The memo provides more details about the circumstances surrounding the pregnancy of the 17-year-old known only in court papers as Jane Poe. She told officials she had been raped before crossing the border and she threatened to hurt herself if she could not end the pregnancy. The teen briefly rescinded her request for an abortion after she said her mother and the person lined up to serve as her U.S. sponsor threatened to beat her if she had an abortion, according to the memo.
Lloyd rejected the teen's request over the recommendation of "at least one senior program staff person" that the office assist her in obtaining the abortion, the memo shows.
"Nobody should be blocked from obtaining an abortion, but with these facts in particular, it just shows how outrageous and extreme the policy is," said the teen's attorney Brigitte Amiri of the American Civil Liberties Union.
The teen's individual case ended when the Justice Department dropped its appeals on Tuesday, allowing the teen to obtain an abortion.
An HHS spokesman did not immediately provide a response from the office on Thursday.
Before taking on the role of director in March, Lloyd worked as an attorney in the public policy office of the Knights of Columbus, a Catholic fraternal and service organisation. He worked at HHS during the administration of George W. Bush and helped write the "conscience" rule that gave medical providers the right to refuse contraceptives, abortions or other care on moral grounds.
In his new role, Lloyd has personally intervened to try to persuade unaccompanied minors not to have abortions. Lloyd acknowledges in the memo the troubling circumstances surrounding the teen's pregnancy. But he writes that at nearly 22 weeks, "the child has at least a fighting chance at survival if born."
The state in which the teen is being held does not have a ban on abortion at a particular stage in pregnancy, according to her lawyers.