President Donald Trump and Vice President Mike Pence met with a group of conservative male lawmakers to determine the fate of maternity coverage in health care plans Thursday.

Members of the House Freedom Caucus, which is composed of all men, went to the White House to talk with the president about what changes they’d like to see to the GOP health care bill. One of the major adjustments would be no longer requiring insurance companies to offer maternity care in all health plans.

Pence proudly tweeted a photo of the meeting, which didn’t feature a single woman (although White House counselor Kellyanne Conway was reportedly there):

Appreciated joining @POTUS for meeting with the Freedom Caucus again today. This is it. #PassTheBill pic.twitter.com/XG6lQIy5a6 — Vice President Pence (@VP) March 23, 2017

Another photo, tweeted by Trump’s social media director, showed two women standing in the background:

The Affordable Care Act created a list of 10 essential health benefits that all health insurance plans must cover. Pregnancy, newborn and maternity care are on that list.

Before the Affordable Care Act became law in 2010, the insurance market was a bleak place for women. They often had to pay more than men for the same coverage. Only 12 percent of individual market plans covered maternity care. And it was completely legal for insurance companies to refuse coverage to women who were pregnant or might become pregnant in the future.

But many Republicans argue that this pre-2010 system was better, because men shouldn’t have to pay for things like maternity care. Republicans argue that premiums will go down if people can shop around more for a la carte services.

Experts worry that if insurance companies are given the option of offering expensive services like maternity care, it will become a race to the bottom where that coverage, once again, becomes scarce.

But there were few, if any, women at the White House this morning to voice these concerns to the men around the table.

House Minority Leader Nancy Pelosi (D-Calif.) told reporters Thursday that the GOP health care bill could end up “making being a woman a pre-existing condition.”

“Stripping guaranteed maternity care is a pregnancy tax, pure and simple,” she said.

In one of his first acts as president in late January, Trump signed an executive order regarding funding for abortion and women’s reproductive rights worldwide surrounded entirely by men.

This piece has been updated with Scavino's tweet.

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