Job Title: Bookkeeper
Reports to: Executive Director
Position status: Part time 15-20 hours per week
Hourly wage: $18
Purpose: To support the growth and development of Kentucky Health Justice Network’s financial systems
Job Responsibilities and Duties
Part time employees will receive two (2) weeks (10 days) of PTO per year effective immediately
To apply, please send application and cover letter to email@example.com with Bookkeeper application in the subject line.
It has been quite a year at KHJN, from a hectic legislative session full of anti-abortion and anti-LGBTQ bills to wins and losses in courts from local to federal levels.
Your continued support through these ups and downs has made it possible for us to reduce barriers to Kentuckians seeking access to abortion care and fund more abortions than ever before! We've been able to increase our support for trans and gender non conforming Kentuckians to receive advocacy, support and gender affirming items to help them feel comfortable and validated in their lives. Through our partnership with Power to Decide and Appalshop our contraceptive access program All Access EKY has been able to provide knowledge and support about contraceptive options to Kentuckians across Eastern Kentucky.
Your support and donations mean so much to KHJN staff, volunteers, board members and folks all across the Commonwealth. If you would like to make an end of year donation you can do so online or mail it to us at PO Box 4761 Louisville, KY 40204.
From the bottom of our hearts, thank you.
As many of us read yesterday the Supreme Court has refused to hear H.B 2, the narrated ultrasound law. This law requires doctors to describe in detail the ultrasound and play the sound of the fetal heartbeat even if it's against the patient's wishes. This law does not provide any improvements to abortion care in Kentucky, it's main purpose is to continue to shame and attempt to coerce people from having an abortion.
We urge you to read Kentucky’s Abortion Law Forces Me to Humiliate My Patients written by Dr. Ashlee Bergin from September where she explains the impact of this law on both doctors and patients in Kentucky.
While this ruling is disappointing to say the least, you CAN still get an abortion in Kentucky.
Thank you so much for your continued support for our mission
By Jerusha B., KHJN Board Member
On February 20th, I embarked on a 12 hour drive to Norman, Oklahoma with three other wonderful KHJN folks (Jhalak, Lindsay, and Meg). I say embarked rather loosely because I’m still too young to help drive a rental car. I did, however, engage in lots of supportive back seat sleeping and supportive road watching! We were traveling to meet up with other reproductive justice activists for the fifth annual Take Root: Red State Perspectives on Reproductive Justice conference.
I was so excited for this conference, as Andrea Smith was speaking as the morning keynote. I was first introduced to Andrea Smith’s work in an introductory ethnic studies course. Her work completely changed my perspective and approach toward understanding and fighting against sexual violence. Aside from the opportunity to hear her speak, I was excited to learn more about how others organize across red states. I am fairly new to reproductive justice work (I focused on intimate partner violence and sexual assault work back in California - which is, of course, related). I’m also fairly new to the red state world. I moved to Kentucky from California for graduate school. I came away from this conference with a renewed passion and drive for this work. The organizing that is being done across the U.S. is inspiring. With over 500 in attendance, the support could be felt in every session.
The opening plenary on Friday highlighted the diversity of issues covered within reproductive justice, from the impact of Ferguson on Black women’s health to the importance of giving young women of color a space to develop and share their personal narratives; from understanding the need to support trans and gender creative youth to the need to pick up each others issues - such as fighting against the harmful and racist Native American mascots. Deborah Small ended the panel with an important hope - that Take Root 6 will see more people of color with no money than people with degrees. These are all reproductive justice issues, all deserving of our attention and intentional commitment. As Deborah Small stated:
“All of us, or none.”
Saturday began with a powerful speech by Andrea Smith. Smith discussed the harms of relying on the non profit system to achieve our goals, the dangers of framing those against us as eternal enemies, and the importance of building our own movement. I found the discussion of “eternal enemies” to be especially important. In a red state is is easy to assume that most people are against our goals and our movements. If we want to see change, we need to talk with our “enemies.” If we want to see change, they need to become our friends. We need to engage in discussion, we need to reframe the issue - find common ground. If the current discussion (ex. pro choice vs pro life) isn’t working, we can create our own movement and our own discussions that fit our needs.
As I was able to see in a later panel titled “RJ & Civic Engagement” this idea of engaging in one on one conversation with individuals and families was already occurring and leaving an impact. Cristina Aguilar, the executive director of Color (Colorado Organization for Latina Opportunity and Reproductive Rights), discussed her organizations’ use of small coffee gatherings with families to discuss reproductive rights. They were able to see the biggest Latin@ voter turnout in years, defeating a personhood amendment, as a result of their outreach efforts.
The conference was full of similarly inspiring speakers and organizations. Lindsay and Jhalak were a part of a Trans Health Matters panel and presented research findings from the KHJN sponsored study on trans folks access to healthcare in Kentucky. This panel brought forth the much needed discussion of how to make reproductive justice spaces safe and inclusive for trans people. While this point was brought up by an audience member and not fully explored, it was an important contribution that I hope will be considered as we move forward. From my own experience at the conference - when I checked in and was given my conference materials I was encouraged to write my pronouns on my name tag. Less than 30 seconds after that encouragement I was misgendered by a person who was figuring out my payment. Gender neutral restrooms were available but they were in a separate building. Only a few speakers were intentional in their language around pregnancy and “womanhood.” Change comes slow, but these conversations need to be had.
Overall, the conference was a whirlwind of excitement and inspiration. I hope I am able to attend again next year. I barely touched the surface of the conversations and panels that went on during the day, but I encourage you to explore the #takeroot15 tag on Twitter to learn more. Below I have linked a few reproductive justice organizations you should check out!
Making Herstory OKC
National Advocates for Pregnant Women
The Native American Women’s Health Education Resource Center
It's that time of year again...Time to rock, roll, and raise for abortion access in Kentucky! Register today!
Hey friends, join us for Kentucky Support Network's third annual Bowl-a-Thon! This fundraiser helps make our work possible throughout the year. Last year we raised over $7,000 to provide financial assistance, transportation, and interpretation to people seeking abortion care. This year we want to raise $10,000 so we can provide even more support to our callers. Are you in?
What is Bowl-a-Thon, you ask?
Bowl-a-Thon = doing good + having a blast! It's a crowd-sourced fundraiser: you sign up ahead of time with a team or as an individual, set your fundraising goal, and ask your community to donate and help you reach your goal. Then, you join us at the event itself on April 24 for bowling, snacks, drinks, and awesomeness!
Fundraising through Bowl-a-Thon is quick and easy! When you register, you'll get a secure team and/or personal page where you can make your pitch, share it easily via email and social media, and accept contributions. Also, remember that even if you're busy on April 24, or if you're not into bowling, you can still participate, since you do pretty much all of your fundraising ahead of time!
Why bowl for abortion access?
KSN is a group of dedicated volunteers that, since our launch in 2013, have accompanied over 500 Kentuckians through the process of accessing abortion. The money we raise helps pay for an abortion, travel to a clinic, or for overnight lodging near a clinic. Your donation also funds our hotline service, where we talk with callers from across the region to accompany them as they navigate the process of accessing abortion: from accessing all-options counseling, to making an appointment, to applying to other funds for assistance, to accessing further social services after their procedure, and more. We also provide phone and in-clinic language interpretation so patients with limited English proficiency can communicate with providers. By leading your own team or by participating, you'll be making a direct and immediate impact in our community.
What do team captains do? Team captains lead the charge. Captains choose a team fundraising goal, recruit bowling buddies for their team, and make sure all their bowling buddies meet their personal fundraising goals. Captains will be the primary contact for the event.
Sounds awesome! How do I captain a team? Just register at our website! Once you register, you can use our online system to send emails to friends and family asking them to support your team by pledging to increase access to abortion. It's so easy!
I still have questions. Where can I find answers? Hop on over to our fund page for more information, or feel free to contact us with any questions. See you on the lanes!
UPDATE, JANUARY 2015:
Whether you're on Medicaid or an insurance plan you purchased through Kynect, the Affordable Care Act makes all FDA-approved contraceptives available to you without a co-pay. If you've been charged a co-pay for any contraceptives, you should file a complaint! If you're a Medicaid patient, call Member Services at 1-800-635-2570. If your insurance is through Kynect, call the Kentucky Dept. of Insurance at 1-800-595-6053.
by Clare Gervasi, KHJN volunteer
This little essay is intended to inform you about the Kentucky health exchange, called Kynect (pronounced “connect”), and how we Kentuckians can access health insurance through the system and even find out if we are eligible for Medicaid. Furthermore, this piece includes information about how to get the kinds of reproductive and contraceptive care we need through Kynect and Medicaid. This essay also includes my own reflections on the Affordable Care Act and how it affects individual Kentuckians, especially women, from a first-person perspective.
To begin, here is a little about me and the US health care system: I am a white cis woman in her early 30s. I live in Louisville and am a life-long US citizen. I have a graduate degree and come from an educated, middle class background. I am a birth doula and have long experience dealing with the health care system (especially reproductive health) as an advocate as well as a patient. I have been interacting continuously with Medicaid since 2010, when I became pregnant and subsequently became a mother to a child who has health insurance through Medicaid. I have been interacting with the Kynect Exchange system since March of this year, when I first signed up for health care under the new Affordable Care Act (ACA).
So when I tell you this next part, I want you to understand the full frustration of what I mean: accessing health insurance information through Medicaid, its managed care organizations, and Kynect is like trying to break into Fort Knox. If neither my educational, racial, or class privilege, nor my professional experience, can save me confusion or time or money in navigating our health care exchange and managed care companies, what is required to succeed in getting the information an insurance user needs to be healthy?
As someone who lived most of her 20s without health insurance, except for a brief period when I had insurance through my graduate school program, I was very excited about the passage of the ACA (commonly called Obamacare). The concept of the “health insurance exchange,” the centerpiece of Obama’s legislation, promised essentially a free market shopping experience, and rendered all of us who need health care (read: every living human) “consumers” in a “health care marketplace.” Through this state-run marketplace, called Kynect in Kentucky, we consumers could “shop” for the best health insurance plan for us. Obamacare provided free benefits agents, called “Kynectors,” to help us if we desired professional consultation in making our choice. We were supposed to access this marketplace online or by phone and to shop around as pleasantly as if we were surfing amazon.com or walking through the grocery, comparing prices and contents and making the best selection for ourselves and our families.
Yeah, that all sounds like an improvement over the pre-Obamacare days... But the ease and pleasantness so touted by Governor Beshear and even the Obama administration, as they hold up Kentucky’s state exchange as a model for the nation, have not been my experience as a user or an investigator. If the appeal of state-run exchanges is greater transparency in shopping for options, Kynect and Obamacare have a long way to go. An ideal free market shopping experience includes clear pricing among competitors, so that consumers can make the best decision in their own best interest. It also guarantees privacy and freedom while shopping. I don’t have to tell Amazon my personal information to see how much it costs to order lightbulbs from them, for example. The Kynect exchange and the companies I dealt with in doing this research, Anthem and Humana, were anything but transparent or respectful of privacy. I spent many hours on the phone with both corporations, who refused to tell me almost any concrete, financial information unless I gave them my name, birth date, social security number, and phone number. That is a far cry from the free market.
In sum, although attempting to access information about contraceptive care was a time-consuming, murky, and generally user-unfriendly experience for me, here is a run-down of some of what I did manage to find out for Medicaid users seeking contraceptive care:
Here are some important notes to remember when deciding what care and coverage are best for you:
1. To find out whether or not a drug is covered, you can refer to this formulary, which is occasionally updated. Here is the most recent one as of the date of publication of this chart: http://www.anthem.com/Exchangedruglist4.pdf. You can always find the updated forumlary by clicking on the form “Anthem Select Drug List (4-Tier)” in the forms library on Anthem’s website: https://www.anthem.com/health-insurance/customer-care/forms-library
2. To find out whether or not a drug is covered, you can use this search tool on the Humana website. It will tell you which Tier the drug falls under if it is covered, and will also tell any dispensing limits associated with the drug. Here is the link to the search: http://apps.humana.com/UnsecuredDrugListSearch/Search.aspx
3. With the pill (“oral contraceptives”), there are so many different brand names and generics that these copays may or may not apply to your specific choice of drug. Look up your prescription in the formularies listed above to see if your drugs are covered. If they are listed as “Tier 1” drugs, then the copays listed above are true. If not, they may cost more or not be covered at all.
If you are looking for more information, here are some useful tools:
Última noticia, enero 2015: Por el Acto del Cuidado de Salud Asequible (en inglés, Affordable Care Act, ACA o "Obamacare"), si tienes seguro de Medicaid o de un plan que compraste en el Kynect, tienes derecho a todos los métodos anticonceptivos sin copago. Si te han cobrado un copago por cualquier medicamiento anticonceptivo, deberías formular una queja. Si tienes Medicaid, llame al Member Services a 1-800-635-2570. Si tienes seguro que compraste en el Kynect, llame al Kentucky Department of Insurance a 1-800-595-6053.
Por Clare Gervasi, voluntaria de Kentucky Health Justice Network
Este ensayo intenta informarte del intercambio de salud en Kentucky, el que se llama Kynect (pronunciado ‘co-nek’), y también informarte cómo nosotros los de Kentucky podemos inscribirnos en el seguro médico por el intercambio y averiguar si somos elegibles para Medicaid. Es más, este blog incluye información sobre cómo obtener por Kynect y Medicaid los tipos de cuidado anticonceptivo y reproductivo que necesitamos. Este ensayo también contiene mis reflexiones sobre el Acto del Cuidado de Salud Asequible y cómo les afecta a los de Kentucky individualmente, las mujeres en particular, desde una perspectiva personal.
Para empezar, un poco sobre yo y mi relación con el sistema de salud en EEUU: soy una mujer cisgénero (cisgénero es una persona cuya identidad se ajusta a su sexo asignado al nacer; es decir, una persona no transgénero), de ascendencia europea. Tengo 32 años. Vivo en Louisville y soy ciudadana estadounidense desde el nacimiento. Tengo maestría y soy de una familia educada de la clase media. Soy doula (una doula trabaja como asistente a la madre y su familia durante el parto) y tengo larga experiencia en manejar el sistema de salud (en cuanto a la salud reproductiva en particular) como defensora y paciente también. Hace desde 2010 que interactúo continuamente con Medicaid, cuando me encontré embarazada y al cabo me convertí en madre a un niño quien tiene el seguro médico por Medicaid. En cuanto al sistema Kynect, hace desde marzo de este año (2014) que interactúo con este intercambio, cuando me inscribí en el seguro médico bajo el nuevo La Ley Federal de Cuidado de Salud Asequible (Affordable Care Act, o ACA).
Entonces, cuando te cuento la parte siguiente, quiero que entiendas la completa frustración en lo que digo: el proceso de ganar acceso a la información sobre el seguro médico por Medicaid, sus organizaciones de ayuda coordinada, y Kynect es como intentar a asaltar Fort Knox--se siente imposible. Si ni mi privilegio educacional, racial, de clase, ni mi experiencia profesional, me podían ahorrar el tiempo o el dinero, ni evitar la confusión en manejar el intercambio de seguro médico y las compañías de ayuda coordinada, pues ¿qué se requiere para tener éxito en obtener la información que necesita un usuario del seguro médico para ser sano?
Yo viví sin el seguro médico por la mayor parte de la veintena, salvo un período breve cuando lo tenía por mi programa de estudios posgrados. Por eso, la adopción en 2010 de la Ley de Cuidado de Salud (la apodada Obamacare o Obamacuidados) me hizo mucha ilusión. El concepto del “intercambio de seguro médico,” el fundamento legislativo de la administración del Presidente Obama, nos prometió básicamente una experiencia como “consumidor” de la salud en “el mercado libre.” En otras palabras, la legislación nos convirtió de humanos con necesidades universales en “consumidores” que escogen lógicamente la mejor oferta para proteger nuestra salud. Por este intercambio manejado por el estado, el que se llama Kynect en Kentucky, nosotros consumidores pudiéramos “ir de compras” para hallar el mejor plan de seguro médico para nosotros. Obamacare nos ha proveído profesionales que son navegadores gratuitos--en nuestro estado se llaman “Kynectors”--para ayudarnos si deseáramos apoyo profesional en navegar nuestras opciones. Debiéramos acceder a este mercado en línea o por teléfono y comparar planes y precios tan afablemente si navegáramos en amazon.com o camináramos por el supermercado, para seleccionar la mejor ganga para nosotros y nuestras familias.
Claro, todo eso parece mucho mejor que los días antes de Obamacare… Pero la facilidad y amabilidad tan publicitadas por el Gobernador Beshear y aún la administración de Obama, mientras ponen en el candelero el intercambio de Kentucky como modelo para la nación, no he experimentado ni como usuaria ni como investigadora. Si el encanto de los intercambios manejados por los estados es que haya más claridad en comparar opciones para comprar, aún les queda un largo camino a Obamacare y Kynect. Una experiencia ideal en el mercado libre incluye precios transparentes entre competidores, para que los consumidores puedan tomar la mejor decisión para actuar en su interés personal. Es más, una experiencia ideal garantiza la privacidad y la libertad mientras estamos comparando. Por ejemplo, no tengo que dar a Amazon.com mi información personal para ver cuánto cuesta comprar las bombillas de varias fabricantes. Sin embargo, el intercambio Kynect y las compañías con las cuales interactué para llevar a cabo esta investigación, Anthem y Humana, eran cualquier cosa menos transparente o respetuosas de privacidad. Pasé muchas hora hablando por teléfono con las dos corporaciones, quienes se negaron decirme información específica con respeto a las finanzas a menos que yo les diera mi nombre completo, fecha de nacimiento, número de la seguridad social, y número de teléfono. Eso es años luz al mercado libre.
En resumen, aunque consumió mucho tiempo, y era un proceso oscuro y no fácil como usuario en general, aquí te comparto a ti lo básico que quise encontrar en cuanto al cuidado anticonceptivo para las usuarias de Medicaid en Kentucky:
Aquí hay unas notas importantes para tomar en cuenta cuando estás decidiendo cuál cuidado y cobertura son los mejores para ti:
1. Para averiguar si está cubierto o no un medicamento particular, puedes referirte a este formulario, el cual se actualiza de vez en cuando. Aquí tienes el más reciente a partir de la publicación de esta gráfica: http://www.anthem.com/Exchangedruglist4.pdf. Siempre puedes encontrar el formulario actualizado por hacer clic en el archivo llamado “Anthem Select Drug List (4-Tier)” en la biblioteca virtual de formularios en el sitio web de Anthem: https://www.anthem.com/health-insurance/customer-care/forms-library
2. Para averiguar si está cubierto o no un medicamento particular, puedes utilizar esta herramienta de búsqueda en el sitio web de Humana. Te informará a ti a cuál nivel pertenece el medicamento (si está cubierto). (“Nivel” en los formularios de medicamentos se dice “Tier” en inglés, y se pronuncia “tir.”) También, la herramienta de búsqueda te informará si haya límites en la cantidad de dicho medicamento que se puede dispensar dentro de un periodo. Aquí tienes el enlace para la herramienta de búsqueda: http://apps.humana.com/UnsecuredDrugListSearch/Search.aspx
3. En cuanto a la píldora (“los anticonceptivos orales”), hay tantas marcas y tantos medicamentos genéricos diferentes que no se sabe en todos casos si los copagos en esta gráfica son aplicables a la píldora específica que prefieres. Busca tu receta en los formularios arriba para ver si tus medicamentos están cubiertos. Si están categorizados bajo “Tier 1” (”Nivel 1”), entonces los copagos en esta gráfica son correctos. Si no, es posible que cuesten más, o quizás no estén cubiertos en absoluto.
Si estás buscando más información, aquí tienes unas herramientas útiles:
What do reproductive justice, burlesque, and fire-eating have in common? (Yes, you read that correctly!) Here's what: A fundraising event that will change lives: Kentucky Health Justice Network’s third burlesque show, “Peek-a-Boo!”
WHEN: Friday, November 7, 2014 Doors open and seating begins at 8pm, show at 9:30pm.
WHERE: The Cure Lounge 1481 S. Shelby St., Louisville, KY 40217
WHAT: an evening of fabulous entertainment including burlesque, dancing, fire eating, and fun, with all proceeds benefiting Kentucky Health Justice Network's programs
WHO: You, your friends, your co-workers, and all the fabulous reproductive justice advocates in your life! Please note this venue is ages 21 and over.
TICKETS: $10-20 sliding scale at the door. RSVP on Facebook here.
Thanks to our fantastic event sponsors:
The Cure Lounge
Theiss Law Offices, PLLC
Planned Parenthood Advocates of Indiana and Kentucky
Kentucky Religious Coalition for Reproductive Choice
ACLU of Kentucky
Want to support the event even more? Sponsorships of this event are a great way to show your organization or group's support for the cause, and come with perks like free tickets and drinks and your name on the event program. Click here for sponsorship information!
by Caitlin Willenbrink, chair, Kentucky Health Justice Network board of directors and chair, Kentucky Religious Coalition for Reproductive Choice board of directors
This article is cross-published in Kentucky Religious Coalition for Reproductive Choice's Fall 2014 Voice for Choice newsletter.
This year, constitutional amendments to define personhood as beginning at conception will be on the ballot in two states, North Dakota and Colorado. These fetal personhood measures are a dangerous tactic that national anti-choice organizations are undertaking as a strategy to undermine abortion rights, but the effect of the policy would be much more widespread than that.
Personhood measures undermine the bodily autonomy of pregnant people and all people and create situations where a citizen could be criminally prosecuted for a miscarriage, in vitro fertilization, or even using emergency contraception.
Unfortunately, we do have case studies of the implications of fetal personhood policy, even though no state has yet adopted such a measure. Bestowing fetuses with personhood through policies like fetal harm laws can and has lead to pregnant people losing basic human rights as a result only of their pregnancy.
Alabama’s “Chemical Endangerment of a Child” law was written to give the state power to prosecute parents who knowingly expose their children – to deter people from bringing children to places where controlled substances are produced or distributed, such as methamphetamine laboratories. But since it was enacted, more than 100 women who became pregnant and tested positive for a controlled substance have been arrested. Some have experienced pregnancy losses, but the majority have continued their pregnancies to term and given birth to healthy children.
Recently, a similar bill passed in Tennessee to authorize the criminal prosecution of pregnant people who use drugs. A related case arose recently in Montana, where a woman who was 12 weeks pregnant was arrested for having a positive drug test. Leaving aside the tenuous research that links drug use with poor pregnancy outcomes, as well as our own judgments on pregnant people who experience addiction, from these cases we can see how laws like these, and the treatment of a fetus as having equal rights as the person carrying it, have proven time and again to lead to the less-than human treatment of pregnant people. People who experience addiction – especially those who are also pregnant – deserve support and treatment, not shame and imprisonment.
In many cases, it’s led to medical interventions being forced on, or refused to, a pregnant person. In the high-profile case of Savita Halappanavar in Ireland, who suffering from a miscarriage at about 17 weeks pregnant. When she sought medical attention and treatment, her requests an abortion were refused – she was told that due to her fetus retaining a heartbeat and her life not appearing to be in physiological danger, abortion was not legal. Savita went into septic shock due to the fetal remains in her uterus, and her condition deteriorated rapidly. She died a few days later of organ failure and cardiac arrest.
However someone feels about abortion, we should be able to agree that criminalizing a pregnant person and applying a law differently to them simply because they are pregnant is wrong. Kentucky Health Justice Network, together with the Kentucky Religious Coalition for Reproductive Choice, is opposed to any such personhood measure, and we are demonstrating that opposition by standing with organizations who challenging these measures on the ground.
North Dakotans Against Measure 1 (www.ndam1.org) are lobbying against the amendment in that state, and in Colorado, a wide swath of reproductive justice organizations is coming together the NO on 67 campaign (www.voteno67.com).
These measures purport to be only about abortion, but advocates conservative and liberal alike realize their destructive possibilities. In both states, the measures are very broadly and unclearly written, so in both states, organizations as wide-ranging as Planned Parenthood, the ACLU, bar associations, and even the AARP have come out in opposition to them.
Learn more and get involved by following the above-mentioned campaigns and at National Advocates for Pregnant Women (www.advocatesforpregnantwomen.org).
Friends of KHJN.