“It’s egregious to me that the Biden-Harris administration would use women as political pawns in their game when it comes to protecting life,” said Amy O’Donnell, a communications director at Texas Alliance for Life, an anti-abortion lobbying group. “There’s simply no reason conceivable outside of politics that they turn this down in Texas.”

Lawmakers say they suspect the denial resulted from the language in the legislation that says coverage continues from “the date the woman delivers or experiences an involuntary miscarriage.” They say that could be interpreted as excluding those who had abortions from any expansion of Medicaid.