Kentucky’s Republican-majority legislature overrode Democratic Gov. Andy Beshear’s veto of legislation with strict requirements that advocates say have forced the state’s only two abortion clinics to stop providing abortions — and lawsuits by the clinics to nullify the new law.
The law, passed as House Bill 3, bans mailing of medications that have become the means for most abortions in Kentucky, strengthens parental-consent rules, increases reporting requirements, requires aborted fetuses to be cremated or buried, and bans abortion after the 15th week of pregnancy, mimicking a Mississippi law that is awaiting a decision from the U.S. Supreme Court.
That decision, expected in June, could overturn or roll back Roe v. Wade, the landmark 1973 ruling that has guaranteed the constitutional right to an abortion until a fetus can live outside the womb, roughly 23 to 24 weeks. The high court court not only lower that to 15 weeks but take Roe off the books.
Since Republicans took over the House in 2017, they have steadily passed legislation that has been setting up Kentucky to ban abortions altogether. In 2019, the legislature passed a “trigger law” that would ban abortion immediately if Roe is overturned. In 2021, it voted to add to the state constitution a statement that it does not secure or protect a right to abortion or funding of abortion, if voters approve it as a constitutional amendment this November.
Rep. Nancy Tate, R-Brandenburg, the sponsor of HB 3, has said the purpose of her bill, dubbed the “Humanity in Healthcare Act 2022” is to better protect the health of women and minors seeking abortion, but opponents disagree.
“Make no mistake, the Kentucky legislature’s sole goal with this law is to shut down health centers and completely eliminate abortion access in this state,” leaders of Planned Parenthood and the American Civil Liberties Union of Kentucky said in a statement.
Beshear said he vetoed the bill because there were no exemptions for rape or incest and because it is likely unconstitutional, among other reasons.
“Rape and incest are violent crimes,” Beshear said in his veto message. “Victims of these crimes should have options, not be further scarred through a process that exposes them to more harm from their rapists or that treats them like offenders themselves.”
The governor said a 12-year-old girl “raped and impregnated by her father” couldn’t get an abortion without notifying him and her mother at least 48 hours before having the procedure or going through a court hearing if they did not allow it.
Kentucky’s only two abortion providers said they had to stop conducting the procedure because other restrictions and reporting requirements in the 72-page bill went into effect as soon as it was finally passed, under an emergency clause. The legislature sent Beshear the bill March 30 after overwhelming votes for it.
EMW Women’s Surgical Services and Planned Parenthood, both abortion providers in Louisville, have filed separate federal lawsuits challenging the new law and asking a judge to suspend it.
The ACLU said in a news release, “The lawsuits argue that the law would create unnecessary abortion requirements while simultaneously making those requirements impossible to comply with given the immediate effective date of the law, forcing providers in the state to stop offering abortion services. Because the law is impossible to comply with, it amounts to a de facto abortion ban, thus violating patients’ federal right to abortion under Roe v. Wade.”
Kentucky’s Republican attorney general, Daniel Cameron, said he is ready to defend the new law.
“The General Assembly passed HB 3 to protect life and promote the health and safety of women, and we are prepared to earnestly defend this new law against the legal challenge from Planned Parenthood and the ACLU,” he said in a statement.
Alex Acquisto of the Lexington Herald-Leader breaks down four key points in the new abortion law, which Caroline Kitchener of The Washington Post says is “one of the most restrictive in the nation.”
Kitchener adds in a separate online newsletter that more than 500 anti-abortion measures are moving through state legislatures this year and that as more states enact strict abortion restrictions, patients who can afford to cross state lines will be forced to travel further. The Post tracks new action on abortion legislation in real time across the states on its abortion legislation tracker.
Alecia Fields, an abortion provider at Planned Parenthood in Louisville, told Kitchener that among the most difficult restrictions to comply with is the new rule on fetal remains, which will likely require the hiring of more people to facilitate “an elaborate and medically unnecessary burial process for each abortion performed” as well as contracting with funeral homes, which may not be willing to open themselves to the backlash from the community.
Both Kentucky abortion providers are still taking calls from patients, and Planned Parenthood says it is directing Kentucky women seeking abortion to other states, Deborah Yetter reports for the Louisville Courier Journal in an article with a headline asking, “Did Kentucky ban abortion?”
Planned Parenthood spokeswoman Nicole Erwin said Thursday, “Any patients seeking abortion care in Kentucky are still advised to reach out to us for their first appointment so that we can coordinate care in Indiana or another state that can provide the care they need. Planned Parenthood’s doors are and will remain open in Kentucky and will continue providing all other reproductive care.”
As conservative states continue to pass anti-abortion laws, “Eliminating rape and incest exceptions has moved from the fringe to the center of the antiabortion movement,” Jennifer Haberkorn reports for the Los Angeles Times.
“Over the last four years, 10 states have enacted abortion bans in early pregnancy without rape or incest exceptions: Alabama, Arkansas, Kentucky, Louisiana, Mississippi, Missouri, Oklahoma, Ohio, Tennessee and Texas. All were blocked by courts, except Texas’ law, which is in effect,” Haberkorn reports.
Haberkorn added in her April 8 article that U.S. Sen. Mitch McConnell of Kentucky, who said he supported exemptions for rape and incest in 2019 when Alabama passed an abortion law without those exceptions, declined to comment on the current legislation.
Mian Ridge of The Economist writes that if the Supreme Court overturns Roe, “Decisions on abortion would return to the states and at least half would probably ban it. That would exert a particularly heavy toll on poor women. Many of the states that are keenest on banning abortion are among those that offer the least help to low-income mothers and their children.”
“Whatever the laws may say, history has shown that women will continue to have abortions,” Jessica Bruder writes for The Atlantic, in a deep dive into what the future of abortion in America may look like. It explores how a covert network of activists are preparing for the end of Roe.
Health bills that passed in the last days of session
HB 44, sponsored by Bobby McCool, R-Van Lear (Johnson County), allows local school boards to include mental health as a reason for an excused absence. Rep. Lisa Willner, D-Louisville, praised the passage of this bill, noting that it came from students at several Kentucky schools. This bill also removed part of a new law that would have created criminal penalties for teachers who didn’t teach racial history the way called for by the new law, Senate Bill 1, also passed over a veto.
Senate Bill 102, sponsored by Sen. Max Wise, R-Campbellsville, requires local school superintendents to provide a yearly census of all school-based mental health providers and their duties to the state Department of Education, not just a list of school counselors.
SB 90, sponsored by Sen. Whitney Westerfield, R-Crofton, creates a pilot program to divert some qualifying low-level offenders away from jail and into treatment for substance-use disorder or mental-health issues.
Negotiated in a late House-Senate conference committee, the bill gives the project $11 million a year from the settlement that Kentucky and other states received from opioid manufacturers and distributors.
HB 573, sponsored by Rep. Kim Moser, R-Taylor Mill, establishes the Healthcare Worker Loan Relief Program for qualifying health care workers with jobs that require four-year degrees. This program is meant to help recruit and retain healthcare workers in rural and underserved areas of Kentucky.
The program would be aligned with the Kentucky State Loan Repayment Program and administered by the University of Kentucky’s Center for Excellence in Rural Health. The budget has $2 million in each fiscal year from the American Rescue Plan Act of 2021, the last pandemic-relief bill.
SB 178, sponsored by Sen. Julie Raque Adams, R-Louisville, ended up being a catch-all bill for several health-related issues. It requires Medicaid to provide coverage to new mothers up to 12 months after giving birth; sets new rules for certification of alcohol and drug counselors; allows licensed narcotic treatment programs to use buprenorphine products to treat patients; and requires third-party oversight over the state’s single Medicaid pharmacy benefit manager; and bars termination of parental rights of a mother whose child suffers from neonatal abstinence syndrome if the mother agrees, prior to discharge from the hospital, to participate in a court-ordered treatment program that includes peer supports.
HB 604, sponsored by Moser, also became a catch-all bill that at its core establishes the Kentucky Center for Cannabis Research at the University of Kentucky. The budget allocates $2 million in the fiscal year that begins July 1 to start the center. Other health provisions in this bill create the mobile crisis services fund and to the Commonwealth West Healthcare Workforce Innovation Center.
Health bills that got stuck in the Senate
HB 136, sponsored by Rep. Jason Nemes, R-Louisville, which would have legalized medical cannabis in Kentucky did not gain any traction in the Senate after passing out of the House. Senate President Robert Stivers has long said that he believes more research is needed before such a bill should pass.
HB 354, sponsored by Rep. Russell Webber, R-Shepherdsville, would have created a path for Kentucky’s advanced practice registered nurses to prescribe controlled substances independently. “I’m sure that bill will come back some time in the future,” said Senate Majority Floor Leader Damon Thayer in the closing hours of the session.
Melissa Patrick is a reporter for Kentucky Health News, an independent news service of the Institute for Rural Journalism and Community Issues, based in the School of Journalism and Media at the University of Kentucky, with support from the Foundation for a Healthy Kentucky. She has received several competitive fellowships, including the 2016-17 Nursing and Health Care Workforce Media Fellow of the Center for Health, Media & Policy, which allowed her to focus on and write about nursing workforce issues in Kentucky; and the year-long Association of Health Care Journalists 2017-18 Regional Health Journalism Program fellowship. She is a former registered nurse and holds degrees in journalism and community leadership and development from UK.
