Tuesday, December 12, 2023

Texas Supreme Court Reverses Trial Court Order That Allowed an Abortion

 In In re State of Texas, (TX Sup. Ct., Dec. 11, 2023), the Texas Supreme Court directed a trial court to vacate a temporary restraining order that it issued on Dec. 7. The trial court's order (see prior posting) allowed plaintiff Kate Cox who is carrying a fetus diagnosed with a fatal chromosomal condition to obtain an abortion. The Supreme Court said in part:

In this case, the pleadings state that Ms. Cox’s doctor—Dr. Damla Karsan—believes Ms. Cox qualifies for an abortion based on the medical-necessity exception. But when she sued seeking a court’s pre-authorization, Dr. Karsan did not assert that Ms. Cox has a “life-threatening physical condition” or that, in Dr. Karsan’s reasonable medical judgment, an abortion is necessary because Ms. Cox has the type of condition the exception requires.... 

A woman who meets the medical-necessity exception need not seek a court order to obtain an abortion. Under the law, it is a doctor who must decide that a woman is suffering from a life-threatening condition during a pregnancy, raising the necessity for an abortion to save her life or to prevent impairment of a major bodily function. The law leaves to physicians—not judges—both the discretion and the responsibility to exercise their reasonable medical judgment, given the unique facts and circumstances of each patient....

Dr. Karsan asserted that she has a “good faith belief” that Ms. Cox meets the exception’s requirements. Certainly, a doctor cannot exercise “reasonable medical judgment” if she does not hold her judgment in good faith. But the statute requires that judgment be a “reasonable medical” judgment, and Dr. Karsan has not asserted that her “good faith belief” about Ms. Cox’s condition meets that standard. Judges do not have the authority to expand the statutory exception to reach abortions that do not fall within its text under the guise of interpreting it.

Meanwhile, the Center for Reproductive Rights announced that Ms. Cox has left Texas in order to get health care elsewhere. CNN reports on the Texas Supreme Court's decision.