The President of the Community of Madrid, Isabel Díaz Ayuso, once again refused to create a registry of conscientious objectors to abortion, despite government requirements. During an event for new generations of the People’s Party, the leader asked the government Why do you want a “blacklist of doctors”?referring to the registration required by the Voluntary Abortion Act (IVE).
This measure included in the 2023 regulations seeks to Preventing the disruption of abortion in public healthwhich is currently responsible for 20% of the procedures. In December 2024, the Regional Council of the National Health System (CISNS) voted unanimously on the protocol for establishing these registries, which have since been developed in the autonomous communities. Madrid was one of the only three countries that had not yet implemented this register of professionals in 2025, prompting the government to issue a requirement. A month later, Health Minister Monica Garcia announced, on Saturday, the start of judicial proceedings against the autonomy due to the “obstacle” of the law.
Garcia accused the Madrid president of “Declaration of rebellion against women’s right to abortion“In a mixture of arrogance and ignorance that we already know about Ms Ayuso, she is not only ignoring the Constitutional Court, she is flouting the Sexual and Reproductive Health Act 2023; what is even more dangerous is that this is contrary to women’s rights.”
This Sunday, Ayuso wanted to respond during the conclusion of the First Ideological Congress of New Generations in Madrid. The “popular” president accused the government of prohibiting freedom of conscience, saying, “It does not matter if you are an artist or a doctor.” Why do you want to blacklist doctors? If you’re not going to use it, why would you want it? During his speech, he asked, “Why do you care so much?”Defending ideological, religious and sectarian freedomBecause this is what our constitution stipulates.” He concluded by saying: “This is the most important thing, for the government to get out of our heads.”

The standoff between the capital and the government has been continuing since the beginning of October, when President Pedro Sanchez asked in a letter to the leaders of Asturias, Aragon, Madrid and the Balearic Islands to move forward with the processes of creating a registry of conscientious objectors. Since then, regional leaders have expressed their rejection of the measure on several occasions.
Both Health Minister Fatima Matuti and Ayuso herself have considered this measure “useless” and only intended to point out professionals who are against abortion. The regional president even asked the women to go “somewhere else to have an abortion,” at the insistence of Mas Madrid deputies in the regional parliament. that it Opposition that the regional executive does not show euthanasiafor which a register of objectors has already been created.
The Community of Madrid performed the highest number of pregnancy terminations in 2024, in total 18,149, but only 86 were implemented in public centres (0.47%). During a media briefing with the press, Mattotti insisted that Madrid would not “persecute or refer to anyone” for its implementation or non-implementation, and that no abortion had been denied to “any woman” in society, although they are aware that Every abortion is a failure..