California Attorney General Rob Bonta has filed a motion to enforce a stipulation and order requiring Providence St. Joseph Hospital to comply with California’s Emergency Services Law (ESL). This action follows Providence’s indication of its intent to modify the stipulation by asserting exceptions to their obligations under the ESL.
The initial lawsuit against Providence was filed in September 2024, alleging violations of multiple California laws due to the hospital’s refusal to provide emergency abortion care during obstetric emergencies. One case involved Anna Nusslock, who experienced a life-threatening situation when her water broke at 15 weeks pregnant with twins on February 23, 2024. Providence allegedly refused treatment, forcing her to travel to another hospital where she received care.
Attorney General Bonta stated, “The terms of the stipulation and court order against Providence St. Joseph are clear. Providence must fully comply with California’s Emergency Services Law and ensure that patients can access life-saving health services including emergency abortion care – no exceptions.”
In October 2024, Bonta secured a stipulation from Providence that is enforceable by court order, ensuring compliance with California law without exceptions while the case proceeds. However, seven months later, Providence expressed its intent to modify this stipulation by asserting it does not require them to provide certain procedures prohibited by Ethical and Religious Directives.
Bonta emphasized the importance of enforcing the original agreement: “We refuse to let that happen. Even a single violation would be devastating, as no one should have to endure what Anna Nusslock and others experienced at Providence.”
Under the existing stipulation and court order, Providence must adhere strictly to several requirements under California’s ESL. These include allowing physicians to terminate pregnancies when necessary for patient health and complying with pre-transfer treatment requirements.
Providence’s anticipated motion raises concerns about potential violations of the ESL and denial of emergency abortion care. Therefore, Attorney General Bonta seeks court enforcement of the unambiguous terms of the stipulation.



