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Spain Orders Regions to Ensure Abortion Access, Sets Three-Month Deadline

The minority government is pursuing a constitutional guarantee facing long odds under Spain’s three-fifths amendment rule.

Overview

  • The national directive requires all public hospitals to guarantee terminations and to record clinicians who refuse on conscience grounds.
  • Pedro Sánchez told conservative-led Madrid, Asturias, Aragon and the Balearic Islands to implement the registry within three months.
  • Regional resistance has intensified as PP and Vox in Madrid advanced a measure requiring pre-abortion warnings about alleged trauma.
  • The World Health Organization says there is no scientific basis for a distinct post-abortion syndrome causing lasting psychological harm.
  • The government plans to seek a constitutional right to abortion, a step seen as unlikely given PP and Vox opposition and the PSOE–Sumar minority; Spain’s 14- and 22-week framework was reaffirmed by the Constitutional Court in 2023.