Spain's Health Ministry is preparing new legal actions against Isabel Díaz Ayuso's government for refusing to create an abortion conscientious objectors registry, despite a precautionary court order. Sources from Mónica García's department confirm the State Advocacy will challenge Madrid's appeal.
Spain's Health Ministry, led by Mónica García, is preparing new legal measures against the Madrid region, governed by Isabel Díaz Ayuso, for its “obstinate and recurrent disobedience” in failing to create a registry of conscientious objectors to abortion. This follows a March 9 precautionary order from the Superior Court of Justice of Madrid (TSJM), which mandated starting procedures to avoid “indefinitely prolonging” non-compliance with the 2023 abortion law. Madrid refused and filed an appeal for reconsideration, which the State Advocacy will challenge by next Wednesday as the beneficiary of the court ruling. Health Ministry sources state that if disobedience continues, they will pursue “all legally available actions,” citing article 410 of the Penal Code, which imposes fines and disqualification on officials failing to comply with judicial resolutions. García raised this in Congress's Health Commission. The Interterritorial Council of the National Health System unanimously agreed in December 2024 to create the registry, including Madrid's department. All regions implemented it except the PP-governed Balearics, Aragon, and Madrid; the first two complied after an October 2025 notice. Ayuso called the registry a “blacklist” and suggested women “abort elsewhere.” The non-public registry aims to aid public hospital planning, where in Madrid 99% of abortions occur in contracted clinics (79% nationwide), complicating therapeutic interruptions.
