FRANKFORT, Ky. — A new report demonstrates the divide between states that prioritize reproductive health and those that do not - and Kentucky is among of the latter.

The Population Institute's annual report card on reproductive health and rights gave 19 states, including the Commonwealth, a failing grade. The findings are not a surprise to Marcie Crim, executive director at the Kentucky Health Justice Network.

"Kentucky is a birth-control desert, meaning that our publicly funded clinics are not offering all forms of contraception. That's a problem,” Crim said. “And 76 out of our 120 counties don't even have an OB-Gyn. So we're just a mess in Kentucky in terms of reproductive health."

Kentucky scored poorly for mandating abstinence as part of the sexual education in public schools, while not requiring contraception or HIV education. The state also has no laws affirming a woman's right to emergency contraception in an emergency room.

Overall, the country received a "D-minus," with the research noting declining overall reproductive health and rights, and increasing disparity between states. Twenty-two states received a "B-minus" or higher, while the other 27 received a "D" or lower.

Kentucky fared well in the report for its teen pregnancy rate, the number of unintended pregnancies, and for allowing minors to consent to contraceptive services. However, Crim pointed out that just because it's permitted, that doesn't mean it's accessible.

"This person was 19, 20 years old, went to go see their family doctor to get on birth control and the family doctor refused to give them a prescription because the doctor said, 'You're not married, and it's against my beliefs to give you birth control,’” Crim said. “And so that's obviously a huge problem."

Abortion access is another problem area, with the report showing that about 3-in-4 women live in a county without an abortion clinic. Kentucky also has several laws that make it unnecessarily difficult to obtain an abortion, and Crim said lawmakers are trying to pass more.

"It feels like there's an overall wish to dominate Kentuckians' bodies without actually doing the research into how you would bring down numbers of abortions through access to sex education and contraception,” she said. “It is to just stop abortions and damn the consequences."

The report added a "minus" to Kentucky's failing grade because the state's "Choose Life" license plates fund anti-choice organizations.


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Abortion restrictions have been a hot topic in the Nebraska Legislature for the second year in a row, and now the issue has heated up even more.

Sen. Merv Riepe, R-Omaha, introduced an amendment to the abortion bill sponsored by Sen. Joni Albrecht, R-Thurston, Legislative Bill 626, which would extend the ban from the point at which a heartbeat can be detected on ultrasound -- typically 6 weeks from conception -- to 12 weeks.

Calling himself a "compassionate conservative," Riepe said he added the amendment because the issue is serious, controversial and merits more debate.

"I have some concern regarding a heartbeat," Riepe explained. "Because it's so vague that I'm not sure it's defensible."

Andi Curry Grubb, executive director of Planned Parenthood Advocates of Nebraska, said in an email "a ban is a ban, plain and simple. Any abortion ban at any stage of pregnancy denies a person the fundamental right to control their own body and health care decisions." Currently, Nebraska law bans abortions after the 20th week of pregnancy.

Grubb wrote Riepe's amendment "illustrates that even conservative senators recognize the unworkability of LB 626 and the harm it could do to Nebraskans and physicians."

Sandy Danek, executive director of Nebraska Right to Life, said her group was caught off guard and "very disappointed and surprised" with Riepe's announcement. She stated he had not spoken with anyone about concerns with Albrecht's bill -- including Albrecht herself -- prior to submitting the amendment, and added Right to Life members are trying to get Riepe to change his mind.

"This is certainly disturbing for us. Problematic," Danek asserted. "His amendment falls short of protecting preborn babies."

Riepe stressed he is not trying to be disruptive or "grandstand." He acknowledged he has constituents and friends on both sides of the issue.

"There's some people who think we need a 12-week limit as opposed to a heartbeat limit," Riepe pointed out. "And it's very emotional. I have friends that are praying for me, and I've had other people say it's still too restrictive; it's not enough."

On the opening day of Florida's legislative session, Republican lawmakers filed bills in the House and Senate to ban abortions after six weeks. In a move which would tighten the 15-week ban they approved last year, Republicans are pushing an even tougher ban, despite knowing most people aren't aware they're pregnant before six weeks.

Sen. Lauren Book, D-Plantation, the Senate Minority Leader, said the bills were introduced as she and others were making their way to the chamber to hear the State of the State address by Gov. Ron DeSantis.

"That is tantamount to an all-out abortion ban," Book stressed. "This is scary. These are scary times, and none of the bills that have been introduced by the Republicans will improve the lives of Floridians."

The legislation offers exemptions for victims of rape and incest, if they can provide official proof of the crime. Pro-choice advocates predict the measures will be a major barrier to critical services for Floridians, and others in the Southeast who seek care in Florida because their states have banned abortion. The bills carry the support of legislative leadership as well as the governor.

Groups like Florida Alliance for Planned Parenthood have already launched campaigns calling on alliance members and the public to contact Sen. Kathleen Pasidomo, R-Naples, the Senate president, who has already announced her support for the bill.

Rep. Fentrice Driskell, D-Tampa, the House Minority Leader, voiced concerns.

"They plan to strip privacy protections enshrined in the Florida Constitution," Driskell pointed out. "They will restrict access to medical abortion medicine, yet you can get Viagra mailed to you. What world are we living in? It's a world that's unfair to women."

The bills are spearheaded by Republican women, Sen. Erin Grall, R-Lake Placid, and Rep. Jenna Persons-Mulicka, R-Fort Myers. The proposals also include an exception for the life of a pregnant person if two physicians certify in writing that carrying the pregnancy to term would be fatal.


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Nebraska would have one of the strictest abortion laws in the country should Legislative Bill 626 become law. It recently passed out of committee.

The bill calls for banning abortions after a "fetal heartbeat" can be detected by ultrasound, usually around six weeks of pregnancy. However, some medical experts don't consider it a "fetal heartbeat" before at least the tenth week of gestation, the point at which an embryo becomes a fetus.

Scout Richters, senior legal and policy counsel for the ACLU of Nebraska, said time is running short for Nebraskans to let their state senators know how they feel about the bill.

"Because it has that emergency clause, if it does pass, it will become law here in Nebraska, and it could be in just a few short weeks," Richters pointed out.

Richters noted in a November survey, 59% of Nebraskans from all backgrounds and across party lines said they oppose a more restrictive abortion law, with 36% supporting one.

Sen. Joni Albrecht, R-Thurston, introduced the measure, which includes exceptions for sexual assault, incest or medical emergency. A stricter abortion bill she co-sponsored last year did not pass.

Abortion bans have been hot-button issues in many states. In seven of the eight states with a ban at 12 weeks or earlier a judge has blocked it at least temporarily, including four six-week bans.

Richters emphasized medical providers from across the state were among the many who spoke during the committee hearings on the bill.

"The negative effects of this ban reverberate across the medical field, as we've seen from the number and variety of medical professionals that have spoken out in opposition to the ban," Richters observed.

She predicted there will be several rounds of floor debate and expects a number of Nebraskans will attend. She added for those who wish to speak directly with their state senators on those days, the ACLU of Nebraska will be there to help. Once the debates are on the agenda, they'll be posted on the Nebraska Legislature's website, and no doubt on the websites and social media channels of groups on all sides of the debate.