In March 2018, Mississippi enacted House Bill 1510, one of the most restrictive abortion laws in the country. Plaintiffs filed suit to challenge this law.
There is a lone legal question presented: does H.B. 1510 infringe on the Fourteenth
I. Procedural Background
On March 19, 2018, Mississippi enacted H.B. 1510, which is titled "An Act to ... Prohibit Abortions After 15 Weeks' Gestation." The Act can be summarized by § 1.4(b):
Except in a medical emergency or in the case of a severe fetal abnormality, a person shall not intentionally or knowingly perform, induce, or attempt to perform or induce an abortion of an unborn human being if the probable gestational age of the unborn human being has been determined to be greater than fifteen (15) weeks.
Gestational age is measured by "the time that has elapsed since the first day of the woman's last menstrual period."
On the day the Act was signed into law, Jackson Women's Health Organization ("JWHO"), the sole facility providing abortion services in Mississippi, and one of its board-certified doctors, Dr. Sacheen Carr-Ellis, filed suit challenging the 15-week ban and requesting a temporary restraining order ("TRO"). The plaintiffs named as defendants the officers of the state responsible for overseeing healthcare and healthcare licensing. An abortion was scheduled for the next day. The Court entered the TRO.
Plaintiffs later amended their complaint, dropping the equal protection challenge to the Act and adding five separate challenges to Mississippi's other abortion laws. The Court bifurcated the claims into two parts; Part I deals with the 15-week ban, and Part II deals with the other challenges to Mississippi's abortion regulations. In the interim, the Court extended the TRO a number of times with the final extension due to expire on November 26, 2018.
Plaintiffs filed for summary judgment on Part I on August 24, 2018. That motion is now fully briefed. The familiar standard applies.
II. Viability is the Controlling Constitutional Precedent
"Liberty finds no refuge in a jurisprudence
The Supreme Court in Planned Parenthood of Southeastern Pennsylvania v. Casey affirmed the central holding of Roe : "Before viability, the State's interests are not strong enough to support a prohibition of abortion or the imposition of a substantial obstacle to the woman's effective right to elect the procedure."
III. Undisputed Facts
As this Court previously noted in applying Casey and limiting the scope of discovery in this case, "[g]iven the Supreme Court's viability framework, the ban's lawfulness hinges on a single question: whether the 15-week mark is before or after viability."
Viability is not the same for every pregnancy. It is a determination that must be made by a trained medical professional on a case-by-case basis.
The evidence in this case is consistent with the medical consensus. Plaintiffs direct the Court to the affidavits of two board-certified obstetrician/gynecologists who both agree that a fetus is not viable at 15 weeks lmp.
The consequences of the Act are also undisputed. JWHO provides abortion services until 16 weeks lmp. Dr. Carr-Ellis states in her affidavit that the Act presents her with "an impossible choice: to face potential civil penalties and loss of [her] Mississippi medical license for continuing to safely provide abortion care or to stop providing [her] patients the care they seek and deserve."
The record is clear: States may not ban abortions prior to viability; 15 weeks lmp is prior to viability; and plaintiffs provide abortion services to Mississippi residents after 15 weeks lmp. As the facts establish, the Act is unlawful.
IV. The State's Arguments Disregard Controlling Constitutional Precedent
So, why are we here? Because the State of Mississippi contends that every court who ruled on a case such as this "misinterpreted or misapplied prior Supreme Court abortion precedent."
The State argues that because the Act is only a "regulation," which includes exceptions and was passed in furtherance of the State's legitimate interest in protecting the health of women,
The State is wrong on the law. The Casey court confirmed that the "State has legitimate interests from the outset of the pregnancy in protecting the health of the woman and the life of the fetus that may become a child" and it may regulate abortions in pursuit of those legitimate interests.
The State's characterization is also wrong. The Act's full title is "An Act to be Known As the Gestational Age Act; To Prohibit Abortions After 15 Weeks' Gestation."
Given what Casey says about pre-viability bans, bans do not fare well in court. In Edwards v. Beck , the State of Arkansas, attempting to defend a ban on abortions after 12 weeks, made the exact same argument as the State of Mississippi does here.
Pivoting, Mississippi then asks the Court to totally disregard the Casey framework. The State argues this Court should unilaterally adopt a new line of reasoning and look to "fetal pain" instead of viability as a justifiable basis for the ban.
Wrong again. To be absolutely clear, Gonzales does not replace Casey with a new standard.
The State, of course, has the right to pass legislation that represents the interests of its citizens. But the State has already accounted for those desires by passing a "trigger law" that will ban abortions in the event Roe is overturned.
No, the real reason we are here is simple. The State chose to pass a law it knew was unconstitutional to endorse a decades-long campaign, fueled by national interest groups, to ask the Supreme Court to overturn Roe v. Wade.
This Court follows the commands of the Supreme Court and the dictates of the
V. The Ban Must Be Enjoined
Plaintiffs, who have already been granted a TRO, request that this Court enter "permanent injunctive relief restraining Defendants, their employees, agents, and successors from enforcing H.B. 1510 as to pre-viability abortions."
"The scope of injunctive relief is dictated by the extent of the violation established, and an injunction must be narrowly tailored to remedy the specific action necessitating the injunction."
There is some confusion, as acknowledged in Gonzales , regarding the burden that a plaintiff bears in proving a facial
Plaintiffs have met the burden of a facial challenge because, as the State admits, a fetus is not viable at 15 weeks lmp. Therefore, the Act is banning abortions prior to viability. The Act could not be construed or applied without violating precedent.
If plaintiffs' challenge had been an as-applied one, moreover, the immediate practical result of the remedy would be the same since the JWHO is the sole abortion provider in Mississippi.
Furthermore, the plaintiffs cite two instructive cases where courts did not limit the remedy based upon the services provided by abortion clinics who were plaintiffs.
VI. Conclusion
In Whole Woman's Health v. Hellerstedt , the Supreme Court held that a set of Texas abortion regulations placed an undue burden on a woman's right to choose. One of the dozens of amicus briefs filed in opposition to the restrictions was by a group of over 110 women, all members of the legal community. The women noted that the right to choose represents more than just the ability to make a medical decision; it is about "dignity and autonomy which are central to the liberty protected by the Fourteenth Amendment."
At various times throughout this Order, the Court has asked, "why are we here?" The State concedes that plaintiffs' articulation of the relevant facts is correct, and it cannot provide any controlling law that requires this Court to consider other facts. The only other explanation in its brief is that the State is making a deliberate effort to overturn Roe and established constitutional precedent.
The fact that men, myself included, are determining how women may choose to manage their reproductive health is a sad irony not lost on the Court.
H.B. 1510 is permanently enjoined because it is a facially unconstitutional ban on abortions prior to viability. The defendants; their officers, agents, servants, employees, and attorneys; and all other persons who are in active concert or participation with them; shall not enforce H.B. 1510 at any point, ever.
SO ORDERED, this the 20th day of November, 2018.
Notes
H.B. 1510 § 1.3(e). "Last menstrual period" is often abbreviated as "lmp." The State's definition is consistent with standard medical practice. See Planned Parenthood of Sw. & Cent. Fla. v. Philip ,
H.B. 1510 § 1.3(j).
See Docket No. 87.
See Fed. R. Civ. P. 56(a) ("The court shall grant summary judgment if the movant shows that there is no genuine dispute as to any material fact the movant is entitled to judgment as a matter of law.").
Planned Parenthood of Se. Pennsylvania v. Casey ,
Jackson Women's Health Org. v. Currier ,
Casey ,
Docket No. 41 at 2.
Colautti v. Franklin ,
Isaacson ,
See Docket No. 82 at 4.
Docket No. 85 at 1-2.
Docket No. 81-1 ¶ 16.
Id. ¶ 8.
Id. ¶ 10.
Docket No. 85 at 7.
The judiciary "retains an independent constitutional duty to review factual findings [of legislatures] where constitutional rights are at stake." Gonzales ,
In that spirit, this Court concludes that the Mississippi Legislature's professed interest in "women's health" is pure gaslighting. In its legislative findings justifying the need for this legislation, the Legislature cites Casey yet defies Casey's core holding. The State "ranks as the state with the most [medical] challenges for women, infants, and children" but is silent on expanding Medicaid. Ryan Sit, Mississippi has the Highest Infant Mortality Rate and is Expected to Pass the Nation's Strictest Abortion Bill , Newsweek, March 19, 2018. Its leaders are proud to challenge Roe but choose not to lift a finger to address the tragedies lurking on the other side of the delivery room: our alarming infant and maternal mortality rates. See, e.g. , Lynn Evans, Maternal Deaths Still on the Increase , The Clarion Ledger, March 31, 2018; Danielle Paquette, Why Pregnant Women in Mississippi Keep Dying , Wash. Post, April 24, 2015.
No, legislation like H.B. 1510 is closer to the old Mississippi-the Mississippi bent on controlling women and minorities. The Mississippi that, just a few decades ago, barred women from serving on juries "so they may continue their service as mothers, wives, and homemakers." State v. Hall ,
See Docket No. 85 at 3-5.
Casey ,
See Whole Woman's Health v. Hellerstedt , --- U.S. ----,
Isaacson ,
Casey ,
H.B. 1510 (emphasis added).
To the extent there is any doubt, "[t]he title of an act should assist to clarify what was in the mind of the legislature." Norman J. Singer & J.D. Shambie Singer, Statutes and Statutory Construction § 18:7 at 75-76 (7th Ed. 2009).
Edwards ,
Sojourner T. ,
See Docket No. 85 at 6-15. There is disagreement over the science of fetal pain. See, e.g. , Shainwald, supra n.8, at 156-57.
Gonzales ,
Gonzales ,
The result would disproportionately impact poor women, and Mississippi has a greater population of poor women than any other state in the country. See Rebecca Wind, Abortion is a Common Experience for U.S. Women , Guttmacher Institute (Oct. 19, 2017); Status of Women in the States: 2018 , Institute for Women's Policy Research (March 2018). Poor women are less likely to be able to leave the state to obtain the care they need. See Audrey Carlsen, et al., What It Takes to Get an Abortion in the Most Restrictive U.S. State , N.Y. Times, July 20, 2018 ("in 2014, the income of about half of women having abortions was less than the federal poverty level, which was $11,670" and in Mississippi abortions are not covered by Medicaid).
See
See Jackson Women's Health Organization v. Currier , No. 3:12-CV-436-DPJ-FKB, Docket No. 217 (S.D. Miss. May 29, 2018) (as prevailing party plaintiffs have moved for an award of attorney's fees and costs in excess of $1.2 million in case where State's abortion regulation was ruled facially unconstitutional).
See Arielle Dreher, Reversing 'Roe'; Outside Group Uses Mississippi as 'Bait' to End Abortion , Jackson Free Press, March 14, 2018. Evidence of the campaign against Roe is evident in legislation from across the country. In 2011 and 2012, states passed over 130 laws restricting abortions. Yet in 2012 "no new laws were passed ... to improve access to abortion, family planning services" or other interventions that would reduce unintended pregnancies. Shainwald, supra n.8, at 124.
The Mississippi Legislature has a history of disregarding the constitutional rights of its citizens. See, e.g., Alexander v. Holmes Cty. Bd. of Ed. ,
Docket No. 23 at 57.
Fiber Sys. Int'l., Inc. v. Roehrs ,
The Fifth Circuit has held that an injunction against the application of a law to parties not involved in the suit "was an overly broad remedy in an as-applied challenge." Currier ,
Sojourner T. ,
See Gonzales ,
Compare Ohio v. Akron Center for Reproductive Health ,
See generally Sarah Fowler, I Had an Abortion , The Clarion Ledger, Aug. 19, 2018 (noting the drastic reduction in the number of abortion clinics within Mississippi).
See MKB Mgmt. Corp. ,
Amici Curiae Brief in Support of Petitioners, at 3-4, Whole Woman's Health v. Hellerstedt ,
See Docket No. 85 at 9 n.5 (The State suggests the Supreme Court is waiting for a circuit split as the opportunity to reevaluate the viability standard); see also Dreher, supra n.39.
See Bryant ,
See also Sec. & Exch. Comm'n v. Adams , No. 3:18-CV-252-CWR-FKB,
Josh Gottheimer, Ripples of Hope: Great American Civil Rights Speeches 353 (2003) (excerpt from Roe v. Wade oral argument).
