"What Makes You Think You Can Do That?": How Venue Restrictions Prevent Access to Abortion for Minors in Arkansas

Introduction

A pregnant seventeen-year-old in Benton, Arkansas, has access to over a dozen doctors’ offices, several charities, and an adoption agency.1 Benton is a city of over 30,000 people, which likely makes good use of all these types of services.2 As the county seat of Saline County, Benton also serves as a judicial district, with easy access to state courts.3 A pregnant seventeen-year-old in Roland, Arkansas, has none of these services; and indeed, there is not much of anything in the town of about 800.4 A small town in Pulaski County, Roland boasts mostly churches and farms; the town does not even have a courthouse.5 Both these adolescents are a half-hour drive from Arkansas’s major abortion clinic, Little Rock Family Planning Services.6 In order for either of these minors to obtain an abortion without parental consent, they must file a petition for a judicial bypass in their county of residence.7 The county line between Benton and Roland means that the seventeen-year-old in Roland will have access to a judge who is familiar with the judicial bypass process, which allows a minor to consent to their own abortion, while the seventeen-year-old in Benton will either have to obtain parental consent or carry the pregnancy to term.8

The majority of states have a parental involvement statute for minors and adolescents seeking abortions.9 Parental involvement statutes require minors to obtain parental consent in order to receive an abortion or require the clinic to notify the parents when minors are receiving an abortion.10 For the most part, when faced with an unplanned pregnancy, a minor will involve their parents and the parental involvement statute will not create a problem.11 For minors in abusive homes, survivors of incest, foster children, or those who do not trust their parents, the parental involvement statutes create a barrier to a constitutional right.12 For this reason, the Constitution requires states to provide processes where minors can request that a court waive the parental consent requirement.13 This process is called a judicial bypass.14

Fifteen states further regulate the judicial bypass process by limiting where a minor can file a petition for a judicial waiver of parental consent.15 Six states require minors to file such a petition in either their county of residence or the county where the abortion is being performed.16 Minors in North Carolina can file a petition in their home county or the county where they are physically present.17 Minors in Ohio and Texas are able to file petitions in their home counties and any contiguous counties.18 North Dakota allows minors to modify the venue restriction when a transfer of venue would be in the minor’s best interest.19 Five states, however, create no such exception in their venue restriction and only allow minors to file in their home county.20

This Note focuses on the Arkansas parental consent statute and the venue restriction included within the statute that requires minors to file for a judicial bypass only in their county of residence.21 In light of the undue burden analysis announced in Whole Woman’s Health v. Hellerstedt,22 this Note argues the Arkansas venue restriction for minors seeking a judicial bypass creates an unconstitutional undue burden by putting an insurmountable obstacle in the path of a minor seeking an abortion.23 To make this argument, this Note relies on existing evidence about the burdens of judicial bypass statutes,24 and a telephone study I conducted, which demonstrated that only eight out of Arkansas’s seventy-five circuit courts were able or willing to provide information about the judicial bypass procedure.25 The pervasive lack of information from Arkansas circuit clerks demonstrates that the majority of minors in Arkansas are not able to access a judicial bypass, rendering Arkansas’s parental consent statute unconstitutional.26 This Note builds on similar studies which demonstrated that many local clerks are uninformed about the judicial bypass process.27 The lack of information from clerks can render a judicial bypass practically unavailable to many minors.28 This Note adds another data point to the argument that, if the judicial bypass process is unavailable for many minors, the existence of a parental consent law, at least in states that have been studied, is unconstitutional.29

This Note proceeds in three parts: Part I provides background on the undue burden standard and parental involvement laws. This Part focuses on how the Supreme Court determines whether a parental involvement law serves as an unconstitutional third-party veto and lays out how the standard announced in Whole Woman’s Health v. Hellerstedt has been applied to judicial bypass procedures across the nation. Part II applies the Whole Woman’s Health v. Hellerstedt analysis to the Arkansas parental consent statute and venue restriction. Part II also discusses the results of a telephone study I conducted, which tested Arkansas circuit clerks’ knowledge and willingness to provide information about the judicial bypass procedure. Part III proposes Arkansas repeal the existing venue restriction in order to ensure the constitutionality of the parental consent statute.

I. Background

A. Minor Pregnancy Statistics and Abortion Rates

As much as their parents hate to think about it, many minors are engaging in sexual activity and becoming pregnant as a result.30 While many teenagers are excellent parents to their children, the extra work of parenting a child has demonstrable effects on educational advancement, with only 50% of teenage mothers in the United States graduating high school, compared to 90% of American girls who are not teen mothers.31 Minors give birth to preterm infants at higher rates than adults, and preterm infants have greater risks of illnesses and delays in the first years of their lives.32 The combination of teenage mothers not finishing high school and higher rates of sick infants can negatively impact a state’s economy, particularly when the state has high rates of teen births.33

Arkansas has the highest rate of teen pregnancy and teen birth in the nation, with 32.8 teen births out of every one thousand births.34 In Arkansas, 14 out of every one thousand females under eighteen gives birth, compared with the national rate of 8.8 teen births per one thousand females under eighteen.35 Arkansas teenagers report slightly higher rates of sexual activity than the average American teenager and lower rates of birth control use.36 The combination of lost revenue and the cost of public assistance to adolescent mothers means the public cost of teen births in Arkansas was $129 million in 2010.37

The high rate of teen births is possibly due to Arkansas’s lower than average abortion rate.38 Three out of every one thousand minors received abortions in Arkansas, which is half of the American abortion rate for minors under eighteen.39 Sixteen minors under the age of fifteen obtained abortions in Arkansas in 2015.40 Two hundred and thirty-eight adolescents aged fifteen to eighteen obtained abortions in the same year.41 Minors and nineteen-year-olds made up 10.8% of abortions in Arkansas in 2015.42 In 2016, Little Rock Family Planning provided abortions to five minors who were under fourteen, all of whom had parental consent, and sixty-nine abortions to minors under seventeen, all but one of whom had parental consent.43 Ninety-eight percent of Arkansas counties had no abortion clinic, and eighty-seven percent of people in Arkansas lived in a county without an abortion clinic.44

B. Undue Burden Standard

Under existing case law, the right to abortion is not an absolute right.45 States have an interest in maternal health and human life which allows states to limit when a person can obtain an abortion.46 States may pass regulations to limit abortion methods or require clinics to comply with certain standards, in an effort to protect the health and well-being of patients obtaining abortions.47 In order to determine whether these regulations are constitutional, the Supreme Court analyzes restrictions under the undue burden standard, which has evolved since early decisions on abortion.48

Abortion is a protected right under the Due Process Clause of the Fourteenth Amendment.49 Under the standard announced in Roe v. Wade, the right to abortion in a first trimester was absolute, and the state could only intervene to protect human life in the third trimester.50 States could only pass abortion regulations in the second trimester if those regulations protected maternal health.51 The Supreme Court abandoned the trimester framework less than twenty years after it was introduced with their decision in Planned Parenthood v. Casey.52 Following the abandonment of this framework, states could pass laws that regulated abortion at any time during a patient’s pregnancy.53 These regulations were constitutional if the regulations had a legitimate purpose and did not impose an undue burden on a person’s ability to make an abortion decision.54

An undue burden is any law or regulation that places a substantial obstacle in the path of a person who wants to abort a nonviable fetus.55 To be found unconstitutional, a regulation must create an undue burden for a large fraction of the controlling class.56 In a challenge to the Arkansas parental consent statute or venue restriction, the class is not all women, all minors, or even all minors who want abortions.57 The class in this challenge would be minors who seek abortions but do not want to or cannot obtain parental consent.58 If the venue restriction is an undue burden for a large fraction of this particular class, the restriction is an unconstitutional undue burden.59

In order to be constitutional, an abortion regulation must further a valid state interest, and the benefits of the regulation must outweigh the burdens the regulation creates.60 If the regulation does not further a valid state interest, or if the burdens outweigh the benefits, the regulation is an unconstitutional undue burden.61 In determining the benefits and burdens of a regulation, courts are allowed to consider the evidence in the record and are not required to defer to the findings of the legislature.62 This is the standard courts use to determine if newly-passed regulations are an undue burden. Courts have additional standards when determining the constitutionality of parental involvement laws.

C. Parental Involvement Standard

The lives of minors are more frequently regulated by law than the lives of adults, and abortion is no exception.63 Advocates of parental involvement argue that minors benefit from parental involvement because all medical procedures are generally safer when parents know their children have received treatment.64 When parents are aware of the medical treatment, they can ensure that dangerous complications or side effects from abortions do not cause harm to minors.65 In addition to ensuring safety, parents can also provide emotional or moral support to minors making abortion decisions.66

The argument that parental involvement makes abortions safer is predicated on the idea that abortions lead to dangerous complications, which available evidence does not support.67 Of the 652,639 abortions performed in 2014, six had complications resulting in death.68 The case-fatality rate, or the proportion of people with a particular condition who die from that condition,69 for abortions between 2008 and 2014 was 0.79 fatalities per 100,000 legal abortions.70 Comparatively, the maternal mortality rate in 2015 was 26.4 deaths per 100,000 live births.71 Another study found that a person is fourteen times more likely to die from giving birth than they are to die from having an abortion.72 Despite the danger of birth, minors are allowed to carry a fetus to term and deliver without parental consent.73

Even though abortion is a safe procedure, the Supreme Court has consistently upheld a parent’s right to consent or have notice when their minor child obtains an abortion.74 The Court has also held that no third-party can have absolute veto power over another person’s abortion, whether that third-party is a spouse or a parent.75 If a state requires a pregnant minor to obtain consent from a parent, the state must also provide a procedure for a minor to obtain alternative authorization for an abortion.76 Without this procedure, any parental involvement statute is unconstitutional, as it would give a third party complete control over a minor’s abortion.77

The constitutionality of any parental involvement statute depends on the adequacy of the judicial bypass proceeding.78 The judicial bypass procedure must allow the minor to show that they are mature and well informed enough to make an abortion decision independently of parental involvement, or if the minor is not able to make the decision independently, the abortion would still be in the minor’s best interest.79 The proceeding must be carried out with anonymity and sufficient expedition to ensure the minor has enough time to obtain the abortion.80 If the judicial bypass procedure is too restrictive or does not meet these standards, the parental involvement provision burdens a minor’s right to an abortion and is unconstitutional.81

1. Mature and Well-Informed

In order to be constitutional, a judicial bypass procedure must give a minor the opportunity to show that they are mature enough to make their abortion decision without parental involvement.82 Despite this constitutional requirement, the Supreme Court has not articulated standards for state courts to rely on in determining a minor’s maturity, beyond stating that the minor must be well-informed enough to make the decision on their own.83 As a result, many states require simply that courts determine if a minor is mature and well-informed, without providing guidance within the legislation for how courts can make that determination.84

Other states provide factors courts must consider when determining a minor’s maturity.85 Across the country, courts consider a minor’s handling of their finances,86 knowledge of the abortion procedure,87 consideration of alternatives to abortion,88 experience living alone,89 experience working outside the home,90 and experience making similar life decisions.91

The Supreme Court has determined that courts must consider petitions from minors on an individual, case-by-case basis.92 The state cannot presume that minors under a certain age are categorically immature, and courts must give all minors a chance to utilize the judicial bypass process to determine their maturity, no matter their age.93 Minors have been granted abortions when they are articulate about future plans and possible risks to abortion, had part-time jobs, and were clear that abortion was the best option at that point in their lives.94 In different states, however, courts deny minors waivers of consent, despite those minors sharing similar backgrounds and experiences with minors in other states who have been granted waivers.95 Whether or not a minor is mature or well-informed, therefore, depends as much upon the judge as it does upon the minor.96

2. Abortion in Best Interests

If a minor is not mature, they can still obtain judicial consent for an abortion if a judge decides that the abortion is in their best interests, notwithstanding the minor’s immaturity.97 Much like a finding of maturity, there are no standards from the Supreme Court to guide state courts in determining when an abortion is in the best interests of a minor.98 States decide what evidence they can consider when determining if an abortion is in the best interest of a minor.99

The best interest provision of the judicial bypass process benefits minors who do not have parents or guardians who can provide consent.100 When a minor is a ward of the state, a judicial bypass process may be the only way the minor could obtain an abortion.101 The best interests standard is particularly vital in the cases of young minors who are pregnant as a result of statutory rape or other sexual assault.102 When immature minors are at risk of emotional or physical abuse if their parents or guardians discover their plan to obtain an abortion, the court can waive notification of an abortion, as it is in the best interests of the minor to obtain an abortion without their parents’ knowledge.103

A generalized fear of telling a parent does not, in itself, allow the court to find that a waiver of parental consent or notification is in a minor’s best interest.104 The minor must prove they are at risk of physical or emotional injury should their parent discover their abortion.105 When a minor is at risk of ejection from the home, or loss of financial support due to their parents’ beliefs against abortion of pre-marital sex, courts can find that an abortion without notification or parental consent is in the minor’s best interest.106

If an abortion is in the best interests of the minor, the court cannot withhold permission on the basis that it would be in the minor’s better interest to also consult with their parents.107 While a court can encourage the minor to talk to their parents, the court cannot insist a minor speak with their parents if an abortion without notification or consent is in the minor’s best interests.108 When a minor proves either that they are mature enough to make their own abortion decision, or that the abortion is in their best interest, the court must issue a judicial bypass.109 Failure to issue a bypass in either case renders the bypass procedure constitutionally invalid.110

3. Anonymous

There are certain procedural requirements a court must follow in a judicial bypass proceeding, mainly that the bypass be anonymous and sufficiently expeditious.111 In order for a judicial bypass to be constitutional, the procedure the statute creates must be practically available to minors.112 The legislature and courts must do more than rely on statements or promises of the availability and confidentiality of the procedure.113 The legislature or courts must develop specific practices to ensure the procedure is anonymous and available to minors.114 The court must take steps to prevent the minor’s identity from becoming public, though this requirement does not mean states have to allow a minor to file with a pseudonym or ensure complete anonymity.115 A statute meets the anonymity requirement if the statute requires reasonable steps by the court to prevent the public from learning the minor’s identity.116 In order to achieve this, the statute must include provisions for confidentiality and anonymity in sufficient detail.117

When the court does require a minor’s full name and social security number, the court must require that the records of the bypass be sealed in order to ensure the minor’s anonymity.118 This obligation is even more vital when the minor is subject to a venue restriction that forces them to file in their home county.119 A minor’s identity may need to be shared with court personnel for administrative purposes, but this exception to confidentiality is limited.120 A court cannot reveal the minor’s identity to people who the court feels need to know about aspects of the bypass procedure, like witnesses the state may call to determine whether the minor is mature.121 The court does not have discretion to reveal the minor’s identity beyond what is necessary for the administrative functions of the court.122 All reasonable efforts must be taken to ensure anonymity for the minor.123

4. Sufficient Expedition

Judicial proceedings must guarantee speedy proceedings and expedited review, not just because of the fundamental nature of the rights involved, but also because of the urgency of the abortion decision.124 Delay in judicial bypass proceedings could force minors into second trimester abortions, which are more expensive and burdensome than first trimester abortions.125 Statutes must create procedures or direct other agencies to promulgate rules to ensure an expedited hearing and appeal process.126 State legislatures do not have to lay out all the necessary provisions to create a judicial bypass.127 It is enough that the legislature creates a framework for a judicial bypass that is constitutional; existing court procedure can address issues of expedition and anonymity.128 If the state demonstrates awareness of the importance of anonymity and expedition, the judicial bypass will be constitutional, provided there is nothing on the face of the act that contradicts the provisions laid out in Bellotti.129See id.

Most judicial bypass hearings take fewer than twenty-two days.130 The Supreme Court stated that a twenty-two-day procedure was not enough to render a statute unconstitutional for lack of expedition.131 District and circuit courts have used this holding to find nineteen-day procedures constitutional132 and find twenty-three-day procedures unconstitutional.133 However, the Supreme Court did not specifically state that twenty-two days was the maximum time a judicial bypass and appeal could take, merely that twenty-two days did not automatically render the statute unconstitutionally slow.134 Courts must ensure that not only is the original bypass procedure conducted expeditiously, but also that the court hears appeals in a timely manner.135

D. Venue Restriction Background

A court has never struck down a parental consent statute or found a judicial bypass provision unconstitutional specifically because minors have been limited to filing the petition only in their county of residence, nor has the Supreme Court ever ruled on a venue restriction within a judicial bypass.136 District and circuit courts find venue restrictions unconstitutional if those venue restrictions prevent out-of-state minors from obtaining an abortion within the state without the consent of their parents.137 If a venue restriction prevents out-of-state minors from seeking a judicial bypass, the court can strike the restriction down.138

The Seventh Circuit found an Indiana venue restriction constitutional if the minor, the minor’s next friend, or the minor’s physician could bring the judicial bypass petition.139 If a minor has a choice as to who can bring the petition seeking a judicial bypass, and if any of those chosen people can bring the petition in the county where they reside, even if it is not the county where the minor resides, the venue restriction is constitutional.140 The Sixth Circuit laid aside a Tennessee venue restriction, not because the restriction burdened minors, but because the court improperly created the restriction.141 The act that created the parental consent law in Tennessee had a more expansive venue rule that allowed a minor to file for a judicial bypass anywhere in the state.142 The court declined to rule on the constitutionality of a venue restriction which limits a minor to filing a judicial bypass petition in their home county or the county where the abortion is taking place, and instead ruled the venue provision in the original law superseded any court-created venue restriction.143 The practical result of this decision was that minors were able to file a judicial bypass petition in any county in the state.144 The United States District Court for the District of Idaho found a venue restriction to be an undue burden, as the state admitted there was no state interest served by limiting the venue for minors seeking a judicial bypass, but the Ninth Circuit declined to rule on the venue restrictions, and struck the parental consent statute down for other reasons.145

E. Judicial Bypass Under Whole Woman’s Health Standard

Whole Woman’s Health v. Hellerstedt announced a new standard to determine whether or not an abortion regulation constituted an undue burden.146 Under the new standard, a regulation is unconstitutional if the law creates burdens that outweigh any benefits from the law.147 Judicial bypass cases since Whole Woman’s Health v. Hellerstedt rely on evidence from doctors and the state when making legal decisions on the constitutionality of abortion regulations.148

An Indiana law required courts to notify parents if their minor child was seeking a judicial bypass in order to obtain an abortion, meaning courts had to notify parents of the minor’s abortion even if the court later determined the minor was mature enough to make the abortion decision on their own.149 The District Court for the Southern District of Indiana held this notification provision to be an undue burden, since the government intervention to protect the rights of parents had a far greater impact on the minor’s bodily autonomy than it did on parental authority.150 In making this decision, the court relied on sworn affidavits from doctors and bypass coordinators, testifying to the abuse minors faced and the reality for minors in Indiana and Kentucky who were seeking bypasses to avoid parental abuse.151 The Seventh Circuit upheld this decision, finding the state provided no evidence of a problem that the new notice requirement would solve, nor was there evidence the notice requirement would confer a benefit to minors and their parents.152 The court relied on evidence from bypass coordinators to determine that notifying all parents of a minor’s intention to seek a judicial bypass would have dangerous effects, and the court held the burdens this notice provision would create outweighed any benefits.153

An amendment to the Alabama judicial bypass statute required the court to notify the District Attorney (DA), who would be immediately added as a party to the proceedings.154 A minor’s parents or guardians would also be added to the proceedings if the guardians happened to learn the proceedings were taking place.155 Reviewing courts could appoint a guardian ad litem (GAL) for the unborn child, and the DA and GAL could examine the petitioner and any witnesses at the proceeding.156 The United States District Court for the Middle District of Alabama found the state provided no evidence for how these extra parties would provide guidance to the pregnant minor that would serve the state interest of providing sufficient evidence for minors to make informed decisions.157 The court relied on statutes from other states to determine that these procedures, which were unique to Alabama, were unnecessary to achieve the stated goals and only served to burden minors seeking an abortion.158

The United States District Court for the Eastern District of Arkansas enjoined several anti-abortion provisions, including a tissue disposal mandate,159 in part on the theory that requiring consent of a parent to dispose of the tissue following a minor’s abortion, even if the minor obtained a judicial bypass, would violate the minor’s right to an abortion free from parental influence.160 To enjoin this provision, the court relied on copious amounts of evidence from Dr. Hopkins, of Little Rock Family Planning, including his assertion that forced disclosures from physicians severely interfere with abortion care.161 The court noted that the state of Arkansas provided no evidence to contradict the doctor’s assertions.162

The above cases demonstrate the Whole Woman’s Health standard in action. The state must produce actual evidence to show the contested provisions are furthering a state interest.163 In analyzing amendments to existing statutes, courts require evidence from states to prove the existence of a new problem that requires a change in provisions, and what actual benefits these amendments create.164 If the state cannot provide this evidence, and minors or abortion providers can show evidence of burdens, courts have found for minors and abortion providers over the state, as they are required to do under Whole Woman’s Health v. Hellerstedt.165

II. Analysis

This Part analyzes the Arkansas venue restriction in much the same way a court would under the Whole Woman’s Health standard.166 The state’s interest in the new parental consent law and venue restriction was to ensure that minors are making informed choices about their abortion decision by involving their parents.167 The venue restriction was an amendment to the original parental consent law, which would require the state to produce evidence of a new problem that the venue restriction seeks to cure.168 The state has no such evidence that would require a change in the parental consent law.

The state can provide evidence of the benefits of parental consent laws more generally and point to studies that demonstrate that minors can benefit from having parental involvement in their decisions.169 Arkansas could argue that because minors’ brains are not fully developed, minors require oversight when making potentially life-changing decisions.170 These benefits, however, are outweighed by the burdens created by the venue restriction.171 A telephone study of clerks demonstrated that only eight out of Arkansas’s seventy-five circuit courts are prepared or able to provide information about the judicial bypass procedure.172 This pervasive lack of information means that only 17.22% of Arkansas’s population lives in a county with access to a judicial bypass.173 This leaves over 82% of minors in Arkansas unable to obtain a judicial bypass, due to intransigence of lack of knowledge from local clerks.174 The inability or unwillingness of local clerks to provide information renders the venue restriction of the Arkansas parental consent law an unconstitutional undue burden.

A. State Interest

In Arkansas, a physician cannot perform an abortion on a minor without obtaining written consent of a parent, legal guardian, or custodian.175 A judicial bypass from a court can be used in lieu of consent from a parent, legal guardian, or custodian.176 The court must grant the petition for an abortion without parental consent if the court finds through clear and convincing evidence that the minor is sufficiently mature and well-informed.177 The court must also grant a bypass if the minor is a victim of physical or sexual abuse by one or both parents.178 This standard is distinct from the best interest standard, which requires the court to grant a bypass if obtaining the consent of a parent or guardian is not in the best interests of the minor.179 No other standards are outlined to assist the court in determining what it means for an abortion to be in the best interests of the minor.

The Arkansas legislature amended its parental consent act in 2015 to include the venue restriction, which took effect on January 1, 2016.180 The legislature included findings in the bill, stating that minors lack the ability to make fully informed choices, and highlighting that the medical, emotional, and psychological consequences of an abortion are long-lasting.181 The bill aimed to protect minors against their immaturity, foster family unity, and protect the constitutional rights of parents to rear their children.182 Critics of the bill stated that the new legislation would make it harder for minors who are victims of rape or incest to obtain an abortion.183 Pro-choice activists also criticized the venue restriction for increasing the risk that a minor’s anonymity would be compromised when the minor has to file a petition in her home county.184 No legislators offered criticism or support of the venue restriction.185

B. Benefits to Parental Involvement and Venue Restriction

Anti-abortion advocates believe parental involvement laws are necessary to ensure abortion providers have access to the minor’s medical history through medical records provided by the parents.186 There is a belief that a minor cannot fully understand the short- and long-term consequences without parental involvement, and thus a minor is not giving their informed consent unless their parents have weighed in on their decision.187 Adolescent brains are still developing, and the delayed development of certain brain functions has been shown to increase risk-taking behavior in adolescents.188 While adults make decisions using the frontal cortex, an area of the brain that controls planning and rational thinking, adolescents rely on the amygdala, which is traditionally associated with instinct and emotions.189 Adults plan out decisions; adolescents go with their gut feelings.190

These scientific differences in brain structure and decision-making give rise to the recognized legal difference between the brains of adolescents and the brains of adults.191 Defendants under eighteen cannot be given the death penalty based on studies that show teenagers have a lack of maturity and underdeveloped sense of responsibility, which leads them to make poorly-considered decisions.192 The Supreme Court has upheld the validity of this science when it held sentencing a juvenile to life without parole for a nonhomicide offense to be unconstitutional.193

Beyond benefits to minors in the form of parental assistance with decision-making,194 parental involvement statutes protect parental rights.195 The right of parents to raise their children as they desire has long been recognized by the Supreme Court.196 The concept of family in the law relies on the idea that parents possess the maturity and judgment capacity that children lack, and the natural affection and bonds parents have with their children mean parents will act in the best interests of their children.197 For anti-abortion advocates, parental involvement statutes also serve to lower abortion rates.198 Anti-abortion advocates argue that the current parental involvement laws do not do enough, and that fewer abortions would occur if parents were notified about their children’s abortions and their children had no opportunity to bypass their parents.199

In addressing judicial bypass venue restrictions, other states have highlighted the need to curb forum shopping by minors.200 A Texas judge expressed concern that upon being rejected by one court, minors would travel to other counties to refile their rejected petitions in the hope of obtaining a judicial bypass.201 Justice David Souter, when he was a trial judge in New Hampshire, echoed this concern.202 There is an understanding that minors will, if they are able, choose counties or judges that are more likely to grant a bypass.203 Conservative judges will occasionally refuse to rule on or even hear judicial bypass petitions, and minors may try to avoid those judges.204 There is no clear evidence how often this occurs, beyond anecdotal evidence by minors and advocates.205

C. Burdens to Parental Involvement and Venue Restriction

The positive influence parents have on their child’s decision-making is not the same for all families.206 Rather, positive parental influence on decision-making generally depends on parenting styles.207 Over-controlling parents are associated with a higher risk of adolescent pregnancy, possibly because adolescents with authoritarian parents who expect rules to be obeyed without explanation, are less likely to turn to their parents for assistance and more likely to turn to their peers.208 Another study showed that adolescents who were allowed to make their own decisions, as opposed to adolescents whose parents made all familial and personal decisions, had better decision-making capacity and were less likely to binge drink.209

Healthcare professionals also recognize that adolescents can give informed consent, even with their tendency towards snap decisions.210 Terminally ill adolescents are sometimes more aware of the gravity of their illness than adults in similar situations, and they are able to navigate complex medical decisions.211 Since public health requires prompt diagnosis and treatment of sexually transmitted diseases, states allow adolescents to access treatment without parental consent.212 This attitude shows up most frequently in treatment for sexually transmitted infections, to ensure that there are as few barriers as possible between adolescents and the treatment they need. The law allows for healthcare emancipation when minors need to be protected from the consequences that may result if their parents were aware of their actions, whether those consequences are real or assumed.213 As pregnancy has personal and societal costs for minors, the law can intervene to ensure that minors are able to make decisions about their pregnancy without fear of parental penalties.214 Minors can access contraception without the approval of their parents, since even though sex can carry hazards, it is unreasonable that the state would punish sex with an unwanted birth and pregnancy.215 This punishment does not apply to minors any more than it applies to adults, thus a total prohibition on minors accessing contraceptives is not constitutional.216

Studies have proven that parental involvement statutes do not reduce abortions.217 An analysis of Arkansas abortions before and after the parental consent statute took effect showed a downward trend in abortions for all age groups, not just minors.218 Fewer people were obtaining abortions, but this was the case across age groups; there was nothing in the parental consent statute that reduced abortion rates for minors specifically.219

The majority of minors already involve or inform their parents of their abortion decisions.220 For the minors that do not tell their family, 30% have either experienced violence, worried that violence will occur, or believed they would be forced to leave their home.221 These minors frequently still speak to adults about their decision, with 52% confiding in an adult outside of their family and another 22% speaking with a professional about their decision.222 Minors frequently excluded their parents from their abortion decision when they knew their parents would not be supportive, would prevent them from obtaining an abortion, or when they sensed the revelation of their pregnancy would disrupt familial harmony.223 All minors in these studies chose to involve someone in their abortion decision, and past research has shown that minors face worse outcomes when forced to involve unsupportive people.224

While parental involvement is sure to benefit certain minors, to prescribe it for all minors ignores the capacity minors have to make their own healthcare decisions and assumes that parental involvement will be equally beneficial for all minors, when the opposite is true. Certain parenting styles worsen adolescent decision-making, and adolescents may not benefit from increased parental involvement.225 As a result, parental involvement statutes have limited benefits and proven burdens.

Judicial bypass hearings cause psychological distress for minors.226 One study, based around in-depth interviews with minors who had obtained judicial bypasses, found that almost all the minors surveyed were nervous or frightened about the prospect of going to court, primarily because they were afraid the judge would not give them permission for an abortion.227 The minors worried about making mistakes that could make them seem immature, or being unable to convey their maturity through discussions of their life circumstances.228 Others worried that the judge would not be satisfied with the reasons minors gave for choosing not to involve their parents.229 Several minors in the study, who had never been to court before, could not shake the feeling that court was for people who did something wrong, that they should feel ashamed for being there.230 This fear is not unfounded; in the course of judicial bypass proceedings, minors can be shamed, interrogated by judges, and forced to discuss intimate details of their lives in court.231 All the minors surveyed except one said they did not find the judicial bypass process to be helpful in their decision making, and instead found the court process created more stress.232 Minors also reported logistical issues in obtaining a judicial bypass.233 These issues came in the form of incorrect information about the procedure and general difficulties traveling to the courthouse for the procedure, particularly if the minor did not have a car or could not drive.234 These difficulties existed when minors could obtain a judicial bypass from any court in the state,235 but are heightened when venue restrictions are present, particularly with regard to receiving incorrect information about the procedure.236

Venue restrictions may be passed to prevent forum shopping, but too often these statutes can prevent minors from accessing abortion at all.237 A study of Pennsylvania courts in 1999 found that only eight out of the sixty judicial districts were able to give complete and accurate information to a caller seeking a judicial bypass.238 A little over half the courts in Tennessee were similarly unprepared to assist minors in the judicial bypass process.239 Thirty-four of sixty-seven Alabama county courts could not provide constitutionally required information to minors seeking a judicial bypass.240 Sixty-five percent of Florida courts could not provide assistance to callers about a judicial bypass.241 In Texas, over half of county courts were either unable or unwilling to assist or provide any information about a judicial bypass procedure.242

As disheartening as it is for a minor to call a huge number of courts before reaching one that can assist, this lack of information has the greatest consequences for minors limited by venue restrictions.243 When a court cannot or will not provide a judicial bypass to a minor, and there is no way for the minor to utilize another court, the minor has very few options.244 They can seek approval from their parents or guardians, if indeed their parents or guardians are a part of their life.245 This prospect is terrifying for minors who would face physical, emotional, or mental abuse from parents who are opposed to abortion or pre-marital sex.246 The prospect of parental consent is even more upsetting for minors who are the victims of parental incest who are reduced to asking their rapist for permission for an abortion. If minors do not want to seek consent from their parents, they can choose to carry the child to term, or take self-help measures, purchasing pills through the internet, or relying on incredibly unsafe means to induce an abortion.

D. Results of Study Testing Clerk Knowledge or Willingness to Provide Information about Judicial Bypass Procedure

Arkansas has seventy-five circuit courts spread across twenty-three judicial districts.247 In order to obtain a judicial bypass, minors must petition the circuit court in the county where they reside.248 Since a petition must be filed in the local circuit court, I conducted a telephone survey of the seventy-five circuit court clerks in Arkansas.249 I opened each call by asking for information about where a person under eighteen could drop off a petition so she could have an abortion without having to tell her parents.250

The vast majority of courts had no idea how to handle this inquiry. Only three courts provided accurate information. The clerk of the Pulaski County’s circuit court knew the most, which is understandable, as Pulaski County contains both Little Rock and the state’s main surgical abortion clinic. The Madison County clerk had to research the question, but eventually communicated where the petition would be filed, that no filing fee was required, and gave the number in the Arkansas code where more information about the procedure could be found.251 Finally, the Crawford circuit clerk provided contact information for a person in the juvenile division who was knowledgeable about the procedure.

Five other courts provided some information, not all of it accurate.252 Grant and Calhoun counties’ clerks knew enough to advise that this type of petition would be filed in circuit court and had no knowledge beyond that fact. Two courts in Lafayette County and White County provided inaccurate information. Lafayette County said it may cost money to file a petition for judicial bypass, which is not the case. An erroneous statement like that could dissuade minors from filing these petitions. The clerk of White County was confident that parental consent for an abortion was not needed at all.253

Fifteen counties had no information, and suggested speaking with specific attorneys, either through Arkansas Legal Aid or local attorneys.254 Another seventeen counties had no information and suggested speaking with an attorney, but provided no information about where to find an attorney, oftentimes stating that they as clerks could not provide legal advice or attorney referrals.255 Thirteen counties referred me to service providers: either local shelters, hospitals, or health departments.256 Five courts referred me to attorneys and local services,257 for a total of fifty counties with no information about the judicial bypass procedure, but a willingness to refer to those who may have knowledge about the procedure.258

Two clerks had no information about the procedure and referred me to local crisis pregnancy centers.259 Another twelve counties did not know anything about the judicial bypass procedure and provided no referrals to attorneys or services.260 Two clerks were unable to keep their own opinions out of the calls, stating that there were many families who wanted children, that an abortion was a drastic measure, and there were options available.261 One county clerk was clear that the judge would not grant petitions for judicial bypass, stating a minor had brought a petition once in the past, and the judge had refused to grant the petition.262

Little Rock Family Planning does provide valuable assistance to minors who are filing petitions for judicial bypass.263 As this is one of two clinics in the state, it is highly likely that, in practice, almost every minor will receive the necessary assistance in filing a judicial bypass. It is not the responsibility of the clinic, however, to correct the court system’s failure to comply with the law. The state of Arkansas has vested in its courts a responsibility to hear and grant judicial bypass petitions, and most circuit courts are unable to do so, leaving a health clinic with the burden of providing legal guidance. Finally, all the guidance of Little Rock Family Planning means nothing if a judge will not grant petitions for minors who qualify for an abortion without parental consent.

Over eighty-two percent of Arkansas minors live in a county with a clerk that either knows nothing about the judicial bypass procedure, does not take the time to learn about it, or who refuses to provide the procedure.264 While certain minors would benefit from consultation with parents, a large fraction of the minors who would be utilizing a judicial bypass, those minors that cannot or do not want to share their abortion decision with their parents, would be unduly burdened by a requirement to seek a judicial bypass from a court that does not care to or cannot provide one. The burden faced by a large fraction of minors, in the form of unwilling or unknowledgeable courts, is not outweighed by any benefits to the state in strengthening a family unit that is already fractured, given that the minors in question do not want to communicate with their parents, or in preventing potential but unproven forum shopping.265

III. Proposal

Courts across Arkansas are not prepared to provide judicial bypass procedures to minors. Given that the majority of Arkansas’s population lives outside of a county that can provide a judicial bypass, the majority of minors who need a judicial bypass in order to obtain an abortion will confront a substantial obstacle. The burdens created by a venue restriction, namely that a large fraction of minors who need to utilize the judicial bypass process will be unable to obtain one, do not outweigh any benefits the law may provide. In creating a substantial obstacle to the judicial bypass procedure, Arkansas has given parents a veto over their children’s abortion decision, which is unconstitutional under Bellotti v. Baird.266

To rectify the unconstitutionality of the parental consent statute, Arkansas must remove the venue restriction and allow minors to file a petition for judicial bypass in any county.267 This will allow minors to file a petition with a court that is aware of the procedure and can provide the constitutionally required judicial bypass without delay. Removing the unconstitutional venue restriction will not remove every obstacle minors in Arkansas will face in seeking a judicial bypass. Minors may be forced to travel great distances in order to find a judge or clerk who is knowledgeable about the procedure, which leads to financial stress and delays. Removing the venue restriction will make the judicial bypass constitutional but will not address the practical concerns facing minors in Arkansas who wish to obtain abortions without their parents’ permission. Those practical issues, however, are created by the parental consent statute, which courts have repeatedly held to be constitutional.268

Conclusion

The judicial bypass in Arkansas is a right without a remedy. Minors have the theoretical option to go to their local court and petition for a judicial bypass, but unless they live in one of three counties familiar with the procedure, they cannot utilize the judicial bypass procedure created by the Arkansas legislature. In over forty percent of Arkansas counties, minors may feel obligated to retain a lawyer solely because the clerks lack the knowledge to assist, and erroneously tell minors they must speak with a lawyer in order to proceed.269 Minors in twenty percent of Arkansas counties would be referred to organizations that either cannot assist them or would actively try to dissuade them from an abortion. Faced with little information or outright refusal from courts, minors in the majority of Arkansas counties have few options. Those wealthy or lucky enough can hire a lawyer, even though no lawyer is required for the procedure. Others will have to do their own research on the judicial bypass procedure, a tall order for a high school student, particularly since there is little information online about how to navigate Arkansas’s judicial bypass option.270 Minors who cannot find a lawyer or information on the procedure will be forced to go to their parents for approval, carry the pregnancy to term, or use at-home remedies to induce a miscarriage.

If a judicial bypass process does not conform to the standards set out in Bellotti, the bypass procedure, and by extension the parental consent requirement, is unconstitutional. If a minor is unable to access the court due to clerk intransigence or lack of knowledge, that minor will not receive an expeditious judicial bypass. By restricting minors to file in their county of residence, Arkansas has made the judicial bypass process out of reach for a large fraction of the state’s minors. Under the undue burden test as articulated by Whole Woman’s Health v. Hellerstedt, the burdens of the law that can prevent minors from accessing a judicial bypass proceeding are not outweighed by the stated benefits, namely strengthening family unity and ensuring minors make informed decisions. These benefits are not enough to outweigh a third-party veto on a minor’s abortion, and in order for the Arkansas parental consent statute to be constitutional, minors must have more than their county of residence in which to file a petition.

If minors were able to file a petition for judicial bypass in any state court, some of these problems would be ameliorated. To allow minors to file a petition for judicial bypass in any county in the state would enable them to obtain an abortion and a judicial bypass in the same county. Similar benefits would exist if minors were able to file in nearby counties that are knowledgeable about the procedure, as this would minimize the need for travel, while still allowing minors to obtain the constitutionally required judicial bypass. This would remove the undue burden that is created when minors are limited to file in their county of residence. As it stands, if minors are limited to file a petition for judicial bypass only in their county of residence, this creates an undue burden, which renders the parental consent statute unconstitutional, since without an adequate mechanism for a judicial bypass, the statute gives parents an absolute veto over their children’s abortions.


* J.D. Candidate, Benjamin N. Cardozo School of Law, 2021; Associate Editor, Cardozo Law Review. I would like to thank Nkaski Akpaka for introducing me to the issue of venue restrictions on judicial bypass procedures and providing critical early support to this project, Professor Edward Stein for his guidance, Brian Pori for his keen edits, and Felicia Mancini for taking me to my first pro-choice march all those years ago.