PolicyBrief
S. 47
119th CongressJan 9th 2025
Defense of Conscience in Health Care Act
IN COMMITTEE

This bill requires the Secretary of Health and Human Services to reinstate regulations protecting statutory conscience rights in health care, mirroring those in effect on July 22, 2019, and overriding any conflicting rules.

Joshua "Josh" Hawley
R

Joshua "Josh" Hawley

Senator

MO

LEGISLATION

New 'Defense of Conscience' Bill Puts Religious Beliefs Before Patient Care, Effective Immediately

The "Defense of Conscience in Health Care Act" mandates that the Department of Health and Human Services (HHS) reinstate regulations from July 22, 2019, concerning healthcare providers' right to refuse services based on religious or moral objections. This means, within six months of this Act becoming law, HHS must issue a final rule that mirrors those 2019 regulations, and this new rule will override any current rules that conflict with it (SEC. 2).

What's Actually Happening Here?

The core of this bill (SEC. 2) is about prioritizing healthcare providers' personal beliefs over established patient protections. Think of it this way: a doctor, nurse, or even a hospital receptionist could potentially refuse to provide services, information, or referrals if they feel it clashes with their religious or moral code. This isn't hypothetical; the bill specifically points back to the 2019 regulations, which were designed to broaden these refusal rights.

Real-World Rollout

Imagine a pharmacist refusing to fill a prescription for birth control, or a hospital denying gender-affirming care based on religious objections. These aren't far-fetched scenarios – they're the direct result of reinstating regulations that prioritize individual beliefs. While the bill doesn't explicitly name specific procedures or groups, the broad language about 'conscience' leaves the door open for wide-ranging interpretations. This shift could lead to significant disruptions in how healthcare is delivered and accessed, particularly for those in vulnerable communities.

Who Feels the Change – And How?

This bill has clear implications, especially for women seeking reproductive care, LGBTQ+ individuals, and anyone needing procedures that might be considered objectionable by some healthcare providers. For example, a transgender person could be denied hormone therapy, or a woman could be refused emergency contraception. It's not just about doctors; these refusal rights could extend to a wide range of healthcare workers, impacting various points of care.

Challenges and Conflicts

Beyond immediate access issues, this bill creates a conflict with existing regulations. By stating that the 2019 rules will supersede any conflicting current regulations, it introduces a level of uncertainty and potential legal challenges. It essentially forces healthcare systems to navigate a maze of conflicting rules, potentially prioritizing individual beliefs over established patient care standards. The bill fits into a broader pattern of legislation that seeks to elevate religious freedom above other considerations, often at the expense of minority groups or those with differing beliefs.