"This is a government-compelled speech issue," said Hawaii Catholic Conference communications director Eva Andrade. "You cannot force someone to post something against their beliefs."

S.B. 501 requires "limited service pregnancy centers" to display "in a clear and conspicuous place" the following message on letter-size paper in no less than 22-point-size type:

"Hawaii has public programs that provide immediate free or low-cost access to comprehensive family planning services, including, but not limited to, all FDA-approved methods of contraception and pregnancy-related services for eligible women. To apply online for medical insurance coverage, that will cover the full range of family planning and prenatal care services, go to mybenefits.hawaii.gov. Only ultrasounds performed by qualified health care professionals and read by advanced clinicians should be considered medically accurate."

An alternative would be to give each client a "printed or digital notice" of the message in no less than 14-point-size type.

"Freedom of speech also means the freedom to not express views that would violate one's conscience," said Alliance Defending Freedom attorney Elissa Graves in a news release. "Yet, under this law, Hawaii is forcing pro-life centers and physicians to provide free advertising for the abortion industry against their conscience. Because of the First Amendment's protections, courts have repeatedly rejected these types of laws as unconstitutional."

According to Alliance Defending Freedom, courts on the U.S. mainland have "invalidated or mostly invalidated" similar laws in Texas, Maryland and New York City.

Hawaii has six pro-life pregnancy counseling centers and all have some kind of religious affiliation. The Pregnancy Problem Center of Hawaii in Oahu was founded by a Catholic, Robert Pearson.

According to their websites, all offer pregnancy tests and counseling. Most advertise adoption information, childbirth classes, abstinence education, and post-abortion recovery counseling. Some offer ultrasound exams.

Some centers explicitly say they do not offer abortions or abortion referrals, while offering information about "abortion methods and risks."

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Downes is editor of the Hawaii Catholic Herald, newspaper of the Diocese of Honolulu.