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- SUPREME COURT OF THE UNITED STATES
- --------
- Nos. 91-744 and 91-902
- --------
- PLANNED PARENTHOOD OF SOUTHEASTERN
- PENNSYLVANIA, et al., PETITIONERS
- 91-744 v.
- ROBERT P. CASEY, et al., etc.
-
- ROBERT P. CASEY, et al., etc.,
- PETITIONERS
- 91-902 v.
- PLANNED PARENTHOOD OF SOUTHEASTERN
- PENNSYLVANIA et al.
- on writs of certiorari to the united states court of
- appeals for the third circuit
- [June 29, 1992]
-
- Chief Justice Rehnquist, with whom Justice White,
- Justice Scalia, and Justice Thomas join, concurring in
- the judgment in part and dissenting in part.
- The joint opinion, following its newly-minted variation on
- stare decisis, retains the outer shell of Roe v. Wade, 410
- U. S. 113 (1973), but beats a wholesale retreat from the
- substance of that case. We believe that Roe was wrongly
- decided, and that it can and should be overruled consist-
- ently with our traditional approach to stare decisis in
- constitutional cases. We would adopt the approach of the
- plurality in Webster v. Reproductive Health Services, 492
- U. S. 490 (1989), and uphold the challenged provisions of
- the Pennsylvania statute in their entirety.
- I
- In ruling on this case below, the Court of Appeals for the
- Third Circuit first observed that -this appeal does not
- directly implicate Roe; this case involves the regulation of
- abortions rather than their outright prohibition.- 947 F. 2d
- 682, 687 (1991). Accordingly, the court directed its atten-
- tion to the question of the standard of review for abortion
- regulations. In attempting to settle on the correct standard,
- however, the court confronted the confused state of this
- Court's abortion jurisprudence. After considering the
- several opinions in Webster v. Reproductive Health Services,
- supra, and Hodgson v. Minnesota, 497 U. S. 417 (1990), the
- Court of Appeals concluded that Justice O'Connor's
- -undue burden- test was controlling, as that was the
- narrowest ground on which we had upheld recent abortion
- regulations. 947 F. 2d, at 693-697 (-`When a fragmented
- court decides a case and no single rationale explaining the
- result enjoys the assent of five Justices, the holding of the
- Court may be viewed as that position taken by those
- Members who concurred in the judgments on the narrowest
- grounds'- (quoting Marks v. United States, 430 U. S. 188,
- 193 (1977) (internal quotation marks omitted)). Applying
- this standard, the Court of Appeals upheld all of the
- challenged regulations except the one requiring a woman to
- notify her spouse of an intended abortion.
- In arguing that this Court should invalidate each of the
- provisions at issue, petitioners insist that we reaffirm our
- decision in Roe v. Wade, supra, in which we held unconsti-
- tutional a Texas statute making it a crime to procure an
- abortion except to save the life of the mother. We agree
- with the Court of Appeals that our decision in Roe is not
- directly implicated by the Pennsylvania statute, which does
- not prohibit, but simply regulates, abortion. But, as the
- Court of Appeals found, the state of our post-Roe decisional
- law dealing with the regulation of abortion is confusing and
- uncertain, indicating that a reexamination of that line of
- cases is in order. Unfortunately for those who must apply
- this Court's decisions, the reexamination undertaken today
- leaves the Court no less divided than beforehand. Although
- they reject the trimester framework that formed the
- underpinning of Roe, Justices O'Connor, Kennedy, and
- Souter adopt a revised undue burden standard to analyze
- the challenged regulations. We conclude, however, that
- such an outcome is an unjustified constitutional compro-
- mise, one which leaves the Court in a position to closely
- scrutinize all types of abortion regulations despite the fact
- that it lacks the power to do so under the Constitution.
- In Roe, the Court opined that the State -does have an
- important and legitimate interest in preserving and
- protecting the health of the pregnant woman, . . . and that
- it has still another important and legitimate interest in
- protecting the potentiality of human life.- 410 U. S., at 162
- (emphasis omitted). In the companion case of Doe v.
- Bolton, 410 U. S. 179 (1973), the Court referred to its
- conclusion in Roe -that a pregnant woman does not have an
- absolute constitutional right to an abortion on her demand.-
- 410 U. S., at 189. But while the language and holdings of
- these cases appeared to leave States free to regulate
- abortion procedures in a variety of ways, later decisions
- based on them have found considerably less latitude for
- such regulations than might have been expected.
- For example, after Roe, many States have sought to
- protect their young citizens by requiring that a minor
- seeking an abortion involve her parents in the decision.
- Some States have simply required notification of the
- parents, while others have required a minor to obtain the
- consent of her parents. In a number of decisions, however,
- the Court has substantially limited the States in their
- ability to impose such requirements. With regard to
- parental notice requirements, we initially held that a State
- could require a minor to notify her parents before proceed-
- ing with an abortion. H. L. v. Matheson, 450 U. S. 398,
- 407-410 (1981). Recently, however, we indicated that a
- State's ability to impose a notice requirement actually
- depends on whether it requires notice of one or both
- parents. We concluded that although the Constitution
- might allow a State to demand that notice be given to one
- parent prior to an abortion, it may not require that similar
- notice be given to two parents, unless the State incorporates
- a judicial bypass procedure in that two-parent requirement.
- Hodgson v. Minnesota, supra.
- We have treated parental consent provisions even more
- harshly. Three years after Roe, we invalidated a Missouri
- regulation requiring that an unmarried woman under the
- age of 18 obtain the consent of one her parents before
- proceeding with an abortion. We held that our abortion
- jurisprudence prohibited the State from imposing such a
- -blanket provision . . . requiring the consent of a parent.-
- Planned Parenthood of Central Mo. v. Danforth, 428 U. S.
- 52, 74 (1976). In Bellotti v. Baird, 443 U. S. 622 (1979), the
- Court struck down a similar Massachusetts parental con-
- sent statute. A majority of the Court indicated, however,
- that a State could constitutionally require parental consent,
- if it alternatively allowed a pregnant minor to obtain an
- abortion without parental consent by showing either that
- she was mature enough to make her own decision, or that
- the abortion would be in her best interests. See id., at
- 643-644 (plurality opinion); id., at 656-657 (White, J.,
- dissenting). In light of Bellotti, we have upheld one
- parental consent regulation which incorporated a judicial
- bypass option we viewed as sufficient, see Planned Parent-
- hood Assn. of Kansas City, Mo., Inc. v. Ashcroft, 462 U. S.
- 476 (1983), but have invalidated another because of our
- belief that the judicial procedure did not satisfy the dictates
- of Bellotti. See Akron v. Akron Center for Reproductive
- Health, Inc., 462 U. S. 416, 439-442 (1983). We have never
- had occasion, as we have in the parental notice context, to
- further parse our parental consent jurisprudence into one-
- parent and two-parent components.
- In Roe, the Court observed that certain States recognized
- the right of the father to participate in the abortion decision
- in certain circumstances. Because neither Roe nor Doe
- involved the assertion of any paternal right, the Court
- expressly stated that the case did not disturb the validity
- of regulations that protected such a right. Roe v. Wade, 410
- U. S., at 165, n. 67. But three years later, in Danforth, the
- Court extended its abortion jurisprudence and held that a
- State could not require that a woman obtain the consent of
- her spouse before proceeding with an abortion. Planned
- Parenthood of Central Mo. v. Danforth, 428 U. S., at 69-71.
- States have also regularly tried to ensure that a woman's
- decision to have an abortion is an informed and well-
- considered one. In Danforth, we upheld a requirement that
- a woman sign a consent form prior to her abortion, and
- observed that -it is desirable and imperative that [the
- decision] be made with full knowledge of its nature and
- consequences.- Id., at 67. Since that case, however, we
- have twice invalidated state statutes designed to impart
- such knowledge to a woman seeking an abortion. In Akron,
- we held unconstitutional a regulation requiring a physician
- to inform a woman seeking an abortion of the status of her
- pregnancy, the development of her fetus, the date of
- possible viability, the complications that could result from
- an abortion, and the availability of agencies providing
- assistance and information with respect to adoption and
- childbirth. Akron v. Akron Center for Reproductive Health,
- supra, at 442-445. More recently, in Thornburgh v.
- American College of Obstetricians and Gynecologists, 476
- U. S. 747 (1986), we struck down a more limited Pennsylva-
- nia regulation requiring that a woman be informed of the
- risks associated with the abortion procedure and the
- assistance available to her if she decided to proceed with
- her pregnancy, because we saw the compelled information
- as -the antithesis of informed consent.- Id., at 764. Even
- when a State has sought only to provide information that,
- in our view, was consistent with the Roe framework, we
- concluded that the State could not require that a physician
- furnish the information, but instead had to alternatively
- allow nonphysician counselors to provide it. Akron v. Akron
- Center for Reproductive Health, 462 U. S., at 448-449. In
- Akron as well, we went further and held that a State may
- not require a physician to wait 24 hours to perform an
- abortion after receiving the consent of a woman. Although
- the State sought to ensure that the woman's decision was
- carefully considered, the Court concluded that the Constitu-
- tion forbade the State from imposing any sort of delay. Id.,
- at 449-451.
- We have not allowed States much leeway to regulate even
- the actual abortion procedure. Although a State can
- require that second-trimester abortions be performed in
- outpatient clinics, see Simopoulos v. Virginia, 462 U. S. 506
- (1983), we concluded in Akron and Ashcroft that a State
- could not require that such abortions be performed only in
- hospitals. See Akron v. Akron Center for Reproductive
- Health, supra, at 437-439; Planned Parenthood Assn. of
- Kansas City, Mo., Inc. v. Ashcroft, supra, at 481-482.
- Despite the fact that Roe expressly allowed regulation after
- the first trimester in furtherance of maternal health,
- -`present medical knowledge,'- in our view, could not justify
- such a hospitalization requirement under the trimester
- framework. Akron v. Akron Center for Reproductive Health,
- supra, at 437 (quoting Roe v. Wade, supra, at 163). And in
- Danforth, the Court held that Missouri could not outlaw the
- saline amniocentesis method of abortion, concluding that
- the Missouri Legislature had -failed to appreciate and to
- consider several significant facts- in making its decision.
- 428 U. S., at 77.
- Although Roe allowed state regulation after the point of
- viability to protect the potential life of the fetus, the Court
- subsequently rejected attempts to regulate in this manner.
- In Colautti v. Franklin, 439 U. S. 379 (1979), the Court
- struck down a statute that governed the determination of
- viability. Id., at 390-397. In the process, we made clear
- that the trimester framework incorporated only one
- definition of viability-ours-as we forbade States from
- deciding that a certain objective indicator-``be it weeks of
- gestation or fetal weight or any other single factor--should
- govern the definition of viability. Id., at 389. In that same
- case, we also invalidated a regulation requiring a physician
- to use the abortion technique offering the best chance for
- fetal survival when performing postviability abortions. See
- id., at 397-401; see also Thornburgh v. American College of
- Obstetricians and Gynecologists, supra, at 768-769 (invali-
- dating a similar regulation). In Thornburgh, the Court
- struck down Pennsylvania's requirement that a second
- physician be present at postviability abortions to help
- preserve the health of the unborn child, on the ground that
- it did not incorporate a sufficient medical emergency
- exception. Id., at 769-771. Regulations governing the
- treatment of aborted fetuses have met a similar fate. In
- Akron, we invalidated a provision requiring physicians
- performing abortions to -insure that the remains of the
- unborn child are disposed of in a humane and sanitary
- manner.- 462 U. S., at 451 (internal quotation marks
- omitted).
- Dissents in these cases expressed the view that the Court
- was expanding upon Roe in imposing ever greater restric-
- tions on the States. See Thornburgh v. American College of
- Obstetricians and Gynecologists, 476 U. S., at 783 (Burger,
- C. J., dissenting) (-The extent to which the Court has
- departed from the limitations expressed in Roe is readily
- apparent-); id., at 814 (White, J., dissenting) (-[T]he
- majority indiscriminately strikes down statutory provisions
- that in no way contravene the right recognized in Roe-).
- And, when confronted with State regulations of this type in
- past years, the Court has become increasingly more divided:
- the three most recent abortion cases have not commanded
- a Court opinion. See Ohio v. Akron Center for Reproductive
- Health, 497 U. S. 502 (1990); Hodgson v. Minnesota, 497
- U. S. 417 (1990); Webster v. Reproductive Health Services,
- 492 U. S. 490 (1989).
- The task of the Court of Appeals in the present case was
- obviously complicated by this confusion and uncertainty.
- Following Marks v. United States, 430 U. S. 188 (1977), it
- concluded that in light of Webster and Hodgson, the strict
- scrutiny standard enunciated in Roe was no longer applica-
- ble, and that the -undue burden- standard adopted by
- Justice O'Connor was the governing principle. This state
- of confusion and disagreement warrants reexamination of
- the -fundamental right- accorded to a woman's decision to
- abort a fetus in Roe, with its concomitant requirement that
- any state regulation of abortion survive -strict scrutiny.-
- See Payne v. Tennessee, 501 U. S. ---, ------- (1991) (slip
- op., at 17-20) (observing that reexamination of constitu-
- tional decisions is appropriate when those decisions have
- generated uncertainty and failed to provide clear guidance,
- because -correction through legislative action is practically
- impossible- (internal quotation marks omitted)); Garcia v.
- San Antonio Metropolitan Transit Authority, 469 U. S. 528,
- 546-547, 557 (1985).
- We have held that a liberty interest protected under the
- Due Process Clause of the Fourteenth Amendment will be
- deemed fundamental if it is -implicit in the concept of
- ordered liberty.- Palko v. Connecticut, 302 U. S. 319, 325
- (1937). Three years earlier, in Snyder v. Massachusetts,
- 291 U. S. 97 (1934), we referred to a -principle of justice so
- rooted in the traditions and conscience of our people as to
- be ranked as fundamental.- Id., at 105; see also Michael H.
- v. Gerald D., 491 U. S. 110, 122 (1989) (plurality opinion)
- (citing the language from Snyder). These expressions are
- admittedly not precise, but our decisions implementing this
- notion of -fundamental- rights do not afford any more
- elaborate basis on which to base such a classification.
- In construing the phrase -liberty- incorporated in the Due
- Process Clause of the Fourteenth Amendment, we have
- recognized that its meaning extends beyond freedom from
- physical restraint. In Pierce v. Society of Sisters, 268 U. S.
- 510 (1925), we held that it included a parent's right to send
- a child to private school; in Meyer v. Nebraska, 262 U. S.
- 390 (1923), we held that it included a right to teach a
- foreign language in a parochial school. Building on these
- cases, we have held that that the term -liberty- includes a
- right to marry, Loving v. Virginia, 388 U. S. 1 (1967); a
- right to procreate, Skinner v. Oklahoma ex rel. Williamson,
- 316 U. S. 535 (1942); and a right to use contraceptives.
- Griswold v. Connecticut, 381 U. S. 479 (1965); Eisenstadt v.
- Baird, 405 U. S. 438 (1972). But a reading of these
- opinions makes clear that they do not endorse any all-
- encompassing -right of privacy.-
- In Roe v. Wade, the Court recognized a -guarantee of
- personal privacy- which -is broad enough to encompass a
- woman's decision whether or not to terminate her preg-
- nancy.- 410 U. S., at 152-153. We are now of the view
- that, in terming this right fundamental, the Court in Roe
- read the earlier opinions upon which it based its decision
- much too broadly. Unlike marriage, procreation and contra-
- ception, abortion -involves the purposeful termination of
- potential life.- Harris v. McRae, 448 U. S. 297, 325 (1980).
- The abortion decision must therefore -be recognized as sui
- generis, different in kind from the others that the Court has
- protected under the rubric of personal or family privacy and
- autonomy.- Thornburgh v. American College of Obstetri-
- cians and Gynecologists, supra, at 792 (White, J., dissent-
- ing). One cannot ignore the fact that a woman is not
- isolated in her pregnancy, and that the decision to abort
- necessarily involves the destruction of a fetus. See Michael
- H. v. Gerald D., supra, at 124, n. 4 (To look -at the act
- which is assertedly the subject of a liberty interest in
- isolation from its effect upon other people [is] like inquiring
- whether there is a liberty interest in firing a gun where the
- case at hand happens to involve its discharge into another
- person's body-).
- Nor do the historical traditions of the American people
- support the view that the right to terminate one's preg-
- nancy is -fundamental.- The common law which we inher-
- ited from England made abortion after -quickening- an
- offense. At the time of the adoption of the Fourteenth
- Amendment, statutory prohibitions or restrictions on
- abortion were commonplace; in 1868, at least 28 of the
- then-37 States and 8 Territories had statutes banning or
- limiting abortion. J. Mohr, Abortion in America 200 (1978).
- By the turn of the century virtually every State had a law
- prohibiting or restricting abortion on its books. By the
- middle of the present century, a liberalization trend had set
- in. But 21 of the restrictive abortion laws in effect in
- 1868 were still in effect in 1973 when Roe was decided,
- and an overwhelming majority of the States prohibited
- abortion unless necessary to preserve the life or health
- of the mother. Roe v. Wade, 410 U. S., at 139-140; id.,
- at 176-177, n. 2 (Rehnquist, J., dissenting). On this
- record, it can scarcely be said that any deeply rooted
- tradition of relatively unrestricted abortion in our history
- supported the classification of the right to abortion as
- -fundamental- under the Due Process Clause of the Four-
- teenth Amendment.
- We think, therefore, both in view of this history and of
- our decided cases dealing with substantive liberty under the
- Due Process Clause, that the Court was mistaken in Roe
- when it classified a woman's decision to terminate her
- pregnancy as a -fundamental right- that could be abridged
- only in a manner which withstood -strict scrutiny.- In so
- concluding, we repeat the observation made in Bowers v.
- Hardwick, 478 U. S. 186 (1986):
- -Nor are we inclined to take a more expansive view
- of our authority to discover new fundamental rights
- imbedded in the Due Process Clause. The Court is
- most vulnerable and comes nearest to illegitimacy
- when it deals with judge-made constitutional law
- having little or no cognizable roots in the language or
- design of the Constitution.- Id., at 194.
- We believe that the sort of constitutionally imposed
- abortion code of the type illustrated by our decisions
- following Roe is inconsistent -with the notion of a Constitu-
- tion cast in general terms, as ours is, and usually speaking
- in general principles, as ours does.- Webster v. Reproduc-
- tive Health Services, 492 U. S., at 518 (plurality opinion).
- The Court in Roe reached too far when it analogized the
- right to abort a fetus to the rights involved in Pierce, Meyer,
- Loving, and Griswold, and thereby deemed the right to
- abortion fundamental.
- II
- The joint opinion of Justices O'Connor, Kennedy, and
- Souter cannot bring itself to say that Roe was correct as
- an original matter, but the authors are of the view that -the
- immediate question is not the soundness of Roe's resolution
- of the issue, but the precedential force that must be
- accorded to its holding.- Ante, at 29. Instead of claiming
- that Roe was correct as a matter of original constitutional
- interpretation, the opinion therefore contains an elaborate
- discussion of stare decisis. This discussion of the principle
- of stare decisis appears to be almost entirely dicta, because
- the joint opinion does not apply that principle in dealing
- with Roe. Roe decided that a woman had a fundamental
- right to an abortion. The joint opinion rejects that view.
- Roe decided that abortion regulations were to be subjected
- to -strict scrutiny- and could be justified only in the light of
- -compelling state interests.- The joint opinion rejects that
- view. Ante, at 29-30; see Roe v. Wade, supra, at 162-164.
- Roe analyzed abortion regulation under a rigid trimester
- framework, a framework which has guided this Court's
- decisionmaking for 19 years. The joint opinion rejects that
- framework. Ante, at 31.
- Stare decisis is defined in Black's Law Dictionary as
- meaning -to abide by, or adhere to, decided cases.- Black's
- Law Dictionary 1406 (6th ed. 1990). Whatever the -central
- holding- of Roe that is left after the joint opinion finishes
- dissecting it is surely not the result of that principle. While
- purporting to adhere to precedent, the joint opinion instead
- revises it. Roe continues to exist, but only in the way a
- storefront on a western movie set exists: a mere facade to
- give the illusion of reality. Decisions following Roe, such as
- Akron v. Akron Center for Reproductive Health, Inc., 462
- U. S. 416 (1983), and Thornburgh v. American College of
- Obstetricians and Gynecologists, 476 U. S. 747 (1986), are
- frankly overruled in part under the -undue burden-
- standard expounded in the joint opinion. Ante, at 39-42.
- In our view, authentic principles of stare decisis do not
- require that any portion of the reasoning in Roe be kept
- intact. -Stare decisis is not . . . a universal, inexorable
- command,- especially in cases involving the interpretation
- of the Federal Constitution. Burnet v. Coronado Oil & Gas
- Co., 285 U. S. 393, 405 (1932) (Brandeis, J., dissenting).
- Erroneous decisions in such constitutional cases are
- uniquely durable, because correction through legislative
- action, save for constitutional amendment, is impossible. It
- is therefore our duty to reconsider constitutional interpreta-
- tions that -depar[t] from a proper understanding- of the
- Constitution. Garcia v. San Antonio Metropolitan Transit
- Authority, 469 U. S., at 557; see United States v. Scott, 437
- U. S. 82, 101 (1978) (-`[I]n cases involving the Federal
- Constitution, . . . [t]he Court bows to the lessons of experi-
- ence and the force of better reasoning, recognizing that the
- process of trial and error, so fruitful in the physical sci-
- ences, is appropriate also in the judicial function.'- (quoting
- Burnet v. Coronado Oil & Gas Co., supra, at 406-408
- (Brandeis, J., dissenting))); Smith v. Allwright, 321 U. S.
- 649, 665 (1944). Our constitutional watch does not cease
- merely because we have spoken before on an issue; when it
- becomes clear that a prior constitutional interpretation is
- unsound we are obliged to reexamine the question. See,
- e.g., West Virginia State Bd. of Education v. Barnette, 319
- U. S. 624, 642 (1943); Erie R. Co. v. Tompkins, 304 U. S. 64,
- 74-78 (1938).
- The joint opinion discusses several stare decisis factors
- which, it asserts, point toward retaining a portion of Roe.
- Two of these factors are that the main -factual underpin-
- ning- of Roe has remained the same, and that its doctrinal
- foundation is no weaker now than it was in 1973. Ante, at
- 14-18. Of course, what might be called the basic facts
- which gave rise to Roe have remained the same-women
- become pregnant, there is a point somewhere, depending on
- medical technology, where a fetus becomes viable, and
- women give birth to children. But this is only to say that
- the same facts which gave rise to Roe will continue to give
- rise to similar cases. It is not a reason, in and of itself, why
- those cases must be decided in the same incorrect manner
- as was the first case to deal with the question. And surely
- there is no requirement, in considering whether to depart
- from stare decisis in a constitutional case, that a decision be
- more wrong now than it was at the time it was rendered.
- If that were true, the most outlandish constitutional
- decision could survive forever, based simply on the fact that
- it was no more outlandish later than it was when originally
- rendered.
- Nor does the joint opinion faithfully follow this alleged
- requirement. The opinion frankly concludes that Roe and
- its progeny were wrong in failing to recognize that the
- State's interests in maternal health and in the protection of
- unborn human life exist throughout pregnancy. Ante,
- 29-31. But there is no indication that these components of
- Roe are any more incorrect at this juncture than they were
- at its inception.
- The joint opinion also points to the reliance interests
- involved in this context in its effort to explain why prece-
- dent must be followed for precedent's sake. Certainly it is
- true that where reliance is truly at issue, as in the case of
- judicial decisions that have formed the basis for private
- decisions, -[c]onsiderations in favor of stare decisis are at
- their acme.- Payne v. Tennessee, 501 U. S., at -- (slip op.,
- at 18). But, as the joint opinion apparently agrees, ante, at
- 13-14, any traditional notion of reliance is not applicable
- here. The Court today cuts back on the protection afforded
- by Roe, and no one claims that this action defeats any
- reliance interest in the disavowed trimester framework.
- Similarly, reliance interests would not be diminished were
- the Court to go further and acknowledge the full error of
- Roe, as -reproductive planning could take virtually immedi-
- ate account of- this action. Ante, at 14.
- The joint opinion thus turns to what can only be de-
- scribed as an unconventional-and unconvincing-notion of
- reliance, a view based on the surmise that the availability
- of abortion since Roe has led to -two decades of economic
- and social developments- that would be undercut if the
- error of Roe were recognized. Ibid. The joint opinion's
- assertion of this fact is undeveloped and totally conclusory.
- In fact, one can not be sure to what economic and social
- developments the opinion is referring. Surely it is dubious
- to suggest that women have reached their -places in
- society- in reliance upon Roe, rather than as a result of
- their determination to obtain higher education and compete
- with men in the job market, and of society's increasing
- recognition of their ability to fill positions that were
- previously thought to be reserved only for men. Ibid.
- In the end, having failed to put forth any evidence to
- prove any true reliance, the joint opinion's argument is
- based solely on generalized assertions about the national
- psyche, on a belief that the people of this country have
- grown accustomed to the Roe decision over the last 19 years
- and have -ordered their thinking and living around- it.
- Ibid. As an initial matter, one might inquire how the joint
- opinion can view the -central holding- of Roe as so deeply
- rooted in our constitutional culture, when it so casually
- uproots and disposes of that same decision's trimester
- framework. Furthermore, at various points in the past, the
- same could have been said about this Court's erroneous
- decisions that the Constitution allowed -separate but equal-
- treatment of minorities, see Plessy v. Ferguson, 163 U. S.
- 537 (1896), or that -liberty- under the Due Process Clause
- protected -freedom of contract.- See Adkins v. Children's
- Hospital of D. C., 261 U. S. 525 (1923); Lochner v. New
- York, 198 U. S. 45 (1905). The -separate but equal- doc-
- trine lasted 58 years after Plessy, and Lochner's protection
- of contractual freedom lasted 32 years. However, the sim-
- ple fact that a generation or more had grown used to these
- major decisions did not prevent the Court from correcting
- its errors in those cases, nor should it prevent us from
- correctly interpreting the Constitution here. See Brown v.
- Board of Education, 347 U. S. 483 (1954) (rejecting the
- -separate but equal- doctrine); West Coast Hotel Co. v.
- Parrish, 300 U. S. 379 (1937) (overruling Adkins v. Chil-
- dren's Hospital, supra, in upholding Washington's minimum
- wage law).
- Apparently realizing that conventional stare decisis
- principles do not support its position, the joint opinion
- advances a belief that retaining a portion of Roe is neces-
- sary to protect the -legitimacy- of this Court. Ante, at
- 19-27. Because the Court must take care to render
- decisions -grounded truly in principle,- and not simply as
- political and social compromises, ante, at 23, the joint
- opinion properly declares it to be this Court's duty to ignore
- the public criticism and protest that may arise as a result
- of a decision. Few would quarrel with this statement,
- although it may be doubted that Members of this Court,
- holding their tenure as they do during constitutional -good
- behavior,- are at all likely to be intimidated by such public
- protests.
- But the joint opinion goes on to state that when the Court
- -resolve[s] the sort of intensely divisive controversy reflect-
- ed in Roe and those rare, comparable cases,- its decision is
- exempt from reconsideration under established principles of
- stare decisis in constitutional cases. Ante, at 24. This is so,
- the joint opinion contends, because in those -intensely
- divisive- cases the Court has -call[ed] the contending sides
- of a national controversy to end their national division by
- accepting a common mandate rooted in the Constitution,-
- and must therefore take special care not to be perceived as
- -surrender[ing] to political pressure- and continued opposi-
- tion. Ante, at 24-25. This is a truly novel principle, one
- which is contrary to both the Court's historical practice and
- to the Court's traditional willingness to tolerate criticism of
- its opinions. Under this principle, when the Court has
- ruled on a divisive issue, it is apparently prevented from
- overruling that decision for the sole reason that it was
- incorrect, unless opposition to the original decision has died
- away.
- The first difficulty with this principle lies in its assump-
- tion that cases which are -intensely divisive- can be readily
- distinguished from those that are not. The question of
- whether a particular issue is -intensely divisive- enough to
- qualify for special protection is entirely subjective and
- dependent on the individual assumptions of the members of
- this Court. In addition, because the Court's duty is to
- ignore public opinion and criticism on issues that come
- before it, its members are in perhaps the worst position to
- judge whether a decision divides the Nation deeply enough
- to justify such uncommon protection. Although many of the
- Court's decisions divide the populace to a large degree, we
- have not previously on that account shied away from
- applying normal rules of stare decisis when urged to
- reconsider earlier decisions. Over the past 21 years, for
- example, the Court has overruled in whole or in part 34 of
- its previous constitutional decisions. See Payne v. Tennes-
- see, supra, at --, and n. 1 (slip op., at 18-19, and n. 1)
- (listing cases).
- The joint opinion picks out and discusses two prior Court
- rulings that it believes are of the -intensely divisive-
- variety, and concludes that they are of comparable dimen-
- sion to Roe. Ante, at 19-22 (discussing Lochner v. New
- York, supra, and Plessy v. Ferguson, supra). It appears to
- us very odd indeed that the joint opinion chooses as
- benchmarks two cases in which the Court chose not to
- adhere to erroneous constitutional precedent, but instead
- enhanced its stature by acknowledging and correcting its
- error, apparently in violation of the joint opinion's -legiti-
- macy- principle. See West Coast Hotel Co. v. Parrish,
- supra; Brown v. Board of Education, supra. One might also
- wonder how it is that the joint opinion puts these, and not
- others, in the -intensely divisive- category, and how it as-
- sumes that these are the only two lines of cases of compara-
- ble dimension to Roe. There is no reason to think that
- either Plessy or Lochner produced the sort of public protest
- when they were decided that Roe did. There were undoubt-
- edly large segments of the bench and bar who agreed with
- the dissenting views in those cases, but surely that cannot
- be what the Court means when it uses the term -intensely
- divisive,- or many other cases would have to be added to
- the list. In terms of public protest, however, Roe, so far as
- we know, was unique. But just as the Court should not
- respond to that sort of protest by retreating from the
- decision simply to allay the concerns of the protesters, it
- should likewise not respond by determining to adhere to the
- decision at all costs lest it seem to be retreating under fire.
- Public protests should not alter the normal application of
- stare decisis, lest perfectly lawful protest activity be
- penalized by the Court itself.
- Taking the joint opinion on its own terms, we doubt that
- its distinction between Roe, on the one hand, and Plessy
- and Lochner, on the other, withstands analysis. The joint
- opinion acknowledges that the Court improved its stature
- by overruling Plessy in Brown on a deeply divisive issue.
- And our decision in West Coast Hotel, which overruled
- Adkins v. Children's Hospital, supra, and Lochner, was
- rendered at a time when Congress was considering Presi-
- dent Franklin Roosevelt's proposal to -reorganize- this
- Court and enable him to name six additional Justices in the
- event that any member of the Court over the age of 70 did
- not elect to retire. It is difficult to imagine a situation in
- which the Court would face more intense opposition to a
- prior ruling than it did at that time, and, under the general
- principle proclaimed in the joint opinion, the Court seem-
- ingly should have responded to this opposition by stubborn-
- ly refusing to reexamine the Lochner rationale, lest it lose
- legitimacy by appearing to -overrule under fire.- Ante, at
- 25.
- The joint opinion agrees that the Court's stature would
- have been seriously damaged if in Brown and West Coast
- Hotel it had dug in its heels and refused to apply normal
- principles of stare decisis to the earlier decisions. But the
- opinion contends that the Court was entitled to overrule
- Plessy and Lochner in those cases, despite the existence of
- opposition to the original decisions, only because both the
- Nation and the Court had learned new lessons in the
- interim. This is at best a feebly supported, post hoc
- rationalization for those decisions.
- For example, the opinion asserts that the Court could
- justifiably overrule its decision in Lochner only because the
- Depression had convinced -most people- that constitutional
- protection of contractual freedom contributed to an economy
- that failed to protect the welfare of all. Ante, at 19. Surely
- the joint opinion does not mean to suggest that people saw
- this Court's failure to uphold minimum wage statutes as
- the cause of the Great Depression! In any event, the
- Lochner Court did not base its rule upon the policy judg-
- ment that an unregulated market was fundamental to a
- stable economy; it simple believed, erroneously, that
- -liberty- under the Due Process Clause protected the -right
- to make a contract.- Lochner v. New York, 198 U. S., at 53.
- Nor is it the case that the people of this Nation only
- discovered the dangers of extreme laissez faire economics
- because of the Depression. State laws regulating maximum
- hours and minimum wages were in existence well before
- that time. A Utah statute of that sort enacted in 1896 was
- involved in our decision in Holden v. Hardy, 169 U. S. 366
- (1898), and other states followed suit shortly afterwards.
- See, e.g., Muller v. Oregon, 208 U.S. 412 (1908); Bunting v.
- Oregon, 243 U. S. 426 (1917). These statutes were indeed
- enacted because of a belief on the part of their sponsors
- that -freedom of contract- did not protect the welfare of
- workers, demonstrating that that belief manifested itself
- more than a generation before the Great Depression.
- Whether -most people- had come to share it in the hard
- times of the 1930's is, insofar as anything the joint opinion
- advances, entirely speculative. The crucial failing at that
- time was not that workers were not paid a fair wage, but
- that there was no work available at any wage.
- When the Court finally recognized its error in West Coast
- Hotel, it did not engage in the post hoc rationalization that
- the joint opinion attributes to it today; it did not state that
- Lochner had been based on an economic view that had
- fallen into disfavor, and that it therefore should be over-
- ruled. Chief Justice Hughes in his opinion for the Court
- simply recognized what Justice Holmes had previously
- recognized in his Lochner dissent, that -[t]he Constitution
- does not speak of freedom of contract.- West Coast Hotel
- Co. v. Parrish, 300 U. S., at 391; Lochner v. New York,
- supra, at 75 (Holmes, J., dissenting) (-[A] Constitution is
- not intended to embody a particular economic theory,
- whether of paternalism and the organic relation of the
- citizen to the State or of laissez faire-). Although the Court
- did acknowledge in the last paragraph of its opinion the
- state of affairs during the then-current Depression, the
- theme of the opinion is that the Court had been mistaken
- as a matter of constitutional law when it embraced -free-
- dom of contract- 32 years previously.
- The joint opinion also agrees that the Court acted
- properly in rejecting the doctrine of -separate but equal- in
- Brown. In fact, the opinion lauds Brown in comparing it to
- Roe. Ante, at 25. This is strange, in that under the
- opinion's -legitimacy- principle the Court would seemingly
- have been forced to adhere to its erroneous decision in
- Plessy because of its -intensely divisive- character. To us,
- adherence to Roe today under the guise of -legitimacy-
- would seem to resemble more closely adherence to Plessy on
- the same ground. Fortunately, the Court did not choose
- that option in Brown, and instead frankly repudiated
- Plessy. The joint opinion concludes that such repudiation
- was justified only because of newly discovered evidence that
- segregation had the effect of treating one race as inferior to
- another. But it can hardly be argued that this was not
- urged upon those who decided Plessy, as Justice Harlan
- observed in his dissent that the law at issue -puts the
- brand of servitude and degradation upon a large class of
- our fellow-citizens, our equals before the law.- Plessy v.
- Ferguson, 163 U. S., at 562 (Harlan, J., dissenting). It is
- clear that the same arguments made before the Court in
- Brown were made in Plessy as well. The Court in Brown
- simply recognized, as Justice Harlan had recognized
- beforehand, that the Fourteenth Amendment does not
- permit racial segregation. The rule of Brown is not tied to
- popular opinion about the evils of segregation; it is a
- judgment that the Equal Protection Clause does not permit
- racial segregation, no matter whether the public might
- come to believe that it is beneficial. On that ground it
- stands, and on that ground alone the Court was justified in
- properly concluding that the Plessy Court had erred.
- There is also a suggestion in the joint opinion that the
- propriety of overruling a -divisive- decision depends in part
- on whether -most people- would now agree that it should be
- overruled. Either the demise of opposition or its progres-
- sion to substantial popular agreement apparently is
- required to allow the Court to reconsider a divisive decision.
- How such agreement would be ascertained, short of a public
- opinion poll, the joint opinion does not say. But surely even
- the suggestion is totally at war with the idea of -legitimacy-
- in whose name it is invoked. The Judicial Branch derives
- its legitimacy, not from following public opinion, but from
- deciding by its best lights whether legislative enactments of
- the popular branches of Government comport with the
- Constitution. The doctrine of stare decisis is an adjunct of
- this duty, and should be no more subject to the vagaries of
- public opinion than is the basic judicial task.
- There are other reasons why the joint opinion's discussion
- of legitimacy is unconvincing as well. In assuming that the
- Court is perceived as -surrender[ing] to political pressure-
- when it overrules a controversial decision, ante, at 25, the
- joint opinion forgets that there are two sides to any contro-
- versy. The joint opinion asserts that, in order to protect its
- legitimacy, the Court must refrain from overruling a
- controversial decision lest it be viewed as favoring those
- who oppose the decision. But a decision to adhere to prior
- precedent is subject to the same criticism, for in such a case
- one can easily argue that the Court is responding to those
- who have demonstrated in favor of the original decision.
- The decision in Roe has engendered large demonstrations,
- including repeated marches on this Court and on Congress,
- both in opposition to and in support of that opinion. A
- decision either way on Roe can therefore be perceived as
- favoring one group or the other. But this perceived dilem-
- ma arises only if one assumes, as the joint opinion does,
- that the Court should make its decisions with a view
- toward speculative public perceptions. If one assumes
- instead, as the Court surely did in both Brown and West
- Coast Hotel, that the Court's legitimacy is enhanced by
- faithful interpretion of the Constitution irrespective of
- public opposition, such self-engendered difficulties may be
- put to one side.
- Roe is not this Court's only decision to generate conflict.
- Our decisions in some recent capital cases, and in Bowers
- v. Hardwick, 478 U. S. 186 (1986), have also engendered
- demonstrations in opposition. The joint opinion's message
- to such protesters appears to be that they must cease their
- activities in order to serve their cause, because their
- protests will only cement in place a decision which by
- normal standards of stare decisis should be reconsidered.
- Nearly a century ago, Justice David J. Brewer of this Court,
- in an article discussing criticism of its decisions, observed
- that -many criticisms may be, like their authors, devoid of
- good taste, but better all sorts of criticism than no criticism
- at all.- Justice Brewer on -The Nation's Anchor,- 57 Albany
- L.J. 166, 169 (1898). This was good advice to the Court
- then, as it is today. Strong and often misguided criticism
- of a decision should not render the decision immune from
- reconsideration, lest a fetish for legitimacy penalize freedom
- of expression.
- The end result of the joint opinion's paeans of praise for
- legitimacy is the enunciation of a brand new standard for
- evaluating state regulation of a woman's right to abor-
- tion-the -undue burden- standard. As indicated above,
- Roe v. Wade adopted a -fundamental right- standard under
- which state regulations could survive only if they met the
- requirement of -strict scrutiny.- While we disagree with
- that standard, it at least had a recognized basis in constitu-
- tional law at the time Roe was decided. The same cannot
- be said for the -undue burden- standard, which is created
- largely out of whole cloth by the authors of the joint
- opinion. It is a standard which even today does not
- command the support of a majority of this Court. And it
- will not, we believe, result in the sort of -simple limitation,-
- easily applied, which the joint opinion anticipates. Ante, at
- 13. In sum, it is a standard which is not built to last.
- In evaluating abortion regulations under that standard,
- judges will have to decide whether they place a -substantial
- obstacle- in the path of a woman seeking an abortion. Ante,
- at 34. In that this standard is based even more on a judge's
- subjective determinations than was the trimester frame-
- work, the standard will do nothing to prevent -judges from
- roaming at large in the constitutional field- guided only by
- their personal views. Griswold v. Connecticut, 381 U. S., at
- 502 (Harlan, J., concurring in judgment). Because the
- undue burden standard is plucked from nowhere, the
- question of what is a -substantial obstacle- to abortion will
- undoubtedly engender a variety of conflicting views. For
- example, in the very matter before us now, the authors of
- the joint opinion would uphold Pennsylvania's 24-hour
- waiting period, concluding that a ``particular burden'' on
- some women is not a substantial obstacle. Ante, at 44. But
- the authors would at the same time strike down Pennsyl-
- vania's spousal notice provision, after finding that in a
- -large fraction- of cases the provision will be a substantial
- obstacle. Ante, at 53. And, while the authors conclude that
- the informed consent provisions do not constitute an -undue
- burden,- Justice Stevens would hold that they do. Ante,
- at 9-11.
- Furthermore, while striking down the spousal notice
- regulation, the joint opinion would uphold a parental
- consent restriction that certainly places very substantial
- obstacles in the path of a minor's abortion choice. The joint
- opinion is forthright in admitting that it draws this
- distinction based on a policy judgment that parents will
- have the best interests of their children at heart, while the
- same is not necessarily true of husbands as to their wives.
- Ante, at 53. This may or may not be a correct judgment,
- but it is quintessentially a legislative one. The -undue
- burden- inquiry does not in any way supply the distinction
- between parental consent and spousal consent which the
- joint opinion adopts. Despite the efforts of the joint
- opinion, the undue burden standard presents nothing more
- workable than the trimester framework which it discards
- today. Under the guise of the Constitution, this Court will
- still impart its own preferences on the States in the form of
- a complex abortion code.
- The sum of the joint opinion's labors in the name of stare
- decisis and -legitimacy- is this: Roe v. Wade stands as a sort
- of judicial Potemkin Village, which may be pointed out to
- passers by as a monument to the importance of adhering to
- precedent. But behind the facade, an entirely new method
- of analysis, without any roots in constitutional law, is
- imported to decide the constitutionality of state laws
- regulating abortion. Neither stare decisis nor -legitimacy-
- are truly served by such an effort.
- We have stated above our belief that the Constitution
- does not subject state abortion regulations to heightened
- scrutiny. Accordingly, we think that the correct analysis is
- that set forth by the plurality opinion in Webster. A
- woman's interest in having an abortion is a form of liberty
- protected by the Due Process Clause, but States may
- regulate abortion procedures in ways rationally related to
- a legitimate state interest. Williamson v. Lee Optical of
- Okla., Inc., 348 U. S. 483, 491 (1955); cf. Stanley v. Illinois,
- 405 U. S. 645, 651-653 (1972). With this rule in mind, we
- examine each of the challenged provisions.
- III
- A
- Section 3205 of the Act imposes certain requirements
- related to the informed consent of a woman seeking an
- abortion. 18 Pa. Cons. Stat. 3205 (1990). Section
- 3205(a)(1) requires that the referring or performing physi-
- cian must inform a woman contemplating an abortion of (i)
- the nature of the procedure, and the risks and alternatives
- that a reasonable patient would find material; (ii) the fetus'
- probable gestational age; and (iii) the medical risks involved
- in carrying her pregnancy to term. Section 3205(a)(2)
- requires a physician or a nonphysician counselor to inform
- the woman that (i) the state health department publishes
- free materials describing the fetus at different stages and
- listing abortion alternatives; (ii) medical assistance benefits
- may be available for prenatal, childbirth, and neonatal care;
- and (iii) the child's father is liable for child support. The
- Act also imposes a 24-hour waiting period between the time
- that the woman receives the required information and the
- time that the physician is allowed to perform the abortion.
- See Appendix, ante, at 61-63.
- This Court has held that it is certainly within the
- province of the States to require a woman's voluntary and
- informed consent to an abortion. See Thornburgh v.
- American College of Obstetricians and Gynecologists, 476
- U. S., at 760. Here, Pennsylvania seeks to further its
- legitimate interest in obtaining informed consent by
- ensuring that each woman -is aware not only of the reasons
- for having an abortion, but also of the risks associated with
- an abortion and the availability of assistance that might
- make the alternative of normal childbirth more attractive
- than it might otherwise appear.- Id., at 798-799 (White,
- J., dissenting).
- We conclude that this provision of the statute is ration-
- ally related to the State's interest in assuring that
- a woman's consent to an abortion be a fully informed
- decision.
- Section 3205(a)(1) requires a physician to disclose certain
- information about the abortion procedure and its risks and
- alternatives. This requirement is certainly no large burden,
- as the Court of Appeals found that -the record shows that
- the clinics, without exception, insist on providing this
- information to women before an abortion is performed.-
- 947 F. 2d, at 703. We are of the view that this information
- -clearly is related to maternal health and to the State's
- legitimate purpose in requiring informed consent.- Akron
- v. Akron Center for Reproductive Health, 462 U. S., at 446.
- An accurate description of the gestational age of the fetus
- and of the risks involved in carrying a child to term helps
- to further both those interests and the State's legitimate
- interest in unborn human life. See id., at 445-446, n. 37
- (required disclosure of gestational age of the fetus -certainly
- is not objectionable-). Although petitioners contend that it
- is unreasonable for the State to require that a physician, as
- opposed to a nonphysician counselor, disclose this informa-
- tion, we agree with the Court of Appeals that a State -may
- rationally decide that physicians are better qualified than
- counselors to impart this information and answer questions
- about the medical aspects of the available alternatives.-
- 947 F. 2d, at 704.
- Section 3205(a)(2) compels the disclosure, by a physician
- or a counselor, of information concerning the availability of
- paternal child support and state-funded alternatives if the
- woman decides to proceed with her pregnancy. Here again,
- the Court of Appeals observed that -the record indicates
- that most clinics already require that a counselor consult in
- person with the woman about alternatives to abortion
- before the abortion is performed.- Id., at 704-705. And
- petitioners do not claim that the information required to be
- disclosed by statute is in any way false or inaccurate;
- indeed, the Court of Appeals found it to be -relevant,
- accurate, and non-inflammatory.- Id., at 705. We conclude
- that this required presentation of -balanced information- is
- rationally related to the State's legitimate interest in
- ensuring that the woman's consent is truly informed,
- Thornburgh v. American College of Obstetricians and
- Gynecologists, 476 U. S., at 830 (O'Connor, J., dissenting),
- and in addition furthers the State's interest in preserving
- unborn life. That the information might create some
- uncertainty and persuade some women to forgo abortions
- does not lead to the conclusion that the Constitution forbids
- the provision of such information. Indeed, it only demon-
- strates that this information might very well make a dif-
- ference, and that it is therefore relevant to a woman's
- informed choice. Cf. id., at 801 (White, J., dissenting)
- (-[T]he ostensible objective of Roe v. Wade is not maximiz-
- ing the number of abortions, but maximizing choice-). We
- acknowledge that in Thornburgh this Court struck down
- informed consent requirements similar to the ones at issue
- here. See id., at 760-764. It is clear, however, that while
- the detailed framework of Roe led to the Court's invalida-
- tion of those informational requirements, they -would have
- been sustained under any traditional standard of judicial
- review, . . . or for any other surgical procedure except
- abortion.- Webster v. Reproductive Health Services, 492
- U. S., at 517 (plurality opinion) (citing Thornburgh v.
- American College of Obstetricians and Gynecologists, 476
- U. S., at 802 (White, J., dissenting); id., at 783 (Burger, C.
- J., dissenting)). In light of our rejection of Roe's -fundamen-
- tal right- approach to this subject, we do not regard Thorn-
- burgh as controlling.
- For the same reason, we do not feel bound to follow this
- Court's previous holding that a State's 24-hour mandatory
- waiting period is unconstitutional. See Akron v. Akron
- Center for Reproductive Health, 462 U. S., at 449-451.
- Petitioners are correct that such a provision will result in
- delays for some women that might not otherwise exist,
- therefore placing a burden on their liberty. But the
- provision in no way prohibits abortions, and the informed
- consent and waiting period requirements do not apply in
- the case of a medical emergency. See 18 Pa. Cons. Stat.
- 3205(a), (b) (1990). We are of the view that, in providing
- time for reflection and reconsideration, the waiting period
- helps ensure that a woman's decision to abort is a well-
- considered one, and reasonably furthers the State's legiti-
- mate interest in maternal health and in the unborn life of
- the fetus. It -is surely a small cost to impose to ensure that
- the woman's decision is well considered in light of its
- certain and irreparable consequences on fetal life, and the
- possible effects on her own.- Id., at 474 (O'Connor, J.,
- dissenting).
- B
- In addition to providing her own informed consent, before
- an unemancipated woman under the age of 18 may obtain
- an abortion she must either furnish the consent of one of
- her parents, or must opt for the judicial procedure that
- allows her to bypass the consent requirement. Under the
- judicial bypass option, a minor can obtain an abortion if a
- state court finds that she is capable of giving her informed
- consent and has indeed given such consent, or determines
- that an abortion is in her best interests. Records of these
- court proceedings are kept confidential. The Act directs the
- state trial court to render a decision within three days of
- the woman's application, and the entire procedure, includ-
- ing appeal to Pennsylvania Superior Court, is to last no
- longer than eight business days. The parental consent
- requirement does not apply in the case of a medical
- emergency. 18 Pa. Cons. Stat. 3206 (1990). See Appen-
- dix, ante, at 64-65.
- This provision is entirely consistent with this Court's
- previous decisions involving parental consent requirements.
- See Planned Parenthood Association of Kansas City, Mo.,
- Inc. v. Ashcroft, 462 U. S. 476 (1983) (upholding parental
- consent requirement with a similar judicial bypass option);
- Akron v. Akron Center for Reproductive Health, supra, at
- 439-440 (approving of parental consent statutes that
- include a judicial bypass option allowing a pregnant minor
- to -demonstrate that she is sufficiently mature to make the
- abortion decision herself or that, despite her immaturity, an
- abortion would be in her best interests-); Bellotti v. Baird,
- 443 U. S. 622 (1979).
- We think it beyond dispute that a State -has a strong and
- legitimate interest in the welfare of its young citizens,
- whose immaturity, inexperience, and lack of judgment may
- sometimes impair their ability to exercise their rights
- wisely.- Hodgson v. Minnesota, 497 U. S., at 444 (opinion
- of Stevens, J.). A requirement of parental consent to
- abortion, like myriad other restrictions placed upon minors
- in other contexts, is reasonably designed to further this
- important and legitimate state interest. In our view, it is
- entirely -rational and fair for the State to conclude that, in
- most instances, the family will strive to give a lonely or
- even terrified minor advice that is both compassionate and
- mature.- Ohio v. Akron Center for Reproductive Health, 497
- U. S., at 520 (opinion of Kennedy, J.); see also Planned
- Parenthood of Central Mo. v. Danforth, 428 U. S., at 91
- (Stewart, J., concurring) (-There can be little doubt that the
- State furthers a constitutionally permissible end by encour-
- aging an unmarried pregnant minor to seek the help and
- advice of her parents in making the very important decision
- whether or not to bear a child-). We thus conclude that
- Pennsylvania's parental consent requirement should be
- upheld.
- C
- Section 3209 of the Act contains the spousal notification
- provision. It requires that, before a physician may perform
- an abortion on a married woman, the woman must sign a
- statement indicating that she has notified her husband of
- her planned abortion. A woman is not required to notify
- her husband if (1) her husband is not the father, (2) her
- husband, after diligent effort, cannot be located, (3) the
- pregnancy is the result of a spousal sexual assault that has
- been reported to the authorities, or (4) the woman has
- reason to believe that notifying her husband is likely to
- result in the infliction of bodily injury upon her by him or
- by another individual. In addition, a woman is exempted
- from the notification requirement in the case of a medical
- emergency. 18 Pa. Cons. Stat. 3209 (1990). See Appen-
- dix, ante, at 68-69.
- We first emphasize that Pennsylvania has not imposed a
- spousal consent requirement of the type the Court struck
- down in Planned Parenthood of Central Mo. v. Danforth,
- 428 U. S., at 67-72. Missouri's spousal consent provision
- was invalidated in that case because of the Court's view
- that it unconstitutionally granted to the husband -a veto
- power exercisable for any reason whatsoever or for no
- reason at all.- Id., at 71. But this case involves a much
- less intrusive requirement of spousal notification, not
- consent. Such a law requiring only notice to the husband
- -does not give any third party the legal right to make the
- [woman's] decision for her, or to prevent her from obtaining
- an abortion should she choose to have one performed.-
- Hodgson v. Minnesota, supra, at 496 (Kennedy, J., concur-
- ring in judgment in part and dissenting in part); see H. L.
- v. Matheson, 450 U. S., at 411, n. 17. Danforth thus does
- not control our analysis. Petitioners contend that it should,
- however; they argue that the real effect of such a notice
- requirement is to give the power to husbands to veto a
- woman's abortion choice. The District Court indeed found
- that the notification provision created a risk that some
- woman who would otherwise have an abortion will be pre-
- vented from having one. 947 F. 2d, at 712. For example,
- petitioners argue, many notified husbands will prevent
- abortions through physical force, psychological coercion, and
- other types of threats. But Pennsylvania has incorporated
- exceptions in the notice provision in an attempt to deal with
- these problems. For instance, a woman need not notify her
- husband if the pregnancy is result of a reported sexual
- assault, or if she has reason to believe that she would
- suffer bodily injury as a result of the notification. 18 Pa.
- Cons. Stat. 3209(b) (1990). Furthermore, because this is
- a facial challenge to the Act, it is insufficient for petitioners
- to show that the notification provision -might operate
- unconstitutionally under some conceivable set of circum-
- stances.- United States v. Salerno, 481 U. S. 739, 745
- (1987). Thus, it is not enough for petitioners to show that,
- in some -worst-case- circumstances, the notice provision
- will operate as a grant of veto power to husbands. Ohio v.
- Akron Center for Reproductive Health, 497 U. S., at 514.
- Because they are making a facial challenge to the provision,
- they must -show that no set of circumstances exists under
- which the [provision] would be valid.- Ibid. (internal
- quotation marks omitted). This they have failed to do.
- The question before us is therefore whether the spousal
- notification requirement rationally furthers any legitimate
- state interests. We conclude that it does. First, a hus-
- band's interests in procreation within marriage and in the
- potential life of his unborn child are certainly substantial
- ones. See Planned Parenthood of Central Mo. v. Danforth,
- 428 U. S., at 69 (-We are not unaware of the deep and
- proper concern and interest that a devoted and protective
- husband has in his wife's pregnancy and in the growth and
- development of the fetus she is carrying-); id., at 93 (White,
- J., concurring in part and dissenting in part); Skinner v.
- Oklahoma ex rel. Williamson, 316 U. S., at 541. The State
- itself has legitimate interests both in protecting these
- interests of the father and in protecting the potential life of
- the fetus, and the spousal notification requirement is
- reasonably related to advancing those state interests. By
- providing that a husband will usually know of his spouse's
- intent to have an abortion, the provision makes it more
- likely that the husband will participate in deciding the fate
- of his unborn child, a possibility that might otherwise have
- been denied him. This participation might in some cases
- result in a decision to proceed with the pregnancy. As
- Judge Alito observed in his dissent below, -[t]he Pennsylva-
- nia legislature could have rationally believed that some
- married women are initially inclined to obtain an abortion
- without their husbands' knowledge because of perceived
- problems-such as economic constraints, future plans, or
- the husbands' previously expressed opposition-that may be
- obviated by discussion prior to the abortion.- 947 F. 2d, at
- 726 (Alito, J., concurring in part and dissenting in part).
- The State also has a legitimate interest in promoting -the
- integrity of the marital relationship.- 18 Pa. Cons. Stat.
- 3209(a) (1990). This Court has previously recognized -the
- importance of the marital relationship in our society.-
- Planned Parenthood of Central Mo. v. Danforth, supra, at
- 69. In our view, the spousal notice requirement is a
- rational attempt by the State to improve truthful communi-
- cation between spouses and encourage collaborative deci-
- sionmaking, and thereby fosters marital integrity. See
- Labine v. Vincent, 401 U. S. 532, 538 (1971) (-[T]he power
- to make rules to establish, protect, and strengthen family
- life- is committed to the state legislatures). Petitioners
- argue that the notification requirement does not further
- any such interest; they assert that the majority of wives
- already notify their husbands of their abortion decisions,
- and the remainder have excellent reasons for keeping their
- decisions a secret. In the first case, they argue, the law is
- unnecessary, and in the second case it will only serve to
- foster marital discord and threats of harm. Thus, petition-
- ers see the law as a totally irrational means of furthering
- whatever legitimate interest the State might have. But, in
- our view, it is unrealistic to assume that every husband-
- wife relationship is either (1) so perfect that this type of
- truthful and important communication will take place as a
- matter of course, or (2) so imperfect that, upon notice, the
- husband will react selfishly, violently, or contrary to the
- best interests of his wife. See Planned Parenthood of
- Central Mo. v. Danforth, supra, at 103-104 (Stevens, J.,
- concurring in part and dissenting in part) (making a similar
- point in the context of a parental consent statute). The
- spousal notice provision will admittedly be unnecessary in
- some circumstances, and possibly harmful in others, but
- -the existence of particular cases in which a feature of a
- statute performs no function (or is even counterproductive)
- ordinarily does not render the statute unconstitutional or
- even constitutionally suspect.- Thornburgh v. American
- College of Obstetricians and Gynecologists, 476 U. S., at 800
- (White, J., dissenting). The Pennsylvania Legislature was
- in a position to weigh the likely benefits of the provi-
- sion against its likely adverse effects, and presumably
- concluded, on balance, that the provision would be benefi-
- cial. Whether this was a wise decision or not, we cannot
- say that it was irrational. We therefore conclude that the
- spousal notice provision comports with the Constitution.
- See Harris v. McRae, 448 U. S., at 325-326 (-It is not the
- mission of this Court or any other to decide whether the
- balance of competing interests . . . is wise social policy-).
- D
- The Act also imposes various reporting requirements.
- Section 3214(a) requires that abortion facilities file a report
- on each abortion performed. The reports do not include the
- identity of the women on whom abortions are performed,
- but they do contain a variety of information about the
- abortions. For example, each report must include the
- identities of the performing and referring physicians, the
- gestational age of the fetus at the time of abortion, and the
- basis for any medical judgment that a medical emergency
- existed. See 18 Pa. Cons. Stat. 3214(a)(1), (5), (10) (1990).
- See Appendix, ante, at 69-71. The District Court found
- that these reports are kept completely confidential. 947
- F. 2d, at 716. We further conclude that these reporting
- requirements rationally further the State's legitimate
- interests in advancing the state of medical knowledge
- concerning maternal health and prenatal life, in gathering
- statistical information with respect to patients, and in
- ensuring compliance with other provisions of the Act.
- Section 3207 of the Act requires each abortion facility to
- file a report with its name and address, as well as the
- names and addresses of any parent, subsidiary or affiliated
- organizations. 18 Pa. Cons. Stat. 3207(b) (1990). Section
- 3214(f) further requires each facility to file quarterly
- reports stating the total number of abortions performed,
- broken down by trimester. Both of these reports are
- available to the public only if the facility received state
- funds within the preceding 12 months. See Appendix, ante,
- at 65-66, 71. Petitioners do not challenge the requirement
- that facilities provide this information. They contend,
- however, that the forced public disclosure of the information
- given by facilities receiving public funds serves no legiti-
- mate state interest. We disagree. Records relating to the
- expenditure of public funds are generally available to the
- public under Pennsylvania law. See Pa. Stat. Ann., Tit. 65,
- 66.1, 66.2 (Purdon 1959 and Supp. 1991-1992). As the
- Court of Appeals observed, -[w]hen a state provides money
- to a private commercial enterprise, there is a legitimate
- public interest in informing taxpayers who the funds are
- benefiting and what services the funds are supporting.-
- 947 F. 2d, at 718. These reporting requirements rationally
- further this legitimate state interest.
- E
- Finally, petitioners challenge the medical emergency
- exception provided for by the Act. The existence of a
- medical emergency exempts compliance with the Act's
- informed consent, parental consent, and spousal notice
- requirements. See 18 Pa. Cons. Stat. 3205(a), 3206(a),
- 3209(c) (1990). The Act defines a -medical emergency- as
- -[t]hat condition which, on the basis of the physician's
- good faith clinical judgment, so complicates the medical
- condition of a pregnant woman as to necessitate the
- immediate abortion of her pregnancy to avert her death
- or for which a delay will create serious risk of substan-
- tial and irreversible impairment of major bodily
- function.- 3203.
- Petitioners argued before the District Court that the
- statutory definition was inadequate because it did not cover
- three serious conditions that pregnant women can suf-
- fer-preeclampsia, inevitable abortion, and prematurely
- ruptured membrane. The District Court agreed with
- petitioners that the medical emergency exception was
- inadequate, but the Court of Appeals reversed this holding.
- In construing the medical emergency provision, the Court
- of Appeals first observed that all three conditions do indeed
- present the risk of serious injury or death when an abortion
- is not performed, and noted that the medical profession's
- uniformly prescribed treatment for each of the three
- conditions is an immediate abortion. See 947 F. 2d, at
- 700-701. Finding that -[t]he Pennsylvania legislature did
- not choose the wording of its medical emergency exception
- in a vacuum,- the court read the exception as intended -to
- assure that compliance with its abortion regulations would
- not in any way pose a significant threat to the life or health
- of a woman.- Id., at 701. It thus concluded that the
- exception encompassed each of the three dangerous condi-
- tions pointed to by petitioners.
- We observe that Pennsylvania's present definition of
- medical emergency is almost an exact copy of that State's
- definition at the time of this Court's ruling in Thornburgh,
- one which the Court made reference to with apparent
- approval. 476 U. S., at 771 (-It is clear that the Pennsylva-
- nia Legislature knows how to provide a medical-emergency
- exception when it chooses to do so-). We find that the
- interpretation of the Court of Appeals in this case is
- eminently reasonable, and that the provision thus should be
- upheld. When a woman is faced with any condition that
- poses a -significant threat to [her] life or health,- she is
- exempted from the Act's consent and notice requirements
- and may proceed immediately with her abortion.
- IV
- For the reasons stated, we therefore would hold that each
- of the challenged provisions of the Pennsylvania statute is
- consistent with the Constitution. It bears emphasis that
- our conclusion in this regard does not carry with it any
- necessary approval of these regulations. Our task is, as
- always, to decide only whether the challenged provisions of
- a law comport with the United States Constitution. If, as
- we believe, these do, their wisdom as a matter of public
- policy is for the people of Pennsylvania to decide.
-