Abortion Clinics Crossing State Borders Not Always Welcome

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Abortion Clinics Crossing State Borders Not Always Welcome
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As clinics have been forced to shutter in Republican-dominant states with strict abortion bans, some have relocated to cities and towns just over the border, in states with more liberal laws. Yet that effort does not always go smoothly.

Brass markers, marking the state line between Bristol, Tenn. and Bristol, Va., line State Street in Bristol, Va., on Thursday, Feb. 23, 2023.

“We’re trying to figure out what we do at this point,” said Koch, who supports abortion rights. “We’re just on our heels all the time.” Anti-abortion activists have tapped into that sentiment — in Virginia and elsewhere — and are proposing changes to zoning laws to stop the clinics from moving in. Since Roe was overturned, such local ordinances have been identified as a tool for officials to control where patients can get an abortion, advocates and legal experts say.

While such zoning changes are no longer necessary in Texas, which now has one of the most restrictive abortion laws in the country, Dickson says he and others will continue to pursue them in other states with liberal abortion statutes.In New Mexico, which has one of the country’s most liberal abortion access laws, activists in two counties and three cities in the eastern part of the state have successfully sought zoning changes restricting the procedure.

Perhaps no other place so neatly encapsulates the issue as the twin cities of Bristol, Virginia, and Bristol, Tennessee. Before Roe, an abortion clinic had operated for decades in Bristol, Tennessee. After Roe, which triggered the Volunteer State’s strict abortion law, the clinic hopped over the state line into Bristol, Virginia.

The amendment has stalled before the Planning Commission as the city’s attorney, the American Civil Liberties Union of Virginia and others question its legality. Meanwhile, the board of supervisors in Washington County, which surrounds Bristol, passed a similar restrictive zoning ordinance on Feb. 14, and at least three counties have since adopted resolutions declaring their “pro-life stance,” according to the Family Foundation.

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