Abortion providers in Iowa have filed a lawsuit to block state Republicans’ latest attempt to ban the procedure after six weeks of pregnancy, before most people even know they are pregnant.
Last week, Iowa lawmakers passed a six-week ban on abortion in a rare special legislative session, called by Governor Kim Reynolds, who signed the bill on Friday afternoon. The law takes immediate effect, further shrinking the options available to people seeking abortions in the midwest.
“In a rare and historic special session, the Iowa legislature voted for a second time to reject the inhumanity of abortion and pass the fetal heartbeat law,” Reynolds said on Friday.
The move to restrict abortion in Iowa came less than one month after a deadlocked state supreme court blocked enforcement of a near-identical six-week ban. Reproductive justice advocates across the country condemned Reynolds’ decision to call a special session on abortion.
“Every dirty trick in the book is being used to pass these extremely unpopular abortion bans,” said Kimberly Inez McGuire, executive director of Unite for Reproductive & Gender Equity (Urge), a progressive advocacy group that supports abortion rights.
“They don’t want to do it in the light of day, that’s why we’re seeing these special sessions, that’s why we’re seeing bans passed in the middle of the night,” she added.
Abortion providers in Iowa said they were unsurprised that the state GOP used a unique legislative tool for the sole purpose of restricting reproductive freedom. Francine Thompson, executive director of the Emma Goldman Clinic – one of two abortion providers in Iowa and a plaintiff in the new lawsuit – said the ban’s passage was expected yet appalling.
She said there was a cruel irony to the timing of the governor’s announcement of the special session, which came just after Independence Day, “a day we typically associate with celebrating our freedom from oppressive and tyrannical governments”.
Staff at the Emma Goldman Clinic spent hours this week on the phones with nervous patients confused by the legal status of abortion in Iowa.
“Since Dobbs, the phone lines are always jammed,” Thompson said. “The most recent calls are not really in an attempt to get seen before the law goes into effect, but are clients seeking information to wade through the chaos of rapidly changing access and the myriad of restrictions in surrounding states.”
The six-week ban is confusing, in part, because it closely resembles a 2018 law that was blocked by an Iowa district judge years before Roe v Wade was overturned. Earlier this year, Reynolds asked the Iowa supreme court to reverse the district judge’s decision. The state justices split 3-3, leaving the lower court’s order in place, meaning the 2018 ban remains unenforceable.
The lawsuit against the new six-week ban is expected to reach the Iowa supreme court, which last year ruled that the state constitution does not guarantee the right to abortion.
But last month, the 3-3 deadlock happened after one justice, Dana Oxley, opted to recuse herself from the case because of a conflict of interest with her old law firm. It is unclear if Justice Oxley will recuse herself again, causing another split ruling.
Iowa Republican lawmakers might not care about the outcome of the legal battle. They win political points with their core, conservative voter base simply by reconvening at the state capital to pass an abortion ban.
“Because of gerrymandering, Iowa Republicans aren’t really worried about losing to a Democrat, but they are at a real risk of being primaried,” said Mary Ziegler, a law professor at University of California, Davis.
If the ban is struck down, Republicans can blame the courts, a convenient boogeyman in the tug-of-war over state abortion law. The good-faith attempt to pass a six-week ban is enough to reassure anti-abortion lobbying groups and socially conservative donors.
Ziegler said ideological posturing is especially important for Governor Reynolds ahead of the Iowa caucus, which helps select the Republican presidential nominee. Reynolds’ endorsement could therefore change the future of her party.
But first, Ziegler said, the governor “needs to prove her conservative credentials” on abortion.
Reynolds signed the ban at the Family Leadership Summit, a gathering of evangelical Christians and social conservatives in Des Moines. The event attracted 2024 Republican presidential hopefuls such as Florida’s governor, Ron DeSantis, and the former vice-president Mike Pence.
Just as Reynolds was signing the six-week ban, attorneys for Planned Parenthood and the Emma Goldman Clinic asked an Iowa judge to temporarily block the six-week ban from taking effect while litigation proceeds. That decision is expected this week.
Dr Emily Boevers, an Iowa OB-GYN at one of the state’s last remaining rural hospitals, braced for an anxious weekend. She volunteers her weekends providing abortion care at the Planned Parenthood clinic in Iowa City, though she does not offer abortions in her everyday work at the hospital.
Boevers is one of two OB-GYNs in her home county – the other is expected to retire this fall. She is worried that the six-week ban could drive doctors in her specialty out of Iowa, worsening the region’s existing shortage of maternal healthcare providers.
“North of me, there is not another hospital for 50 miles,” said Boevers.
She said the criminalization of abortion brings “a level of hostility towards obstetric care in all its components” that will “invariably harm” the already dwindling OB-GYN workforce in Iowa.
“Forcing experts in women’s health to withhold care from our patients, it goes against many of our moral codes,” Boevers said. “As an obstetrician-gynecologist, I trust my patients to make the best decision for their situation.”