4.6 Article

Undue burdens created by the Texas Abortion Law for vulnerable pregnant women

Journal

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY
Volume 226, Issue 4, Pages 529-534

Publisher

MOSBY-ELSEVIER
DOI: 10.1016/j.ajog.2021.12.033

Keywords

abortion; adolescents; Planned Parenthood v. Casey of Southeastern Pennsylvania; cognitive disability; diversity; homeless; impaired decision-making; inclusion; maternal mortality; mental disorder; minorities; Roe v. Wade; substance abuse; suicide; trafficking; undue burden; vulnerable women; women of color

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The new Texas abortion law imposes undue burdens on three populations of vulnerable women, including pregnant women with decreased freedom of movement, pregnant minors, and pregnant women with major mental disorders and cognitive disabilities. The law restricts access to abortion services outside of Texas and increases the risks of complications for these women.
The new Texas abortion law requires the physician to determine whether a fetal heartbeat is present and prohibits abortion after a heartbeat has been documented. An exception is allowed when a medical emergency necessitated the abortion. These and other provisions of the statute are to be enforced through civil actions brought by private citizens. This article identifies 3 populations of vulnerable women who will experience undue burdens created by the Texas abortion law. We begin with an account of the concept of undue burden in the jurisprudence of abortion, as expressed in the 1992 US Supreme Court case, Planned Parenthood v. Casey of Southeastern Pennsylvania. We then provide an evidence-based account of the predictable, undue burdens for 3 populations of vulnerable women: pregnant women with decreased freedom of movement; pregnant minors; and pregnant women with major mental disorders and cognitive disabilities. The Texas law creates an undue burden on these 3 populations of vulnerable women by reducing or even eliminating access to abortion services outside of Texas. The Texas law also creates an undue burden by preventably increasing the risks of morbidity, including loss of fertility, and mortality for these 3 populations of vulnerable women. For these women, it is indisputable that the Texas law will create undue burdens and is therefore not compatible with the jurisprudence of abortion as set forth in Planned Parenthood v. Casey because a significant number of women will likely be prevented from obtaining an abortion. Federal courts should therefore strike down this law.

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