Original Investigation

Obstetric-Related Emergency Medical Treatment and Labor Act Violations and No Health Exception Bans

JAMA Health Forum 10.1001/jamahealthforum.2025.4726

December 05, 2025 at 11:00 AM EST

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How did obstetric-related Emergency Medical Treatment and Labor Act (EMTALA) violations change in association with state-level abortion policy?In this difference-in-differences analysis of EMTALA violations from 2018 to the first quarter of 2023, states with no health exceptions saw a substantial rise in obstetric-related violations that were associated with policies adopted by Texas. There was a concurrent rise in emergency department utilization, and screening failures suggest that violations may have increasingly occurred on arrival before treatment.The study results suggest that state abortion laws may undermine federally protected care in obstetric emergencies.

Corresponding Author: Liana R. Woskie, PhD, MSc, Department of Community Health, Tufts University, 547 Boston Ave, Medford, MA 02155 (liana.woskie@tufts.edu).

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