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[1] (January 3, 2017)

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CRS   Reports   &  Analysis


Legal Sidebar


New State Abortion Requirements Post-Whole Woman's

Health

01/03/2017



The invalidation of two Texas abortion-related requirements by the U.S. Supreme Court earlier this year in Whole
Woaman'. Health v. He//erstedt has not slowed the adoption of new provisions of law by state legislatures and
regulators. Last week, Ohio Governor John Kasich signed legislation that prohibits the performance of an abortion
when  the probable post-fertilization age of the fetus is twenty weeks or greater. The new law recognizes as an
affirmative defense to liability abortions that are necessary to prevent the death of the pregnant woman and those that
are necessary to prevent the substantial and irreversible impairment of a major bodily function. The law does not
permit, however, abortions that are otherwise necessary to protect a woman's health, as contemplated by the Court in
Roe v.Eade.

The new  Ohio law is only the latest example of state efforts to regulate those who either perform the procedure or are
involved with the decision to terminate a pregnancy. For example, new regulations promulgated by the Texas
Department  of State Health Services earlier this month require health care facilities to bury fetal tissue that is the
product of a spontaneous or induced abortion. The treatment of such tissue differs from how other biological medical
waste may be handled in the State of Texas. Under Texas law, some human pathological waste may be deposited in a
sanitary landfill. In addition to Texas's new abortion tissue regulations, a recently enacted Florida law that is scheduled
to take effect in January will require any person, group, or organization that provides advice or help to an individual
with regard to obtaining an abortion to register with the state's Agency for Health Care Administration. The law
imposes a number  of requirements, including that applicants pay a registration fee, and registrants include their
registration numbers in any advertising material. In addition, the law also requires registration to be renewed with the
Administration biennially.

The new  state requirements have prompted criticism from abortion rights organizations, medical associations, and
others. In Texas, for example, some have argued that the regulations unduly burden women seeking abortions while
providing no health or safety benefit to patients. In Florida, a group of clergy members and advocacy organizations
have filed a lawsuit to enjoin the enforcement and operation of the Florida law. The plaintiffs in that case, Fulwider v.
Senior, are also seeking a declaratory judgment that the law is unconstitutional under the U.S. Constitution.

The new  provisions of law in Florida, Texas, and Ohio, if challenged, will likely require a reviewing court to apply the
undue burden standard that is used to evaluate the constitutionality of abortion regulations. The undue burden standard
was formally adopted by the Court in Planned Parenhood of outheastern Pennsvlvania   CL sey, a 1992 decision
involving abortion requirements in Pennsylvania. In Casey, the Court maintained that an undue burden exists if the
purpose or effect of an abortion regulation is to place a substantial obstacle in the path of a woman seeking an abortion
before the fetus attains viability.

In Whole Woman's  Health, the Court's June 2016 decision, the Court emphasized that the undue burden standard
requires a reviewing court to consider the burdens an abortion regulation imposes on abortion access together with the
benefits that are conferred by the regulation. Applying the undue burden standard, the Court looked skeptically at the
benefits purported by the Texas legislature, and relied instead on the plaintiffs' evidence that, in the Court's view,
illustrated how the requirements made abortion access more difficult in Texas. In so doing, the Court indicated that a

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