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The National Abortion Federation’s mission is to ensure safe, legal,and accessible abortion care to promote health and justice for women.NAF is a 501(c)(3) non-profit organization. Gifts to NAF are tax-deductible in the U.S. to the extent permitted by law.
M e s s ag e f r o m NA F ’ s B oa r d C h a i rPat Smith, MDThirty years ago, a group of advocates and abortion providers envisioned a national professional organization of theirown. Their vision became the National Abortion Federation. We’ve come a long way in 30 years, and made manychanges, but one thing that hasn’t changed is our commitment to meeting the needs of abortion providers and patients.What started as a two-person office has grown into an international organization with members in the U.S. and Canada.Today, NAF sets the standards for quality abortion care in North America and provides members with a variety of programsincluding continuing medical education, group purchasing, on-site security trainings and support, as well as a sense ofcommunity. Through our toll-free Hotline, NAF is able to offer unbiased information about abortion and referrals to providersof quality care for women in both countries.NAF has a proud history and has accomplished so much in the last 30 years. It has been my great pleasure to serve asNAF’s Board Chair, and I am confident that with such outstanding membership, there is no limit to the ways we can supporteach other and serve women for years to come.M e s s ag e f r o m NA F ’ s P r e s i d e n t a n d C E OVicki SaportaAs NAF celebrates 30 years of ensuring that abortion is safe, legal, and accessible, I am proud to continue to serveour dedicated membership—many of whom have been involved in NAF since the very beginning. It is my privilege topresent this Annual Report, which commemorates NAF’s many accomplishments and rich history.In addition to our 30-year anniversary, we had another reason to celebrate in 2007. In November, NAF received a multimillion dollar donation that has enabled us to subsidize the cost of abortion care for low-income women through our toll-freeHotline. This gift has far surpassed any we’ve ever received, and enabled us to help women on a larger scale than we everthought possible. We have received so many letters from women thanking us for helping them obtain the abortion care theyneed. This is an extremely exciting program, which helps us make a difference in the lives of thousands of women every month.I’d like to thank our Board of Directors, staff, membership, and all of our generous funders and supporters for their manycontributions, which help ensure NAF’s continued growth and success as we prepare for the next 30 years and beyond.1National Abortion Federation 2007 Annual Report
A Brief History of the National Abortion FederationA da p t e d f r o m d o c u m e n t s c o m p i l e d by Te r r y B e r e s f o r dSince 1977, NAF has filled the traditional role of the medical “establishment”—toensure the safety and high quality of abortion practice—with standards of care,protocols, and medical education.The vision for NAF took shape at the first national symposium on abortion after Roev. Wade held in Knoxville, TN in March 1975. During the symposium, two providers,Penny Steenblock and Joan Crowley, suggested those interested in founding a nationalorganization of abortion providers meet together immediately following the lastsession. The 25 or so people who stayed, a mixture of non-profit providers, independentclinic owners, and other interested parties, discussed the need for a provider-drivenorganization. A committee was formed to plan the creation of the National Association ofAbortion Facilities (NAAF).At a meeting of the NAAF group in May 1975 in Cleveland, committee member FrancesKissling announced that her vision of a national professional association concernedprimarily with standards of care and access for all women was at odds with the emergingmission of NAAF as primarily a provider service organization, and she resigned fromthe committee. Subsequently she met with a small group of like-minded providersand supporters who decided to found a national professional organization to be calledthe National Abortion Council (NAC). With Kissling as Chair, the NAC organizingcommittee expanded to include a variety of providers, researchers, and advocates.Kissling’s home in Huguenot, NY became NAC’s first office. Alice White was hired to bethe first secretary, and when the office later moved to New York City, Alice moved withit. Early NAC activities included working on the American Women’s Petition, recruitingclinics for membership, and planning for the first annual meeting held in Atlanta, GA inSeptember 1976. At that meeting, the membership attended sessions on medical, legal,and social issues affecting abortion care, and elected a board of directors. Two monthslater, NAAF held its first annual meeting in Chicago.According to Kissling, the impetus for founding NAAF came from independent, freestanding clinics who felt excluded from various national configurations of providers,“We faced many challenges in the early years. Among the most challenging were these:learning to bridge the gaps between the for-profit providers and the non-profits andthe Planned Parenthoods; deciding on our priorities, given our almost total lack offunding; balancing the need for standards with the desire to create as much access toservices as possible. We overcame them, over time, with patience, endless discussions,and the strong desire to create a lasting Federation to serve the provider community.”– Terry Beresford, founding NAF Member and 2nd Board President2National Abortion Federation 2007 Annual Report
Members of the firstNA F B oa r d o f D i r e c t o r sJudith WiddicombePresidentnotably the Pre-term and PPFA clinics. Original members of NAC and its board were drawn from that sector andfrom the abortion rights organizations. National leaders urged both organizations to work toward a merger anda merger committee comprised of the leaders of both groups as well as independent voices in the field developeda merger plan whose key provision was a complex and weighted system of board membership from the variousprovider groups (profit, non-profit, doctor’s offices, feminist clinics, Planned Parenthood clinics).Among the members of the merger committee were Christopher Tietze, MD, of the Population Council, JeannieRosoff of the Guttmacher Institute, Judy Widdicombe of Reproductive Services in Missouri (NAC), MerleHoffman of Choices in New York (NAAF), Frances Kissling, and Joan Crowley.Agreement was reached to call the new organization the National Abortion Federation (thus almost preservingthe NAAF initials) and to adopt the NAC model of equal representation for all types of providers. The two boardsvoted on January 29 in Washington DC to merge and become the National Abortion Federation (NAF) and thememberships approved by mail vote.Kissling served as NAF’s first Executive Director. The NAF offices were moved to East 58th Street in NY, subletfrom Population Services International. Plans were laid to recruit more provider members; committees went towork on issues related to standards, training, legal rights, and public education; and the board held long, oftenargumentative but productive meetings about abortion practice, diversity, organizational goals, and the needs andrights of women, providers, and the public. Other funding sources were solicited, by-laws were written, and moreand more clinics decided to join NAF in an effort to promote access for all women to safe, legal abortion care.In 1977, the newly formed NAF held its first annual meeting in Denver, CO. Seventy-five institutional membersfrom the former NAC and NAAF groups participated. From the very beginning, NAF has been committed todeveloping quality educational resources and providing continuing medical education for members. The program inDenver included NAF’s first post-graduate courses: one on Counseling and one on Medical Aspects of Abortion.The 1978 Annual Meeting in San Francisco established the pattern for future meetings, which have continued toexpand in content and in attendance every year.Throughout the last 30 years, NAF has expanded member benefits and programming to include public policy work,quality assurance and security assistance for providers, and direct services for women through our toll-free Hotline.Our membership has also continued to grow and includes physicians, advanced practice clinicians, nurses, counselors,administrators, and other medical professionals at 400 facilities in 47 states and nine Canadian provinces. These healthcare professionals care for more than half the women who choose abortion each year in both countries.3National Abortion Federation 2007 Annual ReportCarole DornblazerVice PresidentMerle HoffmanSecretaryJeannie RosoffTreasurerIgnatius DeBlasiKaren MulhauserFrank Susman, Esq.Joan Babbott, MDTerry BeresfordCarol BonosaroCurtis Boyd, MDWillard Cates, MD, MPHMyron ChrismanBetsy DavidCarol DownerKenneth Edelin, MDKarl Fossum, MDMildred Hanson, MDWarren Hern, MD, MPH, PhDJoseph O’RourkeLinda SandlerLeah SaylesFrancine SteinRalph Streeter, MDChristopher Tietze, MDLynn WalkerRenee Ward
Roe v. WadeSupreme Courtdecision strikesdown statelaws that madeabortion illegal.197319771975The NAAF and NAC boards vote to merge and becomethe National Abortion Federation (NAF). Frances Kisslingserves as NAF’s 1st Executive Director (above left).The National Association of Abortion Facilities (NAAF) and the National Abortion Council(NAC) were formed.“I attended the first organizational meeting of the National Abortion Council in an Atlanta hotel in 1976.NAAF began around the same time, and with largely the same mandate. It was a tumultuous time.To have two parallel organizations working independently during this sea change in abortion practicemade no sense; merger of the two organizations avoided splintering the small, dedicated group workingto make Roe v. Wade a reality for women.”1 97 0— David Grimes, MD, former head of the Centers for Disease Control Abortion Surveillance Branch19701972Alaska, Hawaii, New York, and Washingtonliberalize abortion laws, making abortion availableat the request of a woman and her doctor.Eisenstadt v. Baird Supreme Courtdecision establishes the right of unmarriedpeople to use contraceptives.1977The first Annual Meeting of the newly formed NAF is heldin Denver, CO. NAF’s first Board President Judith Widdicombe(opposite page) addresses the 75 institutional members fromthe former NAC and NAAF groups in attendance. Membersof NAF’s first Board of Directors Kenneth Edelin, MD, andJeannie Rosoff at the meeting in Denver (above right).19764National Abortion Federation 2007 Annual ReportCongress adopts the first Hyde Amendmentbarring the use of federal Medicaid funds toprovide abortions to low-income women.
1 9 7 9–19781 9 7 0Uta Landy, PhD, assumes theposition of NAF’s 2nd ExecutiveDirector (above left).1978After a year and a half of debate anddeliberation in the Medical StandardsCommittee, chaired by Warren Hern,MD, MPH, PhD (above right), thefirst edition of the NAF Standards forQuality Abortion Care is published.1979NAF establishes a national, toll-free abortion hotline.1977NAF initiates a Group Purchasing Program andGroup Malpractice Insurance Plan.5National Abortion Federation 2007 Annual Report1 97 91979A revised Hyde Amendment is passed allowing states to denyMedicaid funding except in cases of rape, incest, or “severe andlong-lasting” damage to the woman’s physical health.
NAF initiates annualRisk Management Seminars.19801988NAF member Dr. HenryMorgentaler (opposite) wins hiscase before the Canadian SupremeCourt, R. v. Morgentaler, whichdecriminalizes abortion.The Accreditation Council forContinuing Medical Education(ACCME) accredits NAF todeliver continuing medical education in abortion practice.1981As NAF continues to grow andexpand our involvement in thepublic debate about abortion,the NAF office moves to CapitolHill in Washington DC.1983“The Supreme Court decision of1988, which legalized abortionwas a revolutionary decision, really,with tremendous consequences forthe health and well being of women.I think that’s the most importantthing: the safety of women hasincreased a hundred-fold.”— Henry Morgentaler, MD,pioneer for abortion rights inCanada and former NAF BoardMember1984Anti-abortion extremists bomb the NAF office (above), several abortion clinics, and the office of theAmerican Civil Liberties Union. Army of God members Michael Bray, Thomas Spinks, and KennethShields were responsible for the crimes and spent time in prison.1984Training and Education Director Barbara Radford (left) becomes NAF’s3rd Executive Director.1 98 01983NAF members testify in Toronto in the case thateventually went to the Canadian Supreme Courtresulting in abortion being decriminalized in Canada.6National Abortion Federation 2007 Annual Report
1 9 8 9–A NAF delegation joins a recording-breaking crowd of 600,000 marchingin support of abortion rights during the March for Women’s Lives inApril (above). NAF co-sponsored the march held in Washington DC.19851 98 9NAF organizes expert testimony for hearings on violenceat abortion facilities, which are conducted by the HouseJudiciary Subcommittee on Civil and Constitutional Rights.7National Abortion Federation 2007 Annual Report1 9 8 01989
NAF convenes the first symposiumon the abortion provider shortage.1990NAF forms Medical Students forChoice with Jody Steinauer, a medical student at the time, as part ofNAF’s Access Initiative program.1993NAF publishes the first ClinicalPolicy Guidelines (CPGs) on abortion care for the U.S. and Canada,thereby setting the standard forabortion care in North America.1996NAF convenes the first ResidencyTraining Workshop to increasetraining opportunities for medical students and residents.1998NAF expands the Quality Assuranceand Improvement (QAI) Programto include site visits to NAFmember facilities to evaluate theircompliance with NAF’s CPGs.1999199419951996Sylvia Stengle, MPH,(left) takes over asNAF’s ExecutiveDirector.Vicki Saporta(left) is hired asNAF’s ExecutiveDirector.In response to federal abortion ban proposals, NAF took the lead in bringing forward courageous womento tell their stories. President Bill Clinton’s decision to veto a federal abortion ban in 1996 was a directresult of the personal stories he heard from patients and families brought to the White House by NAF(above). He continued to cite these women in his decision to veto this dangerous legislation again in 1997.1 99 019941996NAF is instrumental in advocating for thepassage of the Freedom of Access to ClinicEntrances (FACE) Act in response to the 1993murder of NAF member Dr. David Gunn.NAF convenes a national symposium on the role of advanced practice clinicians—physicianassistants (PAs), certified nurse midwives (CNMs), and nurse practitioners (NPs)—in providingabortion care and expanding abortion access.8National Abortion Federation 2007 Annual Report
1999NAF develops the authoritative textbook on abortioncare, A Clinician’s Guide to Medical and Surgical Abortion.“When NAF published its first textbook on abortion in1999, it quickly became the standard textbook on abortioncare. NAF will launch its new state-of-the-art textbook,written in collaboration with 50 eminent contributors, atthe 2009 Annual Meeting, continuing NAF’s leadershipin educating providers, students, and residents to meet thehealth care needs of women.”19981 9 9 9— Maureen Paul, MD, MPH, textbook Editor in Chief (above)Following the murder of NAF member Dr. Barnett Slepian, NAF and ourcoalition partners met with Attorney General Janet Reno and successfullyadvocated for the creation of the U.S. Department of Justice’s NationalTask Force on Violence Against Health Care Providers. In April 1999,Janet Reno (above) delivers the keynote address at NAF’s Annual Meetingand pledges her commitment to protecting abortion providers and patients.–Left: NAF textbookco-editors DavidGrimes, MD; PhilStubblefield, MD; E.Steve Lichtenberg,MD, MPH; and LynnBorgatta, MD, MPH.NAF founds Midwives forChoice, Nurse Practitionersfor Choice, and PhysicianAssistants for Choice, whichlater become Clinicians forChoice, in order to organizeand educate advanced practiceclinicians as abortion advocatesand potential abortion providers.1 9 9 019971999NAF launches our first public service advertising campaign with bus shelter and transitsystem ads in Washington DC, Miami,Seattle, San Francisco, Cleveland, Chicago,St. Louis, and New York City, and print adsin a number of magazines and publications.19961 99 9At our 1996 Annual Meeting, NAF unveils our newwebsite, which features information for pregnantwomen, activists, members, and journalists.9National Abortion Federation 2007 Annual Report
Food and Drug Administration(FDA) approves mifepristone(formerly known as RU-486) asan option in abortion care forvery early pregnancy.2000NAF launches an internationalmedical education program toimprove access and the quality ofabortion care available to womenin developing countries.2002To provide affordable, sustainablemedical malpractice insurancefor members, NAF establishesthe NAF Professional LiabilityProgram, Inc.2005NAF issues the second edition ofClinical Training Curriculum inAbortion Practice.2005NAF launches accredited continuing medical education programs todeliver medical abortion educationto health care professionals, including physicians of various specialties,advanced practice clinicians, nurses,counselors, and clinic administrators throughout the country. Weconducted “training of faculty”programs for the Medical AbortionEducation Project, which reachedmore than 8,000 participants. Nearly16,000 health care professionalshave participated in NAF-sponsoredor supported medical abortion andultrasound workshops since 2000.NAF’s evidence-based medicalabortion education materials havebeen recognized and adopted foruse throughout North America andaround the world.2000In June 2000, the U.S. District Court rules that the Metropolitan Atlanta Rapid TransitAuthority (MARTA) does not have a compelling state interest in violating NAF’s right to freespeech by refusing to run NAF’s public service ads. After MARTA refused to run the ads, weheld a protest at a MARTA subway station and distributed nearly 3,000 leaflet copies of ourads (left). With pro bono legal assistance, NAF filed a lawsuit against MARTA. Following theruling, NAF settled the case with MARTA, and our ads began appearing in Atlanta for threemonths.20072 00 0NAF convenes a security symposium to bring together legal experts, law enforcement, researchers,and clinic personnel to address theunique challenges facing providers.200010National Abortion Federation 2007 Annual Report
2001In order to educate women about the safety andavailability of medical abortion, NAF initiates a publicservice advertising campaign designed to reach 70% ofAmerican women between the ages of 18 and 49.2006–NAF launches the Canadian Program. Above: DawnFowler, Canadian Director; Vicki Saporta, Presidentand CEO; Penny Priddy, MP; Dr. Carolyn Bennett,MP; and Pat Smith, MD, at NAF’s Canadian launch.2 0 0 0As a result of our work with lawenforcement, anti-abortion extremistClayton Waagner is placed on theFBI’s “Ten Most Wanted” list forsending hundreds of anthrax threatletters to abortion providers. Waagneris the third anti-abortion extremiston the list, joining Eric Rudolph forhis involvement in bombings including two abortion clinics,and James Kopp for the murder of NAF member Dr. BarnettSlepian. All three were caught, convicted, and imprisoned.NAF also worked with the media to focus public attention onthese extremists and their crimes. Above: Vicki Saporta speaksto the media during the Kopp trial in Buffalo, NY.2 0 0 720012004Together with our coalition partners, NAF sponsors the March forWomen’s Lives in Washington DC.NAF staff and members (right) jointhe estimated 1.15 million peoplemarching in support of equal access toreproductive health care for women.2007National Abortion Federation Canada incorporatesas a non-profit organization in Canada.2004A federal ban on abortion procedures is passed by Congressand signed into law by the President. NAF immediatelychallenges the law in court and is successful in obtaining aninjunction, blocking enforcement of the law for our members.NAF successfully challenges the federal abortion ban inNational Abortion Federation et al. v. Ashcroft for its failure toprotect a woman’s health. The Justice Department appealsrulings by three federal district courts against the ban.11National Abortion Federation 2007 Annual Report2007The U.S. Supreme Court upholds the federalabortion ban in Gonzales v. Carhart, resultingin NAF’s injunction being lifted.2 00 92003
Hotline GiftSince 1979, NAF has run a toll-free Hotline to provide callers with unbiased, factualinformation about abortion; options counseling; help in navigating state restrictions;referrals to abortion providers offering quality care; and limited financial assistance. InNovember, NAF received a multi-million dollar donation that has enabled us to helpmore women than ever before by subsidizing the cost of abortion care for eligible lowincome women. This donation has allowed us to help meet the tremendous unmet needsof low-income women attempting to access abortion care, and profoundly changed theway NAF and our members directly serve women.“As a social worker, I have spent yearssaying ‘no, that resource does notexist.’ It is so amazing to be able tostart saying ‘yes’ to patients in need.”– Kira Baughman, MSW,Lead Hotline Case ManagerThe response has been overwhelming and we have already started to receive many lettersfrom patients, thanking us for helping them access the abortion care they so desperatelyneed. In order to meet the demands of this new program, we are increasing our Hotlinestaff and will be expanding our Hotline office space in 2008.The NAF Hotline then and now: operators in the 1990s (above left) and today (above right).12National Abortion Federation 2007 Annual Report
H o t l i n e Fu n d 2 0 0 7 a n d b e y o n dLetters to the NAF Hotline from patients.13National Abortion Federation 2007 Annual Report
Condensed2007 Financial InformationRevenuesGrants and ContributionsMembership DuesMeeting RevenuePublication FeesGroup PurchasingInterest IncomeOther IncomeMalpractice Insurance PremiumsIn-kind ContributionsTotal Revenues2.5% 8,390,526 737,054 413,627 3,852 94,335 149,879 26,084 398,325 273,1782.5%Grants and ContributionsMembership Dues4%Meeting RevenuePublication Fees4%Group Purchasing80%7%Interest IncomeOther IncomeMalpractice Insurance PremiumsIn-kind Contributions 10,486,860ExpensesProgram ServicesMembership Services 795,748Training and Professional Education 601,078Public Affairs, Government Relations and Legal 902,206Clinic Security/Law Enforcement Education 360,338Access Initiative 1,136,875Canadian Program 187,655NAF Professional Liability Program, Inc. (NAF/PLP) 129,7653%3%Membership Services4% 1%Training and Professional Education4%18% 4,428,070Combined Change in Net Assets 6,058,790Net Assets, Beginning of YearNet Assets, End of Year 2,533,647 8,370,187NAF/PLP Retained Earnings, Beginning of YearNAF/PLP Retained Earnings, End of Year20% 145,033 165,663 3,709Total ExpensesClinic Security/Law EnforcementEducation14%26%Support ServicesManagement and GeneralFundraisingFederal Income Tax (NAF/PLP)Public Affairs, GovernmentRelations and Legal8%Access InitiativeCanadian ProgramNAF Professional LiabilityProgram, Inc. (NAF/PLP)Management and GeneralFundraisingFederal Income Tax (NAF/PLP) 622,866 845,11614National Abortion Federation 2007 Annual Report
15National Abortion Federation 2007 Annual Report
Recipients of the Christopher Tietze Humanitarian AwardIn recognition of the life and many contributions of Christopher Tietze, MD, the NAF Board of Directors renamed the NAF HumanitarianAward, the Christopher Tietze Humanitarian Award in 1984. The Tietze Award is NAF’s highest distinction and honors significant, lifetimecontributions in the field of abortion care or policy. Dr. Tietze was active in the founding of NAF and a member of our first Board of Directors.1978Benjamin N. Berger1994George Tiller, MD1979Judith Widdicombe1995Justice Harry Blackmun1980Sarah Lewit1996Frances Kissling1981Jane Hodgson, MD1997Kenneth Edelin, MD1982Harriet Pilpel1998Morris Manning, QC1983Senators Packwood, Weicker, and Baucus1999Lewis Koplik, MD1984Henry Morgentaler, MD2000Stanley Henshaw, PhD1985Phillip Stubblefield, MD2001Simon Heller, JD1986Carol Downer2002Warren Hern, MD, MPH, PhD1987David Grimes, MD, and Ward Cates, MD, MPH2003Suzanne Poppema, MD1988Janet Benshoof, JD2004Dennis Christensen, MD1989Terry Beresford20051990Curtis Boyd, MDAmerican Civil Liberties Union Reproductive FreedomProject and Wilmer Cutler Pickering Hale and Dorr, LLP1991Michael S. Burnhill, MD2006Felicia Stewart, MD1992Harry Levin2007Theodore Busheikin, MD1993Millie Hanson, MD
1660 L Street NW, Suite 450, Washington, DC 20036Phone: 202.667.5881, Fax: 202.667.5890, E-mail: naf@prochoice.orgwww.prochoice.org
The National Abortion Federation's mission is to ensure safe, legal, and accessible abortion care to promote health and justice for women. NAF is a 501(c)(3) non-profit organization. Gifts to NAF are tax-deductible in the U.S. to the extent permitted by law. . from Population Services International. Plans were laid to recruit more provider .
