Authority of the Department of Defense to Use Appropriations for Travel by Service Members and Dependents to Obtain Abortions ( 2022 )


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  • (Slip Opinion)
    Authority of the Department of Defense to Use
    Appropriations for Travel by Service Members and
    Dependents to Obtain Abortions
    The Department of Defense may lawfully expend funds to pay for service members and
    their dependents to travel to obtain abortions that DoD cannot itself perform due to
    statutory restrictions. DoD may lawfully expend funds to pay for such travel pursuant
    to both its express statutory authorities and, independently, the necessary expense doc-
    trine.
    October 3, 2022
    MEMORANDUM OPINION FOR THE GENERAL COUNSEL
    DEPARTMENT OF DEFENSE
    You have asked whether the Department of Defense (“DoD”) may law-
    fully expend funds to pay for service members and their dependents to
    travel to obtain abortions that DoD itself cannot perform due to statutory
    restrictions. We conclude that DoD may lawfully expend funds for this
    purpose under its express statutory authorities and, independently, under
    the necessary expense doctrine.
    I.
    By statute, “[f]unds available to the Department of Defense may not be
    used to perform abortions except where the life of the mother would be
    endangered if the fetus were carried to term or in a case in which the
    pregnancy is the result of an act of rape or incest,” 
    10 U.S.C. § 1093
    (a),
    and “[n]o medical treatment facility or other facility of the Department of
    Defense may be used to perform an abortion except where the life of the
    mother would be endangered if the fetus were carried to term or in a case
    in which the pregnancy is the result of an act of rape or incest,” 
    id.
    § 1093(b). By its express terms, 
    10 U.S.C. § 1093
    (a) applies only to funds
    used to “perform abortions.” As we have previously concluded in as-
    sessing identical language restricting the Peace Corps’ use of its appropri-
    ations, the plain text is dispositive here. See Peace Corps Employment
    Policies for Pregnant Volunteers, 
    5 Op. O.L.C. 350
    , 357 (1981). This
    language “does not prohibit the use of funds to pay expenses, such as a
    per diem or travel expenses, that are incidental to the abortion.” 
    Id.
    1
    
    46 Op. O.L.C. __
     (Oct. 3, 2022)
    This conclusion is confirmed by section 1093’s legislative history.
    When Congress originally enacted the provision in 1984, it prohibited
    DoD only from using funds “to perform abortions except where the life of
    the mother would be endangered if the fetus were carried to term.” 
    Pub. L. No. 98-525, § 1401
    (e)(5), 
    98 Stat. 2492
    , 2617–18 (1984). DoD subse-
    quently adopted a policy of prohibiting non-covered abortions from being
    performed at any DoD facility even when privately funded—a policy that
    President Clinton then directed DoD to reverse, stating that it went “be-
    yond . . . the requirements of the statute.” Memorandum on Abortions in
    Military Hospitals, 1 Pub. Papers of Pres. William J. Clinton 11, 11
    (Jan. 22, 1993). In 1996, Congress responded to President Clinton’s
    directive by amending 
    10 U.S.C. § 1093
     to make clear that, in addition to
    the prohibition on using funds to “perform abortions,” “[n]o medical
    treatment facility or other facility of the Department of Defense may be
    used to perform an abortion except where the life of the mother would be
    endangered if the fetus were carried to term or in a case in which the
    pregnancy is the result of an act of rape or incest.” 
    10 U.S.C. § 1093
    (b). It
    is notable that the amendment was targeted narrowly to address the spe-
    cific issue of DoD’s use of its medical treatment facilities, rather than
    reaching the same result via a broader prohibition on expenditures indi-
    rectly related to the provision of abortions.
    The limited scope of the 1996 amendment is especially significant be-
    cause when Congress has wanted to restrict abortion-related expenditures
    beyond those for the procedure itself, Congress has done so. For example,
    in 1988—prior to amending 
    10 U.S.C. § 1093
    —Congress had attached a
    restriction to Department of Justice (“DOJ”) funds prohibiting the use of
    those funds “to require any person to perform, or facilitate in any way the
    performance of, any abortion.” 
    Pub. L. No. 100-459,
     tit. II, § 206, 
    102 Stat. 2186
    , 2201 (1988) (emphasis added); see also, e.g., Consolidated
    Appropriations Act, 2022, 
    Pub. L. No. 117-103,
     div. E, § 726(d), 
    136 Stat. 49
    , 131 (“CAA 2022”) (referring to funding for “abortion or abortion-
    related services” (emphasis added)). This DOJ restriction is also in the
    current appropriation. See CAA 2022, div. B, § 203. That Congress chose
    not to include such capacious language in the 1996 amendment confirms
    that it did not intend for the prohibition to sweep so widely.
    Other DOJ appropriation restrictions provide further evidence that
    Congress did not intend DoD’s prohibition on the use of funds to perform
    abortions to reach ancillary expenses, such as travel costs. In addition to
    2
    Use of Department of Defense Appropriations for Travel to Obtain Abortions
    the provision noted above, section 202 of the current appropriation con-
    tains a general prohibition against using the appropriated funds “to pay for
    an abortion.” Id., div. B, § 202. Section 204 then contains a clarification
    that the prohibition on requiring any person to perform or facilitate an
    abortion does not “remove the obligation of the Director of the Bureau of
    Prisons to provide escort services necessary for a female inmate” to obtain
    an abortion “outside the Federal facility.” Id., div. B, § 204. Importantly,
    this language in section 204 does not also create an exception to the
    general funding restriction in section 202, but rather only clarifies that
    nothing in section 203 “remove[s] the obligation” of the agency to pro-
    vide transportation services. Id. Section 204 therefore is premised on an
    understanding that section 202’s general prohibition on “pay[ing] for an
    abortion” does not affect the agency’s ability to provide such escort
    services, showing that when Congress prohibits funds from being used “to
    pay for an abortion,” it does not intend that prohibition to reach transpor-
    tation expenses.
    Comparing 
    10 U.S.C. § 1093
     to the text and history of the longstanding
    funding restriction known as the Hyde Amendment is similarly instruc-
    tive. The Hyde Amendment restricts expenditures by the Departments of
    Labor, Health and Human Services, and Education by providing that no
    covered funds “shall be expended for any abortion” or “for health benefits
    coverage that includes coverage of abortion,” except “if the pregnancy is
    the result of an act of rape or incest; or . . . in the case where a woman
    suffers from a physical disorder, physical injury, or physical illness,
    including a life-endangering physical condition caused by or arising from
    the pregnancy itself that would, as certified by a physician, place the
    woman in danger of death unless an abortion is performed.” CAA 2022,
    div. H, §§ 506–507. In previous advice, we concluded that the Hyde
    Amendment would not bar the use of appropriated funds to provide trans-
    portation for women seeking abortions. See Memorandum for Samuel
    Bagenstos, General Counsel, Department of Health and Human Services,
    from Christopher H. Schroeder, Assistant Attorney General, Office of
    Legal Counsel, Re: Application of the Hyde Amendment to the Provision
    of Transportation for Women Seeking Abortions (Sept. 27, 2022). In
    reaching that conclusion, we noted, among other considerations, that
    earlier versions of the Hyde Amendment only applied to funds “for any
    abortion,” and that in 1997 Congress added language to reach funds “for
    3
    
    46 Op. O.L.C. __
     (Oct. 3, 2022)
    health benefits coverage that includes coverage of abortion.” 1 Depart-
    ments of Labor, Health and Human Services, and Education, and Related
    Agencies Appropriations Act, 1998, 
    Pub. L. No. 105-78, § 509
    (a)–(b),
    
    111 Stat. 1467
    , 1516 (1997); see Application of the Hyde Amendment to
    Federal Student-Aid Programs, 
    45 Op. O.L.C. __
    , at *3 (Jan. 16, 2021);
    H.R. Rep. No. 105-390, at 119 (1997) (Conf. Rep.); see also 143 Cong.
    Rec. 17,448 (1997) (statement of Sen. Ashcroft). In the context of health
    insurance, the funds are paid to reimburse the provider or the insured for,
    and thus effectively pay for, the abortion procedure itself. As a result,
    payment for health insurance that covers abortions is more closely con-
    nected to the actual provision of abortion than transportation to and from
    the procedure. Thus, the fact that Congress revised the Hyde Amendment
    to specify that it applies to payments for health benefits coverage supports
    the view that the prohibition on expending funds “for any abortion” is
    limited to the direct provision of abortions and would not apply to trans-
    portation. 2 More generally, the amendment suggests that when Congress
    has wanted to clearly encompass certain expenditures beyond the direct
    provision of the procedure, Congress has amended abortion-related fund-
    ing restrictions to do so.
    For these reasons, 
    10 U.S.C. § 1093
     does not prohibit the use of funds
    for expenses that are indirect or ancillary to the performance of abortion.
    We therefore conclude that 
    10 U.S.C. § 1093
     does not bar DoD from
    using appropriated funds to pay for service members and their dependents
    to travel to obtain abortions that DoD cannot fund directly.
    1 Although the various appropriation restrictions use somewhat different language,
    compare 
    10 U.S.C. § 1093
    (a) (prohibiting “perform[ing] abortions”) with CAA 2022,
    div. H, § 506(a) (prohibiting “expend[ing]” funds “for any abortion”) and id., div. B,
    § 202 (prohibiting “pay[ing] for an abortion”), we have concluded that in this context the
    differences in phrasing do not reflect differences in substance. See Application of the
    Hyde Amendment to the Provision of Transportation for Women Seeking Abortions at *3.
    2 To be sure, some of the legislative history suggests that this amendment simply
    “clarif [ied]” what the Hyde Amendment already prohibited. 143 Cong. Rec. 18,493
    (1997) (statement of Rep. Hyde). Regardless, the debate—and Congress’s subsequent
    action—indicate that the prohibition on funds being “expended for any abortion” did not
    sweep beyond the direct provision of abortions to an extent that would reach transporta-
    tion for abortion.
    4
    Use of Department of Defense Appropriations for Travel to Obtain Abortions
    II.
    The Constitution mandates that “[n]o Money shall be drawn from the
    Treasury, but in Consequence of Appropriations made by Law.” U.S.
    Const. art. I, § 9, cl. 7. The Purpose Act, reflecting this constitutional
    principle, provides that “[a]ppropriations shall be applied only to the
    objects for which the appropriations were made except as otherwise
    provided by law.” 
    31 U.S.C. § 1301
    (a). Consistent with the Purpose Act,
    the Supreme Court has long recognized that “[t]he established rule” is that
    “the expenditure of public funds is proper only when authorized by Con-
    gress, not that public funds may be expended unless prohibited by Con-
    gress.” United States v. MacCollom, 
    426 U.S. 317
    , 321 (1976).
    Accordingly, in the absence of a statute prohibiting the expenditures
    DoD is contemplating, the availability of the proposed expenditures
    depends on whether authority exists for DoD to expend its appropriations
    for this purpose. You have concluded that DoD has authority for the
    contemplated expenditures under both express statutory authorities and
    the necessary expense doctrine. We agree.
    A.
    You have concluded that “the Secretary of Defense has broad statutory
    authority to pay for the travel and transportation expenses of Service
    members and other authorized travelers.” Memorandum from Department
    of Defense, Re: Legal Availability of DoD Appropriations to Pay Trans-
    portation Costs to Obtain Abortions Outside the Scope of 
    10 U.S.C. § 1093
     at 3 (Aug. 22, 2022) (“DoD Memo”). You have noted three
    sources of statutory authority that you believe permit the Secretary of
    Defense to authorize the contemplated expenditures: 
    37 U.S.C. § 452
    (a),
    
    37 U.S.C. § 452
    (b)(11), and 
    37 U.S.C. § 453
    (d). We agree that these
    provisions confer express authority for such expenditures.
    1.
    By its express terms, 
    37 U.S.C. § 452
    (a) provides broad authority for
    the Secretary to provide “actual and necessary expenses of travel and
    transportation, for, or in connection with,” any “travel as authorized or
    ordered by the administering Secretary,” 
    id.
     § 451(b)(1), with no enumer-
    ated limitations.
    5
    
    46 Op. O.L.C. __
     (Oct. 3, 2022)
    The broad scope of 
    37 U.S.C. § 452
    (a)’s grant of authority to the Secre-
    tary to provide travel expenses is confirmed by a list of examples of
    covered travel expenses in 
    37 U.S.C. § 452
    (b)(1)–(20). This list is explic-
    itly illustrative, not exclusive. See 
    id.
     § 452(b) (noting that “[t]he authori-
    ty under subsection (a) includes travel under or in connection with, but
    not limited to, the following circumstances”). Of particular note, 
    37 U.S.C. §§ 452
    (b)(18) and 452(b)(19) authorize expenses for travel by dependent
    children of a service member to the continental United States to attend
    school if the service member is assigned to a permanent duty location
    outside the continental United States. These provisions demonstrate that,
    consistent with the broad terms of the statutory definition, Congress
    understood “official travel” to include travel for purely personal purposes
    necessitated by the fact that service members and their families “generally
    do not choose where they and their families will be stationed,” but are
    assigned to locations “based on the needs of the Military Service and the
    ability of Service members to meet those requirements.” DoD Memo at 7.
    Relevant legislative history further confirms that Congress intended the
    delegation of authority to the Secretary in 
    37 U.S.C. § 452
    (a) to be con-
    strued broadly. One of the purposes of the travel and transportation au-
    thorities for the uniformed services, including both 
    37 U.S.C. §§ 452
     and
    453, was to provide the Secretary with flexibility to authorize travel
    expenses in the face of changing needs. See National Defense Authoriza-
    tion Act for Fiscal Year 2012, 
    Pub. L. No. 112-81, § 631
    (a), 
    125 Stat. 1298
    , 1452 (2011).
    As such, both the text of 
    37 U.S.C. § 452
     and its purpose indicate that
    
    37 U.S.C. § 452
    (a) provides the Secretary with broad authority to provide
    payment for expenses in connection with authorized travel. Should the
    Secretary authorize travel for service members and their dependents to
    obtain abortions, 
    37 U.S.C. § 452
    (a) would expressly permit the provision
    of travel expenses.
    2.
    In addition, 
    37 U.S.C. § 452
    (b)(11) provides that the authority under
    
    37 U.S.C. § 452
    (a) specifically “includes travel under or in connection
    with[] . . . [u]nusual, extraordinary, hardship, or emergency circumstanc-
    es.” A separate statute, 
    37 U.S.C. § 453
    (d), similarly provides that author-
    ized travelers, including both service members and their dependents, see
    6
    Use of Department of Defense Appropriations for Travel to Obtain Abortions
    
    id.
     § 451(a)(2), “may be provided travel and transportation allowances
    under this section for unusual, extraordinary, hardship, or emergency
    circumstances, including circumstances warranting evacuation from a
    permanent duty assignment location,” id. § 453(d). 3 Neither provision
    specifies what constitutes “[u]nusual, extraordinary, hardship, or emer-
    gency circumstances.” Id. § 452(b)(11); see also id. § 453(d).
    Consistent with your representations, discussed further below, that be-
    ing stationed in a location without access to abortion “may impose signif-
    icant costs on a Service member’s physical and mental health and well-
    being,” DoD Memo at 7, you have concluded that “the Secretary of De-
    fense or an authorized delegate could reasonably determine that Service
    members who are required to serve in an area without access to essential
    reproductive health care face unusual, extraordinary, hardship, or emer-
    gency circumstances,” id. at 4 (quotation marks and alteration omitted)
    (citing 
    37 U.S.C. § 453
    (d) and 
    37 U.S.C. § 452
    (b)(11)). We agree.
    There is precedent for the armed forces recognizing that service mem-
    bers and their families may experience hardship circumstances by virtue
    of being stationed in locations without access to specialized reproductive
    health care. A current Army policy provides several accommodations for
    service members when they or their spouses “are undergoing fertility
    treatment,” including potential eligibility for compassionate reassignment
    to installations where fertility treatment is available. Christine E.
    Wormuth, Secretary of the Army, Army Directive 2022-06 (Parenthood,
    Pregnancy, and Postpartum) at 7–8 (Apr. 19, 2022) (“Army Directive
    2022-06 ”). The policy also allows service members to remain in the same
    geographic location for up to 365 days from the date of the first fertility
    appointment, with an additional 365-day extension from the date the
    service member is granted a fertility profile for assisted reproductive
    technology procedures. 
    Id.
     The policy references a DoD Instruction
    providing that “[m]ilitary personnel assignment decisions will not be
    3 You have explained that 
    37 U.S.C. §§ 452
    (b)(11) and 453(d) differ in that funding
    authorized under 
    37 U.S.C. § 452
     would typically apply across all the uniformed services
    and be implemented through an amendment to the Joint Travel Regulations in consulta-
    tion with the Secretaries of Homeland Security, Commerce, and Health and Human
    Services, see 
    37 U.S.C. § 464
    , while 
    37 U.S.C. § 453
    (d) authorizes the Secretaries of
    Defense, Homeland Security, Commerce, and Health and Human Services to provide
    supplemental travel and transportation allowances for their respective uniformed services,
    see 
    id.
     § 453; DoD Memo at 3–4.
    7
    
    46 Op. O.L.C. __
     (Oct. 3, 2022)
    influenced by the . . . health of a Service member’s family member,”
    except “[w]hen necessary to,” among other things, “relieve the personal
    hardship of a Service member or family member because a family mem-
    ber needs access to specialized medical treatment.” DoD Instruction
    1315.18, Procedures for Military Personnel Assignments para. 3.b.1
    (Oct. 28, 2015). In like vein, here DoD would be determining that service
    members and their families may experience hardship circumstances by
    virtue of being stationed in locations without access to specialized repro-
    ductive health care. The two contexts are especially similar because DoD
    does not provide or pay for either type of health care. See 
    32 C.F.R. § 199.4
    (e)(2) (excluding from DoD’s medical insurance program payment
    for non-covered abortions); 
    id.
     § 199.4(e)(3)(i)(B)(3) (excluding many
    assisted reproductive technologies, including artificial insemination and in
    vitro fertilization).
    In light of the above, we conclude that the Secretary or an authorized
    delegate, taking into account all relevant considerations, could reasonably
    determine that requiring service members and their families to live in a
    location without access to abortion creates an unusual, extraordinary,
    hardship, or emergency circumstance. If the Secretary or an authorized
    delegate should make such a determination, 
    37 U.S.C. § 452
    (b)(11) and
    
    37 U.S.C. § 453
    (d) would expressly authorize the provision of travel
    expenses for a service member or dependent to obtain that care.
    B.
    Apart from relying on express statutory authority, an agency may ex-
    pend funds from a general appropriation under the necessary expense
    doctrine. The necessary expense doctrine permits an agency to expend
    funds from a general appropriation “‘[i]f the agency believes that [an]
    expenditure bears a logical relationship to the objectives of the general
    appropriation, and will make a direct contribution to the agency’s mis-
    sion,’” where no “specific provision limits the amount that may be ex-
    pended on a particular object or activity within [the] general appropria-
    tion.” Use of General Agency Appropriations to Purchase Employee
    Business Cards, 
    21 Op. O.L.C. 150
    , 153–54, 156 (1997) (“Employee
    Business Cards”) (quoting Indemnification of Department of Justice
    Employees, 
    10 Op. O.L.C. 6
    , 8 (1986)). Agencies “have considerable
    discretion in determining whether expenditures further the agency’s
    8
    Use of Department of Defense Appropriations for Travel to Obtain Abortions
    authorized purposes and therefore constitute proper use of general or
    lump-sum appropriations.” 
    Id. at 153
    ; see Lincoln v. Vigil, 
    508 U.S. 182
    ,
    192 (1993). It is for “[t]he agency itself ” to “‘make the required determi-
    nation,’ since [the agency] is ‘in the best position to determine whether’
    an expenditure of funds is necessary to carry out the agency’s mission
    effectively.” Religious Seasonal Decorations in Federal Government
    Buildings, 
    45 Op. O.L.C. __
    , at *6 (Jan. 15, 2021) (quoting State and
    Local Deputation of Federal Law Enforcement Officers During Stafford
    Act Deployments, 
    36 Op. O.L.C. 77
    , 90 (2012)).
    You have explained that the contemplated expenditure for travel ex-
    penses to help service members and their dependents access non-covered
    abortions “would rely on an operation and maintenance (O&M) appro-
    priation, which is available for ‘expenses, not otherwise provided for,
    necessary for the operation and maintenance’ of the Department, ‘as
    authorized by law.’” DoD Memo at 4 (quoting CAA 2022, div. C). “This
    appropriation is a general or lump-sum appropriation ‘covering a wide
    range of activities without specifying precisely the objects to which the
    appropriation may be applied.’” 
    Id.
     (quoting Funding for the Critical
    Technologies Institute, 
    16 Op. O.L.C. 77
    , 80 (1992)). You have concluded
    that “the necessary expense doctrine permits DoD to use its . . . appropriations
    to pay for Service members and dependents to travel to obtain non-
    covered abortions if a responsible senior official determines that the
    expenditures would make a direct contribution to the objectives of achiev-
    ing and maintaining a ready force and/or recruiting and retaining a highly
    qualified force.” 
    Id. at 10
    . We agree.
    DoD plainly has an interest in the readiness of its force, which it de-
    fines as the “ability of military forces to fight and meet the demands of
    assigned missions.” 
    Id. at 6
     (quoting Office of the Chairman of the Joint
    Chiefs of Staff, DOD Dictionary of Military and Associated Terms at 179
    (May 2022)). You have identified both individual medical readiness and
    morale as aspects of force readiness that could be furthered by the con-
    templated expenditure.
    DoD defines medical readiness as “[a] Service member’s medical, den-
    tal, and mental/behavioral health status necessary to perform their as-
    signed missions.” DoD Instruction 6025.19, Individual Medical Readiness
    Program at 24 (July 13, 2022) (“DoDI 6025.19, Individual Medical
    Readiness Program”). You have identified several reasons why “[f]unding
    9
    
    46 Op. O.L.C. __
     (Oct. 3, 2022)
    a Service member’s transportation to and from a non-covered abortion
    procedure could contribute meaningfully to readiness, such that the ex-
    penditure helps accomplish ‘broader [DoD] objectives’ covered by the
    O&M appropriations.” DoD Memo at 7.
    First, as the Under Secretary of Defense for Personnel and Readiness
    and the Acting Assistant Secretary of Defense for Health Affairs recently
    testified before the House Armed Services Subcommittee on Personnel,
    “[r]egardless of whether and where abortion is legal, and under what
    circumstances, we know from established research that individuals will
    continue to seek” abortion care, including within “the Military Communi-
    ty.” Women’s Reproductive Health Issues: Hearing Before the Subcomm.
    on Personnel of the H. Armed Services Comm. at 4 (July 29, 2022)
    (statement of Gilbert R. Cisneros, Under Secretary of Defense for Person-
    nel and Readiness, and Seileen Mullen, Acting Assistant Secretary of
    Defense for Health Affairs) (“Cisneros Testimony”). To obtain a non-
    covered abortion, service members or their family members who are
    stationed in states without local access from licensed providers would
    need to travel to another jurisdiction where the procedure is available,
    despite potentially burdensome or prohibitive costs of travel and lodging.
    See 
    id.
     “Such expenses would add financial burden and stress to what is
    already likely to be a challenging situation,” DoD Memo at 7, which could
    further exacerbate negative impacts on service members’ physical and
    mental health.
    Moreover, service members who are unable to afford the added expense
    “might instead obtain abortions from unlicensed local providers or even
    resort to self-help, which could put Service members’ health at risk and
    expose them to potential liability or jeopardy under state law.” 
    Id.
     Others
    “may be forced to carry unwanted pregnancies to term, ‘transform[ing]
    what, when freely undertaken, is a wonder into what, when forced, may
    be a nightmare.’” 
    Id.
     (alteration in original) (quoting Dobbs v. Jackson
    Women’s Health Org., 
    142 S. Ct. 2228
    , 2318 (2022) (Breyer, Sotomayor,
    and Kagan, JJ., dissenting)). That would also render service members
    temporarily non-deployable. See DoDI 6025.19, Individual Medical
    Readiness Program at para. 3.1.a.3 (classifying pregnancy and post-
    partum as “deployment-limiting medical condition[s]” that render service
    members “[n]ot [m]edically [r]eady” to deploy). All these circumstances
    “may impose significant costs on a Service member’s physical and mental
    health and well-being,” DoD Memo at 7, which could negatively impact
    10
    Use of Department of Defense Appropriations for Travel to Obtain Abortions
    their ability “to perform their assigned missions,” DoDI 6025.19, Individ-
    ual Medical Readiness Program at 24.
    To be sure, many women who reside in states enforcing newly stringent
    abortion restrictions after the Supreme Court’s decision in Dobbs will
    face similar obstacles in accessing abortions. Service members, however,
    have far less ability than civilians to choose the state where they and their
    families live. Service members must go where the Department of Defense
    stations them. See DoD Memo at 7 (“Service members generally do not
    choose where they and their families will be stationed.”). As a result, it is
    possible that the “costs on a Service member’s physical and mental health
    and well-being . . . could be exacerbated in some cases by a Service
    member’s perception that military service has limited her reproductive
    health care options and that the military is unable or unwilling to support
    her.” 
    Id.
     Where DoD stations a service member in an area with no or
    limited access to reproductive health care options, the service member
    may well view DoD itself as the major obstacle to the service member’s
    or their family member’s ability to receive care. Cf. Harris v. McRae,
    
    448 U.S. 297
    , 315 (1980) (distinguishing between obstacles that a woman
    generally faces in accessing abortion and obstacles that the government
    itself places in her path). Such a perception may be further exacerbated by
    the fact that DoD does, in other contexts, offer accommodations to miti-
    gate burdens on health care access caused by service members’ assign-
    ment locations. See DoD Instruction 1315.19, The Exceptional Family
    Member Program (EFMP) para. 1.2 (Apr. 19, 2017) (authorizing accom-
    modations for service members whose families include a member with
    special needs, including by establishing protocol “to ensure their family
    members’ special needs are considered during the assignment process”
    and by allowing for possible stabilization of assignment location “for a
    minimum of 4 years”); Army Directive 2022-06 at 7–8 (establishing
    accommodations within the Army for service members undergoing fertili-
    ty treatment, as discussed above). This perception may affect not only
    service members’ individual medical readiness, but also morale, which is
    an independent component of force readiness. See DoD Instruction
    1015.10, Military Morale, Welfare, and Recreation (MWR) Programs
    para. 4 (July 6, 2009) (noting that morale, recreation, and welfare pro-
    grams are intended to “maintain individual, family, and mission readiness
    during peacetime and in time of declared war and other contingencies”).
    11
    
    46 Op. O.L.C. __
     (Oct. 3, 2022)
    For the above reasons, and in light of the discretion accorded to agen-
    cies to determine whether expenditures further the agency’s authorized
    purposes, see Employee Business Cards, 21 Op. O.L.C. at 153, we agree
    that a DoD senior official could reasonably conclude that “paying for
    Service members to travel to obtain non-covered abortions would directly
    contribute to the objective of achieving and maintaining a ready force” by
    contributing to service members’ physical and mental health and morale,
    DoD Memo at 7.
    In addition, you noted that DoD’s interest in military recruitment and
    retention could provide an alternative, independent ground for the con-
    templated expenditures from DoD’s O&M appropriation. You have repre-
    sented that “DoD also has an important interest in recruiting and main-
    taining the most qualified Service members.” DoD Memo at 8. The Under
    Secretary of Defense for Personnel and Readiness and the Acting Assis-
    tant Secretary of Defense for Health Affairs recently testified that “wom-
    en . . . volunteer at lower rates than men,” and that “some potential re-
    cruits [could] feel deterred from joining the military for fear of being
    stationed at an installation or base” in states that severely restrict their
    options for reproductive health care. Cisneros Testimony at 3. Moreover,
    existing service members who are presently “living and working in states
    with the full range of reproductive health care available to them” may be
    “deter[red] . . . from remaining in . . . military service” because of the
    possibility of “being required to move to a state that severely restrict
    access to reproductive health care” and the attendant threat to their “pri-
    vacy and health care choices.” Id. You noted that DoD’s interest in fund-
    ing travel to pay for non-covered abortions would be especially strong if
    private sector employers adopt such policies, given that it may put DoD
    “at a distinct competitive disadvantage” if it cannot offer accommodations
    similar to those in the private sector, particularly given that service mem-
    bers, unlike civilians, “have little control” over where they live. DoD
    Memo at 8.
    For these reasons, we agree with your conclusion that DoD would have
    discretion under the necessary expense doctrine to pay for travel for
    service members and dependents to obtain non-covered abortions if DoD
    were to “determine [that] . . . paying for Service members to travel to
    obtain non-covered abortions would directly contribute to the objective of
    recruiting and retaining a highly qualified force.” Id.
    12
    Use of Department of Defense Appropriations for Travel to Obtain Abortions
    * * * * *
    We therefore conclude that, pursuant to both express statutory authori-
    ties and the necessary expense doctrine, DoD can lawfully expend funds
    to pay for service members and their dependents to travel to obtain abor-
    tions that DoD itself cannot perform.
    CHRISTOPHER H. SCHROEDER
    Assistant Attorney General
    Office of Legal Counsel
    13
    

Document Info

Filed Date: 10/3/2022

Precedential Status: Precedential

Modified Date: 10/20/2022