Anna Nusslock never wanted to be the face of a new kind of reproductive rights battle in California, but when a small Catholic hospital refused to provide an abortion that would end her miscarriage, Nusslock girded herself for a long and difficult conflict.

Nusslock felt her civil rights were being violated, she said, even as she lay in the hospital bed curled in on herself, bleeding and mourning the loss of her twin girls. The doctor had said that her pregnancy needed to be terminated immediately to protect her from infection and other serious complications but hospital policy prohibited it, according to two lawsuits filed by Nusslock and California Attorney General Rob Bonta.

Both complaints allege that Providence, the Catholic health system that owns St. Joseph Hospital in Eureka, illegally denied Nusslock emergency abortion care and discharged her instead. They also allege that multiple pregnant women have been denied abortions at St. Joseph Hospital during medical emergencies.

Catholic companies own about 13% of hospitals in California, but operate 20% of the state’s maternity wards, according to a CalMatters analysis of state data. In the rural northern counties, they represent an even greater share at 35%.