Following the U.S. Supreme Court’s June 24 ruling in Dobbs v. Jackson Women’s Health Organization, which reversed the Roe v. Wade decision and will allow states to restrict or end abortion access, more large U.S. companies said they will cover the cost for employees who need to travel out of state for abortions.
However, it’s unclear how widespread the expansion of abortion-related benefits will be. In an early June survey of more than 1,000 HR professionals by the SHRM Research Institute, only 5 percent of respondents said that their organizations planned to provide travel expense benefits (gasoline, airfare, hotels) outside of a health savings account (HSA) for employees to access abortion and reproductive services that are not accessible in their state of residence.
Another question asked whether knowing that employees can use HSA funds for travel-related expenses to receive reproductive care including abortions in another state would affect contributions to employees’ HSAs. Among respondents at organizations that currently contribute to employees’ HSAs:
- Most organizations (87 percent) would not change their HSA contributions.
- 10 percent would consider increasing their employer contributions.
- 3 percent would consider decreasing their employer contributions.
Yet many prominent companies are publicizing their support for abortion-travel benefits, and other organizations may be doing so with less fanfare to avoid controversy.
SHRM Online gathered the following articles looking into employers’ responses to the Dobbs decision and issues around abortion-travel benefits.
JP Morgan and Conde Nast Will Cover Abortion-Travel Costs
The Dobbs decision triggered internal memos to employees and statements from several companies pledging to ensure their benefit plans cover abortion travel costs. Among these, JP Morgan told employees if they live in states where abortion is outlawed, the company will cover the cost of travel to a state where it’s legal, beginning in July. Media company Condé Nast will also pay for travel and lodging costs if employees need to travel out of their state for an abortion, according to an internal memo to employees. They join other major U.S. companies that earlier pledged to cover such travel costs, including Amazon and Levi Strauss.
(NPR)
Benefits Include Travel for Spouse, Support Person
Dick’s Sporting Goods will provide up to $4,000 in travel expenses reimbursement for employees to travel to the nearest location where abortion services are legally available. “This benefit will be provided to any teammate, spouse or dependent enrolled in our medical plan, along with one support person,” tweeted Dick’s President and CEO Lauren Hobart.
(Twitter)
Entertainment Companies Highlight Abortion Benefits
The Dobbs decision, which is expected to lead to abortion restrictions or bans in roughly half of U.S. states, has sparked a response by Hollywood companies including Disney, Netflix, Comcast, Paramount, Warner Bros Discovery, Sony, WME, CAA and UTA.
Paramount, in an e-mail to employees, highlighted company health policies, including the coverage of travel-related expenses “if the covered health service, such as abortion, is prohibited in your area.” At Warner Bros Discovery, the company’s chief people and culture officer said that “we are immediately expanding our healthcare benefits options to include expenses for employees and their covered family members who need to travel to access a range of medical procedures, including care for abortions, family planning and reproductive health.”
Others Quietly Provide Travel Support
While many companies went public with abortion-support changes following the Dobbs ruling, others will quietly adapt their health-care policies to accommodate abortion changes but remain mostly silent on the political questions raised by the court’s decision, according to Davia Temin, founder of crisis consultancy Temin and Co.
Additionally, rather than speak out and risk a backlash, companies might let their in-house health care policies and perks do the talking while many corporate leaders are largely avoiding making statements on the issue so far, according to Brian Kropp, head of HR at advisory firm Gartner.
(Bloomberg News via The Financial Post)
Texas and Oklahoma Target ‘Aiding and Abetting’ Activities
Anti-abortion laws passed by Texas and Oklahoma explicitly classify employer coverage or reimbursement of abortion services banned in those states through insurance or benefit plans as “aiding and abetting” unlawful abortion, while other state laws do not explicitly forbid employers from covering abortion or abortion services through employer insurance coverage. It is unclear whether Texas and Oklahoma, in particular, will attempt to apply their laws when persons who reside in one of those states seek abortion services outside the state’s borders. Doing so could raise constitutional issues that would likely be the subject of continuing litigation.
Tax and Coverage Parity Issues
Certain travel and lodging expenses can be reimbursed as “medical care,” and thus are excludable from income for an employee, but third-party administrators may not be willing or able to administer travel reimbursement programs immediately.
Employers considering reimbursing for certain medical travel—but not for travel related to mental health or substance-use disorder benefits—may want to evaluate risks under the Mental Health Parity and Addiction Equity Act, which requires employers that provide insurance coverage for mental health and addiction treatment to do so on an equal basis with their coverage of physical health care.