Proponents suggest Maryland could become a destination for abortion care. The state cannot disclose the identity of those participating in the training, but requires organizations to have experience in coordinating abortion programs and submit annual reports. In 2017, 89 percent of U.S. counties did not have clinics offering abortions. About 38% of women of childbearing age lived in these countries and would have had to travel elsewhere for abortions.  Of the patients who had an abortion in 2014, one-third had to travel more than 25 miles to reach a facility.  Maryland currently has 25 open abortion clinics; However, the New York Times shows several abortions that were closed in Maryland from 2013 to 2018.  In 1981, there were 29.3 abortions per 100 women aged 15 to 44, up from 19.5 in 2005.  Increased contraceptive use only contributes to a decline in abortions nationwide. Since July 1989, when the Supreme Court gave states more powers to restrict abortion, seven states have enacted restrictive abortion laws. Only two states — Nevada through an election initiative and Connecticut through legislation — have passed laws containing provisions similar to Maryland`s.
Today`s victory of lawmakers over abortion was tempered by the provision requiring parental notification for girls under 18 who want an abortion. As long as the Roe decision remains intact, parental notice will be the only part of the law that will change current practice in Maryland when the law goes into effect on July 1. Attacked by opponents as the country`s most liberal abortion law, the measure allows abortion without restrictions to the point where a fetus can survive outside the womb. Subsequent abortions may be performed to protect the woman`s health or in cases of severe foetal malformation. Since 2010, the U.S. abortion landscape has become increasingly restrictive as more states pass laws hostile to abortion rights. Between January 1, 2011 and July 1, 2019, states passed 483 new abortion restrictions, accounting for nearly 40 percent of all abortion restrictions passed by states in the decades following Roe v. Wade. Some of the most common restrictions on abortion at the state level include notification or consent requirements for minors, restrictions on public funding, mandatory counseling designed to discourage individuals from having abortions, prescribed waiting periods before an abortion, and unnecessary and burdensome regulations for abortion facilities. The Maryland bill was approved and sent to Schaefer after anti-abortion lawmakers tried unsuccessfully to amend it to ensure hospitals and medical professionals were protected if they refused to refer a woman for an abortion, whether for religious or moral beliefs. For clinics that are still open, some do not offer abortions after 13 weeks.
Maryland law states that abortions can be performed after or on viability if there is a fetal abnormality or if the patient`s life is in danger. Viability is widely considered to be 24 weeks. While Maryland law protects the mother`s right to choose, clinics that don`t offer the procedure until before 13 weeks present another barrier to accessing safe and legal abortions. In addition, rape and incest are not included as an exception after viability, which for many in Maryland lends itself as another barrier to safe and legal abortions.  The new law also requires private health insurers, except those with religious or legal exemptions, to cover abortion without deductible as health care, and it makes permanent Medicaid public health insurance for abortion care. In fact, Maryland has abortion laws similar to those in other states, with standard consent requirements for unmarried minors, but no legal waiting periods. Only fully licensed doctors are allowed to perform the procedure, which should only be performed when the fetus is viable (i.e. it can survive outside the womb) or when abortion is necessary to save the mother`s life.
PIP: The impact of reports on therapeutic abortions in Maryland from 1968 to 1970 on assessing the impact of the new abortion law, which was a liberalization of the previous law, is discussed. All state hospitals were required to report all abortions. In fiscal year 1969, 2134 abortions were performed, while in fiscal year 1970, 5530 were performed. Of the state`s 39 non-federal hospitals, only 2 performed more than 100 abortions. The ratio of abortions to live births was 40.1/1000 live births in 1969 and 101.6/1000 live births in 1970. 2/3 of all abortions were performed on patients recommended by a private physician or hospital staff member. 91.6% of all abortions performed in 1969 were for mental health reasons, while in 1971, 96.1% fell into this category in the first 6 months. The most common method of abortion was aspiration curettage, the use of which increased from 20.9% to 45% in the period 1969-1970. Morbidity (defined as fever greater than 100.4 degrees F, transfusion and other complications) occurred in 0.4-1.8% of all patients who underwent aspiration curettage and in 2.9-8.1% of all patients with saline amniotic fluid exchange. Hysterotomy and hysterectomy ranged from 8.6 to 24.4%. The proportion of women outside the state increased from 15.0% to 2.8% between 1969 and 1970. Blacks had higher rates (132.8/1000 live births) than Whites (76.5/1000 live births).
The median age was 22 years. 49% had no children. The law had its greatest impact in the first year in large urban areas, while small urban areas were affected in the second year. Schaefer, who has personally spoken out against abortion, signed the bill 40 minutes after the House action, but expressed ambivalence about key provisions. Nine other states are considering such legislation, and about 110 bills to restrict various abortion restrictions have been introduced in 47 state legislatures, according to the National Abortion Rights Action League. Safe and legal abortions are declining, but clinic closures remain a barrier to access for many women. Closing clinics only stops safe and legal abortions. Studies show that closing clinics leads women to try their own abortions, which are much more dangerous. Clinic closures also lead to so-called Google “self-induced abortions,” showing that the need for these procedures still exists. 20 to 50 percent of women who have unsafe abortions are hospitalized due to complications, resulting in health problems and additional costs for women and the Maryland government that are higher than an abortion.  In general, minors cannot have an abortion without the permission of a parent or guardian, but medical providers can bypass guardians if reasonable efforts are made to obtain permission.
Opponents demanded that the bill appear on the ballot as a referendum, but voters voted 2-1 in favor of abortion rights in 1992. In 1991, the state legislature and the then-governor passed. William Donald Schaefer, a Democrat, signed a bill allowing abortions to the point where a fetus can survive outside the womb. Informing parents may discourage minors from having an abortion. The exceptions leave the decision in the hands of the abortion provider, creating uncertainty for minors who wish to use the procedure and could have an additional deterrent effect. In addition, abortion providers cannot choose to waive parental notification for minors who need the procedure, thus proving the deterrent that parental notification causes. Advances in medical science and technology are changing the abortion debate and opening the eyes of new generations to the basic humanity of the unborn. The 84-52 votes in the House of Representatives came after an emotional debate on abortion last year in the General Assembly and an autumn election season dominated by the issue.
The state Senate approved the bill last week by a large majority. In 2017, approximately 862,320 abortions took place in the United States. The resulting abortion rate of 13.5 abortions per 1,000 women of reproductive age (15-44 years) represents an 8% decrease from the rate of 14.6 in 2014.  • In 2017, 29,800 abortions were performed in Maryland, although not all abortions that took place in Maryland were made available to state residents: some patients may have traveled from other states and some Maryland residents may have traveled to another state for an abortion. Between 2014 and 2017, the abortion rate in Maryland increased by 7 percent, from 23.4 to 25.0 abortions per 1,000 women of reproductive age. Abortions in Maryland account for 3.5% of all abortions in the United States.  At the national level, there are barriers that prevent Maryland patients from performing safe and legal abortions.