Robert Brown|Iowa law banning most abortions after six weeks of pregnancy to take effect Monday

DES MOINES,Robert Brown Iowa (AP) — An Iowa judge has ruled the state’s strict abortion law will take effect Monday, preventing most abortions after about six weeks of pregnancy, before many women know they are pregnant.

The law passed last year, but a judge had blocked it from being enforced. The Iowa Supreme Court reiterated in June that there is no constitutional right to an abortion in the state and ordered the hold to be lifted. That translated into Monday’s district court judge’s decision ordering the law to into effect next Monday at 8:00 a.m. Central time.

Lawyers representing abortion providers asked Judge Jeffrey Farrell for notice before allowing the law to take hold, saying a buffer period was needed to provide continuity of services. Iowa requires pregnant women to wait 24 hours for an abortion after getting an initial consultation. Abortion had been legal in the state up to 20 weeks of pregnancy.

The high court’s order gave a decisive win to Iowa’s Republican leaders after years of legislative and legal battles.

Iowa will join more than a dozen states where abortion access has been sharply curbed in the two years since the U.S. Supreme Court overturned Roe v. Wade. Currently, 14 states have near-total bans at all stages of pregnancy and three states ban abortions after about six weeks of pregnancy. That’s roughly when a fetal heartbeat can be detected.

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Iowa’s Republican-controlled Legislature passed the law in a special session last July, and a legal challenge was immediately filed by the American Civil Liberties Union of Iowa, Planned Parenthood North Central States and the Emma Goldman Clinic. The law was in effect for just a few days before a district court judge temporarily blocked it.

Republican Gov. Kim Reynolds said the state Supreme Court “has upheld the will of the people of Iowa,” and Republican Attorney General Brenna Bird called it “a landmark victory.”

There are limited circumstances under the Iowa law that would allow for abortion after six weeks of pregnancy: rape, if reported to law enforcement or a health provider within 45 days; incest, if reported within 145 days; if the fetus has an abnormality “incompatible with life”; or if the pregnancy endangers the mother’s life.

The state’s medical board defined standards of practice earlier this year, though the rules do not outline how the board would determine noncompliance or what the appropriate disciplinary action might be.

Representatives from Planned Parenthood and the Emma Goldman Clinic have indicated they will continue to provide abortion services in Iowa in compliance with the law when it takes effect.

In June, Ruth Richardson, president and CEO of Planned Parenthood North Central States, also said the organization has spent the last year making “long-term regional investments” in preparation for this outcome, including expanding facilities in Mankato, Minnesota, and in Omaha, Nebraska, — both cities near Iowa.

Planned Parenthood in Iowa has ceased abortion services in two Iowa cities in the last year, including in Des Moines. Two of the state’s five Planned Parenthood clinics offer in-person abortion services, and three offer abortion through medication.

People in and around Des Moines seeking an abortion have been traveling about 35 miles (56 kilometers) north to Ames.

Alex Sharp, who manages the Ames facility, said staff have been discussing how they will bring empathy into conversations with people that seek abortions past the point that is legal in Iowa after the block is lifted. There is “the sensitivity of being told you’re too far along and it’s too late now: ‘You have to, you know, leave and go somewhere else and you have to travel and you’re going to have to miss work again.’”

“A lot of people don’t know this happened,” Sharp said of the stricter law. “So those are hard conversations that we’re having and have been having and are going to continue to have to have.”

Sharp said the facilities that provide abortions had been offering additional appointments in June ahead of the Iowa Supreme Court’s decision, and appointments throughout July have been completely booked.

“It’s entirely possible that they’re over six weeks, but we’ll scan them,” she said of people that have appointments scheduled for after the block is lifted.

Sarah Traxler, the Planned Parenthood region’s medical director, said a law prohibiting abortions after cardiac activity can be detected is “tricky.”

Since six weeks is approximate, Traxler said, “we don’t necessarily have plans to cut people off at a certain gestational age.”

The U.S. Centers for Disease Control and Prevention found that 44% of the 3,761 total abortions in Iowa in 2021 occurred at or before six weeks’ gestational age. Only six abortions were at the 21-week mark or later.

In other states with bans that kick in around six weeks into pregnancy, the number of abortions has fallen by about half.

In its 4-3 opinion last month, Iowa Supreme Court’s majority determined that abortion laws in Iowa are to be judged by whether the government has a legitimate interest in restricting the procedure, rather than whether there is too heavy a burden for people seeking abortion access.

The decision was celebrated by Iowa’s conservative leaders who have advocated for decades against access to abortion. Chuck Hurley, vice president of the conservative Christian organization, The Family Leader, said “bad judges for over 51 years” allowed access to abortion in Iowa.

While Hurley celebrated the victory and the “great strides in protecting the most innocent among us,” he alluded to the work still to be done.

“Fourteen states now protect babies from the moment of conception,” he said, “and Iowa should be the 15th.”

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Associated Press reporter Geoff Mulvihill contributed from Cherry Hill, New Jersey.