Trump administration rescinds Biden-era guidance requiring hospitals to perform emergency abortions

The Trump administration announced on Tuesday it is rescinding Biden-era guidance that uses a federal law to require hospitals to stabilize patients in need of emergency care — including by providing an abortion.

In July 2022, the Department of Health and Human Services (HHS) issued guidance that, under the Emergency Medical Treatment and Labor Act (EMTALA), doctors must perform abortions in emergency departments — even in states where the procedure is illegal — particularly if it serves as a “stabilizing medical treatment” for an emergency medical condition.

Emergency medical conditions included, but were not limited to, “ectopic pregnancy, complications of pregnancy loss, or emergent hypertensive disorders, such as preeclampsia with severe features.”

EMTALA, which was passed in 1986, ensures that emergency patients receive services and treatment regardless of ability to pay. Hospitals that refuse to provide “necessary stabilizing care” or “an appropriate transfer” can face civil monetary penalties.

The HHS guidance was one of the attempts of the Biden administration to preserve abortion access after the U.S. Supreme Court overruled Roe v. Wade, ending federal protections for abortion rights.

However, HHS and the Centers for Medicare and Medicaid Services (CMS) rescinded the guidance, as well as an accompanying letter from former HHS Secretary Xavier Becerra, saying they “do not reflect the policy of this Administration.”

“CMS will continue to enforce EMTALA, which protects all individuals who present to a hospital emergency department seeking examination or treatment, including for identified emergency medical conditions that place the health of a pregnant woman or her unborn child in serious jeopardy,” a press release from the agency read.

“CMS will work to rectify any perceived legal confusion and instability created by the former administration’s actions,” the press release continued.

Abortion rights groups, such as the American Civil Liberties Union, criticized the administration and accused President Donald Trump of walking back on a campaign promise not to interfere with abortion access.

“By rescinding this guidance, the Trump administration has sent a clear signal that it is siding not with the majority, but with its anti-abortion allies — and that will come at the expense of women’s lives,” Alexa Kolbi-Molinas, deputy director of the ACLU’s Reproductive Freedom Project, said in a statement. “The ACLU will use every lever we have to keep President Trump and his administration from endangering our health and lives.”

The Biden administration’s guidance has faced legal challenges in the past. In January 2024, a federal appeals court ruled that Texas hospitals and doctors are not required to perform emergency abortions despite the guidance.

Meanwhile, earlier this year, the Department of Justice dismissed a lawsuit brought by the Biden administration against the state of Idaho, claiming its near-total abortion ban violated EMTALA.