Restricting access to medical care including abortion intersects with systemic issues related to economic mobility and institutionalized racism. Individuals who rely on federally funded healthcare services – particularly Medicaid – will be heavily impacted. As Medicaid enrollees are more racially and ethnically diverse than the general US population, the enforcement of the Hyde amendment disproportionately impacts women of color. This move is anticipated to widen existing health disparities and limit bodily autonomy for historically marginalized populations.
Executive Office of the President - White House Office
A directive issued by the President that manages operations of the federal government. Executive orders have the force of law but must align with existing statutes and constitutional authority.
Who It Impacts: Federal agencies and employees, directing them on how to implement laws or carry out government functions. Executive orders can also influence businesses and individuals when they relate to issues like immigration, trade, or labor policies.
Who Is Not Impacted: Private citizens and businesses do not have to directly follow an executive order unless it leads to regulations or policies that apply to them. For example, an executive order directing federal agencies to increase renewable energy use does not mandate action from private companies, but it may influence policy shifts that eventually affect them.
Date Enacted
January 24, 2025
Last Updated
June 23, 2025
Policy Type
Public Health
Healthcare Delivery, Services & Quality
Healthcare Coverage
No items found.
Summary
Executive Order 14182 reinforces the Hyde Amendment and discriminatory federal restrictions to abortion access. The Hyde Amendment was originally included in the 1976 annual congressional appropriations bill and bars use of federal funds for elective abortion care in the federally funded insurance programs of Medicaid, Medicare and the Children's Insurance Program known as CHIP. This executive order directs federal agencies to strictly enforce the Hyde Amendment across all federally funded programs, significantly shaping how reproductive healthcare is accessed and delivered under federal funding streams. The Executive Order specifically revokes two Biden-era policies protecting access to reproductive healthcare services, that were put in place after the Supreme Court's decision to eliminate the rights established in Roe v. Wade.
Impact Analysis
Legal Challenges
Take Institutional Action
- Partner with internal government affairs or advocacy departments to share examples of how this policy harms patients served
- Write to Congressional leaders, with the use of a standardized and approved template, advocating for Medicaid coverage of maternity and abortion care for vulnerable populations
- Review aggregated electronic health records, in conjunction with your local quality improvement/data analytics department, to track adverse patient outcomes due to this enforcement
Associated or Derivative Policies
The Hyde Amendment (https://www.congress.gov/crs-product/IF12167)
Emergency Medical Treatment and Active Labor Act (EMTALA) (https://www.cms.gov/medicare/regulations-guidance/legislation/emergency-medical-treatment-labor-act)
State specific guidance and laws pertaining to abortion care since the overturning of Roe v. Wade
Policy Prior to 2025
Executive Order 14079: Securing Access to Reproductive and Other Healthcare Services (https://www.federalregister.gov/documents/2022/07/13/2022-15138/protecting-access-to-reproductive-healthcare-services)
Executive Order 14076: Protecting Access to Reproductive Healthcare Services (https://www.federalregister.gov/documents/2022/08/11/2022-17420/securing-access-to-reproductive-and-other-healthcare-services)
