''Stenberg v. Carhart'', 530 U.S. 914 (2000), was a
landmark decision
Landmark court decisions, in present-day common law legal systems, establish precedents that determine a significant new legal principle or concept, or otherwise substantially affect the interpretation of existing law. "Leading case" is commonly ...
of the
US Supreme Court
The Supreme Court of the United States (SCOTUS) is the highest court in the federal judiciary of the United States. It has ultimate appellate jurisdiction over all Federal tribunals in the United States, U.S. federal court cases, and over Stat ...
dealing with a
Nebraska
Nebraska ( ) is a landlocked U.S. state, state in the Midwestern United States, Midwestern region of the United States. It borders South Dakota to the north; Iowa to the east and Missouri to the southeast, both across the Missouri River; Ka ...
law which made performing "
partial-birth abortion" illegal, without regard for the health of the mother. Nebraska
physician
A physician, medical practitioner (British English), medical doctor, or simply doctor is a health professional who practices medicine, which is concerned with promoting, maintaining or restoring health through the Medical education, study, Med ...
s who performed the procedure contrary to the law were subject to having their medical licenses revoked. The Court struck down the law, finding the Nebraska statute criminalizing "partial birth abortion
violated the
Due Process Clause
A Due Process Clause is found in both the Fifth and Fourteenth Amendments to the United States Constitution, which prohibit the deprivation of "life, liberty, or property" by the federal and state governments, respectively, without due proces ...
of the
United States Constitution
The Constitution of the United States is the Supremacy Clause, supreme law of the United States, United States of America. It superseded the Articles of Confederation, the nation's first constitution, on March 4, 1789. Originally includi ...
, as interpreted in ''
Planned Parenthood v. Casey'' and ''
Roe v. Wade
''Roe v. Wade'', 410 U.S. 113 (1973),. was a List of landmark court decisions in the United States, landmark decision of the U.S. Supreme Court in which the Court ruled that the Constitution of the United States protected the right to have an ...
''.
The Court would later uphold a similar, albeit federal statute, in ''
Gonzales v. Carhart
''Gonzales v. Carhart'', 550 U.S. 124 (2007), was a List of landmark court decisions in the United States, landmark decision of the U.S. Supreme Court that upheld the Partial-Birth Abortion Ban Act of 2003. The case reached the high court after ...
'' (2007).
History
LeRoy Carhart, a Nebraska physician who specialized in late-term abortions, brought suit against
Don Stenberg, the
Attorney General
In most common law jurisdictions, the attorney general (: attorneys general) or attorney-general (AG or Atty.-Gen) is the main legal advisor to the government. In some jurisdictions, attorneys general also have executive responsibility for law enf ...
of Nebraska, seeking
declaratory judgment
A declaratory judgment, also called a declaration, is the legal determination of a court that resolves legal uncertainty for the litigants. It is a form of legally binding preventive by which a party involved in an actual or possible legal ma ...
that a state law banning certain forms of
abortion
Abortion is the early termination of a pregnancy by removal or expulsion of an embryo or fetus. Abortions that occur without intervention are known as miscarriages or "spontaneous abortions", and occur in roughly 30–40% of all pregnan ...
was unconstitutional, based on the undue burden test mentioned by a dissenting opinion in ''Akron v. Akron Center for Reproductive Health'' and by the Court in ''
Planned Parenthood v. Casey''. Both a
federal district court
The United States district courts are the trial courts of the U.S. federal judiciary. There is one district court for each federal judicial district. Each district covers one U.S. state or a portion of a state. There is at least one feder ...
and the
U.S. Court of Appeals ruled in favor of Carhart before the case was appealed to the Supreme Court.
The Nebraska statute prohibited "partial birth abortion", which it defined as any abortion in which the physician "partially delivers vaginally a living unborn child before killing the unborn child and completing the delivery."
The most common type of abortion performed is
suction-aspiration abortion which consists of a vacuum tube inserted into the
uterus
The uterus (from Latin ''uterus'', : uteri or uteruses) or womb () is the hollow organ, organ in the reproductive system of most female mammals, including humans, that accommodates the embryonic development, embryonic and prenatal development, f ...
; others consist of what is known as "D&E" (
dilation and evacuation
Dilation and evacuation (D&E) or dilatation and evacuation (British English) is the dilation of the cervix and surgical evacuation of the uterus (potentially including the fetus, placenta and other tissue) after the first trimester of pregnancy. I ...
), which is usually used during the second trimester because of the increased size of the fetus. The procedure dilates the
cervix
The cervix (: cervices) or cervix uteri is a dynamic fibromuscular sexual organ of the female reproductive system that connects the vagina with the uterine cavity. The human female cervix has been documented anatomically since at least the time ...
, dismembers the fetus, and then removes the body parts with non-vacuum instruments, and, in some cases, uses curettage inside the uterus so that the remaining fetus can be evacuated. Dr. Carhart wanted to use a modified version of this called "D&X" (
Dilation and Extraction), which, rather than commencing curettage inside the uterus, extracts part of the fetus first and then begins the process of dismemberment. Carhart stated that he wanted to perform this procedure because he believed it would be safer and would involve fewer risks for the women; it lowered the risk of leaving potentially harmful fetal tissue in the uterus, and it minimized the number of instruments physicians needed to use.
Experts in fetal development provide markedly different assessments of the kind and degree of pain (if any) experienced by the fetus (''see
Fetal pain''). Although in the second and third trimesters the
nervous system
In biology, the nervous system is the complex system, highly complex part of an animal that coordinates its behavior, actions and sense, sensory information by transmitting action potential, signals to and from different parts of its body. Th ...
is largely in place, the level of consciousness or awareness of the fetus is a matter of debate. Experiments aimed at measuring fetal pain have yielded results that are somewhat open to interpretation, given that measurable reactions of the fetus to stimuli may not correspond directly to an adult experience of pain.
The medical and scientific questions surrounding partial-birth abortion are impacted in the public arena by political and special interest considerations, resulting in a certain degree of media hype surrounding this case. Proponents of abortion rights on the one hand and those in opposition to abortion rights on the other both decry what they describe as myths regarding this procedure that have passed into mainstream American debate on the issue.
U.S. Supreme Court ruling
The case was argued in 2000. The first issue was the lack of an exception for the woman's health. The state of Nebraska took the position that D&X abortions were never medically necessary, meaning that an exception was not needed. Secondly, it was inquired on whether or not the law could be construed to apply to other forms of abortion, in which case it would violate the "right to privacy" interpreted from the Constitution, as described in the ''Roe'' and ''Casey'' decisions. The law had never been certified to the Supreme Court of Nebraska, as it had been challenged two days after the law was passed.
Opinion of the court and concurring opinions
Justice
Stephen Breyer
Stephen Gerald Breyer ( ; born August 15, 1938) is an American lawyer and retired jurist who served as an associate justice of the U.S. Supreme Court from 1994 until his retirement in 2022. He was nominated by President Bill Clinton, and r ...
, in writing the opinion of the Court, cited ''
Planned Parenthood v. Casey'' and said that any abortion law that imposed an undue burden on a woman's "right to choose" (right to abortion) was unconstitutional. He said that causing those who procure abortions to "fear prosecution, conviction, and imprisonment" was an undue burden, and therefore declared the law to be against the Constitution. Justices
John Paul Stevens
John Paul Stevens (April 20, 1920 – July 16, 2019) was an American lawyer and jurist who served as an associate justice of the Supreme Court of the United States from 1975 to 2010. At the time of his retirement, he was the second-oldes ...
,
Ruth Bader Ginsburg
Joan Ruth Bader Ginsburg ( ; Bader; March 15, 1933 – September 18, 2020) was an American lawyer and jurist who served as an associate justice of the Supreme Court of the United States from 1993 until Death and state funeral of Ruth Bader ...
,
David Souter
David Hackett Souter ( ; September 17, 1939 – May 8, 2025) was an American lawyer and jurist who served as an Associate Justice of the Supreme Court of the United States from 1990 until his retirement in 2009. Appointed by President George H ...
, and
Sandra Day O'Connor
Sandra Day O'Connor (March 26, 1930 – December 1, 2023) was an American attorney, politician, and jurist who served as an associate justice of the Supreme Court of the United States from 1981 to 2006. Nominated by President Ronald Reagan, O' ...
all agreed that the law was unconstitutional, but Ginsburg wrote a separate opinion, as did O'Connor. Ginsburg stated plainly that a state could not force physicians to use procedures other than what they felt in their own judgment to be the safest, that this was part of the "life and liberty" protected under the Constitution. O'Connor agreed, saying that any such procedural law would have to be applied only to prevent unnecessary partial-birth abortions, and would have to include an exception for the health of the woman (as this law did not). Justice Stevens also filed a separate opinion. He noted that government had no right to force doctors to perform any procedure other than what they felt would be the safest.
Dissents
Justice
Anthony Kennedy
Anthony McLeod Kennedy (born July 23, 1936) is an American attorney and jurist who served as an associate justice of the Supreme Court of the United States from 1988 until his retirement in 2018. He was nominated to the court in 1987 by Pres ...
dissented. Kennedy claimed this type of law was allowed by their ruling in ''
Planned Parenthood v. Casey'', which allowed laws to preserve prenatal life to a certain extent. He called
Sandra Day O'Connor
Sandra Day O'Connor (March 26, 1930 – December 1, 2023) was an American attorney, politician, and jurist who served as an associate justice of the Supreme Court of the United States from 1981 to 2006. Nominated by President Ronald Reagan, O' ...
's opinion a "repudiation" of the understandings and assurances given in ''Casey''. Justice Kennedy also detailed what he deemed a constitutionally protected alternative to partial-birth abortion. In a short separate opinion, Chief Justice Rehnquist stated that he did not join ''Casey'' but felt that Justice Kennedy had applied its precedent correctly, and thus joined his opinion.
Justice
Clarence Thomas
Clarence Thomas (born June 23, 1948) is an American lawyer and jurist who has served since 1991 as an associate justice of the Supreme Court of the United States. President George H. W. Bush nominated him to succeed Thurgood Marshall. Afte ...
read his dissent from the bench when the decision was announced, stating that abortion was not a right contained in the Constitution, and sharply criticized the majority and concurring opinions. Chief Justice
William Rehnquist
William Hubbs Rehnquist (October 1, 1924 – September 3, 2005) was an American attorney who served as the 16th chief justice of the United States from 1986 until his death in 2005, having previously been an associate justice from 1972 to 1986. ...
, along with
Antonin Scalia
Antonin Gregory Scalia (March 11, 1936 – February 13, 2016) was an American jurist who served as an associate justice of the Supreme Court of the United States from 1986 until his death in 2016. He was described as the intellectual an ...
, and Thomas had consistently said that they did not believe abortion is a protected right, and had pointed out that "privacy" is not explicitly mentioned in the Constitution. Thomas also pointed out in his dissenting opinion that even if abortion was a woman's right, the law in question was not designed to strike at the right itself. He reminded the others that many groups, including the
American Medical Association
The American Medical Association (AMA) is an American professional association and lobbying group of physicians and medical students. This medical association was founded in 1847 and is headquartered in Chicago, Illinois. Membership was 271,660 ...
, had concluded that partial-birth abortion was very different from other forms of abortion, and was often considered
infanticide
Infanticide (or infant homicide) is the intentional killing of infants or offspring. Infanticide was a widespread practice throughout human history that was mainly used to dispose of unwanted children, its main purpose being the prevention of re ...
. Thomas further noted that the gruesome nature of some partial-birth abortions has caused personal trauma in the doctors performing them.
In his dissent, Justice Scalia recalled his prior dissent in ''Casey'' in which he had criticized the undue burden standard as "doubtful in application as it is unprincipled in origin." What constitutes an undue burden is a value judgment, argued Scalia; it should therefore be no surprise that the Court split on whether the Nebraska statute constitutes an undue burden. Scalia moreover chastised Kennedy for feeling betrayed by the majority. Scalia declared that the ''Stenberg'' decision was not "a regrettable misapplication of ''Casey'',"—as Kennedy claimed—but "''Caseys logical and entirely predictable consequence". Denouncing the undue burden standard of ''Casey'' as illegitimate, Scalia called for ''Casey'' to be overruled.
Effects of the decision
By a 5–4 majority, the Nebraska law was struck down, as were all other state laws banning partial-birth abortion. Three years later, however, the federal government enacted a
Partial-Birth Abortion Ban Act of 2003. This law did not include an exception for the health of the woman, as Justice O'Connor said it must. Congress inserted findings into the law saying that the procedure is never needed to protect maternal health. Although several federal judges struck down this federal law, citing the precedent of ''Stenberg v. Carhart'', it was eventually upheld by the Supreme Court in ''
Gonzales v. Carhart
''Gonzales v. Carhart'', 550 U.S. 124 (2007), was a List of landmark court decisions in the United States, landmark decision of the U.S. Supreme Court that upheld the Partial-Birth Abortion Ban Act of 2003. The case reached the high court after ...
.''
References
Further reading
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External links
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{{US14thAmendment, dueprocess
American Civil Liberties Union litigation
Right to abortion under the United States Constitution
Right to privacy under the United States Constitution
United States abortion case law
United States privacy case law
United States substantive due process case law
United States Supreme Court cases
United States Supreme Court cases of the Rehnquist Court
2000 in United States case law
History of women in Nebraska