Heartbeat bill

A heartbeat bill or fetal heartbeat bill is a form of abortion restriction legislation^[1] in the United States which makes abortions illegal as soon as the embryonic or fetal heartbeat can be detected.^[2][3]

Background[]

In 2013, North Dakota became the first state to pass a heartbeat law. In 2015, the law was ruled unconstitutional under the precedent set by the 1973 U.S. Supreme Court decision Roe v. Wade. Eleven states have proposed heartbeat bills since 2018; since 2019, such bills have passed including bills in Ohio, Georgia, Louisiana, Missouri, Alabama, Kentucky, South Carolina, and Texas, most of which lie either partly or entirely in the Bible Belt. Utah and Arkansas voted to limit the procedure to the middle of the second trimester. As of June 2021,^[4] except for the Texas bill, none of the laws are in effect due to court intervention.^[5][6] The Guttmacher Institute writes, "state policymakers are testing the limits of what the new U.S. Supreme Court majority might allow and laying the groundwork for a day when federal constitutional protections for abortion are weakened or eliminated entirely."^[7] Texas has taken a novel approach in their wording of the legislation; rather than have the government enforce the law, private citizens will be allowed to sue the provider or anyone that helps the woman to get an abortion. The Texas Tribune writes that "supporters of the bill hope this novel provision will trip up legal challenges to the legislation, as without state officials enforcing the ban, there will be nobody for pro-women's rights groups to sue."^[8]

"Fetal heartbeat" is more of a legal term than a medical one, as the term fetus is not used in medical literature until the end of the tenth week of pregnancy, which is eight weeks after fertilization. Before that, the standard medical term is embryo. This embryonic cardiac activity can often be detected using a transvaginal ultrasound at about six to seven weeks of pregnancy,^{[9][nb 1]} but may not be detectable until 12 weeks' gestation when a Doppler fetal monitor is used. ^{[nb 2] [12]}

Many women who are pregnant remain unaware of their pregnancies at six weeks from their last period.^[13][14] Most women who have an abortion do so after six weeks' gestation.^[15] Furthermore, it is estimated that there are 25–32 thousand pregnancies from rape per year in adult women, although the number may be considerably higher because many women do not report a rape. Most women suffer from post-traumatic stress disorder (PTSD) following rape, and find a decision especially difficult so soon after the trauma of the rape and the physical and mental trauma that they may experience for an extended period of time.^[16] Reproductive rights advocates contend that because of these and other reasons, the fetal heartbeat bills are de facto bans on abortion.^[17][18]

Controversy[]

Controversy exists surrounding fetal heartbeat laws in part because there is debate on the point at which a conceptus's heartbeat can be detected. In 2013, when the Wyoming House of Representatives considered a heartbeat bill, Norine Kasperik "noted that...she heard different answers [as] to when a heartbeat is detectable. To her, there seemed to be variation by medical equipment used." Similarly, Mary Throne inquired, "Is this abortion illegal at 22 days with a highly invasive ultrasound or is it illegal at 9 weeks when we hear a heartbeat with a stethoscope?"^[19] Other critics of the bills have claimed that they ignore that not all conceptuses' heartbeats become detectable at the same time, even when measured using the same methods.^[20]

The Center for Reproductive Rights has stated that there is some inconsistency with regard to these laws; specifically, the Arkansas law requires providers to use an abdominal ultrasound to attempt to detect a fetal heartbeat, while the North Dakota law allows the use of any available technology (including a transvaginal probe, which makes it possible to detect a fetal heartbeat earlier than an abdominal ultrasound can).^[21] With specific regard to the North Dakota law, detecting a conceptus' heartbeat at six weeks into a pregnancy requires the use of a transvaginal ultrasound, which some members of the abortion-rights movement say is unnecessarily invasive.^[22]

The leading activist for the passage of heartbeat legislation, and the author of the original 2011 Ohio House Bill 493,^[23] was anti-abortion activist Janet Porter. Porter is the founder of conservative Christian ministry Faith2Action.^[24][25]

Pregnancy from rape[]

In the United States, there are an estimated 25–32 thousand pregnancies from rape per year in adult women. Many victims receive little to no aftercare and most experience various forms of PTSD. A third of these pregnancies are not discovered until the second trimester. Any delay in detection reduces women's options, especially outside major urban centers, but many women are still recovering from being raped when they are called on to decide whether to have an abortion.^[16]

It is known that most women do not report sexual assault, and many times, it is hard to bring an assault case to trial. Teenage girls are especially unlikely to report assault, even though 74% of women who had intercourse before age 14 and 60% of those who had sex before age 15 report having had a forced sexual experience. One study conducted in the 1970s that looked at California data found that "on average, only 413 men were arrested annually for statutory rape in California, even though 50,000 pregnancies occurred among underage women in 1976 alone".^[26]

Alabama's heartbeat bill, passed in 2019, makes abortions illegal even in cases of rape and incest. Furthermore, it requires that judges terminate the parental rights of a man convicted of first-degree rape and certain other sex crimes, leaving a loophole that allows rapists to seek custody of a child conceived through their assault. However, because the law requires a conviction, activists say that since most sexual assaults are never reported, much less produce a finding of guilt in court, many victims are left vulnerable. Activists fear that a victim could find herself in a situation where she would be forced to bear a child of rape and then be forced to co-parent the child with her rapist.^[27] Responding to criticism of the Texas heartbeat bill which also includes women or girls who have been raped, Governor Greg Abbott asserts that the Act will not force a woman who has been raped to carry a pregnancy to term because the state will "work tirelessly to make sure that we eliminate all rapists from the streets of Texas by aggressively going out and arresting them and prosecuting them and getting them off the streets."^[28][29]

Constitutionality[]

Critics of fetal heartbeat bills say that, since Roe v. Wade established that states must allow abortion until the point of viability (between 24 and 28 weeks into the pregnancy), that such bills "blatantly contradict" Supreme Court precedent. The 2013 North Dakota heartbeat law was ruled in District Court to be "clearly invalid and unconstitutional based on the United States Supreme Court precedent in Roe v. Wade."^[30]

Proponents of fetal heartbeat laws contend that the constitutional precedent of Roe v. Wade should be re-examined in light of advancements in law and science. Ohio governor Mike DeWine argued that the main purposes of the bills are to "protect the most vulnerable among us, those who don't have a voice" and that the "government's role should be to protect life from the beginning to the end."^[31]

Accuracy of terms[]

Some critics challenge the wording in the bills as misleading and inaccurate,^[25] stating it is not accurate to term the activity of the embryonic tubular heart a "fetal heartbeat", as at that stage the conceptus is still only an embryo. Medically, the term "embryonic" is used up to around eight weeks after fertilization, and "fetal" from the beginning of the ninth week.^[32] Jennifer Keats, an ob-gyn at University of California, San Francisco, stated that the fetus' cardiovascular system at six weeks is "very immature". Keats described the cardiac activity as "a group of cells with electrical activity. That’s what the heartbeat is at that stage of gestation … We are in no way talking about any kind of cardiovascular system."^[33]

In the medical literature the terms "heartbeat", "heart activity" and "cardiac activity" are all used during embryonic development.^[34][35][36]

"Informed consent" laws[]

A related though distinct type of law is that introduced at the state level in all 50 states in the US in October 2011, which would require any woman seeking an abortion to see and hear their conceptus's heartbeat. Supporters included the United States Conference of Catholic Bishops, Americans United for Life, and the Susan B. Anthony List.^[37] Another such bill was introduced in Texas. A similar type of legislation, the "Heartbeat Informed Consent Act", was introduced at the national level around the same time by Michele Bachmann, however, it died in committee.^[38] Another law of this variety, introduced by Sharon Weston Broome, was passed by legislators in Louisiana in 2012, as an amendment to a 2010 bill requiring women seeking an abortion to receive an ultrasound of their conceptus.^[39] Similar laws have been passed in states such as Georgia in 2005;^[40] and a law that mandated both an ultrasound of the fetus and listening to its heartbeat before an abortion could be procured was laid on the table in 2012 in Pennsylvania.^[41] This last bill became controversial when Tom Corbett, Pennsylvania's governor, stated that "You just have to close your eyes" and dismissed accusations that the bill would be unnecessarily obtrusive.^[42] Furthermore, while the anti-abortion movement claims that bills mandating a woman listen to her conceptus' heartbeat would increase the likelihood of them changing their mind, the abortion-rights community, with the support of the Pennsylvania Medical Society, opposes "informed-consent" bills because they threaten to, if passed, "significantly jeopardize the open dialogue within the physician-patient relationship."^[43]

"Informed consent" laws requiring women seeking abortions to have the physician play a recording of her conceptus' heartbeat have met with challenges in court, notably in Texas, when the CRR filed a lawsuit against it, leading to a court case entitled Texas Medical Providers Performing Abortion Services v. Lakey. Prior to Sam Sparks condemning the law in January 2012, however, a federal district court had ruled that the law violated the First Amendment in August 2011. This decision was reversed by the United States Court of Appeals for the Fifth Circuit, led by Edith Jones. Another similar law was challenged in North Carolina in Stuart v. Huff, in which a federal district court ruled that the law was in violation of the First Amendment. This case, unlike the one in Texas, has not yet been appealed.^[44] This has led to some debate among different anti-abortion groups regarding strategy; specifically, while some of these groups, like the Kansas Coalition for Life, have supported the passing of this legislation, others, like Kansans for Life, are concerned that "enacting a fetal heartbeat ban would prompt a court ruling undoing some limits on abortion and providers."^[45] Likewise, Paul Linton, former general counselor for AUL, has argued that fetal heartbeat laws "have no chance in the courts." He, like most mainstream anti-abortion advocates (including James Bopp), prefers instead a legislative strategy that chips away at Roe v. Wade.^[21]

Legal challenges[]

Arkansas lawsuit[]

On May 27, 2015, the Eighth Circuit Court of Appeals affirmed a lower court ruling and permanently blocked the law from being enforced.^[46] In January 2016, The U.S. Supreme Court declined to review the case, leaving the Eighth Circuit's ruling in place.^[47]

Iowa lawsuit[]

On May 15, 2018, eleven days after Iowa Governor Kim Reynolds signed SF 359 into law, Planned Parenthood of the Heartland, Inc., Jill Meadows, and Emma Goldman Clinic (petitioners) filed a lawsuit seeking declaratory and injunctive relief in state court arguing the fetal heartbeat law violated the Iowa State Constitution.^[48][49][50] On June 1, 2018, Polk County District Court Judge Michael Huppert entered a preliminary injunction which temporarily blocked the law from going into effect.^[51] On January 22, 2019, the county district judge declared the law to be in violation of the Iowa Constitution and entered a permanent injunction prohibiting its enforcement.^[52] In holding the law unconstitutional the judge cited the Iowa Supreme Court's 2018 ruling in a challenge to a different abortion-restriction in which the state's court of last resort held that "a woman's right to decide whether to terminate a pregnancy is a fundamental right under the Iowa Constitution."^[53] Anti-abortion proponents have said they hope this litigation creates a pathway for Roe v. Wade to be reexamined by the U.S. Supreme Court, but University of Iowa law professor Paul Gowder and other legal experts have said that it is almost impossible that it could end up in front of the U.S. Supreme Court, as the U.S. Supreme Court does not review Supreme Court decisions concerning state constitutional questions.^[54]

In response to Judge Michael Huppert's ruling that Iowa's heartbeat abortion ban violates the state Constitution, anti-abortion legislators have filed legislation to amend the state constitution to state “that the Constitution of the State of Iowa does not secure or protect a right to or require the funding of abortion.”^[55] The resolutions proposing to amend Iowa's constitution are SJR 9 and HJR 5 which were filed on January 24, 2019 and February 6, 2019, respectively.^[56][57]

Kentucky lawsuit[]

Kentucky already has three lawsuits over abortion restrictions.^[58]

North Dakota lawsuit[]

In July 2015, the Eighth Circuit Court of Appeals affirmed a lower court decision blocking HB 1456 from going into effect.^[59] The U.S. Supreme Court declined to review the case and the law remains permanently blocked.^[60]

Texas lawsuits[]

There have been multiple lawsuits challenging enforcement of the 2021 Texas Heartbeat Act. Several of these are still pending or active.

State laws[]

Summary table[]

State	Session	Bill	Lower house	Upper house	Executive	Status
Alabama	2014	HB 490	Passed 73–29	Died in committee	—	Failed
	2019	HB 314	Passed 74–3	Passed 25–7	Signed	Temporarily blocked by federal court[61]
Arkansas	2013	SB 134	Passed 68–20	Passed 26–8	Vetoed	Struck down by federal court[62]
			Overrode 56–33	Overrode 20–14	Overridden
Florida	2019	HB 235	Died in committee	—	—	—
		SB 792	—	Died in committee	—	—
Georgia	2019	HB 481	Passed 92–78	Passed 34–18	Signed	Struck down by federal court[63]
Idaho	2021	HB 366	Passed 53–16	Passed 25–7	Signed	Effective if another ban upheld by appelate court[64]
Iowa	2018	SF 359	Passed 51–46	Passed 29–17	Signed	Struck down by state court[65]
Kentucky	2019	SB 9	Passed 71–19	Passed 31–6	Signed	Temporarily blocked by federal court[66]
Louisiana	2019	SB 184	Passed 79–23	Passed 31–5	Signed	Effective if Mississippi law (currently blocked) is upheld by federal court[67]
Maryland	2019	HB 933	Introduced	—	—	—
		HB 978	Introduced	—	—	—
Minnesota	2019	HF 271	Introduced	—	—	—
Mississippi	2019	SB 2116	Passed 78–37	Passed 34–14	Signed	Temporarily blocked by federal court[68]
Missouri	2019	HB 126	Passed 117–39	Passed 24–10	Signed	Temporary blocked by federal court[69]
North Dakota	2013	HB 1456	Passed 63–28	Passed 26–17	Signed	Struck down by federal court[70]
Ohio	2016	HB 493	Passed 56–39	Passed 21–10	Vetoed	Failed
	2018	HB 258	Passed 58–35	Passed 18–13	Vetoed	Failed
			Overrode 61–28	Failed to override
	2019	SB 23	Passed 56–40	Passed 19–13	Signed	Temporarily blocked by federal court[71]
Oklahoma	2021	HB 2441	Passed 80–19	Passed 37–10	Signed	Temporarily blocked by state court[72]
Pennsylvania	2018	HB 2315	Died in committee	—	—	—
South Carolina	2019–20	HB 3020	Passed 64–22	—	—	—
	2020–21	SB 1	Passed 74-39	Passed 30-13	Signed	Temporarily blocked by federal court
Tennessee	2019	HB 77	Passed 65–21	Indefinitely postponed	—	—
	2020	HB 2263	Passed 70–20	Passed 23–5	Signed	Temporarily blocked by federal court[73]
Texas	2013	HB 59	Introduced	—	—	—
	2019	HB 1500	Introduced	—	—	—
	2021	SB 8	Passed 83–64	Passed 18–12	Signed	Effective as of October 8, 2021[74][75]
West Virginia	2019	HB 2903	Introduced	—	—	—
		HB 2915	Introduced	—	—	—
Wyoming	2013	HB 97	Died in committee	—	—	Failed

Alabama[]

House Bill 490 prohibiting abortions after a heartbeat can be detected was passed by a vote of 73–29 in the Alabama House on March 4, 2014. In doing so they became the first state to pass such a bill.^[76] The bill later died in committee.^[77]

In 2019, Alabama passed an abortion law that is more far-reaching than a heartbeat law.^[78] On April 2, 2019, House Bill 314 banning abortions at every stage of pregnancy and criminalizing the procedure for doctors (except in the case of medical emergency or lethal fetal anomaly), was introduced into the House. The bill passed the House on April 30 (74–3),^[79] passed the Senate on May 14,^[80] and was signed into law by Governor Kay Ivey on May 16.^[81]

Arkansas[]

A fetal heartbeat bill, banning abortion after twelve weeks, was passed on January 31, 2013 by the Arkansas Senate,^[82] vetoed in Arkansas by Governor Mike Beebe, but, on March 6, 2013, his veto was overridden by the Arkansas House of Representatives.^[83] A federal judge issued a temporary injunction against the Arkansas law in May 2013,^[84] and in March 2014, it was struck down by federal judge Susan Webber Wright, who described the law as unconstitutional.^[85]

Florida[]

Two fetal heartbeat bills were filed in the Florida Legislature in 2019.^[86] Rep. Mike Hill filed a fetal heartbeat bill (HB 235) on January 10, 2019 in the Florida House of Representatives.^[87] A companion bill (SB 792), was filed in the Florida Senate on February 6, 2019 by Sen. Dennis Baxley.^[88] The bills, which are identical,^[89] would have made it a third-degree felony for a doctor to perform an abortion on a woman after a fetal heartbeat is detected,^[90] unless the "woman has been diagnosed with a condition that would create a serious risk of substantial and irreversible impairment of a major bodily function if the woman delayed terminating her pregnancy."^[91] Both bills died in committee.^[87][92]

Florida Governor Ron DeSantis has pledged to sign legislation that would ban abortions after a fetal heartbeat was detected.^[93][94]

Georgia[]

Two fetal heartbeat bills were filed in the Georgia General Assembly in 2015.^{[citation needed]}

Rep. Ed Setzler introduced HB 481 in the Georgia House of Representatives on February 25, 2019.^[95] A similar bill is expected to be filed in the Georgia State Senate by Sen. Bruce Thompson soon.^[96][97] During his campaign for Governor, Brian Kemp, now the Governor of Georgia, "vow[ed] to sign the toughest abortion laws in the country" and when asked about litigation said, "bring it! I'll fight for life at the Capitol and in the courtroom."^[98] After being passed in the House on March 7, 2019, HB 481 was passed out of a Senate committee on March 18, 2019.^[99][100] It was subsequently passed by the entire state Senate, after which it was narrowly passed by the House 92-78.^[101] The bill was signed by Governor Kemp on May 7, 2019, bringing into effect one of the strictest abortion laws in the country at the time.^[102]

The bill would prohibit abortions after a heartbeat can be detected in a conceptus, which is usually when a woman is six weeks pregnant.^[14] Democratic opponent of the Georgia bill, former governal candidate Stacey Abrams, called the bill a "forced pregnancy bill."^[103]

Idaho[]

Rep. Gregory Chaney introduced HB 366 on April 13, 2021 that would ban abortions after a fetal heartbeat is detected. The bill passed the house by a vote of 53–16 on April 16, 2021 and the senate on April 21, 2021 by a vote of 25–7 and was later signed into law by Governor Brad Little on April 29, 2021.^[104] The law included exceptions for cases of rape, incest, and when the mother's life is in danger.^[105] The law goes into effect if another similar ban is upheld by appellate court.^[106]

Iowa[]

On May 4, 2018 governor Kim Reynolds signed into law a bill that would ban abortion in Iowa after a fetal heartbeat is detected, starting July 1, 2018.^[107] On January 22, 2019, a county district judge declared the law to be in violation of Iowa's State Constitution and entered a permanent injunction prohibiting its enforcement.^[52] See the Iowa Lawsuit section of this article under the Legal challenges heading for more details related to the litigation over Iowa's fetal heartbeat bill.

Kansas[]

The bill was introduced and referred to committee in February 2013. The bill was presented to the Kansas house in March 2013.^[108] The bill was known as House Bill 2324, "An act prohibiting an abortion of an unborn human individual with a detectable fetal heartbeat."^[109] One outspoken advocate of such bills is Mark Gietzen, who has tried to gather as many signatures as possible in order to get Sam Brownback to convene a special session of Congress in order to consider the bill.^[110] Gietzen also advocated for a fetal heartbeat law to be passed during a special session of the Kansas legislature, to be held on September 3, 2013.^[111] HB 2324 died in committee in May 2014.^[108]

Kentucky[]

Two bills which seek to prohibit abortions after a fetal heartbeat is detected have been filed in the Kentucky General Assembly in 2019.^[112] Sen. Matt Castlen introduced SB 9 in the Kentucky Senate on January 8, 2019.^[113] On February 14, 2019, SB 9 passed out of the Kentucky Senate by a 31–6 vote.^[114] The bill was received in the House on February 15, 2019.^[115] Damon Thayer, the Senate Republican floor leader said SB 9 "absolutely" was a priority for the chamber and said he would be delighted if it became law and ended up before the U.S. Supreme Court as a means to overturn to Roe v. Wade "It would be the pinnacle of my career," he said.^[116] On March 14, 2019, the Kentucky House passed SB 9 by a vote of 71–19.^[117] As of April 2019, the ACLU filed suit to challenge it and a federal judge blocked enforcement until the final ruling in district court.

A similar bill by Rep. Robert Goforth was introduced in the Kentucky House of Representatives. The bill, HB 100, which was prefiled on December 13, 2018, was referred to the Health and Family Services Committee on January 10, 2019.^[118] When asked about the heartbeat bill, Rep. Goforth, who announced his candidacy for Governor of Kentucky on January 8, 2019, the same day the bill was introduced, said he would be pleased if Kentucky or one of the other states considering similar measures enacted such a law and, in the event of court challenge, took the case to the U.S. Supreme Court in an effort to overturn Roe v. Wade.^[116]

Previous fetal heartbeat bills filed in Kentucky have failed to pass. A fetal heartbeat bill, HB 132, was introduced on January 7, 2014 by Joseph Fischer. The bill was referred to the House Health and Welfare Committee on March 19, 2014, where the bill died.^[119][120] In 2013, Rep. Fischer introduced the same bill with the same bill number (Hb 132) on January 11, 2013. The bill was referred to the House Health and Welfare Committee on February 20, 2013, where the bill died.^[121][122]

Maryland[]

Two fetal heartbeat bills have been filed in the Maryland House of Delegates in 2019. On February 8, 2019, Ric Metzgar filed HB 933.^[123] On February 8, 2019, Robin L. Grammer, Jr. filed HB 978, a bill entitled "Keep Our Hearts Beating Act."^[124]

Minnesota[]

On January 22, 2019, Tim Miller filed HF 271 in the Minnesota House of Representatives.^[125]

Mississippi[]

In 2018, three heartbeat bills were filed in Mississippi; all of which died in committee.^{[126][127][128]} In 2017, three heartbeat bills were filed in Mississippi; all of which died in committee.^{[129][130][131]} In 2014, Sen. Joey Fillingane, filed a heartbeat bill in the Mississippi State Senate.^[132] The bill died in committee.^[133] In 2013, HB 6, was introduced in January and died in committee on February 5, 2013.^[134]

Another fetal heartbeat bill filed in 2019, HB 529 by Robert Foster died the House Judiciary A Committee on February 5, 2019.^[135]

Three fetal heartbeat bills were filed in the Mississippi Legislature in January 2019.^[136] SB 2116, by Sen. Angela Burks Hill was referred to the Public Health and Welfare Committee on January 11, 2019.^[137] HB 732, by Rep. Chris Brown was referred to the Public Health and Human Services Committee on January 17, 2019.^[138] After passing out of their respective committees on February 5, 2019,^[136] both SB 2116 and HB 732, were passed out of the Mississippi Senate and Mississippi House on February 13, 2019.^[139] On March 19, 2019, the Senate concurred in the House amendments to SB 2116,^[140] and on March 22, 2019 the fetal heartbeat bill was signed into law by Mississippi Governor Phil Bryant.^[141]

Missouri[]

Two fetal heartbeat bills have been filed in Missouri on January 9, 2019.^[142] SB 139 was filed in the Missouri Senate by Sen. Andrew Koenig; the bill is pending in the Health and Pensions Committee.^[143] HB 126 was filed in the Missouri House of Representatives by Rep. Nick Schroer.^[144] On January 30, 2019, HB 126 was referred to the Children and Families Committee, and on February 12, 2019, a public hearing on the bill was completed.^[145] On February 21, 2018, HB 126 was voted out of committee to the full House with the recommendation that it "do pass."^[146][147] On February 27, 2019, HB 126 was passed out of the Missouri House and was sent to the state Senate.^[148] Missouri's House Speaker Elijah Haahr has said he supports the “heartbeat bill” calling it a top priority for the 2019 session.^[149][150] When asked if he would sign a fetal heartbeat bill, Governor Mike Parson said, "I’ve been pro-life my entire career, and I support that all the time."^[151]

The bill was signed on May 24, 2019 with an effective date of August 28, 2019. The bill bans abortions after 8 weeks, with no exceptions for rape or incest.^[152]

North Dakota[]

North Dakota HB 1456 was signed into law in March 2013^[153] by Jack Dalrymple, who stated that it was "a legitimate attempt by a state legislature to discover the boundaries of Roe v. Wade." A federal district court found that it clearly violated the constitutional protections afforded in Roe v. Wade and it was quickly blocked.^[2] In July of that year, a lawsuit had been filed with regard to the law by the Center for Reproductive Rights (CRR), on behalf of the only abortion clinic in North Dakota, Red River Women's Clinic. In July 2015, the 8th U.S. Circuit Court of Appeals blocked the bill.^[154] The case was appealed to the Supreme Court, but the court denied a writ of certiorari in January 2015 and let stand the decision of the 8th Circuit Court of Appeals.^[155]

Ohio[]

In Ohio, a fetal heartbeat bill, HB 125, was co-authored by Janet Porter,^[156] was introduced in the state legislature in October 2011.^[157] The bill was shelved by the Republican majority Senate to avoid controversy.^[158] This bill was notably supported by Jack Willke.^[37] The original Bill was authored by Janet Porter of Faith2Action; former Governor John Kasich vetoed it twice prior to its passing.^[159]

A related law was signed in Ohio in 2013 (HB 248)^[160] by John Kasich, which mandates, among other things, that doctors who do not test for a fetal heartbeat must be subject to criminal penalties; specifically, "The doctor’s failure to do so would be a first-degree misdemeanor, carrying up to six months in jail, for the first violation and a fourth-degree felony, carrying up to 18 months in jail, for subsequent violations."^[161] A further fetal heartbeat bill, based on Porter's original,^[156] was introduced on August 14, 2013, by Lynn Wachtmann and others.^[162]

On March 25, 2015, another heartbeat bill (House Bill 69) passed the Ohio House of Representatives.^[163] The Guardian reported that "The bill is unlikely to go any further, facing stiff opposition in the senate as well as from John Kasich, the Republican governor of Ohio."^[164]

On December 6, 2016, the Ohio Senate added a heartbeat ban provision to an unrelated bill, House Bill 493, previously passed by the Ohio House of Representatives. The bill was returned to the House and passed by the House the same day.^[165][166] The bill as passed would make abortion after the detection of a fetal heartbeat a fifth-degree felony except in cases where a physician judges the abortion necessary "to prevent the death of the pregnant woman or to prevent a serious risk of the substantial and irreversible impairment of a major bodily function of the pregnant woman."^[167] On December 13, 2016, Kasich vetoed the bill,^{[168][169][170][171]} on the basis that it was unconstitutional and would almost certainly be struck down if challenged in court.^[172] The Ohio House of Representatives considered whether to override Kasich's veto, which would require a three-fifths vote in both the House and the Senate.^[173] However, the House leadership opted not to call lawmakers back to Columbus before the end of the year, ensuring Kasich's veto would stand.^[174]

The bill passed the Ohio Senate with a vote of 21 yeas, out of 33 seats in the senate; it received 10 nays:

House Bill 493 – Final vote in the Senate^[175]

Party		Votes for	Votes against	Abstained/Absent
	Republican (23)	21 Kevin Bacon Troy Balderson Bill Beagle David Burke John Eklund Keith Faber Randy Gardner Bob Hackett Cliff Hite Jay Hottinger Jim Hughes Shannon Jones Kris Jordan Frank LaRose Peggy Lehner Larry Obhof Scott Oelslager Tom Patton Bob Peterson Bill Seitz Joe Uecker	2 Bill Coley Gayle Manning	–
	Democratic (10)	–	8 Capri Cafaro Lou Gentile Tom Sawyer Joe Schiavoni Michael J. Skindell Charleta Tavares Cecil Thomas Sandra Williams	2 Edna Brown Kenny Yuko
Total (33)		21	10	2

In the House of Representatives, the bill passed the Ohio House with a vote of 56 yeas, out of 99 seats in the house; it received 39 nays:

House Bill 493 – Final vote in the House of Representatives^[175]

Party		Votes for	Votes against	Abstained/Absent
	Republican (65)	55 Ron Amstutz Niraj Antani Nan Baker John Becker Louis Blessing Terry Boose Andrew Brenner Tom Brinkman Jim Buchy Tony Burkley Jim Butler Margaret Conditt Robert Cupp Bill Dean Jonathan Dever Anthony DeVitis Mike Dovilla Tim Ginter Wesley Goodman Doug Green Christina Hagan Dave Hall Steve Hambley Bill Hayes Michael Henne Brian Hill Ron Hood Steve Huffman Candice Keller Kyle Koehler Al Landis Sarah LaTourette Rob McColley Derek Merrin Dorothy Pelanda Rick Perales Bill Reineke Wes Retherford Jeff Rezabek Kristina Roegner Mark Romanchuk Cliff Rosenberger Margaret Ruhl Scott Ryan Tim Schaffer Gary Scherer Kirk Schuring Marilyn Slaby Ryan Smith Robert Sprague Louis Terhar Andy Thompson Nino Vitale Ron Young Paul Zeltwanger	7 Marlene Anielski Steve Arndt Mike Duffey Theresa Gavarone Cheryl Grossman Stephanie Kunze Nathan Manning	3 Anne Gonzales Terry Johnson Ron Maag
	Democratic (34)	1 Bill Patmon	32 Nickie Antonio Michael Ashford John E. Barnes Jr. Heather Bishoff John Boccieri Kristin Boggs Kevin Boyce Janine Boyd Christie Bryant Nicholas J. Celebrezze Jack Cera Kathleen Clyde Hearcel Craig Michael Curtin Denise Driehaus Teresa Fedor Stephanie Howse Greta Johnson David J. Leland Michele Lepore-Hagan Michael O'Brien Sean O'Brien John Patterson Debbie Phillips Dan Ramos Alicia Reece John Rogers Michael Sheehy Kent Smith Fred Strahorn Martin J. Sweeney Emilia Sykes	1 Stephen Slesnick
Total (99)		56	39	4

Two fetal heartbeat bills were introduced in the Ohio General Assembly in 2019, marking the 133rd Session of the Ohio General Assembly as the fifth time such legislation has been proposed in the state.^[176] On February 11, 2019, Christina Hagan and Ron Hood filed HB 68,^[177] which was introduced in the Ohio House of Representatives on February 12, 2019.^[178] On February 12, 2019, Kristina Roegner filed SB 23 in the Ohio Senate;^[179] the bill was referred to the Health, Human Services and Medicaid Committee on February 13, 2019.^[180] On February 21, 2019, the President of the Ohio Senate, Larry Obhof pledged to pass SB 23 out of the upper chamber stating, “We are going to pass that bill by the middle of March. I have no doubt at all.”^[181] On March 13, 2019, SB 23 was passed out of the Ohio Senate by a vote of 19 to 13.^[182] The next month, the Ohio House amended the bill, and passed it, 56–40; the changes were ratified in the Senate, 18-13.^[183] The bill was signed into law by Governor Mike DeWine on April 11, 2019.^{[184][185][186]} On July 3, 2019, a federal judge blocked the implementation of the bill temporarily, just days before the law was to take effect.^[187]

Oklahoma[]

This section needs to be updated. Please help update this article to reflect recent events or newly available information. (November 2021)

A fetal heartbeat bill (SB 1274) was signed into law by then-Oklahoma governor Mary Fallin in April 2012 that requires an abortion provider to offer a woman the opportunity to hear the conceptus's heartbeat before ending the pregnancy, and applies when the conceptus is at least eight weeks old. The bill took effect in November 2012.^[188]

Pennsylvania[]

A fetal heartbeat bill (HB 2315) was introduced in the Pennsylvania House of Representatives on May 2, 2018, primarily sponsored by Rep Rick Saccone.^[189] The bill was referred to the Judiciary Committee where it died.^[190]

South Carolina[]

State Representative John McCravy prefiled HB 3020 in the South Carolina House of Representatives in December 2018.^[191] The bill, which is entitled "Fetal Heartbeat Protection from Abortion Act", was introduced on January 8, 2018 and referred to the House Judiciary Committee.^[192] Previous attempts to pass fetal heartbeat bills in the South Carolina General Assembly have failed. The State Senate voted 30–13 on January 27, 2021 to pass the new ban,. The law had exceptions for cases of rape, incest, and when the life of the mother is at risk.^[193] The state's Republican-controlled House has passed similar legislation in previous years.^[194] McMaster signed the bill into law on February 18, 2021,^[195] but it was blocked by U.S. District Court Judge Mary Geiger Lewis a mere day later following a lawsuit by Planned Parenthood and Greenville Women's Clinic.^[193]

Tennessee[]

This section needs to be updated. Please help update this article to reflect recent events or newly available information. (November 2021)

Two fetal heartbeat bills were filed in the Tennessee General Assembly in 2019. On January 23, 2019, by Rep. James "Micah" Van Huss filed HB 77 in the Tennessee House of Representatives.^[196] On February 7, 2019, Sen. Mark Pody filed SB 1236 in the Tennessee Senate.^[197] On February 20, 2019, HB 77 was passed out of a Public Health subcommittee and sent to the full committee.^[198] On February 26, 2019, the House Public Health Committee voted 15–4 to send HB 77 to the House floor for a full vote.^[199][200] On February 7, 2019, HB 77 was passed out of the Tennessee House by a vote of 66–21.^[201]

Texas[]

A fetal heartbeat bill was previously introduced in Texas by Phil King on July 18, 2013, in the wake of Rick Perry signing Texas Senate Bill 5 into law.^[202] The bill was not passed.^[203][204] The bill (HB 1500) is joint authored by Representatives Phil King, Dan Flynn, Tan Parker, and Rick Miller.^[205] As of February 26, 2019, HB 1500 had 57 sponsors or cosponsors of the 150 members of the Texas House of Representatives.^[206] Former State Senator Wendy Davis said HB 1500 is “the most dangerous I’ve ever seen."^[207]

On March 11, 2021, state senator Bryan Hughes of Mineola, Texas, introduced a fetal heartbeat bill entitled the Texas Heartbeat Bill (SB8) into the Texas Senate and state representative Shelby Slawson of Stephenville, Texas, introduced a companion bill (HB1515) into the state house. It includes an exception for medical emergencies but includes cases where a woman or girl has become pregnant by incest or rape. Governor Greg Abbott asserts that the Act will not force a woman who has been raped to carry a pregnancy to term because the state will "work tirelessly to make sure that we eliminate all rapists from the streets of Texas by aggressively going out and arresting them and prosecuting them and getting them off the streets."^[29]

The SB8 version of the bill passed both chambers and was signed into law by Texas Governor Abbott on May 19, 2021. It will take effect on September 1, 2021.^[208] Rather than have the government enforce the law, private citizens will be allowed to sue the provider or anyone that helps the woman to get an abortion. Although similar, H.B NO 1515 is not to be confused with bill H.R 705, also known as the Heartbeat Protection Act of 2021, which was introduced to Congress on February 2, 2021, and sponsored by Republican Mike Kelly.^[209] As both bill’s note the criminalization of physician’s performing abortions once a heartbeat is detected around the 6 week mark of a woman's pregnancy. The Texas Tribune wrote that "supporters of the bill hope this novel provision will trip up legal challenges to the legislation, as without state officials enforcing the ban, there will be nobody for pro-women's rights groups to sue".^[8]

A key aspect in the enforcement of the HB 1515 bill is connected to the cost of being sued. As listed in the introductory act, if an organization or individual were found guilty of assisting in an abortion, each individual would be fined a minimum of $10,000.^[210] In contrast to the H.R 705, the HB 1515 only mentions punishment through the $10,000 fines, whereas if found guilty under H.R 705, physicians are not only subject to receiving a fine, but are also subject to prison time as well.^[211]

According to some individuals associated with the support of HB 1515, the severity of the cost of being sued is intentional. John Seago, an active legislative director for Texas Right to Life, an anti-abortion organization, exemplifies this connection. Seago notes that the cost of getting sued can act as an incentive for abortion providers to avoid administering abortions. According to the Texas Tribune, Seago said, "Have a public statement. Put it on their website that they're not scheduling appointments after six weeks",^[212] in doing so individuals associated with performing abortion halt their practice, and are no longer at risk for conducting the fine.

In June 2021, 18-year-old Paxton Smith, senior class valedictorian, delivered a high school graduation speech addressing the Texas heartbeat bill rather than the one which had been pre-approved by her school saying, "I cannot give up this platform to promote complacency and peace, when there is a war on my body and a war on my rights." The speech went viral and was viewed by millions on YouTube, TikTok, and Twitter.^[213]

The bill was temporarily blocked by District Court Judge Robert L. Pitman on October 6, 2021,^[74] but reinstated by an appeals court panel on October 8.^[75]

West Virginia[]

Two fetal heartbeat bills have been introduced in the West Virginia House of Delegates in 2019. On February 7, 2019, Ralph Rodighiero (D-Logan) filed HB 2903 entitled "The Fetal Hearbeat Act."^[214] On February 8, 2019, Evan Worrell (R-Cabell) filed HB 2915.^[215]

Wyoming[]

A fetal heartbeat bill, HB 97, was introduced in the Wyoming House of Representatives in January 2013 by Representative Kendell Kroeker, however in February 2013 the bill was struck down by a house committee in a 4–5 vote.^[19][216]

See also[]

• Ohio "Heartbeat Bill"
• Abortion in the United States
• Abortion in the United States by state

Notes[]

References[]