A-score: Civil rights driver scores 3 (healthcare access restriction for specific demographic, narrow population). Rule of law scores 2 (institutional policy change responding to political pressure rather than medical evidence shift). Capture scores 2 (healthcare institution aligning with political administration). Policy change mechanism adds 15% modifier. Single state scope reduces by 15%. Severity: durability 1.1 (institutional policy can persist), reversibility 0.9 (relatively reversible with policy change), precedent 1.1 (may influence other institutions). Final A-score: 12.2. B-score: Layer 1 scores high on outrage_bait (8, highly polarizing culture war issue), media_friendliness (7, fits existing narratives), novelty (6, part of broader trend but specific institutional action), meme_ability (4, less memetic). Layer 2: timing (8, during Trump admin policy push), mismatch (7, medical institution making political alignment explicit), pattern_match (7, fits culture war narrative), narrative_pivot (6, shifts from medical autonomy to political compliance). Intentionality at 9 (explicit alignment with administration, preemptive compliance pattern). D-score: -14.3 indicates List B classification.