evidence: In addition, the bill required that all fetal remains from abortions or miscarriages at any stage of pregnancy be buried or cremated, which according to the Guttmacher Institute was not required in any other state.[155][156][157] The law was described as "exceptional for its breadth"; if implemented, it would have made Indiana "the first state to have a blanket ban on abortions based solely on race, sex or suspected disabilities, including evidence of Down syndrome".[156] Days after the U.S. Supreme Court issued its decision in Whole Woman's Health v. Hellerstedt, a federal court issued a preliminary injunction blocking the bill from taking effect, with U.S. district judge Tanya Walton Pratt determining that the bill was likely to be unconstitutional and that the State of Indiana would be unlikely to prevail at trial.[156] The abortion bill was subsequently ruled unconstitutional in April 2018 by the United States Court of Appeals for the Seventh Circuit.[158]