Tag Archives: personhood

Fetal Personhood – Next Target for Christian Right -Would End Women’s Rights; SAVE Act Will Suppress Women’s Vote

By Karen Rubin, editor@news-photos-features.comnews-photos-features.com

The repeal of Roe v. Wade by the ultra-right majority Supreme Court’s Dobbs decision in 2022 not only overturned women’s ability to control their own body, decide their own future, even save their own life, but the next phase, endowing a fertilized egg, embryo or fetus with personhood, essentially strips women of their personhood, altogether.

Women are not just second-class citizens, without the right to self-determination as a man is entitled to, women are mere brood mares, a slave of to the state, not much different than a beast of burden, without any rights at all – not the right to life, due process, equal protection, privacy, cruel and unusual punishment.

And the SAVE Act will make it difficult for women to regain their rights, their personhood by putting up discriminatory barriers to voting.

“Didn’t we already fight these battles?” one asked at a recent ReachOut America-Long Island meeting hosting Lynn M. Paltrow, the founder and former executive director of National Advocates for Pregnant Women (now Pregnancy Justice), now a leader of The Beacon for Democracy, who has been fighting these same battles since the 1960s.

In 13 states with absolute abortion bans, women no longer have the same protection under Health Insurance Portability and Accountability Act (HIPAA) of 1996 to keep their sensitive health information private from vigilantes, bounty hunters, spurned partners or prosecutors who are arresting women for using abortion medication and even women who have suffered a miscarriage.

Women who are on the brink of death, suffering in pain, or losing their ability to ever have a baby, no longer have the same right to Emergency Medical Treatment and Active Labor Act (EMTALA), mandating care, or for that matter, the same protection against cruel and unusual punishment as a mass murderer awaiting capital punishment.

And to make sure a woman has no ability to obtain reproductive health care, they are prosecuting doctors, nurses, healthcare workers – even those out of state where abortion care is legal.

The result is to create “maternity deserts” – places that no longer have doctors, healthworkers, too afraid of prosecution for providing care – and a rise in maternal and infant mortality. So much for “pro-life.”

Even when abortion was theoretically protected under the Constitution, states built barriers to access – requiring abortion clinics to meet unnecessary standards, allowing protesters to intimidate patients and healthworkers, even forcing pregnant women to undergo invasive probes and to look at the image of the fetus in their womb to shame her into abandoning her intention to abort. You would think that would violate the 4th amendment’s protections against unreasonable searches.

Or how about banning doctors from giving factual information about reproductive health – a violation of their First Amendment right to free speech?

Texas and Alabama are among the states that are trying to ban pregnant women from traveling out of state to places like New York State, even prosecuting family members who might provide aid. It doesn’t matter, as the Justice Department is now arguing, that the Constitution protects the right to travel across state lines and engage in conduct that is lawful where it is performed and that states cannot prevent third parties from assisting others in exercising that right. Florida was monitoring girl athletes’ menstrual cycles.

Missouri and three other states ban a pregnant woman from obtaining a divorce, even if she is a victim of domestic violence and her life is in danger.

There’s a Pregnant Workers Fairness Act that went into effect in 2023 (thanks Biden-Harris) that requires employers to give reasonable accommodation to pregnant women, but Texas has decided it can ignore it.

And none of these have anything to do with “protecting life” (if that were true, these same people wouldn’t be blocking gun control even preventing doctors from inquiring whether parents store their gun safely, despite the fact gun violence is the greatest killer of children). Rather, it is about controlling, disenfranchising, disempowering and dehumanizing women.

“Abortion laws were a way of controlling women without seeming to. But abortion is about a medical procedure and ending pregnancy,” said Lynn M. Paltrow, an attorney and activist on behalf of reproductive justice, who has been fighting for reproductive justice since the 1960s/before Roe.

Indeed, while the anti-abortionists like to portray women seeing reproductive care are Jezebels, wanton or promiscuous women (no mention of those who are raped or victims of incest), six in 10 are already mothers and half have two or more children. As Paltrow noted, women seek abortion care for many different, personal reasons including not being able to afford more children or having health issues that would be compromised by pregnancy. Also, one in four pregnancies result in miscarriage, which requires a procedure, dilation and curettage (D&C), that falls under the same definition (and ban) as “abortion,” while 80 percent of pregnancy deaths are preventable, according to the CDC.

The United States, already with the highest rate of maternal and infant mortality of any high-income country due to the lack of universal health care, is seeing these rates surge in states that have total or near total bans on abortion. And yet, the number of abortions is not going down – only access to prenatal care and to legal, safe abortions.

Right wingers use abortion to rally the Christian Right, waving the banner of “pro-life.” Reproductive Rights activists made a mistake by framing the issue as the right to abortion rather than a woman’s human rights, Paltrow maintained – an echo of Hillary Clinton’s famous speech in Beijing 30 years ago, “Women’s rights are human rights,” the First Lady declared.

Ruth Sent Me. New Yorkers rally for reproductive rights and justice © Karen Rubin/news-photos-features.com

“The movement tends to narrow everything down to abortion rights but the issue is not defending particular medical procedure, it’s about defending the people who sometimes need to have the procedure as a full, whole person…Abortion laws were a way of controlling women without seeming to. But abortion is about a medical procedure and ending pregnancy,” said Paltrow.

But the most serious an assault on women’s rights, freedom, liberty and self-determination is the Religious Right’s crusade to establish the personhood of an embryo, fetus – essentially giving this entity, that cannot exist on its own, more rights than the mother whose own “personhood” becomes irrelevant.

Since the embryo or fetus cannot speak for itself, this gives the state authority and power over the woman – making her nothing more than a breeder cow or literally a slave of the state. (You would think this would violate 13th amendment, “Neither slavery nor involuntary servitude, except as a punishment for crime whereof the party shall have been duly convicted, shall exist within the United States.”)

She notes that personhood – or citizenship – according to the Constitution’s post-Civil War amendments, applies to “all persons born or naturalized in the United States…No State shall make or enforce any law which shall abridge the privileges or immunities of citizens of the United States; nor shall any State deprive any person of life, liberty, or property, without due process of law; nor deny to any person within its jurisdiction the equal protection of the laws.”

You would think that equal protection and due process would apply to the mother (and should have been used to establish Roe v. Wade, instead of the right to privacy), but if an embryo or fetus has “personhood rights”, the woman does not.

A Catholic judge ruled that the expectant mother “has placed herself in a special class of persons who are bringing another person into existence. I submit a woman who carries a child to viability is in fact a member of a unique category of persons.”

What does “a unique category of persons” mean in practical terms? Fewer rights, no bodily autonomy.

A lone Women’s Rights protester at May Day Protest, NYC © Karen Rubin/news-photos-features.com

Persons in this “unique category,” Paltrow said, lose their right to life, liberty, freedom of religion, due process of law (procedural), bodily integrity (medical decision making), privacy in medical information, privacy in reproductive decision making, being free of unreasonable searches and seizures and being free of cruel and unusual punishment, their right to reasonable bail, counsel, right to parent, right to equal protection of the law (race and sex), right to freedom of speech and conscience, as well as human rights more broadly.

In other words, a slave of the state.

What does that mean? It gives the state, the authorities, some nasty neighbor the ability to prosecute a woman for her behavior during pregnancy – if she has a glass of wine, uses marijuana, smokes a cigarette, goes skiing, even drives a car or falls down the stairs – while women are forced by the state to come to the brink of death or lose their future futility without receiving health care.

Women are being prosecuted for miscarrying and for their behavior during pregnancy, even though one in four pregnancies result in miscarriage © Karen Rubin/news-photos-features.com

Between 1973 (the year Roe v. Wade was decided), up to 2005 (32 years), there were 413 arrests of women who miscarried. Between 2006 and 2022 (17 years), there were 1387 arrests – that is three times the incidents in less than twice the time interval. But in just the two years since 2024, the year Dobbs overturned Roe, there have already been 412 arrests of women who miscarried – a number equal to the 32 years.

Among those prosecuted: a woman who fell down steps while pregnant, went to the hospital for treatment, was reported and arrested on her way home to her two other children, for attempted feticide.

Paltrow provided some horrifying examples from cases she fought:

Pamela Rae Steward Monson had a baby that died shortly after birth. She was arrested for medical neglect – not getting to the hospital quickly enough on the day of delivery, not getting prenatal care early enough. And when she did go to the doctor, everything the doctor told her became a weapon against her. Ultimately, she was found to be at fault because “she subjected herself to the rigors of sexual intercourse.”

Though Paltrow won the case (it was featured on “Nightline,”) “it launched hundreds of cases because prosecutors saw arresting a woman for something she did or did not do during pregnancy as a way of getting on TV.”

Another case involved Angela Carter, who had survived childhood bone cancer but had lost a leg. But after she was pregnant, she found a tumor the size of a football. “She wanted to live, so wanted to have the chemo or surgery that would save her life, even if it posed a risk to the fetus” Paltrow related. Instead, her desires were ignored and a judge – who never met her – appointed a lawyer to represent the interests of the fetus and ruled that she would have to undergo a Caesarean section to remove the 25-week old fetus – which in those days, had little chance of survival – even though the operation could kill Angela. Though she refused the C-section, the judge ordered it anyway. The baby lived two hours then died; Angela lived two days, then died.

In 2008, Jennifer Jorgensen, a Long Islander, was pregnant when she was involved in an automobile crash that killed two others. She was arrested and charged with driving while intoxicated and manslaughter, and though the baby was born alive, the prosecutor couldn’t convict her for anything but her behavior while pregnant that caused the accident. “They couldn’t convict her for the two who died, but violating her special obligation to unborn child.”

But this is New York State. Patrow’s group, National Advocates for Pregnant Women and Pregnancy Justice, filed an amicus brief in state Supreme Court arguing that there is no state law that says a woman can be held criminally liable for something she did or didn’t do while pregnant.

In a 2011 case (Dray v. Staten Island University Hospital), a Northwell Hospital had a secret policy allowing a doctor to overrule a mother’s decision if the doctor felt the fetus was at risk. That led to a woman being given a c-section against her will.

Workers Unite for Reproductive Rights, at the Hands Off protest in NYC, April 5, 2025 © Karen Rubin/news-photos-features.com

Since then, New York has passed an Equal Rights Amendment to the state constitution, outlawing discrimination on the basis of sex, pregnancy, or pregnancy outcome. “Abortion can’t be banned in New York State and women cannot be held criminally liable for doing something in pregnancy that somebody else doesn’t like.”

In contrast, 80% of arrests and prosecution of pregnant women that NAPW documented come from states that have passed abortion bans, like Mississippi and Texas.

“Blaming women is particularly cruel because, thanks largely to the abortion bans, there are now ‘maternity care deserts’. Since August 2023, more than 5.6 million women live in counties with no or limited access to maternity care services.

“They have nowhere to go because doctors don’t want to be in a state where they can be prosecuted for addressing a woman’s pregnancy crisis.”

Not surprisingly, the United States has the highest rate of maternal mortality of any high-income nation, and the rates of maternal and infant mortality are highest in states with abortion bans.

“Over 80 percent of those deaths are preventable. MAGA wants to lock up women as murderers – South Carolina, Georgia, Kentucky and Oklahoma are proposing to make homicide laws applicable to women who have abortions.”

A Nebraska teenager who had a medicinal abortion was sentenced to 90 days in jail. A Texas woman, Mallori Patrice Strait, 33, was arrested (the charge was abuse of a corpse) and spent nearly five months in jail after a December 19, 2024, incident where she experienced a miscarriage in a Whataburger bathroom in Converse, Texas. (The charge was later overturned for lack of evidence, but still.)

Save Roe, NYC October 20212025 © Karen Rubin/news-photos-features.com

“If fetuses are declared children, they will be covered under criminal law,” she notes, citing a case where a woman who had a cocaine addiction, gave birth, and was convicted of delivery of drugs to a minor through her umbilical cord.

There is also renewed effort to extend abortion bans to banning contraception as murder.

If the “pre-born” have personhood and a right to life, “we lose our right to life.”

“The push to have fetus as person – fetal rights – is an argument based on fantasy that fertilized egg, embryo, fetus inside woman’s body are really outside” and have more constitutional rights than any person (including mother).

Instead, “make [reproductive justice] a conversation about our personhood, our experience, someone who needs to be treated with a right to healthcare.”

Rallying for reproductive freedom, NYC, October 2021  © Karen Rubin/news-photos-features.com

Feeling empowered to deny a woman’s personhood, though, goes back to the fact this country was founded on the notion that one could own and control people (slavery). After being shipped to America, slave women were raped – forced reproduction was a primary way slaveholders made money – producing more slaves to sell, she said.

“We need to change the conversation [from abortion] to personhood… We win when we make argument that this isn’t just about abortion, it is about women being recognized as people.”

The nearly 50 years of legal abortion made a huge difference for women – their lives were better, maternal and infant mortality went down. 

Before even before 1973 when abortion was illegal, as many as 12 million were having illegal abortions – “a form of mass civil disobedience.”

Before Roe, she said, 20-25 percent of pregnancies ended in abortion. 

Today, post Dobbs, despite the bans, the number of abortions has actually increased – because there is safe, effective medication and groups organized to get it – a post-Roe abortion “underground railroad”. (Actually, more than 50 percent of abortions are through medication and not that gruesome surgical procedure the anti-abortionists love to display.)

“Research shows restricting reproductive freedoms does not lead to fewer abortions- abortion bans only make abortion dangerous as people turn to unregulated back alley procedures. Maternal, infant mortality rise especially in marginalized communities.”

How ironic that other countries have seen a green wave of abortion rights. Over the past 30 years, more than 60 countries and territories – many Catholic conservative countries like Ireland – liberalized their abortion laws.

(After Dobbs, France amended its Constitution to make sure women would have their reproductive rights. “The rights of women are reversible — you are never sure to have really won,” said Geneviève Fraisse, a French feminist philosopher. “The proof is in the United States.”)

NYC Women’s March, October 2021. Rallying for reproductive rights and justice © Karen Rubin/news-photos-features.com

Meanwhile, Sen. Josh Hawley (R-MO) just this month (Women’s History Month) introduced legislation in the Senate that would revoke FDA approval of mifepristone and make it illegal to distribute nationwide. The bill builds on legislation Hawley introduced last year that targeted mifepristone access through the mail.

The Mississippi House and Senate voted to advance House Bill 1613 that creates criminal penalties for anyone who manufactures, sells, distributes, dispenses, or prescribes medication abortion, including mifepristone and misoprostol. House Bill 1613 takes Mississippi’s already extreme abortion ban a step further by seeking to criminalize any manufacturer or provider of abortion medication, punishing any violation of this law with up to 10 years in prison, and empowering the state’s attorney general to sue people for violating the law and to recover monetary damages. (Wouldn’t you love this kind of penalty for manufacturers of assault weapons that are used in mass murder?)

Last year, Texas initiated legal action against New York doctor Maggie Carpenter for mailing mifepristone to a Texas resident, marking a major legal test of state abortion bans vs. shield laws. New York officials refused to enforce the $100,000 judgment due to state shield laws. (So just imagine if a Republican, like Bruce Blakeman, defeats Kathy Hochul for governor.)

NYC Women’s March, October 2021. Rallying for reproductive rights and justice © Karen Rubin/news-photos-features.com

So, with 60 percent of Americans saying abortion should be legal in all or most cases (38% say it should be legal) and 55 percent supporting medication abortion, to succeed in nationalizing abortion bans and dehumanizing women, they have to strip or suppress voting rights – fundamental to protecting every other right – especially by women, a majority of whom consistently vote Democrat.

The SAVE Act would require every American citizen to show a passport or birth certificate and government ID with the same name to vote. While 146 MILLION Americans do not have a passport (which is expensive, and is akin to charging a poll tax in the Jim Crow days; also passports take weeks to get, Trump has shut down thousands of places that issued them, are valid for 10 years during which a person could get married/divorced/remarried), 69 MILLION women do not have a valid birth certificate due to surname changes -a clear violation of 19th Amendment, “The right of citizens of the United States to vote shall not be denied or abridged by the United States or by any State on account of sex.”

Under the SAVE Act, with exception of NY, WA, VT, Mi, MN, your RealID driver’s license would not be acceptable proof of US citizenship; the birth certificate will not be proof of citizenship if the name does not match; a marriage license will not be acceptable proof of the change of name from the birth certificate and RealID, a woman would have to have her name legally changed. And while already registered women might feel secure, the act would allow purges of voters without notification and time to correct any error. 

And just as there is more control over a woman’s uterus than an assault weapon, the same party that blocks universal background checks or any regulation of gun ownership when “gun” or “firearm” is NEVER used in the Constitution (“arms”, which in 1781 meant any weapon worn on the body, is used once), but “vote” and “voting” is used 37 times in the Constitution, in order to set up a government “by the People, for the People,” it will be easier to buy an assault weapon than to vote.

Come out March 28 for the third No Kings protests.

This would be the third No Kings protest – each one bigger than the last, with ever more grievances to protest (ICE/deportations, military in the streets, launching wars without Congress, suppressing free press, public education, free speech, voting rights, environment and climate destruction).

But what is disturbing is that Women’s Rights have kind of receded into a background (it was more prevalent at the earlier Hands Off! Protests).

On March 28, bring Women’s Rights back to the forefront.

Go to www.nokings.org to find a protest to join. So far, close to 3,000 protests are planned.

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© 2026 News & Photo Features Syndicate, a division of Workstyles, Inc. All rights reserved. For editorial feature and photo information, go to www.news-photos-features.com, email editor@news-photos-features.com. Blogging at www.dailykos.com/blogs/NewsPhotosFeatures

FACT SHEET: In SOTU, Biden Continues the Fight for Reproductive Freedom, Calls on Congress to Restore Protections Under Roe

New Yorkers protest against the fall of reproductive freedom. Following the radical religious Supreme Court’s overturn of reproductive freedom under Roe with its Dobbs decision, dozens of states immediately instituted abortion bans, hundreds of laws have been introduced to restrict access to reproductive health care and to establish “personhood” of embryos. Biden-Harris has attempted to push back with federal actions to protect reproductive freedom © Karen Rubin/news-photos-features.com

The White House provided this fact sheet updating efforts by the Biden-Harris Administration to protect women’s reproductive freedom in the face of the ongoing assault from states and courts dominated by the religious right. The devastating impacts on the lives of women and families has been clear – most recently in Alabama’s use of “personhood” to elevate the “rights” of a frozen embryo over the mother and inject government control over her life and future. And Biden’s forceful whole-of-government approach is in contrast to the presumed Republican nominee, Trump’s, promise of instituting a national abortion ban of 15 or 16 weeks, Trump is not sure yet which number sounds better, and prosecuting women who try to assert their reproductive freedom.—Karen Rubin, editor@news-photos-features.com

Nearly two years after the Supreme Court overturned Roe v. Wade and the constitutional right to choose, millions of Americans are living under extreme state abortion bans. These dangerous laws are putting women’s health and lives at risk and threatening doctors with jail time, including life in prison, for providing the health care they have been trained to provide. And Republicans’ extreme out-of-touch agenda has put access to fertility treatments at risk for families who are desperately trying to get pregnant.
 
Tonight, Kate Cox and Latorya Beasley will join the First Lady as her guests at the State of the Union. Kate, a mother of two from Texas, has experienced the devastating consequences of state abortion bans and courageously spoke out about her experience seeking the care she needed to preserve her health—becoming one of the first women in 50 years to have to turn to the courts to ask permission to receive the abortion that her doctor recommended. She, like too many other women across the country, was ultimately forced to travel out of state for care that she would have been able to receive if Roe v. Wade were still the law of the land.
 
After a ruling from the Alabama Supreme Court put access to in vitro fertilization (IVF) on pause in much of the state, Latorya and her husband, who had been preparing for another round of IVF, learned that their embryo transfer was abruptly canceled. This heartbreaking setback in her and her husband’s journey to have their second child through IVF is yet another example of how the overturning of Roe v. Wade has disrupted access to reproductive health care for women and families across the country.
 
President Biden and Vice President Harris believe that stories like Kate’s and Latorya’s should never happen in America. But Republican elected officials want to impose this reality on women nationwide. They are doubling down on their assault on fundamental freedoms by proposing ever-more extreme bans in states and three national abortion bans in Congress. And, just last week, Senate Republicans blocked a vote to safeguard nationwide access to IVF. Their ongoing disregard for women’s ability to make these decisions for themselves and their families is outrageous and unacceptable.
 
In his State of the Union Address, President Biden will again call on Congress to restore the protections of Roe v. Wade in federal law so women in every state have the freedom to make deeply personal health care decisions. And the Biden-Harris Administration will continue to take executive action to protect access to reproductive health care, including through ongoing implementation of the President’s three Executive Orders and a Presidential Memorandum issued since the Court overturned Roe v. Wade. To date, the Administration has taken action to:

  • Protect access to abortion, including FDA-approved medication abortion;
  • Defend access to emergency medical care;
  • Support the ability to travel for reproductive health care;
  • Strengthen access to high-quality, affordable contraception;
  • Safeguard the privacy of patients and health care providers; and
  • Ensure access to accurate information and legal resources.

Protect Access to Abortion, Including FDA-Approved Medication Abortion
 
The Administration will continue fighting to protect a woman’s ability to access abortion care, including by defending access to FDA-approved, safe and effective medication abortion. The Administration will continue to:

  • Protect Access to Safe and Legal Medication Abortion.  On what would have been the 50th anniversary of Roe v. Wade, President Biden issued a Presidential Memorandum directing agencies to consider further efforts to support patients, providers, and pharmacies who wish to legally access, prescribe, or provide medication abortion. This Presidential Memorandum followed independent, evidence-based action taken by the Food and Drug Administration (FDA) to allow mifepristone to be prescribed by telehealth and sent by mail as well as to enable interested pharmacies to become certified to dispense the medication. As a result of the new pathway established by FDA, many pharmacies across the country—including major retail pharmacy chains—are now certified to dispense medication abortion. This new option gives many women the option to pick up their prescription for medication abortion at a local, certified pharmacy just as they would for any other medication.
     
  • Defend FDA Approval of Medication Abortion in Court.  FDA and the Department of Justice (DOJ) are defending access to mifepristone—a safe and effective drug used in medication abortion that FDA first approved more than twenty years ago—and FDA’s independent, expert judgment in court, including in a lawsuit before the Supreme Court that attempts to curtail access nationwide. The Administration will continue to stand by FDA’s decades-old approval and regulation of the medication as well as FDA’s ability to review, approve, and regulate a wide range of prescription medications. Efforts to impose outdated restrictions on mifepristone would limit access to this critical medication in every state in the country.
     
  • Partner with State Leaders on the Frontlines of Abortion Access.  The White House continues to partner with leaders on the frontlines of protecting access to abortion—both those fighting extreme state legislation and those advancing proactive policies to protect access to reproductive health care, including for patients who are forced to travel out of state for care. The Vice President has led these efforts, traveling to 20 states and meeting with more than 250 state legislators, health care providers, and advocates in the past year. And, on what would have been the 51st anniversary of Roe, the Vice President launched her nationwide Fight for Reproductive Freedoms tour to continue fighting back against extreme attacks throughout America.
     
  • Provide Access to Reproductive Health Care for Veterans.  The Department of Veterans Affairs (VA) issued a final rule to allow VA to provide abortion counseling and, in certain circumstances, abortion care to veterans and VA beneficiaries. Under this rule, VA provides abortion services when the health or life of the patient would be endangered if the pregnancy were carried to term or when the pregnancy is a result of rape or incest. When working within the scope of their federal employment, VA employees may provide abortion services as authorized by federal law regardless of state restrictions. 
     
  • Support Access to Care for Service Members.  The Department of Defense (DoD) has taken action to ensure that Service members and their families can access reproductive health care and that DoD health care providers can operate effectively. DoD released policies to support Service members and their families’ ability to travel for lawful reproductive health care, including abortion care and assisted reproductive technology services, and to bolster Service members’ privacy and afford them the time and space needed to make personal health care decisions.

Defend Access to Emergency Medical Care
 
All patients, including women experiencing pregnancy loss and other pregnancy-related emergencies, must be able to access the emergency medical care required by federal law. The Administration will continue to:

  • Defend Access to Emergency Abortion Care.  Republican elected officials have put women’s lives at risk by banning abortion even when a doctor determines that an abortion is necessary to prevent serious health consequences. The Administration is committed to ensuring that women who are experiencing pregnancy loss and other pregnancy-related emergencies have access to the full rights and protections for emergency medical care afforded under the Emergency Medical Treatment and Labor Act (EMTALA)—including abortion care when that is the stabilizing treatment required. The Department of Health and Human Services (HHS) issued guidance and Secretary Becerra sent letters to providers affirming the Administration’s view that EMTALA preempts conflicting state law restricting access to abortion in emergency situations. The DOJ has taken action defend and enforce that interpretation before the Supreme Court, which is expected to rule by June.
     
  • Educate Patients and Health Care Providers on Their Rights and Obligations for Emergency Medical Care. To increase awareness of EMTALA and improve the procedures for ensuring that patients facing all types of medical emergencies receive the care to which they are entitled, HHS issued a comprehensive plan to educate all patients about their rights and to help ensure hospitals meet their obligations under federal law. This effort included the launch of new accessible and understandable resources about rights and protections for patients under EMTALA and the process for submitting a complaint. HHS will also disseminate training materials for health care providers and establish a dedicated team of experts who will increase the Department’s capacity to support hospitals and providers across the country in complying with federal requirements—to help ensure that every patient receives the emergency medical care required under federal law.

Support the Ability to Travel for Reproductive Health Care
 
Women must be able to cross state lines to access legal reproductive health care. In the face of threats to the constitutional right to travel, the Administration will continue to:

  • Defend the Right to Travel.  On the day the Supreme Court overturned Roe v. Wade, President Biden reaffirmed the Attorney General’s statement that women must remain free to travel safely to another state to seek the care they need. In November 2023, DOJ filed a statement of interest in two lawsuits challenging the Alabama Attorney General’s threat to prosecute people who provide assistance to women seeking lawful out-of-state abortions. DOJ explained that the threatened Alabama prosecutions infringe the constitutional right to travel and made clear that states may not punish third parties for assisting women in exercising that right. DOJ continues to monitor states’ efforts to restrict the constitutional right to travel across state lines to receive lawful health care.  
     
  • Support Patients Traveling Out of State for Medical Care.  HHS issued a letter to U.S. governors inviting them to apply for Section 1115 waivers to expand access to care under the Medicaid program for women traveling from a state where reproductive rights are under attack and women may be denied medical care. HHS continues to review pending waiver applications and encourage state leaders to develop new waiver proposals that would support access to reproductive health care services.

Strengthen Access to High-Quality, Affordable Contraception
 
Contraception is an essential component of reproductive health care and has only become more important in the wake of the overturning of Roe v. Wade. In addition to FDA’s approval of the first daily oral contraceptive for over-the-counter use, the Administration will continue to:

  • Strengthen Access to Affordable, High-Quality Contraception.  Ahead of the one-year anniversary of the Supreme Court’s decision to overturn Roe v. Wade, the President issued an Executive Order directing agencies to consider actions to improve access and affordability for women with private health insurance; bolster access across Federal health programs; promote access to over-the-counter contraception; and further support access for Service members, veterans, Federal employees, and college students. Recent actions taken to implement this Executive Order include:
    • The Departments of the Treasury, Labor, and HHS issued new guidance to clarify standards and support expanded coverage of a broader range of FDA-approved contraceptives at no cost under the Affordable Care Act. This action builds on guidance issued in July 2022 to clarify protections for contraceptive coverage under the Affordable Care Act.
    • The Office of Personnel Management strengthened access to contraception for federal workers, retirees, and family members by issuing guidance to insurers participating in the Federal Employee Health Benefits Program that incorporates the Departments’ guidance. OPM has also newly required insurers that participate in the Federal Employee Health Benefits Program to take additional steps to educate enrollees about their contraception benefits.
    • The Secretary of HHS issued a letter to private health insurers, state Medicaid programs and state Children’s Health Insurance Programs, and Medicare plans about their obligations to cover contraception for those they serve. The letter targets a wide range of payers to advance compliance with existing standards and underscore the Administration’s commitment to ensuring that women across the country can access affordable contraception.
    • The Departments of the Treasury, Labor, and HHS issued a Request for Information to solicit public input on how to best ensure coverage and access to over-the-counter preventive services, including contraception, at no cost and without a prescription from a health care provider.
    • Vice President Harris and the Department of Education convened representatives from 68 college and university leaders in 32 states to hear promising strategies from leaders of postsecondary institutions for protecting and expanding access to contraception for their students and on campus.
    • The Gender Policy Council, Domestic Policy Council, and leaders from the Departments of the Treasury, Labor, and HHS called on private sector leaders to take robust additional actions to further expand access to contraception.
    • The Gender Policy Council and the Department of Health and Human Services joined a convening focused on strategies to expand the role of pharmacies and pharmacists in promoting access to contraception and breaking down barriers for consumers.
       
  • Expand Access to More Women Under the Affordable Care Act.  The Departments of the Treasury, Labor, and HHS proposed a rule to help ensure that all women with private health coverage who need and want contraception can obtain it without cost sharing as guaranteed under the Affordable Care Act. Millions of women have already benefited from this coverage, which has helped them save billions of dollars on contraception.
     
  • Support Access to Family Planning Services Through Title X Clinics.  HHS has strengthened access to care through Title X clinics, which have played a critical role in ensuring access to a broad range of high-quality family planning and preventive health services for more than 50 years. HHS provided funds to help these safety net clinics deliver equitable, affordable, client-centered, and high-quality family planning services and provide training and technical assistance for Title X clinics. Last year, HHS provided $263 million to over 4,000 Title X clinics across the country to provide a wide range of voluntary, client-centered family planning and related preventive services. The Title X Family Planning Program remains a critical part of the nation’s safety net, providing free or low-cost services for 2.6 million clients in 2022.
     
  • Promote Access to Contraception for Service Members and Their Families and Certain Dependents of Veterans.  To improve access to contraception at military hospitals and clinics, DoD expanded walk-in contraceptive care services for active-duty Service members and other Military Health System beneficiaries, and eliminated TRICARE copays for certain contraceptive services. And VA proposed a rule to eliminate out-of-pocket costs for certain types of contraception through the Civilian Health and Medical Program of the Department of Veterans Affairs.

Safeguard the Privacy of Patients and Health Care Providers
 
The Administration is committed to safeguarding sensitive health information and strengthening privacy protections for women and health care providers. The Administration will continue to:

  • Strengthen Reproductive Health Privacy under HIPAA.  HHS issued a proposed rule to strengthen privacy protections under the Health Insurance Portability and Accountability Act (HIPAA). As proposed, this rule would prevent an individual’s information from being disclosed to investigate, sue, or prosecute an individual, a health care provider, or a loved one simply because that person sought, obtained, provided, or facilitated legal reproductive health care, including abortion. By safeguarding sensitive information related to reproductive health care, the rule will strengthen patient-provider confidentiality and help health care providers give complete and accurate information to patients. Prior to the proposed ruleHHS issued guidance reaffirming HIPAA’s existing protections for the privacy of individuals’ protected health information.
     
  • Take Action Against Illegal Use and Sharing of Sensitive Health Information.  The Federal Trade Commission (FTC) has committed to enforcing the law against illegal use and sharing of highly sensitive data, including information related to reproductive health care. Consistent with this commitment, the FTC has taken several enforcement actions against companies for disclosing consumers’ personal health information, including highly sensitive reproductive health data, without permission.
     
  • Help Consumers Protect Their Personal Data.  The Federal Communications Commission (FCC) launched a guide for consumers on best practices for protecting their personal data, including geolocation data, on mobile phones. The guide follows a proposed rule that would strengthen data breach rules to provide greater protections to personal data. Separately, HHS issued a how-to guide for consumers on steps they can take to better protect their data on personal cell phones or tablets and when using mobile health apps, like period trackers, which are generally not protected by HIPAA.
     
  • Protect Students’ Health Information.  The Department of Education (ED) issued guidance to over 20,000 school officials to remind them of their obligations to protect student privacy under the Family Educational Rights and Privacy Act. The guidance helps ensure that school officials—at federally funded school districts, colleges, and universities—know that, with certain exceptions, they must obtain written consent from eligible students or parents before disclosing personally identifiable information from students’ educational records, which may include student health information. The guidance encourages school officials to consider the importance of student privacy, including health privacy, with respect to disclosing student records. ED also issued a know-your-rights resource to help students understand their privacy rights for health records at school. 
     
  • Safeguard Patients’ Electronic Health Information.  HHS issued guidance and a final rule affirming that doctors and other medical providers can take steps to protect patients’ electronic health information, including their information related to reproductive health care. HHS makes clear that patients have the right to ask that their electronic health information generally not be disclosed by a physician, hospital, or other health care provider. The guidance also reminds health care providers that HIPAA’s privacy protections apply to patients’ electronic health information.

Ensure Access to Accurate Information and Legal Resources
 
The Supreme Court’s decision to overturn Roe v. Wade has led to chaos and confusion. To help ensure that Americans have access to accurate information about their rights, the Administration will continue to:

  • Ensure Easy Access to Reliable Information.  HHS launched and maintains ReproductiveRights.gov, which provides timely and accurate information on people’s right to access reproductive health care, including contraception, abortion services, and health insurance coverage, as well as how to file a patient privacy or nondiscrimination complaint. DOJ also launched justice.gov/reproductive-rights, a webpage that provides a centralized online resource on the Department’s ongoing work to protect access to reproductive health care services under federal law.
     

Hosted a Convening of Lawyers in Defense of Reproductive Rights.  DOJ and the Office of White House Counsel convened more than 200 lawyers and advocates from private firms, bar associations, legal aid organizations, reproductive rights groups, and law schools across the country for a convening of pro-bono attorneys, as directed in the first Executive Order. Following this convening, reproductive rights organizations launched the Abortion Defense Network to offer abortion-related legal defense services, including legal advice and representation.