Challenging North Dakota’s Abortion Bans

Access Independent Health Services, Inc., d/b/a Red River Women’s Clinic v. Drew H. Wrigley (North Dakota)
  • Case Status Active
  • Filed on
  • Last Updated
  • Issue
    • Abortion
  • Place
    • North Dakota
    • United States

This case successfully challenged North Dakota’s abortion “trigger” ban—and then a second, amended ban– making abortion legal again in the state.

30 North Dakota's "trigger" ban was designed to take effect just 30 days after Roe v. Wade was overturned.
6 The 2023 ban outlawed abortion even in cases of rape or incest after 6 weeks–before most people even know they’re pregnant.
4 Experts submitted four different amicus ("friend of the court") briefs supporting the Center in this case.
Summary

Summary

In 2007, North Dakota enacted a “trigger” ban on abortion, designed to take immediate effect if the federal right to abortion was ever revoked. 

After the Supreme Court overturned Roe v. Wade in 2022, the Center for Reproductive Rights successfully challenged this near-total ban., , In response, the state passed a second, amended ban,  in 2023, which the Center also challenged..

In a major ruling in September 2024, a state court struck down the amended ban, finding it unconstitutional because it violates the right to reproductive autonomy.

But the state has now appealed that ruling to the North Dakota Supreme Court—leaving the case ongoing.

About the case, part 1

About the case, part 1: challenging the trigger ban

In 2007, North Dakota passed an abortion “trigger” ban called H.B. 1466. The law made it a felony to provide abortion care, with exceptions only for the mother’s life, rape, or incest. It was set to go into effect within 30 days of judgment if the U.S. Supreme Court overturned Roe v. Wade.

After Roe was overturned on June 24, 2022, the Center for Reproductive Rights and its partners filed this case on July 7, challenging the trigger ban.

They argued that:

  • The ban violated the North Dakota Constitution, which protects abortion under the rights to life, liberty, safety, and happiness.
  • The ban went into effect too soon. It should have been triggered by the Supreme Court’s judgment—usually issued at least 25 days after an opinion. But state Attorney General Drew Wrigley tried to trigger the ban just days after the opinion, claiming abortion would be banned after July 28, 2022.

On July 27, 2022, the Burleigh County District Court agreed that the Attorney General acted too soon. It issued a temporary restraining order delaying the ban until August 26.

Abortion stayed legal in North Dakota as the court blocked the ban twice more, on August 25 and October 31. In October, it wrote that there was a “substantial probability” the challenge would succeed. Oral arguments took place November 29, 2022, at the North Dakota Supreme Court.

The North Dakota Constitution explicitly provides all citizens of North Dakota the right of enjoying and defending life and pursuing and obtaining safety. These rights implicitly include the right to obtain an abortion to preserve the woman’s life or health.

North Dakota Supreme Court ruling, March 26, 2023
About the case, part 2

About the case, part 2: challenging the amended ban

In April 2023—the month after the North Dakota Supreme Court ruled to keep abortion legal—lawmakers passed an amended near-total abortion ban.

Although the new ban includes medical exceptions, it doesn’t clearly explain how sick a patient has to be to qualify, or whether abortion is allowed when the fetus has a fatal condition. 

The law also has a confusing, invasive exception for survivors of sex offenses that forces doctors to determine whether a sex offense occurred before they can give care. It only applies during the first six weeks of pregnancy.

At a December 20 hearing, the Center requested that the ban not be enforced against doctors who provide emergency abortions using their good-faith medical judgment. The North Dakota District Court denied that request on January 23, 2024.

On September 12, 2024, abortion became legal again in North Dakota when the court ruled the total abortion ban was unconstitutional. Judge Bruce Romanick wrote in his opinion that the state constitution protects the right to make personal medical decisions.

[The North Dakota Constitution] specifically protects a woman’s right to procreative autonomy—including to seek and obtain a pre-viability abortion.


Opinion by Judge Bruce Romanick, September 12, 2024
Next steps

Next steps

The state tried to stay the ruling, but its motion was denied on October 10, 2024.

It then appealed the ruling to the North Dakota Supreme Court.

A trial was held at 10 a.m. on March 25, 2025, with the final ruling still to come.

Learn more

Learn more

Related stories Timeline

News and Updates

June 24, 2022
Supreme Court overturns Roe v. Wade
The U.S. Supreme Court overturns Roe v. Wade, taking away the constitutional right to abortion. The Attorney General issues a statement saying that North Dakota’s trigger ban will take effect in 30 days.
July 7, 2022
Trigger ban challenged
The Center and its partners challenge H.B. 1466 in Burleigh County District Court, arguing that the ban violates the North Dakota Constitution. Trigger ban challenged
July 27, 2022
Trigger ban temporarily blocked
The district court issues a temporary restraining order blocking the ban, on the basis that the attorney general’s certification of the trigger ban on June 24 was premature.
August 25, 2022
Block extended
The district court issues a preliminary injunction, blocking the ban while litigation continues.
October 31, 2022
Block re-extended
The district court blocks the ban again after the state supreme court orders it to reconsider its August 25 decision. The district court judge also finds a “substantial probability” the Center’s challenge to the ban will succeed.
November 29, 2022
Oral arguments at the State Supreme Court
Oral arguments are held at the North Dakota Supreme Court.
March 16, 2023
Court blocks trigger ban
The North Dakota Supreme Court rules that the state’s trigger ban can remain blocked since the Center’s challenge is likely to succeed. Abortion remains legal in North Dakota while litigation in state court continues. Court blocks trigger ban
April 24, 2023
Amended ban enacted
North Dakota enacts an amended near-total abortion ban.
June 12, 2023
Amended complaint filed
The Center files an amended complaint.
December 20, 2023
Hearing at the North Dakota District Court
A hearing takes place at the North Dakota District Court on the Center’s request to prohibit enforcement of the amended ban in emergency situations.
January 23, 2024
Center’s request denied
The court denies the Center’s request to block the law while the case proceeds. Center’s request denied
September 12, 2024
State Court rules ban unconstitutional
North Dakota’s total abortion ban is ruled unconstitutional by a state court, making abortion legal again in the state. State Court rules ban unconstitutional
October 10, 2024
State’s request denied
The state’s motion to stay the ruling is denied.
March 25, 2025
Trial at the State Supreme Court
A trial takes place at the North Dakota Supreme Court at 10:00 a.m.
Legal documents

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