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City of Akron v. Akron Center for Reproductive Health, Inc.

Citations: 76 L. Ed. 2d 687; 103 S. Ct. 2481; 462 U.S. 416; 1983 U.S. LEXIS 63; 51 U.S.L.W. 4767Docket: 81-746

Court: Supreme Court of the United States; June 15, 1983; Federal Supreme Court; Federal Appellate Court

Narrative Opinion Summary

The case involves a challenge to several provisions of an Akron, Ohio ordinance regulating abortion procedures. The ordinance imposed requirements such as hospitalization for post-first trimester abortions, parental consent for minors, informed consent mandates, a 24-hour waiting period, and humane disposal of fetal remains, with violations classified as misdemeanors. The District Court invalidated certain sections, and the Court of Appeals affirmed some of these rulings while reversing others. The Supreme Court found several sections unconstitutional, notably the hospitalization requirement, citing it imposed undue burdens and did not conform to accepted medical practices. The Court also invalidated the parental consent requirement, as it did not allow for maturity assessments of minors, and criticized the informed consent mandates for restricting physician discretion. The 24-hour waiting period was deemed arbitrary, lacking medical justification, and the provision for fetal remains disposal was voided for vagueness. The decision reaffirms the constitutional right to privacy and the state's interest in maternal health, emphasizing the necessity for regulations to align with medical standards and not impede access to abortion services.

Legal Issues Addressed

Due Process and Vague Legal Provisions

Application: The requirement for humane and sanitary disposal of fetal remains was found void for vagueness, as it failed to provide clear guidelines for physicians, violating the Due Process Clause.

Reasoning: Section 1870.16 violates the Due Process Clause by failing to provide physicians with adequate notice regarding prohibited conduct.

Informed Consent Requirements for Abortion

Application: The Court found that the ordinance's informed consent requirements unduly restrict physician discretion and could manipulate a woman's decision-making process, thus exceeding the state's interest in ensuring informed consent.

Reasoning: Sections 1870.06(B) and 1870.06(C) are deemed unconstitutional because they exceed the State's interest in ensuring informed consent for abortions. The requirement for informed consent must not manipulate a woman's decision-making regarding abortion or childbirth.

Mandatory Waiting Period for Abortion

Application: The 24-hour waiting period after signing a consent form was invalidated as it lacked a legitimate state interest and imposed unnecessary burdens, not contributing meaningfully to informed decision-making.

Reasoning: Section 1870.07 is also unconstitutional, lacking evidence that a mandatory waiting period serves any legitimate state interest or enhances the safety of the abortion procedure.

Parental Consent for Minors Seeking Abortions

Application: The provision requiring parental consent or a court order for minors under 15 was ruled unconstitutional as it did not allow for an assessment of the minor's maturity or best interests, conflicting with established juvenile law.

Reasoning: The Supreme Court ruled that Section 1870.05(B) was also found unconstitutional for broadly assuming that all minors under 15 lack the maturity to make informed abortion decisions without parental consent, contradicting existing juvenile law regarding maturity and emancipation.

State Regulation of Abortion Procedures Post-First Trimester

Application: The Supreme Court invalidated the requirement for second-trimester abortions to be performed in hospitals, as it imposes unnecessary burdens on access to abortion and does not align with current medical practices.

Reasoning: The Supreme Court disagreed with the lower courts, concluding that the hospitalization requirement under Ohio Revised Code § 1870.03 is unconstitutional. It reaffirmed that after the first trimester, while the state's interest in health becomes compelling, regulations must reasonably further that interest.