Georgia OBGYNs attack abortion law

ATLANTA – Georgia’s law essentially banning abortions after six weeks of pregnancy is forcing women to endure high-risk pregnancies and driving OBGYN doctors out of the state, two OBGYNs and an OBGYN resident said Tuesday.

“There are a lot of political voices weighing in on this issue,” U.S. Sen. Jon Ossoff, D-Ga., said at the end of a field hearing of the Human Rights Subcommittee he chairs held at Decatur City Hall. “People need to hear from the doctors who are providing care every day, what this is really doing to pregnant women in Georgia.”

Republican Gov. Brian Kemp steered the “heartbeat bill” through the GOP-controlled General Assembly in 2019, prohibiting most abortions after a fetal heartbeat can be detected, typically about six weeks into a pregnancy. There are exceptions for rape, incest, and medical emergencies.

Courts blocked the law from taking effect until 2022, after the U.S. Supreme Court overturned the constitutional right to abortion that had been established in the Roe v. Wade ruling in 1973.

Abortion is a key issue in this year’s presidential election, with Democrats accusing Republicans of seeking congressional passage of a nationwide abortion ban, while Republicans argue the issue should be left to the states to decide.

At Tuesday’s hearing, Georgia OBGYNs said patients experiencing high-risk pregnancies are being forced to either continue carrying fetuses that have little chance of survival yet threaten the mother’s lives or leave the state to obtain abortions.

“High-risk pregnancies are unexpected, life-threatening, emotionally traumatizing, and life-changing for all involved,” said Dr. Suchitra Chandrasakeran, an OBGYN in Atlanta. “The current abortion ban in Georgia limits our ability to provide a compassionate and full spectrum of reproductive counseling and choices to our patients and only continues to worsen the overall future health of pregnant persons in Georgia.”

Dr. Aisvarya Panakam, a first-year OBGYN resident and native Georgian, said she decided after treating pregnant patients from Georgia who had traveled to Massachusetts not to return to Georgia to practice because of the state’s abortion ban.

“I want to practice and learn in a state where I can offer patients a full section of options,” she said. “I don’t want may hands to be tied by a law, by legislators who have very little understanding of medicine. … People without knowledge are restraining out ability to provide evidence-based care. As a result, real people are affected, real people are getting sick and having unwanted pregnancies, real people are dying.”

Atlanta OBGYN Dr. Nisha Verma said terms in Georgia’s abortion law dealing with exceptions to the ban including “irreversible” and “medically futile” are vague.

“There is no way to create a law that takes every individual, every medical situation, every family into account,” she said. “The exceptions don’t solve the problem. They don’t make sense.”

Georgia Supreme Court upholds six-week abortion ban

ATLANTA – The Georgia Supreme Court ruled Tuesday that a state law prohibiting most abortions after six weeks of pregnancy may remain in effect.

The General Assembly’s Republican majorities passed the Living Infants Fairness and Equality (LIFE) Act in 2019 banning abortions after a fetal heartbeat can be detected, with exceptions for rape, incest, and medical emergencies.

But federal courts blocked the law from taking effect until late last year, when the state Supreme Court reimposed the ban pending the outcome of a lawsuit challenging the law filed by the reproductive rights group Sistersong.

The plaintiffs, other pro-choice groups, and legislative Democrats argued the Georgia law should be declared unconstitutional because when it was enacted in 2019, the 1973 U.S. Supreme Court decision in the Roe v. Wade case protecting women’s right to abortion remained the law of the land.

Fulton County Superior Court Judge Robert McBurney agreed and ruled in the plaintiffs’ favor last November, only to be quickly overturned when the state Supreme Court temporary reimposed the ban.

On Tuesday, a majority of the justices sided with the state’s argument that the abortion ban should stay in effect because of the U.S. Supreme Court’s ruling last year in the Dobbs case that overturned Roe v. Wade and removed the constitutional right to abortion.

“When the United States Supreme Court overrules its own precedent interpreting the United States Constitution, we are then obligated to apply the court’s new interpretation of the constitution’s meaning on matters of federal constitutional law,” Justice Verda M. Colvin, wrote in the court’s majority opinion.

In a dissenting opinion, Justice John J. Ellington agreed with the lower-court ruling that the Georgia law should not be allowed to stay in effect because last year’s U.S. Supreme Court decision on abortion was not the law of the land when Georgia lawmakers passed the LIFE Act four years ago.

An act “cannot spring to life because of any subsequent change in the law,” he wrote.

Ellington went on to write that the six-week abortion ban should be allowed only if the General Assembly revisits the issue and re-enacts the law.

Republican Gov. Brian Kemp, who signed the LIFE Act into law in 2019, applauded Tuesday’s ruling.

“Today’s victory represents one more step towards ending this litigation and ensuring the lives of Georgians at all ages are protected,” Kemp said.

Sistersong Executive Director Monica Simpson called the decision “devastating.”

“This abortion ban has forced Georgians to travel across state lines at great expense or continue the life-altering consequences of pregnancy and childbirth against their wills,” she said.

U.S. Rep. Nikema Williams, D-Atlanta, who also serves as chairperson of the Georgia Democratic Party, said Democrats will make Tuesday’s ruling an issue in next year’s election campaigns.

“Come 2024, we’ll fight to keep anti-abortion extremists out of both the White House and the statehouse and work to codify protections for reproductive freedom into federal law,” she said. “Today’s ruling is a blow to Georgians and to reproductive freedom, but the fight continues.”

Becerra addresses new insulin cap, abortion drug during Atlanta visit  

U.S. Health and Human Services Secretary Xavier Becerra and U.S. Sen. Jon Ossoff, D-Ga., addressed national and state health concerns in Altanta on Monday. (Photo credit: John Arthur Brown)

ATLANTA – U.S. Health and Human Services Secretary Xavier Becerra addressed national and state health concerns Monday from senior drug prices to abortion during an Atlanta visit. 

Becerra, joined by U.S. Sen. Jon Ossoff, D-Ga., spent the morning visiting Ser Familia, a Latino community center in Norcross.

The Democratic duo touted a provision of the Inflation Reduction Act passed last year that sets a $35 monthly cap on the cost of insulin for Americans over age 65 enrolled in Medicare.  

“No senior in Georgia, no senior in America will have to pay more than $35 per month for insulin,” Ossoff said about the new law, which took effect at the start of the year.  

“There was fierce opposition from drug companies who are accustomed to making a lot of money. … We stood up in passing this law to save seniors in Georgia hundreds of dollars per year and helped them afford life-saving medicine.”

Becerra shared the story of a senior in Texas who purchased insulin at the new low price but returned to the pharmacy to settle up because she thought she had erroneously underpaid and felt guilty.  

“You should not be paying more than $35,” Becerra said. “If you are, you’re entitled to your money back.”  

“Save that money for other important things or some kind of gift … for your grandchild,” Becerra quipped.  

Becerra and Ossoff added that under the new law, doctor-prescribed preventive vaccines such as the shingles vaccine are now free for seniors on Medicare.  

Becerra and Ossoff also addressed a Texas federal judge’s ruling last week that a drug used in medication abortions, mifepristone, was improperly approved by the U.S. Food and Drug Administration (FDA) back in 2000. 

However, a different federal judge in Washington state issued a ruling blocking the FDA from removing mifepristone from the market.  

“We feel very confident that, ultimately, we will prevail in court,” Becerra said Monday. “One judge in one court in one state should not have the ability to undermine safe and effective medicines that millions of Americans rely on.” 

Both Becerra and Ossoff said mifepristone is still legal and available.  

During an afternoon event in Atlanta, Becerra addressed Georgia health care, suggesting that the state fully expand Medicaid as 40 other states have done.  

“What we can do in places like the state of Georgia is offer the chance to make this a unified system of health,” he said. “That’s why the Affordable Care Act allowed states to expand access to health care through Medicaid. We [the federal government] would pay for most of it.”

Georgia Gov. Brian Kemp and other state Republican leaders have opposed full Medicaid expansion, arguing it would be too costly and that a more limited expansion plan that offers Medicaid to some low-income Georgians who meet work or education requirements is a better fit for the state. That plan is set to take effect this summer.

Becerra also addressed the upcoming nationwide Medicaid “unwinding” in which pandemic-era Medicaid regulations will be relaxed and states will need to determine whether current Medicaid enrollees are still eligible for the program. 

“We all want to do a good job because these are our kids,” Becerra said. “Let’s get to a wellness care system and move away from an illness care system.”  

This story is available through a news partnership with Capitol Beat News Service, a project of the Georgia Press Educational Foundation.

Georgia Supreme Court hears arguments in abortion ban case 

A protest against Georgia’s abortion ban outside the state Capitol. (Photo credit: Rebecca Grapevine)

ATLANTA – The state Supreme Court heard arguments Tuesday in a case challenging a Georgia law banning most abortions after six weeks of pregnancy.  

The General Assembly passed – and Gov. Brian Kemp signed – the LIFE Act (House Bill 481) in 2019. The law bans most abortions after a fetal heartbeat can be detected with exceptions in the case of rape, incest and medical emergencies. 

Federal courts blocked the law from taking effect for several years. But after the U.S. Supreme Court eliminated the constitutional right to an abortion by overturning the 1973 Roe v. Wade decision last June, a federal judge allowed the Georgia law to take effect.  

Opponents of the measure – led by reproductive rights group SisterSong – then took their fight to state court. Last November, Fulton County Superior Court Judge Robert McBurney ruled the Georgia law had been void from the start because it violated the U.S. Constitution as it stood in 2019, when Georgia’s abortion ban was enacted.  

Republican state Attorney General Chris Carr and his team appealed that ruling, giving rise to the Georgia Supreme Court case heard on Tuesday. Soon after, the state Supreme Court ruled that the law could take effect in Georgia while litigation was pending, meaning that most abortions after six weeks are currently banned in Georgia.  

“The LIFE Act engenders strong policy views, but there is nothing controversial or difficult about the legal question before this court, which is simply whether an erroneous, overruled judicial opinion can invalidate a state statute,” Stephen Petrany argued for the attorney general’s office.  

“Because the LIFE Act would be valid if enacted today, under the exact same federal Constitution, it was valid when it was enacted [in 2019],” Petrany added.  

In contrast, lawyers for the groups challenging the law countered that the law was void when the state legislature passed it and therefore should be deemed invalid, despite the subsequent U.S. Supreme Court decision overturning Roe v. Wade.  

“When the legislature passes a law that is in violation of the Constitution, it is an overstep of their authority to do so,” Julia Stone argued.  

“This is not a case where there was gray area … in 2019,” Stone added. “For 50 years, the rule was states could not ban abortions before the point of viability, and when the General Assembly passed HB 481 and sought to ban abortions … [that] had been perfectly clear for 50 years. [The state legislature] directly conflicted with that precedent.” 

At a post-hearing press conference in front of the Supreme Court, Stone noted that if the law is struck down, Georgia lawmakers could enact another abortion ban but would have to do so in the new legal and political environment created by the overturning of Roe v. Wade.  

The Supreme Court is likely to issue a decision in the case by this summer. The South Carolina Supreme Court in January found that state’s similar abortion law unconstitutional under state law.

This story is available through a news partnership with Capitol Beat News Service, a project of the Georgia Press Educational Foundation.

Georgia Democrats looking to repeal abortion ban

State Sen. Sally Harrell

ATLANTA – Democrats in the General Assembly have introduced legislation to repeal Georgia’s ban on most abortions after six weeks of pregnancy.

The Republican-controlled legislature passed House Bill 481 in 2019. The so-called “heartbeat” bill prohibited most abortions after a fetal heartbeat is detected. But federal courts blocked the law from taking effect until last summer, when the U.S. Supreme Court overturned the 1973 Roe v. Wade decision legalizing abortion.

While the high court’s ruling appeared to clear the way for the Georgia law, pro-choice groups have challenged it in state courts. The case is currently before the Georgia Supreme Court.

Polls have shown that most Georgians support safe and legal abortions, said state Sen. Sally Harrell, D-Atlanta, chief sponsor of Senate Bill 15.

“It is not the state’s job to determine if a woman intentionally caused her miscarriage, or to investigate a doctor who may have performed an abortion to save a mother’s life, or to force people to subscribe to one particular religious view on when life begins,” Harrell said. “It is the government’s job to protect Georgians’ rights to privacy, dignity, and personal belief.”

“Health-care workers around the state have seen the harmful effects of HB 481,” added Sen. Jason Esteves, D-Atlanta. “They fear a lack of comprehensive training in reproductive health care and possible jail time if they provide potentially life-saving care.”

But the Reproductive Freedom Act stands no chance of passing the Senate, where Republicans hold 33 of the 56 seats. All five of the bill’s cosponsors are Democrats.

Republican Gov. Brian Kemp touted passage of the abortion ban during his first year in office on the campaign trail last year, and the Georgia GOP has long made opposition to abortion a pillar of its platform.

This story is available through a news partnership with Capitol Beat News Service, a project of the Georgia Press Educational Foundation.