A new report from the U.S. Government Accountability Office (GAO) "confirms the U.S. bishops' longstanding concern about abortion coverage" in the Affordable Care Act (ACA), said Cardinal Seán O'Malley of Boston, chairman of the Committee on Pro-Life Activities of the U. S. Conference of Catholic Bishops.

The report, "Health Insurance Exchanges: Coverage of Non-excepted Abortion Services by Qualified Health Plans," was issued by the GAO, an independent reviewing agency of the U.S. government, on September 15.

Despite repeated claims by President Obama and other supporters that the ACA would not promote abortion, the report identified over a thousand health plans eligible for federal premium subsidies that cover elective abortions. On five state exchanges, every plan covers such abortions in 2014; in another three large states, 95 to 98 percent of the plans do so. The Act's alleged requirements regulating abortion coverage do not exist or are widely ignored. Many health plans do not inform enrollees about their inclusion of abortion coverage; they do not tell them how much they are being charged for such coverage; and they do not charge a "separate payment" for abortions that is distinct from the premium payment eligible for federal tax subsidies. While state insurance departments are supposedly tasked by the federal government with ensuring that these health plans maintain segregated accounts for abortion funds to keep them separate from federal funds, the report indicates that this is not taking place.

"This report confirms the U.S. bishops' longstanding concern about abortion coverage that we raised both before and after enactment of the Affordable Care Act by Congress," said Cardinal O'Malley. "Surveys have shown that most Americans do not want elective abortion in their health coverage, and do not want their tax dollars to fund abortions. Their wishes are not being followed, and it can be difficult or impossible for them to find out whether those wishes are respected even in their own health plan."

Cardinal O'Malley added: "The only adequate solution to this problem is the one the Catholic bishops advocated from the beginning of the health care reform debate in Congress: Bring the Affordable Care Act into compliance with the Hyde amendment and every other federal law on abortion funding, by excluding elective abortions from health plans subsidized with federal funds. At a minimum, Congress should not delay in enacting a law to require full disclosure of abortion coverage and abortion premiums to Americans purchasing health plans."

Past USCCB materials on this issue, including Cardinal O'Malley's letters to Congress endorsing the "No Taxpayer Funding for Abortion Act" (H.R. 7) and the "Abortion Insurance Full Disclosure Act" (H.R. 3279), are at this website.  For an analysis of how the Affordable Care Act treats abortion coverage click here.