Publications

Summary of Argument Idaho’s near-total abortion ban restricts access to necessary emergency reproductive healthcare, exacerbating preventable maternal mortality and morbidity and otherwise negatively impacting people capable of pregnancy in Idaho. The law’s narrow exception for life-saving care will not prevent or mitigate these harms in practice, and will leave patients in Idaho without access to emergency reproductive healthcare. The United States has ratified several human rights treaties—including the International Covenant on Civil and Political Rights (ICCPR), the International Convention on the Elimination of All Forms of Racial Discrimination (ICERD), and the Convention Against Torture (CAT)—which require it to guarantee access to safe and legal abortion services, in particular in emergencies or acute medical crises governed by the Emergency Medical Treatment and Active Labor Act (EMTALA). In accordance with the United States’ obligations under these treaties, the federal government—and therefore each state—is required to respect, protect and fulfil individuals’ international human rights to life; health; privacy; non-discrimination; and to be free from torture, cruel, inhuman and degrading treatment. These rights are directly jeopardized by Idaho’s draconian abortion law.

On October 17-18 in Geneva, the United States government faced questions from civil society and the Human Rights Committee on the country’s compliance with the International Covenant on Civil and Political Rights (ICCPR). In addition to questions on immigrants’ rights, racial discrimination, and more, US officials were pressed repeatedly on the state of abortion access in the wake of the US Supreme Court’s ruling in Dobbs v. Jackson Women's Health Organization.

The June 2022 Supreme Court decision Dobbs v. Jackson Women’s Health Organization eliminated federal constitutional protection for access to abortion in the United States. Following Dobbs, more than a dozen states fully banned abortion, and many others passed or proposed increased restrictions. On October 17-18, 2023, the Human Rights Committee will review US compliance with the International Covenant on Civil and Political Rights (ICCPR), including the impact of Dobbs on its human rights obligations.

Introduction Since the United States (US) was last reviewed by the Human Rights Committee (HRC) nearly a decade ago in 2014, there have been significant developments in the area of sexual and reproductive health and rights (SRHR) for women, girls, and people who can become pregnant living in the US, including the Dobbs v. Jackson Women’s Health Organization decision in June 2022. This decision overturned the constitutional right to abortion in the US after 50 years of precedent following the US Supreme Court’s decision in Roe v. Wade in 1973. Human rights experts warned before the Dobbs decision that overturning Roe would violate the rights of women, girls, and all people who can become pregnant in the US, as well as healthcare providers’ rights. Following the decision, the experts noted that whereas the restrictive new legal environment would not reduce the need for abortions, it would be guaranteed to increase the number of women and girls seeking clandestine and unsafe abortions, particularly for people of color and those living in poverty, and would fuel abortion stigma, leading to abuse of people in need of post-abortion care. They added: The decision to continue a pregnancy or terminate it must fundamentally and primarily be a woman’s decision as it will shape her whole future personal life and family life. The right of a woman to make autonomous decisions about her own body and reproductive functions is at the very core of her fundamental right to equality, non-discrimination, health, and privacy. As our submission details below, the restrictive environment around abortion in the US now also violates the rights to life and to be free of torture or other cruel, inhuman, or degrading treatment (CIDT), as well as rights to free expression and movement, as guaranteed under the International Covenant on Civil and Political Rights (ICCPR).

The undersigned organizations call on the Biden administration to update the United States’ fifth periodic report to the UN Human Rights Committee under the International Covenant on Civil and Political Rights (ICCPR). The Committee will be basing its review on this report, which was submitted by the Trump administration on January 15, 2021. This report version lacks updates on existing U.S. policies, as well as a commitment to expand protections for marginalized communities, especially non-citizens, in the context of reproductive health and access to medical care. It is critical — and consistent with the Biden administration’s policy commitments — to address the gaps between current U.S. policies and the ICCPR.

Executive Summary Following the United States (US) Supreme Court decision in Dobbs v. Jackson Women’s Health Organization in June 2022, people in the US who can become pregnant are facing an unprecedented human rights crisis. In Dobbs, the Supreme Court overturned the constitutionally protected right to access abortion, leaving the question of whether and how to regulate abortion to individual states. Approximately 22 million women and girls of reproductive age in the US now live in states where abortion access is heavily restricted, and often totally inaccessible. This briefing paper details the intensifying human rights emergency caused by the decision, and discusses the ways that Dobbs contravenes the US’ international human rights obligations. The consequences of the Dobbs decision are wide ranging. Restrictions on access to healthcare places women’s lives and health at risk, leading to increased maternal mortality and morbidity, a climate of fear among healthcare providers, and reduced access to all forms of care. Dobbs also enables penalization and criminalization of healthcare, with providers, patients, and third parties at risk of prosecution or civil suit for their involvement in private healthcare decisions. Relatedly, the decision opens the door to widespread infringement of privacy rights as digital surveillance is expanded to detect violations of new regulations. New bans also infringe on freedom of thought, conscience and religion or belief, restricting the ability of physicians to counsel patients and clergy to provide pastoral care to their congregants. Finally, the harms of Dobbs violate principles of equality and non-discrimination; they fall disproportionately on marginalized populations including Black, indigenous, and people of color; people with disabilities; immigrants; and those living in poverty. By overturning the established constitutional protection for access to abortion and through the passage of restrictive state laws, the US is in violation of its obligations under international law, codified in a number of human rights treaties to which it is a party or a signatory. These human rights obligations include, but are not limited to, the rights to: life; health; privacy; liberty and security of person; to be free from torture and other cruel, inhuman, or degrading treatment or punishment; freedom of thought, conscience, and religion or belief; equality and non-discrimination; and to seek, receive, and impart information. A version of this briefing paper was submitted to UN special procedures mandate holders in March 2023. The submission, cosigned by nearly 200 human rights, reproductive justice, and other concerned groups and individuals, requested urgent action from the UN mandate holders to examine the situation, engage with civil society, and call on the US to uphold its international human rights obligations. Less than a year on from this catastrophic legal decision, it is now apparent that the consequences are even worse than feared. Women and girls in need of reproductive healthcare are being met with systematic refusals, onerous financial burdens, stigma, fear of violence, and criminalization. Thousands are being forced to remain pregnant against their will. Part II of this briefing paper outlines the consequences of Dobbs on the fundamental human rights of women and girls, as well as the disproportionate impact it has on certain demographics made vulnerable by systemic oppressions. This factual summary includes input from physicians in various states as part of fact-gathering efforts conducted by a number of organizations involved in this submission. Part III discusses the ways in which Dobbs contravenes the US’ international obligations. Part IV sets forth our Conclusion and Calls to Action.

Dear Mr. Visek: We are deeply concerned by the Supreme Court’s decision in Dobbs v. Jackson Women’s Health Organization, which overturned Roe v. Wade and Planned Parenthood v. Casey. In the wake of this decision, we appreciate Secretary Blinken’s stated commitment to “helping provide access to reproductive health services and advancing reproductive rights around the world.” We write to you today because we believe the Dobbs decision is not only harmful to individuals in the United States who seek safe, legal access to abortions, but it also impacts the U.S. commitment to international human rights and its legal obligations, in particular the International Covenant on Civil and Political Rights (ICCPR), the Convention Against Torture (CAT), and the International Convention on the Elimination of All Forms of Racial Discrimination (CERD), which have all been ratified by the United States. International human rights bodies have affirmed that access to abortion upholds key human rights, including the right to life, health, non-discrimination, information, and privacy. The International Covenant on Civil and Political Rights (ICCPR) contains important and relevant protections for access to abortion. In 2018, the UN Human Rights Committee, which oversees implementation of the ICCPR, made clear in General Comment 36 that the right to life, enshrined in Article 6 of the Covenant, includes the right to access safe and legal abortion without the imposition of restrictions which subject women and girls to physical or mental pain or suffering, discriminate against them, arbitrarily interfere with their privacy, or place them at risk of undertaking unsafe abortions. The Committee noted that, under Article 6, State parties may not introduce new barriers to abortion and should remove existing barriers that deny effective access by women and girls to safe and legal abortion. Read the Full Letter

On June 4, 2022, the United States Supreme Court issued a ruling in Dobbs v. Jackson Women’s Health Organization that ended the constitutional right to abortion in the US. Following the ruling, many states have moved to ban abortion and issue new restrictions on abortion care. This factsheet answers questions about protections for abortion under international law. Over the last few decades, multiple human rights treaties have been developed that, together, establish reproductive autonomy as a human right. 1. What human rights treaties has the US ratified? There are nine core international human rights treaties that together establish standards for the protection and promotion of human rights. The US has ratified three: the International Covenant on Civil and Political Rights (ICCPR), the International Convention on the Elimination of all Forms of Racial Discrimination (ICERD), and the Convention Against Torture and Other Cruel, Inhuman or Degrading Treatment or Punishment (CAT). These treaties are binding, and as such they require the US to comply with its international human rights obligations, one of which is ensuring access to abortion. Additionally, the US has signed but not ratified other relevant treaties, including the Convention on the Elimination of All Forms of Discrimination against Women (CEDAW) and the International Covenant on Economic, Social and Cultural Rights (ICESCR), and has an obligation not to defeat those treaties’ object or purpose. 2. Who enforces these treaties? How do they hold the US accountable? Implementation of the human rights treaties is monitored by treaty bodies, including the Human Rights Committee (which monitors the ICCPR), the Committee on the Elimination of Racial Discrimination (CERD), and the Committee against Torture. Treaty bodies periodically review States parties for their compliance with their treaty obligations. The treaty bodies undertake a variety of activities, including reviewing States parties reports, issuing concluding observations and recommendations, considering complaints, and conducting inquiries. For example, in August 2022 the CERD’s concluding observations specifically called on the US to take all necessary measures — at the federal and state level — to provide safe, legal, and effective access to abortion in line with its international human rights obligations. Download Full Factsheet

Abortion Restrictions violate the right to health of women of color and perpetuate racial discrimination