I have been in business for 37 years. I fix problems and solve issues every day for my client to get they do not have it in their head to reduce the costs. We are scheduled for one hour but we are going to leave time for q a. Turn off your cell phones or leave them on silent. This is being taped. If you want, and he views the interweb, please use the twitter acslaw and the official is tag is acs2023. If you want credit, submit two codes which i will provide during the program. One is at the beginning. It is birch. Somewhere in the middle, i will say the second cle code. You can enter them on the acs page. You can ask one of the volunteers here were email lc emails acslaw clemails acslaw. Org. I would like to introduce our wonderful panel and myself. My name is jennie bond. I use she her pronouns. I am at a global advocacy organization. I look in state and federal courts against abortion bands and restrictions. I have been everywhere including in mississippi in the dobbs versus jackson case. Many of the cases we will be talking about as well. To my left, and your rights, i have the distinct pleasure of instant introducing the panel experts. To my left is lisa tro torres montayo. She is aiming to transform policies surrounding abortion rights and reproductive justice. They learn how to create and sustain their families. She is a Sexual Health and family advocates who has changed her Education Career to look at Affordable Quality Health care in the u. S. And advancing sexual and reproductive autonomy. Further to my left is professor amaya mannion, faculty director and professor of the health and policy law at american university, Washington College of law. She has taught family law and contracts courses and rights in these areas prolifically. She is also a nationally recognized expert on reproduction rights and justice. Last but not least, planned parenthood carrie flaxman, a senior director at planned parenthood in the federation of america where she challenges restrictions on access to Reproductive Health care across the country, advises planned parenthood affiliates about legal issues raised and develops in raising Advocacy Strategies to develop access for health care. I am excited to have this conversation. It has been quite a year. You are around one month shy from the one Year Anniversary of the u. S. Supreme court dobbs versus Jackson Womens Health decision. That overturned roe v. Wade and planned parenthood be casey versus kc and held there was no constitutional right to abortion. The decision also overturned nearly 50 years of precedent and purported to leave the states with the authority to regulate Abortion Access. I remember being at acs last year. I was sitting in the audience, awaiting the decision, hearing from justice sotomayor. The decision actually came one week after the acs conference last year. I will just say, and i will ask each of my panelists to briefly describe where they were on that friday, june 24. That was a salient moment because most Supreme Court cases that are either controversial or have been decided, decisions are released on the last week. We were planning to be in the office all week that final week. I thought, which one will be last . Is dobbs going to be last or will it be the bruins case . Shockingly, every single day, we were looking at the computer. So many people were on every decision day that the pages kept freezing and freezing. That friday morning, i was convinced i have joked with my coworker. I said should be go in, are they going to surprise us . Then i see a release that said Justice Alito and that obviously, as we all know from the elite opinion, not much had changed in the original the leaked opinion, not much had changed from the original. It was a difficult day for everyone in this country. It was the first time the Supreme Court took away a fundamental right for americans. It was a difficult day from our for our Health Care Providers who were already tackling a difficult landscape, and a difficult day for all americans. I will pass it on to ask the panelists briefly where they were on that friday when they heard the u. S. Supreme court had overturned ruby lead. I feel almost like i watched the day out blocked the day out. I was in san diego and my organization was test running a fourday work week we now actually have. Friday for me was a weekend and i do something i dont usually do. I left my work computer at home. [laughter] when it came out, it was nerveracking for me and great that my boss was very understanding because the plan was to send out an evil an email from me. Everyone was helpful and patient with me to figure out how to review it from my phone or read it to me. I was in san diego, visiting my great aunt. I was with my mom. My mother began working in reproductive justice before we had the term coined. As a mexican immigrant in los angeles, she was working in reproductive rights in the 1970s. We were visiting my great aunt who was born in mexico in a country where there was not access to abortion. They are making a few small strides towards access while we are taking steps backwards. Not to say that access is different in those countries but a lot of this was on my mind. It was hard to be with my mother who had worked out with this. We actually did not even talk about it, we just went to the beach and relax. And i had to process this and face it the next monday afterwards. I was in d. C. And we had friends from the bay area visiting us. We piled into the minivan with four kids, a couple teenagers. We immediately went to the Supreme Court, parked the car and went to the protest. It was brilliant. It was literally within an hour after the decision release. It was so small and people were still showing up. But this gave me a bit of hope in an otherwise dark day that people were ready to resist. Like many of us, we have a similar role. I was sitting on my home computer refreshing and refreshing. We saw it was Justice Alito and knew what it was and went to work which was when plant parenthood was at planned parenthood. My colleagues were astonishing in terms of organizing recent months and to be in many instances had a pivot right away. As jenny said, we were ready but also expected it. It was a nonsurprisesurprise. I was amazed by the work everyone did in response. You mentioned the work. I will share since we have similar roles. Not only was it processing the decision that day but that night, i immediately went to file a case in louisiana to block the trigger ban. Trigger bans are special breeds of law that go into effect if and when the Supreme Court do something which was overturning the roe v. Wade. There were 13 states that had these. Organizations like carries aunt of mine and the aclu went into Immediate Response mode. It was difficult to process. I wanted to ask, carrie, can you dive into what you are perv patients and providers were going into and a leading approach within the Dobbs Decision and give an overview of what happened . What the general public did not realize was just how quickly the cards were going to fall after dobbs. Nothing needed to happen for many states to ban abortion. In addition to the trigger bans, some states still had their p reroe bans on the brooks. Some were enforceable right away. State agencies moved to lift some relatively quickly but in some instances, courts hopped in without waiting for someone to ask. That happened in one case. There was nothing needed which meant that folks who were trying to maintain access needed to file cases very quickly. We did not just let those bans take affect. Since dobbs, the folks litigating in the space, there has been state court bans in more than 20 states. Many of which were filed in the early weeks right after dobbs. Many of those cases remain active. There are a number of different claims to be and others have been making in those cases. Many of them are working to establish a state constitutional right to abortion under a number of state specific theories. Whether a right to privacy or another source of state specific rights. A number of states have their state constitution providing more protection than the federal constitution. In some cases, where it was clear that was not an option, we challenged the trigger itself. The trigger bans took effect upon either the Supreme Court taking effect sometime after. There was an opportunity for some to argue the triggers where they were reviling to do process some other way were vague or violated due process some other way. Other ways as a result of this litigation, i believe abortion bans are blocked by injunctions in seven states. In addition to that, michigans preroe v. Wade ban was blocked prior even to dobbs falling and then was later repealed in november. Many of those are not final rulings but they can change to it but to the student citizens of those states, it has meant a lot. But success cannot change that what happened with dobbs is devastating and it wears gets worse by the day. Ban abortionbans abortion ban s happened in 19 states. 15 of them are complete bans, largely in the south and west. Nebraska could be added to the list because as we speak, they are considering a ban. There was a huge blow to access earlier this week when the North Carolina legislature overturned governor coopers veto. North carolina had been a huge access date post dobbs. The new law when it takes effect will ban abortion at 12 weeks and further restrict access to care, in other ways, requiring two trips to get an abortion. Not only banning abortion but making it more difficult for patients traveling to access care. In terms, again as a set in the opening, it is obviously devastating for patients seeking this care. I think that the Provider Community in this country has really just been nothing short of the founding and resilient, as they always are, in working to provide care to as many patients as they can. It is really tough. I will just shared that these are facilities that have been around for decades that had been installed more in their communities. It is where people got abortion care. Their annual exams as Health Care Facilities where trans care was the only the only Health Care Facilities that provided trans care in that state. In louisiana, our clinic clients who have shuttered their doors were providing ob gyn training for three out of the four medical programs in that state. Now, you can imagine that there is no training for medical residents in ob gyn care which is a really frightening thing on top of the devastation of health care being shuttered in many places. I just wanted to shift over to talk about how disastrous this decision was or is for pregnant people and Health Care Providers. Professor manian, can you provide the Broader Health care landscape and what is happening with pregnant patients and Health Care Providers this past year . We know from Public Health research that being denied a wanted abortion threatens womens health. There is a study called the turn away study that found that women who are unable to access a wanted abortion experience longlasting health harms from being forced to carry the pregnancy to term. Two women in the study who were denied abortion care died following childbirth. That study was predobbs. What we know from the most recent data on the impact of abortion bans post dobbs is there has been a significant reduction in the number of abortions happening. More women and pregnant people are being denied a wanted abortion and suffering these health harms. Society of Family Planning, resource organization, conducted a study called the recount study. It said that in six months following the Dobbs Decision, 5000 400 fewer abortions happened each month in the u. S. That is a huge Public Health impact on people seeking abortion care and not able to access it. What we are also seeing post dobbs are Public Health harms that reach even more broadly. Abortion bans are obstructing access to health care for people not even actively seeking abortion care. This is happening in a wide range of areas. It happens when it comes to pregnancy related care like miscarriage management and beyond that with female patients who are not able to get to Birth Control medication because it could potentially harm a fetus. The most harrowing story in this regard has been for patients suffering pregnancy related complications who have not been able to get timely care due to state laws restricting access to abortion. Many of these laws have very narrow exceptions for health or the life of the pregnant person, but because the language in the loss is so vague, providers are afraid to were being told they cannot provide needed abortion care. There has been a handful of lawsuits filed seeking to alleviate some of these Public Health harms from abortion bans. In texas, five women filed a lawsuit under the texas state constitution, alleging they were not able to obtain care for eccentric complications due to the texas abortion plan abortion ban. One of the women described how her doctor would not provide substantive care for her miscarriage due to the texas abortion law until she became septic and was in the icu for days and lost one of her fallopian tubes. There are at least a hundred stories like this in the media which means there are thousands upon thousands of these happening on the ground, in Emergency Rooms, and in Emergency Rooms doctors offices around the country. For urgently needed abortion care, all abortion bans harms People Health but especially in cases of urgent care. The Biden Administration enacted new rules. What this guide did was assert that impolitic can preempt a state abortion ban to some narrow extent and hospital Emergency Departments are under federal law that are under federal law are required to provide abortion care under circumstances that fall within impolitic protections. But two Federal District courts, one in iowa and one in texas, issued conflicting decisions on whether this can prevent the abortion ban and these are under appeal. We have all these legal uncertainties around access to abortion care, even when the Patients Health is immediate and urgent. Because of this, use the ss did a study called the care post to roe v. Wade, asking providers to share their stories on how abortion restrictions are reshaping the delivery of health care to the care post row roe meant they found that in states with abortion bans, Health Care Providers have been unable to provide substantive care in a timely manner for a whole range of complications even in nonpregnancy related cases. One of these stories in the study, a position describes how an abortion was denied for a patient who had ruptured membranes at 16 weeks of pregnancy. The woman developed a severe infection, was in the icu, and the physician described how the anesthesiologist was crying on the phone because she knew if the patient had to be intubated, she would not survive. The care post roe study also found that Health Care Providers face the stress when they were unable to provide care and some considered moving to states where abortion was still legal. We have seen anecdotal and Research Evidence that abortion bans are causing denial of medical care where abortion is the standard of care for treating medical complications. Abortion bans are creating lifethreatening medical emergencies where there need not be any of people could provide standard of evidence based care. This is a Public Health crisis that will get worse because these bands are pacing doctors in ethical binds. We are stuck between a rock and hard place between their ethical duty between their patients and fear that they get in trouble for doing their job. The fear is that more providers will flee abortion restricted areas. Get this has already happened in idaho. Two maternity hospitals shut down two hospitals shut down their Maternity Ward and one factor was because of the political factor in idaho meeting they could not provide maternity care. Going forward, we are going to see more jurisdictions were people will not be able to access abortion care and will also be forced to give birth in unsafe conditions due to a shortage of ob gyns. As we know, the u. S. Has already been facing a Maternal Mortality crisis that is disproportionately faced by women and people of color. But we are seeing is a serious Public Health crisis that impacts not only the people seeking abortion care but any person capable of becoming pregnant. I will just share that as soon as dobbs was overturned, i had a conversation with my husband where we said if we were pregnant at the time, i would not be able to go to some states i litigate in. I would literally not be able to do my job because we cannot be sure i would be worked on. The Center Published a report in oklahoma with violent cases like the one you heard in texas. But in oklahoma, there was a woman who drove him to three different hospitals and was turned away while she was bleeding and told to wait in the parking lot of the last hospital to flee further before a doctor could be sure they would be able to work on her. T