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North Dakota Supreme Court overturns earlier lower court ruling and bans abortion in the state

North Dakota now joins 13 other states with the most restrictive abortion bans in the country, preventing it at almost any stage of pregnancy.

A pro-abortion rally in San Francisco (File).

A pro-abortion rally in San Francisco (File).SOPA Images/SIPA / Cordon Press

Agustina Blanco
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Abortion is illegal again in North Dakota after the state Supreme Court overturned a lown decision by alower court on Friday, allowing a near-total ban to go into effect.

The law prohibits anyone from performing an abortion, though it exempts individual patients. Along those lines, infringing the ban is considered a Class C felony, for which doctors could face a maximum of five years in prison, a $10,000 fine, or both penalties, according to The Hill review.

The only exceptions

According to the North Dakota Criminal Code, these apply only when it is determined by reasonable medical judgment that the abortion is necessary to prevent death or serious risk to the health of the pregnant woman, or if the pregnancy results from rape or incest reported within a specified time frame. Specifically:

  • Cases of rape or incest during the first six weeks of pregnancy.
  • To prevent the death of the mother or a "serious health risk."

Background to the North Dakota decision

In September 2024, a district judge had blocked the rule as unconstitutionally vague, especially because of ambiguous exceptions related to maternal health. Three of the five Supreme Court justices concurred with that view and felt that the confusing wording left physicians in legal uncertainty.

However, the North Dakota Constitution requires a vote of at least four justices to declare a state law unconstitutional. When that supermajority was not reached, the ban remained in force and went into immediate effect.

More states with abortion bans

North Dakota now joins 13 other states with the most restrictive abortion bans in the country, preventing it at almost any stage of pregnancy. Among these states are Alabama, Arkansas, Idaho, Indiana, Kentucky, Louisiana, Mississippi, Missouri, Oklahoma, South Dakota, Tennessee, Texas, and West Virginia.

There are no abortion clinics in the state. The only clinic, Red River Women's Clinic, moved to Minnesota shortly after the overturning of Roe v. Wade in June 2022.

Additionally, the state explicitly prohibits the use of telehealth for medication abortion.
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