By Kent Masterson Brown
Section 4101 of Obamacare establishes a program to institute and underwrite school-based health centers in all the public schools as a means of controlling the delivery of health care to children; it mimics a grant program established by the liberal Robert Wood Johnson Foundation called “Making the Grade.” Congress appropriated to the Secretary of Health and Human Services $50 Million for each year through 2013 to award to applicants who will provide “comprehensive primary health services” in school-based health centers.
A school-based health center is defined in Obamacare as a health center that:
provides, at a minimum, comprehensive primary health services during school hours to children and adolescents by health professionals in accordance with established standards, community practice, reporting laws and other State laws, including parental consent and notification laws that are not inconsistent with Federal law.
Those “comprehensive primary health services” include:
Comprehensive health assessments, diagnosis, and treatment of minor, acute and chronic medical conditions, and referrals to, and follow-up for, specialty care and oral health services.
Mental health and substance use disorder assessments, crisis intervention, counseling, treatment and referral to a continuum of services, including emergency psychiatric care, community support programs, inpatient care and outpatient programs.
In conjunction with Section 4101 of Obamacare, one must read Section 2953. That Section is entitled “Personal Responsibility Education.” It provides for the Secretary of Health and Human Services (“Secretary”) to allot to each State funds of no less than $250 Thousand for the development of a State plan to achieve “State-established goals for reducing the pregnancy rates and birth rates for such youth populations.” That is the real thrust of the school-based health center program. Each State is to provide the Secretary with its plan to achieve its goals. If a State does not submit an application for its allotment, the Secretary will prepare and implement a federal plan.
Although the grant applicants for school-based health centers are prohibited from “performing abortions,” that does not exclude the counseling for same, as well as referring children to those who do. It does not exclude the counseling for and providing of contraceptives. It should not come as a surprise that one of the recipients of a school-based health center grant in Los Angeles, California is none other than Planned Parenthood. In fact, the Los Angeles Unified School District entered into a collaborative agreement with Planned Parenthood “to reduce the number of unplanned pregnancies among teenagers at the Boyle Heights High School” as a part of its school-based health centers grant. As with twenty States, California does not require any parental involvement when it comes to an abortion.
The “education programs” to be implemented in the schools must be designed to “educate adolescents” on “both abstinence and contraception.” The information and activities must be provided “in the cultural context that is most appropriate for individuals in the particular population group to which they are directed.” There are even “adulthood preparation subjects” in Obamacare that provide “information and activities” on “healthy relationships, such as positive self-esteem and relationship dynamics, friendships, dating, romantic involvement, marriage and family interactions.” Those include educating adults on adolescent development….body image, racial and ethnic diversity, financial literacy and “parent-child communication.” Congress appropriated $75 Million to the Secretary to implement the “Personal Responsibility Education” program each year from 2010 to 2014. The National Sexuality Education Standards: Core Content and Skills, K-12, has already been prepared and is being implemented in the schools by federal regulation. Those standards are stunning. It has been reported that the King County, Washington Public Schools were instructed by the State, pursuant to Section 2953 of Obamacare, to use the State-approved curriculum where fifth grade children are taught how to have oral and anal sex.
Obamacare directs school-based health centers to provide and prescribe a host of pharmaceuticals, including anti-depressants. It even allows those health centers to refer children and adolescents to psychiatric care. School teachers will be able to make referrals to the school-based health center for interventions for almost anything and everything, without the parents ever being notified, much less consulted. Although the statute gives lip service to parental consent and notification laws, experience has taught us how little effect they have when confronted with a federally-financed institution determining a course of treatment. Sections 4101 and 2953 of Obamacare are among the most dangerous provisions in the act. They will drive a wedge between parents and children, taking from the family unit the decision-making about the children’s physical, mental and emotional health. They literally encourage promiscuity, and the emotional disorders such creates, and they will only increase the number of school-age children who contract sexually-transmitted diseases, and other serious medical conditions.
The Centers for Disease Control and Prevention (“CDCP”) recently announced grants for the implementation of these provisions of Obamacare. The purpose of the grants are, in the words of the CDCP, “to demonstrate the effectiveness of innovative, multi-component, community-wide initiatives in reducing rates of teen pregnancy and births in communities with the highest rates, with a focus on reaching African-American and Latino/Hispanic youth aged 15-19 years.” To that end, the CDCP awarded grants to eight “State and Community-based Partners.” A random examination of the State and Community-based Partners reveals they are little more than contraceptive-giving entities that routinely refer pregnancies to Planned Parenthood and similar organizations that are listed by them as “clinical service providers.” These community-wide programs are administered, in large measure, through the schools. Thus, a federal regulatory agency has now made African-Americans and Latino/Hispanic youth, 15 to 19 years of age, their targets for contraception and abortions.
One of the grant recipients, the New York City Department of Health and Mental Hygiene (“NYCDHMH”), has stated on its website that Planned Parenthood of New York City offers “free and low-cost clinics regardless of immigration status.” School-based health centers in New York City already tell a horrifying tale. About forty separate school-based health centers doled out 12,721 doses of the “morning after” pill known as “Plan B” in 2011-2012, up from 10,720 in 2010-2011,” wrote Susan Edelman for the New York Post. Some 22,400 students sought reproductive care over the past three years. Besides “emergency contraception,” the Post reported “about 40 school based clinics in New York have dispensed prescriptions for birth control pills, intrauterine devices (IUDs), hormone-delivering injections and Patch and NuvaRing – covering a total of 83,569 monthly cycles through June 2012…” Handouts of birth control packets reached 10,462 last year. Depo-Provera injections rose to 2,117. Staffers also placed plastic IUDs where they could remain for years. How many referrals to abortion clinics have been made is unknown. The NYCDHMH has reported that in 2012 alone, 31,328 African-American women in New York City aborted their pregnancies while 22,917 Hispanic women in that city did likewise.
One of the CDCP’s national partners, “Advocates for Youth,” claims on its website that its “partners” include Planned Parenthood, and that it has implemented such programs as the “Anti-Homophobia/Transphobia Project” in three cities and the “National Emergency Contraception Initiative “in three more cities.”
Section 2953 of Obamacare explains what the school-based health centers established by Section 4101 are all about. They are sex education, pregnancy and abortion counseling centers. They provide contraceptives to anyone who wants them without the parents ever knowing or being consulted. They counsel and refer girls to abortion clinics. The goal is to “reduce pregnancy and birth rates!” This is the real thrust of Obamacare’s intervention into child and adolescent health. But more than that, Obamacare empowers the teachers and school-based health centers to counsel children and adolescents on “friendships,” “dating,” “romantic involvement,” “marriage” and even “family interactions,” and to counsel children and adolescents on “anti-homophobia/anti-transphobia,” among other things. What if parents actively discussed with their children why they vote Republican? Would that trigger counseling? Why not!
This is what Obamacare is doing to our children!
Kent Masterson Brown has practiced law for nearly 40 years from offices in Lexington, Kentucky and Washington, DC. Emphasizing the practice of Constitutional and administrative law, Mr. Brown has prosecuted some of the notable cases challenging Federal and State government abuse of power, including the successful challenge to open up the meetings and records of Hillary Rodham Clinton’s Health Care Task Force in 1993-1994, leading to the defeat of the Clinton Health Security Act of 1993.