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Supreme Court overturns Roe v. Wade

The ruling reverses the court's five-decade-old decision that guaranteed a woman's right to obtain an abortion.

  • By Nina Totenberg and Sarah McCammon/NPR
People celebrate, Friday, June 24, 2022, outside the Supreme Court in Washington. The Supreme Court has ended constitutional protections for abortion that had been in place nearly 50 years, a decision by its conservative majority to overturn the court's landmark abortion cases.

 Steve Helber / AP Photo

People celebrate, Friday, June 24, 2022, outside the Supreme Court in Washington. The Supreme Court has ended constitutional protections for abortion that had been in place nearly 50 years, a decision by its conservative majority to overturn the court's landmark abortion cases.

The U.S. Supreme Court officially reversed Roe v. Wade on Friday, declaring that the constitutional right to abortion upheld for nearly a half century, no longer exists.

Writing for the court majority, Justice Samuel Alito said that the 1973 Roe ruling and repeated subsequent high court decisions reaffirming Roe “must be overruled” because they were “egregiously wrong,” the arguments “exceptionally weak” and so “damaging” that they amounted to “an abuse of judicial authority.”

The vote was 6 to 3, with Chief Justice John Roberts writing a separate concurring opinion.

The decision, most of which was leaked in early May, means that abortion rights will be rolled back in nearly half of the states immediately, with more restrictions likely to follow. For all practical purposes, abortion will not be available in large swaths of the country. The decision may well mean too that the court itself, as well as the abortion question, will become a focal point in the upcoming fall elections and in the fall and thereafter.

Anti-abortion protesters celebrate following Supreme Court's decision to overturn Roe v. Wade, federally protected right to abortion, in Washington, Friday, June 24, 2022.

Gemunu Amarasinghe / AP Photo

Anti-abortion protesters celebrate following Supreme Court’s decision to overturn Roe v. Wade, federally protected right to abortion, in Washington, Friday, June 24, 2022.

Joining the Alito opinion were Justice Clarence Thomas, appointed by the first President Bush, and the three Trump appointees — Justices Neil Gorsuch, Brett Kavanaugh and Amy Coney Barrett.

Chief Justice Roberts, appointed by President George W. Bush, concurred in the judgment only, and would have limited the decision to upholding the Mississippi law at issue in the case, which banned abortions after 15 weeks.

Dissenting were Justices Stephen Breyer, appointed by President Clinton, and Justices Sonia Sotomayor and Elena Kagan, appointed by President Obama.

“With sorrow — for this Court, but more, for the many millions of American women who have today lost a fundamental constitutional protection — we dissent,” they wrote.

Alito’s opinion is a tour de force of the various criticisms of Roe that have long existed in academia

Indeed, the 78-page opinion, which has a 30-page appendix, seemingly leaves no authority uncited as support for the proposition that there is no inherent right to privacy or personal autonomy in various provisions of the Constitution — and similarly, no evidence that peoples’ reliance on the court’s abortion precedents over the past half century should matter.

Alito pointed for instance, to Planned Parenthood v. Casey, the 1992 decision that upheld the central holding of Roe and was written by Justices Sandra Day O’Connor, Anthony Kennedy and David Souter, all Republican appointees to the court. Alito pointed to language in the Casey opinion that he said “conceded” reliance interests were not really implicated because contraception could prevent almost all unplanned pregnancies.

In fact, though, that 1992 opinion went on to dismiss that very argument as “unrealistic,” because it “refuse[s] to face the fact” that for decades “people have organized intimate relationships and made choices … in reliance on the availability of abortion in the event that contraception should fail.” Not exactly the concession that Alito described.

It is not unusual for justices to cherry pick quotes but not so out of context and not from former colleagues who are still alive and privately, not amused at all.

In the end, though, Alito’s opinion has a larger objective, perhaps multiple objectives.

Writing for the majority, he said forthrightly that abortion is a matter to be decided by states and the voters in the states. “We hold,” he wrote, that “the Constitution does not confer a right to abortion.” As to what standard the courts should apply in the event that a state regulation is challenged, Alito said any state regulation of abortion is presumptively valid and “must be sustained if there is a rational basis on which the legislature could have thought” it was serving “legitimate state interests,” including “respect for and preservation of prenatal life at all stages of development.” In addition, he noted, states are entitled to regulate abortion to eliminate “gruesome and barbaric” medical procedures; to “preserve the integrity of the medical profession”; and to prevent discrimination on the basis of race, sex, or disability, including barring abortion in cases of fetal abnormality.

Ultimately, the translation of all that is that states appear to be completely free to ban abortions for any reason.

Near the end of the opinion, Alito sought to allay fears about the wide-ranging nature of his opinion. “To ensure that our decision is not misunderstood or mischaracterized, we emphasize that our decision concerns the constitutional right to abortion and no other right. Nothing in this opinion should be understood to cast doubt on precedents that do not concern abortion. ”

The next steps on abortion across the country would play out in a variety of ways, almost all of them resulting in abortion bans.

Several states — among them Mississippi, North Carolina, and Wisconsin — still have decades-old abortion bans on their books; with Roe overturned, those states could revert to a pre-Roe environment. Officials in such states could seek to enforce old laws, or ask the courts to reinstate them. For example, a Michigan law dating back to 1931 would make abortion a felony. Gov. Gretchen Whitmer, a Democrat, has been working to try to block that law.

Abortion-rights activists react outside the Supreme Court in Washington, Friday, June 24, 2022.

Jacquelyn Martin / AP Photo

Abortion-rights activists react outside the Supreme Court in Washington, Friday, June 24, 2022. The Supreme Court has ended constitutional protections for abortion that had been in place nearly 50 years in a decision by its conservative majority to overturn Roe v. Wade. 

A cascade of newly active state laws

Another path to banning abortion involves “trigger bans,” newer laws pushed through by anti-abortion rights legislators in many states in anticipation of the Supreme Court’s action. Some 15 states – in the South, West and Midwest – have such laws in place, according to CRR and Guttmacher, but they fall into different categories.

Some states will act quickly to ban abortion. According to a new analysis by the Guttmacher Institute, South Dakota, Kentucky and Louisiana have laws in place that lawmakers designed explicitly to take effect immediately upon the fall of the Roe precedent. Idaho, Tennessee, and Texas – where most abortions are already illegal after about six weeks of pregnancy – have similar laws, which would take effect after 30 days. Guttmacher says seven other “trigger ban” states have laws that would require state officials such as governors or attorneys general to take action to implement them.

Sue Liebel, state policy director with the anti-abortion rights group Susan B. Anthony Pro-Life America, said she expects officials in many of those Republican-controlled states to take swift action to do so.

“We have been talking to all of those about acting immediately,” Liebel told NPR. “So when that happens, let’s be ready. How do you get that back into play?”

In recent years, many states also have passed gestational bans prohibiting abortion at various stages of pregnancy. Courts have blocked many of those laws in response to legal challenges, including laws in Georgia, Ohio, and Idaho that ban abortions after six weeks of pregnancy. Now those laws may take effect immediately. So too, could a law recently enacted in Oklahoma, that makes performing abortion a felony punishable by time in prison.

“It will be a tremendous change in an incredibly short period of time,” said Julie Rikelman, senior director of litigation at the Center for Reproductive Rights. Rikelman argued the Center’s challenge to Mississippi’s abortion ban at Supreme Court this term.

A host of other restrictions could limit where, by whom, and under what conditions abortion can be provided. Some examples include laws requiring parental notification or consent for abortions involving patients who are minors; and other health regulations for doctors and clinics that many medical groups say are unnecessary, expensive, and difficult to comply with.

Finally, Liebel said some governors may consider calling special sessions to pass new legislation in response to Friday’s ruling.

More legal uncertainty

Legal experts say the court’s decision will pose new questions for other courts to deal with – questions about how to apply the specific language of the final ruling to individual state laws.

If Roe is indeed overturned or substantially rolled back, Rikelman, the Center for Reproductive rights attorney, predicts “legal chaos” in states across the country in the immediate aftermath of the decision.

“I think what we will see is far more litigation in the federal courts – not less litigation,” Rikelman said.

Some states such as Texas and Oklahoma have multiple abortion restrictions on the books, raising potential questions about which ones would be valid. Those laws each include different provisions and carry different penalties, adding to the potential confusion and prompting additional litigation in state and federal courts.

Liebel, with SBA Pro-Life America, acknowledged that more legal battles are likely.

“That’s gonna take us back, frankly, to where we always have been. Each side tries to put their big toe right on that line and push the envelope,” Liebel said.

Battles in state courts are also likely. Some state constitutions may offer protections for abortion rights notwithstanding the U.S. Supreme Court’s interpretation of the U.S. Constitution. In Florida, for example, the American Civil Liberties Union and other reproductive rights groups are challenging a 15-week abortion ban modeled on Mississippi’s law, on the grounds that it violates privacy rights protections guaranteed in Florida’s state constitution.

Even without overturning Roe, Rikelman points to the Texas law known as S.B. 8, which took effect in September. The law, which has spawned several copycat proposals in other states, including Oklahoma, relies on individuals filing civil lawsuits to enforce an abortion ban.

A celebration outside the Supreme Court, Friday, June 24, 2022, in Washington. The Supreme Court has ended constitutional protections for abortion that had been in place nearly 50 years — a decision by its conservative majority to overturn the court's landmark abortion cases.

Steve Helber / AP Photo

A celebration outside the Supreme Court, Friday, June 24, 2022, in Washington. The Supreme Court has ended constitutional protections for abortion that had been in place nearly 50 years — a decision by its conservative majority to overturn the court’s landmark abortion cases.

Interstate enforcement battles

Abortion bans in restrictive states will likely bleed over to states that protect abortion rights as well, Rikelman said. She notes that some state lawmakers are trying to prohibit people in other states from providing abortions to their residents.

“What we are seeing already are states and state legislators impacting even people’s ability to access abortion in places where it would remain legal,” she said.

For example, an omnibus abortion law passed by a Republican supermajority in Kentucky earlier this year includes a host of new requirements for dispensing medication abortion pills, and a provision for extraditing people from other states who illegally provide abortion pills to Kentuckians. It’s unclear how enforceable those types of laws would be.

Meanwhile, some states are trying to expand access to abortion in preparation for more patients traveling from restrictive states for procedures. Connecticut lawmakers passed legislation this year designed to protect abortion providers from out-of-state lawsuits.

“This just raises a whole host of issues,” Rikelman said. “All of those different disputes will have to be worked out in the courts” including, potentially, in the U.S. Supreme Court.

Even as abortions have now become far more restricted overall, the Guttmacher Institute reports that the long-term decline in abortions has reversed. In 2020, there were 930,160 abortions in the U.S., an increase of 8 percent more abortions than in 2017. The Institute also said that at the same time, fewer people were getting pregnant and among those who did, a larger proportion chose to have an abortion.

What happens next? Here’s what life without Roe might look like

By Rachel Treisman

As the Supreme Court prepared to issue its decision overturning Roe, NPR spent weeks speaking to experts and activists about what will likely happen after the ruling. Here’s some suggested reading.

What will this mean for health care and access to services?

Kristyn Brandi, an OB-GYN and family planning doctor who is also the board chair for Physicians for Reproductive Health, and NPR health policy correspondent Selena Simmons-Duffin answered some of your most common questions here.

Here are insights from two reproductive health care providers about the options available to pregnant people in anti-abortion states, and how to find a safe clinic.

Medical and legal experts say the decision could have implications for other types of care, including birth control and fertility treatments. Plus, read up on how medication abortion works and what the end of Roe could mean for it.

And it’s important to remember that this decision doesn’t just affect cisgender women.

What about possible legal implications?

Dozens of states already passed trigger laws that could end access to legal abortions for many Americans. Here’s what enforcement could look like. Also, the removal of federal abortion protections could spark new legal fights between states.

Liberal politicians and activists have publicly speculated that other landmark Supreme Court rulings, like those legalizing same-sex marriage and birth control, could be on shaky ground. Since the release of the draft ruling Democrats have sought to make the abortion debate about more than just abortion, hoping to jolt voters into action as the November midterms approach.

What will daily life look like?

As NPR’s Joe Hernandez has reported, here’s what a future without Roe could mean:

  • More than two dozen states have laws that could restrict or ban abortion soon after the Supreme Court overturns Roe, according to Guttmacher. One type of statute, called a “trigger law,” is designed to take effect after a Supreme Court ruling to overturn Roe. Some states also still have pre-Roe abortion bans on the books that they could begin enforcing again. Other laws express the intent of states to crack down on abortion if permitted by the Supreme Court.
  • States that continue to allow abortion could see an influx of patients seeking care. For example, after Texas enacted its roughly six-week ban on abortion last year, some residents began to get abortions out of state. In the final four months of last year, Planned Parenthood clinics in states near Texas reported a nearly 800% increase in abortion patients from Texas compared to the same period in the prior year.
  • Women of color will bear the brunt of further abortion restrictions. According to The Associated Press, Black and Hispanic women get abortions at higher rates than their peers. Women of color also experience higher poverty rates and could have a harder time traveling out of state for an abortion, the AP said.
  • Limits on abortion access can lead to negative long-term health effects. A major study from the University of California, San Francisco found that women are harmed by being denied abortions. The women surveyed who gave birth had economic hardships that lasted for several years, were more likely to raise the child alone, and were at higher risk of developing serious health problems than those who were able to have abortions.
  • Some blue states already are taking steps to enshrine the right to abortion in state law. From Colorado to New Jersey, Democratic governors have signed laws protecting reproductive rights and announced their intention to be able to provide abortion services to people who live in states where the procedure is restricted.
The Supreme Court, Friday, June 24, 2022, in Washington.

Steve Helber / AP Photo

The Supreme Court, Friday, June 24, 2022, in Washington.

22 states are poised to ban or restrict abortion. Others moved to protect access

Access to legal abortion could soon end for more than 100 million Americans, including those living in nearly every Southern state and large swaths of the Midwest.

Twenty-two states are poised to immediately ban or acutely curtail access to abortions with the Supreme Court’s decision to overturn Roe v. Wadeaccording to the Guttmacher Institute, a research group in favor of abortion rights. The landmark 1973 decision had guaranteed women’s right to seek an abortion for nearly 50 years.

So-called “trigger laws” are taking effect and will automatically ban or curtail abortion in 13 states. Most were enacted during the Trump administration, after conservatives Neil Gorsuch and Brett Kavanaugh were confirmed to the Supreme Court.

In another nine states, pre-Roe abortion bans can once again become enforceable, or more recent bans that had been blocked by courts can now take effect.

In effect, abortions could soon be illegal or next to impossible to access in these 21 states, with a combined population of more than 135 million people — a major change from today’s environment, where all 50 states have at least one operating abortion clinic.

In response, many Democratic-led states have enacted laws to shore up abortion rights at the state level.

Sixteen states and Washington, D.C., have laws protecting access to abortion, according to Guttmacher. Four states and D.C. “have codified the right to abortion throughout pregnancy without state interference,” the group notes, while 12 others “explicitly permit abortion prior to viability or when necessary to protect the life or health of the pregnant person.”

California, Oregon and Washington state also recently moved to expand financial support for abortion access.

People protest about abortion, Friday, June 24, 2022, outside the Supreme Court in Washington. The Supreme Court has ended constitutional protections for abortion that had been in place nearly 50 years — a decision by its conservative majority to overturn the court's landmark abortion cases.

Steve Helber

People protest about abortion, Friday, June 24, 2022, outside the Supreme Court in Washington. The Supreme Court has ended constitutional protections for abortion that had been in place nearly 50 years — a decision by its conservative majority to overturn the court’s landmark abortion cases. )

Idaho’s abortion ban will take effect next month

By James Dawson, Boise State Public Radio

Nearly all abortions in Idaho are poised to be outlawed in 30 days after the U.S. Supreme Court Friday gave individual states the right to prohibit abortion.

Doctors found violating Idaho’s law would face between two and five years in prison under a felony charge. Their medical license would be suspended for six months after the first offense, and it would be permanently revoked for any following offenses.

Adopted in 2020, Idaho’s trigger law will only allow abortions in cases of rape, incest and if the mother’s life is at-risk. But there are caveats to those exceptions.

Abortions are effectively banned outright in Texas

By Elena Rivera and Elizabeth Myong

Texas is one of 26 states that has laws in place now that would ban abortions, according to a study by the Guttmacher Institute, a nonprofit research organization on reproductive health. Surrounding states Oklahoma, Arkansas and Louisiana also have near-total bans in place now that Roe is overturned.

Texas already banned abortions around six weeks back in September 2021 when SB 8 went into effect, which also allowed private citizens to sue anyone helping a person access abortion care. Thousands of Texans went out of state to get abortions since then, with clinicians in Texas helping to connect patients with services. The Supreme Court decision in Dobbs v. Jackson Women’s Health Organization means all Texans seeking abortions will have to travel hundreds of miles to neighboring states like New Mexico.

This story will be updated.

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