What we have seen so far the ears have heard what were said. Also, i would address the unnecessary attacks coming from some on the other side. Especially on men taking an interest in the lives of people most important in our lives. If men in this society arent allowed to defend and stand for the women and children we love, where has the country fallen to . It is a shame when we have brought into a frenzy and concern about what happens to our babies, our most defenseless. I just held in my arms my brandnew granddaughter three weeks ago in the african country where she was born. And i thanked god for that unique special life. And i told my soninlaw on the way home. I said its amazing, prince, as we drive home today, having never met this little girl before, i would give my life for her. I love her. Shes unique and special. Thats why we have this hearing today. We want to get to the truth. We want to make sure Womens Health care issues are dealt with and dealt with appropriately. 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 state department, usaid, and planned parenthood. Let me ask some questions here. And i take this information from planned Parenthood Federation of america, your website. And i take it from medicare benefit policy manual. It says the qualified health care centers, a 15,000 of them in this list provide pelvic exams, std testing, manual breast exams and Birth Control. Both entities provide that. Is that correct . I dont know what all the entirety of what all provide. But you provide all that i just mentioned . Yes. But emergency First Responder care, mammograms, immunizations, diabetes and tkpwhrau coma, pediatric, eye, ear, well child services, radiological services, cardiovascular, nurse on staff, bone mass measurement, all of those, according to your website, you dont provide . We provide in some places but it is not a core service. It is not a promised service. Its according to state. Now, if were talk building care for women, i would suggest that the care is there in 13,000 without the controversy of the abortions of the fetal manipulation and potential use of body parts in the wrong way. And i think for the record if were talking about Womens Health care, the issue of where we find it is found in 13,000 plus Centers Available to women. And medicaid isnt dealing with it. By the way, your Opening Statement indicated rate problems with medicaid and mr. Obama is supposed to fix that. I yield back. Thank you. There is a couple this is very troubling to sit here as a woman and to hear some questions that are obviously insensitive. One, the continuing coverage of why dont you provide the xrays for a mammogram. Where every woman here knows you have a primary doctor. That doctor exams you. If there is a lump, you are referred to a specialist. I wish those who would sit here and ask those questions would have the sensitivity to understand what a woman goes through with her health care. That would allow us to ask more pertinent questions. Secondly, it is exhausting to keep hearing about federal dollars being spent on abortion when repeatedly the facts state, and its not a controversy, read the facts. To your research before you ask these exhausting, sometimes i feel insulting questions. We cannot use federal dollars for abortion. This is not a lump sum budget item that 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 will be no reimbursement going to planned parenthood. They would not receive any funds. For the life of me sitting here today, i know my colleagues are more intelligent than this. And it is exhausting to hear just a philosophy of of attack, to just use information that is totally incorrect, as if they keep saying it some kind of way, it will become factual. My question, ms. Richards, there seems to be this continuous thought that if planned parenthood went away, that there would be these other Healthcare Services from millions of women because you went away. There is a suggestion that all of these Community Health centers would just step in and fill in. Sarah rosenbaum, a professor of health, has worked with Community Health centers for years. I quote, it is a gross misrepresentation. I would ask you, ms. Richards, in your experience in healthcare, the question of, if you went away, it would be totally absorbed, would you respond to that . Thank you, congresswoman. For the record, we see 2. 7 million patients a year. 78 of them are at 150 of poverty or below. These are a group of women and men and young people who are often uninsured, and certainly have less cession to care. I know there have been a lot of reports that have come out since congress has suggested eliminating access to planned parenthood. 390,000 women would lose care next year if women could no longer go to planned parenthood. I think to some of the questions that have been raised, its really important for folks to understand, just as you talked about how women actually get breast exams and breast care in this country, in many areas we are the only provider for women. For many, in many areas, there are long waits. 60 of our clinics will see folks the same day. In some areas they wont take any more medicaid patients and planned parenthood is the only entity. It is true that medicare, those who use planned parenthood, are often those who are most at risk. Africanamerican minority women die at a higher level than any other population when it comes to Breast Cancer, when it makes to actually dying from having pelvic or Cervical Cancer. So we are actually giving opportunities. I want to interject or ask, mr. Chairman, unanimous constant to enter a letter into the record from latino organizations that stated that they no for a fact in their communities, the Community Health centers could not absorb this. I just want to close without objection, so ordered. But the gentlewomans time has expired. I yield my time to the gentlewoman from utah. Thank you for coming and answering questions. I want to be very clear that there are no gotcha questions here. I just want to be able to get as much information as possible. Im not here to try and change your mind or the minds of my colleagues. Im just trying to get as much information out to the public as we possibly can because some of these funds are taxpayer dollars and i think they deserve to have some answers. First of all, ms. Richards, in the annual report, planned parenthoods annual report, says that you are providing over 489,000 Breast Cancer screenings. And youve stated that none of your clinics actually have the mammogram machines. How many of your affiliates have those mammogram machines . Our Health Centers are part of our affiliates. We have more than 650 Health Centers. So an affiliate is simply the Corporate Structure for those Health Centers. And how many of them have mammogram machines . An affiliate isnt a Health Center. I think i spoke earlier, we do have mammogram machines at our Health Centers. And weve never stated that we did. As was mentioned earlier, for womening w who go for a breast if you need a mammogram, your referred to a radiological clinic. So you refer them to radiological clinics . We have a lot of ways we refer for mammograms, such as the susan g. Komen foundation. Do you know how much you make from Cancer Screenings . How much we make . Yes, the revenues. So just talking about federal funding, we dont make money off of Cancer Screenings. Thats great. Well, you dont get anything from mammograms either. How much is made from abortions . Let me just youre going to have to bear with me a minute so i can be responsive. If you can respond as quickly as possible. I will. There are 59 affiliates. Each are completely different. They all run their own operation. And i cant tell you i think this question was raised earlier. You cant tell me how much you actually make from abortions . You cant give that number. Okay. The National Office, so you know, he did not provide Health Services at the National Office. Weve provided information for all 59 affiliates, their annual their audited financial statements. I wasnt even asking about the affiliates. Thats why Health Services are provided. So i think thats relevant to your question. Okay. But you dont have those numbers. All youre saying is that the Healthcare Affiliates have these numbers and you dont have them. Certainly not with me here today. For the year ending in june 30th, 2014, according to planned parenthood reports, 127. 1 million in revenue over expenses. From 2005 to 2013, planned parenthood reported a 53 reduction in Cancer Screenings and Prevention Services and 42 reduction in breast examines and breast care while abortions have increased 24 . Can you understand a little bit of the hesitancy and trying to figure out why those numbers have gone down, where abortions have actually gone up . So were talking about so we dont mix apples and oranges here, so federal funding pays medicaid funding and title x pays for specific services. Federal funding does not pay for abortion except in very limited circumstances. Why would it be offensive if we took funding and put it into clinics providing healthcare exams, providing mammograms . The medicaid reimbursements, if the numbers are going up, thats because more services are being provided. As you know, many women now, because of the Affordable Care act and medicaid expansion, there are more patients on medicaid coming to us for healthcare. All the reimbursements are directly related to Healthcare Delivery services. Planned parenthood is just like any other hospital or Healthcare Provider that provides services to patients. Youve also made it very clear that if planned parenthood wasnt around, this would be very difficult for low income families. What is the responsibility of hospitals and other clinics that people can actually go to . You cant say that planned parenthood is the only place that is available. Obviously its a place that 2. 7 million patients choose voluntarily to come to every year. And i think whats important is that in a lot of areas in the country, they wont take more medicaid patients. What is our job here . It is to provide as many options as possible. I would agree. There is no reason why we cant provide those options elsewhere, where people can have their choice as to where they go. Congresswoman, this may be an area where you and i agree. Mr. Chairman i would like a chance to answer the question. You did actually answer my questions. Mr. Chairman, if you could help in getting some of the information about the numbers i asked for, that would be really helpful. The gentleman from arizona who yielded to you, his time has spider. I would ask unanimous consent to take four pages from the annual reports, we have the documentation on the reduction in the breast exams and breast care. And so without objection, i would like to enter that into the record. No objection. So ordered. We now recognize the gentleman from california for five minutes. Thank you, mr. Chair. Thank you, ms. Richards, for your testimony and the gracefulness with which youve answered the questions today. I also want to thank you for running an organization that has helped millions of men and women across america. On behalf of the majority of women and men in this great nation, i want to say thank you. Having sat here for the last hour and a half, i feel like im in some sort of bizarre alternate universe. I think its crazy that were having this hearing, based on heavily edited videos that actually showed the opposite of what was happening. What was happening was that planned parenthood was following the law. I think its also crazy that Tissue Research that is not only entirely legal but has bipartisan support. And i think its insane that in my district now, because of these misleading videos, women have in some cases had to go through two sets of bombproof doors just to access healthcare. And i thank you for your courage. I note the cowardliness of the maker of these videos who was too scared to come to us to testify. Lets just come to reality for a few minutes. Abortion is legal in the United States of america; isnt that correct, ms. Richards . It is correct. And we dont live in a theocracy. The law of the land is not the Old Testament or the new testament or the koran or the torah. The law of the land is the constitution of the uses. Isnt that correct, ms. Richards . Thats correct. And abortion is a constitutional right, is that correct . Correct. And planned parenthood allows women to access that constitutional right, isnt that correct . Yes, we do. And none of that gets federal funding . That is correct, except for very limited circumstances allowed by federal law. Thank you. There are multiple medical clinics across america that also provide Abortion Services, correct . Im sorry. There are multiple medical clinics. And hospitals. That provide Abortion Services. Correct. They also provide services that have medicaid reimbursement . I believe thats correct, yes. And no one is saying lets shut down medical cliqunics and hospitals because they also provide abortion . I dont think thats been proposed. Yet theyre trying to shut you down because you actually have separate line items, thats not a new or novel concept, correct . Correct. Lets talk about fetal Tissue Research. It has made enormous lifesaving changes for millions of americans and people across the world, isnt that correct . Thats right. In fact, fetal Tissue Research has resulted directly in the development of the polio vaccine, vaccines for hepatitis a, rubella, chicken pox, shingles, and rabies. Anyone in america that has had a Family Member or themselves been affected by multiple sclerosis, als, and other centrals. If other Central Nervous system diseases, diabetes, cardiovascular disease, by immune system issues, and by glaucoma on glaucoma, you can thank fetal Tissue Research for making advances in those areas. Its amazing that the other side wants to shut down the government because planned parenthood was following the law, because fetal Tissue Research is helping lots of people, and now we want to shut down the government to defund all of that. That doesnt make sense to me. Let me sort of conclude now by asking you to respond to questions about why theres been a reduction in Cancer Screenings. Isnt it true that its because guidelines have changed . Thats correct. Theyve said lets do less mammogram mammograms. The same thing with pap smears. Thats correct. And we always follow the best science and medicine at planned parenthood. Let me read a quick letter from one of my constituents who saw that planned parenthood might get defunded. She said she grew up in a small desert town, made some poor choices, left school at 15, started having sex, and didnt want to end up being pregnant so she went to the one place she knew would help her, planned parenthood. They made her feel comfortable, gave her an exam, gave her Birth Control pills, told her she had an std and gave her antibiotics. Because of what planned parenthood did, she corrected herself, graduated with straight as and is now a medical doctor and thanks planned parenthood for helping her and her family. Im so pleased to hear that. Thanks for sharing that. I thank the gentleman. I would admonish members on both sides, the prescription 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. And part of the reason we didnt do that is i think i did the responsible thing, and you heard mr. Cummings in support of this, is i issued a subpoena to get all the videos. The only reason they have not been produced is there is a temporary restraining order by a court in california. I would love to have the vide s if were going to ferret out what the accusation is, we have to see all the videos. Thats what were trying to do. But there was never a suggestion that this gentleman, mr. Delaney, was anything but cooperative. He simply wasnt invited, because without the videos, we cant have a conversation about that. Mr. Chairman, let me ask you this. With this order coming out of california, are we going to continue to try to get all of the videos . I see how we have been aggressive with regard to getting witnesses and trying to get documents. And this is such a very important issue. And as ive said to you privately, i think that what im concerned about is the integrity of the process, no matter where people end up, on either end. If these videos are going to be even partially the foundation of what were doing, i think we need to have all of them and pursue them, just as we would pursue other items and information that we nee