amendment for abortion services, especially as the result of rape or incense, especially, you know this is tragic in light of the many women who were victims of trauma for many years. can you go over ms. richards: i am glad we were able to provide you health care when you needed it. for theteful as well organization. we do serve everyone and that is -- care nomantra matter what. we believe it's important no matter what walk of life some of comes from that they get services. i remember the last time that this house of representatives went through a similar exercise. i remember hearing from a woman in north carolina who said i

don't know that they know that as military wives go to planned parenthood when the doctor on base cannot see us. i do know we serve military families all over this country and we are proud to do so. rep. duckworth: can you talk a little about senator murray's bipartisan legislation to allow women and veterans services act that would allow us treatment for infertility issues caused by military service being withdrawn as a result of the attacks on planned parenthood? ms. richards: i'm not familiar with all of the details of the bill but senator murray has been a strong advocate for ensuring woman in the military get the same types of services women do in the states. we are highly supportive of that. it is incredibly important to me health care vehicle lies globally and in the u.s.

rep. duckworth: thank you very much. i yield back. >> i am wearing a pink tie in solidarity with women's issues today. my daughter, my granddaughters, my wife, they are extremely important to me. planned parenthood commissioned examiningy fusion gps the authenticity of the videos. the conclusion of that report says the analysis did not reveal widespread evidence of video manipulation and shows no evidence of audio manipulation.

full versions of the videos are available on the center for medical progress website and the , showing theel only parts that have been edited our bathroom breaks and brakes were no conversations took place. i want that stated for the record, mr. chairman, as we had a lot of controversy about the the eyes show what was said. could i address? ms. richards: i do think it's important that -- we at planned parenthood asked even prior to this committee that all the original source footage be released. that is actually still not happened because we want to know -- we want all of it out there. >> we want that also.

what we have seen so far, the ears have heard what was said. address the unnecessary tax coming from some of the other sides. especially on men taking an interest in the lives of people most important in our lives. if men in the society are not allowed to stand to the defense of women and children we love, what has our country fall into? it's a shame even have this type of hearing today when we have been brought into a frenzy and tocern about what happens our babies, are most defenseless. i just held in my arms my brand-new granddaughter three weeks ago in an african country where she was born. i think god for that life, that unique, special life. i told my son-in-law on the way home that it's amazing as we drive on your today having never met this little girl before, i would give my life for her. i love her. she is unique and special.

that is why we have this hearing today. we want to get to the truth. we want to make sure women's health care issues are dealt with and appropriately. in that same country, meeting with the president of the country the next day and the speaker of parliament who is a female, they pleaded with me as a member of congress to stop hurting their women and families and children trying to change their culture with organizations like our state department. let me ask some questions here. i take this information from planned parenthood federation of america. fromwebsite and i take it medicare benefit policy manual. it says that both federally centersd health care and planned parenthood centers provide std testing, cap

testing, manual breast exams, birth control. both entities provide that. is that correct? ms. richards: i don't know what fhqfc'sirety of all provide but yes. mammograms,g: cholesterol screenings, ear, dentale, screenings, well-child services, radiological services, cardiovascular blood test, but mass measurement, nurse on staff -- all of those according to your website you don't provide. ms. richards: we provide in some places but it's not a core service. rep. walberg: it's not a promised service. according to the medicare benefit policy manuals, the federally qualified health care centers provide those services. i would suggest that the care is there in 13,000 without the

controversy of the abortions -- the fetal manipulation and potential use of body parts the wrong way. i think for the record if we're talking about women's health here, the issue of where we find it is found in 13,000 centers available to women and medicaid isn't dealing with it and your opening statement indicated great problems with medicaid and obamacare is supposed to take care of that. my time has ended and thank you. >> the gentleman from michigan. -- gentlewoman from michigan. >> is troubling to set here as a woman and here's some questions .hat obviously are insensitive one, the continual question of why don't you provide the x-rays for a mammogram where every

woman here knows you have a primary doctor and that dr. examines you and if there is a lump, you are referred to a specialist. i wish those who sit here to ask those questions would actually have the sensitivity to understand what a woman goes through with her health care. that would allow us to ask more important questions. secondly, it is exhausting to keep hearing about federal dollars be spent on abortions when repeatedly the facts state -- and it's not a controversy, read the faqs, do your research ,efore you ask these exhausting insulting questions. we cannot use federal dollars for abortions this is not a lump sum budget item we give to planned parenthood. it is reimbursement. how many times does that have to be repeated for this to become

an embraced fact? if there were no citizens of the united states going to planned parenthood to receive these medical approved services that we approve as a congress, there would be no we amber's meant going to plan -- we amber's reimbursement going to planned parenthood. i know my colleagues are more intelligent than this and thisexhausting to hear attack, to use information that is totally incorrect. as if you keep saying it and it becomes factual. ,y question, miss richards there seems to be this continuous thought that if planned parenthood went away that there would be these other health care services for

millions of women because you want away. there is a suggestion all of these community health centers would step in and fill up. rosenbaum, professor of health and law and policy at george washington has worked with the community health center for your and i quote "a claim that committee health centers can absorb the loss of planned parenthood is a gross misrepresentation." i would ask you, can and your experience in health care the perception that if you want away it would be totally absorbed, can you please respond? ms. richards: thank you. this is an important point and i know there has been a lot of discussion. we see 2.7 million patients a year, 70% of which are at 150% of poverty or below. these are people often uninsured

and certainly have less access to care. there have been a lot of reports that are come out since congress has suggested eliminating access to planned parenthood. estimateddget office 390 thousand woman would lose ear if woman could no longer go to planned parenthood. some of the questions that have -- in somequit areas, we are the only safety net family planning provider. that is the care for most women and particularly young women and the care they need is family-planning, access to cancer screenings. in many areas, it is a long wait. 60% of the clinics will see people the same day. in some areas, they won't take any medicaid patients.

rep. lawrence: it is true the medicare and the targeted audience or group that uses planned parenthood are often --se who are most at risk african-american, minority women die at a higher level than any other population when it comes cancer, actually dying from having pelvic or cervical cancer. we are actually giving opportunities. -- or askinterject mr. chairman, to enter a letter into the record from latinos organization that stated they the communityt health centers could not absorb this. >> with that objection, order. but your time is expired. the gentleman from arizona.

>> i yield my time to the gentlewoman from utah. >> i want to say thank you for coming and answering questions. i want to be very clear that there are no gossip questions i just want to get as much information as possible. i'm not here to change your mind or the minds of my colleagues, i'm just time to get as much information to the public as possible and i think they deserve to have some answers. in the annual report, planned parenthood's annual report, it says you're providing over 489,000 breast cancer screenings and you stated that none of your clinics actually have the mammogram machine. how many of your affiliates have the mammogram issues? ms. richards: our health centers are part of the facility --

affiliates. havelove: how many of them immigrant machines? ms. richards: affiliate is in the health center. machineshave mammogram at our health centers and we've never stated we did. for women who go for breast a breast exam and if you need a mammogram, your referred to a radiological clinic. mrs. love: so you are for them to greater logical clinics. ms. richards: we have partnerships and a lot of different ways in which we refer. mrs. love: that's what i wanted to know. how much does planned parenthood make from cancer screenings? ms. richards: how much we make? mrs. love: the revenue. ms. richards: just talking to federal funding, we don't make money off of cancer screenings. how much is made from

abortions? ms. richards: you're going to have to bear with me for a minute. if you could respond as quickly as possible. ms. richards: there are 59 affiliates. each of them are completely different and they all run their own operation and i think this question was raised earlier -- i cannot tell you -- mrs. love: you cannot tell me how much you make from abortions. mrs. love: the national office the not provide it at national office. we provided information for all 59 affiliates, their audited financial statements. mrs. love: i wasn't even asking about the affiliates. ms. richards: that's where the health care centers are provided. mrs. love: you just say you don't have the numbers so you don't know. ok. for the year ending in june 30, 2014, according to planned 127.1hood reports,

million in revenue over expenses. planned parenthood reported a 53% reduction in cancer screenings and prevention services and 42% reduction in breast exams and breast care while abortions have increased 24%. can you understand a bit of the hesitancy and tried to figure out why those numbers have gone down where abortions have actually gone up? ms. richards: we don't mix apples and oranges here. federal funding pays medicaid funding for their specific preventive care services. federal funding to his not pay for abortion. mrs. love: why would it be so offensive if we actually took funding and put it into clinic that actually provide health care exams and mammograms?

the medicaid reimbursement -- if they are going up, that's because more services are being provided and many women now because of the affordable care act and medicaid expansion, there are more patients on medicaid coming to us for health care. all the reimbursements are directly related to health care delivery services. earlier --t here planned parenthood is like any other hospital or health care provider -- mrs. love: you've also made it very clear that planned if planned-- parenthood wasn't around, it would be difficult for low income families so what's the responsibility of hospitals and other clinics that people can actually go to? place thats: it's a two point 7 million patients choose voluntarily to come to every year.

what's important is in a lot of areas of the country, they won't take more medicaid. mrs. love: what is our job here? to provide as many options as possible. ms. richards: i would agree. mrs. love: there's no reason we cannot provide those options elsewhere where people can have their choice to wear they go. ms. richards: i think this may be an area where you and i -- mrs. love: my time is up. ms. richards: i would like a chance to answer the question. mrs. love: you did, actually. he did answer my question. the gentleman from arizona. i would like union must consent to take four pages of the annual report so we can have documentation on the reduction in the breast exams and breast care. without objection, i would like to enter that into the record. we now recognize the gentleman

from california for five minutes. >> thank you, mr. chair. s. richards.r and thank you for running an organization that helped millions of men and women across america and on behalf of the majority of and in woman of this great nation, i want to say thank you. having sat here for the last hour and a half, i feel like i'm in an alternate universe. i think it's crazy we are having this hearing is on heavily edited videos and misleading videos that show the exact opposite of what was happening. what was happening is planned parenthood was following the law . it's also crazy we are here when we have fetal tissue research legal and has bipartisan support. it's insane but in my district now because of business leading had to gomen have

through two sets of a bombproof doors to access health care. i thank you for your courage and i note the cowardly and is of the makers of this videos who were too scared to come before us to testify. let's come back to reality for a few minutes. in the u.s.,egal is that correct? ms. richards: it is correct. lieu: the law of the land is the constitution of the u.s. come is in that correct? ms. richards: correct. leiu: an planned parenthood allows women to access that constitutional right. gets anyof that federal funding, correct? ms. richards: that's correct except for the limited circumstances provided by

federal law. mrs. leiu: there are multiple clinics throughout america to abortion services, correct? ms. richards: correct. mrs. leiu: they provide services that have dedicated reimbursement services. and no one is saying let's shut down medical clinics and hospitals because they have -- provide abortions. they're going right after planned parenthood even though you do the same thing as these clinics because you have separate items. let's talk about fetal tissue research. it has made anonymous life-saving changes for millions of people across the world, correct? that's right. rep. leiu: fetal tissue research has resulted directly in the

development of the polio vaccine, vaccines for hepatitis a, rubella, chickenpox, shingles, and rabies. anyone in america that has a family member or themselves been affected by multiple sclerosis, can thank feel tissue research for mcnabb than smith in that field. you can think fetal tissue research for making advancements in those areas. it is crazy that we are here because the other side wants to shut down government because planned parenthood was following the law, because feel tissue research is helping a lot of people. that doesn't make any sense to me. let me conclude now by asking

you to respond to questions about why there has been a reduction in cancer screening. isn't true because guidelines have changed that they said let's do less mammograms and terms of the medicaid thebursement, they changed guidelines about pap smears. ms. richards: that's right. rep. leiu: let me read a quick letter from one of my constituents. she said she grew up in a small desert town and made some poor choices and started having sex at 15 and didn't want to end up pregnant like a lot of young girls so she went to the one place she knew would help her, planned parenthood. they later from comfortable, gave for an exam, gave her birth control and told her she had an std and needed to take antibiotics.

because of what planned parenthood did, she corrected herself, graduated come and is now a medical doctor. -- graduated, and is on medical doctor. she thinks planned parenthood -- thinks planned parenthood. i would also remind all members on both sides that the description of motivation is not something we generally allow members to push on other members. i will tell you in response to what the gentleman said, the producer of these videos was not invited to this hearing. part of the reason we didn't do that is i think i did the responsible thing and you've heard mr. cummings in support of subpoena tosued a get the videos and the only reason they have not been produced is is a temporary

restraining order by a court in california. i would thought to have the videos but we have to see all the videos. that's what we're trying to do. there was never a suggestion that this gentleman was anything but cooperative. he simply was not invited here because without the videos, we cannot have a good discussion about that. this. me just ask you with this order, not of california, are we going to continue to try to get all of the videos? i see how we have an aggressive with regard to getting witnesses and trying to get documents and this is such a very important issue and as i've said to you

i'm concerned about is the integrity of the process. bese videos are going to partially the foundation of what we're doing. i think we need to have all of them and pursue them just like we would pursue other items of information needed. i asked if we will continue to pursue that. >> absolutely. we will continue to do it. that's what we did without the support of the minority in this case and we will continue to do that but i think we would have gotthem by the time they here but we did not. we are working closely with house legal counsel representing us to make that case to that .ourt and client

>> let me make it very clear -- subpoenaoin you in the to get every single tape period. as a ranking member, i am letting you know that. >> i appreciate that. now i recognize the gentleman from tennessee for five minutes. >> thank you and i would to yield from the gentleman from arizona. a mr. cummings, you made comment earlier i want to address. the new york times reported epa released a lobbying campaign to rally comments and support for its new u.s. regulation. you earlier went off on lockheed martin in regards to that application. disregarded the

anti-lobbying act and broke the law. if you believe in what you're talking about, i hope you would cosponsor my removal of mccarthy as the administrator. dr. those processes in here. mrs. richards, you are a ceo? ms. richards: right. >> so you understand market profit. ms. richards: i am the ceo of a nonprofit. >> you are obviously -- ms. richards: we don't profit. i don't look at how to profit but we do look at how to expand into areas where there is unmet need. >> ok. your market penetration is different then your market penetration in new york state you would say. ms. richards: i ensure. >> there are three in arizona and quite a few more in new york. i kind of want to go back. in your annual report, it

for theexcess revenues fiscal year of 2013-2014. that number has jumped 80.5 million in 2010. i would like you to tell me how you got the growth of those funds and whether you see a growth in that profit. ms. richards: it's not profit. let me be really clear in terms of terminology. it's not profit, its revenue we use for services. >> so would we agree it's excess of revenue over expensive? ms. richards: correct. it's from fundraising. that's what i spend a lot of my time doing. there are areas of the country where we want to expand. to your question about if you only have one health center in a state and you think there is more need, we are involved currently in raising money and spending it --

i can give you several examples. we fund raise to expand services specifically. what are you looking to report in 2014? ms. richards: we haven't provided thousands of pages of documents. >> you are a pretty good ceo. you're looking at access revenues over expenses. that is pretty good. i'm having trouble in regards to fundraising, particularly when i the at these numbers, preventive numbers. breast exams, on and on. i was a dentist. i understand medicaid reimbursement rates. they don't pay.

ms. richards: correct. mr. gosar: you are lucky you get reimbursed your cost. ms. richards: you know it varies. we raise money to supplement the cost of medicaid services. mr. gosar: with the mediator, what have you been able to for the price of contraceptives. is there a year price you could lower down to get a price fix? ms. richards: no. mr. gosar: it is being reported that it is three dollars. for the average contraceptive. ms. richards: it is very much all over the map. mr. gosar: on the average. ms. richards: i really disagree with you. what ends up happening is you are reimbursed by the federal government at $35.

if you're looking at spreading the wealth of pharmaceuticals, don't you agree? that facilitates more services. entire focusesur on serving as many patients as we can. your example -- mr. gosar: that is not true. you have narrow the focus. ving fewp ha primary care doctors. ms. richards: i disagree. mr. gosar: this is my time. don't interrupt it. you have narrow the focus so you are profiting off of death. where you're making profits is off of abortions. >> we will now represent the gentlewoman from new jersey. enduring what i consider to be an offensive

approach on the part of my colleagues. , notrhetoric giving you a chance to answer the question. videos,ere because of planned parenthood doing something illegal? are we here because the ideological right wing of this republican conference here in anti-womenimply sell sit right to choose they would bring you here for a for steering, or are we here because someone believes planned parenthood doesn't need federal reimbursement for the health care it gives. facetiousthe she

reasons printed at what they don't understand and to suggest they are ill-informed, if they are ill-informed it is because they choose to be. i could not hardly get into this room today with all the people on the outside trying to get in here to be supported of planned parenthood. we know and recognize the impact that planned parenthood has had on healthy lives, not just women's lives. including men's lives. we know in new jersey, in my state where this governor, chris christie spent so much of his defunding planned parenthood, suggesting the federally qualified health care centers would be able to take up the slack, they came in and testified they couldn't possibly accommodate all of the deficiencies that would occur. we know that the work that you do -- i wanted to do a couple of

things quickly. i want to acknowledge the young men and women in the overflow room. thent to talk to about mystery man who spent so much of his life trying to discredit planned parenthood. you have a forensic report done on those videos. ms. richards: correct. ms. watson coleman: and it revealed there were so many discrepancies, inaccuracies, and it would be impossible to characterize the extent to which the undisclosed editing cut the meaning of encounters. the manipulation of the videos does not mean they have no evidentiary value and cannot be relied upon. i want to put that report into the record, and i am asking unanimous consent to do that. we ought to be getting the other

part of the story. i placee i rule on that a temporary objection and place. let me look at the report. ms. watson coleman: i should also register my temporary objection to the fact we have one witness year and we have not even try to get anyone else here who would be able to be question in regard to the accuracy of the allegations we are moving on now. give want to say before i you an opportunity to answer any questions left out there in the universe hovering over us so that you can put things that are on the record -- that this is another very poor illustration of our deflecting our attention away from the work the people have elected us to do. we need to have an export import bank that creates jobs. we need to have an infrastructure program that creates jobs.

we need to be reauthorizing the appropriate aspects of the voting rights act. we have so much good work to do but instead, we harm a woman's right to make choices that are hers to make. i would like to yield to you the balance of my time to answer any on answered question you may have. thank you. ms. richards: i would mention to the chairman that i believe we have given the forensic report to you and provided that a while back. we can follow up. i appreciate your comments. either today for the 14th of on restricting women's access to health care in this country. going back to the questions on the other side, this is about women's choice to me. it is about a long women in this country, particularly women of low income or areas underserved by other health care providers,

allowing them to make their own decisions about their pregnancies and health care and where they get service is. -- services. wey women come to us because are the best of women's health. i think they deserve the right to make their own decisions about where they access the doctor and clinicians of their choice. ms. watson coleman: reclaiming my time -- >> the gentleman's time is more than expired. indulge -- il you can't. 10 seconds. ms. watson coleman: it seems to me this is not the appropriate time to be making decisions about defunding planned parenthood when we don't know why we want to do it. thank you. madeentlewoman has unanimous consent to enter this

analysis. i would also like to add onto that the digital forensic analysis report delivered by coal fire systems. i asked both of these be entered into the record. without objection so ordered. we will now recognize the gentleman from texas. >> thank you. i want to talk about one of the reasons we need to take a closer look at the funding of planned parenthood, not just as a result of these videos but as a result of financial issues coming up. as president of planned parenthood you are aware that planned parenthood of the gulf coast, the houston area planned parenthood, pay aid -- paid a settlement for false claims made to medicaid in the texas woman's health care program. is that not correct. ms. richards: that is correct. >> the obama administration's department of justice said

they submitted false claims. >> i am not aware of that. we have been the target of the same group that has filed many lawsuits, the one area that i know was settled. >> the united states contends that planned parenthood of the gulf coast submitted false claims and made false statements to the united states in conjunction with claim submitted to the united states. without objection i would like to have this settlement agreement entered into the record. >> without objection so ordered. >> they paid to settle those claims two years ago. office of thethis inspector general concluded planned parenthood overbilled taxpayers another's -- in medicaid? ms. richards: i am not aware of what you are referring to. i'm happy to look at it.

>> planned parenthood affiliate failed to reimburse its subcontractors for half $1 million in claims. aware ofrds: i am not the and an organization doesn't exist and hasn't for years. >> that is an issue. we're talkingngs about today is taking the money going to planned parenthood and sending it to community health centers. how many facilities in texas? ms. richards: i don't. bear with me. i will make sure i give you the right number. we just opened in plano. we have 38. 39 now. >> we have 732 community health centers, some of those focus on pediatrics for men's health care, other specialties. what you admit there are more facilities, federally qualified

facilities that offer women's health care than pan -- planned parenthood? ms. richards: one of the problems in texas is there is a drop in accessed woman's health care, particularly after planned parenthood was for political reasons taken out of the women's health program with a 25% drop in women's health care access. in some areas like the rio grande border that are vastly underserved. >> we only have three or four facilities. i promise to ask a couple of questions that sums constituents on social media asked me to ask. i would like to use my last minute and a half. lauren want to me to ask what efforts and steps does planned parenthood take to guarantee providers follow state laws requiring reporting of child sex abuse. ms. richards: we have rigorous standards that we apply. the health and well-being of our

patience is our number one concern. we serve a comply with all state and federal laws. if there is an issue we take swift action. about the same thing the chairman did when he began this questioning about the activities of the 501(c) four organization that planned parenthood has helped fund, you have helped manage, and funds have then transferred into. one of my concerns with your reported goal of making access to women's health care more available, isn't the money that you are diverting to lobbying effort and politics money that could better be spent delivering health care to women? ms. richards: as you know on the state of texas the number of laws in the state legislator to try to restrict women's access to almost every kind of health care requires not only the planned parenthood action fund

but other organizations to lobby extensively. >> you also spoke earlier but how you have doctors providing women health care and those doctors are funded by the title 10.oney under are some of those doctors providing abortions, would you afford those doctors and have them entirely busy but for the federal funds coming in? ms. richards: that is a long question. funds are the most important thing out of that. federal funds do not pay for abortions at all except in limited circumstances of when the woman has been raped, or her life is in danger. not directlyh spent they help facilitate it. that is one of the reasons i support defunding. thank you mr. chairman. mr.issa: before i recognize

[indiscernible] after he does his questioning we five do a brief four- minute break. we will continue on until we get to the chance for the rest of the panel. i was suggest remaining in your seats if you would continue witnessing the hearing. for those who have yet to ask questions, hang tight. >> i don't know how to take that break after my questioning. usually they take a break before i ask questions. i want to thank you for being here, the way you have carried yourself through this hearing and this recent history and the wonderful work your organization does. ofant to have two lines questioning. the latter part, very specific. in my experience, and local

iternments, in california was my experience the clients shows planned parenthood because they wanted to. whether they were private pay or not. we developed relationships between the county health system menu because the clients clearly preferred you in our communities. in the spirit of local control it seems in the federal guidance you competed well in the open market place. is that not true? ms. richards: i appreciate that. h quality health care is our entire mission. we are pleased many men and women choose planned parenthood over other health care providers . we believe we provide an excellent service that is outreache land we do

as well. mr. desaulnier: you are more then those in the county system. this is one of those instances -- that is odd hearing is just my perspective. having said all that, on the specific issue of the bipartisan support for fetal tissue research, 1988, maybe you can respond, if this is correct or not and if you have any comments, in 1988 there was a panel called the human fetal transport research panel that would be established under president reagan. the panel came together and study the science and they .ssued this conclusion

it was acceptable public policy to support transplant research with fetal tissue. to be clear that was a apublican share of a rep committee established under president reagan. ms. richards: that is correct. it was a committee that had supporters of abortion rights, opponents, it was a bipartisan effort to come to what seems to be a good conclusion that was passed overwhelmingly by the united states senate. mr. desaulnier: this panel issued this report, consulting , and that lawt set forth the rules of fetal tissue research in this country. that is correct is a net? ms. richards: that is correct. mr. desaulnier: for decades fetal tissue research has had significant bipartisan support.

one of the reasons this research has had strong support, because it helps millions of people. the new england journal of medicine published an article and its observations were virtually every person in this country has benefited from research using fetal tissue. every child who has been spared poliosk of child talks or . would you agree with that? >> that is correct. probably everyone in this room has benefited in some way. thank you for: the work you do. while i appreciate your comments as we evaluate, as we evaluate the efficient use of taxpayers , wey, from my perspective

did our due diligence and this was the most effective and efficient way of investing in our client needs. ms. richards: glad to hear it. >> one quick question mr. richards. what you like most about your job? ms. richards: getting to see the patients that we serve every day and the young people who are going to have more opportunities than we ever did. it is great. we are going to recess for roughly five minutes. we intend to start back up again.

>> the meeting will come to order. the next person recognized as the gentleman from north carolina, mr. meadows. mr. meadows. thank you for your testimony. i'm trying to take the emotion out of it. everything i will be quoting comes from planned parenthood. 3%is my understanding that according to your website of the services planned parenthood offers are abortion services. is that correct? total services? ms. richards: my microphone was not on. 3% delivered, total services.

mr. meadows: you don't have the total amount of money you can't give the committee -- that you make or receive from our abortions. ms. richards: the national office does not provide health care services. 59 affiliates provide services. that would be every single organization. mr. meadows: you would have access to that. ms. richards: i'm sure they have it i don't have it myself. mr. meadows: how do you come up for 3%? women served by planned parenthood according to testimony. ms. richards: that is correct. mr. meadows: annually you provide according to your report 327,000 abortions last year according to your annual report. i do the math. 2.7 million people, 327,000

abortions, that is 12%. how do you get 3%? these are your numbers. why is it not 12%? ms. richards: people come to us more than once for different services. some people come to us and need -- mr. meadows: let's go further. i'm having trouble coming to this. onyou would put up the graph -- this is a tax return from one of your affiliates in rochester, syracuse. line 2-b.ld read ms. richards: pregnancy termination. mr. meadows: the dollar amount next to pregnancy termination? how much? again, i have

never seen this before. i'm simply reading what you are -- to read. reprint mr. meadows: 1,000,020 $4000 for pregnancy termination, according to your affiliates tax return. when you have tax return for all your affiliates? where we could get this information? ms. richards: i know that we have provided -- mr. meadows: if you take the million and divided into the total revenue of 5 million, that would indicate revenues of 28% for abortions. where does the 3% -- ms. richards: you are mixing services and revenue. 3,000,700 -- g, mr. meadows: what you think the

3% is misleading? ms. richards: no. we are the most highly regulated organization in this country. mr. meadows: i would disagree with that. ms. richards: we are transparent about our numbers. mr. meadows: i got this from one of your affiliates. will you provide this for all your affiliates to this committee? ms. richards: i believe we have. mr. meadows: now you have it. ms. richards: i believe we have. mr. meadows: this is the only one that had it. will you provide this for all your affiliates? ms. richards: we have produced all -- we have a disagreement of opinion. mr. meadows: will you provide? ms. richards: we have already provided the nine 90's. mr. meadows: they didn't outline it like this. are you saying they don't keep track of it? ms. richards: you said it.

every single affiliate and planned parenthood meets with all the laws and regulations and the file their nine 90's. mr. meadows: that is a great question i a number didn't ask. the revenue that you derive from abortions. ms. richards: i have said to you we have provided an been extremely cooperative with this committee and the other three committees. we have provided all the nine statementshe annual of our affiliates, and i'm happy to talk to the staff here about what else is needed that we are not providing. above andwe have gone beyond in providing everything that has been requested of us. mr. meadows: my time has expired. thank you. mr. issa: the gentleman from pennsylvania. mr. boyles. i want to thank miss

richards for the manner she has conducted herself. mr.answer surprise me when cummings asked what the paper part of your job was. i assumed you were going to say sitting here for three hours. i do want to focus a couple of these statistics, a couple that have not strongly led to a very important point. the consequences of the legislative action proposing. let me briefly go through. women and menlion that planned parenthood see every year. ms. richards: correct. mr. boyles: 1.5 million patients receive services for title, the nation's family planning program. i wanthards: i think --

to make sure i answer you correctly. eitherlion patients are -- they come to us through some federal program or the medicaid program. a number of them are title x recipients. mr. boyles: contraceptive services prevent 1.2 million unintended pregnancies, which would result significantly in 590,000 unplanned births, and 190,000 miscarriages. in a country with approximately one million abortions a year we are talking about the services that planned parenthood provides , the majority of your work, the number of abortions would be 40% higher. the consequences of what we are

talking about have not fully been laid out, not just in terms of cancer screenings and treatment of stds, but what would be an increase in the number of unintended pregnancies and abortions. ms. richards: that is interesting. right now there is such exciting research happening with better contraceptives. young women now can get long-acting reversible contraceptives. i have been questions about why we have fewer visits in some areas. now you actually don't have to come back to planned parenthood every month to get birth control pills because we can provide them for six months. in states that have pioneered this work to provide women any birth control we are seeing dramatic drops in both unintended pregnancy rates and abortion rates. mr. boyles: that is something we can all celebrate and maybe the

focus should be on how best to provide women health care they need and this is something where we can build common ground. i do want to point out, you cited this before, according to the nonpartisan congressional budget office, if this legislation goes through, 300 90,000 women would lose access to health care. -- 390,000 women would lose access to health care. ms. richards: you are right. i appreciate you bringing up the cbo study. it is an important thing. we are the only safety net family probabl planning provide. folks who are taking medicaid patients won't take any more. medicaid patients don't pay for services. the other thing i would like to whoasize is there are women choose planned parenthood even

though they have other options because we provide high quality health care particularly family-planning services they may not be able to get without shame. , theoyles: earlier statistic i had and you cited, of patients have incomes of 150% of the income of the poverty level. we are talking about people who don't have a great deal of options. ms. richards: that is the point. low income women in this country should have all the same options to have high quality affordable health care as every other woman. mr. boyles: i will yield back. the gentleman from florida. >> thank you.

miss richards. if a child survives and abortion should begin been medical care? ms. richards: i have never heard of such a circumstance happening. >> really? ms. richards: yes. at planneds: parenthood i'm aware of no instance where -- we don't provide abortions after viability. in my experience we have not had that kind of circumstance. >> but you would say there would be medical care in order at that point? ms. richards: again, i want to be responsible for planned parenthood and what they do. this situation is never occur that i know of. -- that baby get

appropriate medical care from a physician. mr. boyles: have you watched all the videos? ms. richards: i have not watched the multihour edited videos but i have read all of the written transcripts. mr. boyles: the ones on youtube you have not watched? ms. richards: there have been hours and hours. i did read through all the transcripts that have been provided. thatld say it is important my position is i would like to see all of the videos not edited. those have not been provided. mr. boyles: there is one specific one, a technician describing harvesting the brain of a late-term boy. she said she wasn't sure if the baby was alive since its heart was beating and she harvested thebrain by harvesting brain. ms. richards: that woman does

not work for planned parenthood. mr. boyles: do you deny that her description of what happened is something that does occur in planned parenthood. ms. richards: there is nothing that she is describing that i could attest to has ever happened. mr. boyles: you can categorically testify to that. to what?rds: i would be careful about what you are asking. i don't remember that particular video. she has never worked at planned parenthood. mr. boyles: she was a technician. it was something that was very troubling to read that, to watch that video. do you admit that planned parenthood or its affiliates harvest and sell fetal body parts for profit? ms. richards: we are very clear at planned parenthood. fetale a clear policy on tissue donation. it is done with the full consent of the patient, and as i said

earlier in my statement, it is only done in fewer than 1% of planned parenthood health in one affiliate in washington state that does not receive any reimbursement for their cost. inre is only one of their california. they have assured us that whatever reimbursement they receive is less than what the costs are for providing fetal tissue to that organization. of theles: then the case price of the parts, there is no profit being made, why would you be negotiating what they are being sold for? disagree withi your characterization of that and that is why i read the transcripts. not these edited sensationalized videos. we take this very seriously.

over and over again. i disagree with your characterization. mr. boyles: let me ask you this. do you deny planned parenthood will alter abortion procedures to better harvest fetal body parts? ms. richards: we have a clear policy which i'm happy to read to you about how we allow patients to make beetle tissue donations. -- eagle tissue donations -- fetal tissue donations. issued any have you updated guidance to those who fetal tissue? ms. richards: i disagree with your formulation. you issued anye new guidance with the past three months? no.richards:

although in my letter to congress i have asked our chief medical officer to review the work we do. it is very limited in fetal tissue donation to ensure that if there is anything we can be doing better, we would like to do that. mr. boyles: my time is expired. >> there is a sharp disagreement about abortion. i think each side is entitled to mutual respect. there is a significant disagreement about fetal tissue research. law sayslear is the abortion is illegal and the law has limited authorization for fetal tissue research. what planned parenthood is doing is completely consistent with the law. we are having an argument about redactedhat has been

and doctorate. there has been no dispute of that. all of us would like to get the entire video. process, investigatory we would get the evidence before we argued that the evidence we don't have. to get toe limitation the truth. i'm going to speak for vermont. choosewomen voluntarily to get their primary health care from planned parenthood. these are individuals of free will acting on the basis of what they believe is in the best interest of them getting the health care they need. the proposal that we could thatfer the services planned parenthood provides to our community health centers doesn't stand up in vermont. we had community health centers we are proud of. we have all been big promoters.

the clientele is a different population than women who have plannedhoice to go to parenthood for the women's health care issues. whatproposed remedying have an incredibly negative impact on the choice that vermont women make about getting basic health care. ist health care that important to the woman who decides to go to planned parenthood is really appreciated by her family, their partners, and the community. what is congress doing here? we are having an argument. it is never going to end. we are proposing to proceed in a way where the effect of our investigation is going to have collateral consequences that compromise the ability of women

to get access to basic health care needs. it is also the context where it is undisputed that the services planned parenthood provides helped reduce teen pregnancies and other pregnancies. i think we should take a step back here and think about what -- do noore we act harm. i do want to ask you a couple of questions. it is alarming, whether you were selling for profit. body parts. contract in call rodney o -- colorado asking to buy tissue samples. were you familiar with that document? ms. richards: yes. affiliate added

the following tax per the payment shall not under any circumstances be calculated to generate a profit for source. is that what the affiliate did? that is a good example of what happened across the country. committed to -- they were committed to rooting out any misdeeds. they were trying to entrap doctors and clinicians into signing bogus contracts and breaking the law. this is a good example of where they were completely rebuffed. they continued to badger and badger doctors to try to get them to commit to something that was unethical. did they agree to the terms or lose interest? ms. richards: there was never a

contract that i know of that was sent back. mr. welch: a failed attempted by him, he sent a letter to chairman upton. you said this. they offered to pay much more, sending the procurement agreement that offered $1600. your letter says this was an astronomical amount compared to affiliates are allowed to recoup under federal laws. ms. richards: i don't have that in front of me. it sounds to the best of my knowledge is correct. mr. welch: i'm out of time. mr. issa: the gentleman from north carolina for five minutes. walker: i am married to a strong lady. she is a family nurse practitioner. manyelped launch a program

years ago. we stand together. we have done work in inner cities and places like cleveland and baltimore. i'm troubled with statistics we have seen out of new york. maybe you can address that. i want to give you a chance to respond. according to new york health department statistics we know that there are more african-american babies aborted in new york than born alive. ms. richards: i'm not aware of that statistic. mr. walker: with that concern you? planned parenthood has more clinics in new york state that any other state. ms. richards: that is not true. mr. walker: what is the number one state? ms. richards: i believe it is california. it's not only -- planned parenthood -- there are a number of providers in new york nine -- beyond planned parenthood.

mr. walker: if we are going to put up with the statistics we want to talk correct on the numbers. ms. richards: it is an important point. the lack of access for african-american women in particular to basic preventive health care including family planning is a huge problem. mr. walker: it is. i agree with you. that threecern me times the population, 13%, aborted three times the person of the population at 35%. that should concern all of us. the 32 million sent overseas. any planned parenthood send funds to the democratic republic of congo. ms. richards: this was asked earlier. i did not bring material about

international global program. to get back to you. it is not something i thought was a topic at the committee meeting. mr. walker: we have laws in this country that permit -- prohibit to --m sitting questions prohibit us from places we have sanctions on. ms. richards: i commit to you i will get information and work with the committee about the congo. mr. walker: as a former pastor, 15 years, there many times where we counseled women of different ages for different things. sometimes 15-25 years later after going through an abortion there was still some struggle. i don't disparage these women. of the $500 million of taxpayer money that goes to your organization, how much is set aside to offer counseling to

women struggling? ms. richards: this is hard to explain. i feel like we are talking past each other. we don't give a big check. we are reimbursed for direct services. they are family planning, std testing. i may agree, i would love in this country if we would fully fund for planned parenthood or anyone else counseling service for women on a host of issues. it is underfunded and it is important to us as well. we do counseling with women every day. mr. walker: i agreed to are some legitimate services offered. this is something that i saw for 15 years. revenue, howon in much is set aside for women seeking counseling? ms. richards: we counseled women and young people every single

day. planned parenthood health senators across -- health centers across the country. most of it uncompensated care. amazing as faris as the amount of revenue that exists. that is why i wanted to talk about what you are sending overseas. to bere is proven criminal activity through an investigation would you have any problem redirecting the $500 to other women's health organizations? ms. richards: i am not going to answer to a hypothetical. we follow the laws planned parenthood, this health and safety of our patience is our number one concern. if there is any issue at the state or local national level, we will address it and we do so swiftly and we always have.

mr. walker: thank you. i yield back. mr. issa: the gentleman from the virgin islands. >> thank you mr. chairman. thek you for being here for time that you have. i reiterate so much of what my colleagues here on the side of the aisle have said regarding this hearing and the concerns. havend your office know i vocalized privately that i am displeased planned parenthood is not present in my own district in the virgin islands. we have 4 million people. the reason i'm displeased is because i know the good work planned parenthood does for its women. 141 unplanned teen pregnancies per 1001 the national freight is 29 pregnancies per 1000, i see how

important the work that you guys do is to different areas. the chairman has seven clinics in his area in utah. we would be glad to take any one of them in the virgin islands to be able to support women's health and the work that you do knowing that 78% of those clinics are in rural areas. i know this committee is searching for truth. that is the purpose of the oversight and government reform committee. we need to do that in an evenhanded matter that reflects the integrity of this committee. i think this is a premature committee hearing, if not the fact the other side, the minority is not here. i understand that he has had restrictions on the videos being produced. he has not produced one document

that has been requested by this committee from either sides. miss richards, do you know how many documents planned parenthood has offered? mr. issa: will the gentlewoman yield? >> not at this time. thousands of documents. >> 20,000 pages. the ranking member has sent a request for documents and the chairman has sent their own request for documents. a subpoena was issued and it has not one page of documents. miss richards, i'm going to ask you questions, we only have your documents that we are able to you toon screens and for be questioned about.

i understand there are several states that have launched investigations. prof. tobin: there have been a variety ms. richards: as a result of this recent campaign or have been very u various states. >> and several states have cleared planned parenthood of wrongdoing. there has not been produced any credible evidence your organization has broken a single law. ms. richards: i believe that is true. >> there is plenty of evidence violated state law. through his group obtaining tax-exempt status and soliciting charitable contributions under false pretense. are you aware that the center

for medical progress obtained a , as a biotus engineering medical association? ms. richards: all i know is what i read in the paper. >> that is the state organization that filed to company.sham miss richards, as far as i know illegally filing false paperwork with a state agency is illegal and against the law. ms. richards: it may be. i know there is a lawsuit pending. the attorney general has indicated an investigation. >> for me, to have this discussion with you without having the balance of the other side becomes problematic. mr. chairman did you want to say something? mr. issa: she made a suggestion

that he has not been responsive to our inquiries. that is not true. we issued a subpoena, he responded within the time. the package has not been opened. he is unable to provide all of the documents given that there is a temporary restraining order. we understand that. we agree on this point. we are trying to get all of that information. to suggest he is nonresponsive is not true because he did respond. >> it is my position mr. chairman that until you are able to open all of those documents and receive all of them, to balance them against the documents, 20,000 pages of documents, this is an unfair hearing and we are not getting -- mr. issa: i agree we need all of the information. that is why he was not invited to this hearing. the subject is what i said in my ,pening comments and statements

the funding component. we did not title this hearing as a hearing on the videos. it caused some controversy that we have in the essence of time, legitimate discussion about a continuing resolution and ongoing funding for planned parenthood. we have laid that out. my comments were not about the video, it was about the funding. we will get to hopefully see all of those videos but we have to get past the restraining order that has been put in place. >> if we are going to discuss funding, knowing members of congress can sit here and ask questions that run the gamut, funding question related to those videos, the genesis of the question of whether to defund, i think it is naïve of us to think that that discussion can be done in a vacuum without the videos from the other side. my time is up.

in fairness to the gentlelady, i am looking at the majority. from the it talks about background for this hearing. the first sentence on the background says recently released videos demonstrate planned parenthood federation of america participates in transaction involving fetal renumeration. then it goes on. clear, therd is gentlelady referred to documents we had not received. i would like to clarify one point on the record. friday afternoon the republican staff informed democratic staff that he sent them a package, a

that they did not want to open until this week. we thought this was strange. if they delayed opening members would not have enough time to review what ever was inside before today's hearing. if the republicans wanted to use any of this material at today's hearing they should have it open immediately so we would begin to review it as soon as possible through the weekend. republican staff told us they wanted to keep the box closed. they would not open net and not use it at the hearing. as of this moment, we still do not know for sure what is inside that box. however, we did receive a copy of minutes from a recent hearing and a lawsuit in california where his attorneys told the court in that case they

delivered additional video footage, so even more footage videos, he from the has released publicly. on -- we definitely want issee what the other footage that was concealed from the public. i want to see the videos. that is why we issued a subpoena. mr. cummings: i have said it before. mr. issa: i'm glad to have your support. mr. cummings: i can show you the documents that show you we have consistently asked we get all of the tapes. if you give me a few minutes, i will give you the documents we send to you showing that. fromssa: the gentlewoman

-- the gentleman from south carolina. >> i will ask funding questions that have nothing to do with the video. you, is more important to providing women's health care services or lobbying? ms. richards: i think these two things go hand-in-hand. what we have learned over the years is that to provide health care service you have to advocate for women who are underserved. the two things go hand-in-hand. spent zero dollars on mammograms. ms. richards: we discussed mammograms repeatedly and how women's health care works. when i go to my doctor i get a rest exam. -- we are not a radiological clinic. >> why not? ms. richards: we could take it out. we have never provided

mammograms because we work with folks who do provide radiological services. >> there are people running for ms.ident saying you do richards:. there are a number of people running for president saying a number of things. >> you don't make any money from federal funds. is that correct? parenthoods: planned is a national office. we have one source of federal funding. a $21,000 grant for a birth-control clinical trial where we are reimbursed for costs alone. that is the only source of federal resource that come to the national office. the $532 million going? ms. richards: medicaid entitled 10. >> when you say you don't make any money were talking about the -- ms. richards: i am trying to explain. we have 59 affiliates.

they provide health care services. >> none of those make any profit off of federal funds? ms. richards: they are reimbursed for services they provide. >> that provides them a profit. you get reimbursed for profits. madere a nonprofit that $127 million. ms. richards: we reinvest. we are a nonprofit. >> let's go to this one. but i wanted to answer your first question -- >> no, let's go on to this one. you just mentioned you don't make money but you had revenues in excess of your expenses of $127 million last year. that's right. that's your testimony. so here's my question. i'm going to get to the question. where does the $127 million go?

>> like any organization of our size and scale, a lot of our resources are in what is a board-designated endowment or reserve. we are a 99-year-old organization so we've built our endowment. but also -- >> but you retain those earnings? in a private sense you would retain those earnings? you put them the bank. >> well, i hope they here in the bank and not just laying around. but negotiation that -- some are in reserves and the other is expanding health care services and building new clinics in a variety of states across the country. >> how is that not an expense? >> well it is an expense. >> but your books reflect revenues in excess of expenses of $127 million. >> i'm sorry, they're not all out the door but i've made commitments to opening new up health centers in new orleans, in dallas, in other states in the south, opening in other states that i won't mention here probably because it will draw

more attention -- >> so let's say the money goes towards expanding the service, one of the proposals here miss richards is to defund planned parenthood which includes taking $60 million, roughly $60 million of what you get out of discretionary fund. if we took $60 million away from you you could still perform every service you gave last year, can't you? >> i can't say that. >> well you made -- you said you have revenues in excess of expenses of $127 million. you told me what you do with $127 million, you're spending, investing, expanding, i get that. but if you had $60 million less last year, you could have provided by every single service to every single woman that you did last year. >> well, i constantly raise money to expand services to the patients that look to us. >> and god bless you, i think that's great. but answer my question. please. you could have provided by every single service to every single woman last year if you did not get a penny from the discretionary fund from the united states congress. >> i disagree and there's no way

i could agree to that. these are services spread out all across the country and i can't president account for how each dollar that i raise -- >> you still would have to -- >> it's committed to other services and expansion of services could replace federal dollars. >> not expansion of services. i'm talking about services you provided by. you would have had $67 million -- >> well we're expanding services beyond what we provide. >> got that. my question is if we had not funded you you would have been able to provide the services and i think the answer is unequivocally yes. you might not have been able to expand your services but every single woman that walked into every single clinic would have been served if you had not received that money. . thank you, mr. chairman. >> i disagree. >> we're just trying to figure out why you would disagree with that. revenues would still exceed expenses. even with $60 million less. >> are we now having a conversation? i'm sorry, i wasn't sure if we're finishing this. >> sure. >> i raise money every single day to expand services and

education services to people in america, that's what we do at planned parenthood. and like any other nonprofit we reserve money for all kinds of services that need to be expanded, assistance that needs to be provided by and that's what we do with our money. we're a nonprofit, we don't do anything else with our money other than put it back into the services, the education and sometimes the advocacy we provide. >> i'll now recognize the gentlewoman from new mexico for five minutes. >> thank you, mr. chairman. and thank you miss richards. and if this committee is going to undertake how medicaid money is used and not used by every health care provider in every state and every local government in the united states it might be a very interesting hearing about how we can asure the medicaid funds that are not reaching so many still even with the progress of the affordable care act, so many women and so many families, that would be a

hearing that i think would be well worth having. i'm going to go back to the funding aspect, the unintended consequences and i appreciate the comments of all of my colleagues but mr. welch and mr. boyle. i served as the new mexico secretary of health and one of my challenges was certainly to deal with teen pregnancy. but also make sure we had the right partnerships and viable access in the public health system where women and their families could get access to health care services of high quality and services they trust. i can tell you something you already know, that without planned parenthood we could not meet those access points and quite frankly even in the public health system. there are many women, particularly in rural air frontier areas of the state who, a, did not have access or would absolutely under no circumstances choose that access where i'd like to tell you that our record about prevention and

preventing pregnancy was better in the public health system and that was in a world we didn't have the 2008 budget issues where our state now is not putting money into public health or expanding public health or working on women's health care. and without the affordable care act our rural hospitals and community health centers would all but be closed and we now have the highest teen pregnancy rate in the country. with efforts at looking at what we can do for 15-year-olds to prevent the second and third pregnancy. women need and deserve unfettered high quality confidential access to comprehensive health services. and i'm hearing from hundreds of constituents -- and i also know that thousands of new mexico women and their families will not have that access to these services because it is all connected -- and even if it wasn't would still want them to have the choices that they make

and that are right for them with all of the funding issues that we debate in this congress i know unequivocally they don't have access in many of the places that they should and under the equal protection clause they certain ly ought to with medicaid funding. can you talk about states like new mexico with these high teen pregnancy rate, without those rural access points, where would those 21,000 women go? >> well i thank you for your service in the public health arena and for your question. i think it's incredibly important that we're constantly looking at new ways to help particularly young people access information and services and it guess back to the chairman's question earlier which is one of the things we do at planned parenthood in addition to providing medicaid family planning services is we now run education programs across the country and through the weapon that have an average of six

million visitors every month, visited by young people and their families, english and spanish because many people don't have access to adequate sex education in their communities. in addition, we are looking at more ways to provide birth control virtually so you can order it online and don't have to be in a clinic because for many rural americans it's difficult to access a family planning provider in your community. >> they're just not there. i have a pastor in my district who's let me know he refers women to planned parenthood because he know there is aren't the right community access points and i know it's been touched on in this committee but i have personal experience and no many of my constituents in their 20s and 30s and 40s who without the comprehensive health care services would have died from cervical cancer and i know exactly how important in a state

that has higher per capita averages in many of these cancer areas for these populations and particularly for moor know for populations that we want to do a much better job in investing in comprehensive health simply do not have it. and the notion we would continue to discriminate against those populations by not providing adequate federal funding access makes no sense if we're trying to maintain my choice about my high quality confidential provider. thank you for being here. i appreciate your testimony. >> thanks for letting me be here. >> we have two votes on the floor, there are approximately eight minutes left in this first previous question vote. it's the intention of the chair to recognize mr. heiss for his five minutes of questioning then we'll go to recess and come back. we thought we could get through it but we have a number of members who have questions so we'll rise mr. highs and have convene after the votes. >> thank you, mr. chairman.

ms. richards, just a point of clirfication, it's already been established that planned parenthood serves a lot of underprivileged people and i just want to be clear in your testimony you stated that it is significantly more difficult for individuals on medicaid to access a provider as opposed to someone with a private insurance because so many providers now are not accepting medicaid, is that correct? >> it varies across the country. but certainly there are some states where it's very difficult. >> and that's one reason you would say planned parenthood is needed because there's a gap there, is that correct? >> well, i think we're -- i think we have tried to demonstrate that we are important provider of medicaid services to a lot of folks in this country. >> but particularly the underprivileged. >> well, that's who -- i guess by definition, yes. that's who's on medicaid. >> you also said in your

testimony that the government account ability office found two-thirds of the states are challenged recruiting ob-gyns and that according to the cbo -- according to your testimony -- that by next year obamacare is expected to reduce the uninsured and nearly half of those will be on medicaid. from these testimonies from -- these statements in your testimony is medicaid in your opinion a substandard insurance? >> in my opinion, no? >> is it an inferior product? >> well, i'm not sure exact -- i'm not exactly sure how to answer. i think it's important that medicaid patients -- >> this is according to your testimony. >> no, no, i don't think i said that so i want to make sure i'm clear what you're asking. it's important medicaid patients

be able to get the same kind of quality of care as other people. >> but you said they can't, they're not able to because so many providers are not -- let's go on to other things. i'm just curious and those were questions i jotted down. it seems to me there's a question mark there, you praise it on one end, medicaid. >> it's very important. >> and then say it's a problem on the other. >> no, it's not -- i hope i didn't misstate that. i don't think medicaid is a problem. i think the challenge is because the reimbursement rates are very, very low there are not enough doctors and health care providers that will take new medicaid patients. that's something everyone struggles with. >> we've also established that there has been excess revenue as you describe it other than saying profit. excess revenue, nearly the three quarters of a billion in the last 10 years, $127 million last year. we can break that down in a number of different ways. yet at the same time dramatic reduction in prenatal care,

preventative services, cancer screening and so far r forth and do you have any idea, by the way, how many planned parenthood clinics have closed over the last ten years? >> i don't have those exact numbers and you're preferring to things i have to look at charts for i think we've addressed why some women's health care services aren't needed on an annual basis anymore. but many of the planned parenthood health centers have merged to be more efficient. we started 99 years ago and i will be candid there's not always total efficiencies in the system. >> let me go on. there's been over 100 that have closed. >> or merged? >> closed and merged. >> whatever. but the bottom line is you stated a few moments ago that this $127 million, three quarters of a billion over the last ten years that you're largely holding it and using it for investment purposes. why is it on the taxpayers' hook

to provide for your investments in expansion when you were declining your services and clinics are closing? >> i don't think the -- the federal government isn't investing in our expansion. >> the taxpayers are according to -- >> the federal government -- >> you have $127 billion over the last year that's excess. >> that was -- none of that is federal dollars. that's all raised by -- >> all right, we have $60 million that are federal that comes through the discretionary fund. why is the taxpayer providing $60 million when you have $127 million a year? i'm just going back to the question already asked. i'm trying to find why is the taxpayer responsible for your expansion. >> i'm not holding the taxpayers responsible for our expansion. that money paid for by the federal government through medicaid, title x, through cdc grants, through hiv/aids programs all pay for services directly provided by to patients

and there's strict accountability and we are accountable by -- hhs looks at medicaid payments. so we are grateful for the opportunity to serve patients who come into us. i think we provide high quality and that's why patients continue to come to us. i think patients regardless of whether they're on medicaid or not should have the option to go to the health care provider of their choice. >> the committee will stand in recess and reconvene no sooner than 2:00 p.m. but we'll be behold on the the conclusion of these votes. committee stands in recess.

we will resume our hearing regarding planned parenthood. we are now going to recognize that the gentlewoman would -- we need her to -- we'll now recognize the gentleman from missouri for five months. >> ms. richards, welcome. and thank you for your patience, for being here so long. let me start with the point that

a lot of republicans have relied on, these doctored videos. to accuse planned parenthood physicians of violating federal laws. just yesterday, the missouri attorney general just completed his investigation of planned parenthood and found no wrong doing. however, i want to walk through some of these accusations and ask you to give us the facts. just as a preliminary matter, does planned parenthood receive any federal funding for its tissue donation program? >> no, not that i'm aware of. >> okay, let me ask about the accusations that physicians are illegally altering abortion methods to harvest fetal tissue

in violation of federal law? what the law says, doctors must certify, and i quote, no alteration of the timing method or procedures used to terminate the pregnancy was made solely for the purposes of obtaining tissue. this provision applies to federally funded research involving the transplantation of human fetal tissue for the therapeutic purposes. this has been confirmed by the department of health and human services, which wrote that the department, and i quote, has not funded or conducted this specific type of research in recent years. so even though this law does not apply to planned parenthood affiliates. you have still issued guidance that is consistent with the law. is that right? >> that's correct. so just to be perfectly clear,

the federal lawyer citing doesn't apply to planned parenthood because as you said, it only applies to donations for related transplantation research funded by the nih. one other thing i would like to mention. that when all of this came up, i actually wrote to the nih and said if it's time to review the way fetal tissue research is done in this country, we welcome that. it's a very small part of what we do. only 1% of our health centers even allow for tissue donation. but it seems it would be inappropriate forum for biomedical emphasis and research and doctors to do that, and we welcome that if the nih chooses to do so. >> wonderful, wonderful. okay. let's turn to these accusations. the republicans accused planned parenthood physicians of changing the timing method and procedure of abortion slowly for the purpose of obtaining fetal

tissue. so let me ask you directly. do planned parenthood physicians alter the timing method or procedure of an abortion solely for the purpose of obtaining fetal tissue for research in violation of federal law? >> well, first, just to go back, we've established federal law doesn't apply. our own standards and guidelines go beyond what's required. i have spoken with our chief medical officer, and she assures me that she knows of no instance where the method or the procedure or the timing of an abortion was altered in any way in order to facilitate what is the patient's desire to donate fetal tissue for fetal tissue research. >> when the physicians do make clinical adjustments during the course of the procedure, why would today do that and how does that work? >> well, i'm not a doctor so i

can't speak to everything that doctors do, but i do know that our number one goal of planned parenthood is the health and safety of our patients, and so certainly our doctors, number one goal is to make sure if it is an abortion patient, that they have a successful procedure. and i know from talking to doctors all across the country, long before any of this happened, that doctors do all kinds of things, as do all surgeons, i assume, make decisions in the middle of procedures to ensure a good outcome. >> let's move to a different accusation, which is that women are not consenting to participate in these tissue donation programs. can you speak to that, that women may not be consenting to donating the fetal tissue? >> women are fully consenting, and they consent to planned parenthood certainly prior to an

abortion. and one of the interesting things that has happened and part is a result i think of all of the press is that there are more and more women asking if they could actually donate fetal tissue because they understand the importance of the research that's done. but again, we only have two affiliates now who are able to, you know, can help women who want to make a fetal tissue donation. >> the gentleman's time has expired. the chair now recognizes the gentleman from oklahoma, mr. russell. >> thank you, madam chairman. and thank you, ms. richards for being here today. how much total revenue collected or reimbursed for planned parenthood and its affiliates comes from abortion services? >> i believe we have provided all of our financial information. i don't have that number. >> do you have a ballpark? >> no, i don't. but again, we provided -- i know there was some back and forth

about this. and i just verified it on the break. we provided all of the 990s, not only for the national organization, but our 59 affiliates and i believe their audited financial statements. >> i guess if we were to extrapolate from the planned parenthood website the cost of an abortion, the average cost, or an abortion pill, it would be at $1,500 for the service of abortion, or $800 for the pill. if you multiply that times 327,000, that would come somewhere between 40% or 22% of a figure. regardless, it's $491 million down to $261 million just from the ballpark figures we see on planned parenthood's website. >> and i have to -- i'm sorry to interrupt. >> if you would very quickly. >> that's not accurate. >> would you be willing to provide us what the accurate figure is and when could you provide that to us? >> what was inaccurate is i think what you reported in terms

of the cost of an abortion. obviously it varies state to state. >> we would await the accurate figures. and when would you provide those to us? >> i've said to the chair, we have been abundantly cooperative to this committee. we've provided thousands and thousands of pages of documents. and i'm happy to work with the committee and the staff and with my team to provide other information that you need. >> and i appreciate that. we'll continue on. absent federal funding, what effects specifically would it have on the organization's ability to provide abortion services? >> i'm sorry, could you restate that question? >> absent federal funding, what specifically would it have on the organization's ability to provide abortion services? >> well, i hope i'm answering your question correctly. no money, no federal dollars go

to planned parenthood or other hospitals or other health care providers -- >> so it would have no impact, is that your answer? >> no impact on what? >> on abortion services. >> if we were not reimbursed for family planning, for preventative care -- >> no, i'm asking specifically, absent federal funding, what specific impact would have it on abortions? >> i can't think of a specific impact. i really am trying to be responsive to your question. >> and i can see that. thank you. can federal funds be used for abortion equipment? >> federal funds are only, in my understanding, and if there's something -- there may be something i'm aware of. but federal funds can only be used for abortion services in very specific instances, which we talked about earlier. if a woman has been raped. if she's a victim of incest. >> on the equipment, on the salaries, cleaning services, rent and maintenance, the

facilities. what about that? >> on the abortion services and on federal funding for abortion services, these are -- this is actually done through the state. that's what medicaid funds come through. i can get -- we could look at the specifics on that. >> okay. we would like that. it's the federal government, though, that is making those decisions. >> well, thank you. >> for the record, mr. chairman, we've heard testimony today that 2.7 million receive services and the last reported here. that number is actually over three million when you add the 327,000 aborted children to that figure. for the record, 2.7 million received services and 327,000 receive a legal termination with no right to choose life. three of my five children are adopted. it is my firm belief and the

financial evidence substantiates that planned parenthood clearly does not need taxpayer funding to survive. we can carve up a child and call it a choice. we can destroy human life and call it health care. we can make the killing of children legal and pretend it is beneficial. we can cover acts of bar barbar but we cannot escape our accountability before the creator of life. and with that, madam chairman, i yield back my time. >> the gentleman yields back. the chair now recognizes the gentleman from pennsylvania, mr. carver. >> thank you, madam chair. ms. richards, i want to thank you for being here today. i want to ask about planned parenthood's federal funding. since that's supposed to be the topic of today's hearing. what we're hearing is that planned parenthood receives about $500 million of federal funding every year.

and it's easy to see why you hear that figure a lot, because it's an awful lot of money. and it seems like -- the way you hear it, it sounds like planned parenthood receives a big check. a big cash payment every year. i want to break down the numbers. according to the data compiled by the gao, something like 80% of planned parenthood's government-related revenue in 2012, about $400 million, came from medicaid reimbursements. i think that's the point you've been trying to make today, is that it comes in the form of medicaid reimbursements through the states, for activities such as cancer screenings and wellness exams. ms. richards, first off, is that figure correct, around 80% to the best of your knowledge? >> to the best of my knowledge, it is correct. about 1.6 million of our patients in a year receive

our -- are covered by some kind of federal program, title 10 or their medicaid patients. where there's a few other programs that we work on hiv/aids programs and the like. >> and so is that figure fairly consistent with more recent years? >> yes. and also, one thing i just wanted to make sure is clear. it's not all federal funds. a lot of state funds are combined in that figure. i don't know the exact breakdown. >> fair enough. >> so it's just not all federal dollars is all i meant to say. >> what these numbers really mean is that planned parenthood affiliates provide a massive number of health care services to medicaid patients, and then they're reimbursed on a fee for service basis. >> that's correct. and i think we provide really, really good health care for medicaid patients and we're proud of that. >> okay. i come from a district that has a lot of rural territory in

northeastern, pennsylvania. we have an awful lot of medicaid eligible patients. so it's an issue of concern to me. medicaid patients are primarily people who are poor, elderly, or have disabilities. isn't that right? >> i don't know the breakdown of all medicaid patients. i certainly don't know for your area of pennsylvania. i do know how many patients we see in pennsylvania. >> just in general, medicaid patients -- stay with me here. >> okay. >> medicaid patients tend to be poor, elderly, or have disabilities, don't they, in general? >> again, i'm just speaking -- i only know the folks we serve. so i can't speak about medicaid patients more broadly. we don't serve many elderly medicaid patient. primarily, we serve women between the ages of 18 and 44. >> of course, that's true. many medicaid patients come from medically underserved communities, right? >> that's correct.