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SCOTUS Appears Poised to Allow Emergency Abortions in Idaho for Now, Report Says

— Documents briefly posted online suggest a delay in resolving the case for good

Ƶ MedicalToday
 A photo of the Supreme Court building in Washington, D.C.
(AP Photo/Alex Brandon)

The Supreme Court appears poised to allow emergency abortions in Idaho when a pregnant patient's health is at serious risk, as a legal case plays out, according to Bloomberg News, which said a copy of the opinion was briefly posted Wednesday on the court's website.

The the court will find that it should not have gotten involved in the case so quickly and, by a 6-3 vote, will reinstate a lower court order that had allowed hospitals in the state to perform emergency abortions to protect a pregnant patient's health, Bloomberg said.

Such an outcome would leave the issues at the heart of the case unresolved, and Justice Ketanji Brown Jackson wrote in a concurrence that it leaves key questions unanswered.

"Today's decision is not a victory for pregnant patients in Idaho. It is delay," she wrote.

The Supreme Court acknowledged that a document was inadvertently posted Wednesday. That document was quickly removed.

"The Court's Publications Unit inadvertently and briefly uploaded a document to the Court's website. The Court's opinion in Moyle v. United States and Idaho v. United States will be issued in due course," court spokeswoman Patricia McCabe said in a statement.

Conservative Justices Clarence Thomas, Samuel Alito, and Neil Gorsuch are listed as dissenting from the decision, which would allow the case to continue at the 9th U.S. Circuit Court.

The finding may not be the court's final ruling because the justices' decision has not been officially released.

The Biden administration sued Idaho, arguing that hospitals must provide abortions to stabilize pregnant patients in rare emergency cases when their health is at serious risk.

Most Republican-controlled states began enforcing restrictions after the Supreme Court overturned Roe v. Wade 2 years ago. Idaho is among 14 states that outlaw abortion at all stages of pregnancy with very limited exceptions. Idaho argued its ban does allow abortions to save a pregnant patient's life and that federal law does not require the exceptions to expand.

The decision briefly posted would reverse the Supreme Court's earlier order that allowed the Idaho law to go into effect, even in medical emergencies, while the case played out. Several women have since needed out of state in cases in which abortion is routine treatment to avoid infection, hemorrhage, and other dire health risks, Idaho doctors have said.

The Supreme Court's eventual ruling could have ripple effects on emergency care in other states with strict abortion bans. Reports of pregnant women being turned away from U.S. emergency departments spiked after the Supreme Court's 2022 ruling overturning the constitutional right to abortion, according to federal documents obtained by the Associated Press.

The Justice Department's lawsuit came under a federal law, known as the Emergency Medical Treatment and Active Labor Act, or EMTALA, which requires hospitals accepting Medicare to provide stabilizing care regardless of a patient's ability to pay.

Nearly all hospitals accept Medicare, so emergency department doctors in Idaho and other states with bans would have to provide abortions if needed to stabilize a pregnant patient and avoid serious health risks, such as the loss of reproductive organs, the Justice Department argued.

Idaho argued that its exception for a patient's life covers dire health circumstances and that the Biden administration misread the law to circumvent the state ban and expand abortion access.

Doctors have said Idaho's law has made them fearful to perform abortions, even when a pregnancy is putting a patient's health severely at risk. The law requires anyone who is convicted of performing an abortion to be imprisoned for at least 2 years.

A federal judge initially sided with the Biden administration and ruled that abortions were legal in medical emergencies. After the state appealed, the Supreme Court allowed the law to go fully into effect in January.