The Capital

Utah bans abortion clinics in wave of post-Roe restrictio­ns

- By Sam Metz

SALT LAKE CITY — Abortion clinics in Utah could be banned from operating under a law signed by the state’s Republican governor, setting off a rush of confusion among clinics, hospitals and prospectiv­e patients in the deeply conservati­ve state.

Administra­tors from hospitals and clinics have not publicly detailed plans to adapt to the new rules, adding a layer of uncertaint­y on top of fear that, if clinics close, patients may not be able to access care at hospitals due to staffing and cost concerns.

The law signed by Gov. Spencer Cox on Wednesday takes effect May 3, at which time abortion clinics will not be able to apply to be licensed. It institutes a full ban Jan. 1, 2024. Both the Planned Parenthood Associatio­n of Utah and the Utah Hospital Associatio­n declined to detail how the legal landscape for providers in Utah will affect abortion access.

In addition to banning abortion clinics from operating, the law also clarifies the definition of abortion to address liability concerns about how exceptions are worded in state law — a provision Cox called a compromise.

On Thursday, the governor rebuffed critics who’ve equated restrictin­g clinics to a de facto ban on abortion and said the law offered clarity to hospitals providing emergency abortions in the case of threats to maternal health and rape or incest reported to authoritie­s.

“This bill clarifies that so that those abortions can continue. They will continue in a hospital setting, but there’s nothing to prevent those from continuing,” he said at a news conference.

The turmoil mirrors developmen­ts in GOP stronghold­s across the country since the U.S. Supreme Court overturned Roe v. Wade, transforme­d the legal landscape and prompted a raft of lawsuits in at least 21 states.

Utah lawmakers have previously said the law would protect “the innocent” and “the unborn,” adding that they don’t think the state needs the clinics after the high court overturned the constituti­onal right to abortion.

If clinics stop providing abortions, experts are concerned hospitals’ comparativ­ely higher cost of care and nationwide staffing shortages will make it harder to get legal abortions in Utah, even though the law isn’t explicitly a restrictio­n on those seeking them in the state, where they remain legal up to 18 weeks.

Dr. Carole Joffe, a University of California at San Francisco professor who has written about the societal effects of reproducti­ve health care, said stripping clinics of licenses would upend how abortions have been provided for decades. Historical­ly, patients with low-complicati­on pregnancie­s have mostly received abortions at outpatient clinics, which on average are able to provide them at a lower cost.

“Everything in a hospital is more expensive than in a clinic. Doing an abortion in a hospital, you need more personnel,” she said, noting hospitals, with teams of anesthesio­logists, physicians and surgeons have historical­ly provided them in emergency scenarios.

 ?? RICK BOWMER/AP 2022 ?? The Planned Parenthood of Utah clinic in Salt Lake City could be banned from providing abortions by legislatio­n signed Wednesday by Utah Gov. Spencer Cox.
RICK BOWMER/AP 2022 The Planned Parenthood of Utah clinic in Salt Lake City could be banned from providing abortions by legislatio­n signed Wednesday by Utah Gov. Spencer Cox.

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