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The Human Heartbeat Protection Act Policy Analysis
By: Arecka Collins
Empirical Political Theory
April 29, 2014
1 
Table Of Contents
Executive Summary………………………3
Hypothesis………………………………..5
Statement of The Problem…………………6
Literature Review………………………….8
Methodology……………………………..12
Recommendation……………………….13
Conclusion……………………………14
Reference…………………………… 15
2 
Executive Summary
Purpose:
                    The Human Heartbeat Protection Act is an abortion bill geared towards unhindering the 
life of an unborn child through abortion as early as twelve weeks into the pregnancy.  The bill passed on 
the floor with 26 votes from the Arkansas Senate.  When a heartbeat is detected in an unborn baby, 
there’s life.  The bill is heavily enforced to continue the funding of Planned Parenthood for abortions for 
women who are at risk, their child is at risk, or the pregnancy is a result of rape or incest.  For over 200 
years, it was deemed unconstitutional to take the life of an unborn child.  In 1973, nine Supreme Court 
Justices ruled in favor of abortion in the historical landmark Roe v. Wade Supreme Court Case.  The 
court ruled that the abortion law in the state Texas was an unconstitutional invasion of privacy.  Since 
then, 53 million babies have been killed due to abortions.  Partial birth abortions were banned for being 
unconstitutional  in Gonzales v. Carhart and Gonzales v. Planned Parenthood, after passing into law in 
2003.  Partial birth is the political term for the actual name of the method.  The term first came about by 
the National Right to Life Committee (NRLC) in 1995 to describe a recently introduced medical 
procedure to remove fetuses from the womb.  Partial birth is alternately known as "dilation and 
extraction," or D&X, and "intact D&E," which involves removing the fetus intact by dilating a pregnant 
woman's cervix, then pulling the entire body out through the birth canal.  If a pregnant woman in 
Arkansas is ran over or involved in an accident and the child dies in the womb, the other person will get 
charged with homicide if the baby in the womb is as early as twelve weeks.  Senator Rapert’s argument 
for the Human Heartbeat Protection Act is if someone else can be put in prison for killing an unborn 
then why not the mother, who knows what she is doing? 
3 
Human Heartbeat Protection Act:
                   The Human Heartbeat Protection Act is a bill that stops expectant mothers from 
undergoing abortion procedures if a physician detects a heartbeat as early as the first twelve weeks, 
unless the mother is a victim of rape, incest, or a medical emergency in regards to the mother or the 
child.  “Contraceptive” means a device, drug, or chemical that prevents fertilization.  “Fetus” means the 
human offspring developing during pregnancy from the moment of fertilization and includes the 
embryonic stage of development.  “Heartbeat” means cardiac activity, the steady and repetitive rhythmic 
contraction of the fetal heart within the gestational sac.  “Human individual” means an individual 
organism of the  species Homo sapiens.  “Major bodily function” includes without limitation, functions of 
the immune system, normal cell growth, and digestive, bowel, bladder, neurological, brain, respiratory, 
circulatory, endocrine, and  reproductive functions.  “Medical emergency” means a condition in which 
an abortion is necessary:  To preserve the life of the pregnant woman whose life is endangered by a 
physical disorder, physical illness, or physical injury,  including a life­endangering physical condition 
caused by or arising from the pregnancy itself, or when continuation of the pregnancy will create a 
serious risk of substantial and irreversible impairment of a major bodily function of the pregnant woman; 
or due to the existence of a highly lethal fetal disorder as defined by the Arkansas State Medical Board. 
“Pregnancy” means the human female reproductive condition that begins with fertilization when the 
female is carrying the developing human offspring and is calculated from the first day of the last 
menstrual period of the human female.  “Viability” means a medical condition that begins with a 
detectable fetal heartbeat.
4 
                                       Hypothesis
                       The study will examine how women in need of abortion care during their first trimester of 
pregnancy will be denied their constitutional right and how doctors risk losing their license if they 
perform a "forbidden abortion" due to the strict guidelines of the Human Heartbeat Protection Act in 
Arkansas.  This study will show, in detail, the short term and long term effects, and the health risks that 
coincide with choosing to have an abortion.  Lastly, this study will show the risks of doctors losing their 
medical license and what it would mean for the doctors' families, their patients and the hospital where 
they worked. 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
5 
 
Statement Of The Problem
             The Human Heartbeat Protection Act is a law that was passed in Arkansas banning 
abortions in the first trimester of a pregnancy unless there is a health risk to the mother or the fetus. 
Doctors are instructed in the law to administer an ultrasound detecting a fetal heartbeat at the 12 week 
period to all women deciding to have an abortion.  If a fetal heartbeat is not detected, the doctor has 
permission under the law to carry out an abortion.  Also, the law states that women must sign a waiver 
stating that they have received an ultrasound and know the implications of having an abortion.  Although 
this law sounds straightforward, it does have some provisions to make.  This law violates the 1973 Roe 
vs. Wade Supreme Court ruling which protects women's constitutional right to have an abortion until the 
fetus is viable outside of the womb, which is at 24 weeks.  Lawmakers argue that at 12 weeks, the fetus 
sustains a heartbeat and can feel pain, but a fetus is not fully developed in the first trimester and is not 
able to live outside of the womb.  Any doctor who is caught performing an illegal abortion will have their 
medical license revoked.  The law does not state how long the doctors' medical license is to be revoked 
or if the license can even be renewed.  The pro­choice movement says that if a pregnancy is unwanted 
then the woman should terminate it so that she can move on with her life.  The pro­life movement states 
that an abortion kills a human baby and can harm the woman which means she should not have an 
abortion.  The American Nurses Association proclaims that "patients have the moral and legal right to 
determine what will be done with their own person; to be accurate, complete and understandable 
information in a manner that facilitates an informed judgement."  There are health risks that occur after 
an abortion is performed but there are also complications that occur naturally during a pregnancy 
everyday that only show up when a woman is pregnant.  Simply meaning, that health risks during a 
6 
pregnancy may not show up until labor.  Currently, on the floor, Ohio is petitioning to pass a similar bill 
and eight other states( Nebraska, Kansas, Oklahoma, Arkansas, Louisiana, Indiana, Illinois, and North 
Carolina) have, in effect, fetal pain laws allowing abortions for up to 20 weeks during a pregnancy. 
Similar abortion laws have been blocked in Arizona, Georgia and Idaho around the time that this law 
was passed in Arkansas.  The main problem with this law is that majority of the lawmakers who passed 
this bill are men.  They don't understand the implications and the complications that are endured when a 
woman goes through a pregnancy.  The lawmakers purpose was to protect these unborn fetuses and 
allow them to live.  Where would Arkansas, as a state be, financially if abortions weren't allowed? 
Would we, as a country, be able to compensate for every fetus that has been aborted, if they were living 
today? Would pregnancy rates be even lower? Would women (really) think twice before fornicating and 
even buying contraceptives for fear of having to raise a child with no other option? 
7 
Literature Review
Abortion in Arkansas:
             By the age of forty­five, about one in three American women will have had an abortion.  In 
Arkansas, 51,300 of the 571,449 women of reproductive age became pregnant in 2011.  Seventy­six 
percent of these pregnancies resulted in live births and nine percent in induced abortions.  In 2011, 1.1 
million American women obtained abortions, producing a rate of 16.9 abortions per 1,000 women of 
reproductive age.  The rate is a decrease from 2008, when the abortion rate was 19.4 abortions per 
1,000 women 15­44 years of age.  In 2011, 4,370 women obtained abortions in Arkansas, producing 
a rate of 7.6 abortions per 1,000 women of reproductive age.  The rate decreased 11% since 2008, 
when it was 8.6 abortions per 1,000 women 15­44 years of age.  Abortions in Arkansas represent 
0.4% of all abortions in the United States.  In 2011, there were 5 abortion providers in Arkansas; 3 of 
those which were clinics.  This represents a seventeen percent decline in overall providers and  a twenty 
five percent decline in clinics from 2008, when there were 6 abortion providers overall, of which 4 were 
abortion clinics.  In 2011, ninety seven percent of Arkansas’ counties had no abortion clinic. Seventy 
eight percent of Arkansas women lived in these counties. 
Restrictions on Abortion:
                   In Arkansas, the following restrictions on abortion were in effect as of April 1, 2014: 
1. A woman must receive state­directed counseling that includes information designed to discourage 
her from having an abortion and then wait until the next day before the procedure is provided. 
8 
2. Health plans that will be offered in the state’s health exchange under the Affordable Care Act can 
only cover abortion when the woman's life is endangered, rape or incest, unless an optional rider 
is purchased at an additional cost. 
3. The parent of a minor must consent before an abortion is provided. 
4. Public funding is available for abortion only in cases of life endangerment, rape or incest. 
5. An abortion may be performed at or after 20 weeks postfertilization (22 weeks after the 
woman’s last menstrual period) only if the woman’s life is endangered, rape, incest or if 
her physical health is severely compromised, based on the spurious assertion that a fetus can feel 
pain at that point. 
Short-term Side Effects
       Short term effects occur in the two most common abortion methods more than the other methods.  
Surgical Method Vacuum Aspiration.  In this procedure, the cervix is stretched with dilators.  After 
being stretched, the doctor inserts a tube by hand into the uterus.  A syringe is attached to the tube 
which pulls out the fetus and suctions it into a collection container.  The complications for this procedure 
include: excessive bleeding, abdominal swelling, pelvic infection, uterine perforation, cervical tears, 
incomplete abortions, and even, death. 
Medical Treatment.   This method of abortion involves taking Mifepristone, followed by Misoprostol. 
The complications involved with this procedure include: frequent uterine pain, excessive uterine bleeding, 
pelvic infection, ruptured ectopic pregnancy, incomplete pregnancy, vomiting diarrhea, and death. 
Long-term Side Effects
 Long term side effects can occur with and without short term effects and, sometimes, not at all. 
9 
Substance Abuse.  Women who have had an abortion are more than twice as likely to abuse drugs. 
Drugs are used to feel better and just to function, after experiencing an abortion. 
Cancer.  Abortion experienced women have an increased risk of getting breast cancer.  The termination 
of a pregnancy causes a drop in the level of estrogen secreted in a woman’s body.  According to the 
National Cancer Institute, women who have had an induced abortion have a 50 percent risk of getting 
breast cancer by the age of 45.  The risk is higher for women who have had an induced abortion by the 
age of 18. 
Infertility.  Secondary infertility can occur, where the woman will no longer be able to conceive. 
Abortions can directly and indirectly affect infertility.  Abortions can directly affect fertility by scaring the 
uterine from a surgical abortion.  Abortions can indirectly affect fertility through the risk of infection of 
the fallopian tubes, which is called Salpingitis.  Salpingitis increases the risk of future pregnancies 
becoming tubal pregnancies. 
Post-abortion Syndrome.  Post abortion syndrome is a type of post traumatic stress disorder.  Common 
side effects include:  self­harm, suicide, increase in dangerous activities, depression, difficulty sleeping, 
eating disorders, panic disorders, codependency, abusive parenting, overly protective parenting, and 
compulsivity in work or sex.  A symptom of post abortion syndrome is a woman’s desire to become 
pregnant again to feel the void of once being pregnant.  
Sexual Dysfunction.  Studies show that twenty four percent of American women reported problems 
with sexual dysfunction due to a past abortion.  A Swiss study concluded that thirty one percent of 
women have had an abortion in the last six months will have at least one sexual dysfunction.  The 
variables conducted in the Swiss study included: sexual frequency, desire, orgasm ability, and 
satisfaction.  
10 
Update:
               On friday March 14, 2014, was declared unconstitutional by an Arkansas federal judge. 
U.S. District Judge, Susan Webber Wright concluded that the law “impermissibly infringes a woman’s 
Fourteenth Amendment right to elect to terminate a pregnancy before viability” of the fetus, as 
established by the U.S. Supreme Court.  Webber’s decision let stand the law’s requirement that a 
woman seeking an abortion first undergo an ultrasound to determine whether a fetal heartbeat is present. 
Rita Sklar, president of the Arkansas chapter of the American Civil Liberties Union declares, “This ban 
would have inserted politicians into the deeply personal medical decisions of Arkansas women.  The 
American Civil Liberties Union (ACLU), the ACLU of Arkansas, and the Center for Reproductive 
Rights (CRR) filed a lawsuit against the bill in April of 2013.  The bill was temporarily blocked in May 
by U.S. District Judge Susan Webber Wright, after the suit was filed.  “While we are pleased that the 
court ultimately preserved women’s fundamental right to abortion, Arkansas women are fully capable of 
weighing their reproductive choices carefully and responsibly in consultation with their doctors—without 
politicians dictating what medical procedures or information they need,” said Nancy Northup, president 
and CEO of the Center for Reproductive Rights, in a statement. 
 
 
 
 
 
 
 
11 
Methodology
                             A descriptive research methodology was used for this policy analysis.  No surveys 
were able to be administered during the analysis of this bill. All research used in the analysis are from the 
state of Arkansas in which the bill was enacted. Not enough information was retrieved for the second 
half of the bill which talks about the revocation of a physician’s license if they were to perform the 
unlawful abortion. The data used in this policy analysis dates between 2008 and 2011.  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
12 
                                           Recommendations
               Even though the abortion banning procedures of the law were annexed, all women considering 
getting an abortion should not only consult a doctor but do some research of their own.  This study 
definitely shows the great risks that women will have for the rest of their lives if they decide to undergo 
getting an abortion.  Some women can come out unscathed from having an abortion, while most others 
will have their life turned upside down.  Constitutionally, every woman has the right to choose what she 
wants to do and no politician nor any bill can alter that.  I believe that there are several measures that 
should be taken before a woman chooses to successfully abort a child. 
Video Presentations.  A video presentation should be viewed by the woman about the possible effects 
that occur after having an abortion.  The videos would show why abortions are not healthy nor safe for 
the woman choosing to have one. 
Counseling.  Talking to a support group, psychologist, doctor, or even a pastor will help guide women 
who are deciding to have an abortion.  The real reasons for wanting an abortion should come out in 
hopes of helping the woman find herself and help her make the best decision possible. 
Adoption.  These measures would resort in motivating the woman to continue with her pregnancy and 
giving the child that she may not be able to take care of up for adoption.  In some states, there are 
places where you can take your child and you will not be charged for it.  
Consent Forms.  Consent forms are a reminder of what you are succumbing to do.  It’s something that 
you will have proof of.  I think consent forms should be more strenuous for teens getting an abortion 
because it will break them from repeating occurrences. 
 
 
13 
                                           Conclusion
                In conclusion, I think it was a smart decision to block the Human Heartbeat Protection Act 
because the law was taking one of women’s rights away.  If the law were to currently be passed, then 
this would open the door for more laws to be passed that would take away from the privacy that we, as 
Americans, have behind closed doors.  In the politicians defense, they were advocating for the rights of 
all unborn children that are knowingly killed annually, but what about the mothers’ that are going through 
this hectic procedure.  Some would argue why get pregnant if you can’t take care of the child, but is 
there a right time or time period to get pregnant?  Some would answer yes.  Others would say no. 
Babies are a blessing to this God­given world and every mother and expecting mother would only want 
the best for their child, even if that means giving the child up, whether it’s in the form of an adoption or 
an abortion. 
 
 
 
 
 
 
 
 
 
 
 
14 
References
Arkansas Senate Bill 134.  2013.  AR SB 134|2013|89th General Assembly|Draft. 
http://legiscan.com/AR/text/SB134/id/734571 
Barnes, Steve.  March 16, 2014.  Judge strikes down Arkansas ‘heartbeat’ law. 
http://www.dispatch.com/content/stories/national_world/2014/03/16/judge­strikes­down­arkansas­hear
tbeat­law.html The Columbus Dispatch.  The Dispatch Printing Company. 
Guttmacher Institute.  2014.  State Facts About Abortion: Arkansas. 
http://www.guttmacher.org/pubs/sfaa/arkansas.html 
Pieklo, Jessica Mason. March 17, 2014.  Federal Court Strikes Arkansas 12­Week Abortion Ban. 
http://rhrealitycheck.org/article/2014/03/17/federal­court­strikes­arkansas­12­week­abortion­ban/  RH 
Reality Check. 
Roe v. Wade.  1973.  Roe v. Wade­Casebriefs. 
http://www.casebriefs.com/blog/law/family­law/family­law­keyed­to­weisberg/private­family­choices­c
onstitutional­protection­for­the­family­and­its­members/roe­v­wade/2/ 
Rovner, Julie. February, 21, 2006.  Partial­Birth Abortion:' Separating Fact from Spin. 
http://www.npr.org/2006/02/21/5168163/partial­birth­abortion­separating­fact­from­spin 
Senator Rapert on Human Heartbeat Protection Act.  2013.  Sen. Rapert on Abortion bill and 
Controversial statements by Raven Ambers. https://www.youtube.com/watch?v=mxrRo49GSaw 
(accessed April 2, 2014) 
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