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Kentucky Bill Expands Perinatal Palliative Care Services For Families

Democrats walk out of a Kentucky House committee hearing Thursday, March 7, 2024, in Frankfort, Ky. The walkout occurred as the GOP-led committee took up a bill dealing with expanding access to servic

Democratic lawmakers in Kentucky walked out of a committee hearing when a GOP-led panel considered a bill to expand access to prebirth and newborn services for pregnant women carrying nonviable fetuses in a state that prohibits abortion in such cases. The bill aims to provide perinatal palliative care for families facing life-limiting diagnoses for their unborn children.

Supporters of the bill argue that it would offer compassionate care and support services to families dealing with the devastating news of a nonviable pregnancy. They emphasize the importance of allowing parents to spend precious moments with their child, even if the infant is expected to live only a short time after birth.

Opponents of the bill, including abortion-rights advocates, criticize it for potentially coercing parents into carrying nonviable pregnancies to term. They argue that palliative care should include the option of abortion, which is not permitted in Kentucky for nonviable fetuses.

The bill, which has cleared the House Health Services Committee, now moves to the full House for consideration and would require Senate approval. If passed, it would mandate hospitals offering obstetric services to provide perinatal palliative care programs or refer patients to existing programs. The bill also extends to alternative birthing centers and requires health benefit plans to cover palliative care services.

Proponents of the legislation view it as a compassionate measure that supports women and their families physically, mentally, spiritually, emotionally, and financially. They highlight that two health care systems in Kentucky already offer palliative care services.

However, critics argue that the bill may shame parents who make difficult decisions about nonviable pregnancies. The debate surrounding the bill reflects broader discussions about granting legal protections to embryos and fetuses, particularly in states with strict abortion laws.

Despite the walkout by Democratic lawmakers during the committee review, the bill, known as House Bill 467, continues to advance through the legislative process in Kentucky, where Republicans hold supermajorities in both chambers.

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