Updated September 2, 2021 at 12:20 PM ET

The U.S. Supreme Court late Wednesday night refused to block a Texas law that amounts to a ban on abortions after six weeks of pregnancy. The vote was 5-4, with three Trump-appointed justices joining two other conservative justices. Dissenting were conservative Chief Justice John Roberts and the court's three liberal justices.

The decision left open the option for abortion providers to challenge the Texas law in other ways in the future, meaning the case possibly — or even likely — will return to the Supreme Court, though not for months or longer.

The opinion was unsigned. It said the abortion providers didn't properly address "complex and novel antecedent procedural questions" in their case.

"In reaching this conclusion, we stress that we do not purport to resolve definitively any jurisdictional or substantive claim in the applicants' lawsuit," the decision said. "In particular, this order is not based on any conclusion about the constitutionality of Texas's law, and in no way limits other procedurally proper challenges to the Texas law, including in Texas state courts."

The ban on abortions after cardiac activity can be detected — usually at six weeks of pregnancy and well before most people even know they are pregnant — is at odds with the Supreme Court's precedents, which prohibit states from banning abortions prior to fetal viability — usually between 22 and 24 weeks. The Texas bill, however, was structured to insulate the law from being tested quickly in court.

Because the established procedure for challenging a state law is to sue officials charged with enforcement, the Texas state legislature wrote the law instead to put citizens in charge of enforcement. Specifically, the law allows anyone, without establishing any vested personal interest, to sue clinics and individuals alike for "aiding and abetting" abortions performed after about six weeks.

That potentially puts in the crosshairs of liability not just clinics but also individuals who staff the clinics, who drive patients to clinics or who help finance abortions.

The court's action came just before midnight on Wednesday, nearly a day after the law went into effect. Abortion rights advocates late last week filed an emergency appeal with the court after a panel of the Fifth Circuit Court of Appeals canceled a hearing that had been scheduled by a federal trial judge on whether to block the law.

Chief Justice Roberts, in dissent, said he would have temporarily blocked the law from going into effect in order to give the lower courts adequate time to hear and decide "whether a state can avoid responsibility for its laws" by "essentially delegat[ing] enforcement to...the populace at large."

The case, he acknowledged, does present difficult and novel questions, but none of those questions had been thoroughly considered yet by the lower courts. Nor, Roberts said, had the cases been fully briefed or considered by lower court judges.

The president and Nancy Pelosi condemn the decision

President Biden on Thursday slammed the Supreme Court ruling, saying it "unleashes unconstitutional chaos."

In a statement, he said the White House would look for ways the federal government could ensure Texans have access to safe and legal abortions and to protect people from enforcement of the Texas law.

The Justice Department is "deeply concerned" about the law, according to Attorney General Merrick Garland, and is "evaluating all options to protect the constitutional rights of women, including access to an abortion."

House Speaker Nancy Pelosi vowed the lower chamber will take up legislation to codify access to abortion when lawmakers return later this month. But while the Women's Health Protection Act, which has been proposed during several legislative sessions, could have enough votes to win passage in the House, it faces a very uncertain future in the evenly divided Senate.

Still, Pelosi and others said the move was the next logical step.

"The Supreme Court's cowardly, dark-of-night decision to uphold a flagrantly unconstitutional assault on women's rights and health is staggering," Pelosi said.

Justice Sotomayor writes: 'The court's order is stunning.'

Joining Roberts' opinion were liberal Justices Stephen Breyer and Elena Kagan. Each also wrote separately, as did Justice Sonia Sotomayor.

Justice Breyer, citing the famous 1803 case of Marbury v. Madison, said that normally where a legal right is invaded, the law itself "provides a legal remedy by suit," and this law, he suggested, does the opposite.

Justice Kagan, in her written dissent, said "Texas's law delegates to private individuals the power to prevent a woman from obtaining an abortion during the first stage of pregnancy. But a woman has a federal constitutional right to obtain an abortion during that first stage," a right that the Supreme Court has endorsed repeatedly over nearly a half century.

Justice Sotomayor used bolder language than the three other dissenters did.

"The court's order is stunning," she wrote. "Presented with an application to enjoin a flagrantly unconstitutional law engineered to prohibit women from exercising their constitutional rights and evade judicial scrutiny, a majority of Justices have opted to bury their heads in the sand. ... Because the court's failure to act rewards tactics designed to avoid judicial review and inflicts significant harm on the applicants and on women seeking abortions in Texas, I dissent."

NPR congressional reporter Claudia Grisales contributed to this story.

Copyright 2021 NPR. To see more, visit https://www.npr.org.

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