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Kentucky Supreme Court weighs future of abortion access

FRANKFORT, Ky.
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Protester outside the Kentucky Supreme Court chambers rally in favor of abortion rights as the Kentucky Supreme Court hears arguments whether to temporarily pause the state's abortion ban in Frankfort, Ky., Tuesday, Nov. 15, 2022. (AP Photo/Timothy D. Easley)

FRANKFORT, Ky. (AP) 鈥 A week after Kentucky voters rejected an anti-abortion ballot measure, the state鈥檚 Supreme Court on Tuesday weighed the constitutionality of a statewide ban approved by lawmakers in a case that seems destined to become a defining moment for abortion rights in the state.

An attorney defending the abortion ban urged the court 鈥渘ot to create the Kentucky version of Roe v. Wade.鈥 A lawyer for two abortion clinics challenging the ban countered that the state's voters 鈥渄eclined to remove protections for abortion from our constitution.鈥

The case is the first legal test since voters in Kentucky and three other states signaled their support for abortion rights in last week's midterm elections. Kentucky voters that would have denied abortion rights in the state's constitution.

The court hearing at the Kentucky Capitol was closed to the public amid heightened security. Mindful of the ballot's rejection, abortion rights supporters gathered near the courtroom and chanted: 鈥淣o means no.鈥

Abortion rights supporters are asking the state's highest court to temporarily block the abortion ban while the case is litigated.

The defeat of the anti-abortion amendment was raised within minutes of the hearing. Deputy Chief Justice Lisabeth T. Hughes called such ballot measures 鈥渢he purest form of democracy鈥 and pressed the attorney defending the abortion ban on why the vote shouldn't have an impact.

Solicitor General Matthew Kuhn, representing the state attorney general's office, said the measure's defeat did not change existing constitutional language, or the absence of any 鈥渉istorical evidence鈥 to suggest that the state constitution protects abortion.

鈥淲hen it comes to abortion, our constitution here in Kentucky is simply silent," Kuhn told the justices during the more than hourlong hearing.

That means the issue of abortion access is left to the state legislature to decide, he said.

Heather Gatnarek, a staff attorney with the American Civil Liberties Union of Kentucky, said the ban has forced women 鈥渢o remain pregnant against their will.鈥 She said the right to privacy has consistently been recognized as a key part of the guarantees of liberty under the state constitution.

鈥淥ur constitutional protections can be interpreted more broadly than those allowed for by the federal constitution, and that is specifically so with the right to privacy,鈥 she said.

The Kentucky justices reviewed a challenge to the state's trigger law that banned nearly all abortions, taking effect after Roe v. Wade was overturned in June by the . Approved in 2019, the law carved out narrow exceptions to save a pregnant woman鈥檚 life or to prevent disabling injury.

Justice Hughes said the the high court has never determined whether Kentucky鈥檚 Constitution allows for a complete ban on abortion.

鈥淎nd that鈥檚 what we have right now, virtually a complete ban on abortion,鈥 she said. 鈥淚t doesn鈥檛 recognize an exception for rape and incest. It doesn鈥檛 recognize an exception for women who are under the care of a physician who tells them that the standard of care would be to terminate the pregnancy.鈥

What impact, if any, the anti-abortion measure's defeat will have on the Kentucky law was a matter for intense debate in the days leading up to the hearing.

Gov. Andy Beshear, a Democrat, expressed hope that the state's highest court "will listen to the will of the people and know that the people have rejected extremism and rule accordingly.鈥

Republican Attorney General Daniel Cameron, whose office is defending the statewide ban in court, continued to claim there's 鈥渘o right to abortion hidden in Kentucky's Constitution.鈥 He said abortion policy should be left up to the state's Legislature, where GOP majorities have passed a series of anti-abortion measures in recent years. Cameron is among several Republicans vying to challenge Beshear's reelection bid in 2023.

The hearing comes a week after abortion rights supporters won every state ballot question put before voters in the midterm elections. Michigan, California and Vermont voted to enshrine abortion rights in their state constitutions. Voters in Montana rejected a ballot measure that would have forced medical workers to attempt lifesaving measures in the rare event of a baby born after an attempted abortion.

In Kentucky, the abortion case wound its way through lower courts before reaching the Supreme Court as the referendum battle played out. In July, said the new, post-Roe abortion bans likely violate 鈥渢he rights to privacy and self-determination鈥 protected by the Kentucky Constitution. Judge Mitch Perry said it was not the court鈥檚 role to determine whether the state constitution contains the right to abortion, but whether the state鈥檚 restrictive laws violate constitutionally guaranteed freedoms.

The near-total abortion ban was to the intermediate state Court of Appeals. The state Supreme Court later opted to keep the abortion ban in place while it reviews the case, leaving abortions on hold in Kentucky and forcing women who can afford the procedure to look elsewhere. A separate six-week ban that Kentucky lawmakers approved also is being challenged by the two remaining abortion clinics in the Bluegrass State 鈥 both in Louisville, the state鈥檚 largest city.

A year ago, Kentucky lawmakers added the anti-abortion amendment to the 2022 general election slate as abortion foes hoped to cut off a legal path to restoring abortion rights. The measure would have declared the state constitution didn't protect the right to an abortion.

Now that the amendment has been defeated, the stakes are enormous.

鈥淭his case is almost certainly the only realistic path to protecting abortion rights in Kentucky for the foreseeable future,鈥 University of Louisville law professor Samuel Marcosson said ahead of the hearing.

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Find AP鈥檚 full coverage of the overturning of Roe v. Wade at:

Bruce Schreiner And Dylan Lovan, The Associated Press