Preparing for The Demise of Roe v. Wade and The Criminalization of Abortion in Some US States: Practical Considerations for A Post-Roe World


Someday in the subsequent a number of weeks, the Supreme Court docket of the USA will subject its resolution in Dobbs v. Jackson Women’s Health Organization (Dobbs). Based mostly on the draft majority opinion authored by Justice Samuel Alito that was leaked to Politico in early Might, there’s a important likelihood that the Court docket will overrule Roe v. Wade (Roe) and Planned Parenthood v. Casey (Casey) by holding that there isn’t any federal constitutional proper to acquire an abortion and leaving particular person states free to considerably limit abortion or prohibit abortion altogether.

The impact of this possible resolution on US corporations can be substantial. Each US healthcare supplier whose companies embody any side of household planning ought to give critical thought to how this possible new post-Roe actuality will have an effect on its choices and operations. This contains not solely those who present being pregnant termination companies (by way of surgical or pharmaceutical means, whether or not brick-and-mortar or telehealth/digital), but in addition probably these offering in vitro fertilization companies, and conceivably even some contraceptive suppliers in some unspecified time in the future down the road.

Even corporations that don’t straight present household planning or being pregnant termination companies could also be impacted by the possible demise of Roe, together with:

  • Service suppliers and enterprise associates of healthcare suppliers that furnish household planning or being pregnant termination companies;

  • Anybody who gives abortion-related info or sources even outdoors of a patient-provider relationship (for instance, corporations that present info relating to abortion entry to staff or to the general public);

  • Insurers who present protection for family-planning companies;

  • Employers, well being profit plans, and plan directors, as we lately famous; and

  • People and entities who make investments in any of the above corporations.

There’ll proceed to be a substantial diploma of uncertainty in regards to the attain of post-Roe abortion restrictions, given the shortage of any current enforcement historical past or judicial interpretation of many anti-abortion legal guidelines and the presence of competing legal guidelines in different states. It is usually extraordinarily possible that there might be additional state laws that might outcome in all kinds of further restrictions, which might meaningfully have an effect on any danger evaluation. In gentle of such uncertainty, organizations will wish to keep in shut contact with educated authorized counsel to determine learn how to construction their operations, personnel and information going ahead—particularly in the event that they at present (or intend to) present or facilitate entry to household planning companies and do enterprise or have personnel in any state that can additional limit or prohibit abortion in the wake of Dobbs.

The proper plan for a post-Roe actuality might be completely different for every particular person and group that touches abortion or household planning companies in any method.



Presently, Roe and Casey and their progeny prohibit state enforcement of any outright ban on abortion and every other measure that will create an “undue burden” on abortion entry. If, as appears possible, these two selections are absolutely overruled in the Dobbs resolution, states largely might be free to limit and/or prohibit abortion as their legislatures and governors select—topic to any abortion-related provisions in their particular person state constitutions.

Many states have “trigger” or “zombie” abortion legal guidelines already on the books—prohibitions (or considerably tighter restrictions on abortions) that presently can’t be enforced however will spring (again) to life as quickly as Roe and Casey are overturned. In some instances, enforcement of these statutes has explicitly been enjoined, however the issuance of a Supreme Court docket resolution overturning Roe and Casey would instantaneously outcome in their (renewed) enforceability. Some different set off legal guidelines embody provisions that will barely delay their efficient dates (and enforceability) both by a specified quantity of days after a Supreme Court docket resolution overruling Roe or till a state authorities actor (e.g., the state legal professional normal) certifies that Roe has been overruled. The place they exist, such provisions present for some delay in enforcement however are measured in days or perhaps weeks moderately than months or years. For instance, Mississippi has a statute that requires the state’s Lawyer Common to find out whether or not the state’s set off legislation can be thought of constitutional following a Supreme Court docket resolution overruling Roe earlier than that legislation takes impact. And a number of other different state legislatures are at present engaged on or have lately handed new legislation to ban or limit abortion in a post-Roe world.

A Texas Case Examine: Texas is a high-profile instance of a state with important restrictions on abortion already in place in addition to a set off legislation that can spring to life if Roe and Casey are overturned. As many readers will know, Texas already has in place a singular “bounty” legislation that penalizes basically all abortions after the existence of a detectable fetal “heartbeat” by the imposition of civil financial damages (not less than $10,000 per prohibited abortion, plus restoration of attorneys’ charges and different litigation prices)—however it might solely be enforced by non-public litigants, not by authorities personnel. See Texas Well being & Security Code § 171. The Supreme Court docket declined to stay enforcement of this legislation in a “shadow docket” order earlier this time period.

Texas additionally has handed a set off legislation that’s extraordinarily broad and gives plainly that “[a] person may not knowingly perform, induce, or attempt an abortion,” interval (with a slim exception the place an abortion is important to forestall the loss of life or important well being impairment of the pregnant girl, however no exceptions for, e.g., rape or incest conditions). See Texas Well being & Security Code § 170A. “Abortion” for this function contains mainly any means of deliberately “caus[ing] the death of an unborn child,” and “unborn child” is outlined to incorporate residing embryo/fetus “from fertilization until birth.” See id. §§ 170A.001(1), 170A.001(5), 245.002(1) (emphasis added). In brief, as soon as an egg is fertilized, almost something achieved deliberately to forestall that fertilized egg from reaching reside beginning constitutes an abortion (though “birth control devices” and “oral contraceptives” are particularly excluded).

Notably, Texas’s set off legislation could have sharper enamel than its “bounty” legislation at present does. The plain language of the state’s set off statute gives that, with out Roe and Casey in place, any “perform[ance], induce[ment], or attempt” of a prohibited abortion in Texas might outcome in:

  • Felony prosecution by the Lawyer Common or anyone of the state’s 254 county district attorneys—for a first-degree felony if the abortion is profitable, and a second-degree felony whether it is unsuccessful (see Texas Well being & Security Code § 170A.004); plus

  • Civil enforcement by the Lawyer Common—searching for a civil penalty of not less than $100,000 per illegal abortion (plus restoration of attorneys’ charges and different litigation prices) (see id. § 170A.005); plus

  • Obligatory revocation of any “license, permit, registration, certificate, or other authority” held by a defendant doctor or different well being skilled who violates the legislation (see id. § 170A.007).

Beneath Texas prison legislation, anybody who doesn’t personally carry out, induce or try an illegal abortion however causes, aids, conspires, solicits, and many others., such conduct by another person may additionally be in danger of felony prosecution. See Texas Penal Code §§ 7.02, 15.01-15.03. The query of how broadly Texas courts will outline actions that could be thought of to “induce” abortions additionally stays open. (Word that the legislation particularly exempts abortion sufferers, themselves, from being prosecuted or going through civil enforcement.)

Put up-Roe, these prohibitions clearly will apply to surgical abortions carried out inside Texas, and to the prescription, allotting and administration of abortifacient treatment if all happen inside Texas. Their utility to actions that happen outdoors of Texas is much less clear, however people and organizations who present abortion-related companies to Texas residents from anyplace ought to search counsel to find out whether or not, or in what method, these legal guidelines could also be utilized to their operations.


Texas is only one such instance amongst many states that can impose further restrictions on abortions if Roe falls. At the very least 26 states have legal guidelines that may very well be used to limit the authorized standing of abortion to numerous levels and/or are usually considered as being at high-risk for imposing further restrictions post-Roe: Alabama, Arizona, Arkansas, Florida, Georgia, Idaho, Indiana, Iowa, Kentucky, Louisiana, Michigan, Mississippi, Missouri, Montana, Nebraska, North Dakota, Ohio, Oklahoma, South Carolina, South Dakota, Tennessee, Texas, Utah, West Virginia, Wisconsin and Wyoming. The identical is true of Puerto Rico and a number of different US territories. Kansas lawmakers even have expressed an intent to limit abortion. For the remainder of this text, we are going to collectively refer to those states as “Restrictive States.” See, e.g., “Abortion Policy in the Absence of Roe,” Guttmacher Institute, June 1, 2022; “What if Roe Fell?” Middle for Reproductive Rights, final accessed June 10, 2022.

Restrictive States’ legal guidelines carry a spread of potential dangers for suppliers and those who facilitate entry to or fee for household planning therapy, together with (as illustrated in the Texas instance above) the next: (1) dangers to particular person suppliers’ licenses, together with revocation which might create a quantity of further actions if that supplier is licensed in a number of states; (2) civil penalties, which may embody important penalties per violation of the statute; and (3) prison penalties, together with felony therapy of some actions, which might outcome in imprisonment and prison fines. As famous above, these penalties can, in some states, lengthen to people or corporations that facilitate or pay for the therapy supplied.

Alternatively, some states have legal guidelines on the books that provide express safety to folks searching for or offering entry to abortion therapy or in any other case have codified an individual’s proper to privateness in such circumstances. This contains each state statutes and, in some situations, state constitutional protections. We are going to seek advice from states resembling California, Colorado, Connecticut, Delaware, the District of Columbia, Hawaii, Illinois, Maine, Maryland, Massachusetts, Nevada, New Jersey, New York, Oregon, Rhode Island and Washington, which have enacted various levels of state constitutional and statutory protections for abortion entry, as “Protective States.” Particular post-Roe defend legislation efforts are additionally underway in many such Protecting States, resembling CaliforniaConnecticutMassachusetts, and New York.


People and organizations that present or facilitate abortion companies, or different companies which have the influence of stopping fertilized eggs from reaching beginning, and those who make investments in, service, compensate, or in any other case work together with such people or organizations, ought to monitor this example very intently. It’s altering quickly and will proceed to take action. In not less than some of the Restrictive States, abortion might be outlawed (and probably criminalized) the second a Supreme Court docket resolution overturning Roe and Casey is issued—i.e., possible round 10 am EDT on a weekday nonetheless to be decided in late June or early July.

Whereas every particular person’s and group’s state of affairs will differ, listed below are some normal concepts to contemplate:

  1. There’ll proceed to be a substantial diploma of uncertainty in regards to the attain of post-Roe abortion restrictions, given the shortage of any current enforcement historical past or judicial interpretation and the presence of competing legal guidelines in different states. It is usually extraordinarily possible that there might be additional state laws in Restrictive States that might outcome in all kinds of further restrictions which might meaningfully have an effect on any danger evaluation. In gentle of such uncertainty, organizations ought to keep in shut contact with educated authorized counsel to determine learn how to construction their conduct going ahead—particularly in the event that they at present (or intend to) present or facilitate entry to family-planning companies and do enterprise or have staff in any of the Restricted States. Employment/advantages, privateness, healthcare laws, subpoena response, and litigation/enforcement protection might be amongst a number of areas of legislation that might be related to such planning.

  2. Regardless of your organization’s objectives and danger urge for food, seek the advice of counsel to contemplate danger mitigation and administration methods, notably in Restrictive States the place offering or facilitating abortions might be criminalized. This will embody decreasing ties to Restrictive States and contemplating what degree of authorized shields could also be obtainable in Protecting States for people, company entities, belongings, and information.

  3. Some organizations which might be headquartered or integrated in Protecting States could also be required beneath the Protecting States’ legal guidelines to supply sure advantages and coverages even for these staff residing in Restrictive States. Any such obligations must be confirmed and tracked intently.

  4. Rigorously contemplate what info or information you gather and preserve that could be abortion-related. Organizations with details about sufferers who receive abortion-related companies or about people who present or facilitate such companies must be ready for elevated scrutiny of such information, together with further subpoenas and different requests. Equally, it’s price reviewing all privacy-related insurance policies, procedures, notices, and disclosures to make sure present factual accuracy and to make sure the corporate is ready to deal with subpoenas and different info requests after they arrive. Corporations also needs to contemplate whether or not inside insurance policies, procedures, and coaching for personnel must be modified or carried out associated to the results of disclosing confidential firm info and the potential penalties of non-compliance with firm insurance policies and procedures.

  5. Corporations are strongly inspired to contain in-house or outdoors counsel straight in technique and planning discussions so they’re protected by the attorney-client privilege as a lot as doable. Corporations also needs to be considerate about public statements (internally or externally).

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