Kevin Stitt signed a law banning abortions after

On Wednesday morning, Andrea Gallegos answered a call from a patient who was running late for her appointment at the Tulsa Women’s Clinic, one of four abortion clinics in Oklahoma.

But Gallegos, the clinic’s executive administrator, quickly realized that the woman had missed a message left for her the night before. On Tuesday, Oklahoma Gov. Kevin Stitt signed a law banning abortions after the detection of cardiac activity, which usually occurs around six weeks into a pregnancy.

“Unfortunately, I had to explain, ‘I’m so sorry … but you know, this law just passed,'” Gallegos said.

The woman guessed she was seven or eight weeks along.

“She said, ‘You know, I was raped, I’m pregnant because I was raped. Surely you can still help me.’ And I had to explain that unfortunately, this law makes no exception for rape or incest.”

The only exceptions to Oklahoma’s new law are for situations in which the mother’s life is in danger.

The legislation copies a similar law in Texas, which took effect in September. It allows private citizens to sue anyone who provides abortion care or helps someone obtain an abortion, and receive $10,000 for each suit that succeeds. Because it doesn’t empower the state to enforce the abortion ban, the policy skirts protections afforded under Roe v. Wade, the ruling that established the constitutional right to abortion. The Supreme Court declined to block the Texas law, although it allowed state-level lawsuits to proceed.

So on Tuesday evening, Gallegos was forced to hit the phones, calling patients on the schedule to “let them know that if there was detectable cardiac activity, we would not be able to see them.”

Oklahoma providers had been expecting the ban, but it hit harder, several clinic administrators said, given that the change came just a day after Politico published a leaked Supreme Court draft opinion that could overturn Roe.

The scramble to cancel appointments, support desperate patients and adjust to new restrictions in Oklahoma offer a preview of what’s likely to occur in the 13 states with so-called trigger laws. These policies would ban abortion outright if Roe gets overturned; Oklahoma and Texas both have such laws.

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