LAMAR ALEXANDER, TENNESSEE, CHAIRMAN MICHAEL B. ENZI, WYOMING RICHARD BURR, NORTH CAROLINA JOHNNY ISAKSON, GEORGIA RAND PAUL, KENTUCKY SUSAN M. COLLINS, MAINE BILL CASSIDY, M.D., LOUISIANA TODD YOUNG, INDIANA ORRIN HATCH. UTAH PAT ROBERTS. KANSAS LISA MURKOWSKI, ALASKA TIM SCOTT, SOUTH CAROLINA PATTY MURRAY, WASHINGTON BERNARD SANDERS (I). VERMONT ROBERT P. CASEY, JR., PENNSYLVANIA MICHAEL F. BENNET, COLORADO TAMMY BALDWIN, WISCONSIN CHRISTOPHER S. MURPHY, CONNECTICUT ELIZABETH WARREN, MASSACHUSETTS TIM KAINE, VIRGINIA MARGARET WOOD HASSAN, NEW HAMPSHIRE TINA SMITH, MINNESOTA DOUG JONES, ALABAMA DAVID P. CLEARY, STAFF DIRECTOR EVAN SCHATZ, DEMOCRATIC STAFF DIRECTOR http:I/he Ip.senate.gov tlnitrd �tatrs �rnatr COMMITTEE ON HEALTH, EDUCATION, LABOR, AND PENSIONS WASHINGTON, DC 20510-6300 July 5, 2018 Dear Colleagues: As you know all too well, the Trump-Pence Administration is dedicated to undermining women's access to basic health care services and rolling back women's reproductive rights. From efforts to restrict coverage for contraception to efforts to dictate the conversations between women and their health care providers, President Trump and Vice President Pence have made clear they will prioritize extreme conservative ideology over science, evidence, and a woman's ability to make her own health care decisions. Especially in light of the Supreme Court vacancy and President Trump's repeated commitments to strike down Roe v. Wade, it is more important than ever that we work together to shine a spotlight on the Trump-Pence Administration's constant efforts to undermine women's access to reproductive health care. I am writing you today to ensure you are aware of the harmful, inaccurate views held by the political appointee President Trump and Vice President Pence recently put in charge of the federal family planning program known as Title X. This appointment is particularly concerning given that under the Administration's proposed policy changes, this appointee, Dr. Diane Foley, will be empowered to impose her deeply harmful views on women and young people. In every single one of our states, Title X-funded providers offer critical services for women, particularly low-income women, women of color and women living in rural areas. Through the Title X network, women receive a broad range of preventive sexual and reproductive health services, including contraceptive care, STI testing and treatment, and cancer screenings. In May, my staff released reports detailing the range of clients served and care provided by the Title X network in each state. The reports also illustrate the impact of potential threats to the Title X network should the Trump-Pence Administration's proposed changes go into effect. I encourage you all to share the information about your states, available online here. While I am pleased that Senate Democrats and Republicans were able to push off President Trump's proposed cuts and agree in the FY 2019 appropriations bill to maintain funding for the Title X program, the Trump-Pence Administration's recent proposals to reform Title X would undeniably limit access to critical services for millions of women across the country. In February, the Department of Health and Human Services (HHS) issued a funding opportunity announcement that fundamentally shifts the Title X program's comprehensive, evidence-based approach to one rooted in ideology. In May, HHS proposed a new rule that would deny Title X funds to organizations that provide abortions and impose unworkable restrictions on Title X providers. In her new role, these proposed changes would give Dr. Foley extensive license to impose her beliefs on women and young people. My staff has prepared the attached memo on Dr. Foley. Her efforts to spread misinformation, undermine wornen?s access to basic health care services, and roll back women?s reproductive rights are especially dangerous given the of?ce she now leads. I hope this memo is useful to you as we continue working together to make clear we will not let the Trump-Pence Administration?s attacks go unnoticed. Sincerely, mm Patty Murray United States Senator Ranking Member, Senate Committee on Health, Education, Labor, and Pensions