Fischer v. Department of Public Welfare

482 A.2d 1137, 85 Pa. Commw. 215, 1984 Pa. Commw. LEXIS 1699
CourtCommonwealth Court of Pennsylvania
DecidedMarch 9, 1984
DocketNo. 283 C.D. 1981
StatusPublished
Cited by8 cases

This text of 482 A.2d 1137 (Fischer v. Department of Public Welfare) is published on Counsel Stack Legal Research, covering Commonwealth Court of Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Fischer v. Department of Public Welfare, 482 A.2d 1137, 85 Pa. Commw. 215, 1984 Pa. Commw. LEXIS 1699 (Pa. Ct. App. 1984).

Opinion

Memorandum Opinion by

Judge MacPhail,

On December 19, 1980, the Pennsylvania General Assembly amended the Public Welfare Code by adding a section1 (hereinafter Act of 1980) which provided that no funds of the Commonwealth and no federal funds appropriated by the Commonwealth should be used to fund abortions unless (1) a physician certified that the life of the mother would be endangered if the fetus was carried to full term or (2) the pregnancy resulted from rape or incest when such rape or incest is reported promptly2 to a law enforcement agency or public health service. The text of the Act [218]*218of 1980 followed- very closely the language of the “Hyde Amendment”3 which prohibited the use of any federal funds for reimbursement of the cost of abortions under the federal Medicáid program except under certain specified circumstances.

Petitioners, consisting of named individuals suing on behalf of themselves and others similarly situated, a clergy person -suing on behalf of himself and all others similarly situated, a physician and several nonprofit organizations who render medical services including medically necessary abortions to the public generally and to persons receiving Medical Assistance from the Pennsylvania Department of Welfare, filed a petition for review in this Court seeking declaratory and injunctive relief which would prohibit the Respondents4 (collectively hereinafter Commonwealth) from implementing the provisions of the Act of 1980. While pre-trial discovery was proceeding, Petitioners filed a petition for preliminary injunction which, after hearing, was granted by this Court. An appeal from that order was filed with our state Supreme Court which affirmed the action of this Court. Fischer v. Department of Public Welfare, 497 Pa. 267, 439 A.2d 1172 (1982). ‘

While the instant case was proceeding through the pleading stage,5 the General Assembly enacted the [219]*219Abortion Control Act6 (Act of 1982). That statute has been challenged and its implementation preliminarily enjoined in the federal courts.7 Petitioners here amended their original petition for review to include the provisions of the Act of 1982, specifically 18 Pa. C. S. §3215 (c). Thereafter, a second amended petition for review was filed and, at trial, this Court permitted further amendments to that pleading.8

After the disposition of other pre-trial motions including the withdrawal of Count III relating to Petitioners’ alleged right of free exercise of religion and conscience under the Constitutions of the United States and Pennsylvania, the matter came on for trial. At trial, the Court was presented with 393 stipulations of fact and 11 exhibits whose authenticity was stipulated. The Commonwealth objected to the materiality of most of the stipulations, the right to do so having been specifically reserved by the parties. By pre-trial order some of those objections were sustained.9 Peti[220]*220tioners presented four witnesses and 15 exhibits at trial. The Commonwealth presented no evidence other than the .stipulated facts, its position being that the issues to be determined were matters of law rather than those of fact. Pre-trial and post-trial briefs were received. Throughout the entire proceedings, the Chancellor has been impressed with the competence, diligence and courteousness of counsel. In a case fraught with so much emotion and deep feelings, it was refreshing to have counsel focus on the legal issues to the complete exclusion of other extraneous matters.

Findings op Fact

We find as facts all of the stipulated uncontested facts except those we refused to admit on grounds of materiality.10 We deem it unnecessary to extend the length of this adjudication by reproducing those stipulations herein seriatim; rather, we will briefly summarize the salient facts required to support our conclusions of law.

Some Petitioners were indigent pregnant women financially dependent upon Medical Assistance from the Commonwealth who were not victims of rape or incest and who had been advised by their individual physicians to have abortions because should they carry the fetus to term, they would risk .serious jeopardy to their health; but the physicians could not certify that an abortion was necessary to preserve the Petitioners’ lives. If the pending legislation had been implemented, those persons and others similarly situated could not receive abortions funded by Medical Assistance.11 Physicians, including a named Petition- [221]*221or, who provide clinieal and private medical services including abortions to pregnant women, who receive Medical Assistance and who would be financially unable to pay for such abortions if the proposed legislation was implemented, would not perform medically necessary abortions for those persons. Such patients of such physicians may attempt self-induced abortions.

Several of the Petitioners are non-profit corporations who serve and educate the public in matters relating to human sexuality, birth control, population control and related subjects. These organizations also provide for medically necessary abortions to women receiving Medical Assistance, some of whom are victims of rape or incest.

The Commonwealth’s Medical Assistance program by statute and regulation is designed to render medically necessary services to those who qualify. Among those medically necessary services rendered prior to the enactment of the subject legislation were necessary abortions which were carefully and specifically delineated as to necessity, timing, description of providers, manner of payment and utilization review. Certain broad categories of medical services and 24 specific medical services are not considered to be eligible for reimbursement under the Commonwealth’s Medical Assistance program because such services are deemed to be medically unnecessary, e.g. experimental, cosmetic, and programs subject to fraud or abuse. Although the Department of Public Welfare (DPW) has on occasion waived these specific exemptions in the circumstances of a given case, the Commonwealth will refuse to fund abortions even where medical necessity and special need can be demonstrated. If the [222]*222proposed legislation were to be implemented, abortions would be the only generally acceptable, medically necessary surgical procedure not reimbursable under the Commonwealth’s Medical Assistance program. The Commonwealth has no evidence that abortions funded by Medical Assistance are the subject of widespread fraud or abuse.

All reproductive services for males are covered by Medical Assistance; all female reproductive services except abortions would be covered by Medical Assistance if the proposed legislation were to be implemented.

The Commonwealth furnishes some medical services under its Medical Assistance program which are neither required by the federal government nor reimbursed by the federal government.

In 1981, 1982 and 1983 approximately 12,000 medically necessary abortions were obtained annually by indigent women in Pennsylvania and paid for under the Commonwealth’s Medical Assistance program.

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Sanderson v. Frank S. Bryan, M.D., Ltd.
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Doe v. Maher
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National Educ. Ass'n of RI v. Garrahy
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Fischer v. Commonwealth
482 A.2d 1148 (Commonwealth Court of Pennsylvania, 1984)

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Bluebook (online)
482 A.2d 1137, 85 Pa. Commw. 215, 1984 Pa. Commw. LEXIS 1699, Counsel Stack Legal Research, https://law.counselstack.com/opinion/fischer-v-department-of-public-welfare-pacommwct-1984.