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"Texans deserve to exercise reproductive freedom without fighting legal battles and without legislative interference in their lives," said the American College of Obstetricians and Gynecologists Action.
Reproductive rights groups expressed relief Thursday that one woman in Texas was permitted to get abortion care after a Travis County judge granted a temporary restraining order to circumvent the state's pro-forced pregnancy laws, but said it was "unforgivable that she was forced to go to court" to request urgent medical care.
The Center for Reproductive Rights (CRR) filed a lawsuit against the state last week on behalf of Kate Cox, a Dallas resident, who had just learned at 20 weeks pregnant that her fetus had the fatal diagnosis of trisomy 18, as well as a spinal abnormality and other health issues.
Cox's case is the first in which a pregnant plaintiff has asked a court for an emergency abortion since Roe v. Wade was overturned in 2022.
In court this week, Cox's lawyer, CRR senior staff attorney Molly Duane, told Judge Maya Guerra Gamble that Cox had had to go to the emergency room with cramping and fluid loss in the two days since she filed the lawsuit.
Since learning of the fetal diagnosis last week, Cox has sought emergency medical care four times due to her symptoms but doctors have been unable to provide her with legal abortion care due to the ban that took effect two months after the U.S. Supreme Court overturned Roe v. Wade in 2022.
Before Thursday, Cox's only options under Texas law were to have a Caesarean section after carrying the pregnancy to term—even as her health grew worse—or to have labor induced in the case of the fetal heartbeat stopping.
"Due to Kate's medical history," said CRR, "her OB-GYNs warned her that continuing to carry the pregnancy could jeopardize her health and future fertility."
Advocates including Duane and author Jessica Valenti expressed outrage at the arguments presented by the state—which, notedSlate journalist Mark Joseph Stern, "will likely appeal to try to block Cox's abortion."
Jonathan Stone, the lawyer representing Texas, told Gamble that "the only party that's going to suffer an immediate and irreparable harm in this case if the court enters a TRO [temporary restraining order] is the state," because the government would not be able to make its case in a regular hearing.
"The abortion once performed is permanent and cannot be undone," Stone said. "The plaintiffs are going to obtain permanent relief in this case through this TRO application without any evidence being considered by this court and in full-blown evidentiary hearing."
The state also claimed that Cox was not at a particular risk for life-threatening complications, despite her doctors' advice.
"These arguments are frankly stunning," said Duane. "The state goes as far to characterize her claims as 'a frivolous assertion of harm.'"
Cox's lawyers added that "the harm to Ms. Cox's life, health, and fertility are very much also permanent and cannot be undone."
Cox "should never have had to fight in court for her life, her health, and her future," said U.S. Rep. Katherine Clark (D-Mass.). "This is the result of the GOP war on reproductive freedom. And it must be stopped."
Texas Attorney General Ken Paxton said after Gamble's ruling was announced that while the TRO "purports" to allow an abortion to proceed, it "will not insulate hospitals, doctors, or anyone else from civil and criminal liability for violating Texas' abortion laws."
"Most women are not able to do what Kate has done—many Texans have been forced to continue pregnancies that put their lives at risk," said Duane. "That is happening every day across Texas. As long as abortion is banned, pregnant people will suffer."
"Prosecutors seeking to test out laws like this are likely to go after people who won't garner much sympathy from the public," wrote one author and abortion rights activist.
An Idaho teenager and his mother who allegedly took a 15-year-old girl to neighboring Oregon for an abortion without parental knowledge or consent are facing felony kidnapping and other charges in a prosecution viewed as a test case for the state's "abortion trafficking" statute.
In April, Idaho became the first state in the nation to pass a so-called "abortion trafficking" law, criminalizing the transportation of pregnant minors within the state for the purpose of obtaining an abortion or abortion medication. While 18-year-old Kadyn Swainston and his 42-year-old mother Rachael Swainston of Pocatello were not charged under the law—perhaps because it is being challenged in court—author and activist Jessica Valenti noted that "prosecutors used theexact language of the trafficking law in the kidnapping charge."
"It's actually a pretty slick move, allowing prosecutors to charge the two with abortion trafficking without citing the statute specifically in case it gets blocked," Valenti wrote on her Substack.
The Idaho State Journal reported Monday that Kadyn Swainston has been charged with rape, second-degree kidnapping, and three counts of producing child sexually exploitative material—all felonies.
Rachael Swainston is charged with second-degree kidnapping, trafficking in methamphetamine, two counts of possession of a controlled substance, and one count of harboring a wanted felon—also all felonies.
If convicted of the most serious charges against them, the Swainstons could receive life prison sentences. According to Pocatello police, a woman contacted them in June claiming that her 15-year-old daughter—identified in court records as K.B.—had been raped by Kadyn Swaintston, who had been in a consensual relationship with the girl since he was 17 years old but as an adult allegedly ran afoul of the state's statutory rape law. The woman told investigators that the Swainstons took K.B. to Bend, Oregon for an abortion, without her knowledge or consent.
Valenti noted that police obtained permission from K.B. to track her phone's geolocational data to the area of the Planned Parenthood clinic where she had her abortion.
While executing a search warrant at the Swainstons' home, police also found more than 40 grams of methamphetamine there, as well as fentanyl and psychedelic mushrooms, and photos showing Kadyn Swainston and K.B. engaging in sex acts. They also found and arrested a man wanted on an outstanding warrant on meth trafficking charges who was staying in the home's storage shed.
"It's not surprising that the people at the center of this case seem to be having a really difficult time—we know that the most marginalized among us are much more likely to be charged or targeted by law enforcement in abortion-related cases (and all others)," wrote Valenti. "We also know that prosecutors seeking to test out laws like this are likely to go after people who won't garner much sympathy from the public."
"The hope," she added, "is that people will be a little less outraged over an objectively outrageous law."
"The exceptions in the bill are so narrow, and the penalties for violating the Texas ban are so high, that invariably," said one legal expert, "a lot of doctors are going to continue not to offer abortion in those situations because they don't want to get in trouble."
Rights advocates said Monday that a new law set to go into effect this week in Texas may appear on its face to be aimed at ensuring that pregnant people experiencing medical emergencies can access abortion care—but warned that it could not only do little to protect abortion access in Texas but also give residents a false sense of their reproductive rights and the Republican Party's intentions when it comes to preserving bodily autonomy.
House Bill 3058 was proposed by state Rep. Ann Johnson (D-134) and, as written, allows doctors to provide "certain medical treatment to a pregnant woman" in cases of premature rupture of membranes when it is too early in pregnancy for a fetus to survive, or an ectopic pregnancy.
Under the new so-called "exceptions," healthcare providers in Texas could ostensibly avoid up to $100,000 in fines or a life sentence in prison if they provided abortion care in these instances, despite the state law that bans abortion in all cases, including pregnancies that result from rape or incest, at six weeks gestation.
But legal experts and abortion rights advocates say that like exceptions that already exist in many of the abortion bans and restrictions that have been passed in at least 22 states since Roe v. Wade was overturned last year, many patients are still likely to face dangerous delays in care.
H.B. 3058 appears to have been overwhelmingly approved by state Republicans and GOP Gov. Greg Abbott not because of genuine concern for the well-being of people who seek abortion care, said University of California, Davis law professor Mary Ziegler, but to improve voters' views of the abortion ban that the Texas Republican Party pushed through in 2021.
"Republicans can now point to these new exceptions and say, 'Look, that kind of thing doesn't happen anymore,'" Ziegler toldThe Guardian on Monday.
But even with the new legislation, she added, "the exceptions in the bill are so narrow, and the penalties for violating the Texas ban are so high, that invariably, a lot of doctors are going to continue not to offer abortion in those situations because they don't want to get in trouble."
Researcher Grace Haley noted at the Substack publication Abortion, Every Day last week that H.B. 3058 was passed after 14 women in Texas joined a lawsuit saying the state's ban imperiled their health and lives—denying them care when they and their fetuses faced medical emergencies and causing them to develop life-threatening infections, travel to other states for care while pregnant with fetuses that had severe complications, and face other emotional and physical distress.
Since news reports of such cases have become increasingly common following the overturning of Roe, polling has shown that a growing share of Americans believe abortion care should be legal at all stages of pregnancy.
Haley wrote that in order to distance itself from images of pregnant patients facing life-threatening medical emergencies and being denied necessary care, the GOP is seeking to "redefine what an abortion is."
"The definition of abortion isn't flexible—it's a medical intervention to end a pregnancy. But GOP lawmakers want to make abortion an intention instead," wrote Haley.
In a video posted to TikTok, Abortion, Every Day author and advocate Jessica Valenti warned that "it is so dangerous for Democrats to go along with this" as Johnson and other Democratic lawmakers in Texas are.
The move "opens the door for much broader criminalization and enforcement: If someone has a stillborn baby, for example, but at some point did a Google search for abortion clinics—that's something that could be used by a prosecutor to target them," Haley wrote.
"Some doctors point out that this language is a small scope surrounding the plethora of pregnancy complications," she added, "and advocates wonder if the compromise is worth accepting anti-abortion framing."