State officials in Republican-controlled Montana want to require prior authorization before its health department pays for abortions for people covered by Medicaid
The proposed rule would only allow physicians — not physician assistants or advanced practice nurses — to provide Medicaid-funded abortion care.
A review of abortions paid for by Medicaid over the past decade led the health department “to reasonably believe that the Medicaid program is paying for abortions that are not actually medically necessary,” the agency stated in an explanation of its proposed rule. Under the proposed rule, physicians would have to provide more information about patients — including results of physical examinations, imaging determining fetus ages, documentation of chronic health issues and whether patients smoke or use illegal drugs — before the agency would authorize abortion services.
“Abortion care is essential, medically necessary care,” Weems wrote. “Research confirms that being denied an abortion results in worsening financial, health and family outcomes for patients and their children.”
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