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91_HB0709gms OFFICE OF THE GOVERNOR 207 STATE CAPITOL, SPRINGFIELD, ILLINOIS 62706 June 9, 2000 GEORGE H. RYAN GOVERNOR To the Honorable Members of the Illinois House of Representatives 91st General Assembly Pursuant to Article IV, Section 9(b) of the Illinois Constitution of 1970, I hereby veto and return House Bill 709 entitled "AN ACT to amend the Illinois Public Aid Code by changing Sections 5-5 and 6-1." House Bill 709 would amend the Public Aid Code to prohibit the Illinois Department of Public Aid from paying for abortions for women unable to afford one when it is medically necessary to protect the health of the mother. With this legislation, physicians of women who receive state assistance would be required to needlessly wait until the pregnant woman's medical condition deteriorated to the point that the mother's life is at risk before an abortion could be performed. Physicians would be faced with the impossible task of trying to determine the "acceptable" level of risk to a woman's health, and ultimately whether or not the health risk might, in fact, jeopardize the mother's life. Medical science is not so exact to make these precise determinations, and in my judgement, it is not possible to separate the issues of "health" and "life." If enacted, House Bill 709 would create a two-tiered system of health care in this State - denying equal access to medical care and procedures simply because of the financial status of the patient. I am deeply troubled by the prospect that, because of the provisions of this bill, women could face serious medical harm simply because they would be unable to obtain a medically-necessary abortion. Proponents of House Bill 709 argued that the "health of the mother" provision is being abused by women and their physicians. Illinois Department of Public Aid records do not show that to be the case. Last fiscal year, only nine such state-funded abortions were performed in Illinois, and in the first eleven months of this fiscal year, only ten have been performed for health reasons. I have consistently supported and continue to support, a "pro-life" position on abortion. But as a pharmacist by profession, I have been involved in health care my entire life, and I find it impossible to separate health from life. We live in a very health-conscious society, with a special concern for women's health. Why then, would we not be concerned about the health of a pregnant woman - rich or poor? Additionally, although I remain personally committed to my pro-life beliefs, there is another compelling reason for my actions on this bill. As Governor, I am bound to uphold the Constitution of the State of Illinois. I have been advised by counsel that House Bill 709 would violate the 1994 order of the Circuit Court of cook County in Doe v. Wright, requiring the Department of Public Aid to provide reimbursement for "abortions necessary to protect women's health." That order was based on the Court's interpretation of the Illinois Constitution, and the State chose not to appeal the ruling at that time. To violate the order at this time, through my approval of this legislation, would undoubtedly trigger a lengthy and expensive legal battle over the bill's constitutionality. House Bill 709 would be subject to the identical challenge that invalidated the previous law. I do not believe that taxpayers' dollars should be use to re-litigate an issue that has already been decided by an Illinois court. For these reasons, I hereby veto and return House Bill 709. Sincerely, s/GEORGE H. RYAN Governor