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171996P.pdf   09/10/2018  Comprehensive Health  v.  Josh Hawley
   U.S. Court of Appeals Case No:  17-1996
   U.S. District Court for the Western District of Missouri - Jefferson City   
[PUBLISHED] [Shepherd, Author, with Wollman and Erickson, Circuit Judges] Civil case - Abortion. The district court erred in enjoining provisions of Missouri Revised Statute Section 197.200 (2007) which require a doctor who performs abortions at a ambulatory surgery center to have surgical privileges at a licensed hospital in the community and regulations issued by the Missouri Department of Health and Senior Services which require a number of physical design and layout provisions for facilities performing abortions; there is not sufficient information at this point to determine how the waiver provision of the physical plant regulations operates; a substantive due process challenge to the physical plant regulations - governed by the cost-benefit analysis required by the undue burden standard - is not currently fit for judicial resolution given the paucity of evidence as to how the Department will grant waivers, and the court erred in enjoining the regulations; with respect to the hospital relationship requirement, the district court erred in enjoining the requirement and its related criminal provisions because the district court did not properly apply the plain language of Whole Women's Health v. Hellerstedt, 136 S. Ct. 2292, as revised (June 27, 2016); on remand, the district court should, at the very least, weigh the state's asserted benefits against the burdens associated with the requirement.