The Senate version (SB 1209) was introduced and referred to Senate Labor and Industry Committee on March 31; it has not moved since its introduction. However, the House sponsors of HB 1890 have filed a “Resolution to discharge committee from further consideration.” This was filed on April 7. This type of resolution is a rarely used tactic to force debate on a bill when the chair of the committee the bill is assigned to refuses to hold hearings on the bill. We are now waiting to see how the full House will respond to this resolution.

Victims of Crime

The bill protecting victims of crime by eliminating local ordinances that penalize landlords and/or tenants who call the police or emergency services “too frequently” (HB 1796) was introduced on October 22. After its introduction, the House Local Government Committee amended the bill to clarify that bill only applies to cases that involve victims of violence, abuse, or “individuals in an emergency” if the person making the call had a reasonable belief that police intervention or emergency assistance was needed. It unanimously passed House January 14, 2014. It was then referred to Senate Local Government Committee. January 21, 2014. Unfortunately, on March 11 the Senate Local Government Committee was tacked on an ALEC bill as an amendment, turning this good bill into a bad bill. This local ordinance sick-leave preemption bill undermines the safety of domestic violence victims. Under the amendment, local governments would lose their authority to require employers to offer paid or unpaid leave to victims of domestic violence and sexual assault. Leave from employment is often critical to a victim’s survival in both the short- and long-term. This amendment adds another purpose and intent to HB 1796 that conflicts with its original commitment to protect victims. Advocates, including but not limited to the Pennsylvania Coalition Against Domestic Violence, the Women’s Law Project, and Pennsylvania NOW, are urging the legislature to support the version of HB 1796 that was passed by the House of Representatives and to remove the problematic language that was adopted in Senate Local Government Committee. We still support the portion of HB 1796 that would eliminate local nuisance ordinances that penalize a victim for seeking help from emergency services. As a result of our subsequent lobbying to remove this amendment, the Senate has temporarily tabled the bill.

Revenge Porn Prohibition

The “Revenge Porn” bill is the most successful of this first round of bills. The Senate version (SB 1167) was amended in Senate Judiciary Committee January 14, 2014 and sent to the floor for 1st consideration. It unanimously passed the Senate on January 28, 2014 and is now residing in the House Judiciary Committee alongside HB 1901.

The Second Set of Bills

Today, the Women’s Health Agenda Caucus announced the second package of bills to be introduced. They include five bills intended to:

  • Curb political interference in providers’ medical decisions. This bill protects the doctor-patient relationship from directives to practice care in a manner that is not in accordance with standards of care;
  • Identify gaps in health care for women veterans by establishing the Task Force on Women Veterans’ Health Care to study health issues facing women veterans;
  • Fight deep poverty among women with children. This bill Includes a study of family work support programs in the Commonwealth, increases the monthly Temporary Assistance to Needy Families (TANF) benefits for women in need; and increases in the TANF Earned Income Disregard;
  • Ensure that widows of state and municipal employees get fair pensions by requiring public employees to obtain spousal consent for benefit payment structures that do not provide at least a 50% survivor benefit; and
  • Protect all employees against sexual harassment by extending the prohibition on sexual harassment to all employers in the state.

Pennsylvania NOW is one of the organizations supporting this full agenda to improve women’s health. I am their lobbyist. At the press conference this morning, I handed out our statement of support. In that statement, I supported each of these bills, saying, “It’s high time that doctors were supported in their right to refuse to provide medically inaccurate information. The increases to TANF cash assistance grant levels and the eligibility asset limit will encourage saving and financial independence. We’re also glad to see sexual harassment protections extended to all workers, and see that female veteran’s health concerns finally get the attention it deserves.”

As advocates for women’s health and equity we are pleased to see the legislature taking a pro-active stance to help improve the lives of women here in Pennsylvania. As Caryn Hunt said in the Pennsylvania NOW press release, ““The women of Pennsylvania need – and now finally have – champions in the legislature who recognize that government must work for all of the people, women included.” We are pleased and “strongly support this Agenda that puts the health and well-being of women and their families first.”

(note: The bill numbers associated with each of these bills will be announced on this blog as soon as I know what they are or will be.)

 

Shenanigans in the PA Senate

Stop Violence Against Women NOW diamond

Stop Violence Against Women NOW

Shenanigans in the Senate. Yesterday, the Pennsylvania Senate Local Government committee added an amendment to HB1796. This bill passed unanimously out of the House of Representatives on January 14, 2014.  As it arrived in the Senate, it was designed to make it illegal for communities to evict a domestic violence victim from her home for calling 911 “too often.” The amendment that was added would outlaw local communities from passing/enforcing local paid or unpaid sick leave ordinances.

The amendment added by the  Senate Local Government Committee—shown in all caps here—basically guts this bill. On one hand, it protects victims of domestic violence from being evicted but, on the other hand, it threatens them with loss of their livelihood if they have to take off from work to protect themselves or their family members and cannot get paid or unpaid sick leave that goes beyond federal or state law.  Note, federal and state law only protect people who take sick leave who are employed by companies with 50 or more full-time equivalent employees.  Since the majority of employers have fewer than 50 employees, this amendment could threaten a victim of domestic violence in two ways:

  1. She could lose both of her livelihood and her home should she be unable to pay the rent as a result of her job loss.
  2. She might be forced into continuing the violent relationship should she want to leave if she fears losing her job and can’t take off time from work to productively deal with the violence and injuries that have been inflicted, even after having emergency service intervention.

Members of the Senate Appropriations Committee need to be contacted asap to ask them to strip the “paid/unpaid sick leave preemption” amendment out of the bill. See note below.

The members of the committee are as follows. You can get their contact info by either going to the Senate Appropriations page or by linking directly to your state Senator below.

Majority Chair of Senate Appropriations Committee

Minority Chair of Senate Appropriations Committee

Minority Members of Senate Appropriations Committee

Thanks for contacting your legislator if she/he is on the Appropriations Committee.  Tell her/him to call for the removal of the paid/unpaid sick leave amendment that was added to the bill in the Senate Local Government Committee and then send the clean bill to the Senate floor for a full vote.

Roe v Wade Anniversary: Pro-Active Legislative Agendas

Logo for the Pennsylvania Agenda for Women's Health

Logo for the Pennsylvania Agenda for Women’s Health

Today is the 41st anniversary of the Roe v. Wade decision by the US Supreme Court that says that women have a constitutional right of access to safe abortion services throughout the country.  Since 1973, the right-wing has been pushing back and chipping away at this right. These attacks over the decades have expanded beyond access to abortion and now include all areas of family planning and access to women’s health care. As a result, women’s rights and reproductive justice advocates have been on the defense in an attempt to ensure that all women of reproductive age have full access to all forms of reproductive health.

For a very long time, conservatively controlled legislatures have narrowly focused on restricting women’s access to abortion and reproductive health services. We need a pro-active legislative agenda at the national and state levels to counter this chipping away of our basic rights.  And this is starting to occur.

It’s something we need to focus on, spread the word about, and celebrate on this 41st anniversary of the Roe decision.

Advocates for reproductive justice have had some success in 2013 in their pushback on our back reproductive and healthcare rights.  For example, Texas Senator Wendy Davis, with the assistance of thousands of advocates crowding the capital successfully delayed the passage of an onerous anti-abortion law. And the city of Albuquerque voted down an anti-abortion referendum.

Legislatures too have started to pushback.  And that’s what I’d like to focus on today. Two states so far have decided to take a pro-active stance – New York and Pennsylvania.

New York

Last year, New York State decided to fight back with their “9 Point Plan for Women’s Equality.”  This plan, known as the Women’s Equality Act covers nine broad areas of concern:

  1. Safeguarding Reproductive Health by a) codifying the 1973 Roe v Wade decision, b) ensuring that women can obtain a safe, legal abortion during the first 24 weeks of pregnancy; c) ensuring that physicians won’t be prosecuted for providing this care; and d) retaining the provisions in current law that would prosecute those who harm women;
  2. Ending Pregnancy Discrimination by requiring employers to make reasonable accommodations for pregnant women in the workplace;
  3. Fighting Human Trafficking by a) creating an “affirmative” defense of being trafficked when a person is charged with prostitution, b) increasing penalties for both sex and labor trafficking, c) creating the ability for victims of trafficking to take civil action against their perpetrator, and d) creating some new criminal offenses in increasing level of severity for some forms of trafficking;
  4. Supporting Domestic Violence Victims by creating a pilot program to allow victims of domestic violence to testify remotely against the alleged perpetrator of violence when requesting a protection from abuse order;
  5. Creating Fair Access to Housing by adding source of income and status as a domestic violence victim to the state’s anti-discrimination law;
  6. Ending Familial Status Discrimination in Employment by adding protections in the state’s anti-discrimination law for employees who have children 18 years or younger residing in the home;
  7. Allowing Payment of Attorney Fees by granting litigants who win a sex discrimination case the ability to receive attorney fees as part of the settlement;
  8. Improving the Sexual Harassment Law by expanding the prohibition on sexual harassment in the workplace to employers with fewer than four employees so that all places of employment are covered; and
  9. Securing Equal Pay by a) closing a loophole in New York’s law that allows employers to justify lower wages for women, b) outlawing wage secrecy policies, and c) increasing damages to prevailing litigants for up to 300% of unpaid wages.

In June 2013, Governor Cuomo’s Women’s Equality Act was blocked in the NY State Senate because there were enough right-wing legislators who decided to quash the bill due to a provision in the package bolstering access to abortions. However, advocates have not given up. Governor Cuomo has renewed his commitment to passage of the Women’s Equality Act and advocates in New York State are gearing up for another run for successful passage of this bill.

Pennsylvania

Pennsylvania legislators recognized this positive effort from our sister state to the north.  In September 2013, a group of Senators and Representatives from both sides of the aisle formed a new legislative caucus to proactively focus on women’s health and equity.  It is called the Women’s Health Caucus. This bi-partisan caucus is co-chaired by Representative Dan Frankel, D-Allegheny and Senators Judy Schwank, D-Berks and Chuck McIlhinney, R-Bucks.

Rather than the narrow efforts commonly seen in Pennsylvania General Assembly to restrict women’s access to reproductive health programs, the Women’s Health Caucus was formed to redirect legislation towards a woman’s health equity agenda. This broad, proactive agenda covers reproductive health, women’s economic security, and women’s safety.

To celebrate the 41st anniversary of Roe v. Wade, I decided to summarize the bills that have both been introduced and those that are in the works for introduction later this year that focus on some portion of women’s reproductive health and focus on some of the other bills at a later date. This is a work in progress by the Women’s Health Caucus and as such, there may be more bills in process that I don’t yet know about.  The ones discussed here are the health-related bills that have been introduced or have been discussed as potential bills by the Caucus.

Bills in Pennsylvania Legislature to Honestly Address Women’s Needs

As I stated in a blog in September reporting on the first meeting of the Caucus, the Women’s Health Agenda package of bills can be divided into three groups—reproductive health issues, women’s safety, and economic sustainability.  The focus here today is on the bills associated with reproductive health.

On December 11, 2013, the Women’s Health Caucus introduced the first seven bills in the Pennsylvania Agenda for Women’s Health.  Four of the seven bills announced that day focus on some aspect of women and children’s health.  Three of these bills have been introduced and are currently in committee in at least one, if not both, Houses.  The fourth bill is still being circulated for co-sponsors in both the House and Senate.

Healthcare-Related Bills that Have Been Introduced and are in Committee

Sanitary conditions for nursing mothers

This legislation requires employers to provide a private, sanitary space for employees who need to express breast milk. It fixes two main loopholes that are present in federal law under the Affordable Care Act. It would apply to all employees, including those that are exempt from federal overtime provisions. It also requires employers to provide a private, sanitary space for mothers to express milk beyond one year after birth. This legislation mirrors the federal provision that exempts small employers from these requirements if these requirements present an undue hardship on the employer. Representative Mary Jo Daley is the prime sponsor of this bill in the House of Representatives.  It was officially introduced H.B. 1895 on December 12, 2013 with 22 co-sponsors and is awaiting first review in the House Labor and Industry Committee.  There is not a companion Senate bill yet.

Representative Daley describes this workplace need for nursing mothers:

“Study after study makes it abundantly clear – both mothers and children benefit from breast milk. For most babies, especially premature babies, breast milk is easier to digest than formula and helps fight against disease. According to the U.S. Department of Health and Human Services, the cells, hormones, and antibodies in breast milk help protect babies from illness. For mothers, breastfeeding is linked to a lower risk of health problems such as diabetes, breast and ovarian cancers, and postpartum depression. Moreover, breastfeeding mothers miss fewer days from work because their infants are sick less often.

Currently, approximately two dozen states have laws on the books relating to expressing milk in the workplace. Sadly, Pennsylvania does not. The only applicable law on breastfeeding that applies to employers in the Commonwealth is the Affordable Care Act’s amendment to the federal Fair Labor Standards Act. This federal law requires employers to provide a private, sanitary space for non-exempt employees to express milk for up to one year after the birth of a child. However, exempt employees include those that are on salary (exempt from federal overtime provisions), often in managerial positions.”

Ensuring access to health care facilities:

This legislation creates a 15-foot buffer zone around health care facilities where picketing, patrolling or demonstrating that blocks patients’ access to the facilities would be banned. H.B. 1891, sponsored by Representative Matt Bradford, D-Montgomery, was introduced into the House with 23 co-sponsors on December 12, 2013 and is currently awaiting review in the House Health Committee.  S.B. 1208, sponsored by Senator Larry Farnese, D-Philadelphia, was introduced into the Senate with 8 co-sponsors on January 16, 2014 and is currently awaiting review in the Senate Public Health and Welfare Committee.

Representative Bradford describes his bill this way:

“Safe and unfettered access to health care facilities should be the right of all Pennsylvania women seeking medical counseling and treatment.  Accordingly, I plan to introduce a bill prohibiting a person from interfering with a person’s right to seek medical services by knowingly patrolling, picketing, or demonstrating in a very limited zone extending fifteen feet from a health care facility, or driveway or parking facility.

Please know this legislation is not intended to limit the free speech rights of any individual.  Other states including Colorado and Massachusetts, and some municipalities such as Pittsburgh have instituted “buffer zone laws.”  These laws were not imposed on a whim; they were a response to increasing threats, confrontation and even deadly violence. It is important to note that buffer zones have been credited, in part, with toning down volatile instances and confrontations.”

Senator Farnese, using his own experience as a clinic escort, describes the legislation he has introduced:

“This legislation will provide safe access to essential health care services when patients are seeking family planning and reproductive health services.  Often, patients seeking services at a healthcare facility are verbally and physically harassed and intimidated.  Having had experience as an escort for women into health care facilities, I have seen first-hand the potential for violent confrontations between patients and demonstrators.

This legislation will be carefully crafted to ensure that patients have unimpeded access to medical services while still protecting First Amendment rights to communicate a message.  In order to ensure both parties’ rights and safety are maintained, this legislation will provide clear guidance regarding restricted entry zones around entrances and driveways of medical facilities.

Currently, Pennsylvania has no such statewide buffer zone.  Two municipalities, Harrisburg and Pittsburgh, have enacted buffer zone ordinances.  Providing for a content-neutral buffer zone at all medical facilities in Pennsylvania will promote the health and welfare of those who visit those facilities for services while maintaining protection for those individuals who would voice their constitutionally protected speech outside such a facility.”

Increased eligibility for breast and cervical cancer screenings:

This legislation allows women between ages of 30 and 65 to apply and qualify for the state Healthy Woman Program. H.B. 1900, sponsored by Rep. Maria Donatucci, D-Philadelphia/Delaware, was introduced on January 2, 2014 and is awaiting review in the House Human Services Committee.  There is not a companion Senate bill yet.

Representative Donatucci describes the need for greater access to breast and cervical cancer screening:

“The statistics surrounding breast and cervical cancers are truly alarming. According to the Centers for Disease Control and Prevention (CDC), in 2010, 206,966 women were diagnosed with breast cancer in the United States, and 40,996 women died from the disease.  Except for skin cancer, breast cancer is the most common cancer among American women and is one of the most deadly. While the risk of contracting breast cancer increases with age, large numbers of young women face the reality of this disease every year. With regards to cervical cancer, the disease is often not diagnosed because of missed opportunities for screening, early diagnosis, and treatment. All women are at risk for the disease, but it is most common in women over the age of 30. Each year, about 12,000 women in the United States get cervical cancer.

Act 74 established a program to support breast and cervical cancer screening services to low-income, underinsured, and uninsured women 40 to 49 years of age through DoH’s Healthy Woman Program. Before the implementation of Act 74, the program only had sufficient federal funding to provide these screening services to women ages 50 to 64. Today, the program is funded through a combination of department funds and through a grant DoH receives from CDC. My legislation will increase access to these important health screenings [by lowering the age of initial access to women.  This would] allow women between the ages of 30 and 65 to qualify for the Healthy Woman Program if they meet all other applicable requirements. The statistics show that these types of cancer are not confined to women of a particular age. As such, screening qualifications should be expanded in this state to reflect this reality. The money we spend on screening today saves thousands in treatment costs down the road.”

Co-Sponsorship Memo Being Circulated

Workplace accommodations for pregnant women:

This legislation requires an employer to make reasonable accommodations related to pregnancy, childbirth or related medical conditions unless those accommodations would prove an undue hardship on the employer’s operations. Two bills, one in the House and one in the Senate were announced on December 11, 2013.  H.B. 1892 is sponsored by Representative Mark Painter, D-Montgomery; and S.B. 1209 is sponsored by Senator Matt Smith, D-Allegheny. Both bills are currently being circulated for co-sponsors.

Senator Smith’s co-sponsorship memo summarizes his bill (S.B. 1209) this way:

“Currently, federal law protects women from being fired or otherwise discriminated against due to pregnancy; however it does not require employers to provide pregnant women with certain necessary and temporary accommodations to ensure their health and safety during pregnancy. My legislation would bridge this gap.

Three-quarters of women entering the workforce will be pregnant and employed at the same time during their careers, and my legislation would ensure that they can balance each part of their life in a way that is safe and practical for all parties involved.”

Representative Painter has named his version of this legislation The Pennsylvania Pregnant Workers Fairness Act.  His co-sponsorship memo describes HB 1892 this way:

“This year marks the 35th anniversary of the federal Pregnancy Discrimination Act (PDA).  The PDA amended Title VII of the Civil Rights Act of 1964 to prohibit employment discrimination due to childbirth, pregnancy, or similar related medical conditions.

Today, unfortunately, pregnancy discrimination remains a persistent and growing problem.

In the majority of cases, the accommodations women need are minor, such as permission to sit periodically, the ability to carry a water bottle, or help lifting heavy objects.  Those women who continue working without having these medically-advised accommodations risk their health and increase the likelihood of pregnancy complications.

Pregnancy discrimination causes significant and long-term harm to women and their families well beyond pregnancy, to include the loss of health benefits, job seniority, and wages.  These losses also contribute to measurable long-term gender-based pay differences.

The Pennsylvania Pregnant Workers Fairness Act would make it unlawful for a covered entity to refuse reasonable accommodations related to pregnancy, childbirth or related medical conditions unless those accommodations would prove an undue hardship on the entity’s operations.”

Other Women’s Healthcare Bills in Pennsylvania that Are Being Discussed but Have Not Yet Been Introduced

As I mentioned in my blog at the end of September when the Women’s Health Agenda Caucus first met, there are a total of at least 24 bills that are/will be part of the “Agenda for Women’s Health.”  At least two of these bills are directly related to Reproductive Justice and Health. They were not part of the original roll-out, but are somewhere in the process of being written and/or circulated for co-sponsorship. I do not know when these bills will be introduced.

  • Inmate Shackling: Strengthen pregnant inmate shackling law (Act 45 of 2010) to cover the entire pregnancy and a reasonable postpartum period for mother-child bonding and to eliminate the tasering of any incarcerated woman known to be pregnant.
  • Medical Professional Conscientious Right to Refuse to Deliver Medically Inaccurate Information: Protect physician-patient relationships from political intrusion.

So on this 41st anniversary of Roe, I will celebrate this day by reiterating a statement I made on December 11, 2013:

“The ideas for change in this package of bills come from real-life stories of women. They include calls to service agencies, cries for help on hot lines, requests for advocacy, and lots of research to back up the anecdotal stories. As advocates, we realize there are other areas of concern, but believe the Women’s Health Caucuses’ agenda items are a great start.”

Thanks to everyone who is working for these two pro-active women’s health agendas. Thanks to the advocates across the country who have taken the momentum to stand up for our lives. And have a great Roe v. Wade Day as we go on the offense for women’s health and lives.

Pennsylvania’s Proposed Women’s Health Agenda

Kate Michelman

Kate Michelman discussing strategy with women’s health care advocates and members of the General Assembly Health Care Agenda Caucus.

Yesterday (Monday, September 30, 2013), I attended a two-hour meeting with Pennsylvania’s House and Senate members of the joint Women’s Health Agenda Caucus led by Representative Dan Frankel of Pittsburgh. Some of the advocacy groups attending the meeting included the Women’s Law Project (WLP), Women Vote PA, and members of the Pennsylvanians for Choice coalition including Pennsylvania NOW whom I represented.

For a very long time Pennsylvania has focused on restricting women’s access to abortion services – currently accounting for over 1270 pages of legislation and regulations in the state.  This wrong-headed approach to health assumes that women’s sole need is to protect them from safe, legal access to decent abortion care services.  In other words, the state has wrong-headedly been crafting laws and regulations to deny access to abortion, sending more and more women to the back alleys similar to the Gosnell clinic and ignoring the broader issues of women’s health equity.

Women’s concerns about their health are broadly based in bias based on gender. Terry L. Fromson, Amal Bass, Carol E. Tracy, Susan Frietsche of the Women’s Law Project  created a report entitled Through the Lens of Equality: Eliminating Sex Bias to Improve the Health of Pennsylvania’s Women in 2012.  The WLP is Pennsylvania’s feminist legal organization that engages in litigation, advocacy, and education to ensure women’s equality and treatment in Pennsylvania. This report set the context for yesterday’s meeting.  The WLP framed the health care agenda as follows in this report and in the meeting this morning:

The legal and social status of American women has changed dramatically in the last fifty years. Half a century ago, it was legal to segregate jobs by sex, to refuse to hire or promote on the basis of a person’s sex, to fire women who became pregnant, and to limit the number of women admitted to professional schools such as law and medicine. Sexual and domestic violence were hidden from public view and public policy. Abortion was illegal and the birth control pill was not yet on the market. Today, women have taken their place in the working world and educational opportunities for women have expanded exponentially. Sexual and domestic violence are recognized as crimes and some resources are available to its victims. Abortion is legal and birth control is available.

Despite these advances, deeply embedded cultural biases and stereotypes about women’s place in society continue to impede women’s equal participation in society. In our homes and communities women are subjected to violence, poverty, and the burden of care taking responsibilities. In the workplace, women are paid less than men for the same work, remain concentrated in stereotypically female low-paying occupations, are subjected to sexual harassment and discrimination on the basis of pregnancy and care giving, and are denied advancement to managerial and higher paying positions. In school, young women are denied their fair share of sports opportunities and are sexually harassed and violated. Women are denied essential reproductive health care and subjected to discrimination in access to insurance coverage. Women pay more than men for the same coverage, and pregnancy is a preexisting condition that often denies pregnant women access to insurance coverage and therefore maternity care.  Access to abortion has been limited by burdensome legislative requirements, and providers and patients have been terrorized by an increasingly violent opposition. Attacks on access to contraceptive services have grown.

While many laws have been adopted to eliminate sex discrimination at work and at school, gaps persist that must be filled and enforcement needs to be strengthened. This is particularly true in Pennsylvania. While some Pennsylvania cities have outlawed employment discrimination on the basis of care-giving responsibilities and provide other accommodations for women who work, the Pennsylvania legislature has failed to adopt a statewide prohibition on discrimination on the basis of caregiver status or to provide family leave for caregivers. In Pennsylvania, the law permits insurers to price the cost of health insurance higher for women than for men, resulting in women paying more for individual health insurance policies and small employers paying more for health insurance for a predominantly female workforce. Pennsylvania’s sexual assault laws have for the most part eliminated discriminatory provisions, but the myths and stereotypes that continue to infect the criminal justice system hinder the investigation and prosecution of these crimes. The health care perspective on domestic violence and sexual assault is far too limited. Sexual assault is treated as a health care matter primarily in the immediate aftermath of a rape, even though the physical and emotional health consequences can be long lasting. Although a number of health care providers recognize that domestic violence is also a health issue, screening for domestic violence in health care settings is not universal. Poverty, which disproportionately impacts women, exacerbates the impact of sex bias in all of these realms….

Pennsylvania, with 6.5 million women, has consistently been found deficient in national studies on women’s health care measures. In their 2010 health report card, the National Women’s Law Center and Oregon Health & Science University placed Pennsylvania 32 among the 50 states and graded it unsatisfactory with respect to the status of women’s health….

To alleviate women’s health problems, it is necessary to eliminate adverse experiences — discrimination and bias — early in life and throughout life — and to improve access to health care, with an emphasis on care essential to women (pp. x-xii).

Representative Frankel heard this call to refocus the legislature from attacking women’s reproductive health to focusing — just like New York state’s “10 Point Plan for Women’s Equality” — on redirecting legislation in the General Assembly towards a women’s health equity agenda. So yesterday, almost 20 legislators from both houses attended a meeting with advocates seeking to improve women’s lives and health through a broad review and revision of Pennsylvania law.  The agenda covers reproductive health, women’s economic security, and women’s safety.

The ideas for change come from real-life stories of women in the state.  Calls to service agencies. Cries for help on hot lines. Requests for advocacy. And of course lots of research to back up the anecdotal stories.  The 24 suggested changes to Pennsylvania law that were presented are in areas where either no legislation has been introduced or where legislation to improve the bias are lagging or need to be revisited.  We, as advocates, understand that there are other areas of concern, but believe these health care agenda items are a good start.

Some of these ideas are conceptual at this point. Some have some preliminary model wording for new legislation, and some are already in the works.  Here’s the agenda:

Protect and Expand Women’s Reproductive Health Rights

  1. Pregnancy Accommodations:  Require employers to provide accommodations to pregnant employees with temporary pregnancy-related conditions to allow workers to remain employed throughout their pregnancies while imposing minimal burdens on employers.
  2. Support for Breastfeeding Mothers in the Workplace: Require all employers to provide compensated break time and a private, sanitary (not a bathroom) for all employees who need to express milk.
  3. Buffer Zones:  Enact a statewide reproductive health care clinic buffer zone statute to protect safe access to essential health care.
  4. Inmate Shackling: Strengthen pregnant inmate shackling law (Act 45 of 2010) to cover the entire pregnancy and a reasonable post-partum period for mother-child bonding and to eliminate the tasering of any woman known to be pregnant.
  5. Medical Professional Conscientious Right to Refuse to Deliver Medically Inaccurate Information: Protect physician-patient relationships from political intrusion.

    Improve Women’s Economic Security

  6. TANF (Temporary Assistance to Needy Families) Grant Amount: Increase TANF cash assistance grant levels.
  7. TANF Asset Limit: Increase the TANF eligibility asset limit to encourage saving and financial independence.
  8. Earned Income Disregard: Increase the earned income disregard and apply it to applicants as well as recipients.  FYI, the earned income disregard allows very-low income workers to continue receiving TANF, food stamps, and Medicaid if they make 50% or less of the poverty level.  This proposed legislation would raise this “disregard” level to 75% and would apply to applicants as well as recipients.
  9. Childcare Works Waiting List: Eliminate the childcare works waiting list.
  10. TANF Pre-Application Job Search: Eliminate or modify the TANF pre-application job search requirements.
  11. Minimum Wage: Increase Pennsylvania’s minimum wage from $7.25 to $9.00/hour.
  12. Gender Wage Gap: Strengthen Pennsylvania law to eliminate the 24% gender wage gap by prohibiting retaliation against employees for discussing wages (“pay secrecy”) and closing the “factor other than sex” defense to apply only to bona fide business-related factors.
  13. Family Responsibilities Employment Discrimination: Prohibit family responsibilities discrimination in employment by amending the Pennsylvania Human Relations Act to prohibit family status discrimination in employment pursuant to an expanded definition of familial status to encompass the true scope of familial responsibilities shouldered by employees.
  14. Paid Family and Sick Leave: Require all employers to provide employees with paid family and sick leave
  15. Spousal Pension Benefits: Require spousal consent when a retiring state employee chooses how his or her pension benefits should be paid consistent with federal law protecting each spouse from his or her spouse’s selection of a pension benefit in all privately-sponsored pension plans and laws adopted by other states.
  16. Domestic Worker Protection: Amend Pennsylvania anti-discrimination laws to provide domestic workers protection from employment discrimination
  17. Sexual Harassment: Extend the prohibition on sexual harassment in employment to all employers, even small employers.

    Protect Women’s Personal Safety

  18. Paid Leave for Domestic Violence, Sexual Violence, and Stalking Victims: Require employers to provide paid leave to obtain assistance for and pursue legal protection against domestic and sexual violence and stalking.
  19. Housing Discrimination: Prohibit private and public housing discrimination against domestic violence victims.
  20. Civil Orders of Protection for Sexual Violence and Stalking Victims: Authorize courts to issue civil orders of protection for sex crime and stalking victims.
  21. Absolute Privilege for Student Victims: Protect victims/witnesses of sexual assault who testify in school grievance proceedings from being sued by their harassers.
  22. Human Trafficking: Strengthen Pennsylvania’s criminal statute on human trafficking.
  23. Veterans’ Real Estate Tax Exemption: Amend Pennsylvania law to provide veterans real estate tax exemption for veterans suffering from PTSD (Post-Traumatic Stress Disorder) due to sexual victimization during service and appoint women representatives to the House and Senate Committees on Veteran Affairs and to the Pennsylvania State Veterans Commission.
  24. Voting Reform: Reform voting rules to provide online registration, same day in person registration, early voting, including early in person voting on weekends.

These ideas will be discussed in continuing meetings between members of the General Assembly’s Health Care Agenda Caucus and advocates for women’s equality.  I’ll post more on these issues as this legislative program becomes better defined.

Civil Rights Denied: PA’s Proposed Constitutional Same-Sex Marriage Ban

Logo of Freedomt to Marry, Inc.

“working to win the freedom to marry in more states, grow the national majority for marriage, and end federal marriage discrimination. ” http://www.freedomtomarry.org/pages/about-us

A couple of days ago I posted a blog about the dueling marriage equality and same-sex marriage ban bills recently introduced into the Pennsylvania General Assembly.  Today I thought I give a more detailed argument as to how discriminatory the same-sex marriage ban is to gays and straights alike.

As previously stated, on May 7, Pennsylvania State Representative Daryl Metcalfe (R-12 Butler County) introduced his legislation (HB 1349) to create a constitutional amendment defining marriage OR its “substantial equivalent” solely as a union between a man and a woman.  That bill would amend Article I of the Pennsylvania state Constitution – the Declaration of Rights section – to take rights away from unmarried couples in Pennsylvania, whether they are same-sex or heterosexual couples.  Here’s the constitutional amendment as written in HB 1349:

“Marriage is the legal union of only one man and one woman as husband and wife and no other legal union that is treated as marriage or the substantial equivalent thereof shall be valid or recognized.”

Until the spring of 2012, 31 states across the country had created constitutional amendments to outlaw marriage or anything that looks like marriage between same-sex couples. The last successful attempt at this form of discrimination occurred by referendum in North Carolina in the spring of 2012; all other attempts since then to deny marriage equality have failed.

Marriage equality however has had many successes since then. Three states – Delaware, Rhode Island, and Washington – either passed a referendum OR legislation legalizing marriage equality following North Carolina’s referendum. One state – Minnesota—is expected to pass their marriage equality bill today; note, this is only 6 months after the voters in Minnesota by referendum killed their proposed same-sex marriage ban.  And one state – Colorado – passed legislation recognizing civil unions even though they have a constitutional ban on same-sex marriage.

Instead of moving forward, right-wing legislators would like to have Pennsylvania join the 31 other states that constitutionally ban-same sex marriages and/or other legal forms of relationships such as domestic partnerships and civil unions.  These Pennsylvanian legislators are making their fourth attack on same-sex couples and on unmarried people – gay or straight.  If HB 1349 passes, Pennsylvania for the first time in its history would enshrine and mandate discrimination into the state Constitution.

This amendment would take rights away from unmarried couples in Pennsylvania, whether they are same-sex or heterosexual couples.  The way this amendment is written would affect all unmarried couples, victims of domestic violence if they are not married to their abuser, and could threaten Pennsylvania’s anti-discrimination laws

Effect on All Unmarried Couples – Gay or Straight

Currently, Pennsylvania statute recognizes only marriages between one man and one woman.

Pennsylvania does not recognize either (1) same-sex marriages or (2) civil unions, domestic partnerships, or any other coupled-household status—whether entered into by same-sex or opposite-sex couples.  Those affected by this amendment would therefore, for example, include senior citizens who live together but are not married because of economic considerations, couples who believe they have a “common law marriage” (which is no longer recognized in Pennsylvania), and gay or straight couples who have any type of intimate relationship.

It could also threaten the lives of unmarried domestic violence victims and allow unmarried individuals to be discriminated against in housing, employment, and public accommodations.

Effect on Domestic Violence Victims

In 2004, Ohio passed their discriminatory anti-marriage constitutional amendment, which was quickly and unexpectedly used to deny protections to unmarried victims of domestic violence.  Here’s what happened.  Almost immediately, unmarried batterers argued that since they were not married, Ohio could not enforce their domestic violence law because that was treating their relationship with their partner as “equivalent to marriage.” The 2nd District Court of Appeals in Ohio agreed and ruled that the Ohio domestic violence law runs afoul of the “Defense of Marriage” amendment, passed by voters in 2004, and does not apply to “a person living as a spouse.”  As a result, unmarried defendants, who could have faced felony domestic violence charges, only faced misdemeanor assault charges.    It took several years for the Ohio Supreme Court to reverse this ruling.  In the interim, unmarried women were at the mercy of their batterers in several counties in Ohio.

The Ohio amendment is very similar to that of the one proposed for Pennsylvania.   In Ohio, by providing protection to persons living as spouses,” the domestic violence statutes created a legal status for cohabiting relationships that is “equivalent to a marriage,” according to the appeals court. The appeals court decision in Ohio then denied protection from abuse to unmarried individuals – gay or straight – because the domestic violence law gave legal standing to an unconstitutional relationship – that of an unmarried couple. The courts argument overturning these domestic violence protections utilized similar language found in Pennsylvania’s HB 1439, which states that no other legal union… or the substantial equivalent thereof shall be valid or recognized.

We have no way of knowing how the courts would rule on a similar argument should this amendment pass and become part of Pennsylvania’s Constitution.  Who knows if Pennsylvania’s Supreme Court would protect the victim or allow batterers to circumvent Pennsylvania’s Protection From Abuse (PFA) law?  We need to protect all people from domestic violence and sexual assault.  Passage of this amendment could deny the protection offered by Pennsylvania’s domestic violence and protection from abuse laws; it could even risk the very lives of unmarried people–gay or straight–because this constitutional amendment denies the rights, privileges, and protections of law to people who are not legally married or who have a relationship that is “functionally equivalent” to traditional marriage.

Effects on Employment, Education, Housing, and Public Accommodations

It also looks like current and proposed employment, education, housing, and public accommodations anti-discrimination laws at both the state and local levels might be jeopardized for unmarried individuals.  Discrimination based on marital status and family responsibilities is unlawful under a variety of existing laws. With a few exceptions, under current state and federal law, people who experience this form of discrimination must fit their claims into an appropriate legal theory—as discrimination based on gender, a violation of family and medical leave laws, or another legal theory.  In addition, many municipalities throughout Pennsylvania have passed or are considering ordinances that would make it illegal to discriminate in employment, housing, and in some cases, public accommodations specifically based on sexual orientation, gender identity and marital status.   Will the state courts, the PA Human Relations Commission, or local Human Relations Commissions be able to enforce these laws if Pennsylvania’s constitution has been amended to require unmarried couples to be treated differently from married couples?  We do not know.  Passage of HB 1439 as a constitutional amendment could put all of these protections at risk since any person, company, or school could argue that their business is mandated to deny employment, hiring, and benefits to any person who is not married.

Civil Rights Denied, Reiterated

Last, but not least, exclusion, discrimination and inequality are not the principles this state was founded upon. This discriminatory “Marriage Protection Amendment” denies unmarried heterosexual, lesbian, gay, bisexual and transgender families the protections and fairness they deserve. Heterosexual married couples and their families are afforded more than 1,000 legal protections and economic benefits provided through state and federal law, benefits and protections that are currently inaccessible to unmarried couples.  Passage of this amendment would therefore subject same-sex couples and their families to exclusion, discrimination and inequality.

The proposed amendment could also take away existing legal protections for committed long-term couples and their children, such as second parent adoptions, cohabitation agreements, co-parenting agreements, wills, living wills, powers of attorney, etc., regardless of their sexual orientation.

Gay and lesbian Pennsylvanians are our neighbors, co-workers, friends, and family member.  They pay taxes.  LGBT people should not be bullied.  They deserve the same rights, protections, and responsibilities that all residents desire and have.

Let’s all work to stop this bill now!  So I’m once again recommending that you keep up-to-date on this horrible bill as well as other LGBTQ legislation at  Equality Pennsylvania’s website.

House Republicans Introduce Partisan VAWA that Fails to Protect ALL Victims

NOW Board Supporting VAWA 2-24-13 editedToday, I am presenting a guest blog by my dear friend and colleague Pat Reuss. Pat describes herself as “a longtime women’s rights activist pretending to be retired and currently serving as a policy adviser to NOW [National Organization for Women] and the National Task Force [to End Sexual and Domestic Violence Against Women].”

Pat has a history several decades-long advocating for a comprehensive Violence Against Women Act (VAWA). She first started working on this issue in the early 1990’s.  At that time, she worked as the policy director for what was then called the NOW Legal Defense and Education Fund (now known as Legal Momentum).  In that capacity, she worked very closely with then Senator, now Vice-President Joe Biden to write the first VAWA passed by Congress and signed into law in 1994.

This is Pat’s statement calling on anti-violence advocates to contact their representative in the US House of Representatives to vote for the comprehensive Senate-passed version to reauthorize VAWA:

The Republican’s version of VAWA, which substitutes the Senate’s inclusive, comprehensive version of S.47 for a bill that excludes effective protections for LGBT, immigrant, tribal and campus victims, will likely be on the House floor this Thursday.  The National Task Force [to End Sexual and Domestic Violence Against Women] (NTF) and NOW oppose this [House substitute] bill.  We need to call our Representatives and firmly ask them to vote against the House Republican Leader’s substitute VAWA and ask them to vote for the field-approved VAWA passed in the Senate.

Tomorrow [February 27], Representatives Issa (R-CA) and Cole (R-OK) will ask the Rules committee to allow them to offer an amendment to replace the House’s flawed tribal provisions with improved language that will provide effective, constitutionally sound protections for Native victims of domestic violence. Call your Representatives and ask them to tell House leadership to accept these amendments.

78 Senators from both parties and over 1,300 local, state and national professional and policy organizations support the Senate-passed bill as do law enforcement officials, health care professionals, community program and service providers, and the tens of millions of survivors and their families, friends and loved ones who rely on and have benefited from and used the services and resources provided by the 19-year-old law.

It must be noted that after months of tireless efforts by advocates working with the Republican leadership staff, there are some small but very important improvements in this substitute and the bill is not the punitive version of last year’s House bill. 

That said, the [House] Republican version of the bill  fails victims in a number of critical ways:

  • Fails to include the LGBT provisions from the Senate bill. 
  • Fails to include “stalking” among the list of crimes covered by the U visa (a critical law enforcement tool that encourages immigrant victims to assist with the investigation or prosecution of certain enumerated crimes); current law already includes domestic violence and sexual assault, among others, and the Senate bill’s inclusion of “stalking” recognizes the serious threat this crime poses to safety.
  • Provides non-tribal batterers with additional tools to manipulate the justice system, takes away existing protections for Native women by limiting existing tribal power to issue civil orders of protection against non-Native abusers, while weakening protections for Native women.
  • Contains harsh administrative penalties and hurdles for small struggling programs and an additional layer of bureaucracy through the office of the Attorney General.
  • Drops important provisions in the Senate bill that deal with improving campus safety and that work toward erasing the rape kit backlog.
  • Weakens protections for victims in public housing.

We must oppose this partisan substitute and pass the Senate version of VAWA.  201 Democrats are sponsors of H.R. 11, the House replica of the Senate bill as introduced. 19 Republican Representatives have asked the House Republican leaders to pass a bipartisan bill that “reaches all victims” and dozens more Republicans support some or all of the Senate provisions that are not included in the Republican VAWA imposter.

BIPARTISAN ACTION ITEM: Call your Democratic House members to ensure that they will oppose the Republican leadership’s substitute and support the “real” S. 47, the Senate passed bill.

Find out if your Republican Representative is one of the 19 who supports a bipartisan, inclusive VAWA and ask them step up and to oppose the Republican leader’s substitute and demand and support a vote on the Senate bill:

  1. Call or email the 19 (Poe R-TX and Ros-Lehtinen R-FL have added their names) who signed the letter to House leadership. See letter and signatories here. Names and contact information here.
  2. Call or email the 7 Members who voted against last years’ harmful, non-inclusive Republican VAWA.
  3. Call or write the 26 House members who have interest in one or some of the Senate’s inclusive provisions.

Update Wednesday evening February 26:

Thanks to your calls and emails and tweets (or however you interacted with your US Rep,), it looks like our push-back to stop the watered-down version of VAWA is starting to work.

A Politico.com report at 6:48 this evening (February 26) states that “House Republicans seem to be resigned that their version of the Violence Against Women Act is a loser with their own members and are likely to pass the Senate bill this week without changes.”

Let’s keep up the pressure. Call your Representative tomorrow and tell him/her to vote for the original Senate version of S.47.