Even as the Biden administration publicly warned hospitals to treat pregnant patients in emergencies, facilities continue to violate the federal law. The issue became a focus for the administration following reports of women being improperly treated in emergency rooms after the Supreme Court’s decision to overturn the constitutional right to an abortion more than two years ago.

A chief architect of Project 2025 — the controversial conservative blueprint to remake the federal government — Vought is likely to be appointed to a high-ranking post in a second Trump administration. And he’s been drafting a so-far secret “180-Day Transition Playbook” to speed the plan’s implementation to avoid a repeat of the chaotic start that dogged Trump’s first term.