Blackmon v. State of Tennessee is a court case heard by the Tennessee Twelfth Judicial District Court regarding medical exceptions to the state's abortion ban, specifically relating to pregnant persons with emergent health conditions. The lawsuit was filed by the Center for Reproductive Rights on September 11, 2023, and a hearing was held April 4, 2024.
On April 22, 2019, Tennessee created a trigger law that would prohibit abortion from the point of fertilization in the case that Roe v. Wade was overturned. [1]
On May 14, 2019, Tennessee prohibited abortions after the fetus was viable, generally at some point between weeks 24 and 28. This period uses a standard defined by the US Supreme Court in 1973 with the Roe v. Wade ruling and was not a result of state-based legislation. [2] In 2020, Tennessee banned abortions related to a prenatal diagnoses of Down syndrome, as well as the fetus's gender or race. [3]
After the Supreme Court of the United States overturned Roe v. Wade and Planned Parenthood v. Casey in its June 2022 decision in Dobbs v. Jackson Women's Health Organization , [4] abortion became illegal from the point of conception in Tennessee on July 25, 2022, without any exceptions. [1] [5] [6] In April 2023, legislation was adapted to include exceptions for physicians to use "reasonable medical judgment, based upon the facts known to the physician at the time" to perform abortions "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"; [7] legislation included specific guidelines regarding ectopic and molar pregnancies. [6] [7] Under the legislation, attempting to perform an abortion is categorized as a Class C felony, [6] meaning those found to have illegally performed an abortion would face prison sentences and/or lose their medical license. However, the law allows for affirmative defense, wherein someone charged with the felony may argue in defense of their actions during trial. [8]
The case's lead plaintiff is Nicole Blackmon, a Tennessee woman who was denied an abortion when she was 15 weeks pregnant, at which point she learned the fetus was unlikely to survive; additionally, Blackmon's pre-existing health conditions increased her risk of stroke during labor and delivery. Unable to receive resources to receive an out-of-state abortion, Blackmon miscarried at 31 weeks. [6] [7] [8] Three other patients initially joined the lawsuit in September 2023, [5] [7] with four more joining in January 2024. [9] All patient plaintiffs experienced complications in pregnancy related to the patient and/or fetus's health. The suit also included two Tennessee physicians who felt incapable of providing adequate care to their patients due to the state's current legislation. [5] [7]
On September 11, 2023, the Center for Reproductive Rights filed a lawsuit against the State of Tennessee, [7] claiming the current legislation is "unconstitutionally vague" [10] and violates the Tennessee Constitution’s Due Process and Equal Protection Clauses by not protecting the life of pregnant persons. The State of Tennessee attempted to dismiss the case November 1, 2023. [7] [9] In January 2024, the Center filed for a temporary injunction. [8] [9]
The case was heard at the Twelfth Judicial District Court on April 4, 2024. [6] [7] [8] During the hearing, plaintiffs argued to expand the state's medical exceptions to include fatal diagnoses. The state's legal team argued to have the case dismissed as the plaintiffs "do not have standing" in part because the physician plaintiffs reside in Nashville, where the district attorney has declared they will not prosecute abortion providers. [11] [12] The legal team with the Center for Reproductive Rights argued that the district attorney's statement was not legally binding and thus, should not be used to declare physicians in Nashville are safe to perform abortions. [11] Further, the Center discussed the vagueness in current legislation, pointing to "the use of nonmedical language, ambiguous terminology, no indication of timing and the reasonable medical judgement standard". [6] The state's legal team also asserted that the plaintiffs were not presently experiencing a medical emergency, and thus, the case referred to "hypothetical future scenarios". [6] They also highlighted that the Center's attorneys did not mention that abortion is "the termination of another life". [6]
On October 17, 2024, the court "stated that the ban’s exceptions are vague and confusing; outlined specific conditions under which abortion care is permitted under the state’s ban; and held that the Center would likely succeed on its constitutional claims, which include that the ban violates pregnant patients’ right to life and equal protection under the law and is unconstitutionally vague". [13] Additionally, the court expanded the medical exceptions to include "pre-viability preterm premature rupture of membranes (PPROM); dilation of the cervix prior to viability of the pregnancy; and fatal fetal diagnoses that lead to maternal health conditions such as severe preeclampsia or infection that would result in uterine rupture or potential loss of fertility." [13]
In the United States, abortion is a divisive issue in politics and culture wars, though a majority of Americans support access to abortion. Abortion laws vary widely from state to state.
City of Akron v. Akron Center for Reproductive Health, 462 U.S. 416 (1983), was a case in which the United States Supreme Court affirmed its abortion rights jurisprudence. In a majority opinion by Lewis F. Powell Jr., the Court struck down several provisions of an abortion law of Akron, Ohio, including portions found to be unconstitutionally vague.
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 is the termination of human pregnancy, often performed in the first 28 weeks of pregnancy. In 1973, the United States Supreme Court in Roe v. Wade recognized a constitutional right to obtain an abortion without excessive government restriction, and in 1992 the Court in Planned Parenthood v. Casey invalidated restrictions that create an undue burden on people seeking abortions. Since then, there has continued to be an abortion debate in the United States, and some states have passed laws in the form of regulation of abortions but which have the purpose or effect of restricting its provision. The proponents of such laws argue they do not create an undue burden. Some state laws that impact the availability of abortions have been upheld by courts. In 2022, Roe and Casey were overturned by the Supreme Court in Dobbs v. Jackson Women's Health Organization, meaning that states may now regulate abortion in ways that were not previously permitted.
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 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 misleading, for 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 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.
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 Georgia is illegal after detection of embryonic cardiac-cell activity, which typically begins in the fifth or sixth week after the onset of the last menstrual period (LMP), two to three weeks after implantation. Although this law was ruled unconstitutional by a Georgia superior court judge on September 30, 2024, it remains in effect while the state appeals the ruling.
Abortion in Louisiana is illegal as of August 1, 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 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 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 is legal in Pennsylvania 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. The 2023 American Values Atlas reported that, in their most recent survey, 63% of Pennsylvanians said that abortion should be legal in all or most cases.
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 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.
Zurawski v. State of Texas is a case heard by the Texas Supreme Court regarding medical exceptions to the state's abortion ban. The lawsuit was filed by the Center for Reproductive Rights on March 6, 2023. On August 4, 2023, State District Court Judge Jessica Mangrum granted the plaintiffs a preliminary injunction; the state of Texas appealed this decision to the Texas Supreme Court later that same day. The Texas Supreme Court heard arguments in the case on November 28, 2023 and issued the decision on May 31, 2024.
Adkins v. State of Idaho is a court case heard by the Idaho Fourth District Court regarding medical exceptions to the state's abortion ban, specifically relating to cases in which a pregnant person's life is at risk and when a fetus has a fatal diagnosis. The lawsuit was filed by the Center for Reproductive Rights on September 11, 2023, and proceedings began November 12, 2024.