he Trump Administration dropped a high-profile lawsuit over the right to emergency abortions in Idaho on March 5—a stark reversal from the Biden Administration, and a move that reproductive rights advocates, providers, patients, and legislators have called “devastating” and “troubling.”

“Unfortunately, it was not a surprise at all. We have been nervous but ready for this decision to come down. I think the Trump Administration has abandoned pregnant women in medical crises by abandoning [this case],” says Idaho State Sen. Melissa Wintrow, a Democrat. “They dropped that case, which was only holding onto the sliver of protection in a crisis, and they can’t even allow that. Think about that: they can’t even allow a pregnant woman to go to the emergency room, and if her life and health are in jeopardy, to get medical treatment that could save it or preserve her health. That speaks volumes.”

On March 5, the U.S. Department of Justice (DOJ) filed a motion to dismiss the lawsuit, which had initially been brought by the Biden Administration. Doing so would have permitted Idaho to fully enforce its near-total ban on abortion, even in medical emergencies, but Idaho U.S. District Court Judge B. Lynn Winmill blocked that move by granting a temporary restraining order at the request of the state’s largest health care provider, St. Luke’s Health System, which had filed its own lawsuit on the issue in January, in anticipation of the Trump Administration dropping the case.

Read More: Women Denied Abortions in Idaho Take on the State’s Near-Total Ban

The initial case was one of the Biden Administration’s efforts to protect reproductive rights in the aftermath of the U.S. Supreme Court’s overturning of Roe v. Wade. At the heart of the lawsuit is a federal law known as the Emergency Medical Treatment and Labor Act (EMTALA), which requires emergency rooms receiving Medicare funding to stabilize patients experiencing medical emergencies before discharging or transferring them, regardless of the patients’ ability to pay. The Biden Administration argued that emergency abortion care is required under EMTALA, and that Idaho’s near-total ban on abortion prevents doctors from providing that care in medical emergencies. The state of Idaho has insisted that the state’s ban doesn’t conflict with federal law.