OCTOBER TERM, 2021 · DECIDED JUNE 24, 2022 · 6–3

597 U.S. ___ · No. 19-1392 · Argued December 1, 2021

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Dobbs v. Jackson Women's Health Organization

Reversed and remandedFinal ruling
abortion rightsreproductive rightsstates' rightswomen's rightsconstitutional liberty

Opinion of the Court by Justice Alito, joined by Justices Thomas, Gorsuch, Kavanaugh, and Barrett

The Supreme Court overruled Roe v. Wade and Planned Parenthood v. Casey, holding that the Constitution has never protected a right to abortion and returning to states the full power to allow or ban the procedure.

The ruling ends nearly fifty years of federal constitutional protection for abortion access, immediately activating bans or severe restrictions across many states and opening a new era of state-by-state patchwork laws governing whether — and under what conditions — women may obtain abortions.

Roe was egregiously wrong from the start. Its reasoning was exceptionally weak, and the decision has had damaging consequences. And far from bringing about a national settlement of the abortion issue, Roe and Casey have enflamed debate and deepened division.
Justice Alito

The majority's core justification for overruling Roe v. Wade after nearly fifty years.

How it got here: A federal district court struck down Mississippi's 15-week abortion ban and the Fifth Circuit affirmed; Mississippi asked the Supreme Court to review the case and the Court agreed.

The Case in Depth

What happened

Mississippi passed a law in 2018 banning most abortions after fifteen weeks of pregnancy — well before the viability threshold that Roe and Casey had set as the outer boundary for abortion bans. Jackson Women's Health Organization, the state's only licensed abortion clinic, and one of its doctors sued to block the law, arguing it violated nearly fifty years of Supreme Court precedent guaranteeing the right to abortion before fetal viability.

The question before the Court

Does the Constitution protect a right to abortion, and can Mississippi ban most abortions after fifteen weeks of pregnancy?

The Court's answer

No — the Constitution does not protect a right to abortion, and states are free to regulate or ban it.

The Court concluded that abortion is not "deeply rooted in this Nation's history and tradition" — the threshold the Fourteenth Amendment requires before it protects an unenumerated right. At common law, abortion was treated as criminal at least after quickening; by 1868, three-quarters of states had made it a crime at every stage of pregnancy; and that consensus persisted until Roe in 1973. The Court also found that the doctrine of stare decisis — which calls for following precedent — did not require preserving Roe and Casey: both were egregiously wrong, their reasoning was exceptionally weak, Casey's "undue burden" test proved unworkable, and no concrete reliance interests existed. Without a fundamental right at stake, Mississippi's 15-week ban need only pass rational-basis review — the most lenient constitutional standard — which it easily satisfies because protecting prenatal life is a legitimate government interest.

Curious how the Court got there? See the step-by-step legal reasoning →

Why it matters

Women in states that now ban abortion must travel out of state or forgo the procedure entirely — a burden falling hardest on those who cannot afford to travel. Doctors in ban states face criminal prosecution. State legislatures and courts will set the new rules, including whether exceptions exist for rape, incest, or serious threats to a woman's health.

What changes now

With Roe and Casey overruled, states that had enacted trigger bans immediately began enforcing them, leaving women there unable to obtain legal abortions. Other states continue to allow the procedure. Mississippi's 15-week ban takes effect. Ongoing litigation in state and federal courts will address questions about exceptions for rape, incest, and medical emergencies, and about restrictions on interstate travel for abortion.

What this does not decide

The Court expressly stated the ruling covers only abortion and should not cast doubt on rights to contraception, same-sex marriage, or other personal decisions. The decision does not prohibit abortion nationwide — states may still allow it — and does not resolve whether states can block women from traveling out of state for abortions or impose criminal liability on women who seek them.

Concurrences and dissents

Concurrence — Justice Thomas

Justice Thomas joined the majority but wrote separately to argue that 'substantive due process' — the doctrine the Court used to recognize unenumerated rights including contraception and same-sex marriage — is itself constitutionally illegitimate, because the Due Process Clause guarantees only process, not substantive rights. He urged the Court to reconsider Griswold (contraception), Lawrence (same-sex intimacy), and Obergefell (same-sex marriage) in future cases and overrule them as 'demonstrably erroneous.'

Concurrence — Justice Kavanaugh

Justice Kavanaugh wrote separately to explain that the Constitution is 'neutral' on abortion — neither requiring it to be legal nor banned — and that the Court must be equally neutral by returning the question to democratic processes. He emphasized the ruling does not ban abortion nationwide and addressed two practical questions he saw as relatively clear: states may not bar women from traveling to other states for abortions, and states may not impose retroactive liability for abortions obtained before this decision.

Concurrence — Justice Roberts

Chief Justice Roberts agreed that Mississippi's 15-week ban should be upheld and that the viability line from Roe and Casey was never justified and should be discarded. He would have stopped there rather than overruling Roe entirely, arguing that the principle of judicial restraint requires deciding only what is necessary to resolve the case at hand. He said the Court could reverse the Fifth Circuit by eliminating only the viability rule while leaving for another day whether any abortion right exists.

Dissent — Justice Breyer

The Court reverses course today for one reason and one reason only: because the composition of this Court has changed.The dissent's central objection to the majority's treatment of stare decisis.

The three dissenters argued that Roe and Casey correctly held the Fourteenth Amendment protects a woman's right to choose, grounded in decades of precedent protecting bodily integrity, family decisions, and personal autonomy. They maintained stare decisis requires strong justification before overruling 50-year-old precedent — justification entirely absent here — and that the Court reversed course solely because its composition changed. They warned the ruling threatens other rights such as contraception and same-sex marriage, and that it strips women of liberty and equal citizenship.

How the Court got there

The legal reasoning, step by step

  1. The Court identified the governing test for recognizing unenumerated constitutional rights under the Fourteenth Amendment's Due Process Clause: a claimed right must be 'deeply rooted in this Nation's history and tradition' and implicit in 'ordered liberty' — the standard the Court had applied in Washington v. Glucksberg (1997) when declining to recognize a right to assisted suicide. Historical inquiry is therefore essential whenever the Court is asked to recognize a new component of the liberty that clause protects.
  2. Applying that historical standard, the Court found no deep roots for an abortion right. English common law treated abortion as criminal at least after quickening; American states expanded criminal liability throughout the 1800s; and by 1868, when the Fourteenth Amendment was ratified, three-quarters of states had made abortion a crime at every stage of pregnancy. That overwhelming consensus persisted until Roe was decided in 1973, meaning the right Roe recognized was entirely novel — and unsupported by the historical record.
  3. The Court assessed five stare decisis factors — the doctrine that courts follow prior decisions — and found all five favored overruling Roe and Casey. Both decisions were 'egregiously wrong'; Roe's reasoning lacked grounding in constitutional text or history; Casey's 'undue burden' replacement test proved unworkable and generated persistent, unresolvable disagreements among federal appeals courts; the abortion precedents distorted many unrelated legal doctrines; and no concrete reliance interests — of the kind that arise in property or contract cases — were at stake.
  4. The Court rejected the argument that abortion can be justified as part of a broader constitutional right to personal autonomy. Prior decisions protecting marriage, contraception, and intimate relationships are distinguishable because — as both Roe and Casey themselves acknowledged — abortion uniquely destroys 'potential life.' That fundamental difference means those other cases do not support an abortion right, and overruling Roe does not undermine them.
  5. Without a fundamental constitutional right at stake, the applicable standard became rational-basis review — the most lenient level of constitutional scrutiny, under which a law is valid if there is any rational reason a legislature could have thought it serves a legitimate government interest. Mississippi's interests in protecting prenatal life and in restricting procedures the legislature found 'barbaric' easily satisfy that standard.

Doctrinal impact

Laws and provisions at issue

Fourteenth Amendment Due Process Clause

Constitutional provision the Court held does not protect a right to abortion, because that right lacks deep roots in American history and tradition.

Mississippi Gestational Age Act, Miss. Code Ann. § 41-41-191

Mississippi law banning most abortions after fifteen weeks of pregnancy, which the Court upheld under rational-basis review.

Cases affected by this decision

Overrules Roe v. Wade (410 U.S. 113)

The Court held Roe was egregiously wrong and explicitly overruled it, eliminating the constitutional right to abortion it had recognized.

Overrules Planned Parenthood of Southeastern Pa. v. Casey (505 U.S. 833)

The Court overruled Casey along with Roe, ending the viability framework and the undue-burden test Casey had substituted for Roe's trimester scheme.

Reaffirms Washington v. Glucksberg (521 U.S. 702)

The Court reaffirmed Glucksberg's test — requiring historical roots in the Nation's tradition — as the correct standard for recognizing unenumerated constitutional rights.

Supreme Court Opinion

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Dobbs v. Jackson Women's Health Organization | SCOTUS Reporter