People like Hartle who have had to flee South Carolina to access abortion care warn that the bill would put more lives at risk — and embolden lawmakers in other states. It also flies in the face of the American College of Obstetricians and Gynecologists’ guidance on abortion care. Such efforts take a page out of Project 2025, the Heritage Foundation playbook for a second Trump term that calls for culling abortion access at the national level through attacks on abortion medication, emergency abortion access and federal funding for abortion care. Because the fetus still had a heartbeat, she was denied abortion care under South Carolina’s existing ban. After the law took effect, Sharkey’s physician, through tears, informed her that they could no longer provide her with abortion care.