Trump Admin Will Protect Health Workers Who Refuse Services On Religious Grounds

Jan 18, 2018
Originally published on January 22, 2018 7:43 am

Updated at 12:39 p.m. ET

Health care workers who want to refuse to treat patients because of religious or moral beliefs will have a new defender in the Trump administration.

The top civil rights official at the Department of Health and Human Services is creating the Division of Conscience and Religious Freedom to protect doctors, nurses and other health care workers who refuse to take part in procedures like abortion or treat certain people because of moral or religious objections.

"Never forget that religious freedom is a primary freedom, that it is a civil right that deserves enforcement and respect," said Roger Severino, the director of HHS's Office for Civil Rights, at a ceremony to announce the new division.

The establishment of the division reverses an Obama-era policy that barred health care workers from refusing to treat transgender individuals or people who have had or are seeking abortions.

That Obama rule was challenged in court by the Franciscan Alliance, a Christian health care organization in Texas, and a judge in 2016 blocked enforcement as the case played out in court.

The new division appears to be primarily aimed at preventing health care workers from participating in abortion services that go against their religious beliefs. The division cites a 2011 federal regulation guiding the enforcement of conscience protections that mentions abortion more than 30 times.

Louise Melling, deputy legal director at the American Civil Liberties Union, said those conscience objections could expand to allow health workers to refuse some services to gay, lesbian and transgender people.

"This administration has taken a very expansive view of religious liberty," she said in an interview. "It understands religious liberty to override antidiscrimination principles."

HHS makes clear that it won't allow gender discrimination that is banned by federal law. The question, according to Melling, is whether the administration includes gender identity and sexual orientation in the definition of gender.

She says there are many examples of health workers refusing care on religious grounds, including a nurse who didn't want to provide post-operative care to a woman who had an abortion, a pediatrician who declined to see a child because his parents were lesbians and a fertility doctor who didn't want to provide services to a lesbian couple.

Acting HHS Secretary Eric Hargan said Thursday that is the point.

"For too long too many of these health care practitioners have been bullied and discriminated against because of their religious beliefs and moral conviction," he said.

The government, he said, has "hounded religious hospitals and the men and women who staff them, forcing them to provide and refer for services that violate their consciences."

The new division won't have to wait to get to work. A pediatric nurse at the Winnebago County Health Department in Illinois filed a complaint with HHS on Tuesday because she objects to her employer requiring that she be trained to make referrals to providers of abortion services or to help woman get abortion drugs, according to the Rockford Register Star.

This isn't the first time in the Trump administration that HHS's Office of Civil Rights has moved to protect people with moral or religious objections to some kinds of health care. In October, the agency allowed employers to refuse to pay for birth control coverage.

"Health providers should have the ability to live their religious beliefs without fear of workplace discrimination," said Sen. James Lankford, R-Okla., in a statement.

Lankford has long advocated for such protections and has sponsored a bill called the Conscience Protection Act to codify the rules.

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Health care workers who refuse to provide care on moral or religious grounds now have a defender in the Trump administration. The Department of Health and Human Services today created a new division to defend doctors, nurses and others who object to procedures like abortions. NPR's Alison Kodjak reports on the reaction to these new protections for health care workers.

ALISON KODJAK, BYLINE: HHS officials say the new division is aimed at fixing a longstanding problem - the government's failure to protect the religious rights of health care workers. Roger Severino is the director of the agency's office for civil rights.


ROGER SEVERINO: Never forget that religious freedom is a primary freedom, that it is a civil right that deserves complete enforcement and respect.

KODJAK: The new office will investigate complaints from health care workers who say they're required to participate in medical procedures like abortion or assisted suicide even if they object on moral or religious grounds. He says the goal is to ensure people can do their jobs without compromising their values.


SEVERINO: We're saying with the launch of this new division that you do not need to shed your religious identity. You do not need to shed your moral convictions to be part of the public square.

KODJAK: Sara Hellwege is a nurse midwife. At a ceremony announcing the new effort, she described a job interview she had at a family clinic in Florida.


SARA HELLWEGE: You can imagine my shock when during the interview process, they began to quiz me about my conscience convictions regarding abortion and abortion-inducing medications.

KODJAK: She says clinic managers told her they would not hire her because she belonged to pro-life groups.


HELLWEGE: I hope that everyone can agree that no doctor or nurse should be denied employment or fired on account of their faith.

KODJAK: But Louise Melling of the American Civil Liberties Union says this change opens the door to widespread discrimination. The Trump administration, she says...

LOUISE MELLING: Has taken a very expansive view of religious liberty. It understands religious liberty to override anti-discrimination principles.

KODJAK: She said there's a history of doctors and nurses refusing care on religious grounds.

MELLING: There's an instance where a pediatrician refused to see a child because the parents were lesbians. There was a case out of California - a clinic that provided infertility treatment that refused to treat a woman once they learned that her partner was a woman.

KODJAK: She says a lot will depend on how the agency balances the right to religious freedom with protecting people against discrimination. Alison Kodjak, NPR News, Washington. Transcript provided by NPR, Copyright NPR.