"Although the likelihood of this measure surviving a court challenge remains in question, this bill is nevertheless a legitimate attempt by a state legislature to discover the boundaries of Roe v. Wade," Dalrymple said upon signing H.B. 1456.
Asked about the legal point, some anti-abortion activists have said they believe the Roe decision was flawed and that a later case, Planned Parenthood v. Casey, opens the discussion of when abortions can be banned. Others point to a political groundswell, as 11 states have now enacted abortion bans since 2010.
"What we're seeing in North Dakota is reflective of the grassroots passion across the country to take another look at this issue," said Mallory Quigley, spokeswoman for the anti-abortion group Susan B. Anthony List. "Forty years ago, the court sent down the Roe v. Wade decision and assumed that was it, but this is not settled law."
The Red River Women's Clinic's performs 18 percent of its non-chemical abortions before a fetus reaches seven weeks, meaning about 80 percent of its abortions will be banned Aug. 1 unless a judge says otherwise. While the clinic will look into expanding its services to keep its doors open, Kromenaker said it will probably have to close if the law takes effect.
"I don't think it'll come to that," Kromenaker told ABC News.
As of Thursday, the clinic said it had received $10,000 in donations, which it will earmark to fight the ban in court. The clinic performs between 1,200 and 1,300 abortions per year, and Kromenaker said North Dakota's sparse population can only support one clinic.
If the ban takes effect, Kromenaker predicted women in the region will resort to unsafe, illegal abortions.
"I don't even want to think about what that would mean for women here. It's frightening to think about that," Kromenaker said. "The bottom line is women don't care [if abortions are legal]. They don't want to be pregnant."