PLANNED PARENTHOOD OF The GREAT NORTHWEST, Jan Whitefield, M.D., and Susan Lemagie, M.D., Appellants and Cross-Appellees, v. STATE of Alaska, Loren Leman, Mia Costello, and Kim Hummer-Minnery, Appellees and Cross-Appellants.
Supreme Court Nos. S-15010/15030/15039 (Consolidated)
Supreme Court of Alaska.
July 22, 2016
375 P.3d 1122
Margaret Paton Walsh and Dario Borghesan, Assistant Attorneys General, Anchorage, and Michael C. Geraghty, Attorney General, Juneau for Appellee/Cross-Appellant State of Alaska.
Kevin G. Clarkson and Matthew C. Clarkson, Brena, Bell & Clarkson, P.C., Anchorage for Appellees/Cross-Appellants Loren Leman, Mia Costello, and Kim Hummer-Minnery.
Allison Mendel, Mendel & Associates, Inc., Anchorage, and Lourdes M. Rosado, Juvenile Law Center, Philadelphia, Pennsylvania, for Amici Curiae Juvenile Law Center, Legal Voice, and National Center for Youth Law.
Kimberly A. Parker and Joshua S. Press, Wilmer Cutler Pickering Hale and Dorr LLP, Washington, D.C., for Amici Curiae American College of Obstetricians and Gynecologists, American Congress of Obstetricians and Gynecologists, National Association of Social Workers, Alaska Chapter, Society for Adolescent Health and Medicine, and American Psychiatric Association.
Christina Passard, The Law Office of Christina M. Passard, P.C., Anchorage, and Mailee R. Smith, Americans United for Life, Washington, D.C., for Amicus Curiae Alaska Family Action.
Mario Bird, Ross & Minor, P.C., Anchorage, for Amicus Curiae Alaskan Doctors for Parental Notice.
Before: Fabe, Chief Justice, Winfree, Stowers, Maassen, and Bolger, Justices.
OPINION
WINFREE, Justice.
I. INTRODUCTION
Alaska‘s medical emancipation statute historically allowed minors to consent to pregnancy-related health care subject to an express exception for pregnancy termination. In 2001 we held that under the Alaska Con
But in that 2007 ruling we recognized that the State of Alaska has compelling interests in aiding parents to help their minor children make informed and mature pregnancy-related decisions, and we indicated that a parental notification law might be implemented without unduly interfering with minors’ fundamental privacy rights. The 2010 voter-enacted Parental Notification Law—generally requiring 48-hour advance parental notice before a physician may terminate a minor‘s pregnancy—revived the exception in the existing medical emancipation statute, creating considerable tension between a minor‘s fundamental privacy right to reproductive choice and how the State may advance its compelling interests.
In this case we must decide whether the Notification Law violates the
We conclude that the Notification Law violates the Alaska Constitution‘s equal protection guarantee and cannot be enforced. But the decision we reach today is narrow in light of the limited State interests offered to justify the Notification Law. The State expressly disclaims any interest in how a minor exercises her fundamental privacy right of reproductive choice, and it does not suggest that it has an interest in limiting abortions generally or with respect to minors specifically. And as a court we are not concerned with whether abortion is right, wrong, moral, or immoral, or with whether abortions should be available to minors without restriction. We are concerned only with whether, given its stated underlying justifications, the current Notification Law complies with the Alaska Constitution‘s equal protection guarantee—and it does not.
II. FACTS AND PROCEEDINGS
A. Early Statutory Backdrop
In 1968 the legislature enacted a medical emancipation statute allowing a physician to “examine a female minor over the age of 15 years with regard to pregnancy” without parental consent.1 But at that time a carry-over territorial criminal statute made abortion illegal “unless . . . necessary to preserve the life of the mother.”2
In 1970 the legislature rewrote the criminal statute to allow certain abortions by licensed physicians in approved medical facilities.3 But a portion of the criminal statute,
In 1976, presumably in reaction to then-recent United States Supreme Court decisions, the Alaska Attorney General issued an
In 1980 the legislature removed
B. Early Constitutional Backdrop
In 1972 voters added the following provision to the
C. The 1997 Parental Consent Act
Shortly before our 1997 decision regarding a woman‘s broad fundamental privacy right to reproductive choice under the Alaska Constitution, the legislature enacted the Parental Consent Act.15 The Consent Act amended
The “uniquely personal” physical, psychological, and economic implications of the abortion decision that we described in Valley Hospital are in no way peculiar to adult women. Deciding whether to terminate a pregnancy is at least as difficult, and the consequences of such decisions are at least as profound, for minors as for adults . . . .20
After trial the superior court concluded that the Consent Act violated both the privacy and equal protection guarantees of the Alaska Constitution, and again enjoined the State from enforcing the Consent Act.21 The State appealed, and in Planned Parenthood II we held that although the State had shown compelling interests “in protecting minors from their own immaturity” and in “aiding parents to fulfill their parental responsibilities,” the Consent Act was not the least restrictive means of furthering those interests.22 We explained that requiring parental notification before terminating a minor‘s pregnancy could effectively meet the State‘s interests while imposing a lower burden on the minor‘s constitutional privacy right.23 Because we concluded that the Consent Act was an unconstitutional infringement on funda
D. The Parental Notification Law
After our Planned Parenthood II decision, Loren Leman, Mia Costello, and Kim Hummer-Minnery (the Sponsors) sponsored a parental notification voter initiative.26 In August 2010 voters approved the initiative, titled the Parental Notification Law,27 constructed by amending thе existing but unenforceable Consent Act.28 A parental notification component was placed in
The Notification Law applies to unemancipated, unmarried minors under age 18 seeking to terminate a pregnancy.31 It includes specific requirements for parental notification,32 a 48-hour mandatory waiting period between parental notification and the termination of a minor‘s pregnancy (absent a parent‘s earlier written consent),33 and criminal and civil penalties for any physician who terminates a minor‘s pregnancy without complying with the notification requirements.34
The Notification Law includes an exception for certain medical emergencies.35 It also includes two provisions for bypassing parental notification.36 First, with the assistance of a court-appointed attorney,37 a minor may seek a judge‘s permission to bypass the notification requirement.38 Permission will be granted if the minor proves by clear and convincing evidence39 that she is mature enough to make the decision without parental notice or consent or that her parents are abusive.40 Second, an abused minor may bypass the notification requirement by providing to her physician notarized statements from herself and a witness regarding the abuse.41 If an abused minor pursues this option, then the physician must report the abuse to the Alaska Department of Health and Social Services.42
E. This Case
Planned Parenthood of the Great Northwest and two doctors who perform abortions in Alaska (collectively Planned Parenthood) sought to enjoin enforcement of the Notification Law on the grounds that it violates the Alaska Constitution‘s privacy and equal protection guarantees. The Sponsors intervened to defend the Notification Law. The superior
After trial the superior court made broad findings of fact on a number of issues, including how the Notification Law had functioned for the 14 months between its effective date and the trial. The court rejected Planned Parenthood‘s argument that the Notification Law violates equal protection by treating pregnant minors seeking termination differently from those seeking to carry to term. The court stated that Alaska‘s medical emancipation statute encourages pregnant minors to seek medical care which they otherwise might avoid for fear of parental involvement, and then reasoned that “once a minor elects an imminent abortion, the core rationale underpinning mediсal emancipation no longer applies to her; she no longer requires encouragement to see a doctor to protect her own health and that of her fetus.” The court therefore concluded that minors seeking pregnancy termination are not similarly situated to minors seeking to carry to term, and that the Notification Law‘s effective disparate application of the medical emancipation statute “does not violate Alaska‘s equal protection clause.”
The superior court also analyzed whether the Notification Law violates minors’ constitutional privacy rights and concluded that parts of the law are constitutional but others are not. The court vacated its preliminary injunction against some provisions, including the criminal sanctions for physicians and the parental-documentation requirement; it issued a permanent injunction against others, including the imposition of civil liability on physicians, the requirement that physicians personally notify parents, and the clear and convincing evidence standard for judicial bypass of the notification requirement.
The superior court issued a final judgment, and the clerk of court then awarded the State and the Sponsors their trial costs. The superior court later vacated the cost awards, concluding that both sides were prevailing parties on a main issue in the case and that no cost awards should be made.
Planned Parenthood appeals the superior court‘s ruling upholding the majority of the Notification Law, arguing for reversal on both equal protection and privacy grounds. The State and the Sponsors appeal the court‘s decision to strike some of the Notification Law‘s provisions, arguing that those provisions do not violate minors’ constitutional privacy rights; they also appeal the costs ruling.
III. STANDARD OF REVIEW
We apply our independent judgment to equal protection claims.43 In an equal protection analysis we must identify and assess the nature and importance of the competing personal and governmental interests at stake, identify the relevant level of scrutiny for governmental action, and assess the means chosen to advance governmental interests.44 These are questions of law to which we apply our independent judgment, adopting “the rule of law ‘most persuasive in light of precedent, reason, and policy.‘”45 Underlying findings of fact are reviewed for clear error.46
IV. DISCUSSION
We begin by noting that a challenge to a statute “must overcome a presumption of constitutionality.”47 When a statute‘s constitutionality is facially challenged, we will uphold the statute even if it might occasionally create constitutional problems in its application, as long as it “has a plainly legitimate sweep.”48 But a statute infringing on a constitutionally protected right deserves close attention.49 And our duty to uphold the Alaska Constitution is paramount; it takes precedence over the politics of the day and our own personal preferences.50
Finally, relevant to today‘s issues, our opening statement in Planned Parenthood II bears repeating:
From timе to time, we are called upon to decide constitutional cases that touch upon the most contentious moral, ethical, and political issues of our day. In deciding such cases, we are ever mindful of the unique role we play in our democratic system of government. We are not legislators, policy makers, or pundits charged with making law or assessing the wisdom of legislative enactments. We are not philosophers, ethicists, or theologians, and “cannot aspire to answer” fundamental moral questions or resolve societal debates. We are focused only on upholding the constitution and laws of the State of Alaska.51
A. Equal Protection
1. Planned Parenthood II‘s non-effect on the challenge
The State, the dissent and to a lesser degree the concurring opinion—assert that our Planned Parenthood II decision forecloses an equal protection challenge to the Notification Law; the State argues that “[w]hen this Court held in Planned Parenthood II that a parental notification law was a constitutional option that was less restrictive than the parental consent law, by implication it also rejected [the current] equal protection challenge.” We disagree.
In Planned Parenthood II we held that the Consent Act was an unconstitutional infringement on pregnant minors’ constitutional privacy rights because a notification statute potentially could be a less restrictive alternative furthering the State‘s compelling
The dissent and the concurring opinion unreasonably conclude we suggested that any parental notification law would pass constitutional equal protection muster—sight unseen and without regard to either its stated justification or the factual underpinning for that justification—even though we engaged in no equal protection analysis whatsoever regarding parental notification laws. Our actual conclusion that a parental notification law might survive a constitutional privacy challenge does not mean that every conceivable notification law will do so.58 Nor does it mean that every conceivable notification law will satisfy the separate and independent constitutional equal protection standard. In the fundamental rights context there is a significant difference between Alaska‘s privacy and equal protection guarantees: The privacy clause guarantees that the State may not infringe upon an individual‘s fundamental right of personal autonomy unless a compelling governmental interest justifies the infringement; in contrast the equal protection clause guarantees that the State may not discriminate between individuals with respect to a fundamental right unless a compelling governmental interest justifies the discrimination.59
The dissent and the concurring opinion also fail to recognize governing precedent from Sands ex rel. Sands v. Green, 156 P.3d 1130 (Alaska 2007), involving a constitutional challenge to 1997‘s reformed statute of limitations tolling provision.61 Earlier, in Evans ex rel. Kutch v. State, 56 P.3d 1046 (Alaska 2002), the four-person court had addressed whether the new provision passed constitutional equal protection muster, and three justices concluded that it did.63 In Sands the same statutory provision was challenged on
In Evans, we assessed the constitutionality of subsection .140(c) only within the context of equal protection. We did not address the issue that we address today: whether subsection .140(c) violates a minor‘s due process right to access the court system. We are similarly unpersuaded by the State‘s argument that we were “aware of the ramifications of [our Evans] decision” because “Justice Carpeneti pointedly discussed those ramifications in a detailed dissent.” While the dissent in Evans did indeed discuss the ramifications of subsection .140(c) and argue that those ramifications constitute a denial of equal protection, it—like the lead opinion—did not consider the specific issue of due process. That our Evans decision did not reach this particular constitutional issue merely reinforces the wisdom of the rule that courts should generally avoid deciding abstract cases.65
In Planned Parenthood II we answered the question whether the then-existing parental consent law violated minors’ constitutional privacy rights,66 and declined to answer the question whether the then-existing parental consent law violated minors’ constitutional equal protection rights.67 Here we face the new and very different question whether the current parental notification law violates minors’ constitutional equal protection rights. Suggesting that we somehow answered a question that was not actually asked in Planned Parenthood II is both incorrect and contrary to precedent. In every case we decide what we decide, and nothing more.
In short, the Notification Law stands or falls on its own specific terms and stated justifications.
2. The equal protection analysis—overview
The Alaska Constitution‘s equal protection guarantee requires “equal treatment of those similarly situated.”68 As we have previously explained in the context of a law treating two groups differently:
When equal protection claims are raised, the question is whether two groups of people who are treated differently аre similarly situated and therefore are entitled to equal treatment under the constitution. In order to determine whether differently treated groups are similarly situated, we look to the state‘s reasons for treating the groups differently. As a matter of nomenclature we refer to that portion of a law that treats two groups differently as a “classification.”69
To determine whether the Notification Law discriminates between similarly situated classes, we first decide which classes must be compared.70 The parties agree that the relevant classes are pregnant minors seeking termination and pregnant minors seeking to carry to term. We next determine if the challenged law has a discriminatory purpose or is facially discriminatory—i.e., whether the classes are treated unequally.71
It is clear that the Notification Law treats the two classes of pregnant minors differently, burdening the fundamental privacy rights of those seeking termination but not the fundamental privacy rights of those seeking to carry to term.72 So when we examine whether these classes are similarly situated, we are asking a legal question: Under the applicable scrutiny level, do the stated rationales for the Notification Law justify discriminating between pregnant minors who choose to terminate a pregnancy and those who choose to carry to term?73
The State agrees with the foregoing legal framework. The Sponsors, however, cite Alaska Inter-Tribal Council v. State74 for a different line of equal protection cases and argue that whether two classes are similarly situated is a threshold matter to be decided before considering whether there are valid reasons for treating them differently and that “similarly situated” is a question of fact reviewed for clear error.
Alaska Inter-Tribal Council did not involve an equal protection challenge to a statute classifying two groups of people, but rather to an alleged geographically discriminatory policy of police resource allocation in Alaska.75 In that context, citing a federal case, we stated that whether persons, groups, or entities “are similarly situated is generally a question of fact.”76 The federal case we relied upon similarly did not involve an equal protection challenge to a statute classifying two groups of people, but rather to an alleged selective enforcement of a zoning ordinance, i.e., discrimination against a “class of one.”77 Alaska Inter-Tribal Council did not purport to overrule the stated framework when considering statutory enactments, used as early as 1994 in Gonzales v. Safeway Stores, Inc.78 and then as recently as 2003 in Stanek v. Kenai Peninsula Borough,79 and used again not long after Alaska Inter-Tribal Council in Public Employees Retirement System v. Gallant.80
We separately noted in Alaska Inter-Tribal Council that there are some occasions when a full equal protection analysis may not be necessary because it is so exceedingly clear that the two classes in question are not similarly situated.81 When com
The superior court stated that our equal protection analysis applied to the extent the Notification Law “treats minors opting to carry to term differently from minors opting to abort.” The court applied its fact-finding about pregnancies and abortions and their interplay with the Notification Law‘s stated justifications to conclude—not with a shorthand analysis, not as a purported finding of fact, but rather as a matter of law—that once a minor elected to undergo an abortion the justifications for medical emancipation did not apply and the justifications for parental involvement applied more heavily, so that she no longer was similarly situated with a minor electing to carry to term. We will review that legal conclusion under the framework outlined above and detailed more fully below.
3. Core equal protection analysis
Our core equal protection analysis applies a flexible three-step sliding-scale:
First, it must be determined at the outset what weight should be afforded the constitutional interest impaired by the chal
Second, an examination must be undertaken of the purposes served by a challenged statute. Depending on the level of review determined, the state may be required to show only that its objectives were legitimate, at the low end of the continuum, or, at the high end of the scale, that the legislation was motivated by a compelling state interest.
Third, an evaluation of the state‘s interest in the particular means employed to further its goals must be undertaken. Once again, the state‘s burden will differ in accordance with the determination of the level of scrutiny under the first stage of analysis. At the low end of the sliding scale, we have held that a substantial relationship between means and ends is constitutionally adequate. At the higher end of the scale, the fit between means and ends must be much closer. If the purpose can be accomplished by a less restrictive alternative, the classification will be invalidated.82
a. Step one
Step one of our core equal protection analysis requires evaluating the importance of the personal right infringed upon to determine the State‘s burden in justifying its differential infringement. It has long been established that the Alaska Constitution‘s privacy clause guarantees the fundamental right to choose between pregnancy termination and carrying to term.83 And it has
Whether the Notification Law survives strict scrutiny “depends on whether the [law] is narrowly tailored and whether there is a less restrictive alternative to meet the [State‘s] interest.”85 For the Notification Law “[t]o be narrowly tailored, there must be a sufficient nexus between the stated government interest and the classification created by the [law].”86 This nexus must not be too under- or over-inclusive; as we have explained:
As the level of scrutiny selected is higher on the [sliding] scale, we require that the asserted governmental interests be relatively more compelling and that the legislation‘s means-to-ends fit be correspondingly closer. On the other hand, if relaxed scrutiny is indicated, less important governmental objectives will suffice and a greater degree of over/or underinclusiveness in the means-to-ends fit will be tolerated.87
b. Step two
Step two of our core equal protection analysis requires identifying and assessing the State‘s interests in differently burdening pregnant minors’ fundamental privacy rights. To justify differently burdening fundamental privacy rights, the State‘s interests in doing so must be compelling.88 The State asserts two main interests as justifying the Notification Law‘s disparate treatment of pregnant minors: (1) “aiding parents to fulfill their parental responsibilities” and (2) “protecting minors from their own immaturity.”89
We accept that the State asserts compelling interests: In Planned Parenthood II we said that “the State has an undeniably compelling interest in protecting the health of minors and in fostering family involvement in a minor‘s decisions regarding her pregnancy.”90 And we later stated that “on the most generalized level,” the State has a compelling interest in “protecting minors from their own immaturity and aiding parents in fulfilling their parental responsibilities.”91 But we note that the interest in “protecting minors from their own immaturity” requires context—immaturity in and of itself is not a harm. As we stated in Planned Parenthood II, “minors often do not possess the capacity to make informed, mature decisions, and are therefore susceptible to a host of pitfalls and dangers unknown in adult life.”92 The State‘s interest in “protecting minors from their own immaturity” is in protecting minors from specific pitfalls and dangers to which their immaturity makes them especially susceptible. We therefore will consider the State‘s interest in “protecting minors from their own immaturity” in the contexts of relevant stated harms: risks to mental and physical health and from sexual abuse.93
c. Step three
Having determined that the Notification Law (1) burdens a class of pregnant minors’ fundamental privacy rights and (2) was motivated by compelling state interests, we now examine, under strict scrutiny, whether vindicating the State‘s compelling interests justifies imposing disparate burdens on the two groups of pregnant minors’ fundamental privacy rights. To survive strict scrutiny the Notification Law‘s disparate treatment of the two classes “must further a compelling state interest and be the least restrictive means available to accomplish the state‘s purpose.”94 If the means-to-end fit between the State‘s purpose and the Notification Law is not close enough—if the Notification Law is under-inclusive or over-inclusive—then it will not survive strict scrutiny.95
i. Parental involvement 96
We conclude that vindicating the State‘s compelling interest in encouraging parental involvement in minors’ pregnancy-related decisions does not support the Notification Law‘s disparate treatment of the two classes of pregnant minors. Parents do have an “important ‘guiding role’ to play in the upbringing of their children.”97 We have said that “it is the right and duty, privilege and burden, of all parents to involve themselves in their children‘s lives; to provide their children with emotional, physical, and materi-al support; and to instill in their children
No one challenges the superior court‘s factual finding that “[f]ew life decisions could benefit more from consultation with supportive parents than a minor‘s decision to carry to term; the decision to abort, comparatively, involves far fewer enduring consequences.” All pregnant minors, not just those seeking termination, may need their parents’ assistance and counsel when making reproductive choices; and parents who might counsel termination are as “entitled to the support of laws designed to aid [in the] discharge of [their] responsibility”99 to guide their children as are parents who might counsel carrying to term.100 Yet the Notification Law‘s effect is that only a minor seeking termination obtains parental guidance and only the parents of a minor seeking termination are given an opportunity to counsel their daughter about alternatives. But absent a compelling interest in limiting minors’ pregnancy terminations and favoring their carrying to term—which the State does not assert—the State‘s compelling interest in fostering parental involvement extends equally to all pregnant minors and that interest‘s vindication does not justify treating the classes differently.
The State and the Sponsors contend that even if the importance of the State‘s asserted interest in parental involvement is equal for both classes, disparate treatment is justified because the State‘s interests eventually will be furthered for minors seeking to carry to term without parental notification, while furthering these interests for minors seeking termination requires parental notification. They contend that parents of a minor seeking to carry to term inevitably will learn of the pregnancy and then can further the asserted governmental interests by counseling and assisting the minor. They also contend that because an abortion can be kept secret, absent notification parents may not learn of it in time to provide counseling and assistance.101
Based on its evaluation of testimony regarding policies of Alaska hospitals, surgical centers, and health care providers, the superior court found that in Alaska an abortion generally is unavailable after about 14 weeks’ gestation. After that point the decision to carry to term becomes essentially irreversible, and the opportunity to exercise reproductive choice is lost.102 Trial testimony also
ii. Minors’ physical and mental health
The State asserts an interest in protecting minors’ physical and mental health. But, again, we conclude that this general interest alone cannot justify disparate treatment based upon a pregnant minor‘s decision to terminate or carry to term. The Sponsors more specifically argue that abortion entails unique medical risks not present when carrying to term, such as post-abortion complications, warranting parental involvement. But the superior court found that abortion raises fewer health concerns for minors than does giving birth, that abortion is “quintessentially” and “extraordinarily” safe, and that “the majority consensus of American psychiatry is that abortion does not cause mental illness.”103 The court noted that four doctors who had performed abortions in Alaska testified at the trial, and none indicated parental notification was medically helpful; the doctors testified that minors are capable of providing their own medical histories and managing post-abortion care. The court also found that “[p]arental involvement is not re
The State also contends that its interest in protecting minors’ health is implicated differently when minors seek to carry to term because parental notification discourages pregnant minors from obtaining prenatal medical care. The State asserts that it thus has a more “limited” health interest in minors seeking termination which justifies treating them differently from those seeking to carry to term. But if the specter of parental notification would discourage pregnant minors from seeking timely medical care consistent with their statutory and constitutionally protected fundamental privacy right to carry to term, then logically it also would discourage those seeking timely medical care consistent with their constitutionally protected fundamental privacy right to terminate. And because the superior court found that in Alaska an abortion generally is unavailable after about 14 weeks’ gestation, time is of the essence. Absent a valid and compelling interest in discouraging termination and favoring carrying to term, an interest the State expressly denied at oral argument, we conclude that the State‘s interest in protecting the health of a minor seeking termination is
equal to its interest in protecting the health of a minor seeking to carry to term,104 and does not necessitate disparate treatment of the two groups.The concurring opinion echoes another State argument that “[p]regnant minors seeking to carry their pregnancies to term and pregnant minors seeking to terminate their pregnancies do not face the same choice” because “the pregnant minor who seeks to carry her pregnancy to term does not strictly need medical treatment” while “[t]he pregnant minor who seeks to terminate her pregnancy . . . cannot do so without medical treatment.”105 This arbitrary distinction is untethered to the State interests justifying the Notification Law and is inconsistent with the rationale for medical emancipation.
Until actually seeking pregnancy-related medical care the only difference between a minor seeking to terminate a pregnancy and a minor seeking to carry to term is the constitutionally protected choice each is making.106 But once both minors seek pregnancy-related medical care, the Notification Law allows the minor seeking to carry to term to immediately consent to and receive treatment while requiring parental notification before the minor seeking termination may consent to and receive treatment. The statutory mandate that abortions be performed by doctors does not eliminate the justification for medical emancipation—encouraging minors to seek timely legal medical care they otherwise might forgo or delay for fear of parental involvement107 and does not necessitate disparate treatment of the two groups.
iii. Sexual abuse prevention
We conclude that the State‘s interest in protecting minors from sexual abuse must be the same whether a pregnant minor seeks termination or seeks to carry to term. The superior court found that parental notification in and of itself would not meaningfully advance the State‘s interest in protecting minors from sexual abuse. And the State and the Sponsors point to no evidence that pregnant minors seeking termination are more likely to have been sexually abused—and therefore more in need of protection—than those seeking to carry to term. The Sponsors cite testimony that pregnant minors could be pressured by peers into seeking termination and speculate that the pressure could come from “those seek[ing] to hide illegal sexual activity.” But the Sponsors cite no evidence that pregnant minors seeking termination are more likely to have been involved in “illegal sexual activity,” are less likely or able to report sexual abuse, or are disproportionately more likely to have been pressured to seek termination and therefore more in need of protection than those seeking to carry to term.108 No facts before us demonstrate that vindicating the State‘s compelling interest in protecting minors from sexual abuse justifies requiring that parents of mi
d. Conclusion
We must conclude that the State‘s asserted interests do not justify a distinction between pregnant minors seeking to terminate and those seeking to carry to term. Despite the factual difference between the two classes of pregnant minors, as a matter of law they are similarly situated with respect to the Notification Law. The Notification Law is under-inclusive because the governmental interests asserted in this case are implicated for all pregnant minors—as they face reproductive choices and as they live with their decisions—and the asserted justifications for disparate treatment based upon a minor‘s actual reproductive choice are unconvincing. The Notification Law‘s discriminatory barrier to those minors seeking to exercise their fundamental privacy right to terminate a pregnancy violates Alaska‘s equal protection guarantee.109
Our decision today is not novel. Over 15 years ago the New Jersey Supreme Court considered whether a similar law violated that state‘s similar equal protection guarantee.110 New Jersey‘s Constitution does not contain the explicit privacy guarantee that Alaska‘s Constitution does, but the court began its equal protection analysis by noting that New Jersey‘s Constitution—like Alaska‘s—“more expansive[ly]” protects “the right of privacy and its concomitant rights, including a woman‘s right to make certain fundamental choices,” than does the United States Constitution.111 The court held that the parental notification law was subject to the “most exacting scrutiny” and that it “significantly burden[ed the rights of] unemancipated women seeking abortions.”112 The court reasoned that the law would create impediments preventing minors from exercising their constitutional rights, an unacceptable outcome “without substantial adequate justification for the classification.”113
The New Jersey court considered each of the asserted governmental interests raised here by the State and the Sponsors—protecting minors from their own immaturity, fostering family communications, and protecting parents’ rights to raise their children—and determined that mandatory parental notification of planned pregnancy terminations did not further those interests.114 The court concluded that “the New Jersey Constitution
We emphasize that our decision in no way interferes with parents’ protected interests, nor does it prevent pregnant minors or their physicians from notifying parents about a young woman‘s choice to terminate her pregnancy. Simply, the effect of declaring the notification statute unconstitutional is to maintain the State‘s neutrality in respect of a minor‘s child-bearing decisions and a parent‘s interest in those decisions. In effect, the State may not affirmatively tip the scale against the right to choose an abortion absent compelling reasons to do so.116
The dissent nonetheless contends we are out of the mainstream of judicial rеasoning, pointing to other jurisdictions with either parental consent or parental notification laws in place. But this contention is unsupported by any serious judicial reasoning tied to the required equal protection analysis under the Alaska Constitution: Relevant inquiries about each jurisdiction‘s laws are conspicuously absent.
Does that jurisdiction have the same broad fundamental privacy right for a minor‘s reproductive choice as conferred by the Alaska Constitution? The answer obviously must be “no” for any jurisdiction with a parental consent law or any jurisdiction with privacy or liberty rights co-extensive with those of the United States Constitution. Does the jurisdiction have the same equal protection guarantee as conferred by the Alaska Constitution? And if it does: (1) what weight does that jurisdiction give to a minor‘s privacy interest; (2) what weight does that jurisdiction give them; and (3) what level of scrutiny does the jurisdiction apply? If the jurisdiction does not afford minors the same fundamental privacy right to reproductive choice as Alaska, or if the jurisdiction asserts more compelling governmental interests in limiting minors’ abortion rights than does Alaska, then the weighing of interests—even under our own equal protection framework—likely would render a different result.117
The bare assertion that some other jurisdictions have parental consent or notification laws conflates different constitutional interests and protections and lends nothing to the required equal protection analysis under the Alaska Constitution. For example, relying on Planned Parenthood of Southeastern Pennsylvania v. Casey, 505 U.S. 833, 112 S.Ct. 2791, 120 L.Ed.2d 674 (1992), the dissent asserts that the United States Supreme Court “has clearly explained” that a state may legitimately enact laws “designed to encourage a woman contemplating abortion to be informed regarding the effects that abortion may have on her and regarding alternatives to abortion.”119 The dissent therefore concludes that the State has a legitimate interest in the Notification Law that today‘s decision “trivializes.”120
We do not disagree with the dissent‘s characterization of Casey. But Casey involved the balancing of a woman‘s liberty interest and a state interest in preserving unborn life under the United States Constitution.121 In the case before us: (1) the fundamental right of priva
B. Privacy
Part II of the concurring opinion, to which three justices agree, concludes that a number of the Notification Law‘s provisions violate pregnant minors’ constitutional privacy rights. But because the Notification Law cannot stand in the face of the Alaska Constitutiоn‘s equal protection guarantee, it is unnecessary to decide—and it is not decided—whether invalidation of those provisions on the constitutional privacy ground renders the Notification Law unenforceable in its entirety.124 We reiterate that our Planned Parenthood II conclusion indicating a parental notification law might satisfy Alaska‘s constitutional privacy standard does not necessarily mean that any particular parental notification law will do so. We also reiterate that today‘s equal protection decision is based on the limited State interests asserted to justify the Notification Law‘s discrimination against minors seeking to terminate a pregnancy, and that a similar law with different supporting justifications would require a new equal protection analysis.
C. Cross-Appeal
In light of our ruling, we do not need to reach the issues raised in the State‘s and the Sponsors’ cross-appeals.
V. CONCLUSION
The Parental Notification Law violates the Alaska Constitution‘s equal protection guarantee. We REVERSE the superior court‘s decision to the extent that it upholds the Parental Notification Law, and we REMAND for further proceedings, including entry of judgment consistent with our decision.
FABE, Chief Justice, concurring;
MAASSEN, Justice, and BOLGER, Justice, joining only in Part II of the concurrence.
I disagree with the court‘s analysis and conclusion that the Parental Notification Law violates the guarantee of equal protection. But because this parental notification scheme violates the fundamental right to privacy, I
I. RIGHT TO PRIVACY, RATHER THAN EQUAL PROTECTION, IS THE APPROPRIATE CONSTITUTIONAL FRAMEWORK FOR THIS LAW.
We have held “that reproductive rights are fundamental, and that they are encompassed within the right to privacy expressed in
When fundamental rights are at issue, our right-to-privacy analysis closely resembles our equal protection analysis. Both modes of analysis require identification of a compelling governmental interest, advanced by the least restrictive means.4 They differ in what aspect of a law is subjected to this strict review: its infringement of the fundamental right or its discriminatory treatment of the fundamental rights of two different groups. In my view the notification law infringes on a minor‘s fundamental right to reproductive choice in a manner that is not the least restrictive means of accomplishing the government‘s compelling interests, but it does not treat similarly situated groups dissimilarly.
As we have recognized, the State has compelling interests in “protecting minors from their own immaturity and aiding parents in fulfilling their parental responsibilities.”5 The court concludes that the State‘s interest in aiding parents in fulfilling their parental responsibilities does not require different treatment of pregnant minors seeking to carry their pregnancies to term and pregnant minors seeking to terminate their pregnancies. I agree with the court‘s legal framework for analyzing this question. But I believe that those groups are not similarly situated with regard to the State‘s broad interest in protecting minors from their own immaturity.
“In order to determine whether differently treated groups are similarly situated, we look to the [S]tate‘s reasons for treating the groups differently.”6 The State‘s reasons are
Pregnant minors seeking to carry their pregnancies to term and pregnant minors seeking to terminate their pregnancies do not face the same choice about whether to seek medical assistance. Although she would surely be wise to visit a doctor, the pregnant minor who seeks to carry her pregnancy to term does not necessarily need medical treatment to achieve her aims. The pregnant minor who seeks to terminate her pregnancy, in contrast, cannot do so without medical treatment.9 As the superior court noted, “once a minor elects an imminent abortion, the core rationale underpinning medical emancipation no longer applies to her; she no longer requires encouragement to see a doctor to protect her own health or that of her fetus.” Instead, she must seek medical treatment, and the risk of delay or avoidance that animates the exception to the general parental consent requirement for “diagnosis, prevention or treatment of pregnancy, and for diagnosis and treatment of venereal disease” is qualitatively different.
The State may not discriminate between women in order to influence their reproductive choices.10 And carrying a pregnancy to term may entail risks to a minor‘s physical and mental health that are equal to the corresponding risks from terminating a pregnancy. But pregnant minors seeking to сarry their pregnancies to term and pregnant minors seeking to terminate their pregnancies face significantly different incentives to delay or avoid medical assistance and significantly different risks from that delay or avoidance. Thus, an equal protection analysis of the Parental Notification Law should not treat these groups as similarly situated.
Moreover, in Planned Parenthood II “we determine[d] that the constitution permits a statutory scheme which ensures that parents are notified so that they can be engaged in their daughters’ important decisions” in matters related to pregnancy.11 By holding up parental notification laws as a less restrictive alternative to the parental consent law then at issue, we indicated that at least some such laws would pass constitutional muster.12 But the court today calls that determination into question. In order to give similar treatment to minors seeking to carry to term and minors seeking to terminate their pregnancy—and thus to survive the court‘s equal protection analysis—a notification statute would have to require parental notice of all pregnancy-related care. Yet none of the notification statutes we cited as alternatives in Planned Parenthood II require such universal notice for all pregnant minors, and thus they would likely fail under the court‘s equal protection analysis.13 For these reasons, I
II. THE LAW VIOLATES THE RIGHT TO PRIVACY.
The right to privacy, enshrined in the
In Planned Parenthood II we held that a parental consent law failed strict scrutiny by prohibiting a pregnant minor from terminating her pregnancy without first obtaining the consent of her parents, unless she had been granted a judicial bypass.17 That parental consent law was not the least restrictive means of achieving the State‘s interests because “[t]here exists a less burdensome and widely used means of actively involving parents in their minor children‘s abortion decisions: parental notification.”18 This does not mean, however, that any and all parental notification laws comport with strict scrutiny; as we recognized, “parental notification statutes undoubtedly burden the privacy rights of minors.”19 These laws must still achieve their aims without any unnecessary burden on minors’ privacy rights; that is, they must use the least restrictive means of achieving the State‘s compelling interests. The parental notification law at issue here does not achieve its goals using the least restrictive means: In fact, it is one of the most restrictive laws of its type in the country. The fact that other states achieve the same interests by significantly less restrictive means indicates that Alaska‘s Parental Notification Law is not narrowly tailored.
When undertaking a review of this statute as a whole, it becomes evident that the law‘s methods are not the least restrictive means available to advance the State‘s recognized compelling interests. First, the standard of proof for a court exemption from the notice requirement is clear and convincing evidence—the strictest standard of proof in the country for any such law. Although the superior court enjoined this aspect of the statute, the State and its co-appellants appeal that ruling, which requires us to address whether the standard of proof survives strict scrutiny. The law recognizes three grounds for judicial bypass: (1) sufficient maturity; (2) physical, sexual, or repeated emotional abuse by the parent or guardian; and (3) that parental consent20 is not in the minor‘s best interest.21 Each of these must be proved by clear and convincing evidence.22 Only three other notice states require a minor to prove her sufficient maturity by clear and convincing evidence;23 only two require her to prove that notice would not be in her best interest by that standard.24 And not one of
The standard of proof can have a real, significant impact on these cases: As observed in the child custody context, “in close cases, a higher standard of proof will place the risk of erroneous factfinding on the child.”26 Here, that risk is acute. The “clear and convincing” requirement in the Parental Notification Law would require that a trial court deny a judicial bypass to some minors even if it finds that they are likely (though not clearly and convincingly) sufficiently mature, or victims of abuse, or best served by a bypass. The high standard of proof yields a particularly stark outcome in the case of a minor who has been abused by a parent or guardian, where a trial judge would be required to deny judicial bypass for a pregnant minor who was likely abused by her own parent but cannot provide sufficient evidence to satisfy the clear and convincing standard.27 It may be especially hard for a minor to meet this standard of proof in such familial abuse cases, where “a child‘s report of a parent‘s [abusive] conduct is often the primary source of evidence.”28 As in the child custody context where this issue has previously been discussed, “[e]ven if it is not debatable that the parent‘s actions are [abusive], the lack of corroboration—particularly in light of a parent‘s denial—may mean that the child‘s report, although providing a preponderance of the evidence, will fail to satisfy the clear and convincing standard.”29 In such a case, the trial court would be required to deny judicial bypass. Given the balance of rights and interests involved, this outcome can hardly be viewed as the least restrictive means of achieving a compelling state interest. Thus the burden of proof for the judicial bypass procedure fails strict scrutiny.
Second, the only other way for an abused minor tо avoid the parental notification requirement is for the abuse to be documented in a notarized statement signed by a witness who has “personal knowledge of the abuse” and who is a law enforcement officer, a Health and Social Services investigator, or a grandparent, stepparent, or sibling over the age of 21.30 Here again, the requirements of the law clash with the realities of a pregnant minor who has been abused by a parent yet must seek corroborating evidence from her own family or from a government official to prove it. Because much familial abuse is not susceptible to outside witness, or may only be witnessed by another family member who is not willing to testify, in practice this option will likely be foreclosed to many of the young women it is designed to protect.31 Re
Third, the Parental Notification Law burdens physicians and all involved families by imposing verification requirements that have no analogue in the notification laws of other states. Most of the 11 states other than Alaska that have notification laws do not specify how the identity of a notice recipient is to be established, and those that do simply require that the recipient produce government-issued identification33 or that the physician record the number dialed and the date and time of the phone call.34 In contrast, Alaska‘s Parental Notification Law imposes a burden that is not found in any other state‘s statute by requiring that any in-person notice recipient “show government-issued identification along with additional documentation of the person‘s relationship to the minor,”35 and that the physician delivering notice by phone “attempt[] to verify through a review of published telephone directories that the number to be dialed is that of the minor‘s parent, legal guardian, or custodian, and ask[] questions of the person to verify that the person‘s relationship to the minor is that of parent, legal guardian, or custodian.”36 As the superior court recognized, the additional documentation requirement for in-person notice “clashes with the realities of rural Alaska.” These documentation requirements also mean that a doctor has not fulfilled the statute‘s notice requirement even after giving in-person notice to a parent who is fully aware of a daughter‘s decision to terminate her pregnancy but has misplaced her birth certificate. Furthermore, the law requires the physician to deliver notice himself or herself rather than permitting delegation of this responsibility to medical office staff.37 This is a far more burdensome approach than that selected by other states, the vast majority of which statutorily allow someone other than the physician to deliver notice.38 Thus, this parental notification scheme is not the least restrictive means of advancing the State‘s compelling interests.
Fourth, the statute‘s imposition of civil liability for all violations of the Parental Notification Law is more punitive and chilling than penalties in equivalent notification laws in other states. Again, although the superior court enjoined the operation of this portion of the statute, the State and its co-appellants argue that the injunction against it should be lifted. Of the five states that make physicians civilly liable for failure to provide notice, two require that the physi
Fifth, I cannot conclude that the specter of a felony conviction and five years imprisonment for any person who knowingly violates the notice requirement42 is narrowly tailored to advance a compelling state interest. Four notification states have no criminal penalty attached to their notification laws.43 Another six make violation a misdemeanor.44 Only one makes it a felony, and even there a violation of the notice requirement is the lowest class of felony, with a maximum of two years imprisonment.45 The Parental Notification Law‘s criminal penalty is by far the most severe of any state, demonstrating that it is not the least restrictive means of enforcing a notification law. And although the Parental Notification Law fails the least-restrictive-means analysis even without reference to its criminal penalties, these penalties are a further indication that the law‘s provisions are not narrowly tailored.
Furthermore, the law as originally adopted contained still more elements that fail the least-restrictive-means test. For example, the law as enacted allowed constructive notice to be mailed only after 24 hours of failed attempts at telephonic notice, and it applied even when medical conditions rendered fetal death inevitable.46 These aspects of the law further demonstrate that the statutory scheme as designed was one of the most restrictive and burdensome in the country.
And not only does this law achieve its aims by overly restrictive methods, it also adopts an overly expansive scope by sweeping in minors whose maturity in reproductive choices the legislature has formerly recognized. The parental consent act we considered in Planned Parenthood II applied only to minors 16 and younger.47 Both the court and the dissent in that case noted that this represented “a serious effort to narrowly tailor the scope of the [Parental Consent Act]”48 by excluding “the population of teenage girls most likely competent, by virtue of maturity and experience, to make the decision regarding abortion without adult assistance.”49 The notification law at issue in this appeal does not demonstrate a serious effort at narrow tailoring. Indeed, while a 17-year-old living independently from her parents may make her own, uninfluenced decisions
III. THE UNCONSTITUTIONAL PROVISIONS ARE NOT SEVERABLE.
The law‘s provisions that violate the right to privacy affect virtually every aspect of the notification process. From the notification mechanism, to the law‘s scope, to its civil and criminal penalties, to the judicial bypass procedure, and even to the provision excusing notice in the case of an abused minor, these constitutionally intrusive provisions reach the point where “their invalidation so undermines the structure of the Act as a whole that the entire Act must fall.”52 Our severability doctrine rests on the test set out in Lynden Transport, which “asks (1) whether ‘legal effect can be given’ to the severed statute and (2) if ‘the legislature intended the provision to stand’ in the event other provisions were struck down.”53 We later explained that ”Lynden Transport is the test for severability of enacted measures, whatever their source“—including for laws adopted by a ballot measure, like the Parental Notification Law.54 I believe that the remaining, constitutionally valid portions of the Parental Notification Law would not satisfy this test.
The “legislative intent” prong of our severability test incorporates the widely accepted principle that “the touchstone for any decision about remedy is legislative intent, for a court cannot ‘use its remedial powers to circumvent the intent of the legislature.’ ”55 In assessing legislative intent, our recent cases have considered whether the act in question contained a severability clause, reading such a clause as the primary “indicat[ion] that the legislature intended the remainder of the Act to stand if part of it were invalidated.”56 In both Alaskans for a Common Language v. Kritz and State v. Alaska Civil Liberties Union, the presence of a severability clause was central to our conclusion that the remaining portions of the acts could stand alone after severing the constitutionally invalid portions. Other state high courts and the U.S. Supreme Court have taken a similar approach to severability clauses, generally removing only the challenged portions if a sеverability clause exists but striking the entire law in the absence of such a clause.57
Moreover, we have held that a law will fail the legislative intent prong if the remainder of the law is not “independent and complete in itself” so that we may presume the remaining, valid portions were intended to stand on their own in the event that the other portions were struck down.60 Here, the constitutional infirmities described above are pervasive—they touch nearly every aspect of the Parental Notification Law. If the portions of the law that violate the right to privacy were removed, it would mean eliminating key elements of the notification requirement, the civil and criminal penalties for its violation, the judicial bypass procedure, and the alternative provision for documented abuse of the pregnant minor. The law cannot be considered “independent and complete in itself”61 in the absence of all these provisions. Thus, under our prior case law, we cannot presume the remaining portions were intended to stand on their own. The law therefore fails the legislative intent prong of the Lynden test.
Next, although the failure of one Lynden prong is sufficient to conclude that the invalid portions cannot be severed, in this case the statute likely fails the “legal effect” prong of the test as well. Specifically, I have serious doubt that “legal effect can be given”62 to this law once critical aspects of virtually all the core provisions are found unconstitutional. As other courts engaging in similar severability analyses have noted, the challenged portions of a statute may “represent a vital part of the statutory scheme,” such that altering or removing them “would create a program quite different from the one the people actually adopted.”63 The Ninth Circuit, for instance, has held that constitutionally flawed provisions of a law cannot be severed when doing so “would essentially eviscerate the statute.”64
The Supreme Court of Colorado undertook a similar analysis in a recent case challenging an amendment to the state constitution, which limited certain types of political campaign contributions, and which had been passed by voter initiative.65 After striking the invalid provisions, the court explained, the entire law must fall “if what remains is so incomplete or riddled with omissions that it cannot be salvaged as a meaningful legislative enactment.”66 Emphasizing that a court “cannot rewrite or reshape a law in order to maintain its constitutionality,”67 the court ul
Similarly, the pervasive constitutional infirmities affect every core provision of the Parental Notification Law. The unconstitutional provisions described above include elements of the procedure that a doctor must follow under the notification requirement, the age cutoff for the requirement, the civil and criminal penalties for violating it, the burden of proof for the judicial bypass—which applies to all three potential bypass options—and the requirements for the alternative process that an abused minor may use. In short, the constitutional infirmities touch all four pillars of the statutory framework under the “notice or consent” provision at issue in this case.69 Without these pillars, the law cannot stand.
I therefore believe that the constitutionally impermissible provisions “represent a vital part of the statutory scheme” and that severing them “would essentially eviscerate the statute.”70 Attempting to patch together a constitutional statute from the remaining portions of the law would effectively be an exercise in rewriting the law. Our own cases,71 as well as similar approaches used by other courts,72 caution against wholesale revision of statutory language in this manner. Nor can we simply modify the constitutionally problematic provisions as the dissent suggests,73 because we must refrain from this “quintessentially legislative work” of “rewriting [the] law to conform it to constitutional requirements.”74 Thus, at the point where we would be essentially rewriting every major provision of a statute, the entire statute instead must be struck down. Here, where the unconstitutional portions of the law affect every element of the statutory scheme, the law reaches the point where it is so riddled with constitutional holes that it cannot be salvaged.
Accordingly, because the Parental Notification Law fails both prongs of the Lynden test, I would conclude that the constitutionally invalid portions of the law are not severable from the remaining provisions, and thus the entire law must fall. I therefore would hold that the Parental Notification Law impermissibly violates a minor‘s fundamental right to privacy because it does not advance the compelling state interest by the least restrictive means, and I concur with the court‘s judgment that the law must be struck down as violating the Alaska Constitution.
STOWERS, Justice, dissenting.
I dissent from today‘s opinion because it unjustifiably departs from our earlier approval of parental notification in Planned Parenthood II,1 misapplies our equal protection case law by comparing two groups that are not similarly situated, and fails to consider how other states have handled similar questions related to parental notification laws. I also disagree with the concurring opinion that the Parental Notification Law violates the
Moreover the majority and concurrence ignore in practical effect the interests and rights of the State and parents in taking steps to assist a minor who is seeking an abortion in receiving information and counseling concerning all aspects of that decision. The United States Supreme Court has clearly explained that the State has a legitimate right to enact laws designed to encourage a woman contemplating abortion to be informed regarding the effects that abortion may have on her and regarding alternatives to abortion. In Planned Parenthood v. Casey, Justice Sandra Day O‘Connor wrote for the Court and stated:
[I]t must be remembered that Roe v. Wade speaks with clarity in establishing not only the woman‘s liberty but also the State‘s “important and legitimate interest in potential life.” That portion of the decision in Roe has been given too little acknowledgment and implementation by the Court in its subsequent cases. Those cases decided that any regulation touching upon the abortion decision must survive strict scrutiny, to be sustained only if drawn in narrow terms to further a compelling state interest. Not all of the cases decided under that formulation can be reconciled with the holding in Roe itself that the State has legitimate interests in the health of the woman and in protecting the potential life within her.
. . . .
Though the woman has a right to choose to terminate or continue her pregnancy before viability, it does not at all follow that the State is prohibited from taking steps to ensure that this choice is thoughtful and informed. Even in the earliest stages of pregnancy, the State may enact rules and regulations designed to encourage her to know that there are philosophic and social arguments of great weight that can be brought to bear in favor of continuing the pregnancy to full term and that there are procedures and institutions to allow adoption of unwanted children as well as a certain degree of state assistance if the mother chooses to raise the child herself.2
In the case before us, the Alaska Legislature enacted a law after Alaska citizens passed the Parental Notification Act initiative3 requiring that parents be notified if their minor daughter is seeking an abortion, with exceptions discussed below. One obvious purpose of this law is to provide the minor‘s parents the opportunity to discuss with their daughter the potential effects of and alternatives to abortion. This is beyond doubt a legitimate interest and right that the State and the parents possess. Contrary to the Supreme Court‘s clear statement in this regard, the Alaska Court today trivializes and makes this right of no effect.
I. INTRODUCTION
[T]he right to the care and custody of one‘s own child is a fundamental right recognized by both the federal and state constitutions. This right is one of the most basic of all civil liberties.4
This appeal raises questions about the Parental Notification Law through the lens of minors’ equal protection and privacy rights, but it also raises questions about parents’ fundamental rights to be informed that their minor daughter is seeking an abortion and parents’ rights to discuss this potentially life-changing decision with their daughter before
We decide today that the State has an undeniably compelling interest in protecting the health of minors and in fostering family involvement in a minor‘s decisions regarding her pregnancy. . . . [W]e determine that the constitution permits a statutory scheme which ensures that parents are notified so that they can be engaged in their daughters’ important decisions in these matters.9
The court explained its rationale why a parental notification statute, as opposed to a parental consent statute, is constitutionally permissible:
There exists a less burdensome and widely used means of actively involving parents in their minor children‘s abortion decisions: parental notification. The United States Supreme Court has recognized, in a different context, that “notice statutes are not equivalent to consent statutes because they do not give anyone a veto power over a minor‘s abortion decision.” And many states currently employ this less restrictive approach. Because the State has failed to establish that the greater intrusiveness of a statutory scheme that requires parental consent, rather than parental notification, is necessary to achieve its compelling interests, the Parental Consent Act does not represent the least restrictive means of achieving the State‘s interests and therefore cannot be sustained.10
The court concluded by again lauding the benefits of a parental notification statute in language that, given today‘s decision, can only be regarded as ironic:
These expressed legislative goals—increased parental communication, involvement, and protection—are no less likely to accompany parental notification than the parental “veto power” [over a minor‘s decision to have an abortion].
. . . .
Notification statutes protect minors by enhancing the potential for parental consultation concerning a [minor‘s] decision. In fact, to the extent that parents who do not have a “veto power” over their minor children‘s abortion decision have a greater incentive to engage in a constructive and ongoing conversation with their minor children about the important medical, philosophical, and moral issues surrounding
abortion, a notification requirement may actually better serve the State‘s compelling interests.11
In reasonable reliance on the court‘s approval of parents’ rights to be notified of their daughters’ intent to have an abortion, the Alaska Legislature enacted the Parental Notification Law in accordance with a voter initiative passed by Alaska citizens.12 Planned Parenthood again challenged this law, arguing that it violated the minors’ rights to privacy and equal protection. The superior court, mindful of the supreme court‘s unqualified approval of a law recognizing parents’ rights to be notified that their minor daughter is seeking an abortion, held that the Parental Notification Law did not violate minors’ rights to equal protection. Superior Court Judge John Suddock cogently explained:
It is hard to fathom the Alaska Supreme Court overturning the [Parental Notification Law] on equal protection grounds notwithstanding Planned Parenthood II‘s privacy-clause affirmance . . . . When a minor decides to opt out of pregnancy, she is no longer similarly situated with other pregnant minors with respect to the familial consultation issue. Accordingly, this court holds that the [Parental Notification Law] does not violate Alaska‘s equal protection clause.
But today a majority of the supreme court inexplicably walks back on its broad pronouncements in Planned Parenthood II and holds that the Parental Notification Law unconstitutionally violates pregnant minors’ rights to equal protection. The majority does so by the expedient of finding that pregnant minors who seek abortions are similarly situated to minors who wish to carry their pregnancies to term—an untenable conclusion. The determination that two groups are similarly situated is a finding of fact,13 subject to reversal by an appellate court only if the trial court that made that factual finding clearly erred.14
In this case the superior court found, reasonably, that minors who seek abortions are not similarly situated to minors who want to carry their pregnancies to term. This determination, with which the concurrence agrees,
This court has previously proclaimed that “it is the right and duty, privilege and burden, of all parents to involve themselves in their children‘s lives; to provide their children with emotional, physical, and material support; and to instill in their children ‘moral standards, religious beliefs, and elements of good citizenship.’ ”15 The Parental Notification Law focuses on the State‘s interest in “aiding parents in fulfilling their parental responsibilities”16 by upholding the parents’ rights to be notified of a significant medical decision involving their minor daughter, and to at least have the opportunity to counsel their child regarding this important decision and its lasting consequences. The court‘s decision today totally undermines the parents’ rights and responsibilities in this regard and makes a mockery of its earlier proclamations of the proper and fundamental role parents have traditionally played in their children‘s lives.
Under its ruling today, no parental notification law recognizing parents’ fundamental legal rights to notification of, much less meaningful involvement in, their minor daughters’ decisions to have abortions will be upheld by this court under its strained jurisprudence defining minors’ rights to equal protection. And notwithstanding its broad approval in Planned Parenthood II of a parental notification law being an acceptable lesser restrictive alternative to a parental consent law, the concurrence‘s opinion today that the Parental Notification Law violates a minor‘s right to privacy suggests that this court will always find a lesser restrictive alternative that will defeat the legislature‘s effort to craft a constitutional parental notification law.
I cannot see how the court can reach these results under our standard of review for constitutional questions: “adopting the most persuasive rule of law in light of precedent, reason, and policy.”17 I have explained above why the Parental Notification Law does not violate equal protection: the two classes of minors are not similarly situated. Given the critical balance between a woman‘s right to decide to have an abortion, the State‘s legitimate and compelling interests in the health of the minor who is seeking an abortion, and the parents’ fundamental rights to be informed of and involved in their minor daughter‘s decision making, I conclude that so long as there is an effective, reasonably simple way for a sufficiently mature minor to bypass the parental notification requirements under the statute, our precedent, reason, and policy compel upholding the Parental Notification Law as a legitimate exercise of the people‘s power to initiate law and of legislative power to enact law. In the balance, a mature minor‘s right to privacy, whatever its contours, is protected by the judicial bypass mechanism contained in the statute; an immature minor‘s right to privacy, if any, is not so protected nor should it be—because she is immature.
II. THE PARENTAL NOTIFICATION LAW DOES NOT IN PRACTICE INHIBIT A MATURE MINOR‘S RIGHT TO OBTAIN AN ABORTION.
The Parental Notification Law does not require a minor to obtain parental consent for an abortion. Furthermore, it neither bars a minor from obtaining an abortion nor presents significant hurdles for a minor seeking
Even in the absence of abuse, the bypass process presents an almost negligible hurdle to access to an abortion with the inclusion of the “mature and well-informed” language in
First, the statute itself ensures that access and cost are not barriers to judicial bypass. The statute explicitly provides that an attorney will be appointed if the minor does not retain one of her own23 and that there is no cost to obtain the necessary forms, file those forms, or appear in court.24 The statute also provides that the minor must be informed that she may request a telephonic hearing to avoid an in-person hearing and that the court may excuse a minor from school to participate in her hearing.25
Second, access and cost are not barriers to judicial bypass in practice. The bypass petition instructions list a toll-free number through which the minor can speak to a magistrate judge, who may appoint counsel and help direct the minor to the correct court. Minors may file their bypass petitions via email, fax, mail, or in person. An Alaska attorney who handled judicial bypass petitions testified in the superior court that she was able to prepare minors for these hearings by phone and that one of the minors she represented successfully appeared at the hearing telephonically. She indicated that all of the petitions she worked on were successful; that she “receives notice from the court system within an hour or two of a petition‘s lodging“; that all of her conferences with the
Thus, the Parental Notification Law includes an easily navigable, broad bypass process, which ensures that the Notification Law does not stand in the way of a minor‘s access to abortion. However, even though all petitions under the Parental Notification Law have been granted so far, this law is necessary for the State to ensure that in those cases where a minor does not petition to bypass parental notification, the people society holds responsible for her well-being—her parents—will be informed of what is happening in her life.
III. EQUAL PROTECTION
A. Our Departure From Planned Parenthood II
In Planned Parenthood II, this court decided “that the State has an undeniably compelling interest in protecting the health of minors and in fostering family involvement in a minor‘s decisions regarding her pregnancy.”26 The court concluded, however, that the Parental Consent Act burdened a minor‘s fundamental right to privacy27 and that even though the State‘s interests in “protecting minors from their own immaturity and aiding parents in fulfilling their parental responsibilities” were compelling,28 the Parental Consent Act could not stand because it failed to use the least restrictive means available to advance the State‘s compelling interests.29
While this court held that the Parental Consent Act improperly balanced the minor‘s right to privacy and these compelling government interests, the court also endorsed “a statutory scheme which ensures that parents are notified so that they can be engaged in their daughters’ important decisions in these matters.”30 More specifically, this court held that “[t]here exists a less burdensome and widely used means of actively involving parents in their minor children‘s abortion decisions: parental notification.”31 The court identified the option of parental notification as a constitutionally acceptable lesser restrictive means of achieving the State‘s compelling interests; the court claimed that “[b]ecause the State has failed to establish that the greater intrusiveness of a statutory scheme that requires parental consent, rather than parental notification, is necessary to achieve its compelling interests, the Parental Consent Act does not represent the least restrictive means of achieving the State‘s interests and therefore cannot be sustained.”32 That last holding was based on the idea that the legislature could have achieved the same goals through less restrictive means: namely, a parental notification law.33 This was an explicit endorsement of parental notification. By striking down the Parental Notification Law, today‘s decision departs—without any compelling reason—from the court‘s decision and rationale in Planned Parenthood II.
Today‘s majority opinion recognizes this inconsistency and claims that Planned Parenthood II did not “mean that every conceivable notification law will satisfy the separate and independent constitutional equal protection standard.”34 The opinion goes on to proclaim that “the Notification Law stands or falls on its own specific terms and stated justifications.”35 And its reasoning suggests that the legislature could amend the Parental Notification Law or make further findings that might make a parental notification statute constitutional under Alaska law.
But the majority‘s equal protection analysis does not rely on or even mention the
We must conclude that the State‘s asserted interests do not justify a distinction between pregnant minors seeking to terminate and those seeking to carry to term . . . . The Notification Law‘s discriminatory barrier to those minors seeking to exercise their fundamental privacy right to terminate a pregnancy violates Alaska‘s equal protection guarantee.37
But a law requiring parental notification of a minor‘s abortion necessarily differentiates between minors seeking an abortion and minors who intend to carry to term. This is because Alaska minors who intend to carry to term are able to consent to pregnancy-related care without parental notification or consent.38 The legislature could have required parental notification for any pregnancy-related treatment of a minor. But the parties agreed in the superior court that “no useful purpose is served by withdrawing medical emancipation and requiring parental consultation for carry-to-term decisions.” And the superior court found that medical emancipation for carry-to-term decisions encouraged minors “to obtain prenatal care [that] advances important interests in maternal and fetal health.” This is all the more important in light of the superior court‘s findings regarding the serious health risks pregnant minors face when carrying to term.
Furthermore, the majority of states whose laws we cited in Planned Parenthood II make a similar distinction.39
B. The Two Groups Are Not Similarly Situated.
The Alaska Constitution provides equal protection only among those who are similarly situated.40 If the groups being compared are similarly situated “we apply a sliding scale of scrutiny to the challenged practice.”41 “[W]e first determine the importance of the constitutional right . . . We then examine the [S]tate‘s interests . . . Finally, we consider the means the [S]tate uses to advance its interests.”42
The majority concedes that there is a “factual difference between the two classes of pregnant minors.” However, the majority concludes that “the State‘s asserted interests do not justify a distinction between pregnant minors seeking to terminate and those seeking to carry to term.”
As explained in the Introduction, the Parental Notification Law does not violate Alaska‘s guarantee of equal protection because the two groups are not similarly situated. I agree with the reasoning set forth in the superior court‘s decision on this matter, with which the concurrence also agrees.
C. A Review Of Other States’ Notification And Consent Laws
Today‘s opinion is also a significant departure from the majority approach throughout the United States regarding parental rights to notice of or consent to their daughter‘s abortion.43 A majority of states have enacted parental notice44 or parental consent45 laws
Having previously stricken the Parental Consent Act and now holding the Parental Notification Law unconstitutional places Alaska out of the mainstream of accepted limits on the right to privacy and equal protection51 and shows a marked disrespect to the people‘s and the legislature‘s expression of the State‘s interests in both the health and well-being of its minor citizens and the minors’ parents’ rights to be informed and involved in their daughters’ decision making.
IV. THE RIGHT TO PRIVACY
While I agree with that part of the concurrence‘s equal protection discussion concluding that the two classes of pregnant minors are not similarly situated, I disagree with the concurrence‘s conclusion that the Parental Notification Law violates the
I disagree with the concurrence‘s statement that the Parental Notification Law “does not achieve its goals using the least restrictive means.”55 Whether a method is the least restrictive means of achieving the State‘s compelling interests is in the eye of the beholder. What one judge or policymaker considers to be the least restrictive means of achieving a given goal may not seem to be the least restrictive means to another judge or policymaker. Based on their individual experiences, how they weigh the given evidence, and their personal values, whether one policy is less restrictive than another typically comes down to a value judgment.
The Alaska Supreme Court‘s pеrsistent use of an ever-narrowing means-to-end test in these parental consent and notification cases demonstrates that when the test passes the limits of reason and common sense, the test loses whatever legitimacy it (may have) once possessed. The quest to discover “lesser restrictive means” to achieve the State‘s compelling interests at some point becomes self-fulfilling—there can always be found some lesser alternative that might have been employed, and thus every legislative enactment touching upon abortion can be held unconstitutional—whether under the rubric of right to privacy or equal protection. The court‘s “lesser restrictive alternative” analysis today reminds me of Zeno‘s paradox of the race between the Tortoise and Achilles (purporting to prove that the faster runner can never win the race because, when one artificially divides the distance of the racecourse in half, then again in half, and again and again ad infinitum, the runner can never cross the finish line because there will always be some small incremental half-distance remaining).
In my view, once it is understood that the Parental Notification Law contains an effective, reasonably simple judicial bypass mechanism that will permit sufficiently mature minors to bypass parental notification,56 and provides for bypass if there is evidence of parental abuse,57 then the court should respect the people‘s and the legislature‘s policy decisions and line drawing with respect to the remaining details of the Notification Law. For example, the concurrence finds it objectionable that the legislature drew a line at age 16 in the Parental Consent Act58 but drew the line at age 18 in the Parental Notification Act.59 I do not find this difference to be of constitutional magnitude. Though a minor aged 16 to 17 is brought within the Notification Act, if she is sufficiently mature, or if there is evidence of parental abuse, then she will be able to bypass parental notification. I find this entirely reasonable and do not think it is the court‘s constitutional responsibility or prerogative to second guess this legislative policy call.
Even if the legislature does not explicitly include a severability clause in legislation, Alaska courts interpret legislation as though it includes a severability clause under
This court determines severability using a two-part test. “A provision will not be deemed severable ‘unless it appears both that, standing alone, legal effect can be given to it and that the legislature intended the provision to stand, in case others included in the act and held bad should fall.’ ”62 “The kеy question is whether the portion remaining, once the offending portion of the statute is severed, is independent and complete in itself so that it may be presumed that the legislature would have enacted the valid parts without the invalid part.”63
The concurrence identifies three major issues as being overbroad in addition to those that the superior court has already enjoined that are not on appeal. First, the concurrence states that the clear and convincing evidence standard of proof that the Parental Notification Law requires a minor to meet before she may bypass the Notification Law is one of the strictest in the country. Second, the concurrence suggests that the heavy burden the Notification Law places on physicians and families is overbroad compared to similar laws in other jurisdictions. The concurrence notes that a parent or guardian must show government identification and proof of their relationship to the minor before receiving notice. The concurrence also argues that the Parental Notification Law places physicians under a heavy burden, as they are required to both verify that the phone number they use to provide notice is that of the parent or guardian and to ask questions to verify the identity of the parent or guardian once the physician reaches them. Finally, the concurrence suggests that the Parental Notification Law is too expansive in scope because it applies to minors over the age of sixteen, while Planned Parenthood II only considered a notification law applicable to minors aged sixteen and younger.
I disagree with the concurrence‘s conclusions that this law “does not demonstrate a serious effort at narrow tailoring” and that these aspects of the Parental Notification Law are overbroad. As just one example, consider the clear and convincing evidence standard, which requires a minor to make certain showings by clear and convincing evidence before bypassing the Notification Law. Practically, this standard is no more strict than similar laws in other states. When a minor seeking a judicial bypass appears before the court alleging she is sufficiently mature to make her own decision, she in all probability will be the only witness present. Her testimony will be persuasive on the merits or it will not be. If it is persuasive to the court, it will be found to be clear and convincing; if it is found unpersuasive, the testimony would not meet the preponderance of the evidence standard.
Furthermore, the superior court has already enjoined certain portions of the Parental Notification Law while upholding others. The superior court enjoined the civil liability portion of the statute as well as the personal-notice-by-physician provision. There is no reason to think that the clear and convincing
If these provisions are severed, the heart of this legislation remains — the requirement that parents of a minor seeking an abortion be notified of their daughter‘s choice. The other issues the concurrence raises are merely side issues.
The Alaska Legislature and the voters of this state have exerted substantial efforts to pass some form of parental involvement law.64 I have little difficulty concluding that they would prefer this court save the Parental Notification Law by severing certain non-integral provisions if at all possible, and I believe we could do so.
V. CONCLUSION
For all of these reasons, I dissent from the majority opinion‘s equal protection analysis and I disagree with the concurring opinion‘s right to privacy analysis.
Notes
It is ironic, at the least, that the majority today must disavow precedent even with respect to the standard of review in order to also disavow its approval of a parental notification law repeatedly championed in Planned Parenthood II. The law on the standard of review had been settled and is straightforward: whether the two groups are similarly situated has been traditionally understood to be a question of fact. Now the majority unjustifiably uses its “independent judgment” to “clarify” the law to avoid applying the clearly erroneous standard of review to the superior court‘s factual finding that minors seeking abortions are not similarly situated to minors who want to carry their pregnancies to term.
Schmidt, 323 P.3d at 655 (” ‘Whether two entities are similarly situated is generally a question of fact,’ reviewed for clear error.” (quoting Alaska Inter-Tribal Council v. State, 110 P.3d 947, 967 (Alaska 2005))).
An individual designated by the physician may initiate the notification process, but the actual notice shall be given by the physician. The physician giving notice of the abortion must document the notice or attempted notice in the minor‘s medical record and take reasonable steps to verify that the person to whom the notice is provided is the pаrent, legal guardian, or custodian of the minor seeking an abortion. Reasonable steps to provide notice must include (1) if in person, requiring the person to show government-issued identification along with additional documentation of the person‘s relationship to the minor; additional documentation may include the minor‘s birth certificate or a court order of adoption, guardianship, or custodianship; (2) if by telephone, initiating the call, attempting to verify through a review of published telephone directories that the number to be dialed is that of the minor‘s parent, legal guardian, or custodian, and asking questions of the person to verify that the person‘s relationship to the minor is that of parent, legal guardian, or custodian; when notice is attempted by telephone [but is unsuccessful, the physician or designee] shall continue to initiate the call, in not less than two-hour increments, for not less than five attempts, in a 24-hour period.
171 P.3d 577, 584 (Alaska 2007). Id.may provide constructive notice to the minor‘s parent, legal guardian, or custodian. Constructive notice is considered to have been given 48 hours after the certified notice is mailed. In this subsection, “constructive notice” means that notice of the abortion was provided in writing and mailed by certified mail, delivery restricted to addressee only, to the last known address of the parent, legal guardian, or custodian after taking reasonable steps to verify the mailing address.
See(A) that [she] is sufficiently mature and well enough informed to decide intelligently whether to have an abortion without notice to a parent, legal guardian, or custodian; or (B) that one or both of the minor‘s parents or the minor‘s guardian or custodian was engaged in physical abuse, sexual abuse, or a pattern of emotional abuse against the minor. . . .
505 U.S. at 849, 112 S.Ct. 2791.Men and women of good conscience can disagree, and we suppose some always shall disagree, about the profound moral and spiritual implications of terminating a pregnancy, even in its earliest stage. Some of us as individuals find abortion offensive to our most basic principles of morality, but that cannot control our decision. Our obligation is to define the liberty of all, not to mandate our own moral code.
