Same-sex marriage, contraception: Advocates worry other rights at risk if Roe overturned

AP Photo/Ted S. Warren, File
A person holds a sign referencing the U.S. Supreme Court as they take part in a rally in favor of abortion rights on the steps of the Temple of Justice, which houses the Washington state Supreme Court, Tuesday, May 3, 2022, at the Capitol in Olympia, Wash.
WASHINGTON (AP) — Little doubt remains about what the Supreme Court plans to do with Roe v. Wade. But uncertainty abounds about ripple effects as the court nears a final opinion expected to overturn the landmark 1973 case that created a nationwide right to abortion.
A leaked first draft of the majority opinion in the case, authenticated Tuesday by the Supreme Court, suggests that a majority of justices are poised to toss out Roe. The draft’s provocative rhetoric also is generating concern that LGTBQ advances and other matters based on the right to privacy could be vulnerable in a newly hostile political environment.
“This is about a lot more than abortion,” President Joe Biden warned Wednesday, saying the court’s draft opinion could jeopardize same-sex marriage, access to contraception and LGBTQ rights.
“What are the next things that are going to be attacked? Because this MAGA crowd is really the most extreme political organization that’s existed in recent American history,” Biden said.
Story continues after these 4 charts:
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Sean Pavone // Shutterstock
One historic decision has been endlessly passed around states over the last year. Roe v. Wade expressly protects a pregnant person’s right to choose to have an abortion. It’s under review by a now supermajority conservative Supreme Court, but reports suggest it could be struck down at any moment, as more and more states bring their own abortion laws to the highest court in the land.
At the center of the pending case is a 2018 Mississippi law that banned abortions after 15 weeks of pregnancy. Mississippi’s attorney general directly asked the court to not only uphold the law but overturn Roe v. Wade, saying states should have more power over abortion access. Now, the Supreme Court has allowed a Texas law banning abortions at six weeks to stay in place until the lawsuit is resolved.
States have already employed many kinds of restrictions, including but not limited to: parental consent for young women seeking abortions, bans on telemedicine for medicated abortions, mandated counseling and ultrasounds before the procedure, and TRAP laws, which impose burdensome medical standards such as hospital-admitting privileges on abortion clinics. Florida is now considering a 15-week abortion limit in their state legislature just as the 2022 session begins.
Many states with either anti-choice governors or constituents against abortion are attacking Roe v. Wade by enacting laws they can't enforce, in case the Supreme Court decides in 2022 to overturn the decision. A decision on the famous Mississippi case is not expected until June 2022, but the pro-life movement is trying to kick down the door.
To find out which states would be most affected by this decision, Stacker consulted a July 2019 study published in reproductive health journal Contraception, updated in 2021 by Professor Caitlin Myers at Middlebury College. The study analyzed the impact of a post-Roe world by analyzing states’ current laws and political climate to identify states that would be at a high risk of outlawing abortion.
Eight states maintain so-called “trigger bans” that would immediately outlaw abortion if Roe v. Wade were overturned. Based on this and other information, any state that could quickly enact restrictions if Roe v. Wade was overturned is listed as “high-risk.” States could be classified as “high-risk” even if they have no laws currently on the books, but simply a political climate unamiable to abortion. Then, using Census demographic data, the study calculated the number of women that would be affected by an increase in travel time to the nearest abortion clinic in a scenario where all high-risk states ban abortion.
The makeup of the surrounding states is enough to limit abortion access by an over 1000% increase in distance. Keep reading to see which states will be most affected if Roe v. Wade is repealed.
Sean Pavone // ShutterstockOne historic decision has been endlessly passed around states over the last year. Roe v. Wade expressly protects a pregnant person’s right to choose to have an abortion. It’s under review by a now supermajority conservative Supreme Court, but reports suggest it could be struck down at any moment, as more and more states bring their own abortion laws to the highest court in the land.
At the center of the pending case is a 2018 Mississippi law that banned abortions after 15 weeks of pregnancy. Mississippi’s attorney general directly asked the court to not only uphold the law but overturn Roe v. Wade, saying states should have more power over abortion access. Now, the Supreme Court has allowed a Texas law banning abortions at six weeks to stay in place until the lawsuit is resolved.
States have already employed many kinds of restrictions, including but not limited to: parental consent for young women seeking abortions, bans on telemedicine for medicated abortions, mandated counseling and ultrasounds before the procedure, and TRAP laws, which impose burdensome medical standards such as hospital-admitting privileges on abortion clinics. Florida is now considering a 15-week abortion limit in their state legislature just as the 2022 session begins.
Many states with either anti-choice governors or constituents against abortion are attacking Roe v. Wade by enacting laws they can't enforce, in case the Supreme Court decides in 2022 to overturn the decision. A decision on the famous Mississippi case is not expected until June 2022, but the pro-life movement is trying to kick down the door.
To find out which states would be most affected by this decision, Stacker consulted a July 2019 study published in reproductive health journal Contraception, updated in 2021 by Professor Caitlin Myers at Middlebury College. The study analyzed the impact of a post-Roe world by analyzing states’ current laws and political climate to identify states that would be at a high risk of outlawing abortion.
Eight states maintain so-called “trigger bans” that would immediately outlaw abortion if Roe v. Wade were overturned. Based on this and other information, any state that could quickly enact restrictions if Roe v. Wade was overturned is listed as “high-risk.” States could be classified as “high-risk” even if they have no laws currently on the books, but simply a political climate unamiable to abortion. Then, using Census demographic data, the study calculated the number of women that would be affected by an increase in travel time to the nearest abortion clinic in a scenario where all high-risk states ban abortion.
The makeup of the surrounding states is enough to limit abortion access by an over 1000% increase in distance. Keep reading to see which states will be most affected if Roe v. Wade is repealed.
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Jacob Boomsma // Shutterstock
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -0.2%
--- Affected population: 11,808 (2.0% of women aged 15-44)
--- New average distance to nearest abortion clinic: 11 miles (22.2% increase)
- Present day:
--- Abortion facilities: 9
--- Average distance to nearest abortion clinic: 9 miles
Though abortion will likely remain legal in Nevada, people in need of services will have to travel a bit farther to get them, due to bordering states that would outlaw them. Nevada residents voted to keep abortion rights for pregnant women under 24 weeks into the gestational period in 1990, and that law could only be repealed by another direct vote of the people.
Jacob Boomsma // Shutterstock- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -0.2%
--- Affected population: 11,808 (2.0% of women aged 15-44)
--- New average distance to nearest abortion clinic: 11 miles (22.2% increase)
- Present day:
--- Abortion facilities: 9
--- Average distance to nearest abortion clinic: 9 miles
Though abortion will likely remain legal in Nevada, people in need of services will have to travel a bit farther to get them, due to bordering states that would outlaw them. Nevada residents voted to keep abortion rights for pregnant women under 24 weeks into the gestational period in 1990, and that law could only be repealed by another direct vote of the people.
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Canva
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -0.2%
--- Affected population: 7,245 (0.9% of women aged 15-44)
--- New average distance to nearest abortion clinic: 16 miles (6.7% increase)
- Present day:
--- Abortion facilities: 15
--- Average distance to nearest abortion clinic: 15 miles
Oregon and Nevada share a border with California, a state with several abortion protections others do not have, including constitutional protection. Reproductive rights were recognized in California’s constitution in 1969, giving people in states like Oregon more options. Oregon passed the Reproductive Health Equity Act in 2017, which expanded abortion access by requiring private health insurance to cover abortions, and funding services for those who would otherwise be excluded from coverage, such as DACA recipients.
Canva- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -0.2%
--- Affected population: 7,245 (0.9% of women aged 15-44)
--- New average distance to nearest abortion clinic: 16 miles (6.7% increase)
- Present day:
--- Abortion facilities: 15
--- Average distance to nearest abortion clinic: 15 miles
Oregon and Nevada share a border with California, a state with several abortion protections others do not have, including constitutional protection. Reproductive rights were recognized in California’s constitution in 1969, giving people in states like Oregon more options. Oregon passed the Reproductive Health Equity Act in 2017, which expanded abortion access by requiring private health insurance to cover abortions, and funding services for those who would otherwise be excluded from coverage, such as DACA recipients.
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Canva
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -0.3%
--- Affected population: 20,488 (3.6% of women aged 15-44)
--- New average distance to nearest abortion clinic: 54 miles (1.9% increase)
- Present day:
--- Abortion facilities: 4
--- Average distance to nearest abortion clinic: 53 miles
Kansas already has a few common restrictions on abortion, such as limits on public and private funding for the procedure. Though the state supreme court ruled in 2019 the right to an abortion is protected in the Kansas constitution, conservative lawmakers recently voted to to put a proposed anti-abortion amendment to the state constitution on the 2022 ballot. The majority of the states surrounding Kansas are far more restrictive.
Canva- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -0.3%
--- Affected population: 20,488 (3.6% of women aged 15-44)
--- New average distance to nearest abortion clinic: 54 miles (1.9% increase)
- Present day:
--- Abortion facilities: 4
--- Average distance to nearest abortion clinic: 53 miles
Kansas already has a few common restrictions on abortion, such as limits on public and private funding for the procedure. Though the state supreme court ruled in 2019 the right to an abortion is protected in the Kansas constitution, conservative lawmakers recently voted to to put a proposed anti-abortion amendment to the state constitution on the 2022 ballot. The majority of the states surrounding Kansas are far more restrictive.
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Sean Pavone // Shutterstock
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -0.5%
--- Affected population: 40,320 (10.1% of women aged 15-44)
--- New average distance to nearest abortion clinic: 58 miles (1.8% increase)
- Present day:
--- Abortion facilities: 5
--- Average distance to nearest abortion clinic: 57 miles
Women in New Mexico were once facing a long-dormant abortion ban that was deemed unconstitutional and unenforceable, but they now have access to legal procedures and public funding. In February 2021, New Mexico Gov. Michelle Lujan Grisham signed a bill that finally overturned that law, which would have triggered a statewide ban if Roe v. Wade were reversed.
Sean Pavone // Shutterstock- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -0.5%
--- Affected population: 40,320 (10.1% of women aged 15-44)
--- New average distance to nearest abortion clinic: 58 miles (1.8% increase)
- Present day:
--- Abortion facilities: 5
--- Average distance to nearest abortion clinic: 57 miles
Women in New Mexico were once facing a long-dormant abortion ban that was deemed unconstitutional and unenforceable, but they now have access to legal procedures and public funding. In February 2021, New Mexico Gov. Michelle Lujan Grisham signed a bill that finally overturned that law, which would have triggered a statewide ban if Roe v. Wade were reversed.
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Canva
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -0.9%
--- Affected population: 92,473 (5.5% of women aged 15-44)
--- New average distance to nearest abortion clinic: 25 miles (19.0% increase)
- Present day:
--- Abortion facilities: 16
--- Average distance to nearest abortion clinic: 21 miles
Virginia is one of many states repealing previously restrictive abortion laws amid concerns for Roe v. Wade. As of 2020, Virginia health insurance carriers can cover abortion services, though they are not required to do so. Nearby in Maryland, those seeking abortions have protection outside of Roe v. Wade.
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Canva- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -0.9%
--- Affected population: 92,473 (5.5% of women aged 15-44)
--- New average distance to nearest abortion clinic: 25 miles (19.0% increase)
- Present day:
--- Abortion facilities: 16
--- Average distance to nearest abortion clinic: 21 miles
Virginia is one of many states repealing previously restrictive abortion laws amid concerns for Roe v. Wade. As of 2020, Virginia health insurance carriers can cover abortion services, though they are not required to do so. Nearby in Maryland, those seeking abortions have protection outside of Roe v. Wade.
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Canva
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -1.1%
--- Affected population: 12,111 (11.2% of women aged 15-44)
--- New average distance to nearest abortion clinic: 138 miles (3.0% increase)
- Present day:
--- Abortion facilities: 2
--- Average distance to nearest abortion clinic: 134 miles
People won’t find abortion protections in Wyoming’s state law or its constitution, and will barely find a clinic they can use. What they will find is a legislature that is advancing bills that restrict abortion access, including one that prevents women from using student health insurance for the procedure. If Roe v. Wade were outlawed, the legality of abortions could be at risk.
Canva- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -1.1%
--- Affected population: 12,111 (11.2% of women aged 15-44)
--- New average distance to nearest abortion clinic: 138 miles (3.0% increase)
- Present day:
--- Abortion facilities: 2
--- Average distance to nearest abortion clinic: 134 miles
People won’t find abortion protections in Wyoming’s state law or its constitution, and will barely find a clinic they can use. What they will find is a legislature that is advancing bills that restrict abortion access, including one that prevents women from using student health insurance for the procedure. If Roe v. Wade were outlawed, the legality of abortions could be at risk.
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Canva
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -1.6%
--- Affected population: 95,799 (8.9% of women aged 15-44)
--- New average distance to nearest abortion clinic: 40 miles (25.0% increase)
- Present day:
--- Abortion facilities: 7
--- Average distance to nearest abortion clinic: 32 miles
The right to abortion has been protected in Minnesota since 1995, when the Minnesota Supreme Court ruled that a woman’s right to privacy includes the right to terminate a pregnancy. However, Minnesota shares a border with two very restrictive states that may try to immediately restrict abortions if Roe v. Wade is gone.
Canva- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -1.6%
--- Affected population: 95,799 (8.9% of women aged 15-44)
--- New average distance to nearest abortion clinic: 40 miles (25.0% increase)
- Present day:
--- Abortion facilities: 7
--- Average distance to nearest abortion clinic: 32 miles
The right to abortion has been protected in Minnesota since 1995, when the Minnesota Supreme Court ruled that a woman’s right to privacy includes the right to terminate a pregnancy. However, Minnesota shares a border with two very restrictive states that may try to immediately restrict abortions if Roe v. Wade is gone.
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Canva
- Policies: Trigger ban, high-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -3.2%
--- Affected population: 708,893 (60.2% of women aged 15-44)
--- New average distance to nearest abortion clinic: 74 miles (10.4% increase)
- Present day:
--- Abortion facilities: 1
--- Average distance to nearest abortion clinic: 67 miles
Missouri is the first state on this list with a trigger ban. Though previous bans were declared unconstitutional, one recent ban would immediately go into effect if Roe v. Wade is repealed. In June 2021, a federal appeals court blocked Missouri from enforcing the bill that prohibits all abortions after eight weeks.
Canva- Policies: Trigger ban, high-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -3.2%
--- Affected population: 708,893 (60.2% of women aged 15-44)
--- New average distance to nearest abortion clinic: 74 miles (10.4% increase)
- Present day:
--- Abortion facilities: 1
--- Average distance to nearest abortion clinic: 67 miles
Missouri is the first state on this list with a trigger ban. Though previous bans were declared unconstitutional, one recent ban would immediately go into effect if Roe v. Wade is repealed. In June 2021, a federal appeals court blocked Missouri from enforcing the bill that prohibits all abortions after eight weeks.
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Canva
- Policies: High-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -8.4%
--- Affected population: 331,206 (88.6% of women aged 15-44)
--- New average distance to nearest abortion clinic: 69 miles (56.8% increase)
- Present day:
--- Abortion facilities: 3
--- Average distance to nearest abortion clinic: 44 miles
It’s already a felony to get an abortion after 20 weeks in Nebraska. Though there’s no trigger ban, the state government enacted a law last year prohibiting dilation and evacuation (D&E) abortions, which are performed in 95% of second trimester abortions.
Canva- Policies: High-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -8.4%
--- Affected population: 331,206 (88.6% of women aged 15-44)
--- New average distance to nearest abortion clinic: 69 miles (56.8% increase)
- Present day:
--- Abortion facilities: 3
--- Average distance to nearest abortion clinic: 44 miles
It’s already a felony to get an abortion after 20 weeks in Nebraska. Though there’s no trigger ban, the state government enacted a law last year prohibiting dilation and evacuation (D&E) abortions, which are performed in 95% of second trimester abortions.
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Canva
- Policies: Trigger ban, high-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -12.9%
--- Affected population: 112,850 (69.6% of women aged 15-44)
--- New average distance to nearest abortion clinic: 189 miles (43.2% increase)
- Present day:
--- Abortion facilities: 1
--- Average distance to nearest abortion clinic: 132 miles
South Dakota has had a trigger law waiting to become enforceable since 2005. It escalates the practice of abortion to a felony for physicians who provide it. Like its neighbor North Dakota, the state has just one facility, which would have to stop providing abortions in a no-Roe country.
Canva- Policies: Trigger ban, high-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -12.9%
--- Affected population: 112,850 (69.6% of women aged 15-44)
--- New average distance to nearest abortion clinic: 189 miles (43.2% increase)
- Present day:
--- Abortion facilities: 1
--- Average distance to nearest abortion clinic: 132 miles
South Dakota has had a trigger law waiting to become enforceable since 2005. It escalates the practice of abortion to a felony for physicians who provide it. Like its neighbor North Dakota, the state has just one facility, which would have to stop providing abortions in a no-Roe country.
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Canva
- Policies: High-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -15.5%
--- Affected population: 184,170 (58.5% of women aged 15-44)
--- New average distance to nearest abortion clinic: 126 miles (129.1% increase)
- Present day:
--- Abortion facilities: 2
--- Average distance to nearest abortion clinic: 55 miles
In 2018, 52% of West Virginia voters decided to amend the state’s constitution and ensure abortion is not protected if Roe v. Wade is repealed. West Virginia is surrounded by states with similar plans, apart from Maryland, so people will have to travel even farther to find services.
Canva- Policies: High-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -15.5%
--- Affected population: 184,170 (58.5% of women aged 15-44)
--- New average distance to nearest abortion clinic: 126 miles (129.1% increase)
- Present day:
--- Abortion facilities: 2
--- Average distance to nearest abortion clinic: 55 miles
In 2018, 52% of West Virginia voters decided to amend the state’s constitution and ensure abortion is not protected if Roe v. Wade is repealed. West Virginia is surrounded by states with similar plans, apart from Maryland, so people will have to travel even farther to find services.
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Randall Runtsch // Shutterstock
- Policies: Trigger ban, high-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -20.4%
--- Affected population: 136,216 (91.9% of women aged 15-44)
--- New average distance to nearest abortion clinic: 323 miles (121.2% increase)
- Present day:
--- Abortion facilities: 1
--- Average distance to nearest abortion clinic: 146 miles
North Dakota’s trigger ban allows few exceptions for abortion procedures. People who are victims of rape or incest can get them, and those whose lives are at risk are also included. The 2007 ban was followed by several other restrictions, including the dilation and evacuation ban that Nebraska also put forward.
Randall Runtsch // Shutterstock- Policies: Trigger ban, high-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -20.4%
--- Affected population: 136,216 (91.9% of women aged 15-44)
--- New average distance to nearest abortion clinic: 323 miles (121.2% increase)
- Present day:
--- Abortion facilities: 1
--- Average distance to nearest abortion clinic: 146 miles
North Dakota’s trigger ban allows few exceptions for abortion procedures. People who are victims of rape or incest can get them, and those whose lives are at risk are also included. The 2007 ban was followed by several other restrictions, including the dilation and evacuation ban that Nebraska also put forward.
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Canva
- Policies: High-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -24.1%
--- Affected population: 1,307,855 (99.8% of women aged 15-44)
--- New average distance to nearest abortion clinic: 129 miles (279.4% increase)
- Present day:
--- Abortion facilities: 7
--- Average distance to nearest abortion clinic: 34 miles
As part of the block of states in the Midwest ready to ban abortions via bills or amendments, Indiana has tried to repeal any protections for the procedure that exist. Their proposed ban is strict: should Roe v. Wade be nullified, there would be no abortions allowed, not even in cases of rape or incest, and if performed, they would be classified as murder.
Canva- Policies: High-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -24.1%
--- Affected population: 1,307,855 (99.8% of women aged 15-44)
--- New average distance to nearest abortion clinic: 129 miles (279.4% increase)
- Present day:
--- Abortion facilities: 7
--- Average distance to nearest abortion clinic: 34 miles
As part of the block of states in the Midwest ready to ban abortions via bills or amendments, Indiana has tried to repeal any protections for the procedure that exist. Their proposed ban is strict: should Roe v. Wade be nullified, there would be no abortions allowed, not even in cases of rape or incest, and if performed, they would be classified as murder.
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Canva
- Policies: Trigger ban, high-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -24.8%
--- Affected population: 224,181 (65.0% of women aged 15-44)
--- New average distance to nearest abortion clinic: 173 miles (355.3% increase)
- Present day:
--- Abortion facilities: 4
--- Average distance to nearest abortion clinic: 38 miles
Idaho Gov. Brad Little signed an abortion ban in April 2021, along with a wave of other nearby states. It’s considered a “heartbeat bill,” one that requires doctors to decline abortions to mothers with a detectable fetal heartbeat, and would only go into effect if a federal appeals court upholds a similar heartbeat ban. A heartbeat can be detected as early as six weeks into a pregnancy.
Canva- Policies: Trigger ban, high-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -24.8%
--- Affected population: 224,181 (65.0% of women aged 15-44)
--- New average distance to nearest abortion clinic: 173 miles (355.3% increase)
- Present day:
--- Abortion facilities: 4
--- Average distance to nearest abortion clinic: 38 miles
Idaho Gov. Brad Little signed an abortion ban in April 2021, along with a wave of other nearby states. It’s considered a “heartbeat bill,” one that requires doctors to decline abortions to mothers with a detectable fetal heartbeat, and would only go into effect if a federal appeals court upholds a similar heartbeat ban. A heartbeat can be detected as early as six weeks into a pregnancy.
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Canva
- Policies: Trigger ban, high-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -27.9%
--- Affected population: 584,299 (100.0% of women aged 15-44)
--- New average distance to nearest abortion clinic: 250 miles (303.2% increase)
- Present day:
--- Abortion facilities: 1
--- Average distance to nearest abortion clinic: 62 miles
Mississippi is one of eight states that has a pre-Roe abortion ban, and a loud voice in the fight to repeal the landmark Supreme Court case. The Supreme Court decided in May 2021 to review Dobbs v. Jackson Women’s Whole Health, a case concerning Mississippi’s 15-week abortion ban. Though the state had initially focused its argument on defending that specific ban, it recently made overturning Roe v. Wade part of its pending argument before the Supreme Court. The court will have a decision by June 2022.
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Canva- Policies: Trigger ban, high-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -27.9%
--- Affected population: 584,299 (100.0% of women aged 15-44)
--- New average distance to nearest abortion clinic: 250 miles (303.2% increase)
- Present day:
--- Abortion facilities: 1
--- Average distance to nearest abortion clinic: 62 miles
Mississippi is one of eight states that has a pre-Roe abortion ban, and a loud voice in the fight to repeal the landmark Supreme Court case. The Supreme Court decided in May 2021 to review Dobbs v. Jackson Women’s Whole Health, a case concerning Mississippi’s 15-week abortion ban. Though the state had initially focused its argument on defending that specific ban, it recently made overturning Roe v. Wade part of its pending argument before the Supreme Court. The court will have a decision by June 2022.
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Canva
- Policies: Trigger ban, high-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -28.8%
--- Affected population: 578,319 (100.0% of women aged 15-44)
--- New average distance to nearest abortion clinic: 314 miles (330.1% increase)
- Present day:
--- Abortion facilities: 2
--- Average distance to nearest abortion clinic: 73 miles
Surrounded on all sides by abortion-restrictive states, Arkansas is in a precarious spot when it comes to protecting the right to abortion. Along with several states that introduced new bans in 2021, its legislature introduced an expansive abortion ban that was blocked by a federal judge in July 2021. Arkansas’ pre-Roe ban on abortion has not been repealed.
Canva- Policies: Trigger ban, high-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -28.8%
--- Affected population: 578,319 (100.0% of women aged 15-44)
--- New average distance to nearest abortion clinic: 314 miles (330.1% increase)
- Present day:
--- Abortion facilities: 2
--- Average distance to nearest abortion clinic: 73 miles
Surrounded on all sides by abortion-restrictive states, Arkansas is in a precarious spot when it comes to protecting the right to abortion. Along with several states that introduced new bans in 2021, its legislature introduced an expansive abortion ban that was blocked by a federal judge in July 2021. Arkansas’ pre-Roe ban on abortion has not been repealed.
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Canva
- Policies: Trigger ban, high-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -30.4%
--- Affected population: 848,023 (100.0% of women aged 15-44)
--- New average distance to nearest abortion clinic: 266 miles (315.6% increase)
- Present day:
--- Abortion facilities: 2
--- Average distance to nearest abortion clinic: 64 miles
In former Kentucky Gov. Matt Bevin’s quest to become “the most pro-life governor in America,” he signed four anti-abortion bills during his term, two of which were blocked by federal judges. House Bill 148, Kentucky’s full ban on abortion, is unenforceable while Roe v. Wade is still intact. The state’s current governor, Democrat Andy Beshear, is pro-choice. Beshear has had difficulty stopping pro-life legislation from becoming law since the state House and Senate have a Republican supermajority.
Canva- Policies: Trigger ban, high-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -30.4%
--- Affected population: 848,023 (100.0% of women aged 15-44)
--- New average distance to nearest abortion clinic: 266 miles (315.6% increase)
- Present day:
--- Abortion facilities: 2
--- Average distance to nearest abortion clinic: 64 miles
In former Kentucky Gov. Matt Bevin’s quest to become “the most pro-life governor in America,” he signed four anti-abortion bills during his term, two of which were blocked by federal judges. House Bill 148, Kentucky’s full ban on abortion, is unenforceable while Roe v. Wade is still intact. The state’s current governor, Democrat Andy Beshear, is pro-choice. Beshear has had difficulty stopping pro-life legislation from becoming law since the state House and Senate have a Republican supermajority.
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Canva
- Policies: Trigger ban, high-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -32.2%
--- Affected population: 759,207 (98.0% of women aged 15-44)
--- New average distance to nearest abortion clinic: 191 miles (416.2% increase)
- Present day:
--- Abortion facilities: 5
--- Average distance to nearest abortion clinic: 37 miles
Oklahoma’s trigger ban was enacted in 2021, though its existing abortion laws were already restrictive for young women and for clinics. Oklahoma, and many of its surrounding states, have TRAP laws, or what Planned Parenthood calls “medically unnecessary,” building requirements that a clinic must meet to provide abortions.
Canva- Policies: Trigger ban, high-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -32.2%
--- Affected population: 759,207 (98.0% of women aged 15-44)
--- New average distance to nearest abortion clinic: 191 miles (416.2% increase)
- Present day:
--- Abortion facilities: 5
--- Average distance to nearest abortion clinic: 37 miles
Oklahoma’s trigger ban was enacted in 2021, though its existing abortion laws were already restrictive for young women and for clinics. Oklahoma, and many of its surrounding states, have TRAP laws, or what Planned Parenthood calls “medically unnecessary,” building requirements that a clinic must meet to provide abortions.
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Canva
- Policies: High-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -32.3%
--- Affected population: 2,017,049 (98.1% of women aged 15-44)
--- New average distance to nearest abortion clinic: 169 miles (576.0% increase)
- Present day:
--- Abortion facilities: 19
--- Average distance to nearest abortion clinic: 25 miles
The governor of North Carolina has vetoed multiple anti-abortion bills, one of which would have made it a crime to refuse treatment to “any infant born alive after an abortion.” (In his veto, Gov. Roy Cooper noted that “[this] practice simply does not exist.”) With an unconstitutional, pre-Roe abortion ban, and four border states without any legal protections, people in this state will be greatly affected by the conflict. North Carolina’s governor has demonstrated pro-choice stances, which may be helpful in the future.
Canva- Policies: High-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -32.3%
--- Affected population: 2,017,049 (98.1% of women aged 15-44)
--- New average distance to nearest abortion clinic: 169 miles (576.0% increase)
- Present day:
--- Abortion facilities: 19
--- Average distance to nearest abortion clinic: 25 miles
The governor of North Carolina has vetoed multiple anti-abortion bills, one of which would have made it a crime to refuse treatment to “any infant born alive after an abortion.” (In his veto, Gov. Roy Cooper noted that “[this] practice simply does not exist.”) With an unconstitutional, pre-Roe abortion ban, and four border states without any legal protections, people in this state will be greatly affected by the conflict. North Carolina’s governor has demonstrated pro-choice stances, which may be helpful in the future.
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Canva
- Policies: High-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -32.5%
--- Affected population: 912,878 (96.2% of women aged 15-44)
--- New average distance to nearest abortion clinic: 224 miles (622.6% increase)
- Present day:
--- Abortion facilities: 5
--- Average distance to nearest abortion clinic: 31 miles
The southern states feature pre-Roe and post-Roe bans, and if the decision is repealed, the amount of clinics that are available to provide abortions will be severely limited in the area. Alabama was prosecuting misdemeanor abortion cases in the ’60s and ’70s, and it still hasn’t repealed the law that originally enforced that ban. In 2019, Alabama's governor signed another law banning most types of abortions that would be enforceable should Roe fall.
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Canva- Policies: High-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -32.5%
--- Affected population: 912,878 (96.2% of women aged 15-44)
--- New average distance to nearest abortion clinic: 224 miles (622.6% increase)
- Present day:
--- Abortion facilities: 5
--- Average distance to nearest abortion clinic: 31 miles
The southern states feature pre-Roe and post-Roe bans, and if the decision is repealed, the amount of clinics that are available to provide abortions will be severely limited in the area. Alabama was prosecuting misdemeanor abortion cases in the ’60s and ’70s, and it still hasn’t repealed the law that originally enforced that ban. In 2019, Alabama's governor signed another law banning most types of abortions that would be enforceable should Roe fall.
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Canva
- Policies: High-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -33.2%
--- Affected population: 2,171,938 (98.2% of women aged 15-44)
--- New average distance to nearest abortion clinic: 181 miles (624.0% increase)
- Present day:
--- Abortion facilities: 9
--- Average distance to nearest abortion clinic: 25 miles
Ohio’s “most restrictive abortion law in modern history” arrived with the wave of 2019 laws to undermine Roe v. Wade. A judge blocked Ohio’s recent “heartbeat” bill, which bans abortion at the detection of a fetal heartbeat, around six weeks into pregnancy, and which progressive lawmakers argued would put women’s lives at a high risk. Though the judge in this case said the law potentially conflicts with the constitution, it has a chance of taking effect in a post-Roe country.
Canva- Policies: High-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -33.2%
--- Affected population: 2,171,938 (98.2% of women aged 15-44)
--- New average distance to nearest abortion clinic: 181 miles (624.0% increase)
- Present day:
--- Abortion facilities: 9
--- Average distance to nearest abortion clinic: 25 miles
Ohio’s “most restrictive abortion law in modern history” arrived with the wave of 2019 laws to undermine Roe v. Wade. A judge blocked Ohio’s recent “heartbeat” bill, which bans abortion at the detection of a fetal heartbeat, around six weeks into pregnancy, and which progressive lawmakers argued would put women’s lives at a high risk. Though the judge in this case said the law potentially conflicts with the constitution, it has a chance of taking effect in a post-Roe country.
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Canva
- Policies: Trigger ban, high-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -34.3%
--- Affected population: 922,449 (100.0% of women aged 15-44)
--- New average distance to nearest abortion clinic: 294 miles (525.5% increase)
- Present day:
--- Abortion facilities: 3
--- Average distance to nearest abortion clinic: 47 miles
The heartbeat bill streak made its way to Louisiana in May 2019, in the form of a trigger ban that would go into effect if Roe is repealed. Making it constitutional to ban abortions before people are aware they are pregnant would affect the entire South.
Canva- Policies: Trigger ban, high-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -34.3%
--- Affected population: 922,449 (100.0% of women aged 15-44)
--- New average distance to nearest abortion clinic: 294 miles (525.5% increase)
- Present day:
--- Abortion facilities: 3
--- Average distance to nearest abortion clinic: 47 miles
The heartbeat bill streak made its way to Louisiana in May 2019, in the form of a trigger ban that would go into effect if Roe is repealed. Making it constitutional to ban abortions before people are aware they are pregnant would affect the entire South.
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Canva
- Policies: Trigger ban, high-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -35.7%
--- Affected population: 644,869 (91.8% of women aged 15-44)
--- New average distance to nearest abortion clinic: 272 miles (597.4% increase)
- Present day:
--- Abortion facilities: 2
--- Average distance to nearest abortion clinic: 39 miles
Utah is in a peculiar place, politically and geographically. Pre-Roe, there were no express bans on abortion, but post-Roe, there were no express protections for it, either. It’s also too far from California for anyone to benefit from nearby clinics. In March 2020, a trigger ban was passed to prep for a Roe v. Wade recall. The state also passed an 18-week ban on abortions in 2019.
Canva- Policies: Trigger ban, high-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -35.7%
--- Affected population: 644,869 (91.8% of women aged 15-44)
--- New average distance to nearest abortion clinic: 272 miles (597.4% increase)
- Present day:
--- Abortion facilities: 2
--- Average distance to nearest abortion clinic: 39 miles
Utah is in a peculiar place, politically and geographically. Pre-Roe, there were no express bans on abortion, but post-Roe, there were no express protections for it, either. It’s also too far from California for anyone to benefit from nearby clinics. In March 2020, a trigger ban was passed to prep for a Roe v. Wade recall. The state also passed an 18-week ban on abortions in 2019.
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Canva
- Policies: High-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -36%
--- Affected population: 2,035,985 (93.4% of women aged 15-44)
--- New average distance to nearest abortion clinic: 249 miles (789.3% increase)
- Present day:
--- Abortion facilities: 14
--- Average distance to nearest abortion clinic: 28 miles
The center of the South’s legacy of abortion bans is Georgia. The Georgia legislature rode the anti-abortion legislation wave early with a sweeping abortion ban signed in 2019, set to take effect in 2020, but permanently blocked in the summer of that year. This version of the “heartbeat” bill solidified the state’s stance against Roe v. Wade.
Canva- Policies: High-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -36%
--- Affected population: 2,035,985 (93.4% of women aged 15-44)
--- New average distance to nearest abortion clinic: 249 miles (789.3% increase)
- Present day:
--- Abortion facilities: 14
--- Average distance to nearest abortion clinic: 28 miles
The center of the South’s legacy of abortion bans is Georgia. The Georgia legislature rode the anti-abortion legislation wave early with a sweeping abortion ban signed in 2019, set to take effect in 2020, but permanently blocked in the summer of that year. This version of the “heartbeat” bill solidified the state’s stance against Roe v. Wade.
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Canva
- Policies: Trigger ban, high-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -37.1%
--- Affected population: 6,018,754 (99.7% of women aged 15-44)
--- New average distance to nearest abortion clinic: 471 miles (1077.5% increase)
- Present day:
--- Abortion facilities: 22
--- Average distance to nearest abortion clinic: 40 miles
Other states have trigger bans, but Texas added a unique proposition where citizens would be allowed to sue clinics that perform abortions. This is in addition to a ban on abortions around six weeks, which was signed into law May 2020.
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Canva- Policies: Trigger ban, high-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -37.1%
--- Affected population: 6,018,754 (99.7% of women aged 15-44)
--- New average distance to nearest abortion clinic: 471 miles (1077.5% increase)
- Present day:
--- Abortion facilities: 22
--- Average distance to nearest abortion clinic: 40 miles
Other states have trigger bans, but Texas added a unique proposition where citizens would be allowed to sue clinics that perform abortions. This is in addition to a ban on abortions around six weeks, which was signed into law May 2020.
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Canva
- Policies: Trigger ban, high-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -37.4%
--- Affected population: 1,333,861 (100.0% of women aged 15-44)
--- New average distance to nearest abortion clinic: 294 miles (716.7% increase)
- Present day:
--- Abortion facilities: 7
--- Average distance to nearest abortion clinic: 36 miles
Tennessee has several restrictions in place already. Gov. Bill Lee signed a heartbeat bill into law in 2020, which a federal judge temporarily blocked from taking effect shortly after it was passed. It is still making its way through the courts. In 2020, the state’s legislature put forth a bill that allows fathers to deny the pregnant mothers of their children an abortion, without the woman’s consent.
Canva- Policies: Trigger ban, high-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -37.4%
--- Affected population: 1,333,861 (100.0% of women aged 15-44)
--- New average distance to nearest abortion clinic: 294 miles (716.7% increase)
- Present day:
--- Abortion facilities: 7
--- Average distance to nearest abortion clinic: 36 miles
Tennessee has several restrictions in place already. Gov. Bill Lee signed a heartbeat bill into law in 2020, which a federal judge temporarily blocked from taking effect shortly after it was passed. It is still making its way through the courts. In 2020, the state’s legislature put forth a bill that allows fathers to deny the pregnant mothers of their children an abortion, without the woman’s consent.
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Canva
- Policies: High-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -38.6%
--- Affected population: 984,181 (100.0% of women aged 15-44)
--- New average distance to nearest abortion clinic: 267 miles (790.0% increase)
- Present day:
--- Abortion facilities: 3
--- Average distance to nearest abortion clinic: 30 miles
South Carolina’s latest abortion law, which bans the procedure at the detection of a fetal heartbeat, hit snags in federal court back in March 2021 when it was indefinitely blocked. Not only is South Carolina surrounded geographically by states with similar problems, but it is also supported by 20 other states that want this abortion ban to succeed.
Canva- Policies: High-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -38.6%
--- Affected population: 984,181 (100.0% of women aged 15-44)
--- New average distance to nearest abortion clinic: 267 miles (790.0% increase)
- Present day:
--- Abortion facilities: 3
--- Average distance to nearest abortion clinic: 30 miles
South Carolina’s latest abortion law, which bans the procedure at the detection of a fetal heartbeat, hit snags in federal court back in March 2021 when it was indefinitely blocked. Not only is South Carolina surrounded geographically by states with similar problems, but it is also supported by 20 other states that want this abortion ban to succeed.
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Canva
- Policies: High-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -39.6%
--- Affected population: 1,876,586 (99.9% of women aged 15-44)
--- New average distance to nearest abortion clinic: 239 miles (1393.8% increase)
- Present day:
--- Abortion facilities: 26
--- Average distance to nearest abortion clinic: 16 miles
Michigan’s court has decided the state’s pre-Roe ban of abortion procedures is only unconstitutional (as applied to physicians) thanks to Roe v. Wade, so the debate on that case’s constitutionality will directly affect it. Still, Michigan Gov. Gretchen Whitmer is seen as pro-choice, and was once criticized by anti-abortion activists for calling abortion “life-sustaining.” Michigan’s attorney general has also said she would not prosecute doctors performing abortions or anyone seeking them.
Canva- Policies: High-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -39.6%
--- Affected population: 1,876,586 (99.9% of women aged 15-44)
--- New average distance to nearest abortion clinic: 239 miles (1393.8% increase)
- Present day:
--- Abortion facilities: 26
--- Average distance to nearest abortion clinic: 16 miles
Michigan’s court has decided the state’s pre-Roe ban of abortion procedures is only unconstitutional (as applied to physicians) thanks to Roe v. Wade, so the debate on that case’s constitutionality will directly affect it. Still, Michigan Gov. Gretchen Whitmer is seen as pro-choice, and was once criticized by anti-abortion activists for calling abortion “life-sustaining.” Michigan’s attorney general has also said she would not prosecute doctors performing abortions or anyone seeking them.
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Canva
- Policies: High-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -40.3%
--- Affected population: 1,316,221 (94.1% of women aged 15-44)
--- New average distance to nearest abortion clinic: 247 miles (1352.9% increase)
- Present day:
--- Abortion facilities: 8
--- Average distance to nearest abortion clinic: 17 miles
In the renewed fight to restrict abortions, Arizona lawmakers are ready to challenge Roe v. Wade. One new Arizona law expressly rejects any federal decisions on abortion laws, which may not be constitutional. Since the ’60s, the state has passed laws banning abortion that cannot be enforced until the Supreme Court’s landmark decision falls.
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Canva- Policies: High-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -40.3%
--- Affected population: 1,316,221 (94.1% of women aged 15-44)
--- New average distance to nearest abortion clinic: 247 miles (1352.9% increase)
- Present day:
--- Abortion facilities: 8
--- Average distance to nearest abortion clinic: 17 miles
In the renewed fight to restrict abortions, Arizona lawmakers are ready to challenge Roe v. Wade. One new Arizona law expressly rejects any federal decisions on abortion laws, which may not be constitutional. Since the ’60s, the state has passed laws banning abortion that cannot be enforced until the Supreme Court’s landmark decision falls.
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AP FILE
Chief Justice John Roberts
Nominated to serve as chief justice by President George W. Bush
Took seat Sept. 29, 2005
Born Jan. 27, 1955, in Buffalo, N.Y.
AP FILEChief Justice John Roberts
Nominated to serve as chief justice by President George W. Bush
Took seat Sept. 29, 2005
Born Jan. 27, 1955, in Buffalo, N.Y.
-
Pablo Martinez Monsivais
Associate Justice Clarence Thomas
Nominated to serve as associate justice by President George H.W. Bush
Took seat Oct. 23, 1991
Born June 23, 1948, near Savannah, Georgia
Pablo Martinez MonsivaisAssociate Justice Clarence Thomas
Nominated to serve as associate justice by President George H.W. Bush
Took seat Oct. 23, 1991
Born June 23, 1948, near Savannah, Georgia
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AP FILE
Associate Justice Stephen Breyer
Nominated to serve as associate justice by President Bill Clinton
Took seat Aug. 3, 1994
Born Aug. 15, 1938, in San Francisco, California
AP FILEAssociate Justice Stephen Breyer
Nominated to serve as associate justice by President Bill Clinton
Took seat Aug. 3, 1994
Born Aug. 15, 1938, in San Francisco, California
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AP FILE
Associate Justice Samuel Alito
Nominated to serve as associate justice by President George W. Bush
Took seat Jan. 31, 2006
Born April 1, 1950, in Trenton, New Jersey
AP FILEAssociate Justice Samuel Alito
Nominated to serve as associate justice by President George W. Bush
Took seat Jan. 31, 2006
Born April 1, 1950, in Trenton, New Jersey
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AP FILE
Associate Justice Sonia Sotomayor
Nominated to serve as associate justice by President Barack Obama
Took seat Aug. 8, 2009
Born June 25, 1954, in Bronx, New York
AP FILEAssociate Justice Sonia Sotomayor
Nominated to serve as associate justice by President Barack Obama
Took seat Aug. 8, 2009
Born June 25, 1954, in Bronx, New York
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AP FILE
Associate Justice Elena Kagan
Nominated to serve as associate justice by President Barack Obama
Took seat Aug. 7, 2010
Born April 28, 1960, in New York City
AP FILEAssociate Justice Elena Kagan
Nominated to serve as associate justice by President Barack Obama
Took seat Aug. 7, 2010
Born April 28, 1960, in New York City
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AP FILE
Associate Justice Neil Gorsuch
Nominated to serve as associate justice by President Donald Trump
Took seat April 10, 2017
Born Aug. 29, 1967, in Denver, Colorado
AP FILEAssociate Justice Neil Gorsuch
Nominated to serve as associate justice by President Donald Trump
Took seat April 10, 2017
Born Aug. 29, 1967, in Denver, Colorado
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THE NEW YORK TIMES VIA AP, POOL
Associate Justice Brett Kavanaugh
Nominated to serve as associate justice by President Donald Trump
Took seat Oct. 6, 2018
Born Feb. 12, 1965, in Washington D.C.
THE NEW YORK TIMES VIA AP, POOLAssociate Justice Brett Kavanaugh
Nominated to serve as associate justice by President Donald Trump
Took seat Oct. 6, 2018
Born Feb. 12, 1965, in Washington D.C.
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Associated Pres
Associate Justice Amy Coney Barrett
Nominated to serve as associate justice by President Donald Trump
Took seat Oct. 27, 2020
Born January 28, 1972
Associated PresAssociate Justice Amy Coney Barrett
Nominated to serve as associate justice by President Donald Trump
Took seat Oct. 27, 2020
Born January 28, 1972
Court opinions can change in ways big and small throughout the drafting process. So while the eventual ruling in the abortion case appears all but assured, the written rationale — and its implications — may still be a hotly debated subject inside the court’s private chambers.
The draft’s potentially sweeping impact could be tempered by the other justices, or it could emerge largely unchanged — with what advocates and Biden say could bring even more severe consequences.
The draft opinion, written by Justice Samuel Alito, a member of the court’s 6-3 conservative majority, argues that unenumerated constitutional rights — those not explicitly mentioned in the document — must be “deeply rooted in the Nation’s history and traditions.” And it says abortion doesn’t meet that standard.
Biden and others are sounding alarms that the same logic could be used to toss out other protections.
The president said he believed the conservative justices on today’s court would, like failed Supreme Court nominee Robert Bork in 1987, disagree with the court’s ruling in Griswold v. Connecticut, which said that a right to privacy exists that bars states from interfering in married couples’ right to buy and use contraceptives.
Cases like Lawrence v. Texas, which struck down sodomy laws criminalizing same-sex intimacy, and Obergefell v. Hodges, which legalized gay marriage, are based at least in part on that same right to privacy.
Alito, in the draft opinion, explicitly states that the court is only targeting the right to abortion, not those other matters.
“We emphasize that our decision concerns the constitutional right to abortion and no other right,” the draft states. “Nothing in this opinion should be understood to cast doubt on precedents that do not concern abortion.”
Obergefell is different from Roe in that hundreds of thousands of same-sex couples have relied on it to wed and created legal bonds, like shared property, inheritance rights and “settled expectations about the future,” said Teresa Collett, a professor at the University of St. Thomas School of Law and director of its Prolife Center.

AP Photo/Jacquelyn Martin, File
FILE - In this June 26, 2015 file photo, a man holds a U.S. and a rainbow flag outside the Supreme Court in Washington after the court legalized gay marriage nationwide.
Courts are usually loath to undo that kind of precedent. It stands in contrast to abortion, which is usually “a response to unplanned circumstances,” Collett said.
Obergefell, moreover, relies on the Constitution’s Equal Protection Clause as well as the right to privacy.
The current Supreme Court abortion case specifically concerns a Mississippi law that bans abortion after 15 weeks — before the “viability” standard set in the 1992 case Planned Parenthood v. Casey, which itself moved beyond Roe’s initial trimester framework for regulating abortion.
At arguments in December, all six conservative justices signaled they would uphold the Mississippi law, and five asked questions suggesting they supported overturning the right to abortion nationwide, leaving the issue up to individual states.
Only Chief Justice John Roberts seemed prepared to take the smaller step of upholding the 15-week ban, in essence overturning the court’s ruling in Casey, while leaving in place the right to an abortion in Roe.
Until now, the court has allowed states to regulate but not ban abortion before the point of viability, around 24 weeks. The court’s three liberal justices appeared certain to be in dissent.
Still, the language and tone Alito uses overall could encourage more challenges, said Jason Pierceson, professor of political science at the University of Illinois, Springfield. “If the right to privacy is deconstructed or is hollowed out, or is minimized, then those cases in particular have less standing,” Pierceson said.
A challenge to same-sex marriage could come before the high court on religious liberty grounds, for example, such as someone arguing their religious faith prevents them from recognizing same-sex marriage. Cases along those lines have been mostly about exceptions to anti-discrimination laws so far, Pierceson said, “but one could see potentially a broadening of the argument to the fact that maybe same-sex marriage laws are unconstitutional in the first place.”
LGBTQ rights have made rapid progress over the past decade, and public opinion overall has become much more supportive. But especially over the past year there has been a wave of bills in state legislatures aimed at transgender youth sports and healthcare, as well as talking about LGBTQ issues in certain classrooms. Backers of those bills generally argue they’re needed to protect kids and the rights of parents.
Against that backdrop, the draft opinion, if finalized, could “send up a flare” to conservative activists, said Sharon McGowan, legal director at Lambda Legal.
“Overturning Roe will be most dangerous because of the signal it will send lower courts to disregard all the other precedents that exist,” she said.
“It’s starting with abortion. It’s not going to end with abortion,” said Mini Timmaraju, the president of NARAL Pro-Choice America. “So everyone needs to be very vigilant.”
Critics could also take a page from the anti-abortion playbook, which involved multiple measures over the decades that tackled the issue from different angles, imposed limits rather than sweeping prohibitions and employed unusual strategies like the civil-enforcement mechanism that’s already essentially allowed Texas to ban abortion, said Alison Gash, a professor at the University of Oregon.
“It opens the door for all sorts of stuff that I think we’re probably going to see now that we’ve got a court that seems willing to support that kind of creativity,” she said. “It’s all speculation, but it seems perfectly plausible for us to see Republican experimentation on a whole bunch of policies that could be affected by this.”
Donna Lieberman, executive director of the New York Civil Liberties Union, said that “what comes through loud and clear in the draft” is that the agenda “is not just to get rid of abortion but to ban contraception, to eliminate all the important progress that we’ve made about LGBTQ rights, about the rights of trans children, and also about racial equality.”