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24 Wyo. L. Rev. 11 (2024)

handle is hein.journals/wylr24 and id is 1 raw text is: WYOMING LAW REVIEW
VOLUME 24                             2024                       NUMBER 1
Unintended Consequences? How Wyoming's
Response to the Affordable Care Act Created a
Constitutional Right to Abortion and Medical Aid
in Dying
Emily S. Madden*
I.  IN TRO  D U CTIO N  .................................................................................... .  12
II. STATE RESPONSES TO THE CONTENTIOUS AFFORDABLE CARE
ACT ....................................................................................................................17
III. WYOMING'S RESPONSE TO THE ACA: ARTICLE I, § 38.................. 20
A .  L egislative H istory.......................................................................... .   21
B.  Ratification  by  the E lectorate ............................................................. .  22
C .  M odern  R elevance ............................................................................. .  24
IV. THE HISTORICAL AND LEGAL TREATMENT OF MEDICAL AID IN
D YING   AND  A BORTION    .............................................................................  26
A .  M edical A id  in  Dying ...................................................................... .  26
1. Burman and Pestinger contend Wyomingites have a constitutional right to
request medical aid in dying under Article I, § 38(a).......................... 31
B .  A bortion  .......................................................................................... .   32
1. Dobbs v. Jackson Women's Health Organization tnggers
enforcement of Wyoming' abortion ban ............................................. 33
2.  Johnson    I................................................................................ .   35
3. The Legislature responds to Johnson I with more abortion regulations,
prohibitions, and  declarations ............................................................. .  38
4.  Johnson    II  ............................................................................ .   39
V. ANALYSIS....................................................................................................40
A. Principles of constitutional interpretation............................................ 40
B. The phrase health care decisions is unambiguous.............................. 41
C. Abortion and MedicalAid in Dying are Health Care Decisions ............. 43
*   Associate Attorney at The Spence Law Firm. J.D., University of Wyoming
College of Law, 2019; B.A., University of Dallas, 2015. With gratitude to one of my
greatest mentors, Professor Melissa B. Alexander, who offered guidance as I authored
much of this article as a student and encouraged me to publish thereafter. In tribute to
the Professor John M. Burman (1955-2019) who I never got to meet but whose
scholarship I greatly admire. Many thanks to James Bell, Heather Bradford, Hannah
Clancy, Jack Martin, Nathan Wise, and the entire editorial board for their invaluable
assistance. All opinions and errors are mine alone.

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