Abortion in North Dakota

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Abortion in North Dakota is illegal. [1] The state's sole abortion clinic relocated to Minnesota. [2]

Contents

Following the United States Supreme Court's ruling to overturn Roe v. Wade on June 24, 2022, the state's trigger law, HB 1466, has been blocked by a district court since July. [3] [4] Under the trigger law, performance of an abortion is a Class C felony subject to a maximum penalty of five years' imprisonment, a $10,000 fine, or both. The person performing the abortion who is charged under the law can only be excused from criminal liability by proving one of the following affirmative defenses: the abortion was necessary to prevent the death of the mother, the pregnancy resulted from rape or incest, or the individual performing the abortion was acting in the scope of his or her regulated profession and under the direction of a physician. [5] A state district court issued a preliminary injunction preventing enforcement of the law while the court is deciding the merits of the case, and the North Dakota Supreme Court has upheld this injunction. [6]

History

Legislative history

By 1950, the state legislature had passed a law stating that a woman who had an abortion or actively sought to have an abortion regardless of whether she went through with it was guilty of a criminal offense. [7]

The state was one of 23 states in 2007 to have a detailed abortion-specific informed consent requirement. [8] Mississippi, Nebraska, North Dakota and Ohio all had statutes in 2007 that required specific informed consent on abortion but also, by statute, allowed medical doctors performing abortions to disassociate themselves with the anti-abortion materials they were required to provide to their female patients. [9] North Dakota's informed consent materials included a definition for fetus stating it is "a Latin word meaning young one or offspring". [9] According to North Dakota's materials, at 10 weeks, the fetus "now has a distinct human appearance" and "eyelids are formed".  The materials say at 14 weeks, the fetus "is able to swallow" and "sleeps and awakens". [9]

North Dakota's HB 1572, otherwise known as the Personhood of Children Act, was a bill in the North Dakota Legislature which aimed to "provide equality and rights to all human beings at every stage of biological development". This step could have eventually eliminated all types of abortion for nearly any reason in the state of North Dakota. [10] It would have allocated rights to “the pre-born, partially born”. If it had passed, it would have likely been used to challenge Roe v. Wade . [11]

In March 2013, Governor Jack Dalrymple of North Dakota signed into law a bill presented to him by the legislature that would have banned abortions in the state six weeks after a woman's first missed period (North Dakota HB 1456). [12] [13] [14] Only North Dakota successfully passed a such a "fetal heartbeat" law that year, although it was later struck down by the courts. [14] [15] Gov. Dalrymple stated that it was "a legitimate attempt by a state legislature to discover the boundaries of Roe v. Wade ". [16] In 2013, state Targeted Regulation of Abortion Providers (TRAP) had provisions related to admitting privileges and licensing. They required clinics have hospital privileges. [17] The state had a law on the books as of August 2018 that would be triggered if Roe v. Wade was overturned. [18] As of mid-May 2019, abortion in North Dakota was banned after week 22. [14]

Abortion in North Dakota remains legal following the United States' Supreme Court ruling to overturn Roe v. Wade on June 24, 2022. The state has a trigger law, banning all abortions, which has been blocked by a court since July. [3] [4] Under the trigger law, performance of an abortion is a Class C felony subject to a maximum penalty of five years' imprisonment, a $10,000 fine, or both. The person performing the abortion who is charged under the law can only be excused from criminal liability by proving one of the following affirmative defenses: the abortion was necessary to prevent the death of the mother, the pregnancy resulted from rape or incest, or the individual performing the abortion was acting in the scope of his or her regulated profession and under the direction of a physician. [5] A state district court issued a preliminary injunction preventing enforcement of the law while the court is deciding the merits of the case. [5]

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. [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. [19] [20] ) In July 2015 the Eighth Circuit Court of Appeals affirmed a lower court decision blocking HB 1456 (a "fetal heartbeat" law that would ban abortion from six weeks after fertilization) from going into effect. [15] The U.S. Supreme Court declined to review the case and the law remains permanently blocked. [21] In July 2013, a lawsuit had been filed with regard to the law by the Center for Reproductive Rights (CRR), on behalf of the only abortion clinic in North Dakota, Red River Women's Clinic. In July 2015, the 8th U.S. Circuit Court of Appeals blocked the bill. [22] The case was appealed to the Supreme Court, but the court denied a writ of certiorari in January 2015 and let stand the decision of the 8th Circuit Court of Appeals. [23]

Following the Dobbs decision, Burleigh County District Judge Bruce Romanick granted a preliminary injunction on the state's trigger law on abortion, which was upheld by the state supreme court. [6]

Clinic history

Number of abortion clinics in North Dakota by year Number of abortion clinics in North Dakota by year.png
Number of abortion clinics in North Dakota by year

Following the Roe v. Wade ruling, two abortion clinics opened in the state, one in Grand Forks and one in Jamestown. [24] Around 1981, when the doctors in Grand Forks and Jamestown were getting close to an age where they would consider retiring, they reached out to Jane Bovard and asked her to open a clinic in Fargo.  Bovard had a history of supporting abortion rights in the state by assisting women in traveling to Minneapolis or cities in other states to get abortions. She agreed and with the help of Susan Hill opened a Women's Health Organization affiliate in the fall of that year. [24] From 1981 to 1991, there were three abortion clinics in the state. In 1991, the doctors in Grand Forks and Jamestown both retired, leaving the Women's Health Organization as the only abortion provider in the state. [24] [25] In the period between 1992 and 1996, the state saw no change in the total number of abortion clinics. While only three states saw gains in this period, this state was one of four to see no changes with one abortion clinic in the state in 1996. [26]

Dr. George Miks was the primary physician at the Women's Health Organization in 1993. Around 1998, he and Jane Bovard felt they could improve on the services offered by the Women's Health Organization so the pair opened a second clinic in the state called the Red River Clinic in Fargo. It officially opened on July 31, 1998. Located only six blocks apart, the two clinics were in competition with each other for about two and a half years. [24] In February 2001, Women's Health Organization closed unexpectedly. [24] Around 1998, the number of abortions performed at the Red River Clinic per week was around 25. [24] By 2017, the numbers had dropped slightly to be around 20 to 25 abortions a week. [24]

In 2008 and 2014, there was still only one abortion clinic in North Dakota. [27] [28] In 2014, 98% of the counties in the state did not have an abortion clinic. That year, 73% of women in the state aged 15–44 lived in a county without an abortion clinic. [18] In 2016, only a small section of the state required women to drive fewer than 40 miles to access an abortion clinic. [29] In 2017, there were no Planned Parenthood clinics in the state, making North Dakota one of two states without a Planned Parenthood clinic. [30] 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. [30] In May 2019, the state was one of six states in the nation with only one abortion clinic. [31] The state now has no abortion clinics at all. [2]

Statistics

In the period between 1972 and 1974, there were zero recorded illegal abortion deaths in the state. [32] In 1990, 68,000 women in the state faced the risk of an unintended pregnancy. [25] The lowest number of legal induced abortions by state in 2000 occurred in Idaho with 801, while South Dakota was second with 878, and North Dakota was third with 1,341. [33] Idaho had the fewest induced abortions in 2001 with 738, while South Dakota was second with 895, and North Dakota was third with 1,216. [34] In 2003, the state of South Dakota had the lowest number of legal induced abortions with 819. Idaho was second with 911, while North Dakota was third with 1,354. [35] In 2010, the state had no publicly funded abortions. [36] In 2014, 47% of adults said in a poll by the Pew Research Center that abortion should be legal in all or most cases. [37] In 2017, the state had an infant mortality rate of 4.3 deaths per 1,000 live births. [38]

Number of reported abortions, abortion rate and percentage change in rate by geographic region and state in 1992, 1995 and 1996 [26]
Census division and stateNumberRate % change 1992–1996
199219951996199219951996
West North Central57,34048,53048,66014.311.911.9–16
Iowa6,9706,0405,78011.49.89.4–17
Kansas12,57010,31010,63022.418.318.9–16
Minnesota16,18014,91014,66015.614.213.9–11
Missouri13,51010,54010,81011.68.99.1–21
Nebraska5,5804,3604,46015.712.112.3–22
North Dakota1,4901,3301,29010.79.69.4–13
South Dakota1,0401,0401,0306.86.66.5–4
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^^
North Dakota1,49010.71992 [26]
North Dakota1,3309.61995 [26]
North Dakota1,2909.41996 [26]
North Dakota1,0097.0891,2648.811130.32014 [39]
North Dakota9766.6861,1667.910329.62015 [40]
North Dakota9556.5841,1607.910226.72016 [41]
^number of abortions per women aged 15–44; ^^number of abortions per 1,000 live births

Abortion rights views and activities

Protests

Women from the state participated in marches supporting abortion rights as part of a #StoptheBans movement in May 2019. [42]

Following the overturn of Roe v. Wade on June 24, 2022, over 1,000 abortion rights protesters rallied and marched in Fargo and Grand Forks. [43] [44]

Anti-abortion rights views and activities

Protesters picketed outside the home of Jane Bovard many times. She ran a well-known search service that brokered abortions for women who sought them. [24] Anti-abortion rights activists threatened Bovard many times, including while outside her home. She responded by calling the police; her husband helped protect her by loading his shotgun. [24]

Related Research Articles

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

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

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 Hawaii is legal. 66% of adults in Hawaii said in a poll by the Pew Research Center that abortion should be legal in all or most cases. Hawaii began allowing elective abortion care de jure in 1970, the first state to do so. State law enacted at that time stated said, "the State shall not deny or interfere with a female's right to choose or obtain an abortion of a nonviable fetus or an abortion that is necessary to protect the life or health of the female."

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 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, 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 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. 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 Montana is legal. The number of abortion clinics in Montana has fluctuated over the years, with twenty in 1982, twelve in 1992, eight providers of which seven were clinics in 2011, and five clinics in 2014. There were four clinics from 2015 to February 2018 when All Families Healthcare clinic in Whitefish reopened. There were 1,690 legal abortions in 2014, and 1,611 in 2015.

Abortion in Nebraska is legal up to the 12th week of pregnancy, after new legislation was signed in May 2023. In June 2023, a lawsuit was filed to challenge the state's abortion law. The legislation establishing the law contained provisions concerning both abortion and gender-affirming care, while the state constitution prohibits bills that legislate on multiple issues at once.

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 Oregon is legal at all stages of pregnancy.

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 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 Wyoming is currently legal due to a temporary court injunction.

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