Maher v. Roe

432 U.S. 464 (1977)

Quick Summary

Roe (plaintiff), an indigent woman, challenged Maher (defendant), Commissioner of the Connecticut Welfare Department regulation, that limited Medicaid benefits for abortions to those deemed ‘medically necessary.’ The Supreme Court ruled that the Constitution does not require states to fund non-therapeutic abortions when they fund childbirth.

The Court found that while states may choose to fund childbirth, they are not constitutionally mandated to fund abortions, as this does not infringe upon a woman’s right under previously established precedents like Roe v. Wade.

Facts of the Case

The Connecticut Welfare Department’s regulation, which restricted state Medicaid benefits to cover only ‘medically necessary’ first trimester abortions. Susan Roe (plaintiff), an indigent woman, was denied funding for a non-therapeutic abortion under this regulation and challenged its constitutionality. She argued that the regulation infringed upon her fundamental right to an abortion, as established by the Constitution, and her right to equal protection under the laws. The dispute centers on whether the State’s refusal to fund non-therapeutic abortions, while funding childbirth, violates the Constitution.

The defendants in this case were officials from the Connecticut Welfare Department, with Maher (defendant) being the Commissioner. The case highlights the tension between a state’s policy preferences in funding childbirth over abortion and the constitutional rights of women seeking abortions.

Procedural Posture and History

  1. Susan Roe filed suit in federal district court against the Commissioner of the Connecticut Welfare Department.
  2. The district court ruled that the Equal Protection Clause required Medicaid benefits to include non-therapeutic abortions.
  3. The case was appealed and reached the United States Supreme Court after a series of legal proceedings.

I.R.A.C. Format


Whether a state’s regulation that limits Medicaid funding for abortions to those deemed ‘medically necessary’ while funding childbirth violates the Constitution’s guarantees of due process and equal protection.

Rule of Law

The Constitution does not obligate states to provide funding for non-therapeutic abortions when they choose to fund childbirth. The Equal Protection Clause does not require states to demonstrate a compelling interest for policy choices that favor childbirth over abortion.

Reasoning and Analysis

The Court determined that the Connecticut regulation did not create an unconstitutional barrier to abortion. The regulation did not impede a woman’s right to choose an abortion but rather declined to subsidize it with state funds. This distinction between prohibiting an action and declining to promote it was pivotal in the Court’s analysis.

The Court noted that while indigency might make obtaining an abortion more difficult, this challenge was not introduced or aggravated by the state regulation in question.

By emphasizing that states have broad discretion in allocating public funds and are not required to support all constitutionally protected activities equally, the Court found that Connecticut’s decision to fund childbirth but not non-therapeutic abortions was constitutionally permissible and rationally related to the legitimate state interest of encouraging childbirth.


The Supreme Court reversed the judgment of the District Court, upholding the Connecticut regulation. The case was remanded for further proceedings consistent with the Supreme Court’s opinion.

Dissenting Opinions

Justice Marshall and Justice Blackmun dissented, arguing that denying funding for elective abortions while providing it for childbirth effectively coerces poor women into continuing pregnancies they might otherwise terminate, violating their constitutional rights as established in Roe v. Wade.

Key Takeaways

  1. The Constitution does not require states to provide Medicaid funding for non-therapeutic abortions when they choose to fund childbirth.
  2. A state’s refusal to fund non-therapeutic abortions while funding childbirth does not violate the Equal Protection Clause of the Fourteenth Amendment.
  3. The Court’s decision distinguishes between direct state interference with a protected activity and state encouragement of an alternative activity through funding choices.

Relevant FAQs of this case

What is the impact of state funding on the exercise of constitutional rights?

State funding can impact the exercise of constitutional rights by either enabling or limiting individuals’ ability to exercise those rights. Funding decisions may indirectly influence choices, particularly among disadvantaged populations. However, a lack of state funding does not necessarily constitute a violation of constitutional rights.

  • For example: If a state funds public defenders but not civil lawyers, it may affect an individual’s ability to pursue civil justice, although it does not prevent them from doing so outright.

How does the Equal Protection Clause apply to state allocation of benefits?

The Equal Protection Clause mandates that states must treat individuals in similar circumstances alike but does not require equal funding for all activities. When allocating benefits, states may make distinctions if they have a rational basis for doing so and the action does not target a suspect class.

  • For example: A state offering tuition assistance for public colleges but not private institutions is permissible if the policy is rationally related to a legitimate state interest such as promoting public education.

What constitutes government coercion in the context of funding personal choices?

Government coercion occurs when state actions or policies impose a significant burden on an individual’s free will to make personal choices. To constitute coercion, the state’s actions must go beyond mere encouragement or provision of alternatives and constrain individual autonomy through penalties or severe limitations.

  • For example: If a government provides substantial tax benefits exclusively to married couples, it might be argued that this coerces individuals into marriage to obtain financial advantages, potentially impinging on personal choice.


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