Harris v. McRae
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''Harris v. McRae'', 448 U.S. 297 (1980), was a case in which the
Supreme Court of the United States The Supreme Court of the United States (SCOTUS) is the highest court in the federal judiciary of the United States. It has ultimate appellate jurisdiction over all U.S. federal court cases, and over state court cases that involve a point o ...
held that states participating in
Medicaid Medicaid in the United States is a federal and state program that helps with healthcare costs for some people with limited income and resources. Medicaid also offers benefits not normally covered by Medicare, including nursing home care and pers ...
are 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 the Fifth Amendment or the Establishment Clause of the
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.


Background

In 1965, the
US Congress The United States Congress is the legislature of the federal government of the United States. It is bicameral, composed of a lower body, the House of Representatives, and an upper body, the Senate. It meets in the U.S. Capitol in Washingto ...
amended Title XIX of the
Social Security Act The Social Security Act of 1935 is a law enacted by the 74th United States Congress and signed into law by US President Franklin D. Roosevelt. The law created the Social Security program as well as insurance against unemployment. The law was pa ...
to create
Medicaid Medicaid in the United States is a federal and state program that helps with healthcare costs for some people with limited income and resources. Medicaid also offers benefits not normally covered by Medicare, including nursing home care and pers ...
, 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 to ban the use of federal funds to reimburse the cost of abortions under Medicaid. Initially, the only exception was if the life of the mother would be endangered by the fetus being carried to term. The restrictions became known as the Hyde Amendment, after the measure's original sponsor,
Illinois Illinois ( ) is a U.S. state, state in the Midwestern United States, Midwestern United States. Its largest metropolitan areas include the Chicago metropolitan area, and the Metro East section, of Greater St. Louis. Other smaller metropolita ...
Representative
Henry Hyde Henry John Hyde (April 18, 1924 – November 29, 2007) was an American politician who served as a Republican member of the United States House of Representatives from 1975 to 2007, representing the 6th District of Illinois, an area of Chicago's ...
. The language of the 1980 Hyde Amendment provided: In 1976, after the passage of the original Hyde Amendment, an action was brought in the
United States District Court for the Eastern District of New York The United States District Court for the Eastern District of New York (in case citations, E.D.N.Y.) is the federal district court whose territorial jurisdiction spans five counties in New York State: the four Long Island counties of Nassau, S ...
that sought to enjoin enforcement of its restrictions. The plaintiffs were Cora McRae, a New York Medicaid recipient who was in the first trimester of a
pregnancy Pregnancy is the time during which one or more offspring develops ( gestates) inside a woman's uterus (womb). A multiple pregnancy involves more than one offspring, such as with twins. Pregnancy usually occurs by sexual intercourse, but ca ...
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 The United Methodist Church (UMC) is a worldwide mainline Protestant denomination based in the United States, and a major part of Methodism. In the 19th century, its main predecessor, the Methodist Episcopal Church, was a leader in evangelical ...
; and the Women's Division itself.448 U.S. at 303. McRae sought to bring the action as a
class action A class action, also known as a class-action lawsuit, class suit, or representative action, is a type of lawsuit where one of the parties is a group of people who are represented collectively by a member or members of that group. The class actio ...
on behalf of other similarly-situated women. The District Court granted the class certification motion and permitted US Senators
James L. Buckley James Lane Buckley (born March 9, 1923) is an American politician, jurist, and lawyer who currently serves as a senior judge on the United States Court of Appeals for the District of Columbia Circuit. Buckley served in the United States Senat ...
and
Jesse Helms Jesse Alexander Helms Jr. (October 18, 1921 – July 4, 2008) was an American politician. A leader in the conservative movement, he served as a senator from North Carolina from 1973 to 2003. As chairman of the Senate Foreign Relations Committee ...
as well as Hyde to intervene as defendants. The district court granted the injunction on January 15, 1980 and found that the Hyde Amendment 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 Warren Earl Burger (September 17, 1907 – June 25, 1995) was an American attorney and jurist who served as the 15th chief justice of the United States from 1969 to 1986. Born in Saint Paul, Minnesota, Burger graduated from the St. Paul Colleg ...
, Justice White,
Justice Powell Lewis Franklin Powell Jr. (September 19, 1907 – August 25, 1998) was an American lawyer and jurist who served as an Associate Justice of the Supreme Court of the United States from 1972 to 1987. Born in Suffolk, Virginia, he gradua ...
, and
Justice Rehnquist William Hubbs Rehnquist ( ; October 1, 1924 – September 3, 2005) was an American attorney and jurist who served on the U.S. Supreme Court for 33 years, first as an associate justice from 1972 to 1986 and then as the 16th chief justice from 1 ...
joined. Justice White wrote an opinion concurring the judgment. Justice Brennan wrote a dissent to which Justice Marshall and
Justice Blackmun Harry Andrew Blackmun (November 12, 1908 – March 4, 1999) was an American lawyer and jurist who served as an Associate Justice of the Supreme Court of the United States from 1970 to 1994. Appointed by Republican President Richard Nixon, Black ...
joined. Justice Marshall and Justice Blackmun also wrote separate dissents, and
Justice Stevens John Paul Stevens (April 20, 1920 – July 16, 2019) was an American lawyer and jurist who served as an associate justice of the Supreme Court of the United States from 1975 to 2010. At the time of his retirement, he was the second-olde ...
did so as well. 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 does 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 The Equal Protection Clause is part of the first section of the Fourteenth Amendment to the United States Constitution. The clause, which took effect in 1868, provides "''nor shall any State ... deny to any person within its jurisdiction the equal ...
is not a source of
substantive rights Substantive rights are basic human rights possessed by people in an ordered society and include rights granted by natural law as well as the substantive law. Substantive rights involve a right to the substance of being human (life, liberty, happi ...
and because poverty does not qualify as a "
suspect classification In United States constitutional law, a suspect classification is a class or group of persons meeting a series of criteria suggesting they are likely the subject of discrimination. These classes receive closer scrutiny by courts when an Equal Protec ...
," the Hyde Amendment does 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 The Catholic Church, also known as the Roman Catholic Church, is the largest Christian church, with 1.3 billion baptized Catholics worldwide . It is among the world's oldest and largest international institutions, and has played a ...
does not constitute an
establishment of religion A state religion (also called religious state or official religion) is a religion or creed officially endorsed by a sovereign state. A state with an official religion (also known as confessional state), while not secular, is not necessarily a th ...
.


See also

*
List of United States Supreme Court cases, volume 448 This is a list of all the United States Supreme Court cases from volume 448 of the ''United States Reports The ''United States Reports'' () are the official record ( law reports) of the Supreme Court of the United States. They include rulings, ...


References


External links

* {{US5thAmendment, dueprocess United States Supreme Court cases United States abortion case law 1980 in United States case law Medicare and Medicaid (United States) United States Supreme Court cases of the Burger Court