Abortion is illegal in Kentucky. [1] [2] [3] 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. 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.
Effective upon Dobbs v. Jackson Women's Health Organization overruling of Roe v. Wade , Kentucky's trigger law, HB 148, [2] went into effect, prohibiting abortion except as necessary to prevent possible death or risk of permanent injury to the pregnant woman. On June 30, 2022, Jefferson County Circuit Judge Mitch Perry issued a temporary restraining order blocking enforcement of the state's abortion ban pending further hearings to determine if the ban violates the Kentucky Constitution. This order temporarily allowed both of Kentucky's elective abortion providers, which are both located in Louisville, to temporarily resume elective abortions. [4] Kentucky's trigger law banning abortions was reinstated on August 1, 2022. [5] [6]
The number of abortion clinics has declined over time, with eleven abortion clinics in 1982, nine in 1992, two in 2002, and one in 2017. There were 4,923 legal abortions in 2014, and 4,585 in 2015.
By the end of the 1800s, all states in the Union except Louisiana had therapeutic exceptions in their legislative bans on abortions. [7] In the 19th century, bans by state legislatures on abortion were about protecting the life of the mother given the number of deaths caused by abortions; state governments saw themselves as looking out for the lives of their citizens. [7]
In 1974, Kentucky adopted a law preventing public hospitals from performing abortion procedures except to protect the life of the mother. [8] The law was later ruled unconstitutional by the Sixth Circuit Court of Appeals, but the state legislature passed a new version of the law in 1980. [8] That law was challenged by the American Civil Liberties Union (ACLU) in 1987 after Kentucky Right to Life alleged that Owensboro-Daviess County Hospital had performed an abortion on the previous year in violation of the law. [8] The office of state Attorney General David L. Armstrong issued a non-binding opinion that the law was unconstitutional. [8] The ACLU dropped the case in 1989 after the U.S. Supreme Court upheld a similar law in Missouri in the case of Webster v. Reproductive Health Services . [9]
The 1981 unlawful abortion conviction of a Wayne County, Kentucky man put the issue of abortion before the Kentucky Supreme Court. [10] In 1983, the court ruled that the seven-month-old fetus killed by the man during an attack on his wife could not be defined as a person under the Model Penal Code. [10] In response to the court's ruling, Democratic State Representative Carl Nett introduced a fetal homicide bill in the 1986 General Assembly; the bill passed the House but was not considered in the Senate. [10]
During the 1982 Kentucky General Assembly, Democrat William I. Donnermeyer Sr. introduced a bill placing several restrictions and conditions on abortion; to wit: parental consent was required before an abortion could be performed on a minor, husbands must be informed if their wives underwent an abortion, a woman seeking an abortion must wait 24 hours before having the procedure and must be provided with information on fetal development and abortion alternatives, and doctors must document the reasons giving for a woman seeking an abortion. [11] Despite an opinion issued by then-Attorney General Steve Beshear holding that the law was not constitutional, it was enacted by the legislature. [11] The ACLU filed suit against the law in June 1982, preventing it from becoming effective on July 15 of that year. [11] In September 1984, U.S. District Judge Charles M. Allen struck down most of the law's provisions. [11] The 1986 General Assembly passed legislation again requiring parental consent for minors seeking abortions. [12] The law required the consent of only the custodial parent if the parents did not live together, and also allowed the minor to petition a district or circuit court for permission. [13] Judge Allen upheld this law in a 1988 ruling. [13]
In 1998, the General Assembly passed legislation that required clinics to have an Abortion Clinic License if they wanted to operate. Part of this was a requirement for a transfer agreement between the clinic and a hospital and ambulance. [14] Kentucky was one of 23 states in 2007 to have a detailed abortion-specific informed consent requirement. [15]
The Kentucky General Assembly was one of four states that tried and failed, to pass an early abortion ban bill in 2012 and again in 2014 when they were one of five states making the attempt. [16] In 2013, state Targeted Regulation of Abortion Providers (TRAP) law applied to medication-induced abortions in addition to abortion clinics. [17] Republican State Representative Joseph Fischer introduced the same bill with the same bill number (H.B. 132) on January 11, 2013. The bill was referred to the House Health and Welfare Committee on February 20, 2013; it did not advance out of the committee. [18] [19] They tried to ban abortion that year, one of five states to do so. Only North Dakota successfully passed such a law but it was later struck down by the courts. [16] Previous early abortion ban bills filed in Kentucky have failed to pass. An early abortion ban bill, HB 132, was introduced on January 7, 2014, by Representative Fischer. The bill was referred to the House Health and Welfare Committee on March 19, 2014; it did not advance out of the committee. [20] [21] The Lexington Herald-Leader described the situation in 2014: "Every year, anti-abortion bills sail out of the Republican-led Senate with huge majorities, only to get stuck in the House Health and Welfare Committee alongside anti-abortion bills filed in the House. Chairman Tom Burch, D-Louisville, is in favor of abortion rights, as is more than half of his committee. Burch keeps anti-abortion bills off the House floor, shielding the Democratic majority from votes that many prefer to avoid." [22]
They were one of six states to try again to ban abortion in 2017 and were one of eleven states again in 2018. [16]
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. [16] Two bills which seek to prohibit abortions after fetal cardiac activity is detected were filed in the Kentucky General Assembly in 2019. [23] State Senator Matt Castlen introduced SB 9 on January 8, 2019. [24] On February 14, 2019, SB 9 passed out of the Kentucky Senate by a 31–6 vote. [25] The bill was received in the House on February 15, 2019. [26] Damon Thayer, the Senate Republican floor leader said SB 9 "absolutely" was a priority for the chamber. He said he would be delighted if it became law and ended up before the U.S. Supreme Court as a means to overturn to Roe v. Wade . "It would be the pinnacle of my career," he said. [27] On March 14, 2019, the Kentucky House passed SB 9 by a vote of 71–19. [28] The next day the state's chapter of the ACLU filed a petition for a temporary restraining order preventing implementation of the ban. In EMW Women's Surgical Center v. Meier, the 6-week ban was stayed by the US District Judge David Hale. [29]
A similar bill by State Representative Robert Goforth was introduced in the Kentucky House of Representatives. The bill, HB 100, which was pre-filed on December 13, 2018, was referred to the Health and Family Services Committee on January 10, 2019. [30] When asked about the bill, Goforth, who announced his candidacy for Governor of Kentucky on January 8, 2019, the same day the bill was introduced, said he would be pleased if Kentucky or one of the other states considering similar measures enacted such a law and, in the event of the court challenge, took the case to the U.S. Supreme Court in an effort to overturn Roe v. Wade. [27]
On April 14, 2022, House Bill 3 [1] was passed by the predominately Republican legislature, overturning a veto by Democratic Governor Andy Beshear, and made effective immediately under an emergency clause. [31] Modeled after a similar ban in Mississippi, the bill banned all abortions in the state after 15 weeks post-conception and introduced a number of regulations and restrictions, including a prohibition on mailing abortion pills, new systems to certify, monitor and publicly name physicians who conduct abortion procedures, "dignified care for the terminated remains of pregnancy loss," and mandatory disclosure of patient information. [32] As the infrastructure was not in place for these new requirements, the two abortion clinics operating in Kentucky had to shut down, making abortion de facto illegal in the state. In response, abortion-rights activists sued the state to challenge the law, with Planned Parenthood and the ACLU stating that the law unconstitutionally bans abortion by introducing requirements that can't be followed or are too arduous to comply with and that it violates patient privacy protections; this led to the law being blocked in federal court later in 2022. [33] [34]
On June 24, 2022, the 2019 trigger law took effect after the ruling for Dobbs v. Jackson Women's Health Organization was delivered, which overturned Roe v. Wade . It made all abortions illegal except when medically mandatory to prevent the patient from dying or getting a "life-sustaining organ" permanently impaired. Both clinics in the state temporarily stopped providing abortions. [35] [36] On June 30, 2022, Jefferson County Circuit Judge Mitch Perry issued a temporary restraining order blocking enforcement of Kentucky's trigger law pending further hearings to determine if the ban violates the Kentucky Constitution. This order temporarily allowed both of Kentucky's elective abortion providers, which are both located in Louisville, to temporarily resume elective abortions. [4]
In November 2022, voters defeated a ballot question that would have amended the state constitution to clarify that the constitution does not protect abortion rights. [37]
The U.S. Supreme Court's decision in 1973's Roe v. Wade ruling meant the state could no longer regulate abortion in the first trimester. [7] EMW Women's Surgical Center took the state of Kentucky to court in 1998 over the need to have a license to run an abortion clinic. They lost their case in court. [14] In 2019, the courts issued an injunction to stop the recently passed 6-week abortion ban from coming into effect. [16] Similarly, a federal court temporary blocked House Bill 3 a week after it was passed following suits from pro-abortion advocates. [38] [39] 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. [40] [41] On June 30, 2022, Jefferson County Circuit Judge Mitch Perry issued a temporary restraining order blocking enforcement of the state's abortion ban pending further hearings to determine if the ban violates the Kentucky Constitution. This order temporarily allowed both of Kentucky's elective abortion providers, which are both located in Louisville, to temporarily resume elective abortions. [4] Both the Kentucky Court of Appeals and the Kentucky Supreme Court refused a request to dissolve the restraining order until August 1, 2022. [5] [6]
On February 16, 2023, the Kentucky Supreme Court ruled that abortion providers lacked standing to challenge the state's abortion ban, but did not elaborate on whether or not the Kentucky Constitution secured abortion rights. [42]
In December 2023, the ACLU filed a class action lawsuit challenging the state's near total abortion ban on behalf of a Kentucky woman. The suit stated that Kentucky's near-total abortion ban violated the plaintiff's right to privacy and self-determination under the state constitution. [43]
There were three or four abortion service providers in Louisville in 1981. That year, EMW Women's Surgical Center opened in the city. [14] In 1989, EMW Women's Surgical Center opened a satellite clinic in Lexington. Both clinics were run by Dr. Sam Eubanks and Dr. Ernest Marshall. Eubanks died in 2013. [14] Between 1982 and 1992, the number of abortion clinics in the state decreased by two, going from eleven in 1982 to nine in 1992. [44]
Since around 2002, the two EMW Women's Surgical Centers were the only abortion providers in the state. Other ones that had existed in the state had voluntarily closed. [14] In 2014, there were two abortion clinics in the state. [45] In 2014, 98% of the 120 counties in the state did not have an abortion clinic. That year, 74% of women in the state aged 15–44 lived in a county without an abortion clinic. [46]
In 2017, there were two Planned Parenthood clinics, neither of which offered abortion services, in a state with a population of 996,488 women aged 15–49. [47] North Dakota, Wyoming, Mississippi, Louisiana, Kentucky, and West Virginia were the only six states as of July 21, 2017, not to have a Planned Parenthood clinic that offered abortion services. [47] In early 2017, EMW Women's Surgical Center in Louisville was the only facility in the state of Kentucky that provided women with abortion services. Another clinic in Lexington run by the same organization had closed in January that year because it could not meet new licensing requirements. Kentucky's Republican Governor, Matt Bevin, worked to try to close EMW Women's Surgical Center in Louisville down. [14] In May 2019, the state was one of six states in the nation with only one abortion clinic. [48] Planned Parenthood Louisville started providing abortion services in 2020, [49] leading to the state having two providers, both in Louisville, that performed abortions until the near-total ban in 2022. [33]
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. [50] In 1990, 401,000 women in the state faced the risk of unintended pregnancy. [44] In 2010, the state had zero publicly funded abortions. [51] In 2013, among white women aged 15–19, there were 450 abortions, 170 abortions for black women aged 15–19, 30 abortions for Hispanic women aged 15–19, and 20 abortions for women of all other races. [52] In 2014, 36% of adults said in a poll by the Pew Research Center that abortion should be legal in all or most cases. [53] 57% of people in Kentucky said abortion should be "illegal in all or most cases". [54] According to a 2014 Public Religion Research Institute (PRRI) study, 60% of white women in the state believed that abortion be illegal in all or most cases. [55] In 2017, the state had an infant mortality rate of 6.5 deaths per 1,000 live births. [56]
Census division and state | Number | Rate | % change 1992–1996 | ||||
---|---|---|---|---|---|---|---|
1992 | 1995 | 1996 | 1992 | 1995 | 1996 | ||
Total | 1,528,930 | 1,363,690 | 1,365,730 | 25.9 | 22.9 | 22.9 | –12 |
East South Central | 54,060 | 44,010 | 46,100 | 14.9 | 12 | 12.5 | –17 |
Alabama | 17,450 | 14,580 | 15,150 | 18.2 | 15 | 15.6 | –15 |
Kentucky | 10,000 | 7,770 | 8,470 | 11.4 | 8.8 | 9.6 | –16 |
Mississippi | 7,550 | 3,420 | 4,490 | 12.4 | 5.5 | 7.2 | –42 |
Tennessee | 19,060 | 18,240 | 17,990 | 16.2 | 15.2 | 14.8 | –8 |
Location | Residence | Occurrence | % obtained by out-of-state residents | Year | Ref | ||||
---|---|---|---|---|---|---|---|---|---|
No. | Rate^ | Ratio^^ | No. | Rate^ | Ratio^^ | ||||
Kentucky | 10,000 | 11.4 | 1992 | [57] | |||||
Kentucky | 7,770 | 8.8 | 1995 | [57] | |||||
Kentucky | 8,470 | 9.6 | 1996 | [57] | |||||
Kentucky | 4,923 | 5.8 | 88 | 3,442 | 4.0 | 61 | 11.3 | 2014 | [58] |
Kentucky | 4,585 | 5.4 | 82 | 3,188 | 3.7 | 57 | 12.8 | 2015 | [59] |
Kentucky | 4,586 | 5.4 | 83 | 3,312 | 3.9 | 60 | 14.0 | 2016 | [60] |
^number of abortions per 1,000 women aged 15–44; ^^number of abortions per 1,000 live births |
Since 2005, an annual event called Cross the Bridge For Life has occurred in support of the pro-life movement in Newport, Kentucky. The event entails crossing the Purple People Bridge between Newport, Kentucky, and Cincinnati, Ohio, by thousands of attendees. [61]
Women from the state participated in marches supporting abortion rights as part of a #StoptheBans movement in May 2019. [62]
Following the overturn of Roe v. Wade on June 24, 2022, abortion rights protests were held in Louisville, [63] Lexington, [64] Frankfort, [65] Bowling Green [66] and Covington. [67]
This is a timeline of reproductive rights legislation, a chronological list of laws and legal decisions affecting human reproductive rights. Reproductive rights are a sub-set of human rights pertaining to issues of reproduction and reproductive health. These rights may include some or all of the following: the right to legal or safe abortion, the right to birth control, the right to access quality reproductive healthcare, and the right to education and access in order to make reproductive choices free from coercion, discrimination, and violence. Reproductive rights may also include the right to receive education about contraception and sexually transmitted infections, and freedom from coerced sterilization, abortion, and contraception, and protection from practices such as female genital mutilation (FGM).
The legality of abortion in the United States and the various restrictions imposed on the procedure vary significantly, depending on the laws of each state or other jurisdiction, although there is no uniform federal law. Some states prohibit abortion at all stages of pregnancy, with few exceptions; others permit it up to a certain point in a woman's pregnancy, while some allow abortion throughout a woman's pregnancy. In states where abortion is legal, several classes of restrictions on the procedure may exist, such as parental consent or notification laws, requirements that patients be shown an ultrasound before obtaining an abortion, mandatory waiting periods, and counseling requirements.
Abortion in Oklahoma is illegal unless the abortion is necessary to save the life of a pregnant woman.
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.
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 Louisiana is illegal as of August 1, 2022.
As of 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 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.
As of 2024, abortion is illegal in Indiana. It is only legal in cases involving fatal fetal abnormalities, to preserve the life and physical health of the mother, and in cases of rape or incest up to 10 weeks of pregnancy. Previously abortion in Indiana was legal up to 20 weeks; a near-total ban that was scheduled to take effect on August 1, 2023, was placed on hold due to further legal challenges, but is set to take place, after the Indiana Supreme Court denied an appeal by the ACLU, and once it certifies a previous ruling that an abortion ban doesn't violate the state constitution. In the wake of the 2022 Dobbs Supreme Court ruling, abortion in Indiana remained legal despite Indiana lawmakers voting in favor of a near-total abortion ban on August 5, 2022. Governor Eric Holcomb signed this bill into law the same day. The new law became effective on September 15, 2022. However, on September 22, 2022, Special Judge Kelsey B. Hanlon of the Monroe County Circuit Court granted a preliminary injunction against the enforcement of the ban. Her ruling allows the state's previous abortion law, which allows abortions up to 20 weeks after fertilization with exceptions for rape and incest, to remain in effect.
Abortion in Kansas is legal. Kansas law allows for an abortion up to 20 weeks post-fertilization. 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. In July 2024, the Kansas Supreme Court struck down two abortion restrictions.
Abortion in Massachusetts is legal, although terminations after the 24th week can only be performed if a physician determines it to be medically necessary. Modern Massachusetts is considered to be one of the most pro-abortion rights states in the country; a Pew Research poll found that 74% of residents supported the right to an abortion in all or most cases, a higher percentage than any other state. Marches supporting abortion rights took place as part of the #StoptheBans movement in May 2019.
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 Rhode Island is legal. On June 19, 2019, the legal right to abortion was codified into Rhode Island law by passage of the Reproductive Privacy Act.
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 West Virginia is illegal except in cases of rape or incest, fatal fetal abnormalities, and when the mother’s life is at risk from a pregnancy.
Abortion in New Mexico is legal at all stages of pregnancy. The number of abortion clinics in New Mexico has declined over the years, with 26 in 1982, 20 in 1992 and 11 in 2014. There were 4,500 legal abortions in 2014. There were 7 facilities providing abortion in New Mexico in 2017, and 6 of those were clinics. In 2017, 91% of New Mexico counties had no clinics that provided abortions, and 48% of New Mexico women lived in those counties.
Abortion in Florida is generally illegal after six weeks from the woman's last menstrual period, when many women do not yet know they are pregnant. 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 women 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 currently legal due to a temporary court injunction.
The Kentucky Senate has overwhelmingly passed a bill that would ban most abortions in the state once a fetal heartbeat is detected. The Republican-led chamber's 31-6 vote on Thursday came a few hours after the measure cleared a committee. The bill now goes to the state House, which is also run by Republicans.
And he said he would be pleased if Kentucky or one of the other states considering similar measures enacted such a law and, in the event of a court challenge, took the case to the U.S. Supreme Court in an effort to overturn Roe v. Wade
Senate Bill 9, known as the "fetal heartbeat bill", was passed by the Kentucky House on Thursday, March 14, by a vote of 71-19.
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