Harris v. McRae

Harris v. McRae, 448 U.S. 297 (1980), was a case in which the Supreme Court of the United States held that States that participated in Medicaid were not required to fund medically necessary abortions for which federal reimbursement was unavailable as a result of the Hyde Amendment, which restricted the use of federal funds for abortion. The Court also held that the funding restrictions of the Hyde Amendment did not violate either the Fifth Amendment or the Establishment Clause of the First Amendment.

Background 
In 1965 Congress amended Title XIX of the Social Security Act to create the Medicaid program. Medicaid is a voluntary program to provide federal funds to states that choose to provide reimbursement for certain medical expenses for the indigent.

In September 1976, Congress began, either by amendment to the annual appropriations bill for the Department of Health, Education, and Welfare or by joint resolution, to ban the use of federal funds to reimburse the cost of abortions under Medicaid. Initially, the only exception was where the life of the mother would be endangered if the fetus were carried to term.  The restrictions became known as the Hyde Amendment, named for the measure's original sponsor, Illinois Congressman Henry Hyde. The language of the 1980 Hyde Amendment provided:

In 1976, following passage of the original Hyde Amendment, an action was brought in the United States District Court for the Eastern District of New York seeking to enjoin enforcement of the Amendment's restrictions. Plaintiffs were Cora McRae, a New York Medicaid recipient then in the first trimester of a pregnancy that she wished to abort, the New York City Health and Hospitals Corp., which operated hospitals providing abortion services, officers of the Women's Division of the Board of Global Ministries of the United Methodist Church/and the Women's Division itself. McRae sought to bring the action as a class action, on behalf of other similarly situated women. The district court granted the class certification motion, and also permitted Senators James L. Buckley and Jesse Helms and Congressman Hyde to intervene as defendants.

The district court granted the injunction on January 15, 1980 and found that the Hyde Amendments violated the Fifth Amendment's Due Process clause and the First Amendment's Establishment clause.

Supreme Court decision

Justice Stewart delivered the opinion of the Court, in which Chief Justice Burger, Justice White, Justice Powell, and Justice Rehnquist joined.  Justice White wrote an opinion concurring the judgment.  Justice Brennan wrote a dissent, in which Justice Marshall and Justice Blackmun joined.  Justice Marshall and Justice Blackmun also authored separate dissents, as did Justice Stevens.

The Court held that states participating in the Medicaid program were not obligated to fund medically necessary abortions under Title XIX. The Court found that a woman's freedom of choice did not carry with it "a constitutional entitlement to the financial resources to avail herself of the full range of protected choices." The Court ruled that because the Equal Protection Clause was not a source of substantive rights and because poverty did not qualify as a "suspect classification," the Hyde Amendment did not violate the Fifth Amendment. Finally, the Court held that the coincidence of the funding restrictions of the statute with tenets of the Roman Catholic Church did not constitute an establishment of religion.

See also
List of United States Supreme Court cases, volume 448

References

External links
 

Category:United States Supreme Court cases
Category:United States abortion case law
Category:1980 in United States case law
Category:Medicare and Medicaid (United States)
Category:United States Supreme Court cases of the Burger Court