[PUBLISH]

In the

United States Court of Appeals

For the Eleventh Circuit

____________________

No. 20-13024

____________________

SISTERSONG WOMEN OF COLOR REPRODUCTIVE JUSTICE 

COLLECTIVE, 

FEMINIST WOMEN'S HEALTH CENTER, 

PLANNED PARENTHOOD SOUTHEAST, INC., 

ATLANTA COMPREHENSIVE WELLNESS CLINIC, 

ATLANTA WOMEN'S MEDICAL CENTER, et al., 

Plaintiffs-Appellees,

versus

GOVERNOR OF THE STATE OF GEORGIA, 

in his official capacity,

CHRISTOPHER MICHAEL CARR, 

Georgia Attorney General, in his official capacity 

KATHLEEN TOOMEY, 

Georgia Commissioner for Department of Public Health, 

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2 Opinion of the Court 20-13024

in her official capacity, 

JOHN S. ANTALIS, 

M.D.,

GRETCHEN COLLINS, 

M.D., 

DEBI DALTON, 

M.D., 

E. DANIEL DELOACH,

M.D., 

CHARMAINE FAUCHER, 

PA-C, 

SHAWN M. HANLEY, 

C.F.S.P.,

ALEXANDER S. GROSS, 

M.D., 

THOMASHARDIN, JR., 

M.D., 

JUDY GARDNER, 

C.F.A., 

MATTHEW W. NORMAN, 

M.D., 

DAVID W. RETTERBUSH, 

M.D., 

ANDREW REISMAN, 

M.D., 

JOHN JEFFREY MARSHALL, 

M.D., 

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20-13024 Opinion of the Court 3

BARBY J. SIMMONS, 

D.O., 

RICHARD L. WEIL, 

M.D., Members of the Georgia Composite Medical Board, 

in their official capacities, 

LASHARN HUGHES, 

M.B.A., Executive Director of Georgia Composite Medical Board, 

in her official capacity, 

STACEY JACKSON, 

District Attorney for the Chattahoochee Judicial Circuit, 

in her official capacity, 

FLYNN BROADY, JR., 

Acting District Attorney for the Cobb Judicial Circuit, 

in her official capacity, 

PATSY AUSTIN-GATSON, 

District Attorney for the Gwinnett Judicial Circuit, 

in his official capacity, 

SHALENA COOK JONES, 

District Attorney for the Eastern Judicial Circuit, 

in her official capacity, 

FANI T. WILLIS, 

District Attorney for Fulton County, 

in her official capacity, 

Defendants-Appellants, 

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4 Opinion of the Court 20-13024

SHERRY BOSTON, 

District Attorney for DeKalb County, 

in her official capacity,

Defendants.

____________________

Appeal from the United States District Court

for the Northern District of Georgia

D.C. Docket No. 1:19-cv-02973-SCJ

____________________

Before WILLIAM PRYOR, Chief Judge, LAGOA, Circuit Judge, and 

SCHLESINGER,* District Judge.

WILLIAM PRYOR, Chief Judge:

This appeal concerns whether Georgia can prohibit some

abortions and whether its redefinition of “natural person” to include unborn children is unconstitutionally vague on its face. The 

district court entered a summary judgment for the abortionists 

challenging the Georgia law and permanently enjoined state officials from enforcing it. But intervening Supreme Court precedent, 

Dobbs v. Jackson Women’s Health Org., 142 S. Ct. 2228 (2022), 

* The Honorable Harvey Schlesinger, United States District Judge for the Middle District of Florida, sitting by designation. 

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20-13024 Opinion of the Court 5

makes clear that no right to abortion exists under the Constitution, 

so Georgia may prohibit them. And the expanded definition of natural person is not vague on its face. We vacate the injunction, reverse the judgment in favor of the abortionists, and remand with 

instructions to enter judgment in favor of the state officials. 

I. BACKGROUND 

Georgia enacted the Living Infants Fairness and Equality 

(LIFE) Act in 2019. 2019 Ga. Laws Act 234 (H.B. 481). Section 3 of 

the Act amends the definition of “[n]atural person” in the Georgia 

Code to mean “any human being including an unborn child.” Id.

§ 3(b) (internal quotation marks omitted). And it defines “[u]nborn 

child” as “a member of the species of Homo sapiens at any stage of 

development who is carried in the womb.” Id. § 3(e)(2) (internal

quotation marks omitted). Section 4 prohibits abortions after a fetal 

heartbeat is detected with enumerated exceptions. Id. § 4(b). The 

Act also clarifies that removal of an “ectopic pregnancy” or “a dead 

unborn child caused by spontaneous abortion” is not an “abortion.” Id. § 4(a)(1) (internal quotation marks omitted). Sections 5 

through 12 amend other provisions of the Georgia Code involving 

child support, tort recovery for fetal homicide, informed consent 

for women seeking abortions, tax benefits, and related issues. Id.

§§ 5–12. 

In June 2019, a group of abortion-rights advocacy groups, 

providers, and practitioners filed a two-count complaint naming as 

defendants multiple state officials in their official capacities. The 

abortionists’ first count alleged that the Act’s prohibition on postUSCA11 Case: 20-13024 Date Filed: 07/20/2022 Page: 5 of 16
6 Opinion of the Court 20-13024

fetal-heartbeat abortions violated women’s substantive due process rights under the Fourteenth Amendment. See H.B. 481 § 4.

The abortionists’ second count alleged that the definition of 

“[n]atural person” in section 3 of the Act, see id. § 3 (internal quotation marks omitted), is unconstitutionally vague on its face. The 

abortionists’ complaint requested preliminary and permanent injunctions restraining the enforcement of the Act, a declaratory 

judgment that the Act violates the Fourteenth Amendment, and 

attorney’s fees. See 42 U.S.C. §§ 1983, 1988; 28 U.S.C. §§ 2201–02. 

The abortionists moved for, and the district court granted, a 

preliminary injunction. The district court explained that the abortionists met the burden for a preliminary injunction because the 

abortionists were likely to succeed on the merits and would suffer 

irreparable harm, the balance of hardships weighed in their favor, 

and the public interest was served by a preliminary injunction. The 

district court entered a preliminary injunction prohibiting the state 

officials from enforcing any provision of the Act. 

After discovery, the parties moved for summary judgment. 

The abortionists argued that the prohibition of pre-viability but 

post-fetal heartbeat abortions was unconstitutional under the Fourteenth Amendment as interpreted in Roe v. Wade, 410 U.S. 113, 

153 (1973), and Planned Parenthood of Southeastern Pennsylvania 

v. Casey, 505 U.S. 833, 845–46 (1992). The state officials countered

that the abortionists lacked standing to challenge the prohibition. 

The abortionists also argued that the definition of natural 

person in the Act was unconstitutionally vague. They argued that 

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20-13024 Opinion of the Court 7

redefining natural person to encompass the unborn throughout the 

Georgia Code gave rise to “uncertainty about what actions give rise 

to criminal and civil liability under numerous” Georgia laws. And 

the abortionists argued that the Act did not give them “fair notice” 

and lacked “explicit standards” to apply. (Internal quotation marks 

omitted.) 

The state officials responded that the definition was not unconstitutionally vague. The state officials contended that to succeed on a facial vagueness challenge, the abortionists must show 

that there was no “possibility of a valid application” of the statute. 

(Quoting Indigo Room, Inc. v. City of Fort Myers, 710 F.3d 1294, 

1302 (11th Cir. 2013).) And the state officials argued that an example of a valid application exists in the Act where it provides that

“[u]nless otherwise provided by law, any natural person, . . . with 

a detectable human heartbeat, shall be included in population 

based determinations.” H.B. 481 § 3(d) (internal quotation marks 

omitted). The state officials argued that the definition “functions 

clearly” there “by providing that unborn children with detectable 

heartbeats shall be included in the State’s population-based determinations.” 

The district court granted the abortionists’ motion for summary judgment, entered a permanent injunction prohibiting the 

state officials from enforcing the Act, and declared that sections 3 

and 4 of the Act violated the Fourteenth Amendment. The district 

court explained that, under the Roe and Casey regime, “a state” 

could not “prohibit or ban abortions at any point prior to viability,” 

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8 Opinion of the Court 20-13024

so the Act violated the Fourteenth Amendment because it prohibited pre-viability abortions. The district court also explained that 

section 3 was unconstitutionally vague because the abortionists 

“are forced to hypothesize about ways in which their conduct 

might violate statutes amended by the [Act]” and gave some examples that it thought were applications of the definition that gave too 

much discretion to prosecutors. And the district court explained 

that all the permanent-injunction factors supported entering a permanent injunction, and that the other sections of the Act were inseverable from the abortion prohibition and the definition of natural person.

The state officials appealed, and all parties agreed at oral argument that we should stay this appeal pending a decision in 

Dobbs. After the Supreme Court issued its opinion in Dobbs, we 

requested and received supplemental briefs from the parties addressing the effect of that opinion on this appeal. We now lift our 

earlier stay and consider this appeal in the light of Dobbs.

II. STANDARD OF REVIEW 

“We review a summary judgment de novo.” Leake v. 

Drinkard, 14 F.4th 1242, 1247 (11th Cir. 2021) (internal quotation 

marks omitted). 

III. DISCUSSION

We divide our discussion in two parts. First, we explain that 

the prohibition of abortion after fetal heartbeat in the Act is subject 

only to rational basis review, and we explain that abortion 

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20-13024 Opinion of the Court 9

prohibitions survive rational basis review. Second, we explain that 

the definition of natural person is not facially void for vagueness. 

A. Abortion Prohibitions Are Constitutional.

In their supplemental brief, the abortionists concede that 

Dobbs dooms their challenge to the Act’s prohibition of abortions 

after detectable fetal heartbeat. They also concede that their arguments that other provisions of the Act are inseverable from the 

abortion prohibition are now irrelevant. We agree.

As the Supreme Court explained in Dobbs, “[t]he Constitution makes no reference to abortion, and no such right is implicitly 

protected by any constitutional provision.” Dobbs, 142 S. Ct. at 

2242. As a result, there is no such thing as a constitutional right to 

abortion, and “rational-basis review is the appropriate standard” 

for challenges to abortion prohibitions. Id. at 2283. Laws that regulate abortion are “entitled to a strong presumption of validity.” Id.

at 2284 (internal quotation marks omitted). So, we “must” sustain 

an abortion regulation “if there is a rational basis on which the legislature could have thought that it would serve legitimate state interests.” Id. The Supreme Court held in Dobbsthat “respect for and 

preservation of” unborn life “at all stages of development” is categorically a legitimate state interest. Id. Other legitimate interests 

often implicated by abortion regulations include “the protection of 

maternal health and safety; the elimination of particularly gruesome or barbaric medical procedures; the preservation of the integrity of the medical profession; the mitigation of fetal pain; and the 

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prevention of discrimination on the basis of race, sex, or disability.” 

Id.

The Supreme Court explained that its decisions to the contrary in Roe and Casey were “egregiously wrong from the start.” 

See id. at 2243. The Supreme Court declared that Roe was nothing 

but an exercise of “raw judicial power,” id. at 2265 (quoting Roe, 

410 U.S. at 222 (White, J., dissenting)), that “resemble[d] the work 

of a legislature,” id. at 2266. And it held “that Roe and Casey must 

be overruled.” Id. at 2242. 

As a result, we acknowledge that Dobbs abrogates many 

previous decisions of this Court. An intervening decision of the Supreme Court overrules our precedents whenever the decision is 

“clearly on point.” See Garrett v. Univ. of Ala. Birmingham Bd. of 

Trs., 344 F.3d 1288, 1292 (11th Cir. 2003); see also BRYAN A.

GARNER ET AL.,THE LAW OF JUDICIAL PRECEDENT § 60, at 492 (2016) 

(“Generally speaking, a panel decision may be overruled 

. . . by . . . a contrary opinion of the Supreme Court . . . .”). Dobbs

clearly holds that a supposed right to abortion is not protected by 

any constitutional provision and the only constitutional scrutiny to 

which abortion regulations are subject is rational-basis review. 

Dobbs, 142 S. Ct. at 2242, 2283–84. To the extent that previous decisions of this Court apply any heightened review or state that any 

provision of the Constitution protects a right to abortion, Dobbs

abrogated those decisions. See, e.g., Robinson v. Att’y Gen., 957 

F.3d 1171, 1179–80 (11th Cir. 2020); W. Ala. Women’s Ctr. v. Williamson, 900 F.3d 1310, 1320–21 (11th Cir. 2018); Planned 

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Parenthood Ass’n of Atlanta Area v. Miller, 934 F.2d 1462, 1471–82 

(11th Cir. 1991); Scheinberg v. Smith, 659 F.2d 476, 482–87 (5th 

Unit B. Oct. 1981); Poe v. Gerstein, 517 F.2d 787, 794 (5th Cir. 

1975). 

Georgia’s prohibition on abortions after detectable human 

heartbeat is rational. See H.B. 481 § 4(b). “[R]espect for and preservation of prenatal life at all stages of development” is a legitimate 

interest. Dobbs, 142 S. Ct. at 2284. The Georgia Legislature’s findings acknowledge a state interest in “providing full legal recognition to an unborn child.” H.B. 481 § 2(4). That “legitimate interest[] 

provide[s] a rational basis for” and “justif[ies]” the Act. Dobbs, 142 

S. Ct. at 2284. 

B. The Definition of Natural Person Is Not Void for Vagueness on 

Its Face.

The parties continue to dispute whether the Act’s definition 

of natural person is unconstitutionally vague on its face. The Act 

defines a “‘[n]atural person’” as “any human being including an unborn child.” H.B. 481 § 3(b) (internal quotation marks omitted). 

And the Act clarifies that an “[u]nborn child” is “a member of the 

species Homo sapiens at any stage of development who is carried 

in the womb.” Id. § 3(e)(2) (internal quotation marks omitted). This

new definition applies throughout the Georgia Code. See id. § 3. 

The vagueness doctrine is concerned principally with notice 

and arbitrary enforcement. “An unconstitutionally vague law invites arbitrary enforcement . . . if it leaves judges and jurors free to 

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12 Opinion of the Court 20-13024

decide, without any legally fixed standards, what is prohibited and 

what is not in each particular case . . . .” Beckles v. United States, 

137 S. Ct. 886, 894 (2017) (internal quotation marks omitted). A law 

fails to provide notice when it does not “give the person of ordinary 

intelligence a reasonable opportunity to know what is prohibited, 

so that he may act accordingly.” Grayned v. City of Rockford, 408 

U.S. 104, 108 (1972). Put another way, “[v]agueness arises when a 

statute is so unclear as to what conduct is applicable that persons 

of common intelligence must necessarily guess at its meaning and 

differ as to its application.” Indigo Room, Inc., 710 F.3d at 1301 (internal quotation marks omitted) (alteration in original). The inquiry into whether a statute is vague looks only to whether the 

“language of the [law] itself” is vague. Id. at 1302 (internal quotation marks omitted).

“[F]or a facial” void-for-vagueness challenge to succeed, “the 

challenger must establish that no set of circumstances exists under 

which the Act would be valid.” Id. (internal quotation marks omitted). We have explained that “[f]acial vagueness occurs when a statute is utterly devoid of a standard of conduct so that it simply has 

no core and cannot be validly applied to any conduct.” Id. (internal 

quotation marks omitted) (alteration in original). “[I]f persons of 

reasonable intelligence can derive a core meaning from a statute, 

then the enactment may validly be applied to conduct within that 

meaning and the possibility of a valid application necessarily precludes facial invalidity.” Id. (internal quotation marks omitted). 

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The abortionists earlier attempted to avoid this demanding 

standard by arguing that the definition “renders the Georgia Code 

vague in a manner that chills constitutionally protected conduct, 

namely the provision of abortion.” They argued that “[t]he Supreme Court has made clear that in the abortion context . . . facial 

relief is appropriate when a vague law would impose criminal penalties.” (Citing City of Akron v. Akron Ctr. for Reprod. Health, Inc., 

462 U.S. 416, 451 (1983).) But Dobbs forecloses that argument because it makes clear that abortion is not constitutionally protected. 

Dobbs, 142 S. Ct. at 2242.

Because an abortion-specific argument is foreclosed, the 

abortionists now argue that the redefinition implicates two other 

kinds of conduct protected by the Constitution. First, they contend 

that the redefinition burdens a physicians’ right to pursue their chosen profession of “providing care for pregnant [women].” Second, 

they argue that the definition burdens the “right to procreate.”

These arguments fail. 

Dobbs requires us to apply the normal standard to the abortionists’ facial claim. The Supreme Court explained that abortion 

litigation “distort[ed] . . . many important but unrelated legal doctrines.” Dobbs, 142 S. Ct. at 2275. One of the distorted doctrines 

named by the Supreme Court was “the strict standard for facial 

constitutional challenges.” Id. The Supreme Court followed that 

statement with a footnote citation that compares the standards for 

facial constitutional challenges from Casey and United States v. Salerno, 481 U.S. 739 (1987). See Dobbs, 142 S. Ct. at 2275 n.60. In 

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Casey, the Supreme Court explained that a provision was facially 

unconstitutional because “in a large fraction of the cases in which 

[the provision] [was] relevant, it [would] operate as a substantial 

obstacle” to the exercise of a (former) constitutional right. Casey, 

505 U.S. at 895. In Salerno, the Supreme Court explained in a nonabortion context that a “facial challenge to a legislative [a]ct is 

. . . the most difficult challenge to mount successfully, since the 

challenger must establish that no set of circumstances exists under 

which the [a]ct would be valid.” Salerno, 481 U.S. at 745. 

Because we take the Supreme Court at its word, we must 

treat parties in cases concerning abortion the same as parties in any 

other context. See Dobbs, 142 S. Ct. at 2275–76. And to the extent 

that this Court has distorted legal standards because of abortion, 

we can no longer engage in those abortion distortions in the light 

of a Supreme Court decision instructing us to cease doing so. See, 

e.g., Roe v. Aware Woman Ctr. for Choice, Inc., 253 F.3d 678, 684–

87 (11th Cir. 2001) (pseudonymity); Campbell v. United States, 962 

F.2d 1579, 1584 (11th Cir. 1992) (suggesting in dicta that a state supreme court may not declare abortion against the public policy of 

a state).

Under the proper standard, the Act’s definition of natural 

person is not unconstitutionally vague on its face. When focusing 

on the text, as we must, it is hard to see any vagueness. See Indigo 

Room, Inc., 710 F.3d at 1302. The Act defines a natural person to 

include unborn humans in the womb at any stage of development. 

See H.B. 481 § 3(b), (e). A person of reasonable intelligence is 

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20-13024 Opinion of the Court 15

capable of understanding that the “core meaning [of]” the provision is to expand the definition of person to include unborn humans 

who are carried in the womb of their mother at any stage of development. See Indigo Room, Inc., 710 F.3d at 1302. To be sure, there 

might be vague applications of that definition in other provisions 

of the Georgia Code, but challenges to those applications—like the 

arguments raised in the abortionists’ supplemental brief about potential applications to constitutionally protected conduct—are 

properly brought in an as-applied manner. On its face, the statute 

is not void for vagueness. 

A classic example illustrates the lack of facial vagueness in 

the Act. Assume a legislature promulgates multiple laws regulating 

what one can do with vehicles in parks. See H. L. A. Hart, Positivism and the Separation of Law and Morals, 71 HARV. L. REV. 593, 

607 (1958). Later, the legislature enacts a modified definition of vehicle for those laws that reads “vehicle means any automobile and 

includes bicycles.” The statute clarifies that “as used in the vehiclesin-parks code, ‘bicycle’ means any device with two wheels in tandem, handlebars for steering, a saddle seat or seats, and pedals 

which are used by a human to propel the device.” See Bicycle, 

WEBSTER’S NEW INT’L DICTIONARY (2d ed. 1959). In no context 

would we declare such a law void for vagueness on its face, and the 

only reason we could treat the Act any differently is if we treated 

statutes concerning abortion less favorably. Because a constitutional right to abortion does not exist, we decline to engage in abortion exceptionalism. 

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16 Opinion of the Court 20-13024

IV. CONCLUSION 

We VACATE the injunction, REVERSE the judgment in favor of the abortionists, and REMAND with instructions to enter 

judgment in favor of the state officials. 

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