An advocacy group has filed suit against the Trump administration over its decision to reinstate a near-ban on abortions for veterans and their family members who depend on the U.S. Department of Veterans Affairs for healthcare.

The federal lawsuit filed Thursday says the rule finalized by the VA on Dec. 31 takes away limited abortion access that was “crucial for the health, autonomy, and equality of veterans and their family members.”

Attorneys for the group Minority Veterans of America want the U.S. Court of Appeals for the Federal Circuit to throw out the rule. They say the VA adopted the change without citing medical evidence or other justifications, violating the Administrative Procedures Act that governs federal rulemaking.

The VA did not include abortion in its coverage until 2022. President Joe Biden’s administration added it months after the U.S. Supreme Court overturned Roe v. Wade and states’ abortion bans began taking effect.

Abortion access the VA provided under Biden was limited, applying only in cases when a pregnant woman’s life or health was at risk, or in cases of rape or incest.

This June 21, 2013, file photo, shows the seal affixed to the front of the Department of Veterans Affairs building in Washington. (AP Photo/Charles Dharapak, File)

via Associated Press

The Biden change allowed the VA to provide abortion even in states where it was banned. And it brought the VA’s coverage into line with other federal healthcare plans — including Medicaid and TriCare coverage for active military members and their families — that allowed limited abortion access.

The VA announced its proposal to undo those changes last August, a few months after President Donald Trump returned to the White House.

The VA had said it will still provide abortions in cases where a pregnant woman’s life is threatened. That’s something state laws allow, even in places where bans are in place.

However, the VA no longer allows exceptions for abortions in cases of rape, incest or to protect a pregnant woman’s health. Abortion counseling is also no longer allowed.

A VA spokesperson declined to comment, noting the agency typically doesn’t comment on pending litigation.

Minority Veterans of America says it represents more than 3,600 members across the U.S.

“Our community includes veterans with complex medical histories, those who have experienced pregnancy complications, and survivors of sexual violence and trauma, all of whom need access to abortion care and counseling to protect their health,” Lindsay Church, the group’s executive director, said in a statement.

In publishing its final rule in December, the VA said it was restoring the agency’s longstanding position that abortions were not “needed” under federal law and that “this determination did not prohibit providing life-saving care to pregnant veterans.”

The lawsuit says one of Minority Veteran of America’s members is a military veteran who just learned she was pregnant in early May. She suffers from chronic pain that has been exacerbated by the pregnancy, placing her health “at substantial risk,” says the lawsuit, which withheld the woman’s name to protect her privacy.

The lawsuit says the VA won’t allow the unnamed veteran to receive an abortion “even if her health is at risk, unless a provider determines an abortion is necessary to save her life.”

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Bynum reported from Savannah, Georgia.