Trump Administration Rescinds Emergency Abortion Guidance Threatening Women’s Health

The Trump administration has officially rescinded guidance from the Biden era that required hospitals to perform necessary emergency abortions. This decision comes after the Supreme Court’s controversial ruling that overturned Roe v. Wade, leading to the dismantling of federal protections for abortion rights. The now-revoked guidance was issued by the Department of Health and Human Services (HHS) in July 2022, underlining that under the Emergency Medical Treatment and Labor Act (EMTALA), hospitals are obligated to offer stabilizing medical treatment, including abortion, to patients facing emergency medical situations.

The EMTALA mandates that all patients must receive emergency care, regardless of their ability to pay. Hospitals that neglect to provide essential stabilizing care may face civil penalties. The guidance aimed to ensure that women could still access abortions when their health or that of their unborn child was at risk due to medical emergencies like ectopic pregnancies or severe pregnancy complications. However, the Trump administration’s recent move indicates a troubling shift away from these protections.

In a press release, HHS and the Centers for Medicare and Medicaid Services (CMS) clarified that the rescinded guidance does not reflect the current administration’s policy. CMS promised to uphold EMTALA and its enforcement for all individuals seeking emergency treatment, ostensibly reassuring that hospitals would still be obligated to provide care. Yet, the erasure of the guidance raises serious concerns about the future of abortion access under the Trump administration.

Abortion rights organizations, including the American Civil Liberties Union (ACLU), have vocally criticized this rollback, arguing that it shifts the administration’s stance towards its anti-abortion allies and jeopardizes women’s health. Alexa Kolbi-Molinas of the ACLU condemned the decision, asserting that it prioritizes political agendas over the urgent medical needs of women, potentially endangering lives. This rhetoric highlights the immediate consequences of the administration’s actions on reproductive health and rights.

The rescission of the Biden-era guidance underscores a wider trend of hostility towards reproductive rights under Trump’s leadership. Legal challenges have previously emerged against the Biden guidance, including a federal appeals court ruling denying Texas hospitals the obligation to perform emergency abortions. Furthermore, the Department of Justice’s dismissal of a lawsuit challenging Idaho’s near-total abortion ban illustrates a broader pattern of undermining women’s rights, reinforcing the notion that the Trump administration continues to align with regressive policies that threaten health care access for vulnerable populations.

Hawley Reveals Kennedy’s Support for Mifepristone Restrictions Under Trump Agenda

Senator Josh Hawley has revealed that Robert F. Kennedy Jr., former President Trump’s choice for the Department of Health and Human Services, is willing to back restrictions on the abortion pill mifepristone if Trump requests it. During a recent meeting, Hawley suggested reinstating regulations from the Trump administration that mandated in-person dispensing of the drug, which the Biden administration had eliminated, allowing it to be mailed even in states that prohibit abortion.

Hawley criticized the Biden administration’s actions, stating they aim to undermine voter decisions on abortion. He emphasized that Kennedy is aligned with Trump’s anti-abortion agenda, committing to revive policies from Trump’s first term, including the Mexico City policy, which restricts U.S. funding for foreign organizations that promote abortion.

During their discussions, Kennedy expressed concern over the high number of abortions in the U.S., indicating a commitment to align with Trump’s conservative stance on the issue. He reassured Hawley that he would not support any pro-choice positions without Trump’s direction.

Despite Trump’s mixed responses about abortion pills, his imminent presidency raises concerns among abortion rights advocates about potential new restrictions. Trump’s past statements suggest a focus on state-by-state decisions regarding abortion, but the fear remains that his administration could further limit access to mifepristone through regulatory changes or enforcement actions.

This situation underscores the ongoing struggle for reproductive rights in the U.S., with Trump and his allies signaling intentions to impose stricter controls on medication abortion, reflecting a broader agenda that seeks to roll back progress made under previous administrations.

(h/t: https://thehill.com/policy/healthcare/5047469-trump-kennedy-abortion-pill-mifepristone/)

Trump Calls For Sen. Chuck Schumer To Be Arrested

Trump and Republicans are intentionally distorting Senate Democratic Leader Chuck Schumer’s comments as the president called for Schumer to be impeached and arrested.

After Schumer warned Trump’s Supreme Court justices that an overturn of Roe v. Wade would set off a grassroots political pushback, Trump tweeted:

It is not a surprise that Trump used a tweet from Rep. Jim Jordan (R-Sex Abuse Cover-Up Ohio State) to advance his goal of having his political opponents arrested.

Sen. Schumer’s office called out Trump, Chief Justice Roberts, and the rest of the GOP’s hysterical BS in a statement provided to PoliticusUSA:

Women’s health care rights are at stake and Americans from every corner of the country are in anguish about what the court might do to them.

Sen. Schumer’s comments were a reference to the political price Senate Republicans will pay for putting these justices on the court, and a warning that the justices will unleash a major grassroots movement on the issue of reproductive rights against the decision.

For Justice Roberts to follow the right wing’s deliberate misinterpretation of what Sen. Schumer said, while remaining silent when President Trump attacked Justices Sotomayor and Ginsburg last week, shows Justice Roberts does not just call balls and strikes.

Republicans are clinging on to anything they can to motivate their voters after Joe Biden’s march through Super Tuesday. Trump would love to arrest his political opponents because his heart beats pure authoritarianism.

Trump wants to talk about anything else besides Joe Biden, his bungled coronavirus response, the looming economic slowdown.

The Trump presidency is running on fumes, which is why he is trying to fire up the fake outrage machine at Chuck Schumer.

[Politics USA]

Trump Admin Tells UN There Is ‘No International Right To An Abortion’

Health and Human Services Secretary Alex Azar railed against abortion rights on Monday during a speech at the United Nations General Assembly.

Azar presented a joint statement on behalf of the U.S. and 18 other nations, which expressed opposition to terms such as “sexual and reproductive health and rights” being used in U.N. documents because “they can undermine the critical role of the family and promote practices, like abortion, in circumstances that do not enjoy international consensus and which can be misinterpreted by U.N. agencies.”

Arguing that there is “no international right to an abortion,” the HHS secretary said that the aforementioned terms “should not be used to promote pro-abortion policies and measures.”

Azar also stated that the 19 countries, including the U.S., only support sex education that “appreciates the protective role of the family” and “does not condone harmful sexual risks for young people.”

“We therefore request that the U.N., including U.N. agencies, focus on concrete efforts that enjoy broad consensus among member states,” Azar said. “To that end, only documents that have been adopted by all member states should be cited in U.N. resolutions.”

Bahrain, Belarus, Brazil, Democratic Republic of the Congo, Egypt, Guatemala, Haiti, Hungary, Iraq, Libya, Mali, Nigeria, Poland, Russia, Saudi Arabia, Sudan, United Arab Emirates, and Yemen co-signed the statement.

[Talking Points Memo]

Trump to nominate anti-abortion, religious rights lawyer for next federal judgeship in St. Louis

The White House on Wednesday announced President Donald Trump’s “intent to nominate” a St. Louis County anti-abortion and religious rights lawyer, Sarah E. Pitlyk, for an open federal judgeship in St. Louis.

As the Post-Dispatch reported last month, Pitlyk is special counsel to the Chicago-based Thomas More Society, a not-for-profit law firm “dedicated to restoring respect in law for life, family, and religious liberty.” At the society, she worked to defeat an “abortion sanctuary city” ordinance in St. Louis, and on “several landmark pro-life and religious liberty cases.” She also worked on contract, employment, and tax cases.

Pitlyk was involved in a dispute over whether a divorced St. Louis County couple’s frozen embryos were property or “unborn children” under Missouri law; a civil lawsuit filed against Planned Parenthood by a man acquitted of a bomb threat charge; and the defense of a man accused in California of making a false exposé claiming Planned Parenthood was selling fetal tissue.

Pitlyk did not return messages seeking comment last month. 

Representatives of U.S. Sen. Josh Hawley and U.S. Sen. Roy Blunt, both Republicans, also did not return messages last month seeking comment. On Twitter, both praisedPitlyk Wednesday.

Pitlyk graduated summa cum laude from Boston College before receiving master’s degrees in philosophy from Georgetown University and in applied biomedical ethics from the Katholieke Universiteit Leuven in Belgium, where she was a Fulbright Scholar, her bio says.

In July, 2012, Pitlyk placed her Missouri bar license on inactive status, saying in a filing that she “was not planning on practicing law for the foreseeable future.” She sought to re-activate the license in February 2013.

Pitlyk worked at the Runnymede Law Group, formed by the last Trump pick for federal judge, Stephen R. Clark, and for Clark and Sauer LLC, a predecessor firm. 

Pitlyk, if confirmed, would replace U.S. District Judge Catherine Perry, who took senior status — a form of semi-retirement in which judges can take a reduced caseload — effective Dec. 31. 

[St. Louis Today]

New Trump Administration Rule Will Force Doctors to Stop Saying “Abortion”

The Trump administration is planning to instate a rule that will bar recipients of federal family planning funding from educating women about abortion options, making referrals to doctors that provide abortions, or providing abortion care. Conservatives have cheered the move as a way for the federal government to partially “defund” Planned Parenthood without requiring an act of Congress.

Reproductive-rights advocates are calling the policy a “domestic gag rule”—a U.S.-based version of the global gag rule that prevents U.S. aid dollars from going to any international organization that so much as acknowledges the existence of abortion. Every Republican president has instated the global gag rule since Ronald Reagan first implemented it; every Democratic president has rolled it back.

The domestic gag rule started with Reagan, too, in 1988. It affects money affiliated with Title X, the federal family planning grant program launched under Richard Nixon that provides subsidized contraception, gynecological care, and screenings for cancer and sexually transmitted infections. In 2016, the program served more than 4 million patients, about two-thirds of whom were living at or below the poverty line. Planned Parenthood is a disproportionately important player in the Title X ecosystem: Its health centers make up just 13 percent of Title X family planning providers in the U.S., but they serve 41 percent of all Title X patients.

Title X money is already barred from funding abortion care; grant recipients that provide abortions keep the money separate in their accounting. But the domestic gag rule would additionally require Planned Parenthood clinics and other abortion providers to enforce a physical separation between its Title X–funded services and its abortion work, with separate staff dedicated to each. Doctors providing family planning care to Title X patients would not be able to discuss abortion at all.

When Reagan first instituted the rule, Planned Parenthood and other reproductive-rights organizations immediately sued the federal government, claiming the rule violated caregivers’ rights to free speech and women’s rights to a constitutionally protected medical procedure. “The regulations will…censor communications between doctors and other health professionals and their patients on matters of vital medical significance,” read a complaint Planned Parenthood filed against then–Health and Human Services Secretary Otis Bowen. “The failure to provide complete information about pregnancy management at the earliest possible point in the pregnancy, and the failure to make necessary or appropriate referrals as early as possible, will often result in delays in, or failure of, a patient to obtain proper care.”

A federal court granted a preliminary injunction, but the Supreme Court allowed the rule to go into effect in 1991. In a 5–4 vote in Rust v. Sullivan, the court held that the rule did not constitute censorship. “This is not a case of the government ‘suppressing a dangerous idea,’ but of a prohibition on a project grantee or its employees from engaging in activities outside of its scope,” the opinion read. “The regulations do not violate the First Amendment free speech rights…since the government may make a value judgment favoring childbirth over abortion, and implement that judgment by the allocation of public funds. In so doing, the government has not discriminated on the basis of viewpoint; it has merely chosen to fund one activity to the exclusion of another.” The opinion also noted that “the government has no constitutional duty to subsidize an activity merely because it is constitutionally protected.”

[Slate]

With Vice President Pence breaking tie, Senate passes anti-Planned Parenthood bill

Vice President Pence cast a tie-breaking Senate vote Thursday to pass legislation that will allow states to withhold federal funds from Planned Parenthood and other health care providers that perform abortions.

The measure, which now goes to President Trump for his signature, dismisses an Obama-era rule banning states from denying federal funds to such organizations.

Pence’s vote was needed to break a 50-50 tie. Republicans Susan Collins of Maine and Lisa Murkowski of Alaska broke with their party, voting against the measure.

Republicans have said the Obama rule should be overturned to allow states the right to steer funds away from abortion providers, if they choose.

Sen. Joni Ernst, R-Iowa, said the measure reverses a rule that “attempted to empower federal bureaucrats in Washington and silence our states.”

Democrats condemned the measure throughout the day, with Senate Minority Leader Chuck Schumer of New York calling it “another example of the Republican war on women.”

“It would let states treat women as second-class citizens who don’t deserve the same access to health care as men,” he said.

The House in February had voted 230-188 largely along party lines to reject the rule under the Congressional Review Act, which allows Congress to overturn recently enacted regulations.

The rule prohibits states from withholding family-planning funding from providers for reasons other than their ability to offer family-planning services. It took effect Jan. 18, two days before President Obama left office.

Since 2011, 13 states have restricted access to such grants, disrupting or reducing services in several instances.

[USA Today]

In Closed-Door UN Meetings, Trump Administration Officials Pushed Abstinence For International Women’s Health Programs

In closed-door meetings at the United Nations in March, Trump administration officials pushed socially conservative views on women’s rights issues — including abstinence-based policies over information about contraception — that were further to the right than those expressed by most other countries present, including Russia and the representative for the Arab states, UN officials who attended the meetings told BuzzFeed News.

The Trump officials’ approach at the UN meeting makes it clear that the administration intends to extend its views on abortion, contraception, and sexual education beyond US borders to an extent that is unusual even for Republican administrations.

The comments came during the annual UN Commission on the Status of Women, a two-week session described by a spokesperson for the US Mission to the United Nations as the UN’s “most important meeting on women’s empowerment.” The main event is a closed-door negotiation on language to include in an annual UN document that sets global standards and outlines potential policies pertaining to gender equality efforts in all member countries.

Early in this series of meetings, Bethany Kozma — a senior adviser for gender equality and women’s empowerment at the US Agency for International Development (USAID) and anti-transgender activistemphasized that the US was a “pro-life nation,” sparking a strong reaction from delegates in the room, two officials in the room confirmed to BuzzFeed News.

“When she said that there was sort of a record scratch and silence,” one UN official who participated in the negotiations but asked not to be named so as to maintain a working relationship with the other member states present told BuzzFeed News. “Everyone was like, ‘are you kidding me?’”

Shannon Kowalski, the director of the International Women’s Health Coalition, said that the Trump administration’s stances on women’s health presented in the meeting were “further to the right” than they were at last year’s commission, or even under George W. Bush’s administration. While the Bush administration implemented anti-abortion policies abroad, the scope was limited to family planning programs. Trump’s policies already expand beyond those limits.

“They’re far more extreme than the US was under the Bush administration,” Kowalski told BuzzFeed News shortly after the session wrapped up. “We saw placement of ideologues within key roles who took similar positions back then, but they limited what they applied their views to.”

Throughout the two-week session, Trump administration officials discussed shifting international policy on women toward abstinence-oriented education and teaching women sexual “refusal skills.” Those views — as well as the US’s push for more conservative policies on immigration, trade and environmental regulation — ended up uniting most of the 45 CSW member states against the US on family planning issues, six sources who attended or were familiar with meetings told BuzzFeed News.

While negotiations at the UN are often political, two officials familiar with the negotiations said that they had never seen nearly all of the other membership states — many of whom have wildly different stances and priorities on family planning issues — come together against the US. The members include several countries where abortion is illegal and punishable by fines or jail time.

The Trump administration has not been shy about its stance on abortion. On his third day in office, President Donald Trump instated an expanded version of the Mexico City Policy, a rule that prevents the US from funding organizations that provide or discuss abortions with the populations they serve. While most Republican presidents have used that policy, Trump’s version applies to all US health funding abroad — not just family planning funds that prior Republican administrations regulated. This includes organizations devoted to curbing HIV/AIDS, which the Bush administration left alone, Kowalski said.

[Buzzfeed]

Trump’s latest nominee for district judge is not sure about desegregation

Wendy Vitter is Trump’s latest nominee for district judge in Louisiana. Her nomination is highly controversial, and not only because the counsel for New Orleans’ Catholic archdiocese has only ever judged one federal case, over two decades ago. During her confirmation hearing, Vitter also made waves by refusing to discuss certain established US civil rights.

Yesterday, Vitter was questioned by lawmakers about her long-held anti-abortion and anti-contraception views. The nominee refused to disavow false claims about birth control, hormonal contraceptives, and abortion that she has made in the past: In 2013, while leading a panel titled “Abortion Hurts Women” Vitter claimed that that oral contraceptives can be linked to adultery and a promiscuous lifestyle that can expose women to increased risk of “violent death.” At the same panel, she encouraged anti-abortion doctors to offer brochures claiming that abortion causes cancer—a statement for which there is no scientific evidence. At a 2013 rally against Planned Parenthood, she falsely claimed that the organization “kills 150,000 female a year.”

If confirmed as a judge, Vitter could end up deciding cases invoking the right to abortion provided by the Supreme Court’s historic decision in Roe v Wade. Based on past statements, her stance on abortion and birth control could threaten Louisiana women’s access to birth control and abortion, in a state where there are only three abortion providersleft.

But while the judge nominee’s antagonism towards reproductive rights was known ahead of the hearing, another civil rights wrinkle emerged during her confirmation hearing. Asked whether Vitter supports the Supreme Court 1945 decision on Brown vs Board of Education, which ended the racial segregation in schools, she responded that she would “get into a difficult area” by commenting on SCOTUS decisions which, she says, though correctly decided, “she may disagree with.”

However, Vitter did say that as district judge she would set aside her own “personal, political and religious views” to respect the Supreme Court’s legal precedent.

“It is binding,” Vitter says, “I would be bound by it and of course I would uphold it.”

[Quartz]

Trump administration rescinds Obama guidance on defunding Planned Parenthood

The Trump administration announced Friday it is rescinding guidance from the Obama administration that made it harder for states to defund Planned Parenthood.

The guidance, issued in 2016, warned states that ending Medicaid funding for Planned Parenthood or other health-care providers that offer abortions could be against federal law.

The Obama administration argued Medicaid law only allowed states to bar providers from the program if those providers were unable to perform covered services or if they can’t bill for those services.

However, the Trump administration rescinded that guidance Friday in a letter to state Medicaid directors, arguing it was part of the Obama administration’s effort to favor abortion rights.

“Reinstating the pre-2016 standards frees up states to once again decide for themselves what reasonable standards they use to protect Medicaid programs and their beneficiaries,” Charmaine Yoest, assistant Health and Human Services secretary for public affairs, said in a press call with reporters Friday morning.

“This is part of the Trump administration’s effort to roll back regulations the Obama administration put out to radically favor abortion.”

Anti-abortion groups cheered the announcement Friday as another step toward defunding Planned Parenthood.

President Trump and his administration have taken … an important step toward getting American taxpayers out of funding the abortion industry, especially Planned Parenthood,” said Marjorie Dannenfelser, president of the Susan B. Anthony List, an anti-abortion group in Washington, D.C.

She urged Congress to “finish what this pro-life administration has started” by defunding Planned Parenthood.

States such as Texas have tried to ban Planned Parenthood from its Medicaid programs but were blocked by the Obama administration.

While rescinding the guidance won’t automatically allow states to ban Planned Parenthood from their Medicaid programs, it signals that the administration supports such efforts.

Texas submitted a request to the Trump administration last year requesting permission to bar Planned Parenthood from its Medicaid program, but the administration has not yet responded.

Approval from the administration would likely spark similar efforts in other conservatives states but also would encourage legal challenges.

Planned Parenthood on Friday said rescinding the guidance would effectively encouraging states to block the organization from state Medicaid programs.

“They couldn’t get the votes to pass it in Congress, so now they are pushing states to try and block care at Planned Parenthood,” said Dawn Laguens, executive vice president for Planned Parenthood Action Fund.

“Without Planned Parenthood, many of our patients would lose access to health care altogether — either because there are no other providers in their community or because other clinics cannot serve all of our patients.”

he administration has already taken several actions in President Trump’s first year in office supporting its anti-abortion stance.

In April, Trump signed legislation that nullified an Obama-era rule that effectively barred state and local governments from withholding federal funding for family planning services to groups that provide abortions.

The announcement on Friday comes the same day as the March for Life, an annual march against abortion in Washington, D.C.

Trump is set to speak at the march live via video, the first president to do so.

Also set to speak at the event are House Speaker Paul Ryan (R-Wis.) and GOP Reps. Jaime Herrera Beutler (Wash.) and Chris Smith (N.J.)

[The Hill]

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