Health and Science

Anti-abortion states split on how to enforce ban, whether to prosecute doctors, surveil women

Key Points
  • The Supreme Court decision overturning Roe v. Wade is splitting anti-abortion states that must decide whether to allow exceptions and how to enforce the law.
  • Some states, such as Texas, are pursuing aggressive measures, including encouraging surveillance of women and prosecuting doctors.
  • South Dakota Gov. Kristi Noem said the state will not file charges against women but will debate how to handle women who travel to other states for the procedure.
Thousands take to the streets to protest in New York City.
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The Supreme Court ruling overturning Roe v. Wade is not only splitting the country into states where abortion is legal and illegal, it is also illustrating sharp divisions between anti-abortion states on whether to allow exceptions and how to enforce the law.

Nearly half the states had "trigger laws" or constitutional amendments in place that could be used to quickly ban abortion in the wake of a Roe v. Wade ruling. Yet lawmakers and governors on Sunday illustrated how differently that may play out.

Some states allow exceptions, such as to protect the life of the mother. Others are pursuing aggressive measures, including prosecuting doctors, investigating the use of abortion medications and travel to other states for the procedure and encouraging private citizens to sue people who help women obtain abortions.

South Dakota Gov. Kristi Noem, a Republican, said the state will not file criminal charges against women who get the procedure. She said the state also does not plan to pass laws similar to those in Texas and Oklahoma, which urge private citizens to file civil lawsuits against those accused of aiding and abetting abortions.

"I don't believe women should ever be prosecuted," she said on ABC's "This Week" on Sunday. "I don't believe that mothers in this situation ever be prosecuted. Now, doctors who knowingly violate the law, they should be prosecuted, definitely."

She said the state has not decided how to handle what will happen in the event a South Dakota resident travels to another state to get an abortion, saying, "There'll be a debate about that."

It will be up to each state and state legislators to decide what laws look like closer to home, she added.

Arkansas Gov. Asa Hutchinson, a Republican, said the state allows for one exception: saving the life of the mother. He said he has directed his Department of Health to enforce the law but focus on providing resources to women who have unwanted pregnancies.

The Arkansas law does not include an exception for incest, which would force a 13-year-old raped by a relative to carry a pregnancy to term. Hutchinson said he disagrees with that.

"I would have preferred a different outcome than that," he said Sunday on NBC's "Meet the Press." "That's not the debate today in Arkansas. It might be in the future."

Hutchinson said the state will not investigate miscarriages or ban IUDs, a form of contraception that some anti-abortion activists consider abortion because it can stop a fertilized egg from implanting in the uterus.

"This is about abortion, that's what has been triggered, and it's not about contraception. That is clear, and women should be assured of that," he told "Meet the Press."

In Texas, a state law takes a more sweeping approach. It enforces an abortion ban through lawsuits filed by private citizens against doctors or anyone who helps a woman get an abortion, such as a person driving the pregnant woman to a medical center.

Oklahoma has a similar ban, which is enforced by civil lawsuits rather than criminal prosecution.

U.S. Rep. Alexandria Ocasio-Cortez, D-N.Y., and Sen. Elizabeth Warren, D-Mass., said Sunday that all of those state bans have the same outcome: stealing women's freedoms and jeopardizing their lives.

Ocasio-Cortez pointed to Arkansas' public health record, noting that it has one of the highest maternal mortality rates in the country and a high rate of child poverty.

"Forcing women to carry pregnancies against their will will kill them," she said on "Meet the Press." "It will kill them, especially in the state of Arkansas where there is very little to no support for life after birth in terms of health care, in terms of child care and in terms of combating poverty."

— CNBC's Jessica Bursztynsky contributed to this report.