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Massachusetts Removes 24‑Week Cutoff and Lets Doctors Authorize Late‑Term Abortions

Shifting the legal standard to a single physician’s professional judgment raises urgent political, medical and transparency questions ahead of implementation in early November.

Overview

  • The law H.5595, signed by Gov. Maura Healey on Aug. 10, 2026, eliminates the previous 24‑week statutory limit and replaces it with a single‑physician professional‑judgment standard for later‑term abortions.
  • Supporters including major hospital groups argue the change preserves clinician discretion and keeps complex, late pregnancy care in Massachusetts rather than forcing patients to travel out of state.
  • Conservative and faith outlets have characterized the statute as permitting abortion through all nine months and raised concerns that a sole approving physician could create a conflict of interest and reduce safeguards.
  • Implementation questions remain unsettled: the law is scheduled to take effect in roughly 90 days, reporting and oversight rules have not been finalized, and advocates on both sides are mobilizing politically and legally.
  • The change follows the post‑Roe shift that left abortion policy to states and places Massachusetts among a small group of U.S. jurisdictions with no fixed late‑term cutoff, a development likely to shape fall campaigns and wider policy debates.