Mixed Messages: The Intersection of Prenatal Genetic Testing and Abortion

INTRODUCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 983 R I. THE REGULATION OF PRENATAL GENETIC TESTING AND SCREENING . . . . . . . . . . . . . . . . . . . . . . . . . 987 R A. Current Testing and Screening . . . . . . . . . . . . . . . . . . . . . . 987 R B. Federal Regulation and the ACA . . . . . . . . . . . . . . . . . . . 992 R C. Examples of State Regulation . . . . . . . . . . . . . . . . . . . . . . 996 R II. THE DECLINING AVAILABILITY OF ABORTION SERVICES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 998 R A. Funding . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 999 R B. Conditioning Patient Choice . . . . . . . . . . . . . . . . . . . . . . . . 1001 R C. Regulations of Facilities and Providers . . . . . . . . . . . . . 1002 R D. Refusals or Conscience Clauses . . . . . . . . . . . . . . . . . . . . . 1004 R III. IMPLICATIONS AND CONSEQUENCES OF THE MIXED MESSAGE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1005 R A. Testing and Abortion as Health Care . . . . . . . . . . . . . . . 1006 R B. The Integrity of the Medical Profession . . . . . . . . . . . . 1009 R C. Scope and Purposes of Information for Patients . . . . 1013 R D. Pregnant Women and Decision-Making . . . . . . . . . . . . . 1019 R CONCLUSION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1022 R