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Trump Administration Withdraws Emergency Abortion Guidance Under EMTALA

Critics warn it leaves doctors uncertain of their legal duties to stabilize pregnant patients in states with abortion bans.

Reproductive rights activists demonstrate in front of the Supreme Court in Washington, D.C., on June 24, 2024.
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man in scrubs praying

Overview

  • This week, the Centers for Medicare and Medicaid rescinded Biden-era guidelines that had interpreted EMTALA to require abortion access in certain medical emergencies regardless of state bans.
  • The rescission statement from CMS underscores hospitals’ duties to protect both pregnant women and unborn children without clarifying how to resolve potential conflicts.
  • Legal advocates say the guidance withdrawal will exacerbate confusion over EMTALA obligations and risk women’s access to emergency care.
  • A deficiency letter released Thursday by CMS found that a Texas hospital failed to properly screen and treat a patient with an ectopic pregnancy after two denials of care.
  • Providers now navigate conflicting state abortion restrictions and federal EMTALA requirements as uncertainty persists over the administration’s enforcement priorities.