A Texas nurse is opposing health insurance reform

TYLER, Texas (KCBD) – Dr. Cami Jo Tice-Harouff, a nurse practitioner from Tyler, has helped secure insurance coverage for fertility awareness counseling (FABM).

FABM, also known as natural birth control, can be used as a birth control method. A woman will work with a team of doctors to determine when her period of labor is using a variety of medical methods, including counseling, according to National Library of Medicine report.

Tice-Harouff was the plaintiff in the successful challenge against FABM counsel’s dismissal as eligible for insurance coverage. This change was ordered by the Health Resources and Services Administration (HRSA) in the District Court for the Eastern District of Texas. HRSA revised its guidelines in December 2021, excluding this practice from reporting.

Attorneys for the non-profit organization Alliance Defending Freedom (ADF) represented Tice-Harouff to defend the ban on insurance coverage on FABM’s advice.

Tice-Harouff said the change was made without proper notice before it was taken. In addition, the change could lead to a loss of revenue, and according to the article from ADF, it allows the Biden organization to impose “their own preferred birth control methods on all women without allowing the public to consider the decision.”

According to a Federal Court order, as a counselor for people seeking alternative birth control, Tice-Harouff is reimbursed by insurance companies at a cost of $300 to $450 per consultation. Each session lasts an hour or two, and patients meet with Tice-Harouff six times during the first six months of counseling.

In the court decision, Tice-Harouff says that few insurers will offer free FABM counseling if such counseling is not included in the guidelines. In addition, based on his experience as a health care provider, fewer patients seek FABM advice if insurers fail to provide free treatment, resulting in fewer patients seeking Tice-Harouff advice. This will also reduce the number of available patients and fewer follow-up sessions.

The removal of FABM from HRSA’s guidelines could also mean that people seeking birth control methods outside of medicine or medical devices for personal or religious reasons may not be able to take advantage of insurance coverage, forcing them to pay out-of-pocket costs or forego counseling altogether.

“Countless mothers rely on the expertise of medical professionals like Tice-Harouff to help them raise families in a way that best suits their needs,” said ADF Senior Counsel Julie Marie Blake. “We are pleased that the court has allowed insurance coverage to continue for more women who choose to disclose birth control. . . .”

“Dr. Tice-Harouff patients, however, face an insurmountable problem when they lose free treatment. [fertility awareness-based methods] advice provided by the current Guidelines. Undoubtedly many will abandon this care because of its cost—or to reduce the number or size of counseling sessions,” the US District Court for the Eastern District of Texas, Tyler Division, wrote in its opinion. Tice-Harouff v. Johnson. “Defendants may have violated the law by withdrawing the free provision of FABM advice.”

Tice-Harouff is a registered nurse in Tyler with a bachelor’s degree in nursing. He is licensed in several other states and provides advice and counseling to patients on natural birth control.

Alliance Defending Freedom, according to its website, is a non-profit religious group dedicated to protecting freedom of religion, freedom of speech, marriage and family, parental rights, and the sanctity of life. ADF attorneys argued in the Supreme Court on cases involving religion in public schools, the Affordable Care Act, the legalization of same-sex marriage, the right of business owners not to perform same-sex weddings, and pre-service prayers.

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