Abortion in Georgia (U.S. state)

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Abortion in Georgia is legal up to the detection of an embryonic heartbeat, which typically begins in the 5th or 6th week after the onset of the last menstrual period (LMP) or in two to three weeks after implantation. [1] This law came into force on July 20, 2022, almost a month after the U.S. Supreme Court's Dobbs v. Jackson Women's Health Organization , No. 19-1392 , 597 U.S. ___(2022) ruling. [2] [3] In 2007, mandatory ultrasound requirements were passed by state legislators. Georgia has continually sought to legislate against abortion at a state level since 2011. The most recent example, 2019's HB 481, [4] sought to make abortion illegal as soon as an embryonic (or fetal) heartbeat can be detected; in most cases that is around the six-week mark of a pregnancy. Many women are not aware they are pregnant at this time. [5] An injunction was issued against this bill by a federal judge, who ruled that it contravened the Supreme Court's 1973 ruling. A poll conducted by the Pew Research Center in 2014 found that 49% of Georgians believed abortions should be illegal in all or most cases vs 48% legal in all or most cases. [6]

Contents

The number of abortion clinics has been on the decline for many years, going from 82 in 1982 to 55 in 1992 and further falling to 17 in 2014. Due to tight restrictions in neighboring states, as well as cost issues, thousands of women come from out of state to have abortions in Georgia. There were 30,013 legal abortions in 2014, and 31,009 in 2015. 14.5% of all abortions carried out in 2015 were for out of state residents. [7] There is an active abortion rights movement in the state. This received a surge in donations following the passing of the state's controversial 2019 bill. Women from the state participated in marches supporting abortion rights as part of a #StoptheBans movement in May 2019. On July 20, 2022, this six-week abortion ban became law, instituting the current ban after the detection of an embryonic heartbeat. [1]

Abortions after the fifth or sixth week of pregnancy are decriminalized in the Georgia cities of Atlanta [8] and Savannah. [9]

History

Thousands of women came from out of state in 2015 to get abortions in North Carolina and Georgia. 14.5% of all abortions in Georgia that year were for out-of-state residents, while 7.5% of all abortions performed in North Carolina were performed for out-of-state residents. This contrasted to neighboring South Carolina, where only 5.9% of abortions performed in the state involved out-of-state residents.

Status of the "heartbeat bills", i.e. abortion bans at around 6 weeks, by state (exceptions not marked):
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Heartbeat bills supplemented or rendered moot by abortion bans at all stages
Abortion bans at all stages, but heartbeat bills blocked
Other states with abortion bans at all stages, or states without abortion providers
Heartbeat bill in force, without total abortion bans
Heartbeat law partially passed by state legislature
Law passed but blocked or struck down by court order Heartbeat Bill.svg
Status of the "heartbeat bills", i.e. abortion bans at around 6 weeks, by state (exceptions not marked):
  Heartbeat bills supplemented or rendered moot by abortion bans at all stages
  Abortion bans at all stages, but heartbeat bills blocked
  Other states with abortion bans at all stages, or states without abortion providers
  Heartbeat bill in force, without total abortion bans
  Heartbeat law partially passed by state legislature
  Law passed but blocked or struck down by court order

In the late 1960s and early 1970s, Arkansas, Colorado, Georgia, Maryland, New Mexico, North Carolina and Oregon made reforms to their abortion laws, with most of these states providing more detailed medical guidance on when therapeutic abortions could be performed. [10] In 1962, the American Law Institute published their model penal code as it applied to abortions with three circumstances where they believed a physician could justifiably perform an abortion, "If ... there is substantial risk that the continuance of the pregnancy would gravely impair the physical or mental health of the mother or that the child would be born with grave physical or mental defect, or that the pregnancy resulted from rape, incest, or other felonious intercourse." In 1968, Georgia implemented a version of this but created an exception where they did not allow abortion in the case of incest. [11]

The state passed a law in the 2000s banning abortions at 22 weeks because they alleged that fetuses can feel pain. [12] The state was one of 23 states in 2007 to have a detailed abortion-specific informed consent requirement. [13] Georgia, Michigan, Arkansas and Idaho all required that women must be provided the option by an abortion clinic to view an image of their fetus if an ultrasound is used prior to the abortion taking place. [14] Informed consent materials about fetal pain at 20-weeks in Arkansas, Georgia and Oklahoma say, "the unborn child has the physical structures necessary to experience pain."  The Journal of the American Medical Association has concluded that pain sensors do not develop in the fetus until between weeks 23 and 30. [14] Georgia and Wisconsin were two of the only 22 states with written informed consent materials referring women to "crisis pregnancy centers" which acknowledged these centers did not support or provide women with abortion related services. [14]

In 2011, the state was one of six where the legislature introduced a bill that would have banned abortion in almost all cases. It did not pass. [15] This was repeated in 2012, where the state was one of three to unsuccessfully try to ban abortion. [15]

The law as of March 2019 required that women wait 24 hours after their initial appointment for an abortion before they could have a second appointment for the actual procedure. This could be waived in case of medical emergency, allowing a woman to receive mandatory counseling over the phone or via a website. [16] State law at the time prohibited health insurance companies on public exchanges from offering abortion services unless the life of the woman was at risk. [16]

Georgia had a six-week abortion ban slated to go into effect in 2019, which would have made it illegal to obtain an abortion in the state once embryonic or fetal cardiac electrical activity could be detected. The law made no exception for cases of rape or incest and mandated a penalty in prison for doctors who perform the procedure, but noted specifically that this was not referring to the women who get this procedure done. [17] Rep. Ed Setzler introduced that law, HB 481, in the Georgia House of Representatives on February 25, 2019. [18] During his campaign for Governor, Brian Kemp, now the Governor of Georgia, "vow[ed] to sign the toughest abortion laws in the country" and when asked about litigation, said, "bring it! I'll fight for life at the Capitol and in the courtroom." [19] After being passed in the House on March 7, 2019, HB 481 was passed out of a Senate committee on March 18, 2019. [20] [21] It was subsequently passed by the entire state Senate, after which it was narrowly passed by the House 92–78. [22] The bill was signed by Governor Kemp on May 7, 2019. [23] Georgia was one of several states passing similar bills in April and May 2019, alongside Missouri, Louisiana, and Alabama. [24] However, the American Civil Liberties Union, Planned Parenthood and the Center for Reproductive Rights sued the state in June 2019 and sought an injunction against enforcement of the bill before it would go into effect in January 2020. The case was heard in the United States District Court for the Northern District of Georgia under Judge Steve C. Jones. Jones ruled in favor of the injunction to block enforcement in his decision in October 2019, stating "By banning pre-viability abortions, H.B. 481 violates the constitutional right to privacy, which, in turn, inflicts per se irreparable harm on Plaintiffs." [25] In July 2020, the bill was ruled unconstitutional by Judge Jones. [26]

In June 24, 2022, the Atlanta City Council passed a resolution to decriminalize abortion after the sixth week of pregnancy. [8]

In an audio from a campaign stop in Blakely on October 13, 2022, Governor Brian Kemp said he "liked the idea" of a "statewide ban on the destruction of embryos" regardless of the reason or the health risk to the mother.

Following the overturn of Roe v. Wade in 2022, the United States maternal and infant mortality rate rose for the first time in 20 years. More than 30 states saw at least slight rises in infant mortality rates in 2022, but four had statistically significant increases - Georgia, Iowa, Missouri and Texas. [27]

Judicial history

The US Supreme Court's decision in 1973's Roe v. Wade ruling meant the state could no longer regulate abortion in the first trimester. [10] [28] However, the Supreme Court overturned Roe v. Wade in Dobbs v. Jackson Women's Health Organization , No. 19-1392 , 597 U.S. ___(2022) later in 2022. [2] [3] In 1973, the US Supreme Court also ruled in a case named Doe v. Bolton . The 7–2 ruling invalidated the law in Georgia that said a woman needed to seek and attain permission from three physicians before she could have an abortion performed on her. The Court said Georgia's law put too many restrictions on women seeking to get abortions, making it unconstitutional. [28] [29]

Number of abortion clinics in Georgia by year Number of abortion clinics in Georgia by year.png
Number of abortion clinics in Georgia by year

After HB 481 was passed in May 2019, the American Civil Liberties Union, Planned Parenthood, and the Center for Reproductive Rights sued the state and sought an injunction against enforcement of the ban before it would go into effect in January 2020. The case was heard in the United States District Court for the Northern District of Georgia under Judge Steve C. Jones. Jones ruled in favor of the injunction to block enforcement in his decision in October 2019, stating "By banning pre-viability abortions, H.B. 481 violates the constitutional right to privacy, which, in turn, inflicts per se irreparable harm on Plaintiffs." [25]

The Georgia Supreme Court on November 23, 2022 reinstated the state’s ban on abortions for fetal process after 6 weeks of pregnancy. The decision was made based on scientific processes where cardiac activity is detected via ultrasound around 6 weeks in the pregnancy stage. [30] On October 24, 2023, considering a challenge to the ban, the Georgia Supreme Court upheld the ban and sent the case back to Fulton County Superior Court. [31]

Statistics

In the period between 1972 and 1974, the state had an illegal abortion mortality rate per million women aged 15–44 of between 0.1 and 0.9. [32] In 1990, 796,000 women in the state faced the risk of an unintended pregnancy. [33] In 2010, the state had eight publicly funded abortions, of which all eight were federally funded. [34] In 2014, 49% of adults said in a poll by the Pew Research Center that abortion should be illegal in all or most cases with 48% believing it should be legal. [6]

According to a 2020 study, the 22-week law reduced the number of abortions after 21 weeks. [35]

Number of reported abortions, abortion rate and percentage change in rate by geographic region and state in 1992, 1995 and 1996 [36]
Census division and stateNumberRate % change 1992–1996
199219951996199219951996
South Atlantic269,200261,990263,60025.924.624.7–5
Delaware5,7305,7904,09035.234.424.1–32
District of Columbia21,32021,09020,790138.4151.7154.512
Florida84,68087,50094,0503030327
Georgia39,68036,94037,3202421.221.1–12
Maryland31,26030,52031,31026.425.626.30
North Carolina36,18034,60033,55022.42120.2–10
South Carolina12,19011,0209,94014.212.911.6–19
Virginia35,02031,48029,94022.72018.9–16
West Virginia3,1403,0502,6107.77.66.6–14
Number, rate, and ratio of reported abortions, by reporting area of residence and occurrence and by percentage of abortions obtained by out-of-state residents, US CDC estimates
LocationResidenceOccurrence % obtained by

out-of-state residents

YearRef
No.Rate^Ratio^^No.Rate^Ratio^^
Georgia39,680241992 [36]
Georgia36,94021.21995 [36]
Georgia37,32021.11996 [36]
Georgia26,56312.620330,01314.322912.32014 [37]
Georgia26,83512.720431,00914.623614.52015 [7]
Georgia29,63113.922833,81115.926013.42016 [38]
^number of abortions per 1,000 women aged 15–44; ^^number of abortions per 1,000 live births

Abortion Rights Views and Activities

Following the leak of the overturning of Roe v. Wade on May 2, 2022, in Georgia there were protests in Athens, Atlanta, and Savannah. On May 21, a protest occurred in Augusta. When Roe v. Wade was overturned on June 24, 2022, hundreds of abortion rights protestors gathered in Atlanta. [39] A group of abortion rights protestors stayed on the Georgia State Capitol steps for over a week following the protests. [40]

Anti-Abortion Views and Activities

Violence

Eric Robert Rudolph admitted, as part of a plea deal for the Centennial Olympic Park bombing at the 1996 Olympic Games to placing a pair of bombs that exploded at the Northside Family Planning Services clinic in the Atlanta suburb of Sandy Springs in January 1997, in addition to a bombing at a clinic in Birmingham, Alabama in 1998 that killed an off-duty police officer. He was found guilty of the crimes and received four consecutive life sentences as a result. [41]

Footnotes

    Related Research Articles

    A six-week abortion ban, also called a "fetal heartbeat bill" by proponents, is a law in the United States which makes abortion illegal as early as six weeks gestational age, which is when proponents falsely claim that a "fetal heartbeat" can be detected. Medical and reproductive health experts, including the American Medical Association and the American College of Obstetricians and Gynecologists, say that the reference to a fetal heartbeat is medically inaccurate and intentionally misleading because a conceptus is not called a fetus until eight weeks after fertilization, as well as that at four weeks after fertilization, the embryo has no heart, only a group of cells which will become a heart. Medical professionals advise that a true fetal heartbeat cannot be detected until around 17 to 20 weeks of gestation when the chambers of the heart have become sufficiently developed.

    Abortion in Oklahoma is illegal unless the abortion is necessary to save the life of a pregnant woman.

    The Georgia House Bill 481 was an American anti-abortion law passed in 2019 that sought to prevent physicians in the U.S. state of Georgia from performing abortions beyond six weeks, except in special situations. The bill was strongly criticized and, notably, many celebrities in Hollywood threatened to boycott the state of Georgia if it were passed. Passed in 2019, it was initially ruled unconstitutional in July 2020. That ruling was reversed, however, in July 2022.

    Abortion in Alabama is illegal. Under section 26-23H-4 of the Code of Alabama in the U.S. state of Alabama, it is unlawful for an abortion to be performed unless it is deemed absolutely necessary in order to prevent a serious health risk to the pregnant woman. There are no exceptions for rape or incest.

    Abortion in Louisiana is mostly illegal as of August 1, 2022.

    Abortion in Missouri is illegal, with abortions only being legal in cases of medical emergency and several additional laws making access to abortion services difficult. In 2014, a poll by the Pew Research Center found that 52% of Missouri adults said that abortion should be legal vs. 46% that believe it should be illegal in all or most cases. According to a 2014 Public Religion Research Institute (PRRI) study, 51% of white women in the state believed that abortion is legal in all or most cases.

    Abortion in Arkansas is illegal except when it is necessary to save the life of the mother. Doctors determined to have performed an abortion face up to 10 years in prison and fines up to $100,000.

    Abortion in Delaware is legal up to the point of fetal viability. 55% of adults said in a poll by the Pew Research Center that abortion should be legal and 38% stated it should be illegal in all or most cases. There was a therapeutic exceptions in the state's legislative ban on abortions by 1900. Informed consent laws were on the books by 2007. In 2017, Senator Bryan Townsend, D-Newark introduced legislation to try to make clear that abortion would remain legal in the state in case 1973's Roe v. Wade ruling was overturned. The legislation was subsequently updated. Attempts have been made to introduce mandatory ultrasound laws, but they failed to get out of committee. State legislators tried to move ahead the week at which a woman could get a legal abortion in 2019.

    Abortion in Idaho is illegal from fertilization. Following the overturning of Roe v. Wade on June 24, 2022, abortion in Idaho was criminalized by the trigger law which states that a person who performs an abortion may face two to five years of imprisonment. The ban allows exceptions for maternal health, rape and incest within the first trimester. The law took effect on August 25, 2022.

    Abortion in Kansas is legal. Kansas law allows for an abortion up to 20 weeks postfertilization. After that point, only in cases of life or severely compromised physical health may an abortion be performed, with this limit set on the belief that a fetus can feel pain after that point in the pregnancy. The state also had detailed abortion-specific informed consent requirement by 2007. Targeted Regulation of Abortion Providers (TRAP) law applied to medication-induced abortions and private doctor offices in addition to abortion clinics were in place by 2013. In 2015, Kansas became the first state to ban the dilation and evacuation procedure, a common second-trimester abortion procedure. State laws about abortion have been challenged at the Kansas Supreme Court and US Supreme Court level. On August 2, 2022, Kansas voters rejected a constitutional amendment that would have allowed the Republican-controlled legislature to restrict or ban abortion in Kansas, following the overturning of Roe v. Wade.

    Abortion in Kentucky is illegal. There were laws in Kentucky about abortion by 1900, including ones with therapeutic exceptions. In 1998, the state passed legislation that required clinics to have an abortion clinic license if they wanted to operate. By the early 2010s, members of the Kentucky Legislature attempted to ban abortion in almost all cases and had also introduced the early abortion bans. Prior to 2019, Kentucky law prohibited abortions after week 22. This changed when the state legislature passed a law that moved the prohibition to week 6 in the early part of the year. In that year, 57% of people in Kentucky said abortion should be "illegal in all or most cases." A bill passed and made effective in April 2022 lowered the threshold to 15 weeks, the second most restrictive limit in effect in the United States behind Texas, and introduced regulations that made abortion illegal until it was blocked in federal court.

    Abortion in Maine is legal throughout all stages of pregnancy. According to a poll by the Pew Research Center, 64% of adults said that abortion should be legal with 33% stating that it should be illegal in all or most cases.

    Abortion in Minnesota is legal at all stages of pregnancy. The Minnesota Supreme Court ruled the Minnesota Constitution conferred a right to an abortion in 1995 and the DFL-led Minnesota Legislature passed and Minnesota Governor Tim Walz signed into law a bill in 2023 to recognize a right to reproductive freedom and preventing local units of government from limiting that right, making Minnesota the first state in the nation in the post-Roe era to ensure residents have a legal right to an abortion.

    Abortion in Mississippi is illegal. The new law took effect on July 7, 2022, after Mississippi State Attorney General Lynn Fitch certified on June 27, the Supreme Court decision on Dobbs v. Jackson Women's Health Organization on June 24 of that year.

    Abortion in North Dakota is illegal. The state's sole abortion clinic relocated to Minnesota.

    Abortion in South Carolina is legal up to when an embryonic heartbeat can be detected, usually around 6 weeks gestation. On May 25, 2023, Governor Henry McMaster signed a 6-week ban, and it took effect immediately. The ban was indefinitely blocked in court on May 26, and reinstated by the South Carolina Supreme Court on August 23.

    Abortion in Tennessee is illegal from fertilization, except to "prevent the death of the pregnant woman or to prevent serious risk of substantial and irreversible impairment of a major bodily function of the pregnant woman".

    Abortion in Utah is legally performed under a temporary restraining order blocking enforcement of the state's trigger law, which bans abortion. According to HB136, which is effective state law from June 28, 2022, abortions are banned following 18 weeks of gestation. Abortion was banned following the Supreme Court case, Dobbs v. Jackson Women's Health Organization on June 24, 2022. Utah State Legislation enacted SB 174 in May 2020, which, upon the overturn of Roe v. Wade, made inducing an abortion a second-degree felony. The law includes exceptions for pregnancies "caused by rape or incest," pregnancies that put the mother's life at risk, or "if two doctors say the fetus has a lethal defect." Rape and incest exceptions will only be viable if the crimes were previously reported to law enforcement officials.

    Abortion in Wisconsin has been legal since September 18, 2023, and is performed in Madison, Milwaukee and Sheboygan through 22 weeks gestation. However, elective abortions in Wisconsin are under dispute after the overturning of Roe v. Wade by the Supreme Court of the United States on June 24, 2022. Abortion opponents cite an 1849 law that they claim bans the procedure in all cases except when the life of the mother is in danger. However, lower level courts have argued that the law only applies to infanticide and not consensual abortions. The enforceability of the law is disputed and being considered by the state courts. Planned Parenthood of Wisconsin announced that they would resume abortion services in Madison and Milwaukee on September 18, 2023. Planned Parenthood of Wisconsin later announced that they would resume abortion services in Sheboygan on December 28, 2023.

    Abortion in Wyoming is currently legal due to a temporary court injunction.

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