Rachael Lorenzo started hearing the questions several weeks ago from strangers on Twitter and reporters seeking interviews: Since Native American tribes are sovereign nations, with their own laws, could they offer abortion services on Native land within states that may soon outlaw abortion?
And would they?
The speculation began last month, after a leaked draft of a U.S. Supreme Court opinion suggested the court is poised to overturn Roe v. Wade, the 1973 decision that guaranteed the right to an abortion nationwide.
Lorenzo and other Indigenous abortion rights advocates say the questions have mostly come from non-Native people.
The advocates said they hadn鈥檛 heard of any tribe or Indigenous organization advocating for opening clinics on tribal land to offer abortion services. Planned Parenthood, the nation鈥檚 leading provider of abortions, told KHN that it is not exploring this option and that such decisions should be left to Indigenous people.
Any such plan would be fraught with legal, financial, and political hurdles, the advocates said. And they wondered why many people now asking about opening clinics on reservations didn鈥檛 seem interested in health care access there before abortion rights were threatened nationwide.
鈥淎ll of a sudden, this issue that’s going to impact white women too 鈥 or impact white women more broadly 鈥 now we’re being seen as the potential savior,鈥 Lorenzo said. 鈥淚t should not be on tribal nations to go above and beyond when so many tribal nations already have very limited resources.鈥
Lorenzo 鈥 who is of Mescalero Apache, Laguna Pueblo, and 鈥 is the director of Indigenous Women Rising, an Albuquerque-based nonprofit that helps Indigenous people in the United States and Canada afford abortions.
Lauren van Schilfgaarde, a legal clinic director at the UCLA School of Law and a member of the Cochiti Pueblo, said that people are looking for ways to ensure abortion access if Roe v. Wade falls but that the reservation solution is problematic. 鈥淚 think people are throwing spaghetti at the wall and then suddenly remembered, 鈥極h, yeah, tribal sovereignty.鈥欌
鈥淚t鈥檚 sort of a weird argument to say, 鈥極h can tribes help?鈥 Like, no, tribes are already in a worse position than you are,鈥 she said.
Some tribes and funding, Many Indigenous people 鈥 鈥 still don鈥檛 have access to high-quality health care.
Oklahoma is among the states making national headlines for Its governor, Republican Kevin Stitt, is also pushing back against that expanded tribal jurisdiction in the state. that he thinks tribes might try to offer 鈥渁bortion on demand. They think that you can be 1/1,000th tribal member and not have to follow the state law. And so that’s something that we’re watching.鈥
Carly Atchison, a spokesperson for Stitt, told KHN that the Oklahoma attorney general’s office advised the governor that tribes might be able to offer abortions on their land. She said she hadn鈥檛 seen any clear statement from tribes on whether they might try.
Spokespeople from the five largest tribes in Oklahoma did not respond when KHN asked whether any tribal members or elected representatives had suggested offering abortions.
But Cherokee Nation Principal Chief Chuck Hoskin Jr. did respond to Stitt鈥檚 comment. 鈥淪peculating on what tribes should do based on a leaked U.S. Supreme Court draft decision is irresponsible,鈥 . 鈥淛ust as irresponsible is the governor of Oklahoma and his disguised media campaign, which is really meant to attack tribes and our sovereignty.鈥
Lorenzo and other Indigenous advocates said many non-Indigenous people now discussing the possible use of reservation land for abortions have been silent on related issues that affect Native Americans.
Many Indigenous people living on reservations have services since 1976, when the so-called Hyde Amendment went into effect, Lorenzo said. Through the Hyde Amendment, Congress prohibited federal money from being used to pay for most abortions. And that means the federally funded Indian Health Service 鈥 the main health care provider on many reservations 鈥 can provide abortions in only limited circumstances.
Even if tribes wanted to allow abortion services on their land, the , van Schilfgaarde said. Criminal cases on Native American reservations are handled by tribal, state, or federal courts, depending on the situation.
Non-Indigenous people accused of committing crimes against other non-Indigenous people within a reservation鈥檚 boundaries are usually under state jurisdiction, van Schilfgaarde said. So if a state outlaws abortion, state prosecutors might be able to charge a non-Indigenous doctor who provided abortions on a reservation.
The legal questions could get even more complicated under a new type of abortion restriction, first seen in Texas, van Schilfgaarde said. She expects to see more of those laws, which are enforced in civil, instead of criminal, courts. Determining whether tribal, state, or federal courts have jurisdiction in civil cases is even more tricky than it is in criminal cases, van Schilfgaarde said.
Legal issues wouldn鈥檛 be the only barriers to providing abortion services on tribal land. Tribal councils would be unlikely to approve such clinics, said Charon Asetoyer, executive director of the Native American Women鈥檚 Health Education Resource Center on the Yankton Sioux reservation in South Dakota.
Asetoyer said many tribal leaders鈥 views on abortion are shaped by religion. 鈥淭he churches have a pretty big hold,鈥 she said. 鈥淧olitically, I think it would be very challenging to see one of our leaderships stand up for the rights of women. I really don’t think it鈥檚 going to happen.鈥
Other challenges could include funding and staffing such clinics, providing security for employees and patients, navigating any licensing barriers, and paying for lawyers to defend against expected lawsuits.
Asetoyer also noted that some clinics, such as the one in South Dakota, have had to fly in doctors from other states to perform abortions. Would those doctors be willing to travel to reservations, some of which are a few hours鈥 drive away from the nearest airport?
Although the current conversation about potential abortion services on Native land is mostly being raised by non-Indigenous people, Native Americans have their own history of abortion and reproductive rights advocacy.
In 2006 on the Pine Ridge Reservation in South Dakota, Cecilia Fire Thunder tried to open a clinic that would have provided women鈥檚 health care services, including abortion. The clinic plan was spiked the tribe鈥檚 first female president.
