Abortion in Massachusetts

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Abortion in Massachusetts is legal at all stages of pregnancy, although terminations after the 24th week can only be performed if a physician determines it to be medically necessary. [1] Modern Massachusetts is considered to be one of the most pro-choice states in the country: a Pew Research poll finding that 74% of residents supported the right to an abortion in all or most cases, a higher percentage than any other state. [2] Marches supporting abortion rights took place as part of the #StoptheBans movement in May 2019. [3]

Contents

In 2020, the legislature overrode Republican governor Charlie Baker's veto of the ROE Act to codify existing abortion laws in the case of Roe vs. Wade being struck down by the U.S. Supreme Court. Individuals can seek abortion without parental consent at the age of 16 and seek an abortion after the 24th week in cases of fetal anomalies or risks to physical or mental health. [4]

The number of abortion clinics in Massachusetts, like other U.S. states, has declined in recent years. In 2014, there were 19,354 legal abortions performed in the Commonwealth.

History

Madame Restell opened a business that performed abortions in the 1830s in New York City.  Her business remained open for around 35 years and openly advertised its services, including in newspaper advertisements.  She had branches in several other cities including Boston and Philadelphia, as well as having traveling agents working for the company who sold her "Female Monthly Pills". [5] [6]

Legislative history

By the end of the 1800s, all states in the Union, except Louisiana, had therapeutic exceptions in their legislative bans on abortions. [7] By the end of 1972, Mississippi allowed abortion in cases of rape or incest only, and Alabama and Massachusetts allowed abortions only in cases where the woman's physical health was endangered. In order to obtain abortions during this period, women would often travel from a state where abortion was illegal to states where it was legal. [8] Massachusetts passed a law in the early 1980s requiring parental consent for minors seeking abortions. This resulted in minors delaying of up to 6 weeks before seeking an abortion. [9] [10] Parental consent laws passed by Massachusetts and Minnesota in the 1980s created over 12,000 petitions to bypass consent. Of these, 21 were denied, and half of these denials were overturned on appeal. [9] [11]

In 2007, the legislature passed a law that established a 35-foot buffer zone around abortion clinics. [12] However, this law was struck down in 2014 in McCullen v. Coakley . [12] As of 2017, Washington State, New Mexico, Illinois, Alaska, Maryland, Massachusetts, Connecticut, and New Jersey allow qualified non-physicians to prescribe drugs for medical abortions only. [13] As of May 2019, state law prohibited abortions after the fetus was viable, generally some point between week 24 and 28. This period uses a standard defined by the US Supreme Court in 1973 with the Roe v. Wade ruling. [14] [15] The law stated: "No abortion may be performed, except by a physician, and only if it is necessary to save the life of the mother, or if a continuation of her pregnancy will impose on her a substantial risk of grave impairment of her physical or mental health." [15] Roe's Bill was scheduled to be debated in the fall of 2019. [15] [16] In January 2019, Bill S.1209 was introduced in the state's Senate, where it was known as "Roe's Bill". The proposed bill would remove parental consent requirements for minors seeking abortions. It would also allow women to have abortions after week 24 if a woman's doctor said an abortion "is necessary to protect the patient's life or physical or mental health, or in cases of lethal fetal anomalies, or where the fetus is incompatible with sustained life outside the uterus". [15] [17] Prior to 2020, state law banned abortion after week 24. [18] After the passage of the ROE Act in 2020, which codified abortion rights in the state, abortions can be performed after 24 weeks in cases of fetal anomalies and risks to a patient's mental or physical health. The ROE Act also lowered the age patients can have abortions without parental consent from 18 to 16. [4]

Judicial history

In the 1972 US Supreme Court case Eisenstadt v. Baird , the focus was on the issue of physicians' ability to prescribe contraceptive medications only to married couples.  The US Supreme Court ruled that single individuals had a right to buy contraceptives, and the law could not be used to limit distribution based on marital status. [19]

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. [7] 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. [20] [21]

Bellotti v. Baird was before the US Supreme Court in 1979.  The Court ruled that attempts by Massachusetts to limit the ability of minors to get abortions by requiring parental consent or judicial reviews were unconstitutional.  This was because it removed the ability of minors to make decisions about their well-being, and giving the decision exclusively to their parents or the court; minors needed to be able to actively consent to the procedure and as such could make a request without first seeking parental approval.  The US Supreme Court ruled that minors, in getting permission from the courts, needed to be able to do so using a confidential process that dealt with the situation quickly. [19]

In 2014, in McCullen v. Coakley , the US Supreme Court struck down a Massachusetts law that had legalized a 35-foot buffer zone around abortion clinics in the state in 2007. [12]

Clinic history

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

Between 1982 and 1992, the number of abortion clinics in the state decreased by 14, going from 78 in 1982 to 64 in 1992. [22] In 2014, there were 14 abortion clinics in the state. [23] In 2014, 43% of the counties in the state did not have an abortion clinic. That year, 14% of women in the state aged 15–44 lived in a county without an abortion clinic. [24] In 2017, there were five Planned Parenthood clinics, three of which offered abortion services, in a state with a population of 1,614,490 women aged 15–49. [25]

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. [26] In 1990, 864,000 women in the state faced the risk of an unintended pregnancy. [22] In 2001, Arizona, Florida, Iowa, Louisiana, Massachusetts, and Wisconsin did not provide any residence related data regarding abortions performed in the state to the Centers for Disease Control. [27] In 2014, 74% of adults said in a poll by the Pew Research Center that abortion should be legal in all or most cases. [28] In 2017, the state had an infant mortality rate of 3.7 deaths per 1,000 live births. [29]

Number of reported abortions, abortion rate and percentage change in rate by geographic region and state in 1992, 1995 and 1996 [30]
Census division and stateNumberRate % change 1992–1996
199219951996199219951996
Total1,528,9301,363,6901,365,73025.922.922.9–12
New England78,36071,94071,28025.223.623.5–7
Connecticut19,72016,68016,23026.22322.5–14
Maine4,2002,6902,70014.79.69.7–34
Massachusetts40,66041,19041,16028.429.229.33
New Hampshire3,8903,2403,47014.61212.7–13
Rhode Island6,9905,7205,4203025.524.4–19
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^^
Massachusetts40,66028.41992 [30]
Massachusetts41,19029.21995 [30]
Massachusetts41,16029.31996 [30]
Massachusetts18,63013.625919,35414.12693.72014 [31]
Massachusetts17,29412.624217,90113.02513.62016 [32]
^number of abortions per 1,000 women aged 15–44; ^^number of abortions per 1,000 live births


Abortion financing

Seventeen states including Massachusetts use their own funds to cover all or most "medically necessary" abortions sought by low-income women under Medicaid, thirteen of which are required by State court orders to do so. [33] In 2010, the state had 4,100 publicly funded abortions, of which none were federally funded and all were state funded. [34]

Intersections with religion and religious figures

In 2004, then-Archbishop Raymond Leo Burke said he would not give communion to 2004 presidential candidate and Massachusetts senator John Kerry, in part because of his position on abortion. [35] [36] Kerry's own Archbishop Sean O'Malley refused to specify the applicability of his earlier statement that such Catholics are in a state of grave sin and cannot properly receive communion. [35] According to Margaret Ross Sammons, Kerry's campaign was sufficiently damaged by the threat to withhold communion that it may have cost him the election. [37]

Abortion rights views and activities

2017 Boston Women's March Boston Women's March 20170121 2752 (32424390886).jpg
2017 Boston Women's March

A PEW research poll finding that 74% of residents supported the right to an abortion in all or most cases, the highest percentage of any state in the country. [2]

Protests

Women from the state participated in marches supporting abortion rights as part of a #StoptheBans movement in May 2019. [3]

Following the overturn of Roe v. Wade on June 24, 2022, WBUR counted over 1,000 abortion rights protestors marching in Boston near the Boston Public Library. [38] Over 100 abortion rights protesters gathered outside Worcester City Hall. [39]

Anti-abortion views and activities

Activities

During the early 20th century, Boston University and Harvard University led the early anti-abortion campaigns in their areas. Their efforts came out of another effort at the time to try to prevent women from enrolling in their medical schools. [5] Harvard Medical School graduate Dr. Horatio Storer led anti-abortion efforts at the American Medical Association starting in the late 19th century until his death in 1922. [6]

Violence

Between 1993 and 2015, 11 people were killed at American abortion clinics. On December 30, 1994, two receptionists, Shannon Lowney and Lee Ann Nichols, were killed in two clinic attacks in Brookline, Massachusetts. John Salvi was arrested for the murders, to which he then confessed. He also confessed to a non-lethal attack in Norfolk, Virginia, where he was arrested the day after the Brookline killings. [40] [41] Salvi later died in prison of suspected suicide in November 1996. Guards found his body under his bed with a plastic garbage bag tied around his head.

Footnotes

    Related Research Articles

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

    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 Alaska is legal at all stages of pregnancy, as long as a licensed physician performs the procedure. As of 2016, Alaska does not require a minor to notify a parent or guardian in order to obtain an abortion. 63% of adults said in a poll by the Pew Research Center that abortion should be legal in all or most cases. Alaska was one of only four states to make abortion legal between 1967 and 1970, a few years before the US Supreme Court's decision in 1973's Roe v. Wade ruling. Alaska had consent requirements for women seeking abortions by 2007 that required abortion providers to warn patients of a link between abortion and breast cancer despite it being scientifically unsupported.

    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 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 Michigan is legal throughout all stages of 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 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 Nevada is legal up to the 24th week of pregnancy, under the Nevada Revised Statutes chapter 442, section 250; and after 24 weeks if the pregnancy could be fatal for the pregnant woman. 62% of adults said in a poll by the Pew Research Center that abortion should be legal while 34% said it should by illegal in all or most cases. Legislation by 2007 required informed consent. Attempts were successfully made to pass abortion legislation in May 2019, being pushed through a largely Democratic controlled state legislature. The number of abortion clinics in Nevada has declined over the years, with 25 in 1982, seventeen in 1992 and thirteen in 2014. There were 8,132 legal abortions in 2014, and 7,116 in 2015. Due to the high level of support for abortion rights, continued access to abortion is supported by all parties, including the Republicans.

    Abortion in New Jersey is legal at all stages of pregnancy. Abortion related laws were drafted by the legislature by the end of the 1900s. These laws would be addressed in court during the 1800s as they related to application in prosecutions of women for having abortions. During the 1940s, hospitals created committees to approve abortion requests with the goal of trying to reduce the number of abortions performed at them. Currently, there are no required waiting times and parental consent is not required.

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

    Abortion in Oregon is legal at all stages of pregnancy.

    Abortion in Pennsylvania is legal up to the 24th week of pregnancy. 51% of Pennsylvania adults said in a 2014 poll by the Pew Research Center that abortion should be legal and 44% said it should be illegal in all or most cases.

    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".

    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, incest, fatal fetal abnormalities, and when the mother’s life is at risk from a pregnancy.

    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 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.

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