AGO Opinion 98021
Constitutionality of Amendment Prohibiting Use of Public Trust Funds to Award Grants to Entities Providing Abortion-Related Services
Opinion 98021
SUBJECT: Constitutionality of Amendment Prohibiting Use of Public Trust Funds to Award Grants to Entities Providing Abortion-Related Services
REQUESTED BY: Senator Don Wesely, Senator Jim Jensen
DATE: March 30, 1998
WRITTEN BY: Don Stenberg, Attorney General
Steve Grasz, Deputy Attorney General
This opinion addresses separate but essentially identical
requests submitted by Senator Wesely and Senator Jensen concerning
the constitutionality of a proposed amendment prohibiting the
distribution of certain trust funds to persons or entities which
provide abortion-related services. It also addresses a third
opinion request from Senator Jensen as to the broader issue of what
restrictions a state can constitutionally place on funding to
entities that perform or facilitate the performance of abortions.
The proposed amendment would amend AM 3434 to LB 1070 so as to
provide that "no funds shall be used under this section to award
grants to any person or entity which provides, facilitates, or
counsels or refers for abortions."
As indicated in Senator Wesely's request, the issue of the
validity of similar provisions has arisen previously in other
jurisdictions. Although the issue is complicated and fraught with
controversy, a considerable amount of guidance is available from
these decisions.
Senator Wesely's opinion request quotes from a federal court's
opinion in the case of Kivlahan v. Planned Parenthood of Mid-
Missouri and Eastern Kansas, Inc., Case No. 96-4186-CV-C-2 (W.D.
Mo. 1996). Our research reveals that Kivlahan is an unpublished
opinion, and is not even available through normal legal research
sources. The decision was not reviewed by an appellate court.
Pursuant to the rules of the United States Court of Appeals for the
Eighth Circuit, such opinions "are not precedent and parties
generally should not cite them." Eighth Cir. R. 28A(k).
Consequently, Kivlahan is of no precedential value in Nebraska.
Notwithstanding the status of the Kivlahan decision, we have
reviewed the opinion to examine its logic and application of
precedent. Kivlahan is lacking in both areas. The court in
Kivlahan acknowledged that Missouri's restrictions on the use of
family planning funds need only be rationally related to a
legitimate governmental purpose to survive an equal protection
challenge. Id. at 5. The court further acknowledged that Missouri
has a stated public policy of not promoting or encouraging
abortions, id., and that "the State of Missouri has no positive
obligation to fund or subsidize certain activities, including
abortions." Id. at 6. However, the court then proceeded to engage
in emotional rhetoric supported only by a logical non sequitur.
The opinion relies on factually unsupported leaps of logic to
reach the conclusion that Missouri's funding restrictions were
nothing more than a means to punish a disfavored group. The court
then (correctly) stated that, "the government may not punish an
entity by refusing to contract with it because that entity's agenda
may be politically unpopular." Id. The court further concluded
that it could find "no rational basis for the distinction between
Planned Parenthood and the other eligible recipients for the state
appropriated family-planning funds." Id. The court's inability to
identify a rational basis for the distinction contrasts starkly
with the United States Supreme Court's clear holding that "the
State has an interest in protecting the life of the unborn," and
that the States may actively promote natural childbirth over
abortion. Planned Parenthood of Southeastern Pennsylvania v.
Casey, 505 U.S. 833, 1125 S.Ct. 2791, 2818 (1992).
Most striking of all, however, was the absence from the
Kivlahan decision of any citation, reference or discussion of the
leading case in this area of law, Rust v. Sullivan, 500 U.S. 173,
111 S.Ct. 1759 (1991). In Rust, the U.S. Supreme Court upheld
federal funding restrictions which prohibited Title X fund
recipients from engaging in abortion counseling, referral, and
activities advocating abortion as a method of family planning. The
funding restrictions in Rust provided that "'[n]one of the funds
appropriated under this subchapter shall be used in programs where
abortion is a method of family planning."' Rust, 111 S.Ct. at 1764
(quoting Section 1008 of the Public Health Service Act).
Federal regulations promulgated to implement the law
prohibited Title X fund recipients "from engaging in activities
that `encourage, promote or advocate abortion as a method of family
planning.'" Id. at 1765 (quoting § 59.10(a)). Under the
regulations, "forbidden activities include lobbying for legislation
that would increase the availability of abortion as a method of
family planning, developing or disseminating materials advocating
abortion as a method of family planning, providing speakers to
promote abortion..., using legal action to make abortion
available...and paying dues to any group that advocates abortion as
a method of family planning..." Id.
Most significantly, the regulations also required that Title
X projects "be organized so that they are physically and
financially separate from prohibited abortion activities.'" Id. at
1766 (quoting § 59.9) (emphasis added). Title X funding recipients
were required to "have an objective integrity and independence from
prohibited activities." Id. "Mere bookkeeping separation of Title
X funds from other monies is not sufficient." Id. Among factors
in determining objective integrity and independence were separate
personnel and degree of physical separation of the project from
facilities for prohibited activities." Id. (emphasis added).
In contrast to the federal judge's opinion in Kivlahan, the
Supreme Court in Rust concluded, "There is no question but that the
statutory prohibition . . . is constitutional. In Maher v. Roe, .
. . [w]e held that the government may `make a value judgment
favoring childbirth over abortion, and . . . implement that
judgment by the allocation of public funds.'" Rust v. Sullivan,
111 S.Ct. at 1772 (quoting Maher v. Roe, 97 S.Ct. at 2382))
(emphasis added). The Supreme Court also discussed the ability of
States to make funding decisions consistent with legislative policy
and stated, "There is a basic difference between direct state
interference with a protected activity and state encouragement of
an alternative activity consonant with legislative policy." Id. at
1772 (quoting Maher, 97 S.Ct. at 2383)).
We note that the plaintiff in Kivlahan, Planned Parenthood,
also claimed that the state's funding restrictions violated its
First Amendment speech rights. Kivlahan at 2. Although the
Kivlahan court ruled only on the Fourteenth Amendment equal
protection challenge, it did so using language sounding in First
Amendment terms: "[T]he State of Missouri may not deny a benefit
to an entity on a basis of its politically unpopular beliefs." Id.
at 6. While true in a general sense, in this context the court's
statement represents a mischaracterization of funding judgments by
state legislatures. In Rust v. Sullivan, the petitioners also
contended that the federal regulations violated the First Amendment
by impermissibly discriminating based on viewpoint. Rust, 111
S.Ct. at 1771-1772. However, the Supreme Court flatly rejected
this argument, stating, "The Government can, without violating the
Constitution, selectively fund a program to encourage certain
activities it believes to be in the public interest, without at the
same time, funding an alternative program which seeks to deal with
the problem in another way. In so doing, the Government has not
discriminated on the basis of viewpoint, it has merely chosen to
fund one activity to the exclusion of the other." Id. at 1772.
Although the unpublished Kivlahan decision is fraught with
error, and although the U.S. Supreme Court's decision in Rust v.
Sullivan upheld the ability of the government to require separation
between eligible program activities and abortion-related services,
it must be made clear that the States are not free to ban grant
applications from persons or entities based on their viewpoint or
their exercise of constitutionally protected activity. Funding
bans must be based on the legitimate interests of the state in
separating state funding of legislatively approved programs from
the direct or indirect funding of other activities such as
abortion.
As to the particular amendment in question here, we note that
some pre-Rust v. Sullivan cases would seem to call the particular
wording of the proposed amendment into question. See Planned
Parenthood Central and Northern Arizona v. State of Arizona, 789
F.2d 1348 (9th Cir. 1986), aff'd without opinion sub nom. Babbitt
v. Planned Parenthood, 479 U.S. 925, 107 S.Ct. 391 (1986). See
also Op. Att'y Gen. No. 90025 (March 28, 1990). However, the
proposed amendment would appear to be in a much stronger position
in light of the Rust decision. For example, in contrast to the
Arizona decision, the Court in Rust did not seem to utilize a least
restrictive means test in analyzing the funding restrictions, and
even the Kivlahan court applied only a rational basis analysis.
Although the proposed amendment differs in form from the
federal restriction considered in Rust, it seems to have the same
purpose and effect. As in Rust, "we have here not the case of a
general law singling out a disfavored group on the basis of speech
content, but a case of Government refusing to fund activities,
including speech, which are specifically excluded from the scope of
the project funded." Id. at 1773. As in Rust, the proposed
amendment seeks to prevent indirect funding of programs that are
outside of, and contrary to, official state policy.
The refusal of the government to provide funding to groups
that are engaging in activities contrary to government policy was
discussed at some length in Rust:
The regulations govern the scope of the Title X project's
activities, and leave the grantee unfettered in its other
activities. The Title X grantee can continue to perform
abortions, provide abortion-related services, and engage
in abortion advocacy; it simply is required to conduct
those activities through programs that are separate and
independent from the project that receives Title X funds.
Id. at 1774. Under the proposed amendment, the funding
restrictions would still permit an abortion proponent to create an
affiliate which would be eligible to receive funds. See Rust, 111
S.Ct. at 1775 ("a charitable organization could create . . . an
affiliate to conduct its nonlobbying activities using tax
deductible contributions, and at the same time establish . . . a
separate affiliate to pursue its lobbying efforts without such
contributions."). As the Supreme Court stated in Rust,
By requiring that the Title X grantee engage in abortion-
related activity separately from activity receiving
federal funding, Congress has . . . not denied it the
right to engage in abortion-related activities. Congress
has merely refused to fund such activities out of the
public fisc, and the Secretary has simply required a
certain degree of separation from the Title X project in
order to ensure the integrity of the federally funded
program.
Id.
In sum, in our opinion, the proposed amendment prohibiting
grants "to any person or entity which provides, facilitates, or
counsels or refers for abortions" is constitutional. A State may
enact funding restrictions which ensure that public funds are not
directly or indirectly subsidizing abortion. A state may require
strict separation of the activities of an ineligible entity from
those of an eligible affiliate. For example, in Rust the federal
government required separation of finances and facilities so as to
ensure no federal funds indirectly subsidized abortion. The State
can require that eligible recipients have facilities and finances
that are completely and objectively separate and independent from
abortion-related services so as to avoid indirect subsidization,
and also to avoid the appearance of government support for abortion
related activity which would be counterproductive to the State's
judicially recognized legitimate interest in promoting childbirth
over abortion. The State need not allow trust fund recipients to
use public funds to channel new clients into facilities where
abortions, abortion counseling, abortion referrals or abortion
promotion take place. As the Supreme Court stated in Webster v.
Reproductive Health Services, "the State need not commit any
resources to facilitating abortions." 492 U.S. 490, 509 (1989).
Sincerely,
DON STENBERG
Attorney General
Steve Grasz
Deputy Attorney General