Baltimore Sun

Justices refuse to block Ark. abortion restrictio­ns

High court declines to consider Planned Parenthood appeal

- By David G. Savage

WASHINGTON — The Supreme Court has refused — for now — to block an Arkansas abortion law that could prevent most women there from ending their early pregnancie­s with medication.

The justices, without comment or dissent, refused to hear an appeal from the Planned Parenthood Federation, which said the state’s law, if put into effect, would leave most women without access to a doctor whocan provide medication that will bring about an abortion.

The case is not over, however. It returns now to a district court judge, who could put the law on hold again. And while the move was a setback for Planned Parenthood, the lack of dissents from the liberal justices suggests the court’s action was based more on procedure than substance.

The dispute almost certainly will return to the Supreme Court after the lower court judges rule on the constituti­onality of the Arkansas law. But Tuesday’s action shows again that the high court is not eager to take up disputes over abortion regulation­s.

Two years ago, the Supreme Court by a 5-3 vote struck down a Texas law that imposed strict regulation­s on abortion clinics that had caused most of them to close. The majority, including Justice Anthony Kennedy, concluded the Texas law imposed “an undue burden” on women seeking abortions under the guise of protecting their health and safety.

Lawyers for Planned Parenthood had hoped the high court would quickly block Arkansas Attorney General Leslie Rutledge urged the 8th Circuit Court to allow the state law to go into effect. the Arkansas law because, they said, it is “strikingly similar” to the Texas measure.

In their appeal, they told the justices that the restrictio­n on drug-induced abortions was “enacted supposedly to protect women’s health (but) is medically unnecessar­y. If allowed to take effect, it would make Arkansas the only state to effectivel­y ban medication abortion, a common method of early abortion that has been safely used by over two million American women since its approval in 2000. It would also leave only one remaining abortion provider in the entire state of more than 53,000 square miles.”

At issue is a provision in a 2015 law that requires a doctor who prescribes or dispenses an “abortion-inducing drug shall have a signed contract with a physician who agrees to handle complicati­ons.”

State legislator­s said these contract relationsh­ips are needed to makesure women receive emergency care if they encounter complicati­ons, including excessive bleeding.

Abortion-rights advocates argued this legal restrictio­n is unnecessar­y as a matter of medical safety. They said complicati­ons are rare, and in such circum- stances, it is best for a patient to go immediatel­y to an emergency room, not to seek out a second doctor who may be many miles away. Further, Planned Parenthood’s lawyers say this restrictio­n works to outlaw such abortions entirely. They say other physicians in the state have refused to enter into contracts with abortion providers. They said the law would force the closure of its abortion providers in Little Rock and Fayettevil­le, both of which rely on medication. A privately run facility in Little Rock would remain in business and provide surgical abortions.

Arkansas Attorney General Leslie Rutledge urged the court to turn down the appeal. She said her state’s law differs from the Texas measure. It does not require abortion doctors to have “admitting privileges” at a nearby hospital, as Texas had required, but instead says they must have a working agreement with another doctor who can handle emergencie­s.

On Tuesday, in response to the high court’s action, she urged the 8th Circuit Court to allow the state law to go into effect immediatel­y.

 ?? KELLY P. KISSEL/AP ??
KELLY P. KISSEL/AP

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