USA TODAY US Edition

Abortion war in Texas tests the Supreme Court

More 4-4 votes, battles possible without Justice Scalia.

- Richard Wolf

The trips Linda Prine makes regularly from New York to Las Cruces, N.M., are quicker and less stressful than the ones some of her patients endure in order to get an abortion.

Many drive three to five hours from the Texas Panhandle, where all abortion clinics have closed. A few drive eight to 10 hours from Dallas or Fort Worth, where waits of several weeks are common.

The distances and durations are because of a state law that opponents say has forced more than half the state’s abortion clinics to close and now threatens all but 10 of those remaining — threatenin­g even longer drives and waiting lists.

“They are almost traumatize­d by the experience they’ve had to go through,” says Prine, founder of the Reproducti­ve Health Access Project. “Most of my patients are crying.”

On Wednesday, a suddenly short-staffed Supreme Court will hear the most significan­t challenge in a generation to the everrising number of state abortion restrictio­ns. Clinics in Texas, a dwindling breed under the 2013 law, are fighting requiremen­ts that doctors have admitting privileges at local hospitals and clinics meet the same operating standards as surgical centers.

Texas legislator­s and the nation’s leading abortion opponents say those rules are necessary to protect women’s health, even if they result in leaving just 10 clinics in a state with 5.4 million women of reproducti­ve age. The nation’s leading abortion rights groups and major medical associatio­ns say the rules don’t serve public health but represent a roadblock for women seeking abortions — the very type of burden the high court’s landmark 1992 ruling in Planned Parent

hood v. Casey was intended to prohibit.

The death on Feb. 13 of Justice Antonin Scalia changed the calculus on both sides somewhat. It makes a sweeping victory for opponents of abortion virtually impossible, given the likely position of the court’s four liberal justices. A 4-4 vote would leave the law in place in Texas, but it would set no national precedent, and court battles would continue from Alabama to Wisconsin.

“If the court splits, then devastatin­g for Texas, but the issue will remain for another day,” says Nancy Northup, president of the Center for Reproducti­ve Rights, which is challengin­g the law on behalf of Whole Woman’s Health and other abortion providers.

What Scalia’s death doesn’t change is the hope among abortion rights advocates that Justice Anthony Kennedy will provide a crucial fifth vote against the abortion restrictio­ns as exactly the type of undue burden he ruled out of bounds in Casey. That, however, may be wishful thinking. Kennedy has done that just once before, ruling that women did not need to inform their spouses before getting an abortion.

About 80 briefs have been submitted to the court, with those opposed to the law slightly outnumberi­ng those in favor.

In Texas, the debate has focused more on day-to-day hardships endured by women — many of them poor or Hispanic — who face difficulti­es obtaining abortions because of widespread clinic closures.

If the law is allowed to stand, the 10 remaining clinics will be centered in four metropolit­an areas — Houston, Dallas-Fort Worth, Austin and San Antonio. One additional clinic near the Mexican border in McAllen will be allowed to stay open, but with new restrictio­ns that could leave only one 75-year-old retired doctor able to perform abortions. The only clinics in El Paso would close.

Nan Kirkpatric­k, executive director of Texas Equal Access Fund, which provides small grants to help low-income wom- en afford abortions, says many cannot pay for gas, hotel rooms and child care or take time off from work to travel. “It’s already pretty bad, and it’s just going to get worse,” she says.

Those who do make it from rural parts of the state to one of the population centers often run into long waits. The longest — 15 to 20 days — are in the Dallas-Fort Worth area, according to data compiled monthly by the Texas Policy Evaluation Project.

Whether the Texas law is completely to blame for the clinic shutdowns is a matter of debate. One brief filed by anti-abortion faculty members from 80 colleges and universiti­es contends the law’s impact has been greatly exaggerate­d.

“Many of the plaintiffs’ claims are demonstrab­ly false; others are unsupporte­d by any evidence in the record,” the brief, submitted by former Texas solicitor general Jonathan Mitchell, says.

“If the court splits,

then devastat -ing for Texas, but the issue will remain

for another

day.”

Nancy Northup of the Center for Reproducti­ve

Rights

 ?? DREW ANGERER, GETTY IMAGES ??
DREW ANGERER, GETTY IMAGES
 ?? RICK JERVIS, USA TODAY ?? Whole Woman’s Health clinic in McAllen, Texas, which closed in 2014, has since reopened. Clinics in Texas are fighting requiremen­ts that doctors have admitting privileges at local hospitals and clinics meet same operating standards as surgical centers.
RICK JERVIS, USA TODAY Whole Woman’s Health clinic in McAllen, Texas, which closed in 2014, has since reopened. Clinics in Texas are fighting requiremen­ts that doctors have admitting privileges at local hospitals and clinics meet same operating standards as surgical centers.
 ?? GETTY IMAGES ?? Justice Antonin Scalia died
Feb. 13.
GETTY IMAGES Justice Antonin Scalia died Feb. 13.

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