Overview

• Government sources say a constitutional reform will be introduced to shield access to abortion, taking France’s 2024 constitutional change as a model.
• The initiative would need a qualified parliamentary majority, and Partido Popular is expected to oppose it, making approval uncertain.
• Access remains uneven across regions: in Madrid more than 99% of procedures take place in private clinics, while in Galicia 77% occur in the public system and most elsewhere are performed in public healthcare.
• Several autonomous communities, including Madrid, the Balearic Islands, Aragon and Asturias, have yet to implement the required registries of conscientious objectors.
• The Health Ministry has warned it will act against regions that do not guarantee effective, uniform access, as Vox in Madrid pushes to mandate information on the alleged ‘post‑abortion syndrome’ in municipal settings.