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Red River Women’s Health Clinic head says abortion laws put N.D. among the strictest

The director of North Dakota's only abortion clinic urged law students at UND Tuesday to stay informed and active in fighting what she said were new state laws, still being battled in court, that would make North Dakota one of the most hostile st...

Red River Women's Clinic Director Tammi Kromenaker
Tammi Kromenaker

The director of North Dakota’s only abortion clinic urged law students at UND Tuesday to stay informed and active in fighting what she said were new state laws, still being battled in court, that would make North Dakota one of the most hostile states to abortion.

Tammi Kromenaker, director of the Red River Women’s Health Clinic in Fargo and Dr. Stephanie Dahl, a reproductive endocrinologist for Sanford Health, spoke to about 33 students and others, sponsored by UND’s chapter of The American Constitution Society, a legal organization and a more liberal counterpart to the conservative Federalist Society.

They updated the students on what was a nationally recognized legislative flurry last year in North Dakota of four new laws adding restrictions to abortion.

In fact, Kromenaker said, it was one year ago this week she was calling for rallies across the state, calling on Gov. Jack Dalrymple to veto the four bills.

Dalrymple signed the bills, which immediately faced court challenges.


Three of the laws ban abortions based on gender selection or genetic abnormalities, abortions after a fetal heartbeat is detected or abortions after 20 weeks, when a fetus is thought to feel pain. A fourth requires all physicians performing abortions to have admitting privileges at a local hospital.

Cases continue

The gender selection/fetal abnormality law isn’t really a concern because her clinic doesn’t get women asking for abortions for those reasons, she said.

Sanford Health made the admitting-privileges issue moot by surprising Kronemaker and giving privileges to the three family medicine physicians who alternate performing abortions once a week at the clinic, she said.

Next week, oral arguments will be heard in federal court in Bismarck over the fetal heartbeat law, Kromenaker said.

U.S. District Judge Daniel Hovland last July issued a preliminary injunction keeping the law from going into effect, saying it violated the U.S. Supreme Court’s 1973 Roe v. Wade decision widely interpreted as allowing abortions up to viability. That’s typically said to be 24 weeks, Kromenaker said.

Dalrymple said, in signing the law, said it’s a good test of changing medical opinion on the limits of Roe v. Wade.

Kromenaker said April 4 she will be in Bismarck for the arguments because her clinic’s ownership, MKB Management, is a party in the case.


Dahl, who works with in vitro fertility services, said the proposed constitutional amendment slated to be on the statewide ballot in November on human personhood will bring “a whole new world of unintended consequences.” It would require that the right to life of “every human being at any stage of development must be recognized and protected,” Dahl said.

That would affect not only abortion, but the handling of embryos and end-of-life decisions for elderly people and their families, she said.

“Families don’t always agree,” Dahl said, and decisions made to turn off ventilators or eschew radical surgery for critically ill people now could become not only “malpractice cases but criminal cases.”


Stephanie Dahl

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