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A GOP Talking Point Suggests Birth Control Is Not at Risk. Evidence Suggests Otherwise.
KHN & PolitiFact HealthCheck

A GOP Talking Point Suggests Birth Control Is Not at Risk. Evidence Suggests Otherwise.

鈥淚n no way, shape, or form is access to contraception limited or at risk of being limited.鈥

Rep. Kat Cammack (R-Fla.), co-chair, Congressional Pro-Life Caucus on the floor of the U.S. House, July 21

Republicans who oppose abortion have new talking points 鈥 birth control will remain easily available in the wake of the Supreme Court鈥檚 decision overturning the federal right to abortion, and when Democrats say otherwise, they are just trying to scare voters.

Variations on this claim were made by a series of Republicans on the during debate on a bill that would add a right to contraception to federal law. Democrats advanced the bill as a way to ensure the availability of birth control before some abortion opponents have a chance to see whether the Supreme Court will overturn that right, too.

鈥淭his bill is completely unnecessary,鈥 said Rep. Kat Cammack (R-Fla.), a . 鈥淚n no way, shape, or form is access to contraception limited or at risk of being limited. The liberal majority is clearly trying to stoke fears and mislead the American people, once again, because in their minds stoking fear is clearly the only way that they can win.鈥

We reached out to Cammack鈥檚 office to inquire about the basis for this statement but did not receive a response.

Similar claims were made in the Senate as it declined to take up the House bill on July 27. 鈥淭his idea that we ought to spend scarce time here in the Congress, which we have in limited supply, reaffirming rights that already exist is a clear political narrative designed to divert the American people鈥檚 attention from things that really are at risk,鈥 said Sen. John Cornyn (R-Texas).

However, a review of documents and current efforts in some states to change laws indicates there is significant evidence that birth control 鈥 or at least some forms of it 鈥 may be at risk legally. So we dug in.

At the Supreme Court

The cornerstone for this concern can be found in Justice Clarence Thomas鈥 concurring opinion in , the case that overturned Roe v. Wade鈥檚 guarantee of access to abortion. Thomas suggested that having found no constitutional right to abortion, the court should next 鈥渞econsider all of this court鈥檚 substantive due process precedents, including Griswold.鈥 That is a reference to , the 1965 case that established a right for married couples to use contraception (single people were granted that right in a in 1972). In Griswold, the court found that the 鈥渄ue process鈥 clause of the 14th Amendment protects the right to privacy.

True, Thomas represents only one vote on the court, and the number of his fellow justices who share his opinion that the birth control case should be reversed is unclear. But the Supreme Court has already allowed some employers to decline to offer their workers contraceptive coverage based on their opposition to abortion. At issue in the 2014 case was the religious belief of the owners of the craft store chain that some forms of contraception 鈥 including the 鈥渕orning-after鈥 pill and two types of intrauterine devices 鈥 could produce early abortions by preventing the implantation of a fertilized egg. The court decided the government could not force the contraceptive coverage requirement from the Affordable Care Act on employers with those beliefs.

Scientific evidence suggests that neither the (which is a higher dose of a hormone used in regular birth control pills) stop the implantation of a fertilized egg and therefore do not cause abortions. Still, the court ruled that the owners鈥 religious beliefs trumped the government鈥檚 interest in workers getting contraceptive coverage.

鈥淭hat legal blurring of distinct scientific boundaries between abortion and birth control threatens contraceptive access in the United States,鈥 wrote professors Rachel VanSickle-Ward and Kevin Wallsten . They predicted that some states 鈥渨ill probably ban some forms of contraception outright, using the discredited idea that contraceptives act as abortifacients.鈥

State Action

Confusion about how some forms of contraception work has led to efforts in several states to ban certain types of birth control. The most frequently targeted form of birth control is the morning-after pill, which can prevent pregnancy if taken within a few days of unprotected sex but which cannot interrupt an established pregnancy. It is not the same as the abortion pill, a regimen of two other medications that do end a pregnancy up to 10 weeks of gestation.

And even if the birth control methods did prevent a fertilized egg from implanting in a woman鈥檚 uterus, that would not be an abortion, at least not . Although many religious groups and abortion opponents argue that human life begins when the egg is fertilized, there is a consensus among doctors, scientists, and legal experts that pregnancy begins at implantation. And, they point out, an abortion is the termination of a pregnancy. Roughly half of all fertilized eggs never implant.

Even before Roe was overturned, called for hearings to ban emergency contraception, and Missouri lawmakers tried to bar Medicaid from paying for the morning-after pill and IUDs.

Anti-abortion groups are pushing the idea. 鈥淧lan B is Capable of Causing an Early Abortion,鈥 said from Students for Life of America, referring to the name of a brand of the morning-after pill. Model legislation from the would ban abortion from the moment of fertilization, not implantation.

The bottom line, wrote professors VanSickle-Ward and Wallsten before the decision overturning Roe was even final, is that 鈥渢he court doesn鈥檛 have to formally end legal protection for contraception use.鈥

鈥淚f it allows plaintiffs to call contraception abortion, and Dobbs ends legal protection for abortion, then contraception is at risk.鈥

Our Ruling

It is true that, so far, no state has banned forms of contraception. But the threat appears very real. And the absolute nature of Cammack鈥檚 statement 鈥 saying there鈥檚 鈥渘o way, shape, or form鈥 that access to contraception is at risk 鈥 is not accurate. We rate the statement False.

SourceS

Congressional Record, , Pages H6927-H6940

Supreme Court, , June 24, 2022

Supreme Court, , June 30, 2014

Supreme Court, , June 7, 1965

Stateline, 鈥,鈥 May 19, 2022

The 19th, 鈥,鈥 May 25, 2022

The Daily Beast, 鈥,鈥 updated July 12, 2017

Journal of Contraception, 鈥,鈥 July 12, 2010

KHN, 鈥FAQ: High Court鈥檚 Hobby Lobby Ruling Cuts Into Contraceptive Mandate,鈥 June 30, 2014

KHN, 鈥Misinformation Clouds America鈥檚 Most Popular Emergency Contraception,鈥 June 7, 2022

National Right to Life, 鈥,鈥 June 15, 2022

NPR, 鈥,鈥 June 1, 2011

Students for Life, , accessed Aug. 1, 2022

The Washington Post, 鈥,鈥 updated May 3, 2022