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Court Revisits Abortion and Hospital

Admitting-Privileges Requirement



March 2, 2020

On March 4, 2020, the Supreme Court is to hear oral arguments in June Medical Services LLC v. Russo, a
case involving a Louisiana law requiring physicians who perform abortions to have admitting privileges
at a hospital within thirty miles of the location where the procedure is performed. Under the law, abortion
facilities that employ or contract with physicians who do not have such privileges are subject to having
their licenses revoked by the state Department of Health and Hospitals. In September 2018, the U.S.
Court of Appeals for the Fifth Circuit upheld the law, distinguishing a 2016 Supreme Court decision-
Whole Toman  s Health : HIellerstedt-that had invalidated a nearly identical Texas law on the grounds
that it unconstitutionally imposed an undue burden on a woman's ability to obtain an abortion. In so
doing, the Fifth Circuit emphasized that admitting privileges are easier to obtain in Louisiana and that
only one of the state's six physicians who perform abortions might be unable to obtain admitting
privileges. The appellate court reasoned that if the remaining physicians obtained admitting privileges,
existing facilities would remain open and Louisiana residents would not suffer the same kinds of burdens
the Court identified in Whole Woman's Health, such as fewer abortion clinics and longer wait times at
remaining facilities.
This Sidebar provides an overview of June Medical Services, beginning with a discussion of the undue
burden standard used by courts to evaluate the constitutionality of abortion regulations. The Sidebar then
reviews the arguments made by both parties concerning not only the merits of the dispute, but whether
abortion providers can have third-party standing to challenge abortion regulations on behalf of their
patients. The Sidebar concludes with some considerations of the potential implications of the Court's
latest abortion case.

Abortion and the Undue Burden Standard
Courts reviewing the constitutionality of abortion regulations apply a standard that was adopted by a
plurality of the Supreme Court in Planned Parenthood ofSoutheastern PennsWvania v Casev, a 1992
decision involving several Pennsylvania abortion restrictions. In Casey, a plurality of the Court concluded
that an abortion regulation violates the substantive component of the Fourteenth Amendment's Due
Process Clause if it imposes an undue burden on a woman's ability to obtain the procedure. The plurality


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