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Daily Women's Health Policy Report
National Politics & Policy
Alito Tells Sen. Specter Abortion-Rights Opinions in 1985 Memos Were 'Personal,' Would Not Affect Judicial Temperament
Wisconsin Attorney General Asks Gov. To Sue FDA Over Its Handling of Applications for Nonprescription Sales of Plan B
Kaiser Daily Women's Health Policy Report Summarizes Opinion Pieces Regarding Ayotte v. Planned Parenthood
In The Courts
Hawaii Supreme Court Overturns Conviction of Woman Whose Infant Died Due to Crystal Meth Poisoning
[Dec 05, 2005]
The Hawaii Supreme Court on Tuesday unanimously ruled that state law does not permit the prosecution of women who engage in risky behavior during pregnancy that leads to the death of a newborn, overturning the conviction of a woman whose infant died shortly after birth because of crystal methamphetamine poisoning, the Honolulu Advertiser reports (Kobayashi, Honolulu Advertiser, 11/30). An Oahu, Hawaii, grand jury in October 2003 indicted Tayshea Aiwohi, who admitted using crystal meth -- also known as "ice" -- during pregnancy and while breastfeeding her infant son Treyson. Public Defender Todd Eddins, Aiwohi's attorney, in early March 2004 filed three motions for dismissal of the case, arguing that state law "does not encompass the reckless killing of a newborn by his mother for conduct which allegedly occurred prior to his birth." Under Hawaii law, manslaughter charges can be brought against people only if they recklessly cause the death of another person, and state law requires that a child be born alive in order to be considered a person. Hawaii Circuit Judge Michael Town in August 2004 sentenced Aiwohi -- whose infant son had four times the adult toxicity level of methamphetamine in his system at his death -- to 10 years probation. Aiwohi's case represented the first time the state held a woman criminally liable for behavior during pregnancy that led to the death of an infant (Kaiser Daily Women's Health Policy Report, 10/21). Rationale The state Supreme Court held that Aiwohi could not be prosecuted under state law because when she smoked the drug, the fetus was not born, and thus, not a person under state law, the Adviser reports. Justice Paula Nakayama in a 38-page opinion wrote that an "overwhelming majority" of U.S. courts have issued similar decisions protecting pregnant women from prosecution, and an "overwhelming majority" of courts also have upheld prosecutions of people who caused injury to a pregnant woman that caused the death of her fetus. Nakayama wrote that the two types of cases are "mutually exclusive" as one deals with the prosecution of a woman's actions while pregnant and the other deals with injuries to a pregnant woman caused by a third party. In a footnote, Nakayama wrote that the "logical implication" of the ruling is that a "third party" is protected from prosecution for the death of a fetus because of injury to the pregnant woman. However, Glenn Kim, deputy prosecutor for the case, said that a person in that case could still be prosecuted for injuring a pregnant woman. Three of the four other justices agreed with this opinion, while Associate Justice Simeon Acoba agreed with the ruling but based his opinion on a different reason, and he filed a separate opinion in the case (Honolulu Advertiser, 11/30).
National Politics & Policy
Alito Tells Sen. Specter Abortion-Rights Opinions in 1985 Memos Were 'Personal,' Would Not Affect Judicial Temperament
[Dec 05, 2005]
Supreme Court nominee Judge Samuel Alito "raised a sharp distinction between his role as an advocate" for the Reagan administration in 1985 and "his role as a judge," adding that his "personal" views on abortion rights "are not a matter to be considered" when ruling on a case, Senate Judiciary Committee Chair Arlen Specter (R-Pa.) said after meeting with the judge on Friday, the Washington Times reports (Hurt, Washington Times, 12/3). Alito in a 1985 application to become deputy assistant to former Attorney General Edwin Meese wrote that he "personally believe[s] very strongly" in the legal position that abortion is not a constitutionally protected right. Speaking of his service as an assistant to former Solicitor General Rex Lee in the Reagan administration, Alito wrote, "I am particularly proud of my contributions in recent cases in which the government has argued in the Supreme Court that racial and ethnic quotas should not be allowed and that the Constitution does not protect a right to an abortion" (Kaiser Daily Women's Health Policy Report, 11/16). In another 1985 memo, Alito cautioned the Reagan administration against a "frontal assault" on Roe v. Wade -- the 1973 Supreme Court decision that effectively barred state abortion bans -- suggesting instead that supporting state laws that place restrictions on abortion would more effectively "mitigat[e] its effects." The 17-page memo, which was written while Alito worked as an attorney for the Department of Justice, was in response to a decision by the 3rd Circuit Court of Appeals in Thornburgh v. American College of Obstetricians and Gynecologists that overturned provisions of the Pennsylvania Abortion Control Act. The act would have required doctors to inform women seeking abortion of fetal development, risks of the procedure and alternatives to abortion, such as adoption or child support (Kaiser Daily Women's Health Policy Report, 12/2). Specter Relays Alito Comments After meeting with Alito on Friday for more than one hour, Specter said that Alito identified the statements in the job application as "a personal opinion ... and said that his personal opinion would not be a factor in his judicial decision." As for the memo he wrote in response to Thornburgh, Specter noted that Alito "said he was writing it as an advocate; that his role as a judge would be different" (Babington, Washington Post, 12/3). Specter said he asked Alito whether Roe should be upheld under the legal precedent of stare decisis, which holds that long-established precedents should stand. Alito responded that "when a matter is embedded in the culture, it's a considerable factor in the application of stare decisis," Specter said, adding that he did not ask the judge to elaborate on his answer. Of Alito's assertion that the 1985 memos were personal opinions, Specter said, "Well, Judge Alito characterizes it as a personal opinion," adding, "I don't. That's what Judge Alito says" (Stolberg, New York Times, 12/2). "I am not satisfied, I am not dissatisfied" with Alito's responses, Specter said (Mears, CNN.com, 12/2). He added that he does not think Alito's nomination is "in trouble," saying, "I think if we reserve judgment until the hearing we'll see a very learned, very experienced jurist come forward" (Washington Times, 12/3). Alito's confirmation hearings are scheduled to begin on Jan. 9, 2006 (Kaiser Daily Women's Health Policy Report, 12/2).
PBS's "Washington Week" on Friday reported on the Alito memo. The segment includes a discussion with Joan Biskupic, Supreme Court correspondent for USA Today. Other panelists on Friday's program include Jeffrey Birnbaum of the Washington Post, Ceci Connolly of the Washington Post and David Sanger of the New York Times (Ifill, "Washington Week," PBS, 12/5). The complete segment is available online in Windows Media. The segment is also available online in RealPlayer.
State Politics & Policy
Wisconsin Attorney General Asks Gov. To Sue FDA Over Its Handling of Applications for Nonprescription Sales of Plan B
[Dec 05, 2005]
Wisconsin Attorney General Peg Lautenschlager (D) on Thursday asked Gov. Jim Doyle (D) for permission to sue FDA over its handling of Barr Laboratories' applications for nonprescription sales of their emergency contraceptive Plan B, the AP/Duluth News Tribune reports (Richmond, AP/Duluth News Tribune, 12/1). FDA in May 2004 issued a "not approvable" letter in response to Barr's original application to authorize nonprescription sales of Plan B, citing inadequate data on its use among girls under age 16. The decision contradicted the recommendations of two FDA advisory panels (Kaiser Daily Women's Health Policy Report, 1/24). In a Government Accountability Office report released last month that investigated the rejection, GAO reported that the decision was "unusual" and "not typical" of the agency's regular review process. After FDA rejected Barr's first application, the company submitted another application to make nonprescription Plan B available only to women ages 17 and older. Former FDA Commissioner Lester Crawford in August announced that the agency would defer indefinitely the application and opened a 60-day public comment period on it, which expired Nov. 1 (Kaiser Daily Women's Health Policy Report, 11/15). Lautenschlager Comments, Doyle Reaction "The citizens of Wisconsin who are being harmed by this politically motivated delay deserve answers and ... action," Lautenschlager said, adding, "The negative effects of withholding approval of this drug over political -- not scientific or other legitimately accepted grounds -- are far reaching, hurting not only victims of rape who might be in need of emergency contraception, but the greater community health, the economy and the fundamental right to justice" (Attorney General's Office release, 12/1). She said the Plan B application "should have been handled in a way that's standard and that's done based on scientific and medical research and not the political whims of the day" (Forster, Milwaukee Journal Sentinel, 12/1). Doyle spokesperson Melanie Fonder said the governor will order the Wisconsin Department of Health and Family Services to work with the state Department of Justice to gather information on the delay's effect on state funds. If the two departments "conclude that legal action is the best way to proceed, the governor will take that recommendation into account," Fonder said. The attorney general in Wisconsin cannot file a federal lawsuit without permission from the governor or a branch of the state Legislature. Reaction FDA spokesperson Susan Cruzan rejected Lautenschlager's assertion that the delay in Barr's application was political, adding that the agency currently is reviewing about 10,000 responses it received during the public comment period. Wendy Wright, executive vice president of Concerned Women for America, said Lautenschlager's request "is clearly so political," adding that making Plan B available could increase the incidence of unprotected sex and the number of cases of sexually transmitted diseases, which also could incur more costs for the state. Barr spokesperson Carol Cox said Plan B has "met [the] standards" necessary for FDA approval and that it is ready for nonprescription sales (AP/Duluth News Tribune, 12/1).
Opinion
Kaiser Daily Women's Health Policy Report Summarizes Opinion Pieces Regarding Ayotte v. Planned Parenthood
[Dec 05, 2005]
The Supreme Court on Wednesday heard arguments in the case Ayotte v. Planned Parenthood of Northern New England, which challenges the constitutionality of a New Hampshire law (HB 763) requiring parental notification for minors seeking abortion. The law -- which has been struck down by two lower courts because it lacks an exception for a pregnant minor's health and has never been enforced -- requires physicians in the state to notify by certified letter a parent or guardian of a minor who is seeking abortion at least 48 hours before performing the procedure. Parents are barred from forbidding the procedure, and the notification requirement could be bypassed by a judge if a doctor determines that the minor's life is in danger. Many of the Supreme Court justices on Wednesday seemed to be leaning toward sending the case back to a lower court with instructions only to consider a challenge to whether the law was enforceable in cases where a physician decides an immediate abortion without parental consent or a judicial bypass is necessary to protect a minor's health (Kaiser Daily Women's Health Policy Report, 12/1). The case also could address whether a court can prohibit the enforcement of abortion-related laws that have not yet gone into effect (Kaiser Daily Women's Health Policy Report, 11/29). Several newspapers recently published opinion pieces on the case, some of which are summarized below. Editorials - Indianapolis Star: New Hampshire's parental notification law is "a common-sense requirement recognizing that parents have both rights and responsibilities in regard to their children's health" and is not intended to "chip away" at Roe v. Wade -- the 1973 case that effectively barred state abortion bans -- a Star editorial says. "The real issue" in the case is "whether parental rights and common sense will survive if the court tosses out the New Hampshire law," the editorial concludes (Indianapolis Star, 12/1).
- New York Times: The case "challenges two long-standing pillars of abortion-rights jurisprudence, reproductive freedom and the authority of the courts" and will have "real-world consequences for the lives of women and the rule of law," a Times editorial says. The case's procedural issues have "serious" implications that could lead to a "radical court-stripping plan, one that would leave state legislatures free to ignore the Supreme Court's parameters for abortion regulation until a minor, already ... in the midst of a medical crisis, somehow made it to court to challenge the law," the editorial says (New York Times, 11/30).
- Washington Post: The Supreme Court justices should uphold the law except for cases where a physician believes waiting 48 hours or "dealing with a judicial proceeding would compromise his or her patient's health," a Post editorial says. "It would be needlessly aggressive to throw out the entire statute," but the "court must ensure that New Hampshire does not prevent minors whose health require it from getting abortions in a timely fashion," the editorial concludes (Washington Post, 12/1).
- Wilmington News Journal: "The real needs of girls and women don't go away just because a law makes no allowances for them," a News Journal editorial says. By approving "abortion restrictions that really mean to prevent access," lawmakers "in effect practice medicine without a license, threatening the professionals responsible for actual complications and not imaginary cases," according to the editorial (Wilmington News Journal, 12/3).
Opinion Pieces - Greg Abbott, Houston Chronicle: "An adverse decision" in the Ayotte case "could undercut parents in Texas and across the country who want to play a role in their daughters' decisions," Texas Attorney General Abbott (R) writes in a Chronicle opinion piece. The measure "simply takes steps to ensure that a minor [considering an abortion] -- who may not have the maturity or capacity for an informed choice -- has a reasonable opportunity to receive guidance and understanding" from a parent or guardian, Abbott writes, concluding that parental notification "laws are needed, they are constitutional, and I urge the Supreme Court to affirm them" (Abbott, Houston Chronicle, 11/29).
- Linda Campbell, Fort Worth Star-Telegram: Although "[m]ost rational people who care about families and children and proper health care wouldn't argue against responsible parental involvement in such emotionally and physically momentous decisions," parents, teens "and all who care about them don't need a court order to work on those issues themselves," Star-Telegram editorial writer Campbell writes in an opinion piece. "However the court rules" in the case, the decision "won't make families stronger" and "won't make teens choose birth over abortion when reckless sex results in pregnancy," Campbell says (Campbell, Fort Worth Star-Telegram, 12/1).
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