Under Obamacare the definition of sex discrimination changed to include abortion. So, if a medical provider refused to refer or provide abortion then that refusal could be interpreted as a civil rights violation–an act of sex discrimination. In effect, this regulation makes abortion a human right. New York’s 2019 Reproductive Health Act had the same effect, also making abortion a human right, effectively redefining medical standard of care to include abortion. Additionally, New York modified the labor law to include “reproductive health decision-making” (code for abortion) as a new protected class for employment.
Recently, the Trump administration reversed the Obamacare definition “by returning to the government’s interpretation of sex discrimination according to the plain meaning of the word ‘sex’ as male or female and as determined by biology” without reference to pregnancy termination.