An Iowa judge has ruled that the state’s strict abortion law, which prevents most abortions after about six weeks of pregnancy, will take effect on Monday. The law was initially passed last year, but a judge had blocked its enforcement until the Iowa Supreme Court reiterated in June that there is no constitutional right to an abortion in the state. The district court judge’s decision to allow the law to go into effect on Monday has been met with opposition from lawyers representing abortion providers, who are asking for a buffer period to ensure continuity of services. Iowa had previously allowed abortions up to 20 weeks of pregnancy.

The Iowa Supreme Court’s decision to lift the hold on the abortion law has been a significant victory for the state’s Republican leaders after years of legislative and legal battles. Iowa will now join more than a dozen states where abortion access has been greatly restricted since the US Supreme Court overturned Roe v. Wade. Currently, 14 states have near-total bans on abortion at all stages of pregnancy, with three states banning abortions after approximately six weeks of pregnancy. This is typically when a fetal heartbeat can be detected. The Republican-controlled Legislature in Iowa passed the law last July during a special session, leading to an immediate legal challenge from organizations such as the American Civil Liberties Union of Iowa and Planned Parenthood North Central States.

Republican Gov. Kim Reynolds and Attorney General Brenna Bird have both praised the state Supreme Court’s decision to uphold the will of the people of Iowa and view it as a landmark victory. The Iowa abortion law includes limited circumstances that would allow for an abortion after six weeks of pregnancy, such as in cases of rape, incest, fetal abnormalities incompatible with life, or if the pregnancy endangers the mother’s life. The state’s medical board has established standards of practice for providers earlier this year, although specifics regarding noncompliance and disciplinary actions are not clearly outlined.

Planned Parenthood and the Emma Goldman Clinic in Iowa have indicated that they will continue to provide abortion services in compliance with the new law. Planned Parenthood North Central States has made regional investments in preparation for this outcome, including expanding facilities in neighboring cities like Mankato, Minnesota, and Omaha, Nebraska. However, Planned Parenthood has ceased abortion services in two Iowa cities, including Des Moines, in the past year. Two of the state’s five Planned Parenthood clinics offer in-person abortion services, while three offer abortion through medication.

Overall, the enforcement of Iowa’s strict abortion law marks a significant development in the state’s reproductive healthcare landscape. Despite legal challenges and opposition from abortion providers, the law is set to go into effect on Monday, preventing most abortions after approximately six weeks of pregnancy. The decision from the Iowa Supreme Court and subsequent judicial rulings have strengthened the position of the state’s Republican leaders while significantly restricting abortion access for women in Iowa. Planned Parenthood and other providers are making efforts to comply with the new law while continuing to offer essential reproductive healthcare services to women in the region.

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