CPCs are technically not medical clinics, but rather ministries with intent to provide women with information about the pregnancy and basic medical services such as ultrasounds. At face value, these practices do not seem that nefarious. However, studies and news stories have revealed a darker side of the extent to which CPCs will go to convince women against getting an abortion. Several studies have found CPCs often mislead and misinform patients about their option and the consequences of said option. A study done in North Carolina found 86% of North Carolinian CPCs post inaccurate information on their websites. Furthermore, large numbers of CPCs have misinformed patients about the risk of infertility and metal illness after receiving an abortion. Some of these ministerial clinics have gone as far as convincing a woman she could receive an abortion at any point up to term in order to get her to miss the first trimester deadline.
CPCs are heavily unregulated in the US. Most CPCs do not have to disclose they are not medical clinics to their patients. Many have adopted practices to give their ministers an appearance of medical professionalism. They have been criticized by many pro-life activist such as Julie Rikelman who wrote, “many CPCs purposefully mislead women about their mission. In every way possible, from their advertising, to their physical appearance, to the uniforms of their staff, CPCs are designed to look like medical clinics, not religious ministries.” Most attempts by city and state governments to prevent this dissemination of misinformation have been unsuccessful in the courts. The groups running the CPCs have used their first amendment rights as religious organizations to block ordinances and laws implemented to prevent the spread of misinformation.
Consultations from CPCs are more readily available than from Abortion Clinics. In the United States there are 2,500 CPCs while there are a total of 1,800 abortion clinics. California State Representative David Chiu introduced a bill in 2015 which required CPCs to disclose their non-medical status and inform women abortion was an option. California passed the law hoping to provide women with a clearer path towards medically informed reproductive healthcare. The law has been upheld by the courts and has made its way to the Supreme Court. The SCOTUS is expected to make a ruling on the law before the court's term ends in June. The Justices must determine if CPCs practices are protected by the free exercise clause. The implications of the decision will affect the status of CPCs around the country.
I believe the practices of CPCs are not protected by the first amendment. Considering the negative impact CPC’s misinformation can have on a woman’s reproductive health and general well-being the facts of this case clearly establish their is a large state interest in regulating CPC practices. If one applies the Sherbet test in this case, it becomes clear there are no less restrictive means to ensure the State’s interest is met. Even after the ruling in Burwell V. Hobby Lobby precedent would dictate the court must rule in favor of California. In the court’s decision they held to the sherbet test and found there were less restrictive means by which female employees could acquire birth control. In the case of the CPCs, the state has an obligation to ensure its citizens are not misled when receiving information concerning their healthcare. The free exercise clause was not written to protect a preacher acting as a doctor. I can understand how one would be concerned about the government overstepping its limits and dictating what a congregation could preach, however the scope of this case is very limited to that of healthcare. If the court were to rule in favor of California, it would only allow states to ensure congregations do not preach on medical matters while masquerading as health care providers. Considering the legal precedent and the clear state interest, I hope the Supreme Court allows the States to regulate the practices of CPCs when it is clear they have become predatory misinformers preventing women from getting the healthcare they desire.












