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Supreme Court Allows Emergency Abortions in Idaho for Now

Demonstrators outside the US Supreme Court in Washington, DC, US, on Wednesday, April 24, 2024. The US Supreme Court will consider just how far states can go in prohibiting abortion Wednesday as it weighs whether emergency room doctors nationwide can perform the procedure when a pregnant woman's health is at serious risk. (Julia Nikhinson/Bloomberg)

(Bloomberg) -- The US Supreme Court confirmed it will let abortions take place in medical emergencies in Idaho for the time being, making official a decision that was inadvertently posted online on Wednesday.

Over three dissents, the justices reinstated a federal trial court order that ensures hospitals in the state can perform emergency abortions to protect the health of the mother. The Supreme Court had blocked that order in January, letting Idaho fully enforce its near-total ban for five months.

The about-face is at least a temporary victory for abortion-rights advocates. Doctors and hospital administrators say the state’s law was keeping them from treating women with serious health risks even if they had no chance to deliver a healthy baby. Patients instead were forced to wait days for treatment or be rushed out of state.

The court took up the case to consider whether a federal hospital law guarantees that patients can get abortions to prevent a serious health risk, even in states like Idaho that allow the procedure only when the mother’s life is in danger. But the justices opted not to resolve that issue, instead dismissing an appeal by Idaho and some of its Republican lawmakers.

Bloomberg Law obtained an early copy of the opinion, which was posted briefly on the court’s website Wednesday morning. A court spokeswoman said then that the document was uploaded “inadvertently” and that the Idaho opinion would be released in “due course.”

The court as a whole didn’t explain its decision. In a concurring opinion, Justice Amy Coney Barrett said that the “shape of these cases has substantially shifted” since the court said in January it would take up the dispute.

In an opinion joined by Chief Justice John Roberts and Justice Brett Kavanaugh, Barrett pointed to what she said was a clarification by the Biden administration about the reach of the federal law. Barrett also said Idaho law had changed since the district judge considered the case.

The high court decision shifts the focus of the case to a San Francisco-based 9th US Circuit Court of Appeals, which will now consider appeals by the state and Republican lawmakers. The Supreme Court’s January decision to take up the case was an unusual move that would have meant bypassing the 9th Circuit.

Justice Ketanji Brown Jackson wrote separately to say that she wouldn’t have dismissed the case.

“Today’s decision is not a victory for pregnant patients in Idaho. It is delay,” she wrote. “While this court dawdles and the country waits, pregnant people experiencing emergency medical conditions remain in a precarious position, as their doctors are kept in the dark about what the law requires.”

The cases are Moyle v. United States, 23-726, and Idaho v. United States, 23-727.

(Updates with excerpts from opinion starting in sixth paragraph.)

©2024 Bloomberg L.P.

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