[Federal Register Volume 90, Number 247 (Wednesday, December 31, 2025)]
[Rules and Regulations]
[Pages 61310-61328]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2025-24061]
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DEPARTMENT OF VETERANS AFFAIRS
38 CFR Part 17
[Docket No. VA-2025-VHA-0073]
RIN 2900-AS31
Reproductive Health Services
AGENCY: Department of Veterans Affairs.
ACTION: Final rule.
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SUMMARY: The Department of Veterans Affairs (VA) adopts as final,
without changes, a proposed rule to reinstate the exclusions on
abortions and abortion counseling from the medical benefits package,
which were removed in 2022. Before 2022, these exclusions had been
firmly in place since the medical benefits package was first
established in 1999. VA is also adopting as final, without changes, the
reinstatement of exclusions on abortion and abortion counseling for the
Civilian Health and Medical Program of the Department of Veterans
Affairs (CHAMPVA) that were also removed in 2022. VA takes this action
to ensure that VA provides only needed and medically necessary and
appropriate care to our nation's heroes and CHAMPVA beneficiaries.
DATES: Effective Date: This rule is effective January 30, 2026.
FOR FURTHER INFORMATION CONTACT: John Figueroa, Senior Advisor to the
Secretary of Veterans Affairs performing the duties of Under Secretary
for Health, (202) 461-0373.
SUPPLEMENTARY INFORMATION: Today, VA finalizes its proposed rule
published in the Federal Register (FR) on August 4, 2025. 90 FR 36415.
In that proposed rule, VA proposed to return VA's medical benefits
package and CHAMPVA coverage to where they were on September 8, 2022,
before VA issued an interim final rule (IFR) that removed long-standing
restrictions against abortions. Id.
As explained in the proposed rule, it was VA's long-standing
interpretation that abortions were not ``needed'' under section 1710 of
title 38 of the United States Code (U.S.C.) and thus were excluded from
the medical benefits package for veterans. 90 FR 36416. This
determination was accepted by every Secretary and Presidential
administration for over 20 years. Id. This determination did not
prohibit providing life-saving care to pregnant veterans. Id.
Similarly, it was VA's long-standing interpretation that abortions were
not medically necessary and appropriate for CHAMPVA beneficiaries
except when a physician certifies that the life of the mother would be
endangered if the child were carried to term. 90 FR 36416-36417.
Congress has never mandated or legislated that VA provide
abortions. Instead, Congress gave the Secretary discretion to determine
what care may be furnished to veterans (under 38 U.S.C. 1710) and
CHAMPVA beneficiaries (under 38 U.S.C. 1781). If Congress intended for
VA to provide abortions in a manner other than VA's long-standing
regulatory position, it could have amended VA's authorities. However,
it never has, even though Congress has done so for other Federal
agencies.
Since publication of our proposed rule, the Department of Justice's
Office of Legal Counsel (OLC) issued a formal opinion concluding that
VA does not have statutory authority to provide abortion or abortion
counseling under 38 U.S.C. 1710. See Reconsidering the Authority of the
Department of Veterans Affairs to Provide Abortion Services, 49 Op.
O.L.C._(Dec. 18. 2025) (hereinafter referred to as ``DOJ Opinion''),
https://
[[Page 61311]]
www.justice.gov/olc/media/1421726/dl?inline. The DOJ Opinion explains
that section 106 of the Veterans Health Care Act of 1992 (VHCA), Public
Law (Pub. L.) 102-585, expressly prohibits VA from furnishing abortion
when providing hospital care and medical services under Chapter 17 of
Title 38. Id.
The DOJ Opinion further clarifies that procedures necessary to save
the life of the pregnant veteran (such as treatment for ectopic
pregnancies or miscarriages) are not considered ``abortions'' within
the meaning of section 106 and therefore remain permissible. VA has
historically interpreted its authority in this manner, and the DOJ
Opinion affirms that such life-saving care is consistent with federal
law.
As a Federal agency, VA is bound by the DOJ Opinion and relies on
it as the primary legal basis for this final rule. Accordingly, this
rule reinstates the longstanding exclusion of abortion and abortion
counseling from VA's medical benefits package and CHAMPVA coverage,
consistent with the statutory limitations imposed by section 106.
In addition to section 106, VA previously relied on its
discretionary authority under 38 U.S.C. 1710 and 1781 to justify the
provision of abortion services. In light of the DOJ Opinion, VA now
recognizes that this discretionary authority is constrained by section
106 and cannot be exercised to override the statutory prohibition.
Nevertheless, VA addresses VA's discretionary authority as a supporting
and additional rationale for this rulemaking. Even if such discretion
were available, the Secretary has determined that VA will not provide
abortion or abortion counseling under that authority.
If VA's authority under sections 1710 and 1781 remained the primary
basis for this rule, the absence of clear congressional direction
regarding abortion is particularly relevant in light of the major
questions doctrine. That doctrine, as articulated in West Virginia v.
EPA, 597 U.S. 697 (2022), instructs that agencies must identify clear
statutory authority before regulating in areas of profound political
consequence. Abortion is one of the most politically divisive and
morally charged issues in American public life, a fact the Supreme
Court recognized in Dobbs v. Jackson Women's Health Organization, 142
S. Ct. 2228 (2022), which returned the issue to the people and their
elected representatives. In this context, VA's decision to return to
its prior regulatory position reflects a cautious and legally grounded
exercise of discretion; not an expansion of authority. VA did not in
its proposed rulemaking, does not now, and has never interpreted the
regulatory bar against abortions to be a bar against providing life-
saving treatment. VA has simply never used the term ``abortion'' to
refer to life-saving treatment provided to a pregnant woman. VA's
proposal and final action today do not change this long-standing
understanding of the difference between an abortion and a medical
intervention necessary to save the life of a pregnant woman.
After publishing the proposed rule on August 4, 2025, VA provided a
30-day comment period, which ended on September 3, 2025. VA received
20,984 document submissions, which included approximately 24,333 total
comments. The vast majority of comments were duplicated form responses.
This final rule addresses all relevant and significant comments
received, regardless of how many individuals submitted the same (or
even identical) comment. Some commenters solely expressed support or
opposition or made comments that were beyond the scope of the proposed
rule. These comments are not addressed in this final rule, except to
the extent that they also requested clarifications or suggested
substantive revisions.
Section I. below addresses comments that generally challenged the
proposed rule related to the medical benefits package or CHAMPVA. This
section also includes comments that may not have specifically mentioned
either program but that expressed general opposition to all changes in
the proposed rule.
Section II. below addresses comments that specifically challenged
VA's rationale in the proposed rule. This section addresses VA's more
specific rationale related to the number of abortions provided by VA,
comparison to other Federal laws related to abortion, and VA's legal
authorities.
Section III. below addresses comments that raised other legal
issues, to include assertions that the proposed rule did not meet
certain administrative law standards.
Sections IV. through VIII. below address all other comments.
I. Comments That Generally Challenged the Proposed Rule
A. Comments That Asserted Abortions Were Needed Medical Services for
Veterans or Were Medically Necessary and Appropriate Treatment for
CHAMPVA Beneficiaries
VA proposed to remove the exceptions to the general exclusion of
abortions in Sec. 17.38(c)(1)(i) and (ii) of title 38, Code of Federal
Regulations (CFR), that, pursuant to an IFR published on September 9,
2022 (see 87 FR 55296) and a final rule published on March 4, 2024 (see
89 FR 15473), established that abortions could be provided when: (i)
the life or the health of the pregnant veteran would be endangered if
the pregnancy were carried to term; or (ii) the pregnancy was the
result of an act of rape or incest. Part of the rationale in the
proposed rule for removing these exceptions to the general exclusion of
abortions was that they are not needed and, as to the first exception,
from 1999 through 2022, VA had never understood the exclusion of
abortions to prohibit VA from providing care to pregnant women in life-
threatening circumstances. 90 FR 36416. Since the creation of the
medical benefits package and for nearly 23 years, VA had consistently
interpreted that abortions were not needed medical services under 38
U.S.C. 1710 and furnished care in life-threatening circumstances to
pregnant veterans as a needed medical service. Moreover, the DOJ
Opinion concludes that VA lacks statutory authority to exercise
discretion to provide abortion services under 38 U.S.C. 1710, thereby
foreclosing reliance on discretionary judgment to justify the
exceptions previously established in 38 CFR17.38(c)(1)(i) and (ii).
VA also proposed to revise the exceptions to the general exclusion
of abortions in CHAMPVA in 38 CFR 17.272(a)(58) to similarly revert
back to regulatory language in existence prior to September 9, 2022, so
that there would be a single exception for abortion for CHAMPVA
beneficiaries in cases when a physician certifies that the life of the
mother would be endangered if the fetus were carried to term, versus
broader exceptions in cases of life or health endangerment or when the
pregnancy is the result of rape or incest. VA's rationale for these
proposed changes in CHAMPVA was that abortions were not ``medically
necessary and appropriate for the treatment of a condition'' (pursuant
to the definition of CHAMPVA-covered services and supplies in 38 CFR
17.270(b)) under the broader exceptions for the same reasons that
abortions were not ``needed'' (pursuant to 38 U.S.C. 1710(a)(1)-(3)) in
the veteran's program. 90 FR 36417. VA notes that for the comment
summaries and responses that follow and for the remainder of the
discussion in the final rule, it will use the shorthand of ``needed''
care in the context of 38 U.S.C. 1710, and ``medically necessary and
appropriate'' care in the context of 38 U.S.C. 1781 (as interpreted in
38 CFR 17.270(b)). Again, the DOJ Opinion
[[Page 61312]]
concludes that VA lacks statutory authority to exercise discretion on
this issue, but for the purposes of addressing comments, VA provides
analysis under section 1710 as a secondary basis for our rulemaking.
Multiple commenters asserted that abortion was a needed medical
service, or that the broader exceptions to permit abortion were
medically necessary and appropriate for the treatment of a condition
for CHAMPVA beneficiaries. Many of these commenters made general
statements that abortion was evidence-based and part of medically
accepted standards of care for pregnant women and therefore was needed
or medically necessary and appropriate. Some of these commenters
referenced publications from medical or other organizations to support
these statements or further provided examples of specific procedures
that could be considered needed or medically necessary and appropriate
in particular circumstances.
Other commenters generally challenged the proposed rule by
asserting that abortion bans or abortion restrictions were harmful to
pregnant women. Many of these commenters referenced publications from
medical or other organizations that indicate increased maternal and
infant mortality rates or other worsened physical and mental health
outcomes of pregnant women in states with restrictive abortion laws. As
stated in comments, these publications suggest that states with
restrictive laws create uncertainty for healthcare providers, a
chilling effect for fear of legal consequences for abortion providers
and pregnant women, or additional administrative requirements to
furnish or receive care, all of which can result in delays in or denial
of abortion. Additionally, these commenters referenced publications
showing that bans could have negative, non-medical impacts, such as
long-term economic hardship and financial harm to women and their
children and that it may encourage women to stay with abusive partners.
These commenters also claimed that bans can disproportionately impact
women veterans, who are particularly vulnerable due to unique issues
they may face (such as a history of military sexual trauma and
increased risks for certain health conditions), which is even more
pronounced among various groups of veterans, such as women of color and
women in rural areas.
VA does not make changes from the proposed rule based on these
comments. The DOJ Opinion addresses all comments referencing VA's
authority to provide abortions. See Reconsidering the Authority of the
Department of Veterans Affairs to Provide Abortion Services, 49 Op.
O.L.C._(Dec. 18. 2025), https://www.justice.gov/olc/media/1421726/dl?inline. Given that VA lacks statutory authority to provide abortion
services, policy arguments that VA should have that authority are
inapposite. In addition, under 38 U.S.C. 1710(a)(1), the Secretary has
discretion to determine what hospital care and medical services are
needed. As stated in the proposed rule, the regulatory determination
that abortion is not a ``needed'' service for veterans was accepted by
every VA Secretary and Presidential administration for over 20 years,
under the recognition that VA was not prohibited from providing care to
pregnant women in life-threatening circumstances under the medical
benefits package. 90 FR 36416. Therefore, separate and apart from DOJ's
opinion that VA lacks statutory authority, the Secretary is exercising
discretion under 38 U.S.C.1710(a)(1) to reaffirm VA's longstanding
determination that abortion is not a ``needed'' service.
Consistent with such determination, care to pregnant women in life-
threatening circumstances will continue to be covered under the medical
benefits package. Subject to the DOJ Opinion, VA similarly has
discretion under 38 U.S.C. 1781 (as interpreted in 38 CFR 17.270(b)) to
determine what is ``medically necessary and appropriate for the
treatment of a condition'' in CHAMPVA and finds that the single
exception for life endangerment when certified by a physician meets
that standard.
VA will publish additional guidance regarding care that is not
barred by this rule. VA will also ensure its health care providers are
trained to provide life-saving care. Such guidance is consistent with
both the DOJ Opinion and the Secretary's discretionary authority.
B. Comments That Asserted Exceptions for Abortions Were Needed or Were
Medically Necessary and Appropriate in Cases of Health Endangerment or
When the Pregnancy Is the Result of Rape or Incest
Some commenters asserted that abortions were needed or were
medically necessary and appropriate not only when a pregnant individual
might experience life-threatening or endangering circumstances, but
also when such an individual's health may be threatened or endangered,
or in any case when such an individual was pregnant as a result of rape
or incest. Particularly, multiple commenters acknowledged VA's
continued ability to furnish care in life-threatening circumstances
without an explicit exception to the abortion exclusion in 38 CFR
17.38(c)(1), or with the limited exception for life endangerment in
Sec. 17.272(a)(58) as proposed, but additionally asserted that
abortion can be needed to preserve health, not solely to prevent
imminent death. Some of these commenters referenced publications from
medical or other organizations to support these assertions or provided
examples of serious but not immediately fatal medical conditions that a
pregnant woman may have--such as severe preeclampsia, certain cardiac
diseases, or cancers requiring urgent treatment--that could require an
abortion to avoid additional harm to the pregnant woman as the
pregnancy develops.
Other commenters stated more generally that restricting care to
life-endangering or life-threatening circumstances would force delays,
increase complications, and endanger the long-term health of a pregnant
individual. Some of these commenters raised concerns that there is a
lack of clarity regarding when there is life-endangering and life-
threatening circumstances versus endangerment or threat to health, as
there is not necessarily a bright line when a condition is health-
threatening or endangering versus life-threatening or endangering. In
those cases, these commenters noted that a patient's condition can
deteriorate quickly, and clinicians rely on their medical training,
judgment, and expertise to determine when to intervene, which is
typically before a condition becomes life-threatening or endangering.
Some commenters provided examples of conditions in which a patient's
life may not be considered endangered or threatened in the short term,
but their health is. Some commenters also referenced publications to
show how a lack of clarity in states with similar restrictions impacts
health care providers and pregnant women.
Some commenters asserted that health care providers will hesitate
to rely on their expertise, training, and medical judgment to make any
required certifications and provide care, even when permitted under
this rule.
Lastly, a commenter noted that the medical benefits package
included services recognized as needed health care (such as bereavement
counseling, prosthetics, and a wide range of outpatient care and
prescription drugs) that have an impact on the quality of life of
patients but in many cases the life of the patient would not be at risk
without them. This commenter noted that
[[Page 61313]]
restricting abortion to life-threatening circumstances, but not health-
threatening circumstances, is therefore inconsistent with VA's
interpretation of needed care by comparison.
VA does not make changes based on these comments. The DOJ Opinion
renders any discussion of medical necessity moot. If VA did have
discretion, VA still would not address every specific potential medical
condition a pregnant woman may have or complication that could be
experienced during pregnancy or otherwise further delineate the
conditions under which care may be provided or allowed pursuant to this
rulemaking. These are clinical matters that will need to be determined
by health care providers with their patients, and VA will issue further
related guidance. As such guidance is more appropriate for elaborating
VA policy, VA does not make changes to its regulations based on these
comments.
VA notes that there are other medical interventions that can be
used to preserve the life of the mother in a life-threatening or
endangering circumstance, which would be available under the medical
benefits package. There is a subspecialty of obstetrics and gynecology,
maternal-fetal medicine, that focuses on managing risk to the life of
the mother before, during, and after pregnancy. These services are and
will continue to be provided to veterans and CHAMPVA beneficiaries.
VA also does not make changes based on concerns that other services
included in the medical benefits package do not have a threshold to be
life-threatening to be considered needed. VA acknowledges that 38
U.S.C. 1710 allows the Secretary to provide care in other-than-life-
threatening situations and that from the time that the medical benefits
package was originally promulgated in 1999 and through the 2022 IFR,
abortions were excluded generally while these other services were
included, without any inherent conflict. VA is merely returning to that
longstanding regulatory framework. VA is not establishing a threshold
of life-threatening for services to be considered ``needed'' to be
included in the medical benefits package.
C. Exception To Permit Abortion When the Life of Mother Would Be
Endangered if the Fetus Were Carried to Term
In the context of discussing whether care is needed under 38 U.S.C.
1710, the proposed rule explained that VA had never understood its
policy prior to September 9, 2022, to prohibit providing care to
pregnant veterans in life-threatening circumstances, including
treatment for ectopic pregnancies or miscarriages, which were covered
under VA's medical benefits package prior to the 2022 IFR. 90 FR 36416.
The DOJ Opinion reached the same conclusion.
The proposed rule further stated ``[f]or the avoidance of doubt,
the proposed rule would make clear that the exclusion for abortion does
not apply `when a physician certifies that the life of the mother would
be endangered if the fetus were carried to term'.'' Id. VA clarifies
today that this statement in the proposed rule referred to the language
related to CHAMPVA and not to the medical benefits package. It was not
intended to convey that a life endangerment exception for abortion
would be expressly codified in the medical benefits package. The
comment summaries and responses below address concerns and issues
raised in these comments, distinct from some similar comments in
section III.F. of this final rule as related to allegations of
Administrative Procedure Act (APA) violations.
1. Confusion if Exception for Life of Mother Is Not Codified for
Veterans in the Medical Benefits Package Regulation
Some commenters stated that the proposed rule was not clear as to
whether there would be an express exclusion in the medical benefits
package to permit abortion if the life of the mother would be
endangered if the child were carried to term, and that there would be
confusion among patients and health care providers by not including
such an exception in the medical benefits package. Some commenters
opined that such confusion could lead to delayed or denied care, with
commenters referencing publications regarding abortion exceptions for
life of the mother in states such as Texas. Some commenters further
explained that VA providers may hesitate to provide care if the
exception is not codified in the medical benefits package regulation
because the regulatory text, not the preamble, controls. Many of these
commenters further suggested that VA codify the life exception in the
medical benefits package to avoid these issues.
VA makes no changes based on these comments. As explained in the
proposed rule, VA is returning to pre-September 9, 2022 position. VA is
reverting the regulatory text of 38 CFR 17.38 to the same language that
was in place at that time. Although some commenters may have been
confused by the language in the preamble, the amendatory text of the
proposed rule clearly indicated that the explicit exception was
included only in the regulatory section that related to CHAMPVA,
consistent with the language of that regulatory text prior to September
9, 2022. That pre-September 9, 2022 language was applied to allow for
life-saving procedures that resulted in termination of a pregnancy, and
there is no reason to believe that it will be hard for VA providers to
apply that language now just as they did for over 20 years before the
September 9, 2022 change.
2. Difference Between the Medical Benefits Package and CHAMPVA
Some commenters raised concerns that the regulations for the
medical benefits package would not include an express exception to
permit abortion if the life of the mother would be endangered if the
child were carried to term while the CHAMPVA regulations would include
such an exception. Commenters were concerned that this could result in
ambiguity and confusion, leading to delayed or denied care. One
commenter asserted that VA failed to provide any explanation for the
difference between the changes being made to the medical benefits
package and CHAMPVA regulations, since the former does not codify a
life endangerment exception.
VA makes no changes based on these comments. As explained in the
proposed rule, VA is reverting the regulatory text of 38 CFR 17.38 and
17.272 back to the same language that was in place prior to September
9, 2022. Moreover, the CHAMPVA and medical benefits package authorities
apply to wholly different groups of beneficiaries and are
operationalized in entirely different contexts. The differences between
these regulations did not cause confusion before September 9, 2022, and
will not now.
II. Comments That Specifically Challenged the Rationale in the Proposed
Rule
A. Number of Abortions Provided by VA
The proposed rule explained that the exceptions to VA's
longstanding general exclusion of abortions (as created by the 2022 and
2024 rulemakings) were a reaction to Dobbs, which itself was intended
to prevent Federal overreach and return to States control over the
provision of abortions. 90 FR 36416. The proposed rule further
explained that the 2022 and 2024 rulemakings did the opposite of
preventing such overreach and instead created a Federal entitlement
based in part on an anticipated high demand for VA abortions that never
materialized. Id.
[[Page 61314]]
These statements in the proposed rule highlight the flawed reasoning in
the 2022 and 2024 rulemakings in the post-Dobbs context that supported
those rulemakings.
Some commenters challenged what they perceived to be VA's premise
that the low volume of abortions provided by VA actually reflects a low
demand for veterans or CHAMPVA beneficiaries to receive these services
from VA. These comments offered that such low volume could instead
indicate barriers to accessing abortions (such as excessive travel from
states with restrictive abortion laws, the chilling effect of
restrictive State laws on VA provider decision making, or lack of
knowledge that these services are available from VA) or could be due to
a delayed ramp up inherent in the nature of VA offering new services.
Other commenters challenged what they perceived to be VA's assertion
that low demand supports the Secretary's determination that services
are not needed or are not medically necessary and appropriate,
correctly stating that low need is irrelevant as other medical services
covered by VA do not have any threshold of utilization to be considered
needed under 38 U.S.C. 1710 or medically necessary and appropriate
under 38 U.S.C. 1781 (as interpreted in 38 CFR 17.270(b)). Lastly, some
commenters more generally stated that the low volume of abortions
furnished by VA supports that such services were only offered within
the confines of the exceptions created and finalized in the 2022 and
2024 rulemakings, and as such, demonstrates that abortions were needed
or were medically necessary and appropriate and otherwise do not
constitute overreach.
VA does not make changes based on these comments. VA's proposed
rule did not rely on the low volume of abortions as a justification for
rescinding the 2022 and 2024 rulemakings, and neither does this final
rule. VA agrees that low volume of provision of a medical service
should not be a basis to exclude such service; indeed, some veterans
sustain significant and unique injuries during their service, and VA
would not deny them medical procedures to treat such injuries even if
most other veterans do not sustain such injuries. Rather, in the
proposed rule, VA cited the low demand for abortions to point out the
flawed reasoning in the 2022 and 2024 rulemakings regarding the post-
Dobbs landscape. The 2022 and 2024 rulemakings provided that it was
critical to change VA's long-standing policies because the demand for
abortions would be high. However, the low utilization demonstrates that
the reasoning was flawed. They also highlight the relatively small
impact of the proposed rule, which addresses comments that this final
rule would have significant or broad impacts on society. In short, the
2022 and 2024 predictions of high demand reflect the overall flawed
reasoning of that rulemaking, which unnecessarily reversed more than 20
years of settled regulatory policy.
B. Comparison to Other Federal Programs and the Hyde Amendment
Commenters raised concerns that the proposed rule referenced other
Federal programs, including Medicaid, the Children's Health Insurance
Program (CHIP), TRICARE, and the Federal Employee Health Benefits
(FEHB), to demonstrate that Congress generally does not favor the use
of Federal funds to furnish abortions without also recognizing that
these same programs use Federal funding for some abortions. Multiple
commenters asserted that these statements from the proposed rule either
misinterpret or misapply the laws regarding the funding under these
other programs, noting that each of the programs provides broader
exceptions than the proposed rule to furnish abortions. Particularly,
commenters asserted that Medicaid and CHIP are both subject to the Hyde
Amendment, and that the Hyde Amendment has exceptions for abortions
when the life of the pregnant patient is in danger and in cases of rape
and incest. Relatedly, some commenters incorrectly asserted that VA is
subject to the Hyde Amendment.
Commenters also asserted that the TRICARE program and the FEHB
program both include abortion coverage bans with the same exceptions as
the Hyde Amendment. Some commenters were also concerned that
servicemembers who transition from active-duty service to civilian life
would not be eligible for, and receive from VA, the same benefits they
were previously eligible for under the Department of Defense (DoD).
While not addressed in the proposed rule, some commenters further
asserted that individuals in Federal prisons have access to care
veterans will be ineligible for under this rulemaking.
Some commenters construed the proposed rule to say that
consideration of whether abortion is ``needed'' necessarily involves
the question of whether taxpayers should pay for abortion. These
commenters asserted that whether taxpayers should fund certain care for
veterans is irrelevant to whether such care is considered needed, or
otherwise stated that there is no support in either the statutory text
of 38 U.S.C. 1710 or in VA's previous interpretations of section 1710
to suggest that taxpayer funding has been the basis for determining
health care that is provided by VA.
VA does not make changes based on these comments. The statements in
the proposed rule related to Congressional expressions of intent for
funding of abortions, and taxpayer funding of abortions, to demonstrate
that Congress has repeatedly articulated restrictions on abortion and
VA's actions to restrict abortion are consistent with the fact that
other Federal programs restrict abortions. This rationale similarly
applies to the regulatory restriction under CHAMPVA. The statements
were not intended to suggest that VA is bound by those non-VA
restrictive authorities, or that VA should emulate them. Rather, VA
must apply the specifically applicable authorities in title 38, U.S.C.
VA's provision of health care to veterans and CHAMPVA beneficiaries
is governed by 38 U.S.C. 1710 and 1781, respectively. Pursuant to these
authorities, the Secretary has discretion to determine what care is
needed or medically necessary and appropriate. VA is not subject to the
same statutory authorities as other Federal agencies programs, such as
CHIP, Medicare, Bureau of Prisons, the FEHB Program, and TRICARE. For
example, Federal funds available to the Departments of Labor, Health
and Human Services, and Education are subject to the Hyde Amendment.
Congress has included the Hyde Amendment in those agencies' annual
appropriations legislation for more than forty years, but Congress has
not subjected VA to the Hyde Amendment. VA is, however, subject to the
conclusion in the DOJ Opinion that it may not provide abortions.
VA also recognizes that, like VA, some agencies are also not
subject to the Hyde Amendment, and such agencies have different
statutory authorities than VA. For example, DoD is subject to 10 U.S.C.
1093, which establishes that DoD may not use funds or facilities ``to
perform abortions except where the life of the mother would be
endangered if the fetus were carried to term or in a case in which the
pregnancy is the result of an act of rape or incest.''
To the extent commenters asserted that servicemembers who
transition from active-duty service to civilian life would not be
eligible for, and receive from VA, the same benefits they were
previously eligible for DoD, VA acknowledges that veterans would not be
eligible for, or receive, the same benefits relating to abortions and
abortion counseling. As explained above, DoD and VA are subject to
[[Page 61315]]
different statutory authorities. VA also reiterates the point made
earlier that veterans and CHAMPVA beneficiaries may seek care outside
of the VA system, and would be subject to different authorities in
those circumstances as well. This rulemaking impacts only the
furnishing of VA care to veterans and CHAMPVA beneficiaries. VA is not
regulating the care provided or funded by other Federal agencies and
other health care, through private insurance or otherwise, that is
available outside of that provided by, and through, VA.
VA also acknowledges that having an explicit exception for ``life''
in the Hyde Amendment and other statutory authorities but not in VA's
regulations might lead to the (inaccurate) conclusion that VA intends
to bar life-saving procedures that result in a termination of
pregnancy. VA recognizes that there may be a semantic aspect to
exempting life-saving procedures by not calling them ``abortions.''
However, the opposite is also true, i.e., that allowing ``abortions''
in some cases can lead to broader interpretations of what is intended
to be authorized by VA as needed care. Moreover, VA is reestablishing
regulatory language that directed Department practice for decades. VA
has been abundantly clear in the proposed rule and this final rule that
the bar against abortions does not apply to life-saving procedures that
could result in the termination of a pregnancy and any arguments that
VA's providers will read the regulation differently are hypothetical
and without factual basis. If such misapplications of regulation occur,
VA will address them through training and management of its workforce--
not by changing the language of the regulation. Thus, to the extent
that VA's discretionary authorities apply in light of the DOJ Opinion,
VA's final rule is appropriate and consistent with such discretion.
C. Competing Provisions of Section 106 of VHCA and 38 U.S.C. 1710
The proposed rule explained that VA's exclusion against abortions
was legally established in 1999 and was observed until the 2022
revisions, and further that the 2022 IFR was legally questionable given
that Congress has only specifically addressed VA's authority to provide
abortions in section 106 of VHCA, which authorized VA to provide under
chapter 17 of title 38, U.S.C., ``[p]apanicolaou tests (pap smears),''
``[b]reast examinations and mammography,'' and ``[g]eneral reproductive
health care'' but excluded ``under this section infertility services,
abortions, or pregnancy care (including prenatal and delivery care),
except for such care relating to a pregnancy that is complicated or in
which the risks of complication are increased by a service-connected
condition.'' 90 FR 36416. As explained in the proposed rule, Congress
extensively revised chapter 17 in 1996, but also did not expressly
repeal section 106. Id. The proposed rule discussed these competing
legal provisions to demonstrate that VA's authority to provide
abortions is, at least, dubious and, at most, nonexistent; and, that
VA's determination to restore the abortion exclusion was in any case
consistent with VA's decades-long interpretation of the applicable law.
Id. VA did not intend to interpret or opine on the continuing authority
of section 106 because VA decided to bar abortions under 38 U.S.C. 1710
and 1781. Notwithstanding the DOJ Opinion, which concludes that VA
lacks discretion in this area, VA would still decline to provide
abortions under that discretionary authority.
Multiple commenters challenged VA's statements in the proposed rule
regarding the potential competing authorities of section 106 of the
VHCA and 38 U.S.C. 1710. These commenters generally stated that,
although the proposed rule did not take a position on the force or
effect of section 106 of the VHCA, the proposed rule relied on section
106 to introduce that there was uncertainty as to the authority of VA
to furnish abortions, despite the analysis VA put forward in the prior
2022 and 2024 rulemakings to support that section 106 and the
limitations therein were legally inoperable. Some commenters further
asserted that the proposed rule's failure to specifically address any
potential change in analysis from these past rulemakings regarding the
effect of section 106 was grounds to find the proposed rule arbitrary
and capricious. Lastly, some commenters additionally asserted that VA's
acknowledgement in the proposed rule that there could be uncertainty
regarding the interpretation of applicable authority related to VA's
provision of an abortion was similar grounds to find that the proposed
rule was arbitrary and capricious, or otherwise grounds to find that
the proposed rule did not meet requirements under the APA to provide a
reasoned basis explaining the proposed regulatory revisions.
VA does not make changes from the proposed rule based on these
comments. Since the publication of the proposed rule, the DOJ Opinion
has clarified this issue. Moreover, to the extent that VA's authority
under section 1710 serves as a secondary basis for this rule, the major
questions doctrine provides an alternative framework for evaluating the
limits of agency discretion in areas of significant political and moral
consequence. As articulated in West Virginia v. EPA, the doctrine
requires agencies to identify clear congressional authorization before
regulating in domains of extraordinary national importance. If, as some
commenters suggest, the provision of abortion services exceeds the
scope of VA's delegated authority, then any such limitation must arise
from statute--not from medical or ethical arguments advanced in the
public comments. In this context, the only specific statutory provision
addressing abortion is section 106 of the VHCA, which broadly prohibits
it. Thus, even under a major questions analysis, the result would not
be to expand abortion access based on medical discretion, but to apply
the statutory constraint and return to the prior observation of the
prohibition. In this context, VA's return to its long-standing
exclusion of abortion services is not only consistent with the DOJ
Opinion and its statutory mandate under 38 U.S.C. 1710 and 1781, but
also reflects a prudent exercise of discretion that respects the
constitutional separation of powers and the limits of agency authority
under administrative law. Furthermore, as reflected throughout this
final rule, VA does not consider this ban to bar the provision of life-
saving treatment to pregnant women.
D. Determination of ``Needed'' Under 38 U.S.C. 1710 and the Promote,
Preserve, or Restore Standard in 38 CFR 17.38(b)
The proposed rule explained that from 1999, when VA established the
medical benefits package in 38 CFR 17.38, until September 8, 2022,
abortions were excluded because they were not ``needed'' medical
services under 38 U.S.C. 1710--that for decades, VA had consistently
interpreted abortions as not ``needed'' medical services and therefore
they were not covered by the medical benefits package. 90 FR 36415-
36416. Multiple commenters asserted that the Secretary's discretion to
determine what care is needed under 38 U.S.C. 1710 must be based on
medical standards and judgment and a clinical need for care. Some
supported these assertions by citing Congressional reports related to
the passage of the law that became section 1710 (Pub. L. 104-262).
These commenters primarily referenced language from H.R. Rep. No. 104-
690 as indicating legislative intent that a singular clinical need for
care standard would replace the multiple legal
[[Page 61316]]
eligibility standards when determining those veterans who would receive
care and what care would be furnished. Some of these commenters further
cited VA's IFR and final rules from 2022 and 2024 to demonstrate that
VA at one point determined that abortions could be considered needed
under section 1710, and stated that the proposed rule did not establish
how abortions were not clinically needed. Ultimately, these commenters
concluded that VA could not reasonably determine that abortions were
not needed under section 1710 as a matter of statutory interpretation,
given Congressional intent and VA's own statements in prior
rulemakings.
Other commenters asserted that the criteria for furnishing care
under the medical benefits package in 38 CFR 17.38(b), if such care is
determined by appropriate health care professionals ``to promote,
preserve, or restore the health of the individual,'' were
Congressionally mandated standards that are separate from and replace
the Congressionally mandated requirement that the Secretary must
determine that care is needed under 38 U.S.C. 1710. Others fell short
of alleging that the promote, preserve, or restore criteria were
Congressionally mandated, but nonetheless asserted that these criteria
articulated how VA as a matter of practice assesses whether care is
needed and should be used to decide whether care is included in the
medical benefits package.
All of the above-described comments generally concluded that
abortions must be included in the medical benefits package because
abortions could be found by VA to promote, preserve, or restore the
health of an individual.
VA does not make changes from the proposed rule based on these
comments. VA first clarifies that the promote, preserve, or restore
criteria in 38 CFR 17.38 are regulatory only; these criteria are not
present in 38 U.S.C. 1710. Regarding comments about the Congressional
intent behind section 1710, VA agrees that section 1710 was intended to
streamline care decisions based on clinical need for care in place of
formerly stratified legal criteria for different types of care that
existed before the enactment of section 1710. However, to the extent
commenters assert that this focus on clinical need means the Secretary
cannot reevaluate an interpretation of what is needed under section
1710, VA disagrees. The text of section 1710 does not mandate the
perpetual approval of any care that VA at one time found to be needed.
Further, the text of section 1710 does not prohibit the Secretary from
establishing limitations and exclusions as to whether care is needed
under section 1710.
Regarding the comments related to the promote, preserve, or restore
criteria in 38 CFR 17.38(b), VA did express in the original
promulgation of its medical benefits package that ``[t]he Secretary has
authority to provide healthcare as determined to be medically needed.
In our view, medically needed constitutes care that is determined by
appropriate healthcare professionals to be needed to promote, preserve,
or restore the health of the individual and to be in accord with
generally accepted standards of medical practice. The care included in
the medical benefits package is intended to meet these criteria.'' 64
FR 54207, at 54210. However, VA does not believe this statement from
VA, or the criteria in 38 CFR 17.38(b), apply to Secretarial
determinations of ``needed'' care under 38 U.S.C. 1710. Rather, the
promote, preserve, or restore criteria were put in place by the
Secretary to govern how VA providers make individualized clinical
determinations of care; those individualized determinations can only
provide care that the Secretary has already determined to be needed
under section 1710. This is evidenced in the regulation at 38 CFR
17.38(b), which states that ``care referred to in the medical benefits
package will be provided to individuals only if it is determined by
appropriate health care professionals that the care is needed to
promote, preserve, or restore the health of the individual and is in
accord with generally accepted standards of medical practice.'' In
fact, adopting the commenters' position would seem to undercut the
Secretary's authority to restrict any care at all, and the medical
benefits package contains both the above-quoted restriction in Sec.
17.38(b) as well as other excluded types of care in Sec. 17.38(c).
These cannot be authorized even if a provider determines that they
might promote, preserve, or restore health.
Therefore, to the extent that VA's discretionary authorities apply
in light of the DOJ Opinion, VA makes no changes based on these
comments.
III. Comments That Raised Other Legal Concerns
A. Compliance With State Laws Post-Dobbs
Several commenters raised concerns that post-Dobbs, VA must or
should follow state laws regarding abortion, particularly in states
where abortion is legal or less restrictive than the proposed rule.
Some commenters were concerned that the proposed rule would negate or
violate states' rights and that VA should not restrict women's ability
to access abortions at VA in states that do not have restrictions or
bans on abortions. Some commenters specifically asserted that veterans
and CHAMPVA beneficiaries should have the same right to an abortion as
other women in their same state and other citizens, generally.
VA makes no changes based on these comments. There is no Federal
law that guarantees a right to abortion. In Dobbs, the U.S. Supreme
Court concluded that there is no constitutional right to abortion and
returned the issue to the states to decide. 142 S. Ct. 2228.
As a Federal agency, VA must follow Federal laws, such as 38 U.S.C.
1710 and 1781, which provide it with the authority and discretion to
determine the care that may be furnished to veterans and CHAMPVA
beneficiaries. The Supremacy Clause of the U.S. Constitution, U.S.
Const. art. VI, cl. 2., generally prohibits states from interfering
with or controlling the operations of the Federal government, and
therefore immunizes the Federal government from state laws that
directly regulate it. As such, VA is not subject to state laws that
purport to regulate, prohibit, or burden VA's furnishing of needed or
medically necessary and appropriate care.
Furthermore, VA has consistently asserted such supremacy in its
provision of health care to beneficiaries in all states. In 38 CFR
17.419, VA explicitly preempts any state laws, rules, regulations, or
requirements that conflict with a VA health care professional's
practice within the scope of their VA employment. Similarly, in Sec.
17.417, implementing 38 U.S.C. 1730C, VA explicitly preempts any state
laws, rules, regulations, or requirements that conflict with a VA
health care professional's practice of telehealth within the scope of
their VA employment. In both regards, VA is able to establish a uniform
approach to the provision of VA health care by its health care
professionals. VA has an interest in ensuring that it provides
consistent and equitable care and services to its beneficiaries in all
states regardless of where they may receive care or reside. See 38 CFR
17.417(c) and 17.419(c).
VA's rule is no more restrictive than the state laws that permit an
abortion to save the mother's life. As explained in the proposed rule,
no state law entirely bans abortions, as exceptions to preserve the
life of the mother exist in all 50 states.\1\
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\1\ https://www.justia.com/constitutional-law/50-state-survey-on-abortion-laws/.
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[[Page 61317]]
To the extent that VA's rulemaking is in direct conflict with state
laws, rules, regulations, or requirements, such laws, rules,
regulations, or requirements are without any force or effect pursuant
to the Supremacy Clause of the U.S. Constitution and 38 CFR 17.419 and
17.417. As explained previously, VA, as a Federal health care system,
has an interest in ensuring that it provides consistent and equitable
care and services to all veterans and CHAMPVA beneficiaries in all
states regardless of where they may receive care or reside. See 38 CFR
17.419(c). This rulemaking ensures that veterans and CHAMPVA
beneficiaries continue to receive the same care in all states.
To the extent that commenters contend that veterans and CHAMPVA
beneficiaries should receive the same care as other citizens or women
in their state, VA notes that pursuant to 38 U.S.C. 1710 and 1781, VA
is required to furnish care to veterans and CHAMPVA beneficiaries,
respectively. That care is not required to be the same as that
available to any other citizen or woman in their state. For example, VA
does not provide certain elective procedures that may be widely
available in the private sector unless they are medically necessary or
connected to a service-related condition. VA is subject to a unique set
of laws enacted by Congress and carried out by the Secretary, who has
the authority and discretion to determine what care VA will provide.
B. Delegation
One commenter asserted that the proposed rule allows state laws to
determine whether veterans and CHAMPVA beneficiaries can receive
abortions, which is an inappropriate delegation for a Federal program.
This commenter asserted that because Congress instructed VA to provide
coverage to veterans and CHAMPVA beneficiaries based on clinical
necessity, VA cannot delegate this responsibility to the most
restrictive state law.
Pursuant to 38 U.S.C. 1710 and 1781, Congress appropriately
delegated to the Secretary the discretion to determine what care may be
furnished to veterans and CHAMPVA beneficiaries, respectively. To the
extent that the Secretary retains discretionary authority on the issue
of abortion, the Secretary's exercise of that discretion would not be a
delegation of his authority and responsibility pursuant to section 1710
and 1781 to states, even if it superficially coincides with certain
state laws. However, VA acknowledges that VA's rule is generally
consistent with those state laws, or sections of state laws, that
permit abortion to save the mother's life. As explained in the proposed
rule, no state entirely bans abortions, as exceptions to preserve the
life of the mother exist in all 50 states.\2\ VA makes no changes based
on this comment.
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\2\ https://www.justia.com/constitutional-law/50-state-survey-on-abortion-laws/.
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C. Emergency Medical Treatment and Labor Act (EMTALA) and 38 U.S.C.
1784A
Several commenters raised concerns about the proposed rule in light
of the Emergency Medical Treatment and Labor Act (EMTALA), 42 U.S.C.
1395dd, and VA's related authority, 38 U.S.C. 1784A. In particular,
some commenters were concerned whether VA would meet requirements under
EMTALA and 38 U.S.C. 1784A because they stated that the Federal
government refuses to enforce EMTALA and has rescinded related
guidance. Other commenters equated the proposed rule with eliminating
VA's obligations under EMTALA and 38 U.S.C. 1784A, especially as
commenters opined that EMTALA and 38 U.S.C. 1784A require the provision
of stabilizing care, which may include an abortion, to a pregnant
patient whose health is in serious jeopardy.
VA makes no changes based on these comments. VA is not subject to
EMTALA, but has adopted some of its requirements through policy.
Instead, VA has its own similar authority. Section 1784A of title 38
U.S.C. requires that in the case of a VA hospital with an emergency
department, if any individual comes to the hospital or its campus and a
request is made on behalf of the individual for examination or
treatment for a medical condition, the hospital must provide for an
appropriate medical screening examination within the capability of the
emergency department, including ancillary services routinely available
to the emergency department, to determine whether or not an emergency
medical condition exists. It further requires that if any such
individual has an emergency medical condition, the VA hospital must
provide medical examination and treatment required to stabilize the
medical condition or transfer the individual to another medical
facility in accordance with specified requirements. VA complies with
these requirements of 38 U.S.C. 1784A and will continue to do so. This
rule will not impact VA's responsibilities and obligations under
section 1784A. Furthermore, as explained in the proposed rule, VA will
continue to provide care to pregnant women in life-threatening
circumstances under the medical benefits package. 90 FR 36416-17.
D. Sex or Gender Discrimination
Commenters asserted that the proposed removal of the exceptions to
furnish abortions amounted to gender or sex discrimination as such
changes necessarily only affect veterans that can get pregnant, or
women veterans. Other commenters alleged that the proposed removal of
the abortion exceptions was discriminatory because VA would still
provide all reproductive care for veterans who were men; particularly,
some of these commenters noted that VA would still provide male
veterans medication to treat erectile dysfunction, or would still
perform vasectomies for male veterans, despite these services not being
needed to save the lives of male veterans. Lastly, some comments more
specifically opined that removal of the exceptions to furnish abortions
would potentially violate specific laws related to preventing sex
discrimination (i.e., Title IX of the Education Amendments of 1972, or
section 1557 of the Affordable Care Act), or otherwise would conflict
with Congressional intent to ensure equality in the provision of health
services to women veterans under the Deborah Sampson Act of 2020, Title
V of Public Law 116-315.
VA does not make changes from the proposed rule based on these
comments. VA's interpretation in the proposed rule and as made final in
this rule is that abortions are not needed care in general, and that VA
is not prohibited from providing care to pregnant women in life-
threatening circumstances (under the medical benefits package), even if
such treatment may result in the termination of a pregnancy. Standards
of medical care and treatment, including with respect to reproductive
health care, necessarily involve different protocols based on the
clinical needs and biology of the individual patient, including their
sex. That this regulatory change necessarily impacts the care and
services available to veterans and CHAMPVA beneficiaries who are women
does not alone amount to discrimination on the basis of sex or gender.
To the extent section 1557 of the ACA applies to VA, it does not
require VA to maintain the abortion exclusions established by VA in the
2022 and 2024 rulemakings. Section 1303(c)(2) of the ACA specifically
states that ``[n]othing in this Act shall be construed to have any
effect on Federal laws regarding . . . willingness or refusal to
provide abortion [or] discrimination on the basis of the willingness or
refusal to provide,
[[Page 61318]]
pay for, cover, or refer for abortion or to provide or participate in
training to provide abortion.'' In its regulations implementing section
1557, the Department of Health and Human Services (HHS) emphasized this
point, stating that ``nothing in section 1557 shall be construed to
have any effect on Federal laws regarding . . . willingness or refusal
to provide abortion . . . and discrimination on the basis of the
willingness or refusal to provide, pay for, cover, or refer for
abortion or to provide or participate in training to provide
abortion.'' 45 CFR 92.3(c). Although not applicable to VA, HHS's
regulation informs VA's interpretation of section 1557 and its
inapplicability to abortion as a form of discrimination.
Finally, title IX is inapplicable in this context because title IX
was enacted to prevent discrimination on the basis of sex in
educational programs and activities that receive Federal financial
assistance. See 20 U.S.C. 1681(a). To the extent title IX would apply
to health programs, title IX also contains an abortion neutrality
provision, where ``nothing in this chapter shall be construed to
require or prohibit any person, or public or private entity, to provide
or pay for any benefit or service, including the use of facilities,
related to an abortion.'' 20 U.S.C. 1688. Accordingly, VA disagrees
with commenters' assertions that VA's proposed changes violate section
1557 or title IX.
E. Constitutional Rights
Commenters alleged that the proposed rule violates multiple Federal
Constitutional rights. These commenters stated that removing the
exceptions to furnish abortion in certain circumstances imposes
specific moral and religious views on all veterans, violating religious
freedom protections under the First Amendment; deprives individuals of
life, liberty, or property, violating due process protections under the
Fifth Amendment; or otherwise violates fundamental bodily autonomy
rights. Other commenters alleged that the proposed rule violated the
Ninth or the Fourteenth Amendments without further explanation, and one
commenter alleged a violation of the Fourth Amendment because medical
history should be private.
VA does not make changes from the proposed rule based on these
comments. In Dobbs, the Supreme Court determined that there is no
Constitutional right to abortion, and VA's removal of exceptions to
furnish abortion in certain circumstances is therefore not violative of
any Constitutional right. Further, removal of the exceptions is not
based on religious ideology, and it will not endanger the lives of
veterans and CHAMPVA beneficiaries as VA will continue to furnish
needed and medically necessary and appropriate care to a veteran or
CHAMPVA beneficiary, respectively, even if such care might result in
the termination of a pregnancy.
F. APA Violations
Multiple commenters alleged that the proposed rule failed to
provide a reasonable explanation that considered prior evidence and
consequences of policy reversal, and reliance interests in removing the
exceptions to furnish abortions and abortion counseling, and that the
rule if finalized as proposed would therefore be arbitrary and
capricious under administrative law standards under the APA. Some of
these commenters more specifically asserted that portions of the
rationale in the proposed rule were confusing or presented flawed
reasoning to also allege that the rule if finalized as proposed would
be arbitrary and capricious. VA addresses these comments below as
applying to both the medical benefits package as well as CHAMPVA,
unless otherwise indicated.
1. Consideration of Prior Evidence Related to Whether Abortions Are
Needed or Medically Necessary and Appropriate, and Consequence of
Policy Reversal
Commenters asserted that the proposed rule fails to address the
facts and circumstances presented in VA's 2022 IFR, and that rule's
prior conclusion that abortions were needed or medically necessary and
appropriate when the life or health of the pregnant veteran is at risk
or in cases of rape and incest. Commenters stated that the proposed
rule mischaracterized the 2022 IFR's rationale as only relating to an
anticipated rise in demand for abortion as a result of the Dobbs
decision, although the 2022 IFR and 2024 final rule were additionally
based on evidence regarding the health consequences of carrying certain
pregnancies to term. Commenters further asserted that the proposed rule
did not address documented evidence of harm that results from abortion
bans or restrictive abortion laws, and therefore that VA did not
conduct the required consideration of harmful consequences in reversing
policy from the 2022 and 2024 rules. Many of these commenters cited
multiple medical or scientific studies or other publications which show
increased maternal mortality rates or other worsened physical and
mental health outcomes of pregnant individuals in states with
restrictive abortion laws. Commenters asserted that these studies
suggest that states with restrictive laws create uncertainty for
healthcare providers, a chilling effect for fear of legal consequences
for healthcare providers and pregnant individuals, or additional
administrative requirements to furnish or receive care, all of which
can result in delays in or lack of needed care being furnished.
Commenters further stated that the proposed rule did not present any
evidence to rebut or undercut the studies on which VA previously
relied, or the factual findings that it made, in 2022 and reaffirmed in
2024. Commenters ultimately opined that because the proposed rule
disregards VA's previous factual findings, any final rule that would
also do so would be arbitrary and capricious.
VA does not make changes from the proposed rule based on these
comments. The APA change-in-position doctrine states that ``agencies
are free to change their existing policies as long as they provide a
reasoned explanation for the change,'' ``display awareness that [they
are] changing position,'' and consider ``serious reliance interests.''
Encino Motorcars, LLC. v. Navarro, 579 U.S. 211, 221-222 (2016); FCC v.
Fox Television Stations, Inc., 556 U.S. 502, 515-516 (2009). Change in
position doctrine asks (1) whether agency changed its existing policy,
and (2) whether the agency displayed awareness that it is changing its
policy and offered good reasons for the new policy. FDA v. Wages &
White Lion Invs., LLC, 604 U.S. 542, 569-570 (2025).
The standard described above does not require VA to respond to
every factual consideration made in its prior rulemaking or show ``that
the reasons for the new policy are better than the reasons for the old
one.'' See Fox Television, 556 U.S. at 515. VA explained in its
proposed rule that it was rescinding the 2022 and 2024 rules pursuant
to its authority in 38 U.S.C. 1710 to furnish hospital care and medical
services that the Secretary determines to be needed and to restore VA's
medical benefits package to its pre-September 9, 2022 state. Similarly,
VA explained in its proposed rule that it was rescinding the 2022 and
2024 rules pursuant to its authority in 38 U.S.C. 1781 and to restore
its CHAMPVA coverage to its pre-September 9, 2022 state. This rationale
provided for these proposed changes to the medical benefits package and
CHAMPVA conforms to the standard under which an agency may subsequently
change its position on prior rulemakings. See Motor Vehicle Mfrs. Ass'n
of the U.S.,
[[Page 61319]]
Inc. v. State Farm Mut. Auto. Ins. Co., 463 U.S. 29, 42 (1983) (an
agency's rule may not be set aside if it is ``rational, based on
consideration of the relevant factors and within the scope of the
authority delegated to the agency by the statute.'') Moreover, the DOJ
Opinion is controlling legal authority for VA and forecloses
discretionary authority in this area.
2. Reliance Interests
Some commenters raised concerns that the proposed rule disregarded
reliance interests from VA's prior policy. In particular, some
commenters noted that agencies are required to assess whether there are
reliance interests in its existing policy, whether they are
significant, and weigh any such interests against competing policy
concerns.
VA makes no changes based on these comments. VA acknowledges that
when an agency changes course, it must be cognizant that longstanding
policies may have engendered serious reliance interests that must be
taken into account. See Dep't of Homeland Sec. v. Regents of the Univ.
of Cal., 591 U.S. 1, 30 (2020). For purposes of abortions when the
health of the pregnant mother would be endangered if the pregnancy were
carried to term, in the case of rape or incest, and for abortion
counseling provided to veterans under the medical benefits package and
to CHAMPVA beneficiaries, VA has concluded there are no serious
reliance interests because such services have been available for a
short period of time (that is, only since September 9, 2022).
Additionally, VA has concluded there are no serious reliance interests
because very few veterans and CHAMPVA beneficiaries have been provided
such services by VA, as explained in the proposed rule. Further, as
explained in Dobbs, traditional reliance interests are lacking when it
comes to abortion. Dobbs, 597 U.S. at 287-91.\3\ Moreover, Dobbs made
clear that there is no Federal constitutional right to abortion and no
compelling government interest in promoting abortion.\4\ Thus, VA finds
that veterans and CHAMPVA beneficiaries will not have serious reliance
interests that must be taken into account as part of this rulemaking.
VA further acknowledges that this rulemaking is a two-stage rulemaking
that had a proposed rule that, once final, will have a 30-day delayed
effective date, which have provided veterans and CHAMPVA beneficiaries
advance notice and sufficient time to identify other sources available
for these services. Moreover, the DOJ Opinion governs VA's
interpretation of applicable law and forecloses discretionary authority
in this area.
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\3\ In Dobbs, the U.S. Supreme Court concluded that there is no
constitutional right to abortion and found that there are no serious
reliance issues for such a constitutional right, stating
``Traditional reliance interests arise `where advance planning of
great precision is most obviously a necessity.' Casey, 505 U.S. at
856 (joint opinion); see also Payne, 501 U.S. at 828. In Casey, the
controlling opinion conceded that those traditional reliance
interests were not implicated because getting an abortion is
generally `unplanned activity,' and `reproductive planning could
take virtually immediate account of any sudden restoration of state
authority to ban abortions.' 505 U.S. at 856. For these reasons, we
agree with the Casey plurality that conventional, concrete reliance
interests are not present here.'' Dobbs, 597 U.S. at 287-88.
\4\ Before Dobbs, even during the entire time when the U.S.
Supreme Court recognized a fundamental right to abortion, the U.S.
government was under no obligation to subsidize or to facilitate
abortion. See Harris v. McRae, 448 U.S. 297, 326 (1980) (``[W]e hold
that a State that participates in the Medicaid program is not
obligated under Title XIX to continue to fund those medically
necessary abortions for which federal reimbursement is unavailable
under the Hyde Amendment.'').
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3. Other Administrative Law Issues
Commenters asserted that the proposed rule's failure to
specifically address any change in analysis from the 2022 and 2024
rulemakings regarding the effect of section 106 was grounds to find the
proposed rule arbitrary and capricious. Some commenters further
asserted that VA's mere acknowledgement in the proposed rule that there
could be uncertainty regarding the applicable authority related to VA's
provision of abortions was itself grounds to find that the proposed
rule was arbitrary and capricious.
VA makes no changes based on these comments. Even if the DOJ
Opinion did not overrule any exercise of discretion to allow abortion,
VA would rely on the determination that abortions are not needed under
38 U.S.C. 1710. Acknowledging uncertainty about the applicability of a
separate authority not relied on to promulgate a regulation change does
not render a rule arbitrary and capricious. Instead, it reflects
consideration of both the legal and policy context behind developing
the rule. Under the arbitrary and capricious standard, as traditionally
interpreted, a reviewing court would consider whether the agency
``relied on factors which Congress has not intended it to consider,
entirely failed to consider an important aspect of the problem, offered
an explanation for the decision that runs counter to the evidence
before the agency, or is so implausible that it could not be ascribed
to a difference in view or the product of agency expertise.'' State
Farm, 463 U.S. at 43. The proposed rule was not arbitrary and
capricious since the discussion of section 106 did none of these
things. Moreover, VA's decision to bar abortion but continue to provide
life-saving care is consistent with section 106 and the DOJ Opinion.
Some commenters asserted that although the preamble of the proposed
rule stated that, ``[f]or the avoidance of doubt, the proposed rule
would make clear that the exclusion for abortion does not apply `when a
physician certifies that the life of the mother would be endangered if
the fetus were carried to term,' '' the proposed amendment to the
medical benefits package does not include any such language, making it
unclear whether a life endangerment exception exists for veterans in
the medical benefits package. One commenter stated that because the
preamble does not have the force of law, the exception for life of the
mother for the medical benefits package appears to be illusory, and
that this inconsistency itself renders the rule arbitrary and
capricious. Another commenter noted that the preamble of the proposed
rule as referenced above incorrectly describes the text of the rule
with regards to the medical benefits package, and the preamble is
insufficient assurance that such a life endangerment exception exists
to adequately justify the proposed change. Lastly, multiple commenters
opined that the proposed rule failed to explain why CHAMPVA would have
a life endangerment exception in regulatory text while the medical
benefits package would not, where one of these comments more
specifically asserted that the rule if finalized as proposed will be
arbitrary and capricious for failing to provide a reasoned explanation
for where the life endangerment exception applies.
VA makes no changes based on these comments. The proposed rule
repeatedly stated that VA was returning to its pre-September 9, 2022,
restrictions on abortion within the medical benefits package and
CHAMPVA. The regulatory revisions previously proposed and now finalized
within this rule reinstates the prior restrictions on abortion within
the medical benefits package as well as CHAMPVA, and the interpretation
of that language, as it was applied by VA before September 9, 2022. The
preamble of the proposed rule explained how the regulatory text was
interpreted and will be interpreted once finalized through this
rulemaking. As VA's statutory authorities for the medical benefits
package and CHAMPVA are 38 U.S.C. 1710 and 1781, respectively, pursuant
to such authorities, VA may determine
[[Page 61320]]
which exceptions to abortion are appropriate for each program
independently based on applicable law and programmatic objectives--
subject to the limitations articulated in the DOJ Opinion. The absence
of a life endangerment exception in the regulatory text for the medical
benefits package, while included in CHAMPVA, does not render the
proposed rule arbitrary and capricious.
Furthermore, in the case of CHAMPVA, allowing abortions when a
physician certifies the life of the mother would be endangered if the
child were carried to term aligns with the requirement under 38 U.S.C.
1781(b) to provide CHAMPVA benefits in a similar manner as TRICARE. The
rescission of the 2022 and 2024 rulemakings restores both the medical
benefits package and CHAMPVA to its pre-September 9, 2022 policy, in
which CHAMPVA had an explicit life endangerment exception while the
medical benefits package did not. As such, the differential treatment
is merely a return to the regulations that were in place prior to
September 9, 2022, and satisfies the APA's requirements for reasoned
decision making.
One commenter asserted that the proposed rule fails to adequately
explain how VA is changing course, which the commenter stated requires
clearer statements of VA's understanding of both the status quo and the
changes that would be made by the proposed rule. This commenter offered
that the proposed rule framed the exceptions to furnish abortion (the
status quo at the time the proposed rule was published) as permitting
elective abortion, by way of VA's reference to other Federal programs
as evidence that Congress does not fund elective abortion, and opined
that this was a misrepresentation of the status quo and therefore VA
could not properly explain the effect of the changes in the proposed
rule, making the rule arbitrary and capricious.
VA makes no changes based on this comment. Consistent with the
requirements of the APA, the proposed rule clearly articulated both the
prior rule and the reasons underlying its decision to rescind the rule.
The preamble identified the relevant provisions of 38 CFR 17.38(c)(1)
and 17.272(a)(58) and explained how the proposed rule would restore
VA's regulations to its pre-September 9, 2022, regulatory text. The
discussion of other Federal programs provided context and a point of
comparison. VA's explanation accurately reflected the status quo and
the rationale for its proposed change. Accordingly, the proposed rule
satisfied VA's legal obligation to provide a reasonable explanation for
its change in position and is not arbitrary and capricious.
One commenter asserted that VA's interpretation in the proposed
rule of ``similar, not identical'' in relation to CHAMPVA coverage for
abortion being different from TRICARE was arbitrary and capricious
because deviations from TRICARE should be based on the needs of the
CHAMPVA population and medically necessity, and VA provides no evidence
that offering coverage more similar to TRICARE is harmful or
unnecessary.
VA makes no changes based on this comment. As previously stated,
and discussed in more detail below, CHAMPVA benefits should be similar
to, but not necessarily identical to, those provided under TRICARE. VA
is afforded discretion to determine the extent to which it aligns
CHAMPVA with TRICARE benefits, subject to its policy determinations and
program objectives. VA is not required to justify deviations from
TRICARE solely by referring to medical necessity or demonstrable harm
to CHAMPVA beneficiaries. VA may adopt distinctions that reflect its
own administrative considerations or differences in program purpose or
population. Adopting such distinctions does not make the rule arbitrary
and capricious. For a more detailed discussion of ``same or similar''
in relation to TRICARE, see further below.
One commenter asserted that the proposed rule failed to provide a
reasonable explanation for why only physicians can certify an exception
to permit abortion versus other types of clinical providers in CHAMPVA
and therefore introduces an administrative burden in an arbitrary and
capricious manner.
VA makes no changes based on this comment. Pursuant to 38 U.S.C.
1781, VA has the authority to determine the scope of CHAMPVA benefits
and to establish reasonable procedures for their administration. VA's
requirement that only physicians certify an exception to permit
abortion is a permissible exercise of this discretion. This physician
certification requirement is a return to VA's pre-September 9, 2022
regulatory text. This is not arbitrary and capricious as VA reasonably
determined that physician certification ensures appropriate clinical
oversight, is consistent with program objectives, and does not place an
undue burden on CHAMPVA beneficiaries as it reinstates its former
regulation.
One commenter asserted that changes occurred to a comment
submission feature on the General Services Administration's
Regulations.gov website during the comment period for the proposed rule
without adequate notice, which the commenter stated impinged the
public's ability to comment. This commenter opined that this change was
a violation of the spirit of the APA to permit the public a meaningful
opportunity to comment, to render the rule if finalized as proposed to
be arbitrary or capricious.
VA makes no changes based on this comment. VA considers this
outside the scope of the rulemaking since the General Services
Administration (GSA), not VA, is responsible for regulations.gov.
4. Regulatory Impact Analysis (RIA) Insufficiencies
Commenters asserted that the RIA that accompanied the proposed rule
underestimates the cost to society because it fails to adequately
assess the additional costs related to lack of access or delayed
receipt of abortions caused by strict abortion laws in states. These
commenters cited increased monetary costs of abortion procedures
performed later in pregnancy, as well as increased costs to travel to
states with less strict laws, or lost wages in taking leave from work.
Other commenters alleged that the RIA underestimated the proposed
rule's cost to society by not estimating the additional costs in care
that can occur the longer an individual may have to wait to obtain an
abortion, citing to increased costs of emergency care or other required
critical care as health outcomes of a pregnant individual worsen. Some
comments also stated more generally that some assumptions in the RIA
were flawed or not supported, such as statements in the RIA as to the
number of states that have restrictive abortion laws (or the types or
impact of state restrictions), or the percentage of abortion procedures
estimated in the RIA to be medication abortions, or the percentage of
veterans that would use VA's maternity care benefits if VA did not
provide an abortion procedure.
VA is not making any changes to the rule or RIA based on these
comments. VA developed the RIA in line with the Office of Management
and Budget (OMB) Circular A-4 principles and applied methods consistent
with OMB Circular A-4 and VA's RIA that accompanied the September 9,
2022 IFR. The RIA follows current Circular A-4 guidelines as it
identifies the impacted population of female veterans, applies the
appropriate baseline, and demonstrates the segregation of transfers,
costs, and reliably measurable
[[Page 61321]]
societal impacts. VA's assumptions are based upon impacts that are
reasonably predictable and are supported by available data at the time
the analysis was developed. While commenters favor wider ranges of
estimates, the key elements highlighted in the RIA remain the same as
were present in the IFR.
The RIA relied on publicly available sources to characterize the
state restrictions to develop the rulemaking's analytical baseline.
While VA recognizes that state policies evolve and can be categorized
in different ways, the RIA's baseline appropriately reflects the legal
environment at the time the analysis was conducted, as required by
Circular A-4. Alternative classifications of state restrictions
examined during review do not alter the direction of findings and any
quantitative differences lie within the qualitative bounds presented in
the RIA. Additionally, the RIA used the best available published
estimates at the time of drafting to allocate abortions between
medication and procedural methods. VA acknowledges that these can vary
over time and between jurisdictions. However, any variations in the
method of abortion does not alter the policy conclusions of the
analysis.
The RIA qualitatively discussed access constraints and acknowledged
that individuals in some jurisdictions may face longer travel and wait
times for procedures or determinations. VA chose not to monetize these
impacts due to the current data limitations at the veteran level, both
enterprise-wide and within CHAMPVA, which would make any estimates on
this cohort insufficiently reliable for specific monetization. For this
reason, VA treated these impacts qualitatively. Consistent with
Circular A-4, the RIA focused the measurable impacts on reasonably
certain resource changes and treated broader incidence effects
qualitatively, as is the case for all VA RIAs that are unable to
provide reliable estimates.
VA agrees with the commenters that any delays or reliance on later
gestation care, including emergency care, can affect the type of care
that may be provided to a veteran or beneficiary as well as increase
the potential for financial impacts. The RIA discussed these concerns
qualitatively and acknowledges the potential increases in utilization
of this level of care. VA did not monetize these impacts in the RIA,
both enterprise-wide and within CHAMPVA, because reliable specific
probabilities and unit cost inputs are not currently available without
imposing questionable assumptions that could greatly alter the
estimates, either by under or over stating those impacts. The absence
of the estimation of these impacts does not imply VA's belief that
these impacts will not exist. Rather, it reflected consistent judgment
to avoid speculative quantification in VA RIAs, as required by Circular
A-4. Importantly, even if higher later gestation or emergency care
costs were included in the RIA, they would not change the overall
characterization or the necessity for the rulemaking.
Some commenters questioned VA assumptions regarding the proportion
of beneficiaries who would use VA maternity benefits if VA did not
provide abortions. The RIA distinguished between the services furnished
by VA, services obtained outside VA, and the potential of foregone
care. In this instance, where shifts largely reflect payer transfers
rather than new resource use, Circular A-4 directs agencies to present
those effects transparently but not to treat them as social costs. VA
followed this approach in the RIA and finds no basis to revise these
assumptions.
VA has carefully considered all comments on the RIA, and after a
thorough review, has concluded that the existing RIA remains
sufficiently informative and analytically sound based off the best
available data.
5. Artificial Intelligence
One commenter, relying on the APA for support, stated that VA must
disclose information related to any use of artificial intelligence (AI)
as part of this rulemaking (including developing substantive policy,
producing supporting analysis, or responding to public comments). This
commenter stated that under the APA, when an agency uses a computer
model, it must explain the assumptions and methodology used in
preparing the model. This commenter further stated that to the extent
use of AI is significant, an agency must provide an additional
opportunity for public comment.
VA makes no changes based on this comment. There is no statutory or
regulatory requirement under the APA that mandates such disclosure.
While OMB guidance and Executive Order 14110 direct agencies to promote
transparency and responsible artificial intelligence use, they do not
impose a legal obligation to identify or describe the tools used during
drafting or promulgating a rule.
VA further notes that this comment relies on a misunderstanding of
the usage of ``computer model'' in Owner-Operator Independent Drivers
Ass'n v. Federal Motor Carrier Safety Administration, 494 F.3d 188
(D.C. Cir. 2007). In Owner-Operator, the ``computer model'' at issue
was used in determining the agency's cost-benefit analysis and was an
integral component to its regulatory conclusions. Id. at 204-205. In
its decision, the D.C. Circuit held that the Federal Motor Carrier
Safety Administration erred in not explaining whole aspects of the use
of this model in developing the methodology under which it created the
rule. Id. at 205. In neither the proposed rule published on August 4,
2025, nor this final rule was AI used to the degree described regarding
the model in Owner-Operator; therefore, this principle does not apply,
and no additional disclosure is required.
G. Deborah Sampson Act of 2020
Some commenters opined that the Deborah Sampson Act of 2020
prohibits VA from providing abortion and abortion counseling while
other commenters disagreed. At least one commenter opined that such
legislation was Congressional endorsement of VA's ability to provide
care, including care that would save the life of a pregnant mother when
endangered, that was in the medical benefits package at that time (that
is, January 5, 2021) pursuant to 38 U.S.C. 1710 and without reference
to section 106 of the VHCA.
VA makes no changes based on these comments. As explained
previously, the Secretary has discretion to determine what care is
needed for veterans pursuant to 38 U.S.C. 1710. Prior to September 9,
2022, VA consistently interpreted abortions to not be needed, but did
not consider this policy to prohibit VA from providing care to pregnant
women in life-threatening circumstances (and thus, such care was
covered under the medical benefits package). 90 FR 36416. The Deborah
Sampson Act of 2020 created a central office to monitor and encourage
the activities of the Veterans Health Administration with respect to
the provision, evaluation, and improvement of health care services
provided to women veterans by the Department. 38 U.S.C. 7310(b)(1). As
part of that Act, Congress defined ``health care'' as the health care
and services included in the medical benefits package provided by the
Department as in effect on the day before the date of the enactment of
this Act (that is, Jan. 5, 2021). 38 U.S.C. 7310 note.
VA considers that Congress, through the Deborah Sampson Act of
2020, ratified VA's policy and interpretation in place prior to
September 9, 2022. This included VA's policy and interpretation that
needed care in the medical benefits package included the
[[Page 61322]]
provision of care to pregnant women in life-threatening circumstances.
Additionally, the Deborah Sampson Act of 2020 is further example of
Congress's ratification of the bar against abortions affirmed by the
DOJ Opinion (because it did not authorize the provision of abortions)
and of the Secretary's discretion and authority under 38 U.S.C. 1710 to
establish what care (other than abortions) is needed pursuant to such
authority.
H. International Law
Several commenters opined that access to abortion, especially in
cases of rape and incest, is a basic human right as reflected by the
United Nations and global human rights organizations. One commenter
stated that the proposed rule is a de facto abortion ban, and as such,
violates the United States' obligation as a State Party to the
International Covenant on Civil and Political Rights.
VA makes no changes based on these comments. International human
rights organizations and global norms regarding abortion access do not
impact VA's authority to provide health care under 38 U.S.C. 1710 or
1781. The United States' participation as a State Party to the
International Covenant on Civil and Political Rights does not create or
impose binding obligations on domestic Federal agencies. As such, the
referenced international standards are not controlling in this
rulemaking.
IV. Comments Specific to CHAMPVA
A. Inconsistent With TRICARE (Select)
Some commenters raised concerns that VA's rule would be
inconsistent with, and stricter than, TRICARE by excluding abortions in
cases of rape and incest and abortion counseling and would result in a
difference in treatment for two classes of Federal beneficiaries. Some
commenters expressed their belief that Congress intended for families
of veterans to receive comparable care to families of active
servicemembers; and that excluding rape and incest in CHAMPVA
undermines that. One commenter urged VA to consider ``similar'' to mean
comparable in scope and fairness and that VA could maintain or expand
coverage since 10 U.S.C. 1093 limits TRICARE, but not VA. Some
commenters acknowledged that while CHAMPVA coverage need not be
identical to that offered under TRICARE, the proposed rule did not
address or acknowledge the significant differences that would be
created between these two programs.
One commenter noted that TRICARE's limitation on abortion
counseling is not a limitation on medical communication, but rather a
limitation on billing, as abortion counseling in TRICARE is not
reimbursed as a separate covered service unless medically necessary.
VA makes no changes based on these comments. VA acknowledges that
pursuant to this rulemaking, CHAMPVA coverage for abortion will differ
from TRICARE, particularly as TRICARE allows abortions in cases of rape
and incest. As previously explained in this rulemaking, TRICARE is
subject to a different authority from VA (that is, 10 U.S.C. 1093). The
DOJ Opinion clearly forecloses the provision of abortion in CHAMPVA.
Moreover, pursuant to 38 U.S.C. 1781(a), VA is not required to provide
identical coverage to TRICARE. 90 FR 36417; 87 FR 55290; 89 FR 15459;
38 U.S.C. 1781(b); see 32 CFR 199.1(r), 199.17(a)(6)(ii)(D). Instead,
VA provides similar coverage to TRICARE. See 38 CFR 17.270(b) (defining
CHAMPVA-covered services and supplies) and 17.272 (setting forth
benefits limitations and exclusions); 87 FR 55290; 89 FR 15459.
As explained in the proposed rule, prior to September 9, 2022,
CHAMPVA coverage excluded abortions except when a physician certified
that the abortion was performed because the life of the mother would be
endangered if the fetus were carried to term, and VA is restoring the
pre-September 9, 2022, abortion restrictions within CHAMPVA, just as it
proposed to restore the long-standing restrictions to the medical
benefits package. 90 FR 36416-17.
This language is consistent with the language VA promulgated in
1998 for purposes of CHAMPVA. 63 FR 48102 (Sept. 9, 1998). On February
10, 1996, 10 U.S.C. 1093 was amended by Congress to prohibit any DoD
facility from performing an abortion except where the life of the
mother would be endangered if the fetus were carried to term or in a
case in which the pregnancy is the result of an act of rape or incest.
See section 738 of Public Law 104-106. Despite this amendment to 10
U.S.C. 1093, when VA updated its CHAMPVA regulations in 1998, VA did
not amend them to allow for abortions in situations involving rape or
incest. Instead, VA continued to prohibit abortions except when a
physician certifies that the life of the mother would be endangered if
the fetus were carried to term and abortion counseling in 38 CFR
17.272. Thus, VA's long-standing policy and practice was not identical
to TRICARE in this regard, which continued to be VA's policy and
practice until September 9, 2022. 63 FR 48102 (Sept. 9, 1998); 87 FR
55296. As explained in the proposed rule and throughout this final
rule, the Secretary has determined that, pursuant to 38 U.S.C. 1781 and
38 CFR 17.270(b), VA will return to its pre-September 9, 2022 abortion
and abortion counseling exclusions for purposes of CHAMPVA coverage.
How TRICARE's limitation on abortion counseling is implemented is
not relevant to this rule.
B. Other Care That Is Covered Under CHAMPVA
One commenter raised concerns about VA determining abortions are
not needed when VA provides other care that the commenter believes is
not needed and further identified services and procedures provided
under CHAMPVA that they consider not needed.
VA makes no changes based on these comments. First, they are mooted
by the DOJ Opinion. Second, VA understands that the commenter may
consider certain care provided in CHAMPVA as not needed, but VA has
determined such care was medically necessary and appropriate pursuant
to its authority in 38 U.S.C. 1781 and 38 CFR 17.270(b). Section 1781,
38 U.S.C. (as interpreted in 38 CFR 17.270(b)) provides the Secretary
with the discretion to determine what care is medically necessary and
appropriate for CHAMPVA beneficiaries. As explained in the proposed
rule, the Secretary determined that it is not medically necessary and
appropriate for abortions to be provided as part of CHAMPVA except when
a physician certifies that the life of the mother would be endangered
if the pregnancy were carried to term.
C. Suggested Changes to 38 CFR 17.272
One commenter suggested VA revise the proposed language in Sec.
17.272 regarding the certification by a physician that a mother's life
would be endangered if the child were carried to term to refer to a
qualified provider rather than a physician, as there may be instances
where a patient is receiving treatment from a nurse practitioner or
other qualified clinician, or a physician is not available; that
limiting this to only physicians could lead to unnecessary delays in
treatment that could jeopardize the life of the mother; and that this
suggested change would be consistent with current VA guidance. Another
commenter stated that other health care providers, such as physicians'
assistants and nurse practitioners, should be included as providers
that can make the certification required in the life endangerment
exception because they provide care, including care covered under this
rule.
[[Page 61323]]
Relatedly, other commenters suggested VA exclude the proposed exception
for the mother's life in Sec. 17.272 because they opined that care
covered under this rule is not an abortion. One of these commenters
further stated that if VA includes this life endangerment language,
then it should require that two physicians certify that a mother's life
would be endangered if the child were carried to term, and mental
health and stress-related concerns should not fall under this life
endangerment exception.
VA makes no changes based on these comments. As explained in the
proposed rule, VA is returning to its pre-September 9, 2022 position,
and VA is reverting the regulatory text of Sec. 17.272 in place at
that time (that is, abortions are excluded from CHAMPVA, except when a
physician certifies that the life of the mother would be endangered if
the fetus were carried to term), which used the term physician and only
requires certification from one physician. Consistent with that
position, VA is not expanding to include health care providers other
than physicians and is not requiring two physicians certify that a
mother's life would be endangered if the child were carried to term.
V. Comments Specifically Concerning Abortion Counseling
Many commenters opined that abortion counseling is needed or
medically necessary and appropriate care for veterans and CHAMPVA
beneficiaries, respectively, and should be provided by VA, including in
instances when VA cannot provide an abortion itself. Reasons provided
by commenters included that women should have access to all information
regarding their options and associated risks; abortion counseling is a
necessary part of comprehensive, evidence-based treatment; restricting
abortion counseling impacts the patient-provider relationship by
limiting what can be discussed, especially regarding potential and
appropriate treatment options, and violates a health care provider's
medical ethics and obligations; and abortion counseling is a necessary
component of informed consent and informed decision-making. By not
providing abortion counseling, these commenters opined that the lives
and health of veterans and CHAMPVA beneficiaries will be put at risk,
pregnant women will not receive necessary emotional support, there will
be increased confusion about what can be discussed with a patient,
there will be inequities in care outside VA, and trust with VA and
health care providers will be eroded. Some commenters opined that
removing abortion counseling replaces medical judgment with political
ideology and allows the government to interfere with an individual's
health care decisions. Some commenters further referred to cited
studies or data to support these comments.
VA makes no changes to the regulations based on these comments. As
stated in the proposed rule, VA has the authority to determine what
care is needed or medically necessary and appropriate for veterans and
CHAMPVA beneficiaries, respectively. The Secretary has used his
authority to determine that abortion counseling is not needed or
medically necessary and appropriate for those reasons stated in the
proposed rule. 90 FR 36416-17. However, VA acknowledges that informed
consent is critical for veterans and CHAMPVA beneficiaries in obtaining
needed and medically necessary and appropriate health care. This
includes when such individuals are receiving care covered under this
rule. As a result, VA will ensure that veterans and CHAMPVA
beneficiaries receive information necessary to provide informed consent
in such situations, as informed consent is a necessary component of
receiving care, including care covered by this rulemaking.
One commenter was particularly concerned about the impact of
restricting abortion counseling on therapeutic dialogue, which could
lead to fragmented care, undermining mental health outcomes, and
conflict with trauma-informed care. This commenter opined that the lack
of definition for abortion counseling in the proposed rule creates
uncertainty regarding what discussions are permitted during therapy.
Specifically, this commenter was concerned about whether patients can
discuss incidents that occurred prior to military service and instances
where a patient received reproductive health services outside of VA.
This commenter suggested that abortion counseling should exclude
general discussions of reproductive health as part of comprehensive
mental health treatment, trauma-focused therapy that may include
discussion of pregnancy resulting from assault, and post-abortion
mental health care.
VA makes no changes based on these comments. VA did not have a
definition of abortion counseling prior to the September 2022 IFR and
is not adopting one through this rulemaking. The ban on abortion
counseling will not impact VA's provision of mental health care.
Some commenters raised concerns that abortion counseling may not be
provided in circumstances in which the life of the mother would be
endangered if the child were carried to term or in life-threatening
circumstances. These commenters were concerned that clinicians may
provide abortions without discussion with their patients.
VA makes no changes based on these comments. As explained above, VA
will ensure that veterans and CHAMPVA beneficiaries receive information
necessary to provide informed consent in such situations, as informed
consent is a necessary component of receiving care, including care
covered by this rulemaking.
Some commenters opined that VA should be able to offer referrals to
veterans and CHAMPVA beneficiaries for abortions outside VA and discuss
options for care outside VA. These commenters were concerned the
restriction on abortion counseling would limit such referrals and
discussions.
VA makes no changes based on these comments. As explained in this
rule, VA can provide care to pregnant women in life-threatening
circumstances under the medical benefits package, and allow abortions
to CHAMPVA beneficiaries when a physician certifies that the life of
the mother would be endangered if the fetus were carried to term. In
all other circumstances, VA will not discuss options for abortions
outside VA and will not refer veterans and CHAMPVA beneficiaries to
abortions outside VA. Instead, VA will explain to such individuals that
if they are interested in receiving more information about such care,
they should seek such information and care outside of VA.
One commenter found it notable that since September 9, 2022, there
is no evidence of abuse or misconduct related to the provision of
abortion counseling and referrals. Thus, this commenter stated that the
abortion counseling ban serves no rationale purpose and is contrary to
VA's patient-centered mission.
VA makes no changes based on this comment. While it may be true
that there is no evidence of abuse or misconduct related to the
provision of abortion counseling and referrals, that is not the
standard VA uses to determine whether to provide certain care to
veterans and CHAMPVA beneficiaries. As stated in the proposed rule, VA
has the authority to determine what care is needed or medically
necessary and appropriate for veterans and CHAMPVA beneficiaries,
respectively. Under VA's authorities, the Secretary has determined that
abortion counseling is not needed or medically necessary and
appropriate for those reasons stated in the proposed rule.
[[Page 61324]]
VI. Comments Related to VA Mission and Funding
Some commenters opined that the proposed rule conflicts with VA's
mission, commitment, and duty to serve veterans and other
beneficiaries. One commenter opined that the Secretary's priority of
suicide prevention is undermined by the proposed rule as they referred
to a study that restricting abortion access is linked to increased
suicide risk for women of reproductive age. Commenters also opined that
it is appropriate for VA to use taxpayer funding to provide abortions
while others disagreed.
VA makes no changes to the regulations based on these comments. VA
serves veterans and other beneficiaries, in part, by providing needed
and medically necessary and appropriate care pursuant to its statutory
authorities. As noted in the proposed rule with respect to other
Federal health programs, ``. . .Congress has consistently drawn a
bright line between elective abortion and health care services that
taxpayers would support.'' 90 FR 36416. Pursuant to the DOJ Opinion and
38 U.S.C. 1710, the Secretary has determined that abortions are
unlawful and not needed. However, VA is not prohibited from providing
care to pregnant women in life-threatening circumstances under the
medical benefits package. Pursuant to 38 U.S.C. 1781 and 38 CFR
17.270(b), the Secretary has determined that an abortion is only
medically necessary and appropriate when a physician certifies the life
of the mother would be endangered if the fetus were carried to term.
Finalizing the proposed rule will restore VA's previous, longstanding
scope of needed and medically necessary and appropriate care. This
rulemaking thus aligns with VA's mission, duty, and responsibility to
serve veterans and other beneficiaries. VA further notes that suicide
prevention is VA's top clinical priority, and nothing in this
rulemaking changes that.
VII. Rape and Incest Exception and Military Sexual Trauma
Several commenters opposed removing the exception for abortion in
cases of rape or incest, particularly as one-third of women veterans
experience military sexual trauma and are at greater risk for sexual
assault and domestic/intimate partner violence, with commenters
providing related data and articles as support. Some of these
commenters alleged that excluding an exception for rape or incest is
cruel and will further harm these veterans who deal with related
stigma, shame, and unnecessary barriers to care. Some of these
commenters also raised concerns that military sexual trauma survivors
will be forced to continue pregnancies resulting from sexual assault,
which can exacerbate trauma and cause long-term health consequences.
Some commenters provided data to support that women who are pregnant
are significantly more likely to be killed by intimate partner
violence, and an inability to obtain an abortion increases risk for
domestic/intimate partner violence.
VA makes no changes based on these comments. VA understands and
acknowledges these concerns raised by the commenters. As explained
previously in the proposed rule and throughout this final rule, VA is
returning to its pre-September 9, 2022 position, which did not include
an exception for rape or incest. VA will, as always, support veterans
and CHAMPVA beneficiaries facing difficult circumstances in regard to
pregnancy by ensuring such individuals receive needed and medically
necessary and appropriate care through VA. VA provides treatment to
those who may experience domestic/intimate partner violence and
military sexual trauma. Nothing in this rulemaking impacts the care VA
provides to those who experience domestic/intimate partner violence or
military sexual trauma.
VIII. Other Matters
For the comment summaries and responses below, VA notes that many
commenters did not distinguish whether the issues they raised related
to the provision of care to veterans under 38 CFR 17.38, or the
provision of care to CHAMPVA beneficiaries under 38 CFR 17.272. Unless
specifically indicated in the summaries and responses below, VA treated
the issues raised in comments as related to both the medical benefits
package and CHAMPVA.
A. Rule Would Limit Access to Care
Some commenters asserted that the rulemaking will or may result in
veterans
and CHAMPVA beneficiaries no longer having access to abortion and
abortion counseling, since such individuals may live in states with
bans and restrictions on such care and, for various reasons (e.g.,
financial, geographic, logistical), may not be able to obtain such care
from non-VA providers in states with less restrictions. Commenters were
particularly concerned as such care is often time sensitive. Some
commenters stated that for some women, VA may be their sole health care
provider, and even that care can be limited in areas throughout the
country (VA notes that all CHAMPVA beneficiaries receive care from non-
VA providers which is then reimbursed by VA, unless they receive care
from a VA provider under the CHAMPVA In-house Treatment Initiative,
(CITI)). Some commenters stated that such limitation on access can
result in greater costs to these women, delays in receiving treatment,
or foregoing treatment entirely. Commenters asserted that such effects
would be more pronounced within certain groups of women veterans, such
as those experiencing housing instability, those of color, those in
underserved and rural communities, those with disabilities including
mental health disorders, those with limited financial means, and
survivors of military sexual trauma and sexual assault. Furthermore,
these commenters asserted that women veterans face unique issues that
make such limited access more detrimental. Some of these commenters
cited studies or other publications to support their contentions.
VA understands these concerns, but makes no changes based on these
comments. As explained in the proposed rule and in this final rule, VA
believes it is appropriate to return to its pre-September 9, 2022
position. Pursuant to that position, veterans and CHAMPVA beneficiaries
will be able to receive care covered by this rulemaking and any other
care in the medical benefits package and under CHAMPVA from VA, but VA
does not believe it is appropriate to continue the current policy that
became effective on September 9, 2022. Moreover, to the extent
commenters are concerned about limited access to this care, as
explained previously in the proposed rule and in this final rule, this
rulemaking is expected to have a relatively small impact given the low
volume of abortions furnished by VA.
B. Effect on Care and Erosion of Trust in VA
Some commenters asserted that the rulemaking will or may result in
women leaving VA's health care system, which would fragment care and
disrupt continuity of care; and prevent women from receiving care from
familiar, trusted, and knowledgeable VA providers. Some of these
commenters raised concerns that this rule will thus erode trust in VA.
VA makes no changes based on these comments. VA will continue to
provide veterans and CHAMPVA beneficiaries with needed and medically
necessary and appropriate care, respectively. As VA is returning to its
pre-September 9,
[[Page 61325]]
2022 position, VA will continue to provide care to veterans and CHAMPVA
beneficiaries in the same manner as it did at that time. VA does not
believe this rulemaking will result in fragmented care or disrupt
continuity of care, particularly as VA had this same policy in place
prior to September 9, 2022. VA notes that commenters did not provide
data to show that the prior policy resulted in fragmented care or
disrupted continuity of care for veterans or CHAMPVA beneficiaries. VA
is and continues to be a trusted provider and payer of health care to
veterans and CHAMPVA beneficiaries, and VA does not expect that to
change as a result of this rulemaking.
One commenter appeared to allege that since this rulemaking limits
care classified as reproductive health care, other reproductive health
care, such as cervical cancer screening, fertility treatments, and
mammograms, could be restricted.
VA makes no changes based on this comment. This rule does not
address other reproductive health care and does not restrict or
otherwise impact such care.
C. Life-Threatening or Life-Endangering Circumstances and Conditions
Some commenters suggested VA clarify or define what is meant by
``life-threatening,'' including describing what conditions or
circumstances would fall under such language and creating a definition
of ``life-threatening.'' Commenters identified various conditions, such
severe preeclampsia, infections, certain cancers, lupus, depression,
and heart disease, that could be emergency situations and exacerbated
by pregnancy and suggested that VA include those conditions under a
definition for life-threatening. Some commenters were concerned about
having a list of life-threatening circumstances or a list of what would
qualify under the life endangerment exception, as such list would be
impossible to create, and suggested VA defer to health care providers'
judgment. Some commenters were specifically concerned that the rule
would remove or impede treatment for miscarriages and ectopic
pregnancies. Some commenters urged VA to clarify that the care covered
under this rule would not be limited to certain situations but rather
all life-threatening medical emergency situations.
VA makes no changes based on these comments. VA does not address
every specific potential medical condition a pregnant individual may
have that could be an emergency situation or exacerbated by pregnancy.
As VA stated in the proposed rule and reiterated in this final rule, VA
is not prohibited from providing care to veterans in life-threatening
circumstances under the medical benefits package. 90 FR 36416. As
stated in the proposed rule and reiterated in this final rule, VA will
allow CHAMPVA beneficiaries to receive abortions when a physician
certifies that the life of the mother would be endangered if the fetus
were carried to term. Id. VA specifically referenced ectopic
pregnancies and miscarriage in the rulemaking because treatment for
these conditions is always required. Consistent with how VA addressed
this care prior to September 9, 2022, VA is not regulating the
conditions under which such care, as covered by this rule can be
provided. Such matters require a clinical determination and are more
appropriately addressed in policy. VA will publish guidance regarding
the provision of care covered by this rule.
D. Medication as Part of Care Provided Under This Rule
Commenters raised concerns that access to medication needed for
other services could be affected, as certain medications may have
multiple uses in addition to abortions, such as managing miscarriages
or treating chronic diseases. A few commenters were particularly
concerned by any restrictions on the use of mifepristone and
misoprostol in managing miscarriages and providing needed and medically
necessary and appropriate care to pregnant women. One of these
commenters encouraged VA to formally recognize that such treatment will
continue to be available to patients. Some commenters opposed VA
providing any type of abortion, including through medication.
VA makes no changes based on these comments. VA acknowledges the
concerns expressed by commenters on the availability of specific
medications based on this regulation. Neither this rulemaking nor the
regulatory text stipulate any changes to the VA formulary. Currently
available medications used for managing a variety of conditions
including miscarriage and care as covered under this rule to pregnant
women will remain available for use as clinically appropriate.
E. CHAMPVA Certification Requirement
One commenter raised concerns that the requirement for
certification that the life of the mother would be endangered if the
child were carried to term runs contrary to procedures under the Hyde
Amendment. Another commenter asserted that the certification
requirement is more limiting than other similar exemptions, which can
have a chilling effect on willingness to make such certification. Such
commenter recommended VA grant deference to its health care providers.
VA makes no changes based on these comments. These commenters did
not necessarily distinguish between the care provided under the medical
benefits package or the care allowed under CHAMPVA, as covered by this
rule. Regardless of whether these commenters meant to refer to either
or both programs, as explained previously in this rule, the Hyde
Amendment does not apply to VA.
With regards to the certification requirement, VA clarifies that
the certification requirement is included in the life endangerment
exception, which only applies to CHAMPVA as it is only explicitly
stated in CHAMPVA regulations, as amended by this rule. VA does not
intend the certification requirement under the life endangerment
exception for CHAMPVA to be a burden on VA or authorized non-VA
physicians, and VA notes that this certification requirement was in
place prior to September 9, 2022 for CHAMPVA. VA will follow the same
standards it had in place prior to September 9, 2022.
One commenter suggested VA clarify in 38 CFR 17.272(a)(58), as
proposed, whether the determination of when the life of the mother
would be endangered if the child were carried to term is limited to
only certain physicians (instead of the physician of the individual's
choice).
VA makes no changes based on this comment as VA does not find it
appropriate to specify the type of physicians who may certify when the
life of the mother would be endangered if the child were carried to
term. However, VA acknowledges that it will be the treating physician
or physicians that will certify this life endangerment exception.
One commenter suggested VA allow veterans to receive abortions when
a physician certifies that the fetus is not viable. Another commenter
raised concerns that the rule did not include an exception for fatal
fetal abnormality or fetal conditions that are catastrophic but not
immediately fatal.
VA makes no changes based on this comment. As previously explained,
VA is returning to its pre-September 9, 2022 position. As such, VA will
provide care to pregnant women in life-threatening circumstances under
the medical benefits package, and will allow abortions under CHAMPVA
when a physician certifies that the life of the
[[Page 61326]]
mother would be endangered if the fetus were carried to term. Such care
may be provided even if it may require an intervention that would end a
pregnancy. VA will, as always, support veterans and CHAMPVA
beneficiaries facing difficult circumstances in regard to pregnancy
complications by ensuring such individuals receive, through VA, needed
and medically necessary and appropriate care.
One commenter asserted that the proposed rule failed to articulate
what is required for a physician to ``certify'' that an emergency
pregnancy complication is sufficiently life threatening to permit an
abortion, which this commenter contends will result in confusion and
lead to delays in care.
VA makes no changes based on this comment. This certification
requirement only applies to CHAMPVA and acknowledges that it will be
the treating physician or physicians that will make this certification.
F. Proposed Rule Undermines Patient-Provider Relationship and Violates
Medical Ethics
Several commenters raised concerns that the proposed rule
undermines the patient-provider relationship by imposing non-medical
restrictions on health care decisions. These commenters stated that
this is a health care decision that should be made between a health
care provider and their patient; not the government. Some commenters
further alleged that the proposed rule is in direct violation of a
health care provider's oath to do no harm and generally violates their
responsibilities and medical ethics and obligations, particularly as
they are required to ensure patients receive care that they need and
provide informed consent for care. Commenters explained that the
restrictions in the proposed rule can result in the health care
provider's judgment being compromised and foster mistrust and confusion
with their patient.
Some commenters raised these concerns specifically with regards to
the ban on abortion counseling. Such commenters stated that it is a
violation of medical ethics to ban abortion counseling as that prevents
health care providers from providing complete medical information,
which can harm patients, and undermines informed consent, particularly
as a patient will not be able to fully understand necessary medical
information in life-threatening or life-endangering circumstances and
make an informed decision about their care.
VA makes no changes based on these comments. As stated in the
proposed rule, VA has the authority to determine what care is needed or
medically necessary and appropriate for veterans and CHAMPVA
beneficiaries, respectively. Under this authority, the Secretary has
determined that abortions and abortion counseling are not needed or
medically necessary and appropriate for those reasons stated in the
proposed rule. VA acknowledges that informed consent is critical for
veterans and CHAMPVA beneficiaries in obtaining needed and medically
necessary and appropriate health care. This includes when such
individuals are receiving care covered by this rule. As a result, VA
will help ensure that veterans and CHAMPVA beneficiaries receive
information necessary to provide informed consent in such
circumstances, as informed consent is a necessary component of
receiving care, including care covered by this rulemaking.
G. Concerns Regarding Legal Ramifications and Risks to Health Care
Providers, and Employee Protections
Some commenters raised concerns that health care providers will
prioritize considerations of criminal or civil penalties over patient
health, which can result in delays in care and harm to patients,
including in states where there are life exceptions and in instances
involving ectopic pregnancies and miscarriages. Commenters were
concerned about the legal ramifications for providers. One commenter
suggested that the rule clearly articulate that physicians have the
authority to make determinations relating to care covered by this rule
and questioned whether VA would represent physicians from Federal or
state actions taken against them for making such determinations.
VA makes no changes based on these comments. To the extent a VA
employee provides care consistent with this rule and within the scope
of their VA employment as authorized by Federal law, they could not
legally be subject to adverse state actions. Consistent with 38 CFR
17.419, state and local laws, rules, regulations, and requirements that
unduly interfere with health care professionals' practice will have no
force or effect when such professionals are practicing health care
while working within the scope of their VA employment. As explained
previously, if and when there is a conflict between Federal and state
law, Federal law would prevail in accordance with the Supremacy Clause
under Article VI, clause 2, of the U.S. Constitution. Thus, if states
attempt to subject VA employees to legal action for appropriately
carrying out their Federal duties, subject to the requirements and
procedures set forth in 38 CFR 50.15(a), Department of Justice
representation is available to Federal employees in civil, criminal,
and professional licensure proceedings where they face personal
exposure for actions performed within the scope of their Federal
duties.
H. Gestational Limits
One commenter suggested that in any case in which VA provides
abortions, such care must be provided within the first trimester of
pregnancy. Another commenter opined that it is the government's job to
ensure the life of the mother since a fetus cannot maintain its own
existence until approximately the third trimester.
VA makes no changes based on this comment. As previously explained,
VA is returning to its pre-September 9, 2022 position. As such, VA will
provide care to pregnant women in life-threatening circumstances under
the medical benefits package and, in the case of CHAMPVA beneficiaries,
prohibit abortions except when a physician certifies that the life of
the mother would be endangered if the fetus were carried to term. VA
will not place any time limit on when such care may or must be
provided.
In addition, VA affirms that nothing in this rule alters or
diminishes the conscience rights of VA or CHAMPVA-authorized health
care providers. Employees may request to opt out of providing,
participating in, or facilitating any aspect of clinical care based on
sincerely held moral or religious beliefs, observances, or practices.
These requests, often referred to as conscientious objections or
conscience-based exceptions, will be honored in accordance with
applicable Federal law and VA policy.
I. Specific Suggestions Not Already Addressed Above
One commenter suggested VA make clear in the CHAMPVA regulation
that it intends to prohibit elective abortion.
VA makes no changes based on this comment. As previously explained,
VA is returning to its pre-September 9, 2022 position. This means that
VA will revise its regulatory text for 38 CFR 17.272 to return to the
same regulatory text in place at that time which clearly prohibits
elective abortions.
One commenter suggested VA clarify what provisions are made for a
``second opinion'' of a VA physician's determination regarding whether
the life of the mother would be endangered if the child were carried to
term. That same commenter suggested VA identify what procedures will be
in place to
[[Page 61327]]
make whole women who suffer any harm due to delay or refusal by a
physician to make such determination.
VA makes no changes based on this comment. VA considers these
matters outside the scope of this rulemaking because they deal with
clinical decisions and tort claims. VA assumes this commenter was
referring to a CHAMPVA beneficiary receiving care from a VA physician,
as the commenter referenced the proposed changes to 38 CFR 17.272. If a
CHAMPVA beneficiary were receiving care from a VA physician, it would
only be through the CHAMPVA In-House Treatment Initiative at a VA
facility. In such instance, if the CHAMPVA beneficiary wanted a second
opinion of the VA physician's determination regarding the life
endangerment exception, they could seek such opinion through VHA's
clinical appeal process. CHAMPVA beneficiaries may file a tort claim
against the United States based on a negligent or wrongful act or
omission of a VA employee. More information can be found at https://www.va.gov/OGC/FTCA.asp. To the extent this commenter was referring to
a veteran receiving care from a VA physician, they would also follow
VHA's clinical appeal process and may file a tort claim, as referenced
above.
Two commenters suggested VA interpret the term ``needed'' through
clinical judgment that is based on current medical standards, as care
may be medically warranted in many specific situations. Another
commenter suggested VA reconsider the definition of ``needed'' medical
services to include mental health-related pregnancy risks.
VA makes no changes based on these comments. The term ``needed'' as
used in 38 U.S.C. 1710 is not defined in law or regulation. To the
extent consistent with the DOJ Opinion, the Secretary has discretion to
determine what care is needed. As explained earlier in section II.D. of
this final rule, while VA has interpreted, for purposes of care in the
medical benefits package (see 38 CFR 17.38(b)), such language to refer
to care determined by appropriate healthcare professionals to be needed
to promote, preserve, or restore the health of the individual and to be
in accord with generally accepted standards of medical practice (see 64
FR 54210), VA does not believe that the ``promote, preserve, or
restore'' criteria serves to replace or strictly articulates how the
Secretary determines that care is ``needed'' under 38 U.S.C. 1710. VA
does not believe it is necessary to define or interpret ``needed'' as
the commenters suggest, as ``needed'' is specifically left to the
discretion of the Secretary in section 1710.
To the extent one of the commenters suggested VA consider mental
health-related pregnancy risks to be included under the term
``needed,'' VA declines to do so as VA is not defining the term
``needed'' in this rulemaking. VA further notes that to the extent
mental health-related pregnancy risks would result in a life-
threatening circumstance, care to treat such life-threatening
circumstance could be provided under medical benefits package.
Some commenters asserted that life-saving treatment is never
considered an abortion, and thus, VA should not include language in VA
regulations to codify an exception for life to the prohibition on
abortions. One commenter recommended VA clarify that treating certain
conditions (e.g., ectopic pregnancies, miscarriage, sepsis, severe
preeclampsia) is not abortion. Other commenters recommended defining
the term abortion and included recommendations on how to define it.
VA makes no changes based on these comments. VA is not defining
abortion, consistent with how VA did not define abortion before
September 9, 2022, and with how VA currently does not define abortion
in its regulations. VA will publish policy that provides guidance to
its health care providers regarding the provision of care covered by
this rulemaking. Furthermore, as explained in the proposed rule and
throughout this final rule, VA will continue to provide care to
pregnant women in life-threatening circumstances pursuant to the
medical benefits package, even if such care may result in the
termination of a pregnancy. For purposes of CHAMPVA, VA will prohibit
abortions except when a physician certifies that the life of the mother
would be endangered if the fetus were carried to term.
Based on the rationale set forth in the Supplementary Information
to the proposed rule, the DOJ Opinion, and this final rule, VA is
adopting the proposed rule as final without changes.
Executive Orders 12866, 13563 and 14192
VA examined the impact of this rulemaking as required by Executive
Orders 12866 (Sept. 30, 1993) and 13563 (Jan. 18, 2011), which direct
agencies to assess all costs and benefits of available regulatory
alternatives and, if regulation is necessary, to select regulatory
approaches that maximize net benefits. The Office of Information and
Regulatory Affairs has determined that this rulemaking is a significant
regulatory action under section 3(f) of Executive Order 12866. VA also
examined the impact of this rulemaking as required by Executive Order
14192 (Jan. 30, 2025), which directs agencies to ensure that the cost
of planned regulations is responsibly managed and controlled through a
rigorous regulatory budgeting process. The Office of Information and
Regulatory Affairs has determined that this final rule is a regulatory
action under Executive Order 14192. The Regulatory Impact Analysis
associated with this rulemaking can be found as a supporting document
at www.regulations.gov.
Regulatory Flexibility Act
The Secretary hereby certifies that this final rule will not have a
significant economic impact on a substantial number of small entities
as they are defined in the Regulatory Flexibility Act (5 U.S.C. 601-
612). This final rule will only impact veterans and CHAMPVA
beneficiaries, who are not small entities. Therefore, pursuant to 5
U.S.C. 605(b), the initial and final regulatory flexibility analysis
requirements of 5 U.S.C. 603 and 604 do not apply.
Unfunded Mandates
This rule will not result in the expenditure by State, local, and
tribal governments, in the aggregate, or by the private sector, of $100
million or more (adjusted annually for inflation) in any one year.
Paperwork Reduction Act
This final rule contains no provisions constituting a collection of
information under the Paperwork Reduction Act of 1995 (44 U.S.C. 3501-
3521).
Congressional Review Act
Pursuant to the Congressional Review Act (5 U.S.C. 801 et seq.),
the Office of Information and Regulatory Affairs has designated this
rule as not a major rule, as defined by 5 U.S.C. 804(2).
List of Subjects in 38 CFR Part 17
Administrative practice and procedure, Health care, Health records,
Mental health programs, Veterans.
Signing Authority
Douglas A. Collins, Secretary of Veterans Affairs, approved this
document on December 23, 2025, and authorized the undersigned to sign
and submit the document to the Office of the Federal Register for
publication
[[Page 61328]]
electronically as an official document of the Department of Veterans
Affairs.
Jennifer Williams,
Alternate Federal Register Liaison Officer, Department of Veterans
Affairs.
For the reasons stated in the preamble, the Department of Veterans
Affairs amends 38 CFR part 17 as set forth below:
PART 17--MEDICAL
0
1. The authority citation for part 17 continues to read, in part, as
follows:
Authority: 38 U.S.C. 501, and as noted in specific sections.
* * * * *
0
2. Amend Sec. 17.38 by revising paragraph (c)(1) and removing
paragraphs (c)(1)(i) and (ii) to read as follows:
Sec. 17.38 Medical Benefits Package.
* * * * *
(c) * * *
(1) Abortions and abortion counseling.
* * * * *
0
3. Amend Sec. 17.272 by:
0
a. Revising paragraph (a)(58).
0
b. Removing paragraphs (a)(58)(i) and (ii).
0
c. Adding paragraph (a)(78).
The revision and addition read as follows:
Sec. 17.272 Benefits limitations/exclusions.
* * * * *
(a) * * *
(58) Abortions, except when a physician certifies that the life of
the mother would be endangered if the fetus were carried to term.
* * * * *
(78) Abortion counseling.
* * * * *
[FR Doc. 2025-24061 Filed 12-30-25; 8:45 am]
BILLING CODE 8320-01-P