Admitting Privileges
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An admitting privilege is the right of a doctor to admit patients to a hospital for medical treatment without first having to go through an
emergency department An emergency department (ED), also known as an accident and emergency department (A&E), emergency room (ER), emergency ward (EW) or casualty department, is a medical treatment facility specializing in emergency medicine, the acute care of pati ...
. This is generally restricted to doctors on the hospital staff, although in some countries such as Canada and the
United States The United States of America (U.S.A. or USA), commonly known as the United States (U.S. or US) or America, is a country primarily located in North America. It consists of 50 states, a federal district, five major unincorporated territorie ...
, both general practitioners and specialists can have admitting privileges. The practice of credentialing physicians who do not work at a particular hospital to admit has been steadily declining, and as of 2022, is essentially non-existent in many areas. Admitting privileges have been used as precedent to impede abortion providers in several U.S. states, including
Louisiana Louisiana , group=pronunciation (French: ''La Louisiane'') is a state in the Deep South and South Central regions of the United States. It is the 20th-smallest by area and the 25th most populous of the 50 U.S. states. Louisiana is borde ...
,
Mississippi Mississippi () is a state in the Southeastern region of the United States, bordered to the north by Tennessee; to the east by Alabama; to the south by the Gulf of Mexico; to the southwest by Louisiana; and to the northwest by Arkansas. Miss ...
,
Wisconsin Wisconsin () is a state in the upper Midwestern United States. Wisconsin is the 25th-largest state by total area and the 20th-most populous. It is bordered by Minnesota to the west, Iowa to the southwest, Illinois to the south, Lake M ...
, and
Texas Texas (, ; Spanish language, Spanish: ''Texas'', ''Tejas'') is a state in the South Central United States, South Central region of the United States. At 268,596 square miles (695,662 km2), and with more than 29.1 million residents in 2 ...
. This means the doctor is unable to provide an abortion to a patient unless that doctor has admitting privileges, regardless of where the procedure occurs. Supporters of these laws claim that patients should have access to a hospital in case of complications. The
American College of Obstetricians and Gynecologists The American College of Obstetricians and Gynecologists (ACOG) is a professional association of physicians specializing in obstetrics and gynecology in the United States. Several Latin American countries are also represented within Districts of ...
considers requiring admitting privileges for abortions to be unnecessary given that " 2019, the Centers for Medicare & Medicaid Services removed its requirement that ambulatory surgical centers participating in Medicaid and Medicare have hospital admitting privileges, asserting they were unnecessary in the promotion of patient health, an inefficient use of health care dollars, and an administrative barrier to efficient operations". The
U.S. Supreme Court The Supreme Court of the United States (SCOTUS) is the highest court in the federal judiciary of the United States. It has ultimate appellate jurisdiction over all U.S. federal court cases, and over state court cases that involve a point o ...
ruled in ''
June Medical Services, LLC v. Russo ''June Medical Services, LLC v. Russo'', 591 U.S. 1101 (2020), was a United States Supreme Court case in which the Court ruled that a Louisiana state law placing hospital-admission requirements on abortion clinics doctors was unconstitutional. T ...
'', that some restrictions based on admitting privileges were unconstitutional.


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See also

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Hospital admission An admission note is part of a medical record that documents the patient's status (including history and physical examination findings), reasons why the patient is being admitted for inpatient care to a hospital or other facility, and the initial ...
Practice of medicine United States abortion law {{med-stub