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Last January marked the 46th anniversary of Roe v. Wade, the Supreme Court decision guaranteeing a woman's right to an abortion.

That's nearly half a century as settled law — and yet states continue to fight to undermine it, to restrict access and to return the country to the days of illegal abortions. As 2019 begins, these unnecessary battles will continue in courthouses and statehouses around the country.

Just since 2010, reproductive rights advocates estimate that a staggering 400 anti-abortion bills have been passed by state legislatures. Some were so blatantly unconstitutional that federal judges overturned them indefinitely or permanently.

But that hasn't stopped states from appealing the rulings or introducing other such bills.

The notorious Texas law requiring abortion providers to have admitting privileges at hospitals and mandating that abortion clinics be outfitted and equipped to the standards of ambulatory surgical centers — both of which are medically unnecessary requirements — was struck down by the U.S. Supreme Court in 2016 in another ruling making it clear that the right to abortion means having access to abortion.

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Yet several states, including Louisiana and Missouri, have either passed or continued to enforce laws with very similar restrictions. In a few cases, federal courts allowed those laws to stand.

The fact that many of the laws don't survive challenges in federal court doesn't seem to deter lawmakers from coming up with new ones.

Kentucky legislators recently approved a bill that will prohibit abortion after six weeks of pregnancy — a clear violation of Roe v. Wade — and a federal judge temporarily blocked it last week pending a hearing on its constitutionality.

Several states have passed bills outlawing the most common method of second-trimester abortion, known as dilation and evacuation; those laws have generally been struck down in courts.

Alabama, after losing all its appeals on its dilation and evacuation ban, petitioned the U.S. Supreme Court to hear the case.

An Indiana law that banned women from getting an abortion because of a disability detected in the fetus was enjoined by federal courts. The state of Indiana has asked the Supreme Court to take the case.

A law in Ohio that bans a woman from getting an abortion just because the fetus would be born with Down syndrome was also enjoined by a federal judge and will be heard in an appellate court.

It's stunning that a state would try to interfere with a woman's decision whether to take on the difficult and life-altering task of raising a child with a disability — or the related decision whether to subject a child to living with a severely disabling condition.

Besides, as an American Civil Liberties Union attorney recently noted, allowing a state to pry into the reasons a woman decides to have an abortion strikes at the very heart of a woman's right to make this private decision for herself.

Given that, legal experts think it's unlikely the Supreme Court will take up the issue.

But who knows? There seems to be a push to get more anti-abortion state laws on the books to prompt more federal lawsuits and increase the chances that the U.S. Supreme Court, with its new conservative majority, will seriously undermine — or overturn — Roe v. Wade.

In late November, U.S. District Judge Carlton Reeves said as much in a scathing rebuke of the state of Mississippi when he struck down its ban on abortions after 15 weeks.

Of more immediate concern than a broad Supreme Court ruling are the incremental state restrictions that manage to survive court challenges.

Together, these are making it increasingly difficult for abortion clinics to stay open, intimidating doctors so they won't provide abortions and generally reducing access in so many places that the procedure becomes almost unobtainable, particularly for poor women without the means to travel. Several states have only one abortion clinic.

It's unconscionable that states continue to obstruct access to abortion, and it's particularly galling when they cloak their laws in fake concerns about the health and safety of women.

Abortion rights advocates must continue to challenge these laws in court, the judiciary must defend its critically important 50-year-old precedent and, ultimately, opponents must accept that abortion is a constitutional right that is not likely to go away.

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