South Carolina looks at most restrictive abortion bill in the U.S. as opponents keep pushing limits

Sending women who get abortions to prison for decades. Outlawing IUDs. Sharply restricting in-vitro fertilization.

These are the strictest abortion prohibitions and punishments in the nation being considered by South Carolina lawmakers, even as opponents of the procedure are divided over how far to go.

The bill faces a long legislative path and uncertain prospects, even if it clears the state Senate subcommittee that’s reviewing it.

But the measure up for a second hearing Tuesday would go further than any considered since the U.S. Supreme Court overturned Roe v. Wade in 2022, as abortion remains an unsettled issue in conservative states.

What’s in the bill

The proposal would ban all abortions unless the woman’s life is at risk and eliminates exceptions for rape and incest victims up to 12 weeks. Current law blocks abortions after cardiac activity is detected, which is typically six weeks into a pregnancy, before many women know they are pregnant.

The proposal would also go further than any other U.S. state. Women who get an abortion and anyone who helps them could face up to 30 years in prison. It appears to ban any contraception that prevents a fertilized egg from implanting. That would ban IUDs and could strictly limit in-vitro fertilization.

Providing information about abortions would be illegal, leaving doctors worried they couldn’t suggest legal abortion elsewhere.

OB-GYN Natalie Gregory said passing a bill like this would make so many discussions in her practice — from contraceptives to losing a pregnancy to in-vitro fertilization options — a “legal minefield” that could have her risking decades in prison.

“It constitutes a unconstitutional reach that threatens the very fabric of health care in our state,” she said during an eight-hour public hearing on the bill last month, adding that the proposal is both a waste of time and public money.




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