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Richmond Medical Center for Women v. Herring

Citations: 570 F.3d 165; 2009 WL 1783515Docket: 03-1821, 04-1255

Court: Court of Appeals for the Fourth Circuit; June 24, 2009; Federal Appellate Court

Original Court Document: View Document

Narrative Opinion Summary

The case involves the Richmond Medical Center for Women and Dr. William G. Fitzhugh challenging the constitutionality of Virginia's 'Partial Birth Infanticide' Act, arguing it imposes undue burdens on abortion rights by lacking a health exception and potentially criminalizing standard dilation and evacuation (D&E) procedures. Initially, the district court ruled the Act unconstitutional, but the decision was reversed after the Supreme Court's ruling in Gonzales v. Carhart, which upheld a similar federal statute. On remand, the Fourth Circuit Court of Appeals determined that the Virginia Act was not facially unconstitutional, as Dr. Fitzhugh's challenges did not demonstrate a substantial obstruction to abortion access in a significant number of cases. The court found that the Act's scienter language and affirmative defenses mitigated potential burdens on abortion rights. The court concluded the Act provided sufficient clarity to avoid vagueness, similar to the federal statute, and reversed the district court's previous ruling, upholding the constitutionality of the Virginia Act.

Legal Issues Addressed

As-Applied Challenges in Abortion Legislation

Application: Dr. Fitzhugh's as-applied challenge was rejected because he failed to present specific instances where the Virginia Act was applied unconstitutionally.

Reasoning: Additionally, Dr. Fitzhugh's attempt to mount an as-applied challenge is rejected, as the statute has not yet been enforced or threatened against anyone, and he has not provided specific cases or patients to demonstrate unconstitutional application.

Facial Challenges under Abortion Statutes

Application: The court evaluated whether the Virginia Act could be deemed unconstitutional in all applications, referencing standards from previous cases such as Casey and Gonzales v. Carhart.

Reasoning: The Court noted that merely operating unconstitutionally in some situations is insufficient for total invalidation. In Planned Parenthood of Southeastern Pennsylvania v. Casey, however, the Court applied a different standard by declaring Pennsylvania’s Abortion Control Act facially invalid because it posed a substantial obstacle to abortion access in a large number of cases, without citing Salerno.

Intent Requirements in Abortion Legislation

Application: The Virginia Act is analyzed for its lack of intent requirements in contrast to the Federal Act, potentially criminalizing unintended intact D&E procedures.

Reasoning: The Virginia Act lacks the intent and distinct overt act requirements upheld by the Supreme Court in Carhart II, which limited its application to intentional actions by physicians.

Undue Burden Standard in Abortion Cases

Application: The court determined that the Virginia Act did not impose an undue burden on a woman’s right to choose a pre-viability abortion, despite claims to the contrary.

Reasoning: The majority opinion acknowledges that the Virginia Act is broader and includes accidental intact D&Es, yet claims it remains constitutional due to 'affirmative defenses' that could theoretically lead to jury acquittal.

Vagueness and Clarity in Abortion Statutes

Application: The court held that the Virginia Act provided sufficient clarity on prohibited conduct, aligning with federal standards.

Reasoning: The Virginia Act provides sufficient clarity on prohibited conduct, allowing reasonable doctors to avoid criminal liability, similar to the upheld Federal Act, which protects against liability in cases of unintended delivery beyond the prohibited point.