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              Congressional                                                      ____
           S£  Research Service






FY2023 NDAA: Military Abortion Policies



Updated March 21, 2023


Background

The June 24, 2022, Supreme Court decision in Dobbs v Jackson Women 's Health, which overturned Roe
v. Wade and allowed states to further restrict abortion access, raised questions from some Members of
Congress about military personnel and family member access to abortion services when assigned to
installations in such jurisdictions. While servicemembers can generally submit assignment preferences,
Department of Defense (DOD) policy dictates that the primary assignment consideration is current
qualifications and the ability to fill a valid requirement. Commanders may approve exceptions in certain
instances (e.g., personal hardships).
Title 10, Section 1093 of the United States Code (U.S.C.), prohibits DOD from using funds or facilities to
perform an abortion unless the pregnancy resulted from rape or incest, or the life of the mother would be
endangered if the fetus were carried to term. On June 28, 2022, DOD issued a memorandum stating that
the Dobbs decision does not prohibit the Department from continuing to perform covered abortions.
DOD  reports that since 2016 it performed fewer than 100 covered abortions in military medical facilities.
Abortions that do not meet these criteria are considered noncovered abortions. Federal regulations and
TRICARE   policies also prohibit abortion counseling, referral, preparation, and follow-up care for
noncovered abortions. These services are not available in military treatment facilities.
The Military Health System serves about 1.62 million women of reproductive age (15-45), including
servicemembers, retirees, and their dependents. DOD reports that unintended pregnancies are 50% higher
for active-duty women than their civilian counterparts. As of July 31, 2022, about 46,000 active-duty
women  and 75,000 reserve component women were assigned to states with laws that ban or restrict
abortion beyond a certain gestational age (Figure 1).









                                                                Congressional Research Service
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