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She said same-sex couples probably will be denied some benefits under the Defense of Marriage Act, the 1996 law barring federal recognition of same-sex marriages. For example, spouses in same-sex marriages may not be able to pay health care plan premiums with pretax federal dollars and may not get reimbursed for their spouse's expenditures from flexible spending accounts for health care. While health care decision-making rights are anticipated under Iowa's ruling, Malheiro noted that she and her fiance will continue to carry their legal records with them when they travel outside the state, and she advises her clients to do the same. Iowa state agencies are still trying to determine how their programs will be affected. Department of Human Services officials said there won't be noticeable changes in the child welfare system, which screens prospective parents by safety issues, not sexual preference. Unmarried people can already adopt or foster children so long as they have the proper training.
Other states have different requirements for adoption, and many foreign governments and international adoption agencies refuse to place children with same-sex married couples. Human Services spokesman Roger Munns said the marriage ruling's impact is less clear on programs such as Medicaid, food assistance and subsidized health care, since those programs are federally funded. The Iowa Department of Revenue has generally followed federal guidelines on levying taxes. Spokeswoman Renee Mulvey said officials are reviewing the state court's decision. Public health officials are reworking paperwork to give couples options beyond the tradition "bride" and "groom." Agency spokeswoman Polly Carver-Kimm said officials are considering other changes, including the designations of "mother" and "father" on birth certificates.
[Associated
Press;
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