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In her campaign for president, Michele Bachmann touts her background as a small business owner.

"A small business job creator," is how the Minnesota Congresswoman and Republican Presidential candidate described herself in her first campaign ad in Iowa.

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That business is Bachmann and Associates. It's a Christian counseling service located outside Minneapolis. Bachmann started the center with her husband, Marcus who is the lead counselor at the clinic. The aspiring first couple and their children are pictured on the center's web site.

For at least five years, Bachmann and Associates has faced accusations it uses a controversial therapy that encourages gay and lesbian patients to change their sexual orientation.

Andrew Ramirez, a former patient at Bachmann and Associates, said in an interview with CNN he witnessed the practice first-hand. In 2004, Ramirez turned to the clinic at the urging of his mother who wanted him to talk about his homosexuality.

Just 17 at the time, Ramirez said he was immediately skeptical of what one of the clinic's counselors told him.

"It was therapy that would help me change from being homosexual to straight," Ramirez said. "If I did this and worked his therapy program, God would perform a miracle and I could no longer be gay," Ramirez added he was told.

Ramirez was assigned a therapy program consisting of prayer, reading Bible passages, and mentoring with an ex-lesbian minister. If none of that worked, Ramirez said the counselor had another suggestion.

"Not acting out on my same sex attractions and living a life of celibacy," Ramirez said.
After the second session, Ramirez told his mother, Beth Shellenbarger, he wanted to stop the therapy.

"And I could just hear his voice quiver and I just said, 'you know, Andy, if you're good with being gay then I am too,'" Shellenbarger said.

The American Psychological Association is sharply critical of efforts by counselors to change a patient's sexual orientation, what's known in the mental health community as "reparative therapy."

"There is insufficient evidence to support the use of psychological interventions to change sexual orientation," one APA report said.
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"I think you clearly say 'what is the understanding of God's word on homosexuality,'" Bachmann said. "We have to understand barbarians need to be educated. They need to be disciplined and just because someone feels it or thinks it doesn't mean we're supposed to go down that road," he continued.

In 2006, Bachmann denied his clinic engaged in reparative therapy to "City Pages," a Minneapolis newspaper. "That's a false statement," Bachmann said. "If someone is interested in talking to us about their homosexuality, we are open to talking about that. But if someone comes in a homosexual and they want to stay homosexual, I don't have a problem with that," he continued.
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As a senator in the Minnesota legislature in 2004, Bachmann called for an amendment to the state constitution that would block gay marriages in other states from being recognized in Minnesota.

"If we allow this to happen, group marriage, polygamy, and much worse would not be far behind," Bachmann said in a video to her supporters.
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Both Bachmann and her husband declined to discuss the clinic's practices. A secretary at the clinic referred all questions to the Bachmann presidential campaign. A sign on the center's door says "no media."

A statement released by her presidential campaign said the Bachmanns were unable to comment on the clinic's practices out of respect for its patients.
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The issue has followed Bachmann onto the campaign trail. Asked about the clinic's practices at an event in Iowa Monday, Bachmann dodged the question.

"Well, I'm running for the presidency of the United States. And I'm here today to talk about job creation," Bachmann told WHO-TV. "We're very proud of the business that we've created," she added.

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...the counselor cautioned he is not an expert on the subject [praying away the gay].

"I don't have a ton of experience with this. I mean, a little bit here and there," the counselor added.

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While Rep. Michele Bachmann, R-Minn., has forcefully denounced the Medicaid program for swelling the "welfare rolls," the mental health clinic run by her husband has been collecting annual Medicaid payments totaling over $137,000 for the treatment of patients since 2005, according to new figures obtained by NBC News.

The previously unreported payments are on top of the $24,000 in federal and state funds that Bachmann & Associates, the clinic founded by Marcus Bachmann, a clinical therapist, received in recent years under a state grant to train its employees, state records show. The figures were provided to NBC News in response to a Freedom of Information request.

The clinic, based in Lake Elmo, Minn., describes itself on its website as offering "quality Christian counseling" for a large number of mental health problems ranging from "anger management" to addictions and eating disorders.
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When asked by anchor Chris Wallace on "Fox News Sunday" about the story's assertion that her husband's counseling clinic had also gotten federal and state funds, Bachmann replied that it was "one-time training money that came from the federal government. And it certainly didn't help our clinic."

At another point, she said, "My husband and I did not get the money"....

But state records show that Bachmann & Associates has been collecting payments under the Minnesota's Medicaid program every year for the past six years. .... The funds to Bachmann & Associates are for the treatment of low-income mentally ill patients and are based on a "fee for service" basis, meaning the clinic was reimbursed by Medicaid for the services it provided.

Smigielski added that these were not the only government funds that Bachmann & Associates has received. The clinic also participates in managed-care plans that are reimbursed under a separate state-funded Minnesota Health Care program. But the state does not have any records of payment information to the individual clinics that participate.

Another state official, Patrice Vick, communications manager for the Human Services Department, said she was puzzled by Michelle Bachmann's assertion on the broadcast that the funds under the state grant went to employees. While the grant was to train employees to help them treat chemical dependency, the money did not go directly to those being trained, she said. "It went to the clinic," Vick said.

When Minnesota Gov. Mark Dayton signed an executive order earlier this year expanding the state's Medicaid program for more than 95,000 state residents, Bachmann was joined state Republican lawmakers in denouncing the move.

"Right now, Governor Dayton is wanting to commit Minnesota taxpayers to add even more welfare recipients on the welfare rolls at a very great cost," Bachmann said at a news conference in St. Paul in January.

"She's giving hypocrisy a bad name," said Ron Pollock, executive director of Families USA, a consumer health care advocacy group, when asked about the Medicaid payments to Bachmann & Associates. "It's clear when it feathers her nest she's happy for Medicaid expenditures. But people that really need it — folks with disabilities and seniors — she's turning their backs on them."

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