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The request asked the judge from enforcing the law against physicians who use their “good-faith medical judgment” to perform an abortion because of complications that could pose "a risk of infection, hemorrhage, high blood pressure, or which otherwise makes continuing a pregnancy unsafe.”

Physicians face “the harm of having the threat of criminal prosecution hanging over their head every time they treat a patient with a medical complication,” attorney Meetra Mehdizadeh, of the Center for Reproductive Rights, said in court arguments last month.

In a statement Tuesday, Mehdizadeh said, “Though we are disappointed by today’s decision, the court did not reach the constitutional questions at the heart of this case, and we remain confident that we will prevail after the court hears further evidence of how this law harms pregnant North Dakotans."

North Dakota outlaws abortion except for cases in which women could face death or a “serious health risk.” People who perform abortions could be charged with a felony under the law, but patients would not.

The judge said the plaintiffs appeared to request that he, “by way of a preliminary injunction, change application of the exception from ‘reasonable medical judgment’ to ‘good faith medical judgment.’ Plaintiffs have cited the Court with no legal authority that would allow the Court to re-write the statute in this manner under the pretense of providing injunctive relief.”

The state's revised abortion laws also provide an exception for pregnancies caused by rape and incest, but only in the first six weeks, before many women know they are pregnant. It also allows for treatment of ectopic and molar pregnancies, which are nonviable situations.

Republican state Sen. Janne Myrdal, who brought the 2023 bill revising revising the laws, welcomed the judge's ruling.

“I think we have something that's very clear for physicians to see," she said. "I think it's common sense what we put in as far as the health exceptions, and it goes with the intent of the legislators, so I applaud this judge for reading into it and realizing that the authority lies with us, as far as writing the law, and interpreting it simply shouldn't be that hard for the physicians.”

The Red River Women’s Clinic sued the state last year after the U.S. Supreme Court’s which overturned the court's landmark 1973 Roe v. Wade ruling establishing a nationwide right to abortion.

The lawsuit targeted the state’s since-repealed trigger ban — designed to go into effect immediately if the court overturned Roe v. Wade — as unconstitutional. to neighboring Moorhead, Minnesota, where abortion is legal.

The judge blocking the ban from taking effect in 2022, a decision the state Supreme Court .

Chief Justice Jon Jensen wrote that “it is clear the citizens of North Dakota have a right to enjoy and defend life and a right to pursue and obtain safety, which necessarily includes a pregnant woman has a fundamental right to obtain an abortion to preserve her life or her health.”

Soon afterward, North Dakota’s Republican-controlled Legislature passed a bill revising the state’s abortion laws, which in April.

In June, the clinic joined by several doctors in obstetrics, gynecology and maternal-fetal medicine.