Abortion in Georgia is illegal after detection of embryonic cardiac-cell activity, [1] which typically begins in the fifth or sixth week after the onset of the last menstrual period (LMP), two to three weeks after implantation. [2] [3] Although this law was ruled unconstitutional by a Georgia superior court judge on September 30, 2024, [4] it remains in effect while the state appeals the ruling. [5]
The 6-week abortion ban 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. [6] [7] 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, [8] sought to make abortion illegal as soon as embryonic cardiac-cell activity can be detected; in most cases that is around the six-week mark of a pregnancy. 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. [9] The 2023 American Values Atlas reported that, in their most recent survey, 63% of Georgians said that abortion should be legal in all or most cases. [10]
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. [11] 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.
Concerns have been raised over preventable deaths due to the Georgia abortion ban. A Georgia maternal mortality review committee concluded in 2024 that the deaths of two pregnant mothers were preventable and that they were unable to receive the appropriate health care due to the state's abortion ban. [12]
Abortions after the fifth or sixth week of pregnancy are decriminalized in the Georgia cities of Atlanta [13] and Savannah. [14]
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.
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. [15] 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. [16]
The state passed a law in the 2000s banning abortions at 22 weeks because they alleged that fetuses can feel pain. [17] The state was one of 23 states in 2007 to have a detailed abortion-specific informed consent requirement. [18] 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. [19] 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. [19] 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. [19]
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. [20] This was repeated in 2012, where the state was one of three to unsuccessfully try to ban abortion. [20]
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. [21] 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. [21]
Georgia had an approximately 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 cardiac-cell 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. [22] Rep. Ed Setzler introduced that law, HB 481, in the Georgia House of Representatives on February 25, 2019. [23] 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." [24] After being passed in the House on March 7, 2019, HB 481 was passed out of a Senate committee on March 18, 2019. [25] [26] It was subsequently passed by the entire state Senate, after which it was narrowly passed by the House 92–78. [27] The bill was signed by Governor Kemp on May 7, 2019. [28] Georgia was one of several states passing similar bills in April and May 2019, alongside Missouri, Louisiana, and Alabama. [29] Many women do not yet know that they are pregnant at 6 weeks since the woman's last menstrual period. [3]
On June 24, 2022, the Atlanta City Council passed a resolution to decriminalize abortion after the sixth week of pregnancy. [13]
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. [30]
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. [15] [31] 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. [6] [7] 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. [31] [32]
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." [33]
The Georgia Supreme Court on November 23, 2022, reinstated the state's ban on abortions after approximately 6 weeks of gestation (3 weeks of pregnancy). The limit is when embryonic cardiac-cell activity is detected via ultrasound. [34] 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, [35] which on September 30, 2024 ruled the ban unconstitutional and permanently enjoined it. [36] Fulton Superior Judge Robert McBurney struck down the law and ruled that it violated the state constitution. [37] [38] However, on October 7, the Georgia Supreme Court reinstated the ban, effective immediately, while the court considered an appeal. [5]
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. [39] In 1990, 796,000 women in the state faced the risk of an unintended pregnancy. [40] In 2010, the state had eight publicly funded abortions, of which all eight were federally funded. [41] 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. [9]
According to a 2020 study, the 22-week law reduced the number of abortions after 21 weeks. [42]
Census division and state | Number | Rate | % change 1992–1996 | ||||
---|---|---|---|---|---|---|---|
1992 | 1995 | 1996 | 1992 | 1995 | 1996 | ||
South Atlantic | 269,200 | 261,990 | 263,600 | 25.9 | 24.6 | 24.7 | –5 |
Delaware | 5,730 | 5,790 | 4,090 | 35.2 | 34.4 | 24.1 | –32 |
District of Columbia | 21,320 | 21,090 | 20,790 | 138.4 | 151.7 | 154.5 | 12 |
Florida | 84,680 | 87,500 | 94,050 | 30 | 30 | 32 | 7 |
Georgia | 39,680 | 36,940 | 37,320 | 24 | 21.2 | 21.1 | –12 |
Maryland | 31,260 | 30,520 | 31,310 | 26.4 | 25.6 | 26.3 | 0 |
North Carolina | 36,180 | 34,600 | 33,550 | 22.4 | 21 | 20.2 | –10 |
South Carolina | 12,190 | 11,020 | 9,940 | 14.2 | 12.9 | 11.6 | –19 |
Virginia | 35,020 | 31,480 | 29,940 | 22.7 | 20 | 18.9 | –16 |
West Virginia | 3,140 | 3,050 | 2,610 | 7.7 | 7.6 | 6.6 | –14 |
Location | Residence | Occurrence | % obtained by out-of-state residents | Year | Ref | ||||
---|---|---|---|---|---|---|---|---|---|
No. | Rate^ | Ratio^^ | No. | Rate^ | Ratio^^ | ||||
Georgia | 39,680 | 24 | 1992 | [43] | |||||
Georgia | 36,940 | 21.2 | 1995 | [43] | |||||
Georgia | 37,320 | 21.1 | 1996 | [43] | |||||
Georgia | 26,563 | 12.6 | 203 | 30,013 | 14.3 | 229 | 12.3 | 2014 | [44] |
Georgia | 26,835 | 12.7 | 204 | 31,009 | 14.6 | 236 | 14.5 | 2015 | [11] |
Georgia | 29,631 | 13.9 | 228 | 33,811 | 15.9 | 260 | 13.4 | 2016 | [45] |
^number of abortions per 1,000 women aged 15–44; ^^number of abortions per 1,000 live births |
Exceptions to the previous 6-week abortion ban were only allowed in cases of immediate risk to the life of the pregnant individual. However, doctors delayed or denied care due to the vague nature of the medical exceptions in the ban. [46]
On August 19, 2022, 28-year old Amber Thurman of suburban Atlanta died of septic shock due to complications from a chemical abortion. [47] [48] [49] The hospital waited too long to provide a dilation and curettage (D&C). [50] A maternal mortality review committee concluded that Ms. Thurman's death was preventable. [50] In Georgia, a D&C abortion is a felony, unless it is performed under certain circumstances, and a doctor can face up to 10 years in jail for performing it. [51] While the Georgia law HB481 [52] does not specifically name D&C procedures as illegal, it generalizes to include procedures that stop the heartbeat of a fetus. The ProPublica article [50] does not discuss whether the State of Georgia's Maternal Mortality Review Committee findings on this case uncovered delays due to concerns about prosecution under this law. The ProPublica article states only that the committee found delays in the procedure likely contributed to the death of the patient. It is not apparent from ProPublica's reporting as to whether this committee considered why doctors delayed the surgery. Subsequent to the ProPublica story published in September 2024, the story garnered significant political attention in October 2024 as part of the U.S. Presidential election race, most notably following comments by the Republican Presidential Candidate Donald Trump on a Fox News 'Town Hall' broadcast in Georgia anchored by host Harris Faulkner [53] and a subsequent speech by Democratic Presidential Candidate Kamala Harris at a political rally in Georgia. [54]
On November 12, 2022, 41-year old Candi Miller of Atlanta died due to a lethal combination of painkillers in her system after performing a self-managed abortion at home. Her family stated that she did not seek any medical attention throughout her pregnancy due to fear of jail time under Georgia's abortion ban. A maternal mortality review committee concluded that her death was preventable. [55]
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. [30]
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 pro-abortion rights protestors gathered in Atlanta. [56] A group of pro-abortion rights protestors stayed on the Georgia State Capitol steps for over a week following the protests. [57]
In Atlanta, Georgia in October 2023, pro-abortion rights protesters marched in the Atlanta Pride Parade and the Little Five Points Halloween Parade. [58]
In Atlanta, Georgia on September 21 and September 28, 2024, rallies and vigils for Amber Thurman and Candi Miller were held outside of the Georgia Supreme Court and the Georgia Capitol Building, to demand the repeal of Georgia's 6-week abortion ban and the legalization of abortion nationwide. [59] [60]
After the release of the Supreme Court draft opinion that would overturn Roe v. Wade, anti-abortion activists rallied in Atlanta. [61]
Eric Robert Rudolph was convicted for the 1996 Centennial Olympic Park bombing, the 1997 bombing of an abortion clinic in suburban Atlanta and the 1998 bombing of an abortion clinic in Birmingham, Alabama that killed an off duty police officer. He was found guilty of the crimes and received two life sentences as a result. [62]
Abortion in Oklahoma is illegal unless the abortion is necessary to save the life of a pregnant individual.
Abortion in Texas is illegal in most cases. There are nominally exceptions to save the mother's life, or prevent "substantial impairment of major bodily function", but the law on abortion in Texas is written in such an ambiguous way that life-threatening or harmful pregnancies do not explicitly constitute an exception. Attempts to clarify and codify these exceptions into law have been rejected by Republican lawmakers in Texas.
The Georgia House Bill 481, formally named the Living Infants Fairness and Equality (LIFE) Act, is 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. Historically, Alabama's abortion laws have evolved from strict regulations in the late 19th and early 20th centuries to a period of liberalization following the landmark 1973 Supreme Court decision in Roe v. Wade, which legalized abortion nationwide. However, Alabama has consistently enacted legislation aimed at restricting access to abortion.
Abortion in Missouri is legal up to the point of fetal viability as a result of 2024 Missouri Amendment 3.
Abortion in Arkansas is illegal except when it is necessary to save the life of the pregnant individual. Doctors determined to have performed an abortion face up to 10 years in prison and fines up to $100,000.
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 Maine is legal, although terminations after fetal viability can only be performed if a physician determines it to be medically necessary. 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 Michigan is legal throughout pregnancy. A state constitutional amendment to explicitly guarantee abortion rights was placed on the ballot in 2022 as Michigan Proposal 22–3; it passed with 57 percent of the vote, adding the right to abortion and contraceptive use to the Michigan Constitution. The amendment largely prevents the regulation of abortion before fetal viability, unless said regulations are to protect the individual seeking an abortion, and it also makes it unconstitutional to make laws restricting abortions which would protect the life and health, physical and/or mental, of the pregnant individual seeking 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. State Attorney General Lynn Fitch's certification made Mississippi's 2007 'trigger law' go into effect and ban all abortions in the state, “except in the case where necessary for the preservation of the mother's life or where the pregnancy was caused by rape".
Abortion in North Dakota is technically legal, but with no current providers. The state's sole abortion clinic, the Red River Women's Clinic, relocated to Minnesota.
Abortion in Ohio is legal up to the point of fetal viability as a result of abortion rights being placed into the Ohio State Constitution by November 2023 Ohio Issue 1.
Abortion in South Carolina is illegal after detection of a "fetal heartbeat", usually around 6 weeks from the woman's last menstrual period, when many women are not yet aware that they are pregnant. 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 South Dakota is illegal. Anyone who induces an abortion is guilty of a Class 6 felony. An exception is included to "preserve the life of the pregnant female," given appropriate and reasonable medical judgment.
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". Tennessee is one of four states which prohibit abortion in their state constitution; alongside Alabama, Louisiana, and West Virginia.
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 Florida is generally illegal after six weeks from the woman's last menstrual period, This law came into effect in May 2024, being approved by Republican Governor Ron DeSantis following its passage in the Florida House of Representatives and the Florida Senate, with only Republican state legislators supporting and only Democratic state legislators opposing. Additionally, pregnant women are generally required to make two visits to a medical facility 24 hours apart to be able to obtain an abortion, in a law approved by Republican Governor Rick Scott in 2015.
Abortion in Iowa is illegal after detection of embryonic cardiac-cell activity. Embryonic cardiac-cell activity can be detected from around six weeks after the pregnant individual's last menstrual period, when many people are not yet aware that they are pregnant. Exceptions for the abortion ban after detected embryonic cardiac-cell activity include some instances of rape, incest, fetal abnormalities and threats to the pregnant individual's life.
Abortion in Wyoming is legal up to fetal viability. A temporary court injunction was filed against an attempted near total abortion ban in 2023, and a Wyoming judge struck down the abortion ban in 2024.
House Bill 481, which reduced the legal limit for abortions from 22 weeks to approximately 6 weeks from LMP […] Most people do not recognize they are pregnant before 6 weeks' gestation; thus, a law like HB481 creates widespread challenges to accessing abortion…
… six weeks into a pregnancy. That means most abortions in Georgia are effectively banned at a point before many women know they are pregnant.
The law banned abortion after fetal cardiac activity is detected, typically around six weeks of pregnancy and often before a woman knows she is pregnant.
… heartbeat of the fetus is detectable. That occurs around the sixth week of pregnancy, when many women do not yet know they are pregnant.
In Georgia, abortion is banned after six weeks of pregnancy, when most people do not yet know they are pregnant.
Many women do not know they are pregnant at six weeks of gestation.
State Rep. Ed Setzler on Monday introduced House Bill 481, which would outlaw abortions once a doctor can detect a heartbeat in the womb.
Before becoming governor, Brian Kemp campaigned on the promise to sign "the toughest abortion laws in the country." . . . I back Mississippi's ban on abortions after fifteen weeks and vow to sign the toughest abortion laws in the country as your next governor. If abortion rights activists want to sue me...bring it! I'll fight for life at the Capitol and in the courtroom.
It is not clear from the records available why doctors waited to provide a D&C to Thurman, though the summary report shows they discussed the procedure at least twice in the hours before they finally did.