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Tennessee Still Feeling Effects Of Dobbs Decision Two Years Later

More than 10,000 women have left Tennessee to receive abortion care in the two years since Roe v. Wade was overturned, according to Planned Parenthood of Tennessee and North Mississippi. (PPTNM).

The health care group marked the anniversary of the decision with a news conference Monday. PPTNM health centers now provide patient navigation services to those in Tennessee and Mississippi who need to travel out of state for abortion care. The group has provided assistance to over 800 patients.

Ashley Coffield, the group’s CEO, said it’s “dangerous” to be pregnant in Tennessee.

“Two years after the Dobbs decision allowed our state’s abortion ban to take effect Tennessee is in a state of crisis,” Coffield said. “It is dangerous to be pregnant here.”

“We are living without a basic freedom and access to life-saving care that we never thought would go away, and people are afraid,” Coffield added. “The attacks on reproductive rights have not stopped.”

Seven women and two providers are suing the state because they had to receive the procedure elsewhere, Cofield said.

The Tennessee General Assembly passed legislation this year that makes it a criminal offense for adults to help minors access abortion care out of state. The legislation also allows for another person to sue the person found guilty of “abortion trafficking” for the death of the unborn child, and is set to go into effect on July 1.

Planned Parenthood said they are still able to help minors with the consent of an adult through their Planned Parenthood Direct service where they can provide birth control and contraceptives through tele-health.

The organization is also able to provide care at a reduced cost thanks to their Title X services. In 2023 PPTNM was awarded $3.9 million to be used over the next three years. The funds came from the Virginia League for Planned Parenthood and given so PPTNM could continue providing free care to patients in need after it was announced in April that the state of Tennessee was no longer eligible for Title X funding. This was due to the state’s inability to provide “abortion referrals upon client request.”

Tennessee lawmakers marked the anniversary, too. Senate Democratic Caucus members Sen. Raumesh Akbari (D-Memphis), Sen. London Lamar (D-Memphis), Sen. Charlane Oliver (D-Nashville), Sen. Sara Kyle (D-Memphis) and Sen. Heidi Campbell (D-Nashville) issued a joint statement condemning Tennessee’s restrictions.

“None of us ever thought we would live in an America where women have fewer rights than our mothers and grandmothers or that politicians would use the power of the government to decide when or if we grow our family,” the statement said.

The lawmakers also said they are “more determined than ever to restore this basic freedom to every woman in Tennessee.”

PPTNM’s Coffield said that her group anticipates restrictions on reproductive rights “can get worse,” yet they are committed to keeping their doors open for people who need access to abortion care through their navigation services.

In 2022, the U.S. Supreme Court overturned the ruling made in the landmark case, Roe v. Wade, which protected a woman’s right to choose an abortion. A day after the decision, a Tennessee law went into effect that made providing abortions a felony. The Human Life Protection Act “was passed in 2019 just in case the U.S. Supreme Court ever overturned the landmark Roe v. Wade.”

At the time of its passage, the law did not allow abortions in cases of rape, incest, or any fetal abnormality that could prove fatal to the baby. The law only allowed an abortion in Tennessee if giving birth would kill the pregnant woman or would prevent “serious risk of substantial and irreversible impairment of major bodily function.”

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Planned Parenthood Expects ‘More Criminalization’ One Year After Dobbs Decision

As the one-year anniversary of Dobbs vs. Jackson Women’s Health Organization approaches on Saturday, June 24th, Planned Parenthood of Tennessee and North Mississippi consider it to be “more dangerous and more deadly to be pregnant in Tennessee.”

On June 24, 2022, the Supreme Court decided to overturn the decision made in the landmark case, Roe v. Wade, which protected a woman’s right to choose an abortion. On August 25, 2022, a Tennessee law went into effect that made providing abortions a felony. As the Memphis Flyer reported in August, the Human Life Protection Act “was passed in 2019 just in case the U.S. Supreme Court ever overturned the landmark Roe v. Wade.” 

At the time of its passage, the law did not allow abortions in cases of rape, incest, or any fetal abnormality that could prove fatal to the baby. The law only allowed an abortion in Tennessee if giving birth would kill the pregnant woman or would prevent “serious risk of substantial and irreversible impairment of major bodily function.”

In the most recent legislative session, exceptions were made for ectopic and molar pregnancies. The Tennessee General Assembly declared that the termination of a pregnancy for these purposes does not “constitute criminal abortion.” While this amendment expanded instances for which abortions are allowed, organizations such as Tennessee Advocates for Planned Parenthood are still against the bill.

“Anything that allows more access to abortion and reproductive health care is vital, but anything short of complete support for bodily autonomy and abortion rights stigmatizes abortions, particularly for our most disenfranchised communities,” said a statement on the organization’s website.

The “Tennessee Abortion-Inducing Drug Risk Protocol Act” was passed on May 9, 2022, and took effect on January 1, 2023, which required all “abortion inducing drugs,” to be provided only by qualified physicians in medical facilities. While the law went into effect around the same time that the Food and Drug administration expanded access to these drugs, abortion is still illegal in the state of Tennessee. It is, however, still legal to leave the state for an abortion. Currently, Planned Parenthood of Tennessee and North Mississippi uses a Patient Navigation team, to help patients understand their options in these instances.

“We are navigating patients out of state for abortion care. We’re helping them with logistics. We’re giving them resources for travel. We’re helping them pay for the services when they get there,” said Ashley Coffield, CEO of Planned Parenthood of Tennessee and North Mississippi, in a video released ahead of the anniversary of the Dobbs decision.

While making strides to expand access and resources, the organization also said that it expects “more criminalization and more intimidation going forward.”

“State lawmakers have already advocated and strategized around ways to ban contraceptives, IVF treatments and restrict interstate travel for abortion. It is a scary time,” said Planned Parenthood in a statement.”

HB1084, sponsored by Representative Jesse Chism (D-Memphis) and Senator Raumesh Akbari (D-Memphis), failed in the legislative session this year. This bill proposed that the offenses related to “criminal abortions,” should not include contraceptives such as hormonal birth control, emergency contraceptives, and intrauterine devices.