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It could soon become more difficult to get an abortion in the Carolinas.

The U.S. Supreme Court appears poised to overturn Roe v. Wade, the landmark abortion rights case, according to a leaked draft of a majority court opinion in the case Dobbs v. Jackson Women's Health Organization . The Supreme Court Tuesday confirmed the authenticity of the leaked document but stressed it was 鈥渘ot the court鈥檚 final position,鈥� .

Abortion is currently legal in both North and South Carolina 鈥� albeit with some restrictions. In North Carolina, a patient seeking an abortion must receive an ultrasound and consult with a medical professional 72 hours beforehand. Anyone under 18 who wishes to receive the procedure is required to get permission from a parent or guardian.

In South Carolina, an abortion can鈥檛 be performed after 20 weeks of pregnancy unless there are serious health concerns or the pregnancy is placing the patient in danger. The patient must also get an ultrasound and consult with a medical care provider 24 hours ahead of time.

If Roe is overturned, abortions would not immediately be banned in the Carolinas. Neither state has what鈥檚 referred to as a 鈥渢rigger law,鈥� or a law that would take effect right away if Roe is overturned, which roughly a dozen states have enacted, .

Molly Rivera, communications director with Planned Parenthood South Atlantic, called the leaked draft opinion "the absolute worst case scenario" that her organization has prepared for. Planned Parenthood South Atlantic provides reproductive care services, including abortions, at 14 clinics across North and South Carolina, Virginia and West Virginia.

Stricter laws on the way?

If Roe is overturned, at least two existing laws that restrict abortions in the Carolinas but have been put on hold could take effect.

In 2021, South Carolina lawmakers passed and Gov. Henry McMaster signed into law a 鈥渉eartbeat bill.鈥� The measure bans abortions, with a few exceptions, once a heartbeat is detectable, effectively prohibiting abortions after six weeks of pregnancy. The heartbeat bill has not been enforced because it has been blocked by courts. If Roe is overturned, the legal underpinnings of that block could be lifted.

Rivera worries that will push patients seeking abortions into South Carolina's neighboring states.

鈥淲e鈥檝e always known that banning or restricting abortion doesn鈥檛 mean people don鈥檛 get abortions. It just makes it harder for them to do it," she said.

Rivera added: "We know other neighboring states, including Tennessee and West Virginia, will (like South Carolina) similarly move quickly to ban abortions. And that leaves North Carolina as an access point not only for people who live here鈥攂ut for a large portion of the South."

In North Carolina, a state law passed in 1973 bans abortions after 20 weeks, except in certain medical emergencies, but is not enforceable because of Roe v. Wade. A federal court in 2021 upheld a lower court ruling that the measure was unconstitutional, though that could change if Roe is overturned. It鈥檚 not clear how quickly the laws would take effect following a Supreme Court ruling.

Republican state lawmakers in North Carolina are unlikely to pass a more restrictive abortion law that could escape Democratic Gov. Roy Cooper鈥檚 veto. Though Republican lawmakers have a majority, it鈥檚 not a supermajority that would enable them to override a veto, though that could change if the Republicans win additional seats in the statehouse in November.

"This is the first election鈥攃ertainly, in my lifetime鈥攚here abortion is on the ballot," said Jason Williams, who opposes abortion rights and works as executive director of the North Carolina Faith and Freedom Coalition. "Voters have to go to the ballot box knowing that their vote will directly impact the future of life in North Carolina. For us (the coalition), we would support any legislation that supports women and results in fewer abortions.鈥�

鈥淣ow more than ever, governors and state legislatures must stand up for women鈥檚 healthcare,鈥� Cooper tweeted Monday. 鈥淲e know the stakes and must stand firm to protect a woman鈥檚 choice and access to medical care.鈥� As of early Tuesday afternoon, McMaster had not commented publicly.

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