     Case: 19-60455   Document: 00515317350    Page: 1   Date Filed: 02/20/2020




        IN THE UNITED STATES COURT OF APPEALS
                 FOR THE FIFTH CIRCUIT     United States Court of Appeals
                                                    Fifth Circuit

                                                                        FILED
                                                                   February 20, 2020
                                No. 19-60455
                                                                     Lyle W. Cayce
                                                                          Clerk
JACKSON WOMEN’S HEALTH ORGANIZATION, on behalf of itself and its
patients; SACHEEN CARR-ELLIS, M.D., M.P.H., on behalf of herself and her
patients,

                                          Plaintiffs-Appellees

v.

THOMAS E. DOBBS, M.D., M.P.H., in his official capacity as State Health
Officer of the Mississippi Department of Health; KENNETH CLEVELAND,
M.D., in his official capacity as Executive Director of the Mississippi State
Board of Medical Licensure,

                                          Defendants-Appellants


                Appeal from the United States District Court
                  for the Southern District of Mississippi


Before KING, COSTA, and HO, Circuit Judges.
PER CURIAM:
      In 2018, Mississippi enacted a law prohibiting abortions, with limited
exceptions, after 15 weeks’ gestational age. A district court enjoined the law,
and we recently upheld that injunction. Jackson Women’s Health Org. v.
Dobbs, 945 F.3d 265, 274, 277 (5th Cir. 2019) (Dobbs I). The 15-week law, we
concluded, is not a mere regulation of previability abortions subject to the
“undue burden” test of Planned Parenthood of Southeastern Pennsylvania v.
Casey, 505 U.S. 833 (1992). Dobbs I, 945 F.3d at 273–74. Instead, the law is a
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                                 No. 19-60455

ban on abortion after 15 weeks, “which Casey does not tolerate.” Id. at 274.
Such a ban is unconstitutional under Supreme Court precedent without resort
to the undue burden balancing test.        Id.; see also Casey, 505 U.S. at 879
(holding that “a State may not prohibit any woman from making the ultimate
decision to terminate her pregnancy before viability”).
      In 2019, Mississippi enacted another abortion law—the one this case is
about.   Senate Bill 2116 makes it a crime to perform an abortion, with
exceptions only to prevent the death of, or serious risk of “substantial and
irreversible” bodily injury to, the patient, after a “fetal heartbeat has been
detected.”   ‘‘‘Fetal heartbeat’ means cardiac activity or the steady and
repetitive rhythmic contraction of the fetal heart within the gestational sac.”
The parties disagree about when that activity occurs during a pregnancy. The
clinic contends it occurs at six weeks. Mississippi argues it can occur anywhere
between six and twelve weeks. But all agree that cardiac activity can be
detected well before the fetus is viable. That dooms the law. If a ban on
abortion after 15 weeks is unconstitutional, then it follows that a ban on
abortion at an earlier stage of pregnancy is also unconstitutional.
      Indeed, after we held that the 15-week ban is unconstitutional,
Mississippi conceded that the fetal heartbeat law must also be. As our earlier
decision explained, a ban on abortion is different from a law prohibiting certain
methods of abortion. See Dobbs I, 945 F.3d at 273–74 (distinguishing Gonzales
v. Carhart, 550 U.S. 124 (2007)). And although Mississippi analogizes its law
to ones that prohibit abortions sought for certain reasons, see, e.g., Preterm-
Cleveland v. Himes, 944 F.3d 630 (6th Cir. 2019) (granting rehearing en banc
to address constitutionality of an Ohio law that criminalizes abortion if the
provider knows the woman is seeking an abortion because there are indications
the child might have Down Syndrome), Senate Bill 2116 bans abortions at a



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                                 No. 19-60455

previability stage of pregnancy regardless of the reason the abortion is sought.
This case thus does not require us to assess the constitutionality of abortion
laws that prohibit abortions performed using certain procedures or sought for
a particular reason.
      The preliminary injunction the district court granted is AFFIRMED.




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