The Supreme Court will weigh in on a Louisiana abortion law that put restrictions on clinics that provide abortions.

The U.S. Supreme Court on Friday agreed to review a controversial Texas abortion law on Nov. 1 but refused to block the law while it considers whether it is constitutional.

The court, in its order, said it would consider the following question: “May the United States bring suit in federal court and obtain injunctive or declaratory relief against the State, state court judges, state court clerks, other state officials, or all private parties to prohibit S.B. 8 from being enforced.”

The promise of future adjudication offers cold comfort, however, for Texas women seeking abortion care, who are entitled to relief now. These women will suffer per-sonal harm from delaying their medical care, and as their pregnancies progress, they may even be unable to obtain abortion care altogether. Because every day the Court fails to grant relief is devastating, both for individual women and for our constitutional system as a whole, I dissent from the Court’s refusal to stay administratively the Fifth Circuit’s order.

The highly unusual court action appears to be the result of two internal Supreme Court rules. It takes the votes of only four justices to grant review in a case. But it takes the votes of five justices to reverse a lower court decision like this one.

The vote in the Texas case is also an indication of deep internal splits within the court. Splits that may be explained in a variety of way.

Some liberal court observers, for instance, see the decision to hear the Texas case as a cynical pairing that will allow conservative majority to look “moderate,” by striking down the Texas law while upholding a Mississippi ban on abortions after 15 weeks. The Mississippi case is scheduled to be heard on Dec. 1.

But other court observers see it as only a matter of time before a conservative court majority, explicitly or implicitly, strikes down Roe v. Wade and other abortion precedents of the last half century.

The Texas law is more restrictive than the Mississippi law, not only because it makes abortions illegal after six weeks instead of 15, but because it was designed to make it difficult for opponents to challenge it in court. The inability to challenge the law is what has made it the target of criticism, not only from liberal scholars, but conservatives, too.

The law’s unique approach is to take enforcement out of the hands of state officials, who normally can be sued in an effort to block an unconstitutional law, and instead put enforcement in the hands of private citizens. They are empowered instead to sue anyone who aids or abets an abortion after six weeks of pregnancy and to obtain damage awards of at least $10,000 for each violation–an amount that in the aggregate would be potentially crippling for clinics that provide abortions. What’s more the law is so broad in its reach would seem to include as potential targets even people who drive patients to a clinics or those who help them go to other states to secure an abortion.

In early September, the high court allowed the law to go into effect, turning away the challenge brought by of clinics, doctors, and their patients who sought to block the law while its merits were litigated in the lower courts.

The vote was 5-to-4, with Chief Justice John Roberts and the court’s three liberals in dissent. “The statutory scheme before the court is not only unusual but unprecedented,” Roberts wrote back then, noting that the “consequence appears to be to insulate the state from responsibility for implementing and enforcing the regulatory regime.”

With abortions all but shut down in Texas, and providers having failed to block the law, federal government went to court with a new challenge. It argued that the state law violates the equal protection guarantee of Fourteenth Amendment and that it violates the Supremacy Clause of the Constitution, which prohibits states from interfering with the federal government’s exercise of its constitutional powers.

On Oct. 6, federal judge Robert Pittman issued a temporary injunction barring Texas state judges and clerks from accepting the suits authorized under the law, known as S.B. 8.

In a 113-page ruling, Pittman said the law had been deliberately designed “for the chief purpose of avoiding judicial review.” As a result, he said, “people seeking abortions face irreparable harm when they are unable to access abortions” that they “are entitled to under the U.S. constitution.”

But the U.S. Court of Appeals for the Fifth Circuit, which oversees Texas, promptly blocked Pittman’s order, reinstating the law and once again making abortions unavailable in the state after six weeks of pregnancy.

The Biden administration then appealed to the Supreme Court asking it to lift the Fifth Circuit order and to block the law while the case plays out on appeal in the lower court.

In the end, however, the court’s five most conservative justices did not budge. The Texas law will remain in operation, even though the court will hear the challenge to the law some time later in the term.