In another assault on reproductive rights by the Trump administration, the US Department of Veterans Affairs sent out a memo on Monday announcing that it will no longer provide abortion or abortion counseling.

This change stems from a Department of Justice legal opinion on December 18 that reinstated exclusions on abortions and abortion counseling that the Biden administration had removed in 2022. That Biden-era ruling expanded abortion access for veterans in cases of rape, incest, or threats to life and health, even in states with bans.

“Pregnant Veterans and VA beneficiaries deserve to have access to world-class reproductive care when they need it most,” Denis McDonough, Biden’s Secretary of Veterans Affairs, said in 2022, calling it “a patient safety decision.”

The new directive, obtained by Mother Jones, states that it won’t prohibit care to “pregnant women in life-threatening circumstances, including treatment for ectopic pregnancies or miscarriages.” However, these exceptions often do not work. According to Jessica Valenti, a writer on feminism and politics, exceptions “are deliberately crafted to be impossible to use” and only exist “to make Republicans seem a little less punishing.”