Double Trouble Brewing for Anti-Abortion Democrats?

Just days after the historic health care bill became law, abortion activists on both sides of the political aisle are preparing the battleground for November's mid-term election, which could see a revival of the hot-button issue.

The health care legislation signed by President Obama Tuesday was widely denounced by both abortion rights and anti-abortion groups. Both sides charge that the law benefits the other side and infringes on Americans' rights.

Obama's executive order, which he signed Wednesday, reaffirmed that no federal funds will go toward abortion. But abortion groups on both sides agree on one point: that the order was merely for symbolic political purposes.

The uproar from all fronts has raised questions about the political future of anti-abortion Democrats who voted for the health care bill after Obama promised to issue the executive order.

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Abortion activists on both sides are raising funds to challenge these Democrats, many of whom are in particularly vulnerable districts.

The White House insists that the executive order maintains the status quo on abortion, and that's not what the health care law was ever about. The order is intended to ensure that current law limiting federal funding for abortion is maintained and it will extend those restrictions to the newly created health insurance exchanges. Under the current law, federal funds cannot go toward abortion except in cases of rape, incest and when the life of the pregnant woman is at risk.

States would be responsible for checking whether insurers are complying.

Under the new health care law, insurance companies participating in the exchange -- a marketplace where people will be able to shop for coverage -- must offer at least one plan in each state exchange that doesn't include abortions. However, they're not required to offer a plan that coveres abortions.

Those who join a plan that offers abortion would have to pay a minimum of $1 with another check because the abortion funds have to be kept separate.

The law expands funding for community health centers but prevents them from using government funds to provide abortion.

The abortion provisions have irked groups on both sides. National Organization for Women's president Terry O'Neill says the law is "devastating" because it creates a bureaucracy that will ultimately lead to private insurance companies stripping away abortion coverage altogether.

"The Senate language itself already continues the ban on federal funding for abortion... and expands that into the private sector," said Susan Wood, a professor at George Washington University's School of Public Health and Health Services.

The complexity of collecting and sorting out the two different funds, Wood said, is likely to cause logistical headaches.

"There's likely to be a reduction both in the availability of insurance that covers abortion services and there will be a reduction in those women who decide that they should pay that separate fee," Wood said.

But anti-abortion groups aren't happy either. Charmaine Yoest, president of Americans United for Life, a leading anti-abortion legal and public policy organization, dubbed the abortion language a "complete charade" and said the separate fee does little to prevent federal funds from going to abortion.

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