—
Texas lawmakers are poised to cast a final vote on tough new
abortion restrictions
less than two weeks after the Republican-led Senate failed to finish
work on the legislation during a chaotic end to the first special
session. Here's a look at the legislation and what's at stake:
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THE BILL
The proposed bill includes four restrictions on when, where and how a woman may obtain an abortion. The first provision requires doctors
who perform abortions to have admitting privileges at a hospital within
30 miles of the clinic. Another bans abortions after 20 weeks unless
the health of the woman is in immediate danger. If a woman wants to
induce an abortion by taking a pill, the state will require her to take
the pills in the presence of a doctor at a certified abortion facility. Lastly, all abortions must take place in an ambulatory surgical center.
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WHY SUPPORTERS SAY THIS IS NECESSARY
Supporters argue they are
increasing the standard of care for women. They say that admitting
privileges is a signifier that the doctor is qualified. They also argue
that after 20 weeks a fetus can feel pain, an assertion that is disputed
by peer-reviewed scientific studies. They also insist that because the
original instructions for abortion-inducing medications called for them
to be taken in the presence of a doctor, it should be required by law.
Supporters also insist that a woman is safer if the abortion takes place
in a surgical center rather than in the current state-inspected abortion clinics not certified for surgery.
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WHY OPPONENTS ARE PROTESTING
Opponents say the bill is attempting to ban abortions by
over-regulating them. Most private hospitals will not grant privileges
to doctors who perform elective abortions, either for religious or
political reasons, and the requirement will reduce the number of doctors
available. They also cite medical evidence that a fetus only feels pain
at 24 weeks, the stage at which abortions already are banned. Most
doctors currently let women take abortion inducing drugs at home and
have adapted the original instructions as they've gained experience and
reduced complications. Lastly, abortions are not surgery, and opponents
say the surgical center requirement will place an undue financial burden
on clinics.
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THE EFFECT
According the Texas Department of State Health Services, Texas women
undergo about 80,000 abortions a year. Currently, only 37 out of 42
abortions clinics in Texas qualify as ambulatory surgical centers, and
there is some question whether the others can ever meet the
infrastructure requirements such as hallway-width and ventilation
standards. Most doctors do not have admitting privileges at a hospital,
and it's unclear how many have such privileges at the remaining clinics
in Houston, Dallas, San Antonio and Austin. If more surgical centers do
not offer abortions, the remaining five would need to perform on average
43.5 a day to meet current demand.