# Petition for Writ of Certiorari — Rogers v. United States

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## Record

- **Collection:** Supreme Court brief
- **Document type:** Petition for Writ of Certiorari
- **Published:** January 1, 1993
- **Citation:** 507 U.S. 917

## Text

pour, U.S.
Supreme Court, U.S.
FILED

t DEC 2 1.1992

OFACE OF THE CLERK

Supreme Court of the United States

OCTOBER TERM, 1992

EDWIN W. EDWARDS, et al, Petitioners,
V.

SOJOURNER T., et ai, Respondents.

ON WRIT OF CERTIORARI TO THE
UNITED STATES COURT OF APPEALS
FOR THE FIFTH CIRCUIT

RICHARD P. IEYOUB, Attorney General
M. PATRICIA JONES

Assistant Attorney General

LOUISIANA DEPARTMENT OF JUSTICE
Office of Attorney General

State Capitol—22nd Floor

Baton Rouge, LA 70806

(504) 342-7013

ROBERT E. WINN,*

JOY G. BRAUN, Special
Assistant Attorneys General

3500 Place St. Charles

201 St. Charles Avenue

New Orleans, LA 70170

(504) 582-1500

JAMES BOPP, JR., Special
Assistant Attorney General

191 Harding Avenue

P. O. Box 8100

Terre Haute, IN 47808-0410

(812) 238-2421

Counsel for Petitioners

A B Letter Service, Inc., 327 Chartres St., New Orleans, La. (504) 581-5555

i

QUESTIONS PRESENTED

1. Whether the Louisiana Abortion Statute is un-
constitutional in all of its possible applications and, if not,
whether it can be enforced in its constitutionally permissi-
ble applications?

2. Whether, in light of the undisputed facts of human
development and the recently acquired scientific evidence
of the humanity of the unborn child, Louisiana’s Abortion
Statute is an appropriate and reasonable exercise of
authority reserved to the states by the United States
Constitution?

ii

PARTIES TO THE PROCEEDING

The Defendants-Appellants below and Petitioners in
the case at bar are Edwin W. Edwards, as Governor of the
State of Louisiana; and Richard P. Ieyoub, as Attorney
General of Louisiana. Harry Connick, Sr., as District At-
torney for the Parish of Orleans was also made a party
defendant in the district court. He appealed the district
court’s decision and has filed a separate petition for
certiorari.*

The Plaintiffs-Appellees below and Respondents
herein are Sojourner T., Jane and Ida B. on behalf of
themselves and all others similarly situated; James
DeGueurce, M.D., Calvin Jackson, M.D., and Pamela Bran-
ning, M.D., on behalf of themselves and all others similarly
situated, and their patients; Hope Medical Group for
Woman; Delta Women’s Clinic West; Causeway Medical
Suite; Emilia Bellone, M.S.W., on behalf of herself and her
clients; Reverend Kathleen Korb and Rabbi Michael
Matuson, on behalf of themselves and their congregants;
and Dr. Ifeanyi Charles Okpalobi.

*Harry Connick, Sr. was represented in the district court and Court of
Appeals by John S. Baker, Room 414, LSU Law Center, Baton Rouge,
LA 70806, (504) 388-8846.

AP EE “

lil
TABLE OF CONTENTS

Page(s)
QUESTIONS PRESENTED ....................... i
PARTIES TO THE PROCEEDINGS ............... ii
TABLE OF CONTENTS ......................... iii
TABLE OF AUTHORITIES ..................... Vii
OPP ROU MRED MOEMMOW ceca l
NS ah ok dep yd wld d Aas shew ea ss l

STATUTE & CONSTITUTIONAL PROVISIONS ....2

STATEMENT OF THE CASE..................... 2
A. Course of Proceedings and Disposition in the

Court Below ........................... sa ee 2

B. Statement of the Facts....................... 3

REASONS FOR GRANTING THE WRIT........... 6

PRELININARY STATEMENT

I. The Court Below Failed to Apply The
Normal Standard for Facial Challenges, Which
Must Be Applied in Cases Involving The Con-
stitutional Right to Abortion ................... 7

A. In a Facial Challenge to a Statute, the
Plaintiff Has the Burden of Proving That
No Application of the Statute Is
a lt ca ce kbs scaee. 7

B. The Normal Rule for a Facial Challenge
Should Apply to Cases Involving Abortion .. .8

iv
TABLE OF CONTENTS (continued)
Page(s)

1. The facial challenge rule is a general
principle of law that should be applied
in an even-handed, neutral fashion ...... 9

2. Sound jurisprudential and practical
reasons support principled adherence
to the facial challenge rule ............ 10

3. The lower court failed to apply facial
challenge principles to the Louisiana
pe ee ee 11

II. The Court Should Grant Review to Consider
the Right of the State of Louisiana to Re-

Weigh the Interests of the Pregnant Woman
ee ee ce Pe ee 11

A. The Crucial Balancing in Roe of the Rights
of the Pregnant Woman Against Only the
Potential Life of the Unborn Child Was
Wrong and Should Be Re-Examined........ 12

B. Principles of Stare Decisis, Properly
Understood, Should Not Preclude Recon-
sideration of Roe and the Re-Balancing of
the Competing Interests in the Abortion
SG nce as ee nee ast 14

C. Louisiana’s Determination That Actual
Human Life Begins Jn Utero and Its Deci-
sion to Protect Such Life Accords With
Modern Scientific Knowledge Available
Since Roe v. Wade ........................ 17

v
TABLE OF CONTENTS (continued)

Page(s)

1. Modern developments in embryology
and fetology establish the humanity of
ee 17

2. Ultrasound enables us to observe the
humanity of the unborn child.......... 18

3. There is evidence of fetal pain......... 20

D. Louisiana’s Abortion Statute Is an Ap-
propriate and Reasonable Exercise of
Authority Reserved to the States by the
riley GHP Ces 0465 4 Zee hw Ske ds eh 22

1. This Court has recognized other areas
where States may legislate not-
withstanding individual privacy rights . . 22

2. Louisiana’s determination that actual
human life begins in utero accords with
the recognition of unborn human life in
the law of most States............. 24-25

3. Louisiana’s unique legal system has
historically afforded legal protection to
ree 26

CAIPGUUUE oo oh wk xn Chink Ceewn eae ee 29

vi
TABLE OF CONTENTS (continued)

APPENDICIES: Page(s)
A. OPINION AND JUDGMENT OF THE

B.

UT We TE 68k SRA wh he SAAR es A-l

OPINION OF THE DISTRICT COURT
REASONS FOR JUDGMENT ............. A-13

JUDGMENT OF THE DISTRICT COURT . .A-17

ACT 26 OF THE 1991 LOUISIANA
SAA EAIME, 55. us oy caw Dh b a va ek A-19

. OPINION OF THE LOUISIANA AT-

Wubeerems es GIBIIERAL.. . 6 cs cee cess, A-24

LIST OF STATES RECOGNIZING THAT
HUMAN LIFE BEGINS AT CONCEPTION . A-31

. LIST OF STATES THAT TREAT THE

KILLING OF AN UNBORN CHILD AS
at ee eae okay ee A-63

6 a IPM MEAS! gatas ite hag yb. A-68

Vii
TABLE OF AUTHORITIES

CASES: Page
Akron v. Akron Center for Reproductive Health,
Se I oc an ies aren 9
Barnes v. Moore, 970 F. 2d 12 (5th Cir. 1992), cert.
denied, Dec. 7, 1992, 61 U.S.L.W. 3303 ............ 6
Booth v. Maryland, 482 U.S. 496 (1987) .......... 15,16
Bowers v. Hardwick, 478 U.S. 186 (1986) ........... 24

Burnet v. Coronado Oil & Gas Co., 285 U.S. 393,
406, 52 S.Ct. 443, 447, 76 L.Ed. 815 (1932) ........ 15

Byrn v. New York, 31 N.Y.2d 194 (1992) appeal

dismissed 410 U.S. 949 (1973) ................... 13
Connecticut v. Menillo, 423 U.S. 9 (1975) .......... 8,10
Danos v. St. Pierre, 402 So.2d 633 (La. 1981) ........ 28

Guam Society of Obstetricians and Gynecologists v. Ada,
962 F.2d 1366 (9th Cir. 1992); cert. denied, 61
U.S.L.W. 3399 (U.S. Nov. 30, 1992) ............... 5

Helvering v. Hallock, 309 U.S. 106, 119, 60 S.Ct.
444, 451, 84 L.Ed. 604 (1940).................... 15

Johnson v. South New Orleans Light & Traction
Co., No. 9,048 (La. App. Orl. Cir. 1923), writ
denied, No. 26,443 (La. 1942) (unreported decisions) . 27

Vili
TABLE OF AUTHORITIES (continued)

CASES:

Members of City Council v. Taxpayers for Vincent,

S00 U.S. TOD, TOG (2984)... 2... ccc. 8,9
Michael H. v. Gerald D., 491 U.S. 110, 109 S.Ct.
to gg BEES PO NA a DT Ee 55 ata 24
National Metropolitan Bank v. U.S.. 323 U.S. 454
Pe ae ee ee ern 4
Ohio v. Akron Center for Reproductive Health, 110
es eo CP ie ee 9
Ifeanyi C. Okpalobi v. State 0 Louis’ x, et al, No.
91-2422 (E.D. La. July 3, 1991: ................... 3
Payne v. Tennessee, 111 S.Ct. 2597 (| ia 14,15,16
Planned Parenthood of Southeastern Pennsylvania
v. Casey, 112 S.Ct. 2791 (1992) .............. passim
Reynolds v. United States, 98 U.S. 145 mere. oe 23
Roe v. Wade, 410 U.S. 113 (1973) .............. passim
Rust v. Sullivan, 111 S.Ct. 1759, 1767 Si) | is 5,10

Schall v. Martin, 467 U.S. 253, 269 n. 19 (1984)...... 11

ix
TABLE OF AUTHORITIES (continued)

CASES: Page

Smith v. Allwright, 321 U.S. 649, 665, 64 S.Ct.
757, 765, 88 L.Ed. 987 (1944)................. ee

Sojourner T. v. Edwards, 974 F. 2d 27 (5th Cir.
SE AG ick es Wa sachs Cs OW CY GO a ee ores passim

Sojourner T. v. Roemer, 772 F. Supp. 930 (E.D. La.
Peed Vo ora ce ee ee, ero ee passim

United States v. Salerno, 481 U.S. 739, 745 (1987) .8,9,10

Webster v. Reproductive Health Services, 492 U.S.

EE S28 areca cee vit aid 4 RII Soe oc 7,8,9,10
STATUTES:
oe ge eS A re ne neem 2
First Amendment, U.S. Constitution ............... 10
Tenth Amendment, U.S. Constitution ........... 2,6,22
Fourteenth Amendment, U.S. Constitution........ 13,27
ee Pe nos ic os oe cdc doe ban 2
ee BLeOS censdew sas oas 1
SD a we Wenn a ve hawt avns l
on iy Gog sense vapeudeeeadeue l

ok) 1

x
TABLE OF AUTHORITIES (continued)

STATUTES: |
Federal Rules of Civil Procedure 12(c).............. 2,3
Louisiana Abortion Statute ................ . . passim
La. Acts, 1855, Act 120, §24, p.132............... 27 |
Act 26 of the 1991 Louisiana Legislature ......... 2,3,4 |
ee ee eee . .28
ma. Tw, MOOG. IBD nn nk 5k vc een cccncacenacck. 28
La. Rev. Stat. $9:124 .......................0.0.. 28
La. Rev. Stat. §9:125 - pcan wiley Cee
oi, W.. TOG, RG oo ein vcd c vou d cn natans 4,27
La. Civil Code Article 26 ......................... 27
La. Civil Code Article 90, comment (b).............. 23
La. Civil Code Article 900 ........................ 23

May Petes OF

La. Civil Code Article 901 ........................ 23

La.

La.

La.

La.

La.

La.

La.

La.

xi
TABLE OF AUTHORITIES (continued)

Page
Raven Come Agtinte GB4 ... ww. ccc cce 27
Ciwll Code Articie 1474 ... 2... ccc ccc 27
Cowes Came Arties 1476 . ww. occ ee keen 13
Civil Code Article 1918 ....................... 13
Civil Code Article 2315 .................... ..28
Civil Code Article 2315.2(A) ................... 28
Cae OE Care Gs OR, GR won o's sein ccchuvs weal 13

Code of Civil Proc. art. 732... 2... ce 13

xii
TABLE OF AUTHORITIES (continued)

Page
OTHER SOURCES:
Affidavit of Raymond F. Gasser, Pk.D........... 20,21
American College of Obstetricians & Gynecologists
Technical Bulletin number 116 - May 1988 ........ 19
Anand & Hickey, ‘Pain and Its Effects in the
Human Neonate and Fetus,’”’ 317 New Eng. J.
Med. (1987): 1321, 1322, 1325 J: : ae 20,21,22

Boehm & Kazazian, ‘Prenatal Diagnosis by DNA
Analysis” in The Unborn Patient 82 (M. Har-
rison, M. Golbus and R. Filly eds. 2nd ed. 1991) ...17

55 C.J.S. Marriage §16, 831 (1948) ................. 23

Clark, J., ed. The Nervous System; Circuits of Com-
munication. The Human Body. Torstar Books,
tg: WG I OE oe on nw On 5 sks Civeawede hk 21

J. Domat, The Civil Law in Its Natural Order, Voll.
I, Part I, Prel. Book I. Titl. 2, § 1, Law 6, p. 138
(Strahan Transl. 1837) ....................... 26,27

Fletcher, ‘‘Pain in the Neonate,’”’ 317 New Eng. J.
Med. 1321, 1347-1848 .......................... 21

Flower, ‘‘Neuromaturation of the Human Fetus,”’
10 J. Med. Phil. 237, 242 (1988)............. 20,21,22

Harrison, ‘“‘The Fetus as a Patient: Historical
Perspective,” in The Unborn Patient 3 (M. Har-
rison, M. Golbus & R. Filly eds. 2nd ed. 1991) ..... 17

xiii
TABLE OF AUTHORITIES (continued)

OTHER SOURCES:

Harrison & Adzick, ‘The Fetus as a Patient.’’ 213
wt te eee i8

Johnson & Toi, “Overview of Obstetrical
Sonography”’ in Vol. 2 Diagnostic Ultrasound,
(C. Rumack, S. Wilson & J. Charboneau eds.
ee 19

The Nervous System; Circuits of Communication in
the Human Body 109 (J. Clark ed. 1985) .......... 21

Op. Att’y Gen. No. 91-419 (La. Aug. 23, 1991) ...... 4,5

Report on Human Life Bill, Sub-Committee on
Separation of Powers, Committee on the
Judiciary, United States Senate (97th Cong. Ist
Ee 25,26

Scanlon, ‘‘Appreciating Neonatal Pain.’’ 38 Ad-
vanced Pediatrics, 317, 320 (1991)................ 21

Siete Partidas, Part VII, Title XXXIII, Law VIII... .27

Wright & Miller, Federal Practice and Pro-
cedure: Civil 2nd §1368 (1990) (‘‘Practice Under
EE 3,4

siege
fas 8 9 scat So

saan Bs a POE cn ee

Bg RWS | cE PONE TS £ aes’

1

Supreme Court of the United States
October Term, 1992

EDWIN W. EDWARDS, et al., Petitioners,
Vv.

SOJOURNER T., et al, Respondents.

ON WRIT OF CERTIORARI TO THE
UNITED STATES COURT OF APPEALS
FOR THE FIFTH CIRCUIT

PETITION FOR A WRIT OF CERTIORARI

Petitioners Edwin W. Edwards, Governor of the
State of Louisiana, and Richard P. leyoub, Attorney
General of the State of Louisiana, respectfully petition this
Court for a writ of certiorari to review the judgment of the
United States Court of Appeals for the Fifth Circuit in So-
journer T. v. Edwards, 974 F.2d 27 (5th Cir. 1992).

OPINIONS BELOW

The opinion and judgment of the United States
Court of Appeals for the Fifth Circuit is reported at 974
F.2d 27 (5th Cir. 1992). They are reprinted in the appendix
hereto, p. A-1, infra.

The decision and judgment of the United States
District Court for the Eastern District of Louisiana is
reported at 772 F.Supp. 930 (E.D. La. 1991). They are
reprinted in the appendix hereto, p. A-13 and p. A-17
respectively, infra.

JURISDICTION

Invoking federal jurisdiction under 42 U.S.C. § 1983
and 28 U.S.C. §§ 1331, 1343 (a)(3), and 1343(a)(4), Plaintiffs-

2

Respondents brought this suit in the Eastern District of
Louisiana. On August 7, 1991, the district court, pursuant
to Federal Rule of Civil Procedure 12(c), granted Plaintiffs’
Motion for Judgment on the Pleadings. See p. A-13, infra.

Defendants-Petitioners appealed. On September 22,
1992, the Fifth Circuit entered judgment affirming the
decision of the district court. See p. A-11, infra. No petition
for rehearing was sought.

The jurisdiction of this Court to review the judgment
of the Fifth Circuit is invoked under 28 U.S.C. § 1254(1).

STATUTE & CONSTITUTIONAL PROVISIONS

This case concerns Act 26 of the 1991 Louisiana
Legislature, the Louisiana Abortion Statute, which ap-
pears at A-19, infra. The relevant portion of the Due Pro-
cess Clause of the Fourteenth Amendment is “{NJor shall
any State deprive any person of life, liberty, or property,
without due process of law. . . .’”” U.S. Const. amend. XIV,
§1. The Tenth Amendment states:

“The powers not delegated to the United
States by the Constitution, nor prohibited by it to
the States, are reserved to the States respective-
ly, or to the people.”’
U.S. Const. Amend. X.

STATEMENT OF THE CASE

A. Course of Proceedings and Disposition in the
Court Below

On June 18, 1991, Plaintiffs Sojourner T., et al,
brought suit in the district court challenging the Louisiana
Abortion Statute under the Due Process Clause of the
Fourteenth Amendment as interpreted by Roe v. Wade,
410 U.S. 113 (1973), and other constitutional theories and
requesting declaratory and injunctive relief. Sojourner T. v.
Roemer, 772 F. Supp. 930 (E.D. La. 1991). On July 3, 1991,
Dr. Ifeanyi Charles Okpalobi also challenged the Louisiana

Me me .
a BLL ODA Toe a ay wie

3

Abortion Statute under Roe v. Wade and other constitu-
tional theories seeking declaratory and injunctive relief.
Ifeanyi C. Okpalobi v. State of Louisiana, Sojourner T. v.
Roemer, 772 F. Supp. 930 (E.D. La. 1991). The district
court consolidated the cases. Both cases present solely
facial challenges because the statute was enjoined before
its effective date.

At the request of the district judge, cross motions for
judgment on the pleadings were filed along with extensive
supporting memoranda.! On August 7, 1991, the district
court, pursuant to Federal Rule of Civil Procedure 12(c),
determined that there was ‘‘no factual issue which could
change the result’’ and granted plaintiffs’ Motion for Judg-
ment on the Pleadings, declared the Statute unconstitu-
tional and enjoined its enforcement. See p. A-13, infra. The
court declined to reach other constitutional issues raised by
Plaintiffs, ‘‘because under the Roe decision they cannot
make any difference in the result.’ See p. A-16, infra.

The Notice of Appeal was filed on August 8, 1991.
The case was docketed August 14, 1991, in the Fifth Cir-
cuit. The case was argued and submitted on February 6,
1992, and on September 22, 1992, the Fifth Circuit affirm-
ed the judgment of the district court, citing particularly
Planned Parenthood of Southeastern Pennsylvania v.
Casey, 112 S.Ct. 2791 (1992). See A-1, infra.

B. Statement of the Facts”

The Louisiana Abortion Statute, Act 26 of the 1991
Louisiana Legislature, see p. A-19, infra, was passed over

1 Because Rule 12(c) provides that a Motion for Judgment on the
Pleadings will be converted into a motion for summary judgment if
necessary, petitioners filed extensive affidavits in the record detailing
fetal development and discussing the anticipated implementation of the
Abortion Statute.

2 The facts of this case are those facts asserted in the Amended Com-
plaint which are admitted in the Answer and those ‘‘well pleaded factual
allegations in the adversary’s pleadings.’’ C. Wright & A. Miller, Federal
Practice and Procedure: Civil 2nd § 1368 (1990) (‘‘Practice Under Rule

4

the veto of the Governor on June 18, 1991. It amends and
reenacts LSA-R.S. 14:87, and would have gone into effect
September 6, 1991. The Act makes it a crime to ‘‘ad-
minister[ ] or prescribe[ ] any drug, potion, medicine, or
any other substance to a female”’ or to ‘‘use[ ] any instru-
ment or external force whatsoever on a female’’ “with the
specific intent of terminating a pregnancy.”’ See p. A-20, in-
fra. The Act provides exceptions for the termination of
pregnancy (1) ‘‘to preserve the life or health of the unborn
child or to remove a dead unborn child;”’ or (2) to ‘“‘save the
life of the mother;”’ or (3) when the ‘‘pregnancy is the result
of rape;”’ or (4) when the “‘pregnancy .. . is the result of in-
cest.’’ See p. A-20, infra. Before an abortion can be perform-
ed under the rape and incest exceptions, certain reporting
requirements must be met. See p. A-20, infra. Also, abor-
tions for reasons of rape and incest must be performed
prior to the thirteenth week after conception. See p. A-21,
infra. No criminal liability attaches to a woman upon whom
an abortion is performed.

The Louisiana Statute includes a specific finding
that human life begins at conception, but the statute ex-
tends the protection of the criminal law only from the onset
of pregnancy. Because of questions raised about the ap-
plicability of the Statute to the use of contraceptives and
the practice of in vitro fertilization, the Louisiana Attorney
General issued an advisory opinion, set forth in the appen-
dix E hereto, providing an authoritative interpretation of
the Statute:

It is the opinion of this office that LSA-R.S.
14:87, which prohibits abortions except in specific

(footnote 2 continued)

12(c)’’). Because the district court granted the Plaintiffs’-Respondents’
Motion for Judgment on the Pleadings, under Rule 12(c), the well plead-
ed factual assertions of the Defendants’-Petitioners’ Answer ‘‘are
assumed to be true and all contravening assertions in the movant’s
[Plaintiffs’-Respondents’] pleadings are taken to be false.’’ Wright &
Miller, Federal Practice and Procedure: Civil 2nd § 1368. See also Na-
tional Metropolitan Bank v. United States, 323 U.S. 454 (1945).

5

circumstances, does not prohibit authorized and
license[d] medical personnel from prescribing, or
administering medicines, drugs, potions,
substances or instruments that operate to pre-
vent pregency rather than to terminate pregnan-
cy. Because IUD’s, oral contraceptives and ‘‘the
morning-after-pill” prevent rather than terminate
pregnancy, their use is not made illegal by LSA-
R.S. 14:87; nor is the process of in vitro fertiliza-
tion subject to Act 26 until subsequent to the im-
plantation of a fertilized ovum in a female’s
uterus.

Op. Att’y Gen. No. 91-419 (La. Aug. 23, 1991), p. A-24,
infra.3

The facts reveal the following about the Plaintiffs.
Plaintiff Sojourner T. is pregnant. Plaintiff James
DeGueurce, M.D., performs abortions in Louisiana during
the first and second trimesters of pregnency. Plaintiff
Calvin Jackson, M.D., performs abortions in Louisiana up
to fifteen weeks gestational age. Plaintiff Pamela Brann-
ing, M.D., performs abortions in Louisiana. Plaintiff Hope
Medical Group for Women provides abortions in Louisiana
up to 22 weeks gestational age. Plaintiff Delta Women’s
Clinic West provides abortions in Louisiana up to 22 weeks
of gestation. Plaintiff Causeway Medical Suite provides
abortions in Louisiana up to 22 weeks gestational age. The
medical Plaintiffs above perform abortions not falling
within the exception for saving the life of the mother. Plain-
tiff Dr. Ifeanyi Charles Okpalobi performs abortions in
Louisiana.

According to Plaintiffs’ complaint (Paragraph 31),
over 17,000 abortions were performed in 1988 in Louisiana
and a comparable number of women would obtain abor-

3 Because this is a facial challenge, the standard of review announced
by this Court in Rust v. Sullivan, 111 S.Ct. 1759, 1767 (1991), is ap-
plicable. Alleged application of the Louisiana Abortion Statute to con-
traception or in vitro fertilization is outside the scope of this facial
challenge because the statute clearly is designed to regulate abortion.

6

tions in 1991. Later term abortions are more dangerous
than earlier term abortions. The Louisiana Abortion
Statute provides for and encourages rape victims to seek
medical attention promptly for the purposes, inter alia, of
preventing pregnancy and venereal disease.

REASONS FOR GRANTING THE WRIT
PRELIMINARY STATEMENT

Petitioners recognize that the Court recently denied
the petition for certiorari of the Territory of Guam. Peti-
tioners submit, however, that because of Louisiana’s
status as a state and the assurances of the Tenth Amend-
ment, and because of the importance of clarifying what the
facial challenge rule is in abortion litigation, their petition
should be granted.

Since the Court denied the Guam application, it has
denied the plaintiffs’ petition for certiorari in Barnes v.
Moore, 970 F. 2d 12 (5th Cir. 1992), cert. denied, Dec. 7,
1992, 61 U.S.L.W. 3303, in which plaintiffs challenged
Mississippi’s Informed Consent to Abortion law. In
Barnes, the Fifth Circuit clearly and forcefully applied the
facial challenge rule and upheld the constitutionality of the
statute. This Court refused to review its decision. In deny-
ing Guam’s application, the Court refused to consider the
adequacy of plaintiff’s facial challenge to the Guam
statute, although Guam contended that there were at least
some post-viability applications of its statute that would
be constitutional. In Sojourner T., the courts below com-
pletely failed to apply a facial challenge analysis. This
Court should accept Louisiana’s petition to consider when
and how the facial challenge rule applies in abortion
litigation.

In 1988 there were more than 1700 abortions per-
formed in Louisiana.4 Because Louisiana’s Statute was en-
joined before its effective date there is no reason to believe
there were fewer abortions in 1991 and 1992. Some of the

4 See paged, supra.

7

plaintiffs herein are physicians who in their complaint ad-
mit to performing abortions up to 22 weeks gestational
age. Especially in view of the four week margin of error
for determining viability found to exist in Webster, abor-
tions after viability are performed in Louisiana.®

The Court should remand this case to determine if
there is any constitutional application of Louisiana’s
Statute and whether the authority to protect unborn
human life is reserved to the State of Louisiana. For these
reasons and as explained below the Court should accept
Louisiana’s petition for certiorari.

I. The Court Below Failed to Apply the Normal
Standard for Facial Challenges, Which Must
Be Applied in Cases Involving the Constitu-
tional Right to Abortion.

Under the facial challenge rule, clearly and forcefully
articulated by this Court, the Court of Appeals should have
considered whether the Louisiana Abortion Statute had
any Constitutional applications.” If so, the Statute should
have been upheld against a facial challenge.

A. In a Facial Challenge to a Statute, the Plaintiff
Has the Burden of Proving That No Applica-
tion of the Statute Is Constitutional.

5 See page 5, supra.

6 Webster v. Reproductive Health Services, 492 U.S. 490, 109 S.Ct.
3040, 3055, 3057 (1989). In Webster the Court essentially upheld a provi-
sion of Missouri’s statute which created a presumption of viability at
twenty weeks by recognizing that there is a four week margin of error
in estimating gestational age.

7 The facial challenge issue was raised before the District Court.
Memorandum in Support of Motion for Judgment on the Pleadings at
1, Sojourner T. v. Roemer, 772 F. Supp. 930 (E.D. La. 1992) (‘‘[T]he stan-
dard of review to be applied must be that used for a facial challenge.”’).
The facial challenge issue was also raised before the Court of Appeals.
Brief for Appellants Roemer and Guste at 1, Sojourner T. v. Edwards,
974 F.2d 27 (5th Cir. 1992) (‘This is a facial challenge to a statute not
yet effective. The standard of review for a facial challenge is whether
any circumstance exists under which the Act would be valid.”’).

8

Plaintiffs challenged the Louisiana Abortion Statute
on its face. As Justice O’Connor explained in Webster v.
Reproductive Health Services, 492 U.S. 490 (1989), a facial
challenge requires plaintiffs to show that “ ‘no set of cir-
cumstances exists under which the Act would be valid.’ ”
Webster, 492 U.S. at 524 (O’Connor, J., concurring in part
and concurring in the judgment) (quoting United States v.
Salerno, 481 U.S. 739, 745 (1987)).

It is not sufficient in a facial challenge for plaintiffs
to demonstrate that a challenged act “might operate un-
constitutionally under some conceivable set of cir-
cumstances.’’ Jd., quoting Salerno. Plaintiffs must
demonstrate that a challenged law is “unconstitutional in
every conceivable application.”” Members of City Council v.
Taxpayers for Vincent, 466 U.S. 789, 796 (1984). The
burden of proof on this point is clearly upon the plaintiffs.

B. The Normal Rule for a Facial Challenge Should
Apply to Cases Involving Abortion.

Procedural rules and principles of adjudication in-
cluding the rule for a facial challenge should be applied in
a neutral manner. A challenge to a State’s abortion statute
should enjoy no special status. In the present case,
however, the lower court ignored the direct applicability of
the facial challenge rule.

It is noteworthy that where the normal rules of pro-
cedure have been applied, abortion regulation by the states
has generally been upheld. For example, in Connecticut v.
Menillo, 423 U.S. 9 (1975), an abortionist with no medical
training was prosecuted under a statute which made
criminal the performance of an abortion by “‘any person.”’
Id. at 10. As the statute was challenged in the criminal pro-
ceedings, the state supreme court struck down the statute
on its face on the basis of Roe v. Wade. This Court vacated
the decision and remanded the case with instructions to
reconsider the case as an applied challenge, noting that the
statute had a constitutional application to non-physicians,
even though in all other respects it might conflict with Roe.

9

The principle of stare decisis has been a guiding prin-
ciple of this Court throughout its history, although with
lesser force in constitutional cases. Webster, 492 U.S. at
490 (Rehnquist, C.J., joined by White and Kennedy, JJ.)
(plurality opinion).

This Court has recently placed great reliance on the
doctrine of stare decisis in the abortion context in Planned
Parenthood of Southeastern Pennsylvania v. Casey, 112 S.
Ct. 2791 (1992). See also Akron v. Akron Center for
Reproductive Health, 462 U.S. 416, 420 n.1 (1983) (relying
explicitly on the doctrine of stare decisis to reaffirm Roe).

Unlike the limited application of stare decisis in con-
stitutional cases, the principle applies with full force to
decisions setting forth adjudication principles, such as the
facial challenge rule. Decisions of this Court have clearly
applied the facial challenge rule in the abortion context.

a. The facial challenge rule is a general principle
of law that should be applied in an even-
handed, neutral fashion.

The facial challenge rule is a rule of general ap-
plicability and should be applied in an even-handed, neutral
fashion. It has been so applied in non-abortion contexts.
See, e.g., United States v. Salerno, 481 U.S. 739 (1987);
Members of City Council v. Taxpayers for Vincent, 466
U.S. 789 (1984). The facial challenge rule has also been ap-
plied in the abortion context. It was applied in Webster to
uphold provisions of the Missouri abortion law at issue.
Webster, 492 U.S. at 506-07 (plurality opinion). Justice
O'Connor, in Webster, relied on the facial challenge doc-
trine to uphold Missouri’s ban on the utilization of public
facilities and participation of public employees in the per-
formance of abortions not necessary to save the life of the
mother. Id. at 524 (O’Connor, J., concurring in part and
concurring in the judgment).

Justice Kennedy, in Ohio v. Akron Center for
Reproductive Health, 110 S. Ct. 2972 (1990), relied on the

10

facial challenge rule to uphold Minnesota’s parental
notification statute. Jd. at 2981. Similarly Justices O’Con-
nor, Kennedy, and Souter, in the Casey joint opinion, relied
on the facial challenge rule in upholding Pennsylvania’s
24-hour waiting period for women seeking abortions after
they were offered what Pennsylvania considered to be in-
formation necessary for an informed consent. Planned
Parenthood of Southeastern Pennsylvania v. Casey, 112 S.
Ct. at 2826. See also Connecticut uv. Menillo, 423 U.S. 9
(1975) and Rust v. Sullivan, 111 S.Ct. 1759 (1991).

2. Sound jurisprudential and practical reasons
support principled adherence to the facial
challenge rule.

There are sound reasons for the facial challenge rule.
Foremost among them is avoidance of deciding
hypothetical cases. The concreteness which a case achieves
through application of law to real facts not only allows for
better decisions as a practical matter, it also more closely
comports with the constitutional requirement that there be
a case or controversy for federal jurisdiction.

This principle was recently applied in Webster v.
Reproductive Health Services, 492 U.S. 490, wherein this
Court declined to review the preamble to the Missouri abor-
tion law—which declared that ‘‘the life of each human being
begins at conception’’—until the preamble was ‘‘applied to
restrict the activities of the appellees in some concrete
way.’ Jd. at 506. —

Historically, a facial challenge succeeds only when all
possible applications of a law are unconstitutional and the
burden is on the plaintiff to prove that result. Only in the
area of First Amendment free speech—where a chill on a
constitutionally super-protected right must be avoided—
has this Court recognized an overbreadth doctrine which
allows a statute to be struck down as unconstitutional if it
has constitutional and unconstitutional applications. The
overbreadth doctrine, however, is not recognized outside
the limited context of the First Amendment. Salerno,

11

481 U.S. at 745; Schall v. Martin, 467 U.S. 253, 269 n.18
(1984).

In the area of abortion, no less than in any other non-
speech area of constitutional law, the concreteness provid-
ed by actual application of the law is necessary.

3. The lower court failed to apply facial challenge
principles to the Louisiana Abortion Statute.

The lower court erred by not considering whether
there are any possible constitutional applications of the
Louisiana Abortion Statute. The proper question is not
whether the Louisiana Abortion Statute would ever impose
an “‘undue burden’”’ upon a woman seeking an abortion, but
whether it always would. The facial challenge rule requires
that the latter test be met, but the facial challenge test was
never applied by the lower courts. Nowhere in the present
case have the plaintiffs met their burden of proving that
the Louisiana Abortion Statute has no constitutional ap-
plications. Plaintiffs neither alleged nor attempted to prove
that Louisiana’s Abortion Statute has no possible con-
stitutioanl applications.

The lower courts should have considered, for exam-
ple, whether the Louisiana Abortion Statute might be ap-
plied after viability, to cases where abortions are sought for
reasons of the unborn child’s gender or race or are perform-
ed for the purpose of harvesting fetal body parts for
transplantation experiments. Clearly, because there are
some applications that do not impose an undue burden on
women, the Louisiana Abortion Statute should not have
been declared unconstitutional in its entirety. The lower
court erred both in analysis and outcome.

II. The Court Should Grant Review to Consider
the Right of the State of Louisiana to Re-
Weigh the Interests of the Pregnant Woman
and the Unborn Child.

12

A. The Crucial Balancing in Roe of the Rights of
the Pregnant Woman Against Only the Poten-
tial Life of the Unborn Child Was Wrong and
Should Be Re-Examined.

A fundamental flaw of Roe is its undervaluation of a
State’s interest in protecting unborn human life. According
to Roe, a State’s interest is only the protection of potential
human life, an interest less compelling than the protection
of actual human life. The result is that when the State’s in-
terest, declared by Roe to be less than compelling, is
measured against the pregnant woman’s purportedly fun-
damental right, the woman’s right normally outweighs the
State’s interest prior to viability.

As Justice Scalia pointed out in his dissenting and
concurring opinion in Planned Parenthood of Southeastern
Pennsylvania v. Casey, 112 S.Ct. at 2875, the Roe Court
begged the question of whether the State’s interest was
limited to the protection of merely potential human life.
Rather than answering the question of when human life
begins or deferring to the States’ determination, the Roe
Court simply assumed that the unborn child is merely a
potential human life. According the unborn child the status
of potential life was presented as a concession, but it was
really a devaluation. The Court bolstered its position with
three propositions, none of which supports Roe’s
conclusion.

The first, apparently intended as a concession to the
States, is that “‘as long as at least potential life is involved,
the State may assert interests beyond the protection of the
pregnant woman alone.’’ Roe v. Wade, 410 U.S. at 150.
From this concession that what the pregnant woman car-
ries within her is at least potential life, Roe apparently con-
cludes that what the pregnant woman carries within her is
at most potential life. It is not logical to equate ‘at least”’
with ‘‘at most,’’ yet that is what Roe does.

The second proposition Roe uses to bolster its con-
clusion that the unborn child is only potential life is that
the unborn are not “‘persons’’ as that term is used in the

13

Fourteenth Amendment. See 410 U.S. at 157-58. However,
the most that can be drawn from this proposition is that
the Fourteenth Amendment does not invalidate state laws
allowing abortion (because the Fourteenth Amendment
does not guarantee to the unborn the right to life). See Byrn
v. New York, 31 N.Y.2d 194 (1972), appeal dismissed 410
U.S. 949 (1973). It does not follow that the Fourteenth
Amendment invalidates state laws proscribing abortion.
Further, to draw from this proposition the conclusion that
a fetus is merely potential human life is to assume that the
Fourteenth Amendment is the only possible source of
rights the unborn can have. In other words, to say that the
Fourteenth Amendment does not guarantee a right is not
to say that the right does not exist at all.

The third proposition Roe uses to support its conclu-
sion is that in areas other than abortion, the unborn do not
have the same rights as persons already born live, and
whatever other rights the unborn have are often contingent
on live birth. See 410 U.S. at 161-62. But it does not follow
from this that an unborn child is not a human life worthy
of State protection. If it did, then it could be argued that
the lives of minor children are less worthy of protection by
the State, because minors’ legal rights are often less than
those of persons of majority age.® Certainly not all persons
enjoy every right, but a non-person has no rights.

To sum up: Roe’s conclusion that the State's
countervailing interest is in the protection of merely poten-
tial human-life, rather than actual human life, is not sup-
ported by logic. As will be shown below, there are compell-
ing reasons for a State to conclude that the unborn child is
an actual human life, not merely a potential human life.
This Court should grant a writ of certiorari so there can be
a re-balancing of the competing interests of the pregnant

8 There are many examples of this under Louisiana law. Minors general-
ly do not have the capacity to contract, or to make a will or an inter
vivos donation. La. Civ. Code arts. 1918 and 1476. Nor do minors have
the legal capacity to sue or be sued in civil actions. La. Code of Civ. Proc.
arts. 683 and 732.

14

woman and the unborn child, without Roe’s thumb on the
scales.

B. Principles of Stare Decisis, Properly
Understood, Should Not Preclude Reconsidera-
tion of Roe and The Re-Balancing of the Com-
peting Interests in the Abortion Decision.

In Planned Parenthood of Southeastern Penn-
sylvania v. Casey, 112 S. Ct. 2791 (1992), this Court re-
affirmed the ‘essential holding” of Roe v. Wade. Though
Justices O’Connor, Kennedy and Souter expressed some
doubts about the correctness of Roe, they apparently
believed that the doctrine of stare decisis required them to
put aside their doubts.9

The joint opinion in Casey misconstrued the doctrine
of stare decisis. A proper understanding and application of
the doctrine leads to the conclusion that this Court should
reconsider Roe.

Recently in Payne v. Tennessee, 111 S.Ct. 2597
(1991), this Court summarized the accepted view of stare
decisis:

Adhering to precedent “‘is usually the wise policy,
because in most matters it is more important that

9 See, e.g., 112 S.Ct. at 2808 (‘‘[T]he reservations any of us may have in
reaffirming the central holding of Roe are outweighed by the explication
of individual liberty we have given combined with the force of stare
decisis."’); 2812 (‘Within the bounds of normal stare decisis analysis,
then, and subject to the considerations on which it customarily turns,
the stronger argument is for affirming Roe’s central holding, with
whatever degree of personal relunctance any of us may have, not for
overruling it.’’); 2817 (‘We do not need to say whether each of us, had
we been Members of the Court when the valuation of the State interest
came before it as an original matter, would have concluded, as the Roe
Court did, that its weight is insufficient to justify a ban on abortions
prior to viability even when it is subject to certain exceptions. The mat-
ter is not before us in the first instance, and ... we are satisfied that the
immediate question is not the soundness of Roe’s resolution of the issue,
but the precedential force that must be accorded to its holding.’’).

15

the applicable rule of law be settled than it be
settled right.’’ Burnet v. Coronado Oil & Gas Co.,
285 U.S. 393, 406, 52 S.Ct. 443, 447, 76 L.Ed.815
(1932) (Brandeis, J., dissenting). Nevertheless,
when governing decisions are unworkable or are
badly reasoned, “‘this Court has never felt con-
strained to follow precedent.” Smith v. Allwright,
321 U.S. 649, 665, 64 S.Ct. 757, 765, 88 L.Ed. 987
(1944). Stare decisis is not an inexorable com-
mand; rather, it “‘is a principle of policy and not
a mechanical formula of adherence to the latest
decision.” Helvering v. Hallock, 309 U.S. 106,
119, 60 S.Ct. 444, 451, 84 L.Ed. 604 (1940). This
is particularly true in constitutional cases,
because in such cases “correction through
legislative action is practically impossible.’
Burnet v. Coronado Oil & Gas Co., supra, 285
U.S., at 407, 52 S.Ct., at 447 (Brandeis, J.,
dissenting).

111 S.Ct. at 2609-10. In his concurring opinion in Payne,
Justice Scalia, joined by Justices O’Connor and Kennedy,
explained the reasons behind the doctrine of stare decisis.
Though Justice Scalia was speaking of Booth v. Maryland,
482 U.S. 496 (1987), which this Court overruled in Payne,
his statements apply equally to Roe v. Wade:

[Stare decisis], to the extent it rests upon
anything more than administrative convenience,
is merely the application to judicial precedents of
a more general principle that settled practices
and expectations of a democratic society should
generally not be distrubed by the courts. It is
hard to have a genuine regard for stare decisis
without honoring that more general principle as
well. A decision of this Court which, while not
overruling a prior holding, nonetheless announces
a novel rule, contrary to long and unchallenged
practice, and pronounces it to be the Law of the
Land—such a decision, no less than an explicit

16

overruling, should be approached with great cau-
tion. It was, I suggest, Booth, and not today’s
decision, that compromised the fundamental
values underlying the doctrine of stare decisis.

Payne, 111 S.Ct. at 2614 (Scalia, J., concurring).

Application of the majority opinion in Payne, and of
Justice Scalia’s concurrence, leads to the conclusion that
this Court should revisit Roe to decide what it did not
decide in Casey, namely whether Roe was decided correctly
in the first place. Roe was a constitutional decision. Hence,
the normal doctrine of ‘‘more important that the law be
settled than it be settled correctly’”’ does not apply. On the
contrary, because legislative correction of Roe is virtually
impossible, this Court should not avoid reconsidering the
correctness of Roe. This is particularly so where, as shown
in Casey, four justices plainly believe Roe was wrongly
decided and three more have intimated that it was.10

Another reason this Court should re-examine Roe is
that Roe was the kind of decision Justice Scalia, joined by
Justices O’Connor and Kennedy, spoke of in his concur-
rence in Payne quoted above. Though Roe did not overrule
prior case law, it ‘“‘announce{d] a novel rule, contrary to
long and unchallenged practice, and pronounce{d] it to be
the Law of the Land ....’’ That novel rule, of course, was
that States may not proscribe abortion, at least not before
viability. In doing so, Roe outlawed a “long and un-
challenged practice’ of a majority of the States in proscrib-
ing abortions.!! Thus, Roe itself ‘‘compromised the fun-
damental values underlying the doctrine of stare decisis,”
that ‘the settled practices and expectations of a
democratic society should generally not be disturbed by
the courts.” Payne, 111 S.Ct. at 2614 (Scalia, J.,

10 See n. 9, supra.

11 See Roe v. Wade, 410 USS. at 118 n.2 (citing statutes from 30 States
proscribing abortion except those performed for the purpose of saving
the mother’s life).

17

concurring).

This Court should not shy away from reconsidering
a wrong constitutional decision under the incorrect belief
that stare decisis prevents this Court from doing so, par-
ticularly when that decision itself violated the fundamental
principles underlying the doctrine of stare decisis. This
Court should grant this writ of certiorari to answer the
question left unanswered by Casey, namely, whether Roe
was correctly decided in the first place.

C. Louisiana’s Determination That Actual
Human Life Begins Jn Utero and Its Decision
to Protect Such Life Accords With Modern
Scientific Knowledge Available Since Roe v.
Wade.

1. Modern developments in embryology
and fetology establish the humanity of
the unborn child.

In 1973, when Roe v. Wade was decided, the unborn
child was a veritable stranger to the scientific and medical
community. Only since 1973 have new techniques permit-
ted scientists to know and observe what is occurring in
utero as the human being develops from conception to
birth.!2 Biological advances now permit the scientific in-
vestigator to look at a human’s building blocks to deter-
mine not only what happens at a molecular level, but also
when it happens.!3 New technology in ultrasound and real
time ultrasound allows visualization of the unborn child in
utero with such superb clarity that diagnosis and treat-
ment of fetal disorders that were not even recognized to

12 Harrison, “The Fetus as a Patient: Historical Perspective” in The
Unborn Patient 3 (M. Harrison, M. Golbus & R. Filly eds. 2nd ed. 1991).

13 For a listing of the many biological technological advances and
discoveries that have revolutionized man’s knowledge of the developing
human being, see Boehm & Kazazian, “Prenatal Diagnosis by DNA
Analysis” in The Unborn Patient 82 (M. Harrison, M. Golbus & R. Filly
eds. 2nd ed. 1991).

18

exist in 1973 can now be successfully performed. !4

The very creation of a new medical subspecialty of
maternal-fetal medicine attests to the great leap of
knowledge as respects the unborn child over the last two
decades. As technology continues to evolve, the
capabilities of science and medicine have increased. Physi-
cians are improving the quality of unborn patient care on
an almost daily basis and in the process increasing and im-

proving their knowledge of the humanity of the unborn
child.

2. Ultrasound enables us to observe the
humanity of the unborn child.

Today, in stark contrast to 1973, there is no serious
dispute or lack of scientific consensus that unborn children
are human beings. Individual human life begins at concep-
tion. Scientists accept this statement as scientific fact,
physicians accept it as medical fact, and pregnant women
accept it as a natural fact.

With the marvelous technological advances in ultra-
sound and in utero photography during the last decade, the
visual proof of the humanity of the unborn child is
available for all to see. Ultrasounds are routinely perform-
ed in obstetrical offices every day, permitting physicians
and parents alike to witness the facts of growth and
development of that distinctly unique and separate human

14 Two physicians from the Fetal Treatment Program and the Depart-
ment of Surgery, University of California, San Francisco, California
recently wrote about the fetus as a patient. They stated:
Prenatal diagnosis has undergone an explosion of growth in
the last decade. The primary impetus for this rapid expan-
sion has come from the widespread use of prenatal
ultrasonography. After the first reports of in utero
ultrasonographic diagnosis of congenital anomalies in the
1970s, increasingly sophisticated equipment and experience
in interpretation led to the accurate prenatal diagnosis of a
growing number of surgical lesions. Harrison & Adzick,
‘The Fetus as a Patient’ 213 Ann. Sur. 279 (1991).

19
individual present within the womb.15

Fact: After the union of the sperm and the ovum
there is a cell formed that is a living, genetically unique and
distinctly human individual. During the first week of life,
this new individual journeys down the fallopian tube to
reach the uterus where it attaches to the uterine wall.

Fact: In the third week the heart forms and begins to
beat. Before the end of the first month after conception,
beginnings of the mouth, brain, heart, gut and limbs can be
identified.

Fact: There is electrical activity in the human brain
six weeks after conception. By the end of the second month
of life the face is distinctly human in appearance, there are
ten fingers and ten toes and all the nerves and blood vessels
are present. Ninety-nine percent of the muscles are also
present.

Fact: By the end of the third month all organ
systems of the body are present and functional. At five
months there are distinct fingerprints on the digits. During
the last two months of pregnancy the unborn baby attains
his or her birth size and prepares for life outside the uterus.

The moment the individual is outside the uterus, he
or she converts in name only from a fetus to a newborn.
Fact: That fetus/newborn has the same unique, living, feel-
ing body before birth as after birth, regardless of whether
he or she was inside the uterus for only three months or as

15 Today, between 60% and 100% of mothers in North America, Great
Britain and Western Europe have a sonographic examination during
pregnancy. See Johnson & Toi, ‘“Overview of Obstetrical Sonography”’
in Diagnostic Ultrasound, Vol. 2 (C. Rumack, S. Wilson & J. Charboneau
eds. 1991). Interestingly, it is noted in American College of Obstetri-
cians & Gynecologists technical bulletin, number 116—May 1988 that
obstetrical ultrasound has been in clinical use some 15 years. Fifteen
years prior to 1988 was the year 1973, the year Roe v. Wade was decid-
ed. A.C.0.G. Technical Bulletin 116 (1988).

20

many as nine months.!6

The Roe Court could not have known that society
was on the verge of tremendously important technological
advances and innovations as concerns the scientific truths
about the humanity of the unborn child.

3. There is evidence of fetal pain.

Recent evidence also establishes that the human
fetus perceives pain. Research done over the last few
decades contradicts earlier studies which concluded that
perception or localization of pain was not present in either
the human fetus or newborn.

It is now clearly recognized that the neural pathways
for pain may be traced from the sensory receptors in the
skin to sensory areas in the cerebral cortex. These sensory
receptors begin appearing around the mouth of the
developing child in the seventh week of gestation and
spread to the rest of the face, the palms of the hands and
the soles of the feet by the eleventh week, to the trunk and
parts of the arms and legs by the fifteenth week, and to all
cutaneous and mucous surfaces by the twentieth week.17
The development of neurotransmittors between the sen-
sory fibers and interneurons in the dorsal horn of the spinal
cord first appear during the sixth week of gestation. 18

It was once believed that lack of myelination of the
nervous system in premature and newborn babies rendered

16 The facts recited in the accompanying text are taken from the Af-
fidavit of Raymond F. Gasser, Ph.D., included as part of the record in
the district court and included herein as Appendix H.

17 Anand & Hickey, ‘‘Pain and Its Effects in the Human Neonate and
Fetus,’ 317 New Eng. J. Med. 1321, 1322 (1987); Flower,
‘‘Neuromaturation of the Human Fetus,” 10 J. Med. Phil. 237, 242
(1988).

18anand & Hickey, supra, at 1322; Flower, supra, at 242.

21

them incapable of pain perception. However, this has been
scientifically proven false. First, even in adults, pain im-
pulses are carried through unmyelinated and thinly
myelinated fibers. Lack of myelinization merely means a
slower conduction velocity in the nerves or central nerve
tracts. This is offset completely by the shorter interneuron
and neuromuscular distances traveled by the impulse.!9

Moreover, quantitative neuroanatomical data has
shown that the sensory nerve tracts that carry pain sensa-
tion undergo complete myelinization during the second and
third trimesters of gestation.2°

Electroencephalographs (EEG’s) of the unborn and
the newborn can now demonstrate the functional matura-
tion of the cerebral cortex from about 20 weeks gestation
to 27 weeks gestation. Well defined periods of quiet sleep,
active sleep and wakefulness can be seen occurring in utero
beginning at 28 weeks gestation.2!

Additionally, physiological responses to painful
stimuli, such as cardiorespiratory changes, have been
documented in newborns of various gestational ages.22
The unborn child is not only capable of experiencing pain,
it does in fact feel pain. Behavioral changes associated with
pain, including purposeful withdrawal of a limb and
distinct facial expressions have been observed in very

19The Nervous System; Circuits of Communication in the Human Body
109 (J. Clark ed.1985); Anand & Hickey, “‘Pain and Its Effects in the
Human Neonate and Fetus,”’ 317 New Eng. J. Med. 1321, 1322 (1987):
Flower, ‘‘Neuromaturation of the Human Fetus,’’ 10 J. Med. Phil. 237,
242 (1988). See also Scanlon, ‘‘Appreciating Neonatal Pain,” 38 Advanc-
ed Pediatrics 317, 320 (1991).

20 Anand & Hickey, supra, at 1322.
} Appendix H, affidavit of Raymond F. Gasser, Ph.D at p. 5.

22 See Fletcher, ‘Pain in the Neonate,’”’ 317 New Eng. J. Med. 1321,
1347-1348 (1987).

22

premature newborns (less than 30 weeks gestation).23

Advances in the scientific arena have conclusively
shown that the traditional view widely held in the early
1970’s that the unborn (and the newborn) was not capable
of experiencing pain and did not feel pain is wrong. Any
view, indeed any decision, predicated in the least on the no-
tion that the unborn child is insensitive to or immune from
pain is outmoded and must be revisited and revised.

D. Louisiana’s Abortion Statute Is an Ap-
propriate and Reasonable Exercise of Authori-
ty Reserved to the States by the U. S.
Constitution.

There are three reasons why Louisiana’s Abortion
Statute is an appropriate exercise of authority reserved to
the States by the U.S. Constitution. First, the Constitu-
tion, including especially the Tenth Amendment, permits
States to regulate and even to proscribe acts of individuals
in other areas encompassed by the right to privacy
recognized in Roe. There is no principled reason for regula-
tion or proscriptioin of abortion to be treated differently.
Second, Louisiana’s recognition of the humanity of unborn
children is consistent with the recognition of unborn
human life accorded by the laws of most other States.
Finally, Louisiana’s protection of unborn human life is con-
sistent with Louisiana’s own unique civil law tradition,
which from Roman times has proscribed abortion.

;. This Court has recognized other areas
where States may legislate notwith-
standing individual privacy rights.

23 Anand & Hickey, supra, at 1325; Flower, supra, at 242.

|
|
|

23

The soe Court held that a pregnant woman’s right to
have an abortion was simply part of the right of privacy im-
plied by the Constitution. 410 U.S. at 153. This right to
privacy is said to extend ‘‘to personal decisions relating to
marriage, procreation, contraception, family relationships,
child rearing, and education,” areas ‘“‘involving the most in-
timate and personal choices a person may make in a
lifetime, choices central to personal dignity and autonomy
| Planned Parenthood of Southeastern Pennsylvania v.
Casey, 112 S.Ct. at 2807. Yet in other areas encompassed
by the right of privacy, this Court has recognized the
States’ right to regulate and in some cases to proscribe the
“private” acts of individuals.

Consenting adults might make the intimate and per-
sonal decision to practice bigamy or polygamy. Yet this
Court has held that the Constitution does not prevent
government from proscribing bigamy or polygamy, even
when polygamy is part of the exercise of one’s religion.
Reynolds v. United States, 98 U.S. 145 (1879).

Similarly, first cousins might make the intimate and
personal decision to marry one another. Under the common
law, first cousins could validly marry. 55 C.J.S. Marriage
§ 16, at 831 (1948). However, Louisiana, like many other
States, prohibits such marriages. La. Civ. Code art. 90.24
No court has ever held that such State interference in the
intimate and personal decision of first cousins to marry
violates the Constitution.25

24 First cousins are “[clollaterals within the fourth degree.”’ See La. Civ.
Code art. 90, comment (b); see also id, arts. 900 and 901 (defining
degrees as used to describe consanguinity).

25 Today, if first cousins living in a State that proscribes their marrying
one another want to marry, they have to travel to, and perhaps take up
domicile in, a State that permits their marrying. Before Roe v. Wade, a
woman living in a State that proscribed abortion who nonetheless
wanted an abortion had to travel to a State that permitted abortion. If
the former situation does not impermissibly burden the right to make
a personal and intimate decision, then neither did the latter.

24

An adult homosexual might make the intimate and
personal decision to commit sodomy with another adult
homosexual, in the privacy of the home. Yet the intimate
and personal character of such a choice did not stop this
Court from permitting States to criminalize homosexual
sodomy. Bowers v. Hardwick, 478 U.S. 186 (1986).

A biological father of a child born of another man’s
wife might have a protected familial interest in developing
a relationship with the child. Yet according to Michael H.
v. Gerald D., 491 U.S. 110, 109 S.Ct. 2333 (1989), a State
can deprive the biological father of the right to visit his
child. Three of the dissenting justices in Michael H. v.
Gerald D. admitted that a State could deprive the
biological father of visitation rights if it were in the best in-
terest of the child. See 491 U.S. at ____, 109 S.Ct. at 2359
(Brennan, J., dissenting, joined by Marshall and
Blackmun, JJ.).

It is ironic that this Court permits States to regulate
and even to proscribe activity in these private areas, yet
bars States from proscribing abortion. The State’s interest
in proscribing abortion is more compelling than its interest
in proscribing activities in these other private areas. As
Roe itself recognized, abortion involves the destruction of
an embryo or fetus, and therefore is “inherently different’’
from other areas where the privacy of individuals is at
stake. For this reason, ‘‘{t]he pregnant woman cannot be
isolated in her privacy.” Roe, 410 U.S. at 159.

In short, if States can constitutionally proscribe
polygamy, marriage between first cousins, homosexual
sodomy, and similar acts resulting from intimate and per-
sonal decisions, then there is no principled reason why
States should not be able to proscribe abortion as well. If
anything, because abortion results in the destruction of
human embryonic or fetal life, States have a greater in-
terest in proscribing it than they do in proscribing these
other acts.

Z Louisiana’s determination that actual

25

human life begins in utero accords with
the recognition of unborn human life in
the law of most states.

Louisiana is not alone in its recognition of the
humanity of the unborn child. Thirty-nine states and the
District of Columbia have recognized that human life
begins at conception, and if it were not for this Court’s
holdings in Roe and Casey many of those states would ac-
cord legal protection to unborn human life.26

Nine states define by statute the killing of an unborn
child to be a form of homicide, regardless of the stage of
pregnancy. Six states declare that killing the unborn after
quickening is homicide, and five more make killing after
viability a form of homicide. New York’s penal law
punishes as homicide killing after 24 weeks of

pregnancy.2?

In upholding Roe’s factual finding that the unborn
child is only potential human life, the Court acted without
a full factual record and relied on scientific data predating
its 1973 Roe decision. The Court’s conclusion that the
human embryo and fetus are not actual human life is at
odds with the determination made by the great majority of
state legislatures which have considered the humanity of
the unborn and found that unborn human life is entitled to
legal protection even if such protection cannot be said to be
mandated by the United States Constitution.

The only official finding made by the United States
Congress regarding the humanity of the unborn child was
in a 1981 report of the Sub-Committee on the Separation of
Powers, U.S. Senate Committee on the Judiciary, which
found that as a matter of scientific fact that life begins at
conception. The Committee found: ‘‘...today the facts are

26 See Appendix F, infra.
27 See Appendix G, infra.

26

beyond dispute. Physicians, biologists, and other scientists
agree that conception marks the beginning of the life of a
human being....’’28

In view of scientific developments since 1973, the
determination made by the great majority of state
legislatures which were equipped to and did investigate the
facts relating to the humanity of the unborn child, and the
overwhelming importance of the issue to the country, the
Court should consider anew the underlying scientific facts
and the constitutional balancing of competing interests.

3. Louisiana’s unique legal system has
historically afforded legal protection to
the unborn child.

The Roe Court believed that statutes proscribing
abortion were a relatively recent phenomenon. Roe, 410
U.S. at 715. While that may or may not have been true in
the other forty-nine states under their common-law tradi-
tion, it was not true in Louisiana, which has a civil law
tradition unique in this Nation. Since Roman times, the
civil law has recognized and protected the life of the un-
born. Louisiana’s Abortion Statute at issue here is a con-
tinuation of this venerable tradition. The depth of this
tradition reflects the compelling nature of Louisiana’s in-
terest in protecting the life of the unborn.29

In the criminal arena, under Roman law, a woman
who procured her own abortion was ‘punished as a
Murderer.”’ J. Domat, The Civil Law in Its Natural Order,
Vol. I, Part I, Prel. Book I. Titl. 2, § 1, Law 6, p.138
(Strahan Transl. 1837). Similarly, Louisiana law before

28 Report on Human Life Bill, Sub-Committee on Separation of Powers,
Committee on the Judiciary, United States Senate (97th Cong. 1st Sess.
1981) p. 7.

29 Much of the following discussion is not original. Another appellant
before the Court of Appeals in this case, District Attorney Harry Con-
nick, set forth the history of the civil law's and Louisiana’s recognition
of the life and rights of the unborn in greater detail in his appellate brief.

27

1805 decreed the death penalty for all those, including the
pregnant woman, who procured or performed the abortion
of a living unborn child. The Siete Partidas, Part VII, Title
XXXIII, Law VIII. In 1855, over ten years before the
adoption of the Fourteenth Amendment, Louisiana enacted
a strict abortion statute. Under this statute, anyone who
administered or caused to be administered anything to a
woman for the purpose of procuring an abortion or
premature delivery was to be imprisoned at hard labor for
between one and ten years. La. Acts, 1855, Act 120, § 24,
p. 132. A successor of this statute was in effect at the time
this Court decided Roe v. Wade, 410 U.S. at 118 n.2 (citing
La. Rev. Stat. §14:87). Louisiana’s current statute
criminalizing abortion reflects a tradition with deep roots.

Likewise in the civil arena, the civil law that is Loui-
siana’s unique legacy has recognized the life of unborn
children and legal rights accruing to them. As far back as
Roman times, those who were conceived but not yet born
were accorded the right to inherit. J. Domat, supra. That
tradition continues to this day, and is now reflected in
Louisiana Civil Code articles 954 (governing intestate suc-
cessions) and 1474 (governing testate successions). Article
26 of the Louisiana Civil Code embodies the same tradition:

An unborn child shall be considered as a
natural person for whatever relates to its in-
terests from the moment of conception. If the
child is born dead, it shall be considered never to
have existed as a person, except for purposes of
actions resulting from its wrongful death.

As long ago as 1923, a Louisiana court recognized a
cause of action for the wrongful death of an unborn child,
even though the child was not born alive. Johnson v. South
New Orleans Light & Traction Co., No. 9,048 (La. App. Or.
Cir. 1923), writ denied, No. 26,443 (La. 1942) (unreported

28

decisions). In the later case of Danos v. St. Pierre, 402
So.2d 633 (La. 1981) (on rehearing), the Louisiana Supreme
Court approved of the Johnson court’s ruling.

What is notable about Louisiana’s providing a right
to recover for the wrongful death of a stillborn child is that
the right depends on the decedent having been a person.
When Danos was decided, Louisiana Civil Code article 2315
permitted recovery for the wrongful death of a person.
Danos, 402 So.2d at 637.39 Defendants argued that the un-
born were not persons, hence their death did not give rise
to a cause of action for wrongful death. T.1e Danos court
evidently disagreed with this argument.3!

Today, with the advent of in vitro fertilization, Loui-
siana has passed legislation to adapt its venerable and uni-
que civil law tradition to new circumstances. La. Rev. Stat.
§§ 9:121 et seg. This legislation recognizes that the in vitro
fertilized ovum is a “juridical person,” id. §§ 9:123, 124 and
125, with “certain rights granted by law,” id. § 9:121.
Though the legislation and the technology necessitating it
are new, the reverence for and interest in protecting em-
bryonic life reflected in the legislation are ancient.

30 Louisiana law is the same today. Louisiana Civil Code article
2315.2(A)} provides, ‘‘If a person dies due to the fault of another, suit
may be brought by [certain] persons to recover damages which they sus-
tained as a result of the death ....”’

31 In Roe, this Court minimized the significance of state laws permit-
ting parents of a stillborn child to recover for the child’s wrongful death,
under the belief that ‘‘[s]uch an action ... would appear to be one to vin-
dicate the parents’ interest and is thus consistent with the view that the
fetus, at most, represents only the potentiality of life.” Roe, 410 U.S. at
163. This is yet another area where Roe’s reasoning does not apply to
Louisiana. As the preceding discussion makes clear, under Louisiana’s
civil law system, the existence of a cause of action for the wrongful
death of a stillborn child depends on the child’s having been a person
while in utero. This is inconsistent with Roe’s view “‘that the fetus, at
most, represents only the potentiality of life.’ 410 U.S. at 163.

:

29

One of the cornerstones of Roe was the idea that
abortion statutes were relatively new, and thus not accord-
ed the weight of tradition. Regardless of whether this idea
was true as to the other forty-nine states, it is not true as
to Louisiana. Louisiana’s unique legal system, rooted in
Roman law, reflects this State’s ancient, compelling, and
perhaps uniquely strong interest in protecting embryonic
and fetal life.

CONCLUSION

In his Reasons for Judgment District Judge Duplan-
tier said he regretted that he was compelled to follow the
Roe majority and not Justice White’s dissent wherein
Justice White expressed his dismay that the Supreme
Court could peremptorily strike down the existing abortion
statutes of most states. Justice White decried the effect of
Roe in these terms:

“The upshot is that the people and the
legislatures of fifty states are constitutionally
disentitled to weigh the relative importance of the
continued existence and development of the fetus,
on the one hand, against a spectrum of possible
impacts on the mother, on the othe hand.”’ Roe v.
Wade, 410 U.S. at 223.
See, Appendix A-14.

In his special concurrence to the Fifth Circuit’s affir-
mation, Judge Garza expressed his concern over Casey. He
felt compelled to follow Roe and Casey, but he made his opi-
nion very clear:

Because a decision to permit or proscribe abor-
tion is a political choice, I would allow the people
of the state of Louisiana to decide this issue for
themselves.

Twenty years have passed since Roe was decided in
1973. Millions of unborn lives have been lost. The decisions
of countless state legislatures have been swept aside
because of the Court’s adherence to Roe. The United States
Constitution establishes that in our republican form of
government important policy decisions such as who will

;
ee ee

30

live and who will die, when and under what circumstances,
should be made by the elected representatives of the people
acting through their legislatures and the Congress. We
respectfully ask that Roe be reconsidered, and in that
reconsideration that proper deference be given to the role
of the states in our constitutional system.

For the reasons set out in Section I, this Petition
should be granted to decide that the facial challenge rule
applies in abortion cases, and the case should be remanded
to determine the constitutional applications of the Loui-

siana Abortion Statute.

For the reasons set out in Section II, the Court

should reconsider its decision in Roe uv.

Wade, and

recognize the State of Louisiana’s right to consider the
competing interests of the pregnant woman and the unborn

child.

RICHARD P. IEYOUB,
Attorney General

M. PATRICIA JONES,
Asst. Atty. Gen

LA DEPT. OF JUSTICE

Office of Atty. Gen.

State Capitol—22nd Floor

Baton Rouge, La 70806

(504) 342-7013

JAMES BOPP, JR..,
Special Asst. Atty. Gen.

191 Harding Avenue

P. O. Box 8100

Terre Haute, IN

47808-8100

(812) 232-2434

* Counsel of Record
December 18, 1992.

Respectfully submitted,

ROBERT E. WINN,*

Special Asst. Atty. Gen
JOY G. BRAUN,

Special Asst. Atty. Gen.
3500 Place St. Charles
201 St. Charles Avenue
New Orleans, LA 70170
(504) 582-1500

A-1
APPENDIX A
IN THE UNITED STATES COURT OF APPEALS
FOR THE FIFTH CIRCUIT

No. 91-3677

FILED
SEP 22 1992

SOJOURNER T, on Behalf of Herself and All
Others Similarly Situated, ET AL.,

Plaintiffs-Appellees,
versus

EDWIN W. EDWARDS, As Governor of the
State of Louisiana, ET AL.,

Defendants-Appellants.

ERRRERERRESEREREREREREEEEESEEERSSEEEES EERE
DR. IFEANYI CHARLES OKPALOBI,
Plaintiff-Appellee,
versus

RICHARD P. IEYOUB, Attorney General of
the State of Louisiana, ET AL.,

Defendants-Appellants.

Appeal from the United States District Court for the
Eastern District of Louisiana

Before JOLLY, and EMILIO M. GARZA, Circuit Judges,
and SHAW, District Judge.*

E. GRADY JOLLY, Circuit Judge:

*Chief J udge of the United States District Court of the Western District
of Louisiana, sitting by designation.

A-2

This suit challenges the Louisiana Abortion Statute,
which criminalizes performing abortions except under very
limited circumstances. In the district court, the plaintiffs
argued that the Statute is preempted by federal law, that
the Statute is unconstitutional under Roe v. Wade, 410
U.S. 113 (1973), that the Statute is unconstitutional under
Griswold v. Connecticut, 381 U.S. 479 (1965), and that the
Statute is void for vagueness. The state of Louisiana
defended the Statute arguing that Roe v. Wade has been
overruled sub silentio by Webster v. Reproductive Health
Services, 109 S.Ct. 3040 (1989), and its progeny. The
district court struck down the Statute, holding that
because Roe v. Wade is still good law, the Statute is
unconstitutional.

The same arguments are presented to us that were
made in the district court. After this case was argued
before us, the Supreme Court, in Planned Parenthood of
Southeastern Pennsylvania uv. Casey, 60 U.S.L.W. 4795,
Nos. 91-744 & 91-902 (June 29, 1992), reaffirmed the essen-
tial holding of Roe v. Wade. Because the Louisiana statute
is clearly unconstitutional under Casey, we affirm the
district court’s order.

I

Sojourner T., et al., brought this suit in federal
district court challenging the Louisiana Abortion Statute.
They argued that the statute is preempted by the Food,
Drug and Cosmetic Act! and by FDA regulations approv-
ing the use of certain contraceptives. They also argued that
the statute violates the Commerce Clause and that it is un-
constitutional under Roe v. Wade and Griswold v. Con-
necticut. They requested declaratory and injunctive relief.

1 21 U.S.C. § 360K (1988).

A-3

Dr. Okpalobi, also seeking declaratory and injunc-
tive relief, challenged the Louisiana statute on vagueness
grounds. The district court consolidated these two cases.

Motions for judgment on the pleadings and suppor-
ting memoranda were filed by all parties. Pursuant to Fed.
R. Civ. P. 12(c), the district court granted the plaintiffs’
motion for judgment on the pleadings on the grounds that
under Roe v. Wade, the Louisiana Abortion Statute is un-
constitutional. The state appeals.

II

The Louisiana Abortion Statute was passed on June
18, 1991.2 It amends and reenacts LSA-R.S. 14:87. The
Statute makes it a crime to ‘‘administer{] or prescrib[e] any
drug, potion, medicine, or any other substance to a female”’
or to “‘us[e] any instrumental or external force whatsoever
on a female’ ‘“‘with the specific intent of terminating a
pregnancy.” The Statute provides exceptions when: (1) the
physician terminates the pregnancy in order to preserve
the life or health of the unborn baby or to remove a dead
unborn child; (2) the physician terminates the pregnancy to
save the life of the mother; (3) pregnancy is the result of
rape; and (4) pregnancy is the result of incest. Before an
abortion can be performed under the rape and incest excep-
tions, certain reporting requirements must be met. For ex-
ample, the victims must report the rape or incest to law en-
forcement officials. Also, abortions performed on rape and
incest victims must be performed within the first thirteen
weeks of pregnancy.

No criminal liability attaches to a woman seeking or
procuring an abortion.

2 1991 La. Acts 26.

A-4
II]

In urging us to uphold the Statute, the state con-
cedes that Roe v. Wade has not been expressly overruled.
Instead, the state argues that Roe has been overruled sub
silentio by Webster and its progeny.

On the other hand, Sojourner, et al., argue that we
should avoid deciding this case on constitutional grounds.
Instead, we should affirm the district court on the grounds
that the Statute is preempted by FDA regulations and by
the Food, Drug and Cosmetic Act. They also present alter-
native arguments: we should affirm the district court on
the grounds that the Statute violates the Commerce
Clause, on the grounds that the Statute is unconstitutional
under Griswold, or on the grounds that the Statute is un-
constitutional under Roe. Their argument that the Statute
is preempted by federal law, that the Statute violates the
Commerce Clause, and that the statute is unconstitutional
under Griswold is contingent on their particular reading of
the Statute. They argue that the Statute criminalizes the
use of contraceptives in Louisiana that act after concep-
tion. They argue that if we entertain doubts about this con-
struction of the Statute, we should, before reaching the
other issues in this case, certify to the Louisiana Supreme
Court the question of whether the Statute criminalizes the
use of certain contraceptives.

Dr. Okpalobi argues that the Statute is unconstitu-
tionally vague. His vagueness argument emphasizes the
elusiveness of the definitions of the rape and incest excep-
tions. He also argues that this court should certify to the
Louisiana Supreme Court the question of whether the Act
violates the right to privacy guaranteed by Article 1, Sec-
tion 5 of the Louisiana Constitution.

A-5
IV

Below, the plaintiffs challenged the facial validity of
the Statute. Thus, we must determine whether the plain-
tiffs are correct that the Statute cannot be construed and
applied without infringing upon constitutionally protected
rights. Rust v. Sullivan, 111 S.Ct. 1759, 1767 (1991). The
district court found that Roe v. Wade is still good law and
that the Louisiana Abortion Statute clearly transgresses
those constitutional rights, as enunciated in Roe v. Wade,
of women who seek an abortion.

The Supreme Court recently reaffirmed the essential
holding of Roe v. Wade in Casey. Casey, 60 U.S.L.W. at
4798. In Casey, the Court held that a woman has a right to
chose to have an abortion before viability and that legisla-
tion restricting abortions before viability must not place an
under burden on that right. Jd. ‘‘An undue burden exists,
and therefore a provision of law is invalid, if its purpose or
effect is to place a substantial obstacle in the path of a
woman seeking an abortion before the fetus attains viabili-
ty.’’ Id. at 4807. The Court held that before viability, a
State’s interests are not strong enough to support a pro-
hibition of abortion. Jd. at 4798. Thus, the Louisiana
statute is clearly unconstitutional under Casey.

V

Sojourner, et al urge us to avoid deciding this case on
constitutional grounds and to affirm the district court on
the grounds that the Statute is preempted by FDA regula-
tions and the Food, Drug and Cosmetic Act, arguing that
we must, when possible, decide a case on statutory rather
than constitutional grounds. We can, of course, affirm the
district court’s judgment on any grounds supported by the
record. Mangaroo uv. Nelson, 864 F.2d _= 1202,

A-6

1204 n.2 (5th Cir. 1989). Furthermore, we acknowledge that
it is usually true that if a case can be decided either on
statutory or constitutional law, we should address the
statutory issue first. Harris v. McRae, 448 U.S. 297,
306-307 (1980). We do not think, however, that the facts
and the procedural posture of this case warrant the applica-
tion of this jurisprudential principle. The plaintiffs brought
a facial challenge to the constitutionality of the Statute.
The district court entered a judgment on the pleadings on
the grounds that the Statute was unconstitutional under
Roe v. Wade. It did not address the preemption issue.
There was no trial or hearing to develop the record with
respect to the several crucial factual and legal issues that
underlie the premption arguments, including whether cer-
tain contraceptives act after contraception, and if so,
whether the Statute criminalizes the use of these con-
traceptives. Additionally, we are not applying a new inter-
pretation of the Constitution to decide this case; we are on-
ly applying the clear holding of Casey. Therefore, the facts
and posture of this case do not obligate us to reach the
statutory issue first.3

Similarly, Dr. Okpalobi urges us to avoid deciding .
the case on federal constitutional grounds by certifying the
question to the Louisiana Supreme Court whether, because
it invades the right of privacy, the Statute is unconstitu-
tional under the Article 1, Section 5 of the Louisiana Con-
stitution. Because Dr. Okpalobi raises this issue for the
first time on appeal, we do not address it. Honeycutt v.
Long, 861 F.2d 1346, 1352 (5th Cir. 1988). Planned Parent-
hood of Louisiana, as amicus curiae, argues that we should
abstain from deciding this case because there is a pending

3 Since we decide this case on the grounds that the Statute is un-
constitutional under Casey, Sojourner's motion to certify the question
of whether the Louisiana Abortion Statute criminalizes the use of cer-
tain contraceptives is denied.

A-7

state court challenge to the Statute under the Louisiana
Constitution.* This argument was also raised for the first
time on appeal, and we therefore do not address it. United
States v. Allegheny-Ludlum Industries, Inc., 517 F.2d 826,
840 n.13 (5th Cir. 1975), cert. denied, 425 U.S. 944 (1976).

VI

In conclusion, we hold that the Louisiana statute, on
its face, is plainly unconstitutional under Casey because
the statute imposes an undue burden on women seeking an
abortion before viability. The order of the district court is
therefore

AFFIRMED.

4 Apparently, the state court action was stayed pending the outcome of
this suit.

5 Because we decide the case on the grounds that the Statute is un-
constitutional under Casey, we do not reach the appellees’ arguments
that the Statute violates the Commerce Clause, that the Statute is un-
constitutional under Griswold, or that the Statute is unconstitutioonal-

ly vague.

A-8
EMILIO M. GARZA, Circuit Judge, concurring specially:

I agree with Judge Jolly that “the Supreme Court, in
Planned Parenthood of Southeastern Pennsylvania v.
Casey, . . . reaffirmed the essential holding of Roe v.
Wade’’! and that “the Louisiana [Abortion] Statute is
clearly unconstitutional under Casey.’ See Planned
Parenthood v. Casey, ___ U.S. ___, 112 S.. Ct. 2791, 2804,
120 L. Ed.2d 674 (1992) (‘After considering the fundamen-
tal constitutional question resolved by Roe, principles of in-
stitutional integrity, and the rule of stare decisis, we are led
to conclude this: the essential holding of Roe v. Wade [that
a woman has the right to terminate her pregnancy before
viability] should be retained and once again reaffirmed.’’).
Accordingly, I concur in J udge Jolly’s opinion.

Casey, nonetheless, causes me concern. “The issue is
whether [abortion] is a liberty protected by the Constitu-
tion of the United States.” Jd. at 2874 (Scalia, J., dis-
senting). Two essential facts seem apparent: ‘‘[T]he Con-
stitution says absolutely nothing about [abortion], and. . .
the longstanding traditions of American Society have per-
mitted [abortion] to be legally proscribed.’’? Id.. (footnote
omitted) (citation omitted). Casey ‘‘decorate[s] a value

1 410 U.S. 113, 93 S. Ct. 705, 35 L. Ed. 2d 147 (1973).

. slip op. at 2.

3 Compare Roe, 410 U.S. at 138-42, 93 S. Ct. at 719-21 (historical review
of abortion laws in America) with Michael H. v. Gerald D., 491 U.S. 110,
121-28, 109 S. Ct. 2333, 2341-44, 105 L. Ed. 2d 91 (1989) (overview of
presumption of legitimacy) and Bowers v. Hardwick, 478 U.S. 193,
191-95, 106 S. Ct. 2841, 2844-46, 92 L. Ed. 2d 140 (1986) (brief history
and list of sodomy laws in America).

" A-9

judgment‘ and concealjs] a political choice.” Jd. at 2875. If
this assessment is correct, the Court’s reaffirmance—
whether viewed as a good or bad result—has accelerated
the Court “towards systematically eliminating checks
upon its own power; and [at least with Roe and Casey] it
[has] succumbfed] [to this temptation].’’ Jd. at 2874.

Because the decision to permit or proscribe abortion
is a political choice, I would allow the people of the State

4 The joint opinion states: “‘Our obligation is to define the liberty of all,
not to mandate our own moral code. The underlying constitutional issue
is whether the State can resolve these philosophic questions in such a
definitive way that a woman lacks all choice in the matter, except
perhaps in those rare circumstances in which the pregnancy is itself a
danger to her own life or health, or is the result of rape or incest.” Casey,
112 S. Ct. at 2806. I do not agree with the joint opinion’s articulation
of the issue. First, States legislate morality every day in the form of
criminal statutes. For example, “‘[a] person commits an offense if he
... intentionally or knowingly causes the death of an individual,’’ see
Tex. Pen. Code Ann. § 19.02 (West 1992), is the legal formulation of the
commandment: “Thou shall not kill.’’ See Bowers v. Hardwick, 478 U.S.
at 196, 106 S. Ct. at 2846 (‘‘The law, however, is constantly based on no-
tions of morality, and if all laws representing essentially moral choices
are to be invalidated under the Due Process Clause, the courts [would]
be very busy indeed.’’).

Second, the underlying constitutional issue is not ‘‘whether the
State can resolve these philosophic questions in such a definitive way
that a woman lacks all choice in the matter,”’ but whether States have
the constitutional power to make this ontological choice. For example,
States choose for ontological reasons, to protect the lives of their
citizens. In this instance, “liberty’’ gives way to protection of human
life. See Casey, 112 S. Ct. at 2859 (Rehnquist, C.J., dissenting) (‘‘To look
‘at the act which is assertedly the subject of a liberty interest in isola-
tion from its effect upon other people [is] like inquiring whether there is
a liberty interest in firing a gun where the case at hand happens to in-
volve its discharge into another person’s body.’ "’ (quoting Michael H.
v. Gerald D., 491 U.S. at 124 n.4, 109 S. Ct. at 2342 n.4 (1989))). The
ultimate question—if one accepts the joint opinion’s view that viability
is critical—is whether States have the constitutional authority to decide
for themselves whether viability makes an ontological difference.

A-10

of Louisiana to decide this issue for themselves.5
Nonetheless, I acknowledge that Casey controls, and
therefore, I concur.

5 See Michael H., 491 U.S. at 122, 109 S. Ct. at 2341 (‘Whenever the
Judiciary [realizing that the present construction of the Due Process
Clause represents a major judicial gloss on its terms, as well as on the
anticipation of the Framers, strikes down legislation adopted by a
State], it unavoidably preempts for itself another part of the govern-
ance of the country without express constitutional authority.’’ (quoting
Moore v. East East Cleveland, 431 U.S. 494, 544, 97 S. Ct. 1932, 1958,
52 L. Ed. 2d 531 (1977))).

A-11
UNITED STATES COURT OF APPEALS
FOR THE FIFTH CIRCUIT

No. 91-3677

FILED
SEP 22 1992

D.C. Docket No. CA-91-2247-H & CA-91-2422-H

SOJOURNER T, on Behalf of Herself and All
Others Similarly Situated, ET AL..,

Plaintiffs-Appellees,
versus

EDWIN W. EDWARDS, As Governor of the
State of Louisiana, ET AL..,

Defendants-Appellants.
KRKKKKAKKKKKKKKKKKKKKKKKKKKKKKKKKKKEKES
DR. IFEANYI CHARLES OKPALOBI,
Plaintiff-Appellee,

versus

RICHARD P. IEYOUB, Attorney General of
the State of Louisiana, ET AL.,

Defendants-Appellants.

Appeal from the United States District Court for the
Eastern District of Louisiana

Before JOLLY, and EMILIO M. GARZA, Circuit Judges,
and SHAW, District Judge.!

ISSUED AS MANDATE: OCT 14 1992

1 Chief Judge of the United States District Court of the Western District
of Louisiana, sitting by designation.

A-12
JUDGMENT

This cause came on to be heard on the record on ap-
peal and was argued by counsel.

ON CONSIDERATION WHEREOPF, It is now here
ordered and adjudged by this Court that the judgment of
the District Court in this cause is affirmed.

IT IS FURTHER ORDERED that defendants-
appellants pay to plaintiffs-appellees the costs on appeal to
be taxed by the Clerk of this Court.

September 22, 1992

A-13
APPENDIX B

OPINION OF THE DISTRICT COURT

UNITED STATES COURT OF APPEALS
EASTERN DISTRICT OF LOUISIANA

SOJOURNER T, ET AL CIVIL ACTION
VS. NO. 91-2247

BUDDY ROEMER, AS GOVERNOR OF
THE STATE OF LOUISIANA, ET AL SECTION ‘“H”’

CONSOLIDATED WITH
DR. IFEANYI CHAS. OKPALOBI
VERSUS NO. 91-2422
STATE OF LOUISIANA, ET AL SECTION ‘“H”’
REASONS FOR JUDGMENT

When the pleadings demonstrate that there is no fac-
tual issue which could change the result, any party may
move for judgment on the pleadings. Fed. R. Civ. P. 12(c).
At my first meeting with counsel on the day after the first
of these two consolidated actions was files, I suggested
that this case would meet the test. After consideration of
motions for judgment on the pleadings and extensive sup-
porting memoranda filed by all of the parties, I have con-
cluded that no facts which could be developed at a trial
could change the legal result dictated by Roe v. Wade, 410
U.S. 113, 93 S. Ct. 705 (1973). Therefore, for the following

A-14

reasons, the motions for judgment will be entered declaring
Act 26 of the 1991 Louisiana Legislature unconstitutional
and enjoining its enforcement.

Justice White’s dissenting opinion in Roe v. Wade,
410 U.S. at 222-23, 93 S. Ct. at 763, includes the following
statement, with which I wholeheartedly agree:

The Court simply fashions and announces a new
constitutional right for pregnant women and,
with scarcely any reason or authority for its ac-
tion, invests that right with sufficient substance
to override most existing state abortion statutes.
The upshot is that the people and the legislatures
of 50 States are constitutionally disentitled to
weigh the relative importance of the continued ex-
istence and development of the fetus, on the one
hand, against a spectrum of possible impacts on
the mother, on the other hand.

However, the majority opinion in Roe, not Justice
White’s dissent, is still the law of this land. The Constitu-
tion of the United States means what the Supreme Court
states that it means at any given time. Just two years ago,
in Webster v. Reproductive Health Services, the appellants
and the United States Department of Justice as Amicus
Curiae urged the Court to overrule Roe; Justice Scalia in
his concurring opinion did likewise. The Court declined to
do so, I quote from the Chief Justice’s opinion: ‘“This case
therefore affords us no occasion to revisit the holding of
Roe, which was that the Texas statute unconstitutionally
infringed the right to an abortion derived from the Due
Process Clause, id. at 164, and we leave it undisturbed.’’
Webster v. Reproductive Health Services, 492 U.S. 490,
521, 109 S. Ct. 3040, 3058 (1989). The Court has still not
revisited Roe.

A-15

The Texas statute held unconstitutional in Roe is in
all pertinent respects identical to the Louisiana statute
under attack here. Thus Roe in effect declares the Lou-
isiana statute unconstitutional. Even though the Supreme
Court has thus far explicitly refused to overrule Roe,
counsel for defendants urge that I should anticipate that it
will now do so. The Supreme Court has repeatedly held that
I have no such authority:

Needless to say, only this Court may overrule one
of its precedents. Thurston Motor Lines, Inc. v.
Jordan K. Rand, Ltd., 460 U.S. 533, 535, 103 S.
Ct. 1343, 1344, 75 L. Ed. 2d 260 (1983).

. .. unless we wish anarchy to prevail within the
federal judicial system, a precedent of this Court
must be followed by the lower court, no matter
how misguided the judges of those courts may
think it to be. Hutto v. Davis, 454 U.S. 370, 375
(1981).

Defendants contend that a decision upholding the
constitutionality of the Louisiana statute under attack
would not amount to the overruling of Roe. They argue
that Webster and two later Supreme Court decisions! have
effectively overruled Roe, sub silentio. There are persuasive
authorities cited in support of the right (arguably, the du-
ty) of a lower court to decline to apply Supreme Court
precedent when the Court in later decisions has itself de
facto overruled that precedent, although not expressly. The
temptation to apply that principle is great, especially when
I agree with the result which would follow. But I cannot
conclude that Roe has been overruled by implication in the
face of an explicit refusal in Webster to overrule it express-
ly. A lower court cannot decide that a Supreme Court de-

1 Hodgson v. Minnesota, _____ U.S. , 110 S. Ct. 2926 (1990); Ohio v.
Akron Center for Reproductive Health, ___ U.S. ___, 110 S. Ct. 2972
(1990).

A-16

cision has been overruled de facto when in three cases in the
past two years the Supreme Court has declined the oppor-
tunity to overrule that decision de jure. No one could
seriously argue that in cases after Roe the Court has acted
sub silentio? as to the Roe decision.

Every judge in the United States takes an oath to
uphold the Constitution as it is interpreted by the U.S.
Supreme Court. No judge in the United States enjoys the
luxury of applying his or her own interpretation of the U.S.
Constitution with respect to an issue which the United
States Supreme Court has previously decided. No judge in
the United States can overrule Roe v. Wade; only the
Supreme Court can do so.

Other issues are raised by the pleadings and in
memoranda. I do not consider them, because under the Roe
decision they cannot make any difference in the result. I-
recognize that if the Supreme Court overrules Roe v.
Wade, one or more of these issues may have to be con-
sidered on remand.

It matters not what my personal opinion may be as
to whether the United State Constitution nullifies the ac-
tion of elected state legislators in prohibiting abortions
under certain circumstances. I am bound by my oath of of-
fice to decide that under the existing Supreme Court inter-
pretation, the Louisiana statute under attack is
unconstitutional.

Disposition of claims for attorney’s fees is deferred
until the conclusion of the litigation.

8/7/91
/s/ Adrian Duplantier
Judge

2 Sub silentio. Under silence; without any notice being taken. Black’s
Law Dictionary 1428 (6th ed. 1991).

A-17
APPENDIX C

JUDGMENT OF THE DISTRICT COURT

UNITED STATES DISTRICT COURT
EASTERN DISTRICT OF LOUISIANA

SOJOURNER, T., ET AL CIVIL ACTION
VERSUS NO. 91-2247

BUDDY ROEMER, AS GOVERNOR OF
THE STATE OF LOUISIANA, ET AL SECTION “H”

CONSOLIDATED WITH
DR. IFEANYI CHAS, OKPALOBI
VERSUS NO. 91-2422
STATE OF LOUISIANA, ET AL SECTION ‘H”’
JUDGMENT

Considering the court’s Reasons for J udgment filed
in the record this date, and further considering the court’s
direction as to entry of judgment;

IT IS ORDERED, ADJUDGED AND DECREED
that there be judgment herein in favor of plaintiffs and
against defendants, declaring Act 26 of the 1991 Louisiana
Legislature unconstitutional and enjoining defendants
from enforcing said statute.

i

A-18

IT IS FURTHER ORDERED, ADJUDGED AND
DECREED that the disposition of the claims for at-

torney’s fees is hereby deferred until the conclusion of the
litigation.

New Orleans, Louisiana, this 7th day of August,
1991.

/s/ Adrian Duplantier

UNITED STATES DISTRICT JUDGE

A-19
APPENDIX D

ACT 26 OF THE 1991 LOUISIANA LEGISLATURE
HOUSE BILL NO. 112

BY: REPRESENTATIVE SAM THERIOT,
SENATOR BARES, REPRESENTATIVE
DIMOS, LANCASTER, LABORDE, SITTIG,
HIGGINBOTHAM, ACCARDO, ACKAL,
DIEZ, DONELON, GLOVER, GUIDRY, HAIK,
HERRING, LEBLANC, LEMOINE, MARTIN,
STELLY, AND STINE AND SENATORS
MCPHERSON, PICARD, CRAIN,
SAUNDERS, BRINKHADS, AND POSTON

AN ACT

To amend and reenact R.S. 14.87, relative to abortion; to
define and prohibit abortions; to provide for ex-
ceptions; to provide for penalties; and to provide
for related matter.

Be it enacted by the Legislature of Louisiana:

Section 1. Legislative findings and purpose. Life
begins at conception.

It is declared to be the public policy of the state of
Louisiana that it has a legitimate compelling interest in
protecting, to the greatest extent possible, the life of the
unborn from the time of conception until birth. We also af-
firm our belief that life begins at conception and that life
thereafter is a continuum until the time of death.

In furtherance of this compelling interest we declare it

A-20

to be a reasonable and proper exercise of the police power
of the state to prohibit and otherwise reasonably regulate,
through the imposition of criminal penalties, the perfor-
mance of abortions.

Section 2. R.S. 14:87 is hereby amended and
reenacted to read as follows:

§ 87. Abortion

A.(1) Abortion is the performance of any of the
following acts, with the specific intent of terminating
a pregnancy.

(a) Administering or prescribing any drug, po-
tion, medicine, or any other substance to a female; or

(b) Using any instrument or external force
whatsover on a female.

(2) This Section shall not apply to the female
who has an abortion.

B. It shall not be unlawful for a physician to
perform any of the acts described in Subsection A of
this Section if performed under the following
circumstances:

(1)The physician terminates the pregnancy in
order to preserve the life or health of the unborn child
or to remove a dead unborn child.

(2) The physician terminates a pregnancy for
the express purpose of saving the life of the mother.

(3) The physician terminates a pregnancy
which is the result of rape as defined in either R.S.
14:42, R.S. 14:42.1, or R.S. 14:43 and in which all of
the following requirements are met prior to the
pregnancy termination:

(a) The rape victim obtains a physical ex-
amination and/or treatment from a physician other

A-21

than the physician who is to terminate the pregnancy
within five days of the rape to determine whether she
was pregnant prior to the rape and to prevent
pregnancy and veneral disease, unless the rape victim
is incapacitated to such a degree that she is unable to
obtain this examination. If the victim is unable to ob-
tain the examination due to such incapacity, then an
examination shall be performed within five days after
the incapacity is removed; and

(b) The rape victim reports the rape to law en-
forcement officials within seven days of the rape
unless the victim is incapacited to such degree that
she is unable to report the rape. If the victim is unable
to report the rape due to such incapacity, then a report
shall be made within seven days after the incapacity is
removed; and

(c) The abortion is perforraed within thirteen
weeks of conception.

(4) The physician terminates a pregnancy
which is the result of incest as defined in R.S. 14:78,
provided the crime is reported to law enforcement of-
ficials and the abortion is performed within thirteen
weeks of conception.

C.(1) Prior to the performance of any abortion
under Subsection (B)(3) or (B)(4) of this Section, the
physician who is to perform the abortion shall obtain
from the victim a statement in writing verifying that
she has obtained the physical examination and shall
obtain written verification by a law enforcement of-
ficial that the victim reported the rape to law enforce-
ment officials as required under this Section.

(2) Every physician who conducts a physical ex-

A-22

amination of a rape victim within five days of the rape
shall immediately upon written request of either the
victim or the physician who is to perform the abortion
on the victim, provide to the victim or the requesting
physician written verification of his examination.

(3) Every law enforcement official who
receives a report of a rape victim within seven days of
the rape or receives a report of incest shall immediate-
ly, upon written request of either the victim or the
physician who is to perform the abortion, provide to
the victim or requesting physician written verification
of the report which was made to the official.

D. As used in this Section, the following words
and phrases are defined as follows:

(1) ‘Law enforcement official or officer’
means any peace officer or agency empowered to en-
force the law in criminal matters within his or its
respective jurisdiction, including but not limited to a
state police officer, sheriff, constable, local police of-
ficer, and district attorney.

(2) ““Physician” means any person licensed to
practice medicine in this state.

(3) “Unborn child’”’ means the unborn off-
spring of human beings from the moment of concep-
tion until birth.

(4) “Conception” means the contact of sperm-
atozoan with the ovum.

E.(1) Whoever commits the crime of abortion
shall be imprisoned at hard labor for not less than one
nor more than ten years and shall be fined not less
than ten thousand dollars nor more than one hundred
thousand dollars.

(2) This penalty shall not apply to the female
who has an abortion.

A-23

Section 3. If any provision or item of this Act or the
application thereof is held invalid, such invalidity shall not
affect other provisions, items or applications of this Act
which can be given effect without the invalid provisions,
items or applications, and to this end the provisions of this
act are hereby declared severable.

Section 4. This act shall become effective upon
signature by the governor or, if not signed by the governor,
upon expiration of the time for bills to become law without
signature by the governor, as provided in Article III, Sec-
tion 18 of the Constitution of Louisiana.

/s/

SPEAKER OF THE HOUSE OF
REPRESENTATIVES

/s/
PRESIDENT OF THE SENATE

GOVERNOR OF THE STATE OF
LOUISIANA

VETOED: June 14, 1991
/s/ Buddy Roemer

[emblem]

A-24
APPENDIX E

OPINION OF THE

LOUISIANA ATTORNEY GENERAL

State of Louisiana
Department of Justice

Williamn J. Guste, Jr. Baton Rouge
Attorney General 70804-9005

September 24, 1991

OPINION NO. 91-419

Honorable John M. Mamoulides
District Attorney

Parish of Jefferson

Jefferson Parish Courthouse
Annex Building—5th Floor
Gretna, Louisiana 70053

Dear District Attorney Mamoulides:

In your letter of August 5, 1991, you requested an
opinion of this office. You asked the following questions
concerning Act 26 of 1991 relating to abortion:

Es

What is the definition of wregnancy?
Does the Act apply to the -prescription, ad-
ministration and use of the oral contraceptive pill,
the intrauterine device (IUD), and the morning-
after pill?

What is the effect of the Act on the process of in
vitro fertilization as regulation [sic] by La. R.S.
9:121-133?

Consistent with the answer we filed in Sojourner, et

A-25

al vs. Roemer, et al, No. 91-2247 on the docket of the United
States District Court for the Eastern District of Lou-
isiana, we respond to your questions as follows:

LSA-R.S. 14:87, as amended by Act 26, provides in
pertinent part as follows:

§87 Abortion
A. (1) Abortion is the performance of any of the
following acts, with the specific intent of ter-
minating a pregnancy:

(a) Administering or prescribing any drug, po-
tion, medicine, or any other substance to a
female; or

(b) Using any instrument or external force what-
soever on a female.

1. Although Act 26 defines ‘‘conception’”’ as the con-
tact of spermatozoon and ovum, and it defines ‘‘unborn
child’ as the unborn offspring of human beings from con-
ception until birth, the Act does not define the term
‘pregnancy’. It is not necessary that it do so. In inter-
preting a statute, words and phrases should be used in
their context and should be construed in accordance with
common and approved usage. See LSA-R.S. 1:3 and LSA-
R.S. 14:3. Thus the term pregnancy must be given its
customary meaning.

Within the medical profession, pregnancy is
understood to refer to a woman’s condition after implanta-
tion of a fertilized ovum. It is defined as ‘‘the condition of
having a developing embryo or fetus in the body, after the
union of an ovum and spermatozoon.’’! The term ‘‘em-

lSee Dorland’s Illustrated Medical Dictionary 1349, 543 (27th Ed.
1988); Williams Obstetrics 8-10 (18th Ed. 1989). Both Dorland’s and

A-26

bryo”’ is commonly and appropriately used to describe the
unborn child once the embryonic disc forms at about the
eighth day after contact of ovum and spermatozoon. The
embryonic period extends until about the eighth week,
after which the developing human is known as a fetus.2
Because implantation of the fertilized ovum occurs on ap-
proximately the sixth day after union of ovum and sper-
matozoon, it is clear that the embryo is not considered by
medical experts to exist until some time after implantation
of the fertilized ovum.

In everyday medical usage the term pregnancy is
equated with implantation.4 Implantation in the fallopian
tube or other extra uterine site is referred to as a tubal or
ectopic pregnancy. The important point is that the Act
makes criminal only those actions taken with the specific
intent of terminating a pregnancy, unless done for the
health of the unborn child, to remove a dead unborn child,
to save the life of the mother, or in certain cases of rape and
incest.

Footnote continued.

Williams were used and relied upon by the U.S. Supreme Court in Roe
v. Wade, 410 U.S. 113 at 130, 160; 93 S.Ct. 705 at 716, 730 (1973).

2 K. Moore, Before We Are Born, Basic Embryology and Birth Defects
I (2nd Ed. 1983).

# See Dorland’s, supra note 1 at 824.

4 See Williams Obstetrics 8-10 (18th Ed. 1989); U.S. Department of
Health and Human Services regulations define pregnancy as follows:

§46.203 Definitions:

((b) ‘“‘Pregnancy’’ encompasses the period of time from confirma-
tion of implantation (through any of the presumptive signs of pregnan-
cy, such as missed menses, or by a medically acceptable pregnancy test),
until expulsion or extraction of the fetus.)

Protection of Human Subjects, 45 C.F.R. §46:203 (1990). See also,
Complaint, Para 42, Sojourner et al vs. Roemer et al, U.S.D.C, E.D. La.
CA 91-2247.

A-27

Therefore, anything done which has operative effect
before implantation is not affected by or subject to the
criminal provisions of Act 26.

2. Our examination and analysis of Act 26 leads us
to conclude that the Act does not apply to the prescription,
administration and use of the oral contraceptive pill, the in-
trauterine device (IUD), and the morning-after pill.5 The
Act proscribes, with criminal sanctions, only the ad-
ministering or prescribing of any drug, potion, medicine or
other substance or use of any instrument or external force
on a female with the specific intent of terminating a
pregnancy. The oral contraceptive pill, IUD and morning-
after pill operate and have their effect prior to implanta-
tion, i.e., prior to pregnancy. Therefore, Act 26 will have no
effect on the prescribing, administering or use of such
drugs or devices.®

3. We have also been asked what effect Act 26 will
have on efforts by women to become pregnant through the
process of in vitro fertilization. In Louisiana in vitro fer-
tilization is regulated by La. R.S. 12:121-133. As is evident
from those statutes and the common understanding of in

> The criminal sanctions of the Act do apply to the administering or
prescribing of any drug which has its operative effect after the onset of
pregnancy, i.e., after implantation. Thus, drugs, including RU 486, when
administered or prescribed for use after implantation are prohibited
under the Act.

6 Williams, supra, at note 4, at 922-923, 929 and 931. How and when
some oral contraceptives and the IUD work is a matter of considerable
debate. The question debated is whether ‘’the pill’ and “the IUD” sup-
press ovulation (the release of the ovum) thereby preventing conception
(as defined by Act 26 as contact of the spermatozoon and ovum) or
whether they act to prevent implantation, or whether they act both to
suppress ovulation and prevent implantation. For the purpose of Act 26,
the debate need not be resolved, because Act 26 has no effect until after
implantation of a fertilized ovum.

A-28

vitro fertilization, it is a process intended to ultimately
result in pregnancy. There is no pregnancy, however, dur-
ing the process and Act 26 does not apply until after the
successful implantation of a fertilized ovum.

Act 26 reaffirms Louisiana’s longstanding position
that life begins at conception and Louisiana’s policy of pro-
tecting to the greatest extent possible the life of the unborn
child from conception until birth. However, in order to pro-
ve the elements of the crime of abortion as defined by Act
26, a prosecutor must prove beyond a reasonable doubt
that someone other than the woman with child acted with
the specific intent of terminating a pregnancy. Because
medical tests to determine whether conception has occur-
red are not reliable until a time following sexual intercourse
coincident with implantation, it would not be possible to
prove the requisite specific intent for actions taken prior to
the time of implantation, i.e., prior to pregnancy.

In enacting Act 26 the Legislature effectively
reinstated Louisiana’s criminal law regarding abortion as it
existed before the United States Supreme Court’s 1973
decision in Roe v. Wade. In reenacting its prior law, the
Legislature used more modern language for its definition of
abortion, made explicit the exception for protecting the life
of the mother and the exemption of the pregnant woman
from prosecution, and added exceptions for abortion per-
formed in cases of rape and incest under certain cir-
cumstances. The new statute also provides a financial
penalty in addition to the one to ten years imprisonment
which was provided in the prior law.

The pre-Roe v. Wade definition of abortion contained
in LSA-R.S. 14:87 was the performance of certain acts
‘‘with the intent of procuring premature delivery of the em-
bryo of (sic) fetus.’’ The recently enacted Act 26 also

A-29

extends the protection of the criminal law to the embryo
and fetus by prohibiting the termination of a pregnancy ex-
cept under certain specified conditions. The new statute
takes the same approach and is in accord with Louisiana’s
law prohibiting abortion as it existed prior to 1973.7

In consideraing the application of LSA-R.S. 14:87,
we note that the guidelines of LSA-R.S. 14:3 apply. That
section provides as follows:

The article of this code cannot be extended by
analogy so as to create crimes not provided for
herein; however in order to promote justice and to
effect the objects of the law, all of its provisions
shall be given a genuine construction, according
to the fair import of their words, taken in their
usual sense, in connection with the context, and
with reference to the purpose of the provision.

This rule of stricti juris, or strict construction, requires
that a criminal statute be strictly construed in factor of the
accused. We must adhere to that rule of interpretation. (See
State v. Young, 357 So.2d 503 (La. 1978); State v. Sloan,
139 La. 881, 72 So. 428 (1916).

It is the opinion of this office that LSA-R.S. 14:87,
which prohibits abortions except in specific circumstances,
does not prohibit authorized and licenses (sic) medical per-
sonnel from prescribing, or administering medicines,

7 Use of the more modern language in the current statute also avoids
the problem of possible dismissal of a prosecution because the informa-
tion or indictment refers to an embryo when evidence might establish
that the pregnancy was far enough along so that a fetus was actually
aborted. See, e.g., State v. DORE, 227 La. 282, 79 So.2d 209 (1955). See
also, Rosen v. La. State Board of Medical Examiners, 319 F.Supp. 1217
(E.D. La. 1970).

A-30

drugs, potions, substances or instruments that operate to
prevent pregnancy rather than to terminate pregnancy.
Because IUD’s, oral contraceptives and ‘‘the morning-after
pill’ prevent rather than terminate pregnancy, their use is
not made illegal by LSA-R.S. 14:87; nor is the process of in
vitro fertilization subject to Act 26 until subsequent to the
implantation of a fertilized ovum in a female’s uterus.

Yours very truly,
/s/

WILLIAM J. GUSTE, JR.
Attorney General

WJG,Jr./gbs

A-31
APPENDIX F

States Recognizing That Human Life
Begins at Conception

Alabama:

Trent v. State, 15 Ala. App. 485, 488, 73 So. 834, 836
(1916) (interpreting state abortion law) (‘‘ ’does not the new
being from the first day of its uterine life, acquire a legal
and moral status that entitles it to the same protection as
that guaranteed to human beings in extrauterine life?” ’)
(quoting from the 1911 Transactions of the Medical
Association of Alabama)

Wolfe v. Isbell, 291 Ala. 327, 331, 280 So.2d 758, 761
(1973) (rejecting viability requirement in wrongful death
action where death occurs after live birth):

[T]he more recent authorities emphasize that
there is no valid medical basis for a distinction
based upon viability, especially where the child
has been born alive. These [decisions] proceed on
the premise that the fetus is just as much an in-
dependent being prior to viability as it is after-
wards, and that from the moment of conception,
the fetus or embryo is not a part of the mother,
but rather has a separate existence within the
body of the mother.

Eich v. Town of Gulf Shores, 293 Ala. 95, 98-99, 300
So. 2d 354, 356-57 (1974) (rejecting live birth requirement
in wrongful death action) (stating that ‘‘the paramount
purpose of our wrongful death statutes ... is the preserva-
tion of human life” and holding that “‘it is illogical to allow
liability to depend on whether death from fatal injury oc-
curred before or after live birth’”’)

A-32

Alabama Constitutional Convention Call (S.J. Res. 9,
1980 Ala. Acts 396):

[A]pplies to the Congress . . . to call a convention
for the sole and exclusive purpose of proposing an
amendment to the Constitution that would pro-
tect the lives of all human beings including un-
born children at every stage of their biological
development and providing that neither the
United States nor any state shall deprive any
human being, from the moment of fertilization, of
the right to life without due process of laws, nor
shall any state deny any human being, from the
moment of fertilization, the equal protection of
the laws, except where pregnancy results from
rape or incest; or where abortion is necessary to
save the life of the mother; or where testing
revealed abnormality or deformity of the fetus.

Arizona:

Nelson v. Planned Parenthood Center of Tucson, 19
Ariz. App. 142, 505 P.2d 580, 586 (1973) (construing state
abortion law):

One cannot gainsay a legislative determination
that an embryonic or fetal organism is ‘life.’ Once
begun, the inevitable result is a human being, bar-
ring prior termination of the pregnancy.

Ariz. Rev. Stat., §13-1103(A)(5) (West. 1989) (defining
offense of manslaughter to include ‘Vk]nowingly or
recklessly causing the death of an unborn child at any state
of its development by any physical injury to the mother of
such child which would be murder if the death of the
mother had occurred’’)

A-33

Summerfield v. Superior Court, 144 Ariz. 467, 476,
698 P.2d 712, 721 (1985) (‘‘this statute [§13-1103(A)(5)] is in
the section traditionally associated with the killing of per-
sons (manslaughter) and .. . it refers not to a fetus but to
an unborn child’’)

Ariz. Rev. Stat., §13:702(D)(10) (West 1989) (death of
an unborn child “‘at any stage of its development” an ag-
gravating circumstance for purposes of sentencing)

Arkansas:

Ark. Const., Amend. 68, §2 (‘[t]he public policy of
Arkansas is to protect the life of every unborn child from
conception until birth, ... .’’)

Arkansas Constitutional Conventiion Call (Res. of
Feb. 17, 1977, H.R.J. Res. 2):

Requests Congress to call a convention to pro-
pose a constitutional amendment which would
provide that every human being subject to the
jurisdiction of the United States or any state
shall be deemed from the moment of fertilization
to be a person and entitled to the right of life; pro-
vides that Congress and the states shall have con-
current powers to enforce such an amendment.

Ark. Code Ann., §5-13-201(A)(5) (1991 Supp.) (amen-
ding first degree battery statute to include physical in-
juries to pregnant woman resulting in miscarriage or
stillbirth)

California:

Cal. Pen. Code, §187(a) (West 1988) (‘‘[mJurder is the
unlawful killing of a human being, or a fetus, with malice

A-34

aforethought’’)

People v. Apodaca, 78 Cal. App. 2d 479, 486, 142 Cal.
Rptr. 830, 835 (1978) (§187 ‘‘gives to all persons of common
intelligence ample warning that an assault on a pregnant
woman without her consent for the purpose of unlawfully
killing her unborn child can constitute the crime of
murder’’)

Cal. Civ. Code, §29 (West 1982) (‘‘[a] child conceived
but not yet born, is to be deemed an existing person, so far
as may be necessary for its interests in the event of its
subsequent birth’’)

Scott v. McPheeters, 33 Cal. App. 2d 629, 634, 92
P.2d 678, 681 (1939) (it is ‘‘an established and recognized
fact by science and by everyone of understanding” that
‘“‘an unborn child is a human being separate and distinct
from its mother’’)

Connecticut:

Conn. Gen. Stat., Ann. §53-31(a) (1985) (‘[t]he public
policy of the state and the intent of the legislature is to pro-

tect and preserve human life from the moment of concep-
tion’’) (rep. by P.A. 90-113, §4 (1990))

Simon v. Mullin, 34 Conn. Sup. 139, 147, 380 A.2d
1353. 1357 (1977) (rejecting viability requirement in
wrongful death action where death occurs after live birth)
(‘‘[t]he development of the principle of law that now per-
mits recovery by or on behalf of a child born alive for
prenatal injuries suffered at any time after conception,
without regard to the viability of the fetus, is a notable il-
lustration of the viability of our common law’’)

A-35

Delaware:

Scott v. State, 49 Del. 401, 409-10, 117 A.2d 881,
835-36 (1955) (characterizing abortion law as one which

defines an offense against the lives and persons of
individuals)

Delaware Constitutional Conventioin Call (Res. of
May 23, 1978, H.R. Con. Res. 9):

Requests Congress to call a convention to pro-
pose a constitutional amendment that would pro-
tect the lives of all human beings, including un-
born children at every stage of their biological
development.

District of Columbia:

Bonbrest v. Kotz, 65 F. Supp. 138, 140 (D.
D.C. 1946) (recognizing cause of action for
prenatal injuries) (‘‘[f}rom- the viewpoint of the
civil law, and the law of property, a child en ven-
tre sa mere is not only regarded as [a] human be-
ing, but as such from the moment of
conception—which it is in fact’’)

Greater Southeast Community Hosp. v.
Williams, 482 A.2d 394, 396 (D.C. Ct. App. 1984)
(rejecting viability requirement in wrongful death
acticn where death occurs after live birth) (refer-
ring to “established medical fact that a fetus is a
person separate from its mother’’)

Florida:
Day v. Nationwide Mut. Ins. Co., 328 So.2d

560, 561 (1976) (rejecting viability requirement in
case of prenatal injuries) (quoting with

A-36

approval Prosser, Handbook of the Law of Torts, §55 at
336 (4th ed. 1971)):

Viability of course does not affect the question of
the legal existence of the foetus, and therefore of
the defendant’s duty; and it is a most unsatisfac-
tory criterion, since it is a relative matter, depen-
ding upon the health of the mother and child and
many other matters in addition to the stage of
development. Certainly, the infant may be no less
injured; and all logic is in favor of ignoring the
stage at which it occurs.!

Georgia:

Hornbuckle v. Plantation Pipe Line Co., 212 Ga. 504,
504-05, 93 S.E.2d 727, 728 (1956) (rejecting viability re-
quirement in case of prenatal injuries) (‘‘{i]f a child born
after an injury sustained at any period of its prenatal life
can prove the effect on it of a tort, it would have a right to
recover’) (a dissent characterized majority opinion as
holding, in effect, ‘’that an infant becomes a ‘person’ from
the moment of conception, with the right to sue for a tor-
tious injury after its birth”), id. at 506, 93 S.E.2d at 729

Morrow v. Scott, 7 Ga. 535, 587 (1849) (‘ijn
... general, a child is to be considered as in being, from the
time of its conception, where it will be for the benefit of
such child to be so considered’’)

Gulf Life Ins. Co. v. Brown, 181 G. App. 72, 74, 351
S.E. 2d 267, 269 (1986) (‘‘unquestionably, Georgia cases
show a clear tendency toward placing a high premium on

! To which to the Fifth Edition of Prosser & Keaton (1984) adds: “With
recent advances in embryology and medical technology, medical proof of
causation in these cases has become increasingly reliable, which argues
for eliminating the viability or other arbitrary developmental require-
ment altogether.”’ Jd. at 369.

A-37

human life and an unmistakable willingness to recognize a
fetus as a person at a time prior to actual delivery’’)

Idaho:

Nash v. Meyer, 54 Idaho 283, 301, 31 P.2d 273, 280 (1934)
(construing state abortion law) (criminal abortion statute
intended “‘to discourage abortions because thereby the life
of a human being, the unborn child, is taken’’)

Blake v. Cruz,, 108 Idaho 258, 261, 698 P.2d 315, 323
(1984) (Bistline, J., concurring in part and dissenting in
part) (“[tJhis Court recently committed itself to the proposi-
tion that an unborn child is_a person in being,” citing Volk
v. Baldazo, 103 Idaho 570, 651 P.2d 11 (1982) (rejecting live
birth requirement in wrongful death action where death oc-
curs after viability))

Idaho Constitutional Convention call (S. Con. Res.
132, 45th Legis. 2d Sess., 1980 Idaho Sess. Laws 1005):

Request| Js that the Congress . . . call a constitu-
tional convention for the specific and exclusive
purpose of proposing an amendment .. . [to pro-
vide that):

[a] From the moment of conception a person
shall be guaranteed all perscnal! rights extended
to all individuals under the constitution and laws
of the United States of America and t

[Text truncated at 120,000 characters. The full text is on the page linked above.]

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Source: Frix Law Library, https://www.frixlaw.com/law-library/documents/brief%3Amicro_IA40386011_1850%3A1. Public record. Not legal advice.
