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AG Mayes Joins Coalition to Uphold Emergency Abortion Access Under Federal Law Amid Political Challenges

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Published on June 25, 2025
AG Mayes Joins Coalition to Uphold Emergency Abortion Access Under Federal Law Amid Political ChallengesSource: Unsplash / {Colin Lloyd}

Attorney General Mayes is taking a definitive stance on the issue of emergency abortion care in hospitals. Joining a coalition of Attorneys General, Mayes sent a letter to the American Hospital Association reminding them of their obligations under federal law, specifically the Emergency Medical Treatment and Active Labor Act (EMTALA). This move comes in response to the Trump Administration's rollback of 2022 guidance which had emphasized the responsibility of hospitals to provide such care, as reported by the Attorney General's office.

The 1986 EMTALA law mandates that Medicare-participating hospitals must offer access to emergency abortion services if they are necessary to stabilize a patient. Although the Trump Administration has rescinded previous guidance on EMTALA, Mayes and the coalition clarify that the law itself remains unchanged. "Hospitals must provide emergency abortion care to women when they need it," Mayes affirmed, "As Attorney General, I will continue using every legal tool at my disposal to protect reproductive freedom, safeguard access to care, and ensure that no one is criminalized for seeking or providing abortion services in Arizona," according to a statement on the Arizona Attorney General's website.

With the Supreme Court's decision that overturned Roe v. Wade marking its third anniversary, the issue of abortion access remains contentious. In their letter, the Attorneys General assert that EMTALA requires hospitals to provide abortion when necessary to address emergency medical conditions, which can include complications like ectopic pregnancies and preeclampsia, irrespective of state laws on abortion. These conditions, without prompt treatment, can lead to severe and life-threatening outcomes for pregnant patients.

Reinforcing the need for compliance with EMTALA is critical, as denial of emergency abortion care can lead to devastating effects such as increased risk of death, hysterectomy, fertility loss, and other permanent injuries. In today's political landscape, where the rights to reproductive health care are being challenged, the letter symbolizes a firm commitment from Mayes and fellow Attorneys General to protect those rights. They represent a range of states including New Jersey, California, and New York, among others, demonstrating a broad support for maintaining access to vital health services for pregnant patients in emergencies.

The letter issued by the coalition is a clear reminder that federal law supersedes any changes that the Trump Administration has put forth regarding EMTALA guidance. Attorney General Mayes' push affirms a safeguard over reproductive health care rights at a time when such assurance is most crucial for healthcare providers and patients alike. For further details, a copy of the letter has been made available by the Arizona Attorney General's office.