III. Punishing Adolescents
The deceptively titled "Child Custody Protection Act" would not
"protect" minors. By making it more difficult for them to safely access
constitutionally protected abortion services, CCPA would punish the very
adolescents that it purports to protect. CCPA would punish those young
women who decide to seek an abortion in another state by requiring them to
comply with laws of multiple states, or to travel alone if they cannot
involve their parents. In addition, by mandating communication only with
parents, CCPA would punish minors by criminalizing assistance received
from close family and friends, clergy or counselors. Finally, CCPA would
discourage non-parents from assisting minors in obtaining desired medical
care by the threat of criminal penalties.
Ignoring Geographic and Economic Realities
Minors may decide to obtain an abortion outside of their state of
residency for a variety of reasons. These young women's decisions may not
be related to the particular laws of a state but may be based on important
factors in obtaining any health care services, such as location,
recommendations of others, and the proximity of loved ones.
The location of the closest abortion provider may be a factor in
deciding where a minor chooses to obtain an abortion. As of 1996, 86% of
all counties in the United States did not have an abortion
provider.29 Therefore, for some young women, the closest
provider may be in a neighboring state.
Minors may also travel to neighboring states based on clinic
recommendations or for financial reasons. A minor may receive a
recommendation from a trusted individual for a doctor or a clinic that
happens to be in a neighboring state. Or varying medical costs may mean
that a clinic in a neighboring state provides a more economical option for
a minor. If minors are prevented from going out of state for abortions in
such situations, they may obtain unsafe, illegal abortions, attempt to
self-abort or carry an unwanted pregnancy to term.
Legislating Family Dynamics
Regardless of state mandates requiring disclosure, young women's
parents often are aware of the minor's decision to have an
abortion.30 In addition, whether or not they are required to do
so by law, health care providers routinely suggest that a young woman
involve her parents if possible. Attempts to legislate family dynamics
without considering the differing relationships that exist within families
is dangerous and unrealistic.
When young women avoid parental involvement in their abortion decision,
the choice is usually well justified.31 In families where
abusive relationships or other problems prevent good communication between
parents and their teenage daughters, state-mandated discussions can
exacerbate existing problems. For battered teenagers and incest survivors
in particular, forced parental involvement laws increase the risks in an
already dangerous situation. Even in the best of circumstances, candid
communication about sexuality and reproductive issues may not take place
in families. Generally, mandatory notification and consent requirements
are not an effective means of encouraging more open discussion and can
actually damage relations among family members.
CCPA is not designed to enhance communication between minors and their
parents. Rather, CCPA seeks to deter young women from obtaining a safe and
legal abortion, thus forcing them to act alone, seek risky alternatives
within their state of residence or to carry unwanted pregnancies to term.
Discouraging Non-Parents from Helping Young Women
CCPA also fails to recognize the importance of other family members and
trusted adults in a young woman's life. The law ignores the fact that many
young women involve adults, other than their parents, whom they trust and
to whom they are close in their decisions to seek an abortion. These
adults can include: grandparents, siblings, or other extended family
members; clergy, teachers, social workers, or other counselors; and
supportive friends. CCPA would preclude a minor from receiving assistance
from these supportive adults in traveling across state lines for an
abortion or risk exposing them to criminal liabilities, including jail
time and fines. CCPA could lead to the arrest of clergy and grandmothers
who are looking out for the best interests of the young women they care
about.
IV. Conclusion
The deceptively titled "Child Custody Protection Act" would create
chaos and punish young women by restricting their access to abortion
services. The bill would violate the federal constitution, in particular
by contravening principles of federalism and infringing the rights to
reproductive choice, interstate travel, and freedom of association. CCPA
does not "protect" minors. CCPA does not foster family communication.
CCPA's sole purpose is to punish caring relatives and friends and abortion
providers who seek to provide guidance and support to minors seeking
abortions. Consequently, CCPA will force many young women to travel alone,
seek risky alternatives, or carry unwanted pregnancies to term.
V. Appendix
A. Language of H. R. 476 (2001) as Introduced in the House of
Representatives
A BILL
To amend title 18, United States Code, to prohibit taking minors across
State lines in circumvention of laws requiring the involvement of parents
in abortion decisions.
Be it enacted by the Senate and House of Representatives of
the United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the `Child Custody Protection Act.'
SEC. 2. TRANSPORTATION OF MINORS IN CIRCUMVENTION OF CERTAIN LAWS
RELATING TO ABORTION.
(a) IN GENERAL - Title 18, United States Code, is amended by inserting
after chapter 117 the following:
`CHAPTER 117A -TRANSPORTATION OF MINORS IN CIRCUMVENTION OF CERTAIN
LAWS RELATING TO ABORTION
`Sec. 2431. Transportation of minors in circumvention of certain laws
relating to abortion.
`Sec. 2431. Transportation of minors in circumvention of certain
laws relating to abortion.
`(a) OFFENSE-
`(1) GENERALLY- Except as provided in subsection (b),
whoever knowingly transports an individual who has not attained the age
of 18 years across a State line, with the intent that such individual
obtain an abortion, and thereby in fact abridges the right of a parent
under a law requiring parental involvement in a minor's abortion
decision, in force in the State where the individual resides, shall be
fined under this title or imprisoned not more than one year, or both.
`(2) DEFINITION- For the purposes of this subsection, an abridgement
of the right of a parent occurs if an abortion is performed on the
individual, in a State other than the State where the individual
resides, without the parental consent or notification, or the judicial
authorization, that would have been required by that law had the
abortion been performed in the State where the individual
resides.
`(b) EXCEPTIONS- (1) The prohibition of subsection (a) does not apply
if the abortion was necessary to save the life of the minor because her
life was endangered by a physical disorder, physical injury, or physical
illness, including a life endangering physical condition caused by or
arising from the pregnancy itself.
`(2) An individual transported in violation of this section, and any
parent of that individual, may not be prosecuted or sued for a violation
of this section, a conspiracy to violate this section, or an offense under
section 2 or 3 based on a violation of this section.
`(c) AFFIRMATIVE DEFENSE- It is an affirmative defense to a prosecution
for an offense, or to a civil action, based on a violation of this section
that the defendant reasonably believed, based on information the defendant
obtained directly from a parent of the individual or other compelling
facts, that before the individual obtained the abortion, the parental
consent or notification, or judicial authorization took place that would
have been required by the law requiring parental involvement in a minor's
abortion decision, had the abortion been performed in the State where the
individual resides.
`(d) CIVIL ACTION- Any parent who suffers legal harm from a violation
of subsection (a) may obtain appropriate relief in a civil action.
`(e) DEFINITIONS- For the purposes of this section-
`(1) a law requiring parental involvement in a minor's
abortion decision is a law-
`(A) requiring, before an abortion is performed on a minor, either-
`(i) the notification to, or consent of, a parent of that minor; or
`(ii) proceedings in a State court; and
`(B) that does not provide as an alternative to the requirements
described in subparagraph (A) notification to or consent of any person
or entity who is not described in that subparagraph;
`(2) the term 'parent' means-
`(A) a parent or guardian;
`(B) a legal custodian; or
`(C) a person standing in loco parentis who has care and control of
the minor, and with whom the minor regularly resides,
who is designated by the law requiring parental involvement in the
minor's abortion decision as a person to whom notification, or from whom
consent, is required;
`(3) the term 'minor' means an individual who is not older than the
maximum age requiring parental notification or consent, or proceedings
in a State court, under the law requiring parental involvement in a
minor's abortion decision; and
`(4) the term 'State' includes the District of Columbia and any
commonwealth, possession, or other territory of the United States.'.
(f) CLERICAL AMENDMENT- The table of chapters for part
I of title 18, United States Code, is amended by inserting after the item
relating to chapter 117 the following new item: `117A. Transportation of
minors in circumvention of certain laws relating to abortion - 2431`.
B. America Speaks Out Against CCPA
Newspapers from across the country recognize CCPA as an attempt to
block young women from exercising their constitutionally protected right
to obtain an abortion. These editorials also recognize that this
legislation attempts to ban abortions at the cost of American
constitutional tradition and principles.
The New York Times, June 30, 1999
A Cruel Scheme to Curb
Abortion
"Don't be misled by the label. The benignly titled "Child
Custody Protection Act" . . . is in fact a cold-hearted piece of
legislation that would jeopardize the health of desperate young women
seeking abortions and potentially imprison adults who help them. The bill
also flouts the Constitution . . . . Apart from undermining the
constitutional right to an abortion, the legislation violates the right of
citizens to travel freely and to be treated as "a welcome visitor rather
than an unfriendly alien" when entering another state -- a right recently
upheld by the Supreme Court in a California welfare case . . . . In
addition, the bill could result in legal chaos as Federal prosecutors try
to figure out the interaction between this new Federal statute and a host
of different parental notification laws in the states. Lawmakers on both
sides of the aisle and the abortion debate should join to defeat this
misguided proposal. . . ."
St. Louis Post Dispatch, July 5, 1999
Locking Up Grandma
"If the House of Representatives really was trying to protect
young women seeking abortions, it would not have passed the Child Custody
Protection Act [during the 106th Congress].
The bill would make it
harder for young women with abusive parents to obtain a safe and legal
abortion . . . . If, on the other hand, the purpose of the House was to
make abortions even more difficult to obtain, then the bill makes perfect
sense . . . . Most members of Congress are voting for these bills with one
goal in mind - stopping abortion . . . ."
The Courier Journal, July 2, 1999
Punishing
Helpers
"THE ASSAULT on abortion rights continued . . . as the U.
S. House voted [in the 106th Congress] to make it a crime for a non-parent
to accompany a minor to receive an abortion in a state that does not
require parental consent.
This latest action by House Republicans has been touted as a protective
Measure . . . . How unfortunate that the writers of the bill have chosen
to hide behind a pro-family stance to cover their real intent, which is to
make abortion for many young, vulnerable women nearly impossible. . . .
[T]he horror stories of women unable to receive safe, legal abortions are
not so far behind us that we should force today's young women back into
those same life-threatening predicaments."
The Washington Post, July 28, 1998
The Abortion
Legislation
". . . The Child Custody Protection Act does not seem,
on its face, to be a particularly extreme piece of antiabortion
legislation . . . . The bill, however, is considerably dicier than it
initially appears. Abortion foes know that they could not pass a national
law requiring parental notification or consent. And this backdoor effort
to approximate that goal has serious problems that should trouble even
those who don't oppose state laws requiring parental involvement in
minors' abortions.
The central problem with the proposal is that it causes restrictive
state laws to follow residents in their travels outside of their home
state and then has the federal government prosecuting people for activity
that is lawful in the locations in which it takes place. The right to
travel between states is constitutionally protected, abortion rights
similarly are guaranteed and it is legal in many states to accompany a
minor to an abortion clinic without telling her parents. It is, therefore,
hard to fathom how it could be a crime to cross state lines in helping a
minor obtain an abortion."
Pittsburgh Post Gazette, August 1, 1998
Run For The
Border; State Lines Mean Nothing In Congress' Anti-Abortion
Zeal
"One of the keystones of the American federal system is that,
so long as they comply with the U.S. Constitution and its Bill of Rights,
states can enact criminal laws of their own choosing . . . .
That is,
of course, unless Congress decides to turn the federal system on its head
and ban people from helping a minor cross state lines to get an abortion .
. . ."
The News & Observer, July 28, 1998
Congress Crosses
the Line
". . . [C]ongress does not- and should not - have the
power to follow residents across state lines to enforce laws that don't
apply in neighboring jurisdictions. After parental consent, what would be
next?
The ability of individual states to determine their own laws, within
certain limits, is fundamental to our way of government. The
inappropriately named Child Custody Protection Act would establish a
dangerous precedent that could damage that tradition and would be ripe for
abuse."
Star Tribune, July 13, 1998
Antiabortion Bill: Don't Make
Adult Helpers Criminals
". . . Concocted by the formidable
antichoice movement, this "Protection Act" is one more in a long, tiresome
series of legislative efforts to chip away at a woman's right to choose.
They cannot dismantle Roe vs. Wade directly, so they go to the states, or
target doctors or clinics. They harass women outside medical facilities;
they try to block FDA approval of the abortion pill RU-486, which is
widely used in Europe. Now they want to intimidate friends and family
members out of helping young women consider all of their options when
faced with an unwanted pregnancy . . . . "
St. Petersburg Times, June 9, 1998
Abortion
Politics
"Republicans in Congress have recently been under
tremendous pressure from conservative religious activists to move on their
legislative priorities. That explains why a particularly dangerous
anti-abortion measure, the Child Custody Protection Act of 1998 (S.
1645/H.R. 3682), is on a fast track through Congress . . . .
This legislation is not about promoting families or parental rights.
It's about stopping young women from exercising their right to abortion."
C. The Medical Community Speaks Out Against CCPA
The American medical community opposes forced parental involvement laws
on the grounds they pose dangers to the health and well-being of young
women. CCPA would exacerbate the problems posed by such laws by delaying
access to abortion services and requiring young women to travel alone to
obtain an abortion. CCPA could lead to a new generation of back alley
abortions for those young women who are determined to end their
pregnancies.
American Medical Association (AMA)
"With respect to parental
involvement when minors seek an abortion, the AMA believes that the
following guidelines constitute good medical practice: (1) Physicians
should ascertain the law in their state on parental involvement . . . .
(2) Physicians should strongly encourage minors to discuss their pregnancy
with their parents . . . . (3) Physicians should not feel or be compelled
to require minors to obtain consent of their parents before deciding
whether to undergo an abortion. The patient - even an adolescent -
generally must decide whether, on balance, parental involvement is
advisable. Accordingly, minors should ultimately be allowed to decide
whether parental involvement is appropriate. (4) Physicians should try to
ensure that minor patients have made an informed decision . . . . Minors
should be urged to seek the advice and counsel of those adults in whom
they have confidence, including professional counselors, relatives,
friends, teachers, or the clergy." (Council on Ethical and Judicial
Affairs; Report H; House of Delegates Meeting; June 1992)
The American Academy of Pediatrics (AAP)
"The AAP reaffirms
its position that the rights of adolescents to confidential care when
considering abortion should be protected. Genuine concern for the best
interests of minors argues strongly against mandatory parental consent and
notification laws. Although the stated intent of mandatory parental
consent laws is to enhance family communication and parental
responsibility, there is no supporting evidence that the laws have these
effects . . . . There is evidence that such legislation may have an
adverse impact on some families and that it increases the risk of medical
and psychological harm to the adolescent. Judicial bypass provisions do
not ameliorate the risk."
(The Adolescent's Right to Confidential
Care When Considering Abortion (RE9614); American Academy of Pediatrics,
Policy Statement; Vol. 97, Number 5; May 1996, pp 746-751)
American Medical Women's Association (AMWA)
"We feel that
abortion is a decision that should be reached between patients and
physicians, and we believe that forced parental involvement will have a
negative impact on the doctor-patient relationship."
(Letter from
AMWA president Clarita E. Herrera to Congresswoman Ros-Lehtinen expressing
opposition to H.R. 1218; April 22, 1999)
American Public Health Association (APHA)
"Confidential
family planning and primary care services are necessary for adolescents
and teenagers to receive immediate quality medical treatment. Fear of
parental knowledge or abuse often deters adolescents from seeking family
planning services and medical care."
(Fact Sheet: Parental Consent
for FamilyPlanning; http://www.apha.org/legislative/factsheets/fs10.htm)
Endnotes
1 Child Custody Protection Act, H.R. 476, 107th Cong.
(2001). CCPA passed the House of Representatives in both the 105th and
106th Congress, but failed in the Senate. The measure has been
reintroduced in the House of Representatives during the 107th
Congress.
2 Any individual, minor or adult, except the young woman
seeking an abortion, could be liable under the Act.
3 410 U.S. 113
(1973).
4 Id.
5 505 U.S. 833 (1992).
6 Hodgson v.
Minnesota, 497 U.S. 417 (1990); Bellotti v. Baird, 443 U.S. 622,
644-45 (1979).
7 See Planned Parenthood of Southeastern PA v.
Casey, 505 U.S. 833 (1992); Ohio v. Akron Center for Reproductive
Health, 497 U.S. 502 (1990); Bellotti v. Baird, 443 U.S. 622 (1979);
Planned Parenthood of Central Missouri v. Danforth, 428 U.S. 52
(1976).
8 In 2001, Oklahoma enacted OK HB 1727 (2001), a new section of
law to be codified in Okla. Stat. tit. 63, § 1, art. 7 of the Oklahoma
Statutes, which states that "[a]ny person who performs an abortion on a
minor without parental consent or knowledge shall be liable for the cost
of any subsequent medical treatment such minor might require because of
the abortion." The law imposes a requirement that an abortion provider
obtain "parental consent or knowledge" before performing an abortion on
any minor, without exceptions for emancipated minors, consent from legal
guardians, or a mechanism by which a minor can obtain a court waiver of
the requirement.
9 These ten states have enacted forced parental
involvement laws, but the enforcement of those laws has been permanently
or preliminarily blocked by a federal or state court order or Attorney
General opinion, based on challenges to the law under the federal or a
state constitution.
10 18 PA. CONS. ANN. § 3206 (West 2000).
11
MINN. STAT. § 144.343 (2000).
12 410 U.S. 113, 164-165 (1973).
13
505 U.S. 833, 879 (1992).
14 530 U.S. 914, 938 (2000).
15 410 U.S.
179, 200 (1973).
16 Saenz v. Roe, 526 U.S. 489, 500
(1999).
17 Doe v. Bolton, 410 U.S. 179, 200 (1973).
18
Id.
19 Saenz v. Roe, 526 U.S. 489, 500 (1999).
20
See Colorado Republican Campaign Committee v. FEC, 518 U.S.
604, 637 (1996).
21 This prohibition on Congress acts in the same
manner in which the Fourteenth Amendment prohibits the State from
violating equal protection of the law. See Bolling v.
Sharpe, 347 U.S. 497 (1954).
22 Romer v. Evans, 517 U.S.
620, 631 (1996).
23 MINN. STAT. § 144.343 (2000); IOWA CODE § 135L.1,
et seq. (2000); See Greater New Orleans Broadcasting Ass'n Inc.
v. United States, 527 U.S. 173, 190 (1999) (striking federal statute
regulating advertising about gambling because it was "so pierced by
exemptions and inconsistencies that the Government cannot hope to
exonerate it"); Hodgson v. Minnesota, 497 U.S. 417, 455
(1990).
24 See generally, Planned Parenthood of Southeastern
PA v. Casey, 505 U.S. 833 (1992); Ohio v. Akron Center for
Reproductive Health, 497 U.S. 502 (1990); Bellotti v. Baird,
443 U.S. 622 (1979); Planned Parenthood of Central Missouri v.
Danforth, 428 U.S. 52 (1976).
25 Saenz v. Roe, 526 U.S. 489
(1999).
26 New York has no forced parental involvement law.
Pennsylvania requires a minor under the age of 18 who is seeking an
abortion to obtain written consent from one parent, legal guardian or
person standing in loco parentis. A minor may obtain an abortion
without parental consent only if she obtains a court order exempting her
from the requirement. 18 PA. CONS. ANN. § 3206 (West 2000).
27 Minors
travel to other states for a variety of reasons, including: referrals to a
doctor or clinic in another state, family or loved ones in another state,
economic barriers in one state, proximity to a clinic in another state.
See infra. Section IV.
28 As a proposed addition to the federal
Criminal Code, CCPA would be read with other provisions of the Code,
including conspiracy, accomplice liability and accessory liability.
Attempts to amend CCPA to limit the scope of liability to the principal
who commits the offense were repeatedly rejected by the bill's sponsors
during the 105th and 106th Congresses.
29 Stanley K. Henshaw,
Induced Abortion in the United States, 30 Fam. Plan. Persp. 263
(Nov./Dec. 1998).
30 See, e.g., Stanley K. Henshaw &
Kathryn Kost, Parental Involvement in Minors' Decisions, 24 Fam.
Plan. Persp. 196, 206 (Sept./Oct. 1992).
31 See, e.g., Council
on Ethical and Judicial Affairs, American Medical Association,
Mandatory Parental Consent to Abortion, 269 JAMA 82, 84 (1993);
Stanley K. Henshaw & Kathryn Kost, Parental Involvement in Minors'
Decisions, 24 Fam. Plan. Persp. 196, 20 (Sept./Oct. 1992).