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              Congressional                                               ______
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Court Stays Enforcement of Louisiana

Abortion Law



February 11, 2019

The U.S. Supreme Court has stayed the enforcement of a Louisiana law that requires physicians who
perform abortions to have admitting privileges at a hospital within thirty miles of the location where the
procedure is performed. The stay will continue until the Court acts on a petition to review a decision by
the U.S. Court of Appeals for the Fifth Circuit that previously upheld the state's Unsafe Abortion
Protection Act (UAPA). The plaintiffs in June Medical Services v. Gee, two physicians who perform
abortions and a clinic where the procedure is provided, challenged the law arguing that it would impose
an undue burden on women seeking abortions by prompting the closure of most of Louisiana's abortion
clinics. The plaintiffs maintained that the law is identical to a Texas admitting privileges requirement that
was found unconstitutional by the Supreme Court in 2016.
In June Medical Services, however, the Fifth Circuit emphasized that admitting privileges are easier to
obtain in Louisiana and that only one of the six physicians who performs abortions in the state's abortion
clinics might be unable to obtain such privileges. The Fifth Circuit concluded that if the remaining
doctors obtained admitting privileges, abortion clinics would not close and women in Louisiana would
not suffer the same kinds of burdens that were identified in Texas, such as fewer abortion facilities and
increased driving distances to obtain the procedure. The plaintiffs in June Medical Services are expected
to file their petition for writ of certiorari in the near future.


Abortion and the Undue Burden Standard

Courts reviewing the constitutionality of abortion regulations apply a standard that was formally adopted
by the Supreme Court in Planned Parenthood ofSoutheastern Pennsylvania v. Casey, a 1992 decision
involving various abortion restrictions in Pennsylvania. In Casey, a plurality of the Court maintained that
an abortion regulation should be invalidated if it imposes an undue burden on a woman's ability to obtain
the procedure. The plurality explained 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 2016, the Court provided additional guidance on how the undue burden standard should be applied. In
Whole Woman  's Health v. Hellerstedt, the Court emphasized that the standard requires a reviewing court

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