The latest Supreme Court case related to abortion is not technically about the legal right to have one. When the court heard oral arguments on Dec. 2, 2025, the word “abortion” came up only three times. The first instance was more than an hour into the 82-minute hearing.

Instead, First Choice Women’s Resource Centers Inc. v. Platkin hinges on whether First Amendment rights to freedom of speech and association give a chain of five crisis pregnancy centers in New Jersey the right to protect its donor records from disclosure to state authorities. The centers are Christian nonprofits that try to stop pregnant women from obtaining abortions.

There are more than 2,500 of them across the United States.

I’ve done extensive research regarding crisis pregnancy centers, and I’ve written about that work in more than a dozen articles in academic journals, books and the media.

Many critics of the centers call them “fake clinics” because the centers appear to be medical facilities when they are not.

Often, their waiting rooms look like those at doctors’ offices, and their volunteers wear white lab coats or medical scrubs. And they offer free services that people think of as medical, such as pregnancy tests and ultrasounds. But these pregnancy tests are typically the same kind that drugstores sell over the counter.

They’re able to function without medical professionals because it’s generally legal in the U.S. to operate ultrasound machines without any specialized training. They ask clients to read their own pregnancy tests so they can avoid laws regarding medical licensing.

Under current law, crisis pregnancy centers don’t need to tell their clients that they are not medical clinics. Nor must they disclose that they don’t provide abortions or birth control.

After California enacted a law that would force the centers to provide their clients with accurate information, the Supreme Court ruled in 2018 that it was unconstitutional.

The centers also don’t have to tell their clients that they are not bound by the Health Insurance Portability and Accountability Act, or HIPAA, or other patient privacy laws. They don’t have to say that few, if any, members of their staff are licensed medical professionals or that their

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