Idaho Blocked From Enforcing Abortion Ban in Medical Emergencies

Judge has concerns that would violate federal law on emergency care
By Newser Editors and Wire Services
Posted Aug 25, 2022 1:11 AM CDT
Judge Bars Idaho From Enforcing Abortion Ban in Medical Emergencies
People march through 8th Street in downtown Boise, Idaho, on May 3, 2022, in response to the news that the U.S. Supreme Court could be poised to overturn the landmark Roe v. Wade case that legalized abortion nationwide.   (Sarah A. Miller/Idaho Statesman via AP, File)

A federal judge in Idaho has barred the state from enforcing a strict abortion ban in medical emergencies over concerns that it violates a federal law on emergency care, the AP reports. The ruling Wednesday evening came after a federal judge this week in Texas made the opposite call, barring the federal government from enforcing a legal interpretation of the Emergency Medical Treatment and Labor Act (EMTALA) that would require Texas hospitals to provide abortion services if the health or life of the mother is at risk. In Idaho, the ban makes performing an abortion in any “clinically diagnosable pregnancy” a felony punishable by up to five years in prison. Much of Idaho's law will still go into effect Thursday, but US District Judge B. Lynn Winmill ruled Wednesday the state cannot prosecute anyone who is performing an abortion in an emergency medical situation.

That’s because abortions in those cases appear to fall under a federal health care law requiring Medicare-funded hospitals to provide “stabilizing treatment” to patients, Winmill said. That includes cases when the health of a pregnant patient is in serious jeopardy, when continuing the pregnancy could result in a serious impairment to a person’s bodily functions, or a serious dysfunction of any bodily organ or part. The pause on enforcement in Idaho will continue until a lawsuit challenging the ban is resolved, the judge said in the written ruling. The US Department of Justice sued the Republican-led state of Idaho earlier this month, saying the abortion ban set to take effect on Thursday violates EMTALA. Idaho’s law criminalizes all abortions in “clinically diagnosable pregnancies,” but allows physicians to defend themselves in court by arguing the procedure was necessary to avert the death of the mother.

Winmill said the case wasn’t about abortion rights but about whether state or federal law takes precedence in this situation. Winmill said the Idaho law would pose a dilemma for a doctor who felt they had to, under “EMTALA obligations,” perform an abortion to save the life of the mother even though they are banned under state law. “At its core, the Supremacy Clause says state law must yield to federal law when it’s impossible to comply with both. And that’s all this case is about,” Winmill wrote. “It’s not about the bygone constitutional right to an abortion.” The federal judge in Texas, where a ban on abortion at all points of a pregnancy with very narrow exceptions is scheduled to take effect Thursday, took the opposite approach, and the Department of Health and Human Services is reviewing its next steps in that case. (Tennessee and North Dakota are also set to ban almost all abortions this week.)

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