The leaked majority opinion in Dobbs v Jackson Women’s Health Organization,1 which many perceive to be very close to the final majority opinion the US Supreme Court will likely issue, would overrule Roe v Wade and essentially strip away any special federal constitutional protection for abortion in the US. Going forward, state regulation or even full prohibition of abortion, will not violate the Constitution unless the state lacks a “rational basis” for the law, the lowest possible hurdle and one that will be cleared easily by state legislatures.1 Even though much of the world’s attention is understandably focused on the implications for abortion, it is also important to consider the collateral consequences for assisted reproductive technologies in the US.