Utah Supreme Court

Does the Utah Wrongful Life Act violate constitutional guarantees? Wood v. University of Utah Medical Center Explained

2002 UT 134
No. 20000827
December 31, 2002
Affirmed

Summary

Parents sued University of Utah Medical Center claiming negligent genetic counseling resulted in birth of child with Down syndrome when they would have aborted if properly informed. The district court dismissed all claims as barred by the Utah Wrongful Life Act, which prohibits causes of action based on claims that but for defendant’s act or omission, a person would have been aborted rather than born.

Analysis

The Utah Supreme Court in Wood v. University of Utah Medical Center addressed the constitutionality of the Utah Wrongful Life Act, which prohibits lawsuits claiming that but for a healthcare provider’s negligence, a child would have been aborted rather than born alive.

Background and Facts

Marie Wood and Terry Borman sought genetic counseling during pregnancy due to Marie’s age and risk of genetic disorders. The Medical Center allegedly performed tests but failed to timely inform plaintiffs of results indicating an 85% probability their child would have Down syndrome. When finally informed, doctors downplayed the risk as likely false positives. Plaintiffs decided to continue the pregnancy, and their daughter was born with Down syndrome. They sued for wrongful birth, claiming they would have terminated the pregnancy if properly informed.

Key Legal Issues

The central question was whether the Utah Wrongful Life Act violates the Open Courts Clause (Utah Constitution Article I, Section 11), Due Process, or Equal Protection guarantees. Plaintiffs argued the Act eliminated their remedy for medical malpractice without providing alternatives and unduly burdened the constitutional right to abortion by insulating doctors from liability for withholding information.

Court’s Analysis and Holding

The court applied the Berry test for Open Courts challenges, first determining whether the Act abrogated an existing remedy. Because Utah had never explicitly recognized wrongful birth as a distinct cause of action in 1983 when the Act was passed, the court found no existing remedy was eliminated. The Act therefore satisfied the first Berry prong without needing alternative remedies.

On Due Process grounds, the court applied Casey’s “undue burden” test, concluding the Act does not place substantial obstacles in the path of women seeking abortions. While acknowledging the Act might create a “safe harbor” for some doctors, the court found this too tenuous to constitute an undue burden on abortion access.

Practice Implications

This decision significantly impacts medical malpractice practice in reproductive health contexts. The ruling effectively immunizes healthcare providers from certain negligence claims related to genetic counseling and prenatal testing when the alleged harm involves birth of a disabled child that might otherwise have been terminated.

Original Opinion

Link to Original Case

Case Details

Case Name

Wood v. University of Utah Medical Center

Citation

2002 UT 134

Court

Utah Supreme Court

Case Number

No. 20000827

Date Decided

December 31, 2002

Outcome

Affirmed

Holding

The Utah Wrongful Life Act constitutionally prohibits wrongful birth claims without violating the Open Courts Clause, Due Process Clauses, or Equal Protection guarantees.

Standard of Review

Correctness for constitutional questions. The court presumes the legislation being challenged is constitutional and resolves any reasonable doubts in favor of constitutionality.

Practice Tip

When challenging statutes under the Open Courts Clause, focus on whether an existing legal remedy was actually abrogated rather than whether a specific cause of action label was previously recognized by Utah courts.

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