The Biden Administration quietly erases insurance coverage for natural family planning options:  Last December, without fanfare, advanced notice, or even basic compliance with  federal regulations, the Biden Administration rolled back insurance coverage for fertility-awareness-based method (FABM) instruction. Now, one Texas nurse practitioner is fighting back. On Wednesday, May 25, Alliance Defending Freedom-filed a lawsuit in the U.S. District Court for the Eastern District of Texas on behalf of Dr. Cami Jo Tice-Harouff, a nurse practitioner certified in multiple states to teach and provide care based on the Creighton Method of Fertility Care as well as the Marquette Method of natural family planning, two evidence-based methods useful for pregnancy achievement or prevention and health monitoring. ADF noted that Tice-Harouff assists many of her patients by billing their insurance providers, and then donates the proceeds to a non-profit clinic that provides health care to the needy." With the removal of FABM from the guidelines, women and couple's only covered options for family planning are contraceptive and abortacient drugs and devices. -According to ADF's press release, HHS' decision to remove fertitity awareness-based method instructions from its 2021 list of recommended preventive services violates federal law. Under the Administrative Proceedures Act, federal agencies must follow a public "notice and comment process" before changing their rules and guidelines. No such notice and comment process occured. ADF's Senior Counsel, Julie Marie Blake, commented on the HHS decision. "Women shouldn't have to fear losing their doctor and insurance coverage for fertility awareness instruction as a result of back-room government decisions," Blake explained, "Countless women rely on Dr. Tice-Harouff's expertise to help them raise families in a manner consistent with their medical needs. It is wrong and unlawfull for the Biden Administration to push its own, preferred method of family planning on all women." Blake added, "Women who practice fertility awareness-based methods make serious personal and financial decisions to do what's best for their family and their conscience. Removing insurance coverage could devastate these families. The government should not be facing this choice upon America's women."  The HHS Women's Preventive Services guidelines issued last Decenber are slated to take effect in Decenber of this year, 2022.