On January 21, 2026, the Department of Health and Human Services (HHS) and the Office of Civil Rights (OCR), issued a Notice of Violation to the State of Illinois. This notice alleged that the 2016 Amendment of the Illinois Health Care Right of Conscience Act (HCRCA) violates the Weldon and Coats-Snowe Amendments as they relate to abortion.
The current administration is threatening to withhold up to $20 billion in federal funding if Illinois does not provide assurances that it will comply with the instructions.
The 2016 Amendment was codified in the Illinois State Constitution to ensure that patients receive information on where they can receive medical care “when a provider or health care institution has a religious or conscience objection to a particular course of treatment.” In simple terms, this means that even if a provider personally objects to a certain type of care, patients still have the right to know where they can go to receive that care.
The amendment has been falsely portrayed as forcing anti-abortion providers to make referrals in order to receive legal protections, effectively requiring them to take part in procedures they oppose.
The 2016 Amendment was intended to reflect a common sense principle that while some healthcare providers may have personal objections, patients still deserve accurate information and timely access to medical services. Nevertheless, Illinois affirms that healthcare should conform to a patient-centered approach that keeps patients informed of their ability to meet health needs, and that this should not be overlooked because of personal beliefs.
However, the current administration has instead pushed federal agencies to roll back Biden-era policies that supported access to reproductive healthcare, claiming, without evidence, that federal funding was being used to promote abortion after the overturning of Roe.
Colleen K. Connell, the Executive Director of the ACLU of Illinois, called HHS’s actions “blackmail.” Connell warned that these actions will only continue to endanger “the health and well-being of millions of Illinois residents.”
While HHS claims to be protecting human rights and liberties, it is worth asking whose rights are actually being defended. Patients should never lose access to life-saving care because of their providers’ religious or political beliefs. Abortion is healthcare, and it should be treated as such. It is time for HHS to acknowledge this fundamental truth.

