The Guardian (USA)

Texas judge blocks Biden order requiring hospitals to provide emergency abortions

- Edwin Rios

A federal judge in Texas has blocked a Biden administra­tion guidance that required hospitals to provide emergency abortions, even in states like Texas, which prohibits the practice following the supreme court’s overturnin­g of Roe v Wade.

The legal effort by the Texas attorney general, Ken Paxton, a stalwart Republican, represents the latest attempt to stop the federal government from influencin­g the reproducti­ve access landscape in the aftermath of the supreme court’s Dobbs decision, which overturned longstandi­ng constituti­onal protection­s on abortion.

Such prevention­s on abortion access could have devastatin­g financial and health consequenc­es on women, especially Black, Latino and Indigenous women who already disproport­ionately suffer from deaths during childbirth.

The decision effectivel­y left it to states to decide whether to protect abortion rights.

As a result, abortions bans have spread throughout Republican­led states like Idaho and Tennessee, even as abortion rights groups leverage the US courts to maintain reproducti­ve health protection­s under state constituti­ons. In Kansas, voters approved a measure to protect abortion rights in the deeply conservati­ve state’s constituti­on, striking a blow to the anti-abortion movement following the supreme court’s decision.

In his decision, Judge James Wesley Hendrix, who was appointed by Donald Trump, concluded that the US Department of Health and Human Services overreache­d in its guidance interpreti­ng the Emergency Medical Treatment and Active Labor Act, a 1986 law that requires people receive emergency medical care regardless of their ability to pay.

Hendrix stopped short of blocking the guidance nationally, keeping the prohibitio­n in Texas. The decision sets the stage for another anticipate­d ruling in a justice department lawsuit against a recent abortion ban in Idaho that involves the same federal law at the heart of the Texas case, Reuters reported. That ruling is expected on Wednesday.

“That guidance goes well beyond EMTALA’s text, which protects both mothers and unborn children, is silent as to abortion, and preempts state law only when the two directly conflict,” Hendrix wrote.

Hendrix’s decision came just one day before a so-called “trigger law” barring nearly all abortions went into effect on Wednesday. The law, passed by the Texas legislatur­e in 2021, increases the criminal and civil penalties on those involved with abortions except the pregnant patient, the Texas Tribune re

ported. Since the Dobbs decision, clinics have stopped offering services, forcing people to travel to other states to seek out abortions.

 ?? Photograph: Callaghan O’Hare/Reuters ?? A recovery room sits empty at Alamo Women's Reproducti­ve Services, an abortion clinic that closed its doors following the overturnin­g of Roe v Wade, in San Antonio, Texas, on 16 August 2022.
Photograph: Callaghan O’Hare/Reuters A recovery room sits empty at Alamo Women's Reproducti­ve Services, an abortion clinic that closed its doors following the overturnin­g of Roe v Wade, in San Antonio, Texas, on 16 August 2022.

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