WASHINGTON, D.C. - One group indicating relief about the U.S. Senate not voting on a new Affordable Care Act replacement bill this week is pro-choice advocates.

Republican leaders in the Senate canceled a scheduled vote on Tuesday, leaving the "Obamacare" mandates on family-planning coverage in effect for now. Some estimates have said as many as 32 million Americans would have lost their health insurance under the bill.

And, according to Kaylie Hanson Long, the national communications director for NARAL Pro-Choice America, it would have imposed severe restrictions on reproductive rights.

"Allowing states to waive birth-control coverage, really restrict abortion coverage," she says. "What's really offensive too is, the whole time, they have been talking about passing a bill that really slashes maternity care."

Republicans have called the Affordable Care Act a disaster with increasingly unaffordable premiums, dwindling choices for consumers and exorbitant costs. Failure of the latest repeal effort is likely to restart a bipartisan effort to improve the ACA.

And Long adds there is another option on the table - Senator Bernie Sander's "Medicare for All" bill, which would cover abortion services.

"That would have the impact of repealing the Hyde Amendment, which does nothing but prevents low-income women from receiving the same kind of health care that their wealthier peers can access," she explains.

The Sanders bill would create a national, single-payer health-care system, replacing most private health insurance.

President Donald Trump, who made ACA repeal a central theme of his election campaign, expressed his disappointment that the effort failed again. But Long stresses the fight is far from over.

"This won't be their last attempt," she warns. "They're going to continue to try to chip away at the law in whatever way they can. But that's why we all need to stay on our toes and keep up these resistance efforts."

Republicans say they will renew their repeal efforts after they have resolved the issue of tax reform.


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Results of a new study show more American women are falling behind on getting critical breast cancer scans.

Nowhere is this perhaps more important than in Iowa, a state that is among the nation's leaders in lethal breast cancer cases.

Breast cancer is the second leading cause of cancer death among women in the United States. It claims about 40,000 women every year.

Researchers have historically broken down mammography use by state and demographics, but the University of Iowa's Iowa Cancer Registry Research Director - Sarah Nash - said that for the first time, this study took critical social factors into account when studying mammography use.

"And so they looked at several different things," said Nash, "and the strongest predictors among these social drivers of health were life dissatisfaction, feeling socially isolated, experiencing lost or reduced employment, receiving food stamps, lacking reliable transportation, and reporting cost as a barrier to care."

Nash said the results of this study point to the need to address social drivers and not just health care access when figuring out who needs help and how they can get it.

The Centers for Disease Control and Prevention estimates that only 65% of women ages 50 to 74, with three or more health-related social needs, are up to date with their mammograms.

Despite acknowledging the social determinants that can stand between a woman and her mammogram, Nash and other researchers have said the number one factor is cost.

"So, to address costs, we can think about making sure preventive care remains at no co-pay," said Nash. "We have a program in Iowa called the 'Iowa Care for Yourself' program, which helps provide low- or no-cost screening for Iowans who are under insured."

Scientists estimate early detection and treatment can reduce breast cancer deaths by almost a quarter.




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In the final days of the legislative session, Kentucky Senate lawmakers could consider the "Momnibus" bill, which would increase access to critical prenatal and post-birth care for new moms and babies.

House Bill 10 would extend the state's voluntary home-visitation program for expectant parents to when a child reachs age three, and would include lactation assistance and telehealth.

Bonnie Logsdon, a board-certified lactation consultant and birth doula, said many women have to return to work a few weeks after giving birth and often lack the tools or knowledge to have a positive lactation experience.

"They need access to those quality supplies," she stressed, "and they need someone who can teach them how to use the pump, which is again where that lactation support would come into play."

The Momnibus bill would add pregnancy to the list of qualifying life events, so pregnant people could get health-insurance coverage and begin prenatal care visits.

Kentucky has the second-highest maternal mortality rate in the nation, according to the Centers for Disease Control and Prevention.

The bill would also expand mental-health counseling through the Lifeline for Moms Psychiatry Access Program.

In Letcher County, Courtney Rhoades said she's had a complex pregnancy, and has struggled to cope with stress and maintaining her physical health. She noted it's critical that first-time moms like herself have a place to turn for support, where they don't feel judged.

"Then to be finding out we're having twins," Rhoades said, "I am really excited to know that there's these programs available that otherwise I didn't know about."

Renee Basham, executive director of Hope's Embrace, said communities increasingly are aware of the role doulas can play in pre- and post-natal care. She added many of her clients need assistance.

"A lot of the clients that we work with, some of them have support, a lot of them don't," said Basham. "Doulas are extra important in that role, because if we weren't there, they wouldn't have anybody with them as they gave birth."

House Bill 10 would open the door to more research on the role of doulas in the birth experience, and how their expertise is being used for care and to reduce disparities in the Commonwealth.


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Advocates for women veterans, who've experienced sexual trauma while serving in the military, are asking state lawmakers for much-needed funding.

Previous legislation backed the creation of two sexual trauma liaisons at community-based organizations in the state, but funding never came to fruition.

Executive Director of the Augusta-based Sisters-in-Arms Center, Rebecca Cornell du Houx, said lawmakers have a chance to help veteran survivors rebuild their lives.

"To have a consistent clinician there to provide that trauma treatment to the woman veteran in a place that they're safe," said Cornell du Houx, "I think, can really, really support their recovery."

Cornell du Houx said one in three women soldiers experience some form of sexual trauma while in the military but many incidents go unreported.

There are more than 10,000 women veterans currently living in Maine.

Women veterans are one of the fastest-growing sectors of the homeless population, and are four times more likely to become homeless than their male peers.

Researchers also now identify military sexual trauma as the biggest factor driving a more than 60% increase in suicide rates among women veterans since 2001.

Cornell du Houx said while group therapy is available to these veterans, state funding would provide for more formalized treatment - especially for those coming off active-duty.

"I think if people knew the stories of what had happened to these women while they were in the service, just really disheartening stories of assault," said Cornell du Houx, "I think that they wouldn't hesitate to fund a position so that they could get help."

Cornell du Houx said sexual trauma is most prevalent among lower-ranking seventeen and eighteen-year-olds, who are influenced to think that reporting an incident is a betrayal of a fellow soldier.

She said it's important to support those who have come forward, to advocate for themselves and others, and who took an oath to serve their country.





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