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The bill would need to pass by a two-thirds vote in each house of the state Legislature before reaching Newsom’s desk. After he signs it, it will go into effect immediately.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Dr. Tanya Spirtos, a gynecologist and president of the California Medical Association, said it is unfortunate that Arizona abortion patients will have to travel out-of-state, but she’s proud to see California step in to assist them.\u003c/p>\n\u003cp>“All personal medical decisions, including those around abortion, should be made by patients in consultation with their health care providers,” Spirtos said. “By banning virtually all abortions in the state, the ruling will put physicians in harm’s way for simply providing often lifesaving medical care to their patients.”[aside label=\"more abortion coverage\" tag=\"abortion\"]The Arizona Supreme Court cleared the way earlier this month for the near-total ban to move forward. Besides Arizona, \u003ca href=\"https://apnews.com/article/arizona-abortion-restrictions-1864-9c68866d69dca38c728dd27b80592e8f\">14 other states\u003c/a> have banned abortion at all stages of pregnancy.\u003c/p>\n\u003cp>While abortion access in California has never been under serious threat in recent history, Newsom — widely seen as a potential presidential candidate beyond 2024 — has made defending that access a priority of his administration.\u003c/p>\n\u003cp>Newsom pushed for abortion access to be enshrined into the California Constitution. He \u003ca href=\"https://apnews.com/article/abortion-us-supreme-court-california-gavin-newsom-729c1df436b5efa69d1cbff438f5905c\">approved $20 million\u003c/a> of taxpayer money to help pay for women in other states to come to California for abortions. And he has signed \u003ca href=\"https://apnews.com/article/abortion-us-supreme-court-health-california-df6dd40a7e2af65a1c6a4042e4ffa485\">dozens of laws\u003c/a> aimed at making it harder for other states to investigate women for coming to California for abortions, including banning social media companies from \u003ca href=\"https://apnews.com/article/california-abortion-pill-gavin-newsom-b7e392be628411230319215d7c010f21\">complying with subpoenas\u003c/a> or warrants.\u003c/p>\n\u003cp>His actions have endeared him to the Democratic Party’s core constituencies despite some of the state’s other problems — including homelessness, wildfire insurance and a pair of multibillion-dollar budget deficits.\u003c/p>\n\u003cp>In 2022, months after the U.S. Supreme Court overturned Roe v. 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Using money left over from his 2022 reelection campaign, Newsom started a political action committee he calls the “ \u003ca href=\"https://apnews.com/article/california-governor-newsom-president-democrats-2024-843877ca6aca701a5a68b8cb022203a2\">Campaign for Democracy\u003c/a> ” that has paid for billboards and TV ads in Republican-led states to criticize their leaders’ attempts to outlaw or restrict access to abortions. 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"title": "California Proposes Law to Allow Arizona Doctors to Perform Abortions Amid Ban",
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"content": "\u003cp>California Gov. Gavin Newsom said the state is working on emergency legislation that would allow doctors from Arizona to come to California to provide abortions.\u003c/p>\n\u003cp>The announcement comes days after the \u003ca href=\"https://www.npr.org/2024/04/09/1243679136/arizona-abortion-court-decision-ban\">Arizona Supreme Court ruled\u003c/a> that the state should follow a law from the 1860s that outlaws abortions in all cases except when the pregnant person’s life is in danger.\u003c/p>\n\u003cp>Newsom, a Democrat, \u003ca href=\"https://twitter.com/GavinNewsom/status/1782157977069428900\">said Sunday\u003c/a> during an appearance on MSNBC’s \u003cem>Inside with Jen Psaki\u003c/em> that California is in a position to help those who are set to lose the ability to have an abortion in neighboring Arizona.\u003c/p>\n\u003cp>“I think really we need to start focusing on making the kind of progress that’s needed,” Newsom said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>On Monday, Newsom spokesperson Brandon Richards told NPR via email that the administration was working closely with the California legislature on the proposal and also coordinating with the offices of Arizona Gov. Katie Hobbs and Arizona Attorney General Kris Mayes, both of whom are Democrats.\u003c/p>\n\u003cp>“Arizona AG Kris Mayes identified a need to expedite the ability for Arizona abortion providers to continue to provide care to Arizonans as a way to support patients in their state seeking abortion care in California,” Richards said. “We are responding to this call and will have more details to share in the coming days.”\u003c/p>\n\u003cp>The Arizona Supreme Court justices stayed enforcement of their April 9 ruling for 14 days and possibly longer, permitting abortions to continue for now.[aside label='Related Coverage' tag='abortion-ban']Since the U.S. Supreme Court \u003ca href=\"https://www.npr.org/2022/06/24/1102305878/supreme-court-abortion-roe-v-wade-decision-overturn\">reversed \u003cem>Roe v. Wade\u003c/em>\u003c/a> in 2022 and eliminated the constitutional right to an abortion, a number of more conservative states have been limiting or banning the procedure, while other states \u003ca href=\"https://www.npr.org/2023/06/23/1183646356/dobbs-roe-abortion-protections-illinois-maryland-michigan-colorado-minnesota\">have taken steps to protect\u003c/a> reproductive rights, including California.\u003c/p>\n\u003cp>Over the weekend, Newsom also \u003ca href=\"https://twitter.com/GavinNewsom/status/1782082600368283715\">debuted a new TV ad\u003c/a> through his Campaign for Democracy PAC that depicts a fictional scene of two women being pulled over by a police officer and asked to take a pregnancy test just before they can drive out of state.\u003c/p>\n\u003cp>\u003ca href=\"https://act.gavinnewsom.com/signup/right_to_travel/\">According to the PAC\u003c/a>, lawmakers in Alabama, Tennessee and Oklahoma have introduced legislation to bar minors from traveling out of state to get an abortion without parental consent.\u003c/p>\n\u003cp>All three states have among the “most restrictive” laws against abortion, \u003ca href=\"https://states.guttmacher.org/policies/\">according to the Guttmacher Institute\u003c/a>, a research group that supports abortion rights and tracks abortion laws across the U.S.\u003c/p>\n\u003cp>“Alabama’s abortion ban has no exceptions for rape or incest. Now, Republicans are trying to criminalize young women’s travel to receive abortion care,” Newsom \u003ca href=\"https://twitter.com/GavinNewsom/status/1782082600368283715\">said in a post on X\u003c/a>. “We cannot let them get away with this.”\u003c/p>\n\u003cp>In November, a federal judge \u003ca href=\"https://apnews.com/article/idaho-abortion-trafficking-travel-ban-270a403d7b4a5e99e566433556614728\">temporarily blocked\u003c/a> an Idaho law that was intended to prevent minors from going out of state to obtain abortions without parental consent.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>California Gov. Gavin Newsom said the state is working on emergency legislation that would allow doctors from Arizona to come to California to provide abortions.\u003c/p>\n\u003cp>The announcement comes days after the \u003ca href=\"https://www.npr.org/2024/04/09/1243679136/arizona-abortion-court-decision-ban\">Arizona Supreme Court ruled\u003c/a> that the state should follow a law from the 1860s that outlaws abortions in all cases except when the pregnant person’s life is in danger.\u003c/p>\n\u003cp>Newsom, a Democrat, \u003ca href=\"https://twitter.com/GavinNewsom/status/1782157977069428900\">said Sunday\u003c/a> during an appearance on MSNBC’s \u003cem>Inside with Jen Psaki\u003c/em> that California is in a position to help those who are set to lose the ability to have an abortion in neighboring Arizona.\u003c/p>\n\u003cp>“I think really we need to start focusing on making the kind of progress that’s needed,” Newsom said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>On Monday, Newsom spokesperson Brandon Richards told NPR via email that the administration was working closely with the California legislature on the proposal and also coordinating with the offices of Arizona Gov. Katie Hobbs and Arizona Attorney General Kris Mayes, both of whom are Democrats.\u003c/p>\n\u003cp>“Arizona AG Kris Mayes identified a need to expedite the ability for Arizona abortion providers to continue to provide care to Arizonans as a way to support patients in their state seeking abortion care in California,” Richards said. “We are responding to this call and will have more details to share in the coming days.”\u003c/p>\n\u003cp>The Arizona Supreme Court justices stayed enforcement of their April 9 ruling for 14 days and possibly longer, permitting abortions to continue for now.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Since the U.S. Supreme Court \u003ca href=\"https://www.npr.org/2022/06/24/1102305878/supreme-court-abortion-roe-v-wade-decision-overturn\">reversed \u003cem>Roe v. Wade\u003c/em>\u003c/a> in 2022 and eliminated the constitutional right to an abortion, a number of more conservative states have been limiting or banning the procedure, while other states \u003ca href=\"https://www.npr.org/2023/06/23/1183646356/dobbs-roe-abortion-protections-illinois-maryland-michigan-colorado-minnesota\">have taken steps to protect\u003c/a> reproductive rights, including California.\u003c/p>\n\u003cp>Over the weekend, Newsom also \u003ca href=\"https://twitter.com/GavinNewsom/status/1782082600368283715\">debuted a new TV ad\u003c/a> through his Campaign for Democracy PAC that depicts a fictional scene of two women being pulled over by a police officer and asked to take a pregnancy test just before they can drive out of state.\u003c/p>\n\u003cp>\u003ca href=\"https://act.gavinnewsom.com/signup/right_to_travel/\">According to the PAC\u003c/a>, lawmakers in Alabama, Tennessee and Oklahoma have introduced legislation to bar minors from traveling out of state to get an abortion without parental consent.\u003c/p>\n\u003cp>All three states have among the “most restrictive” laws against abortion, \u003ca href=\"https://states.guttmacher.org/policies/\">according to the Guttmacher Institute\u003c/a>, a research group that supports abortion rights and tracks abortion laws across the U.S.\u003c/p>\n\u003cp>“Alabama’s abortion ban has no exceptions for rape or incest. Now, Republicans are trying to criminalize young women’s travel to receive abortion care,” Newsom \u003ca href=\"https://twitter.com/GavinNewsom/status/1782082600368283715\">said in a post on X\u003c/a>. “We cannot let them get away with this.”\u003c/p>\n\u003cp>In November, a federal judge \u003ca href=\"https://apnews.com/article/idaho-abortion-trafficking-travel-ban-270a403d7b4a5e99e566433556614728\">temporarily blocked\u003c/a> an Idaho law that was intended to prevent minors from going out of state to obtain abortions without parental consent.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Opill — the \u003ca href=\"https://opill.com/\">over-the-counter birth control pill\u003c/a> that was \u003ca href=\"https://apnews.com/article/birth-control-pills-without-prescription-fda-b6728e98af5f1625520e0fa5fbc911c3\">approved by the Food and Drug Administration last year\u003c/a> — is \u003ca href=\"https://apnews.com/article/birth-control-pill-pharmacy-contraceptive-add40fec7589dae8ba26eb29bee36b8b\">now available\u003c/a>.\u003c/p>\n\u003cp>This means people now have access to a birth control pill without needing a prescription from a doctor or requiring health insurance — making it accessible “over-the-counter,” like a painkiller like Tylenol.[pullquote size=\"medium\" align=\"right\" citation=\"Sophia Yen, clinical associate professor, Stanford Medical School\"]‘I think it’s really important for people to know that this is the best, most efficacious method available over the counter.’[/pullquote]\u003c/p>\n\u003cp>“I think it’s really important for people to know that this is the best, most efficacious method available over the counter,” said Sophia Yen, a clinical associate professor at Stanford Medical School and \u003ca href=\"https://www.pandiahealth.com/dr-sophia-yen/\">co-founder of Pandia Health\u003c/a>, an organization specializing in reproductive care.\u003c/p>\n\u003cp>Back in 2019, the American College of Obstetrics and Gynecology recommended that all birth control methods — \u003ca href=\"https://www.usatoday.com/story/news/health/2019/09/26/birth-control-should-sold-over-counter-gynecologists-without-prescription-acog/2439101001/\">including the ring, patch, and the pill\u003c/a> — should become available over-the-counter, as Opill now is. And now, this pill is becoming readily \u003ca href=\"https://apnews.com/article/birth-control-pill-pharmacy-contraceptive-add40fec7589dae8ba26eb29bee36b8b\">available at a time\u003c/a> when reproductive rights — like access to abortion — have been under \u003ca href=\"https://www.kqed.org/news/tag/abortion\">legal attacks throughout the country after the Supreme Court overturned Roe v. Wade\u003c/a>.\u003c/p>\n\u003cp>If you are a person who wants to start taking birth control but may not have health insurance or access to a prescriber, keep reading to find out what to know about the over-the-counter birth control pill.\u003c/p>\n\u003ch3>Who can buy Opill, and where is it available?\u003c/h3>\n\u003cp>You can buy Opill in the following ways in California, with no insurance required:\u003c/p>\n\u003cul>\n\u003cli>Over-the-counter at a pharmacy like Walgreens or CVS.\u003c/li>\n\u003cli>In the family planning aisles of a major retail store (for example, Walmart).\u003c/li>\n\u003cli>Online at \u003ca href=\"http://opill.com\">opill.com\u003c/a>.\u003c/li>\n\u003c/ul>\n\u003cp>There is \u003ca href=\"https://apnews.com/article/birth-control-pill-pharmacy-contraceptive-add40fec7589dae8ba26eb29bee36b8b\">no age restriction on sales\u003c/a>, and the packaging is described by the company as “discreet,” for buyer’s privacy.\u003c/p>\n\u003cp>According to the manufacturer, you \u003ca href=\"https://cdn.shopify.com/s/files/1/0719/3211/7296/files/Opill-CIL.pdf?v=1707506323\">should not use Opill\u003c/a>:\u003c/p>\n\u003cul>\n\u003cli>If you have ever had breast cancer.\u003c/li>\n\u003cli>Together with another birth control pill, vaginal ring, patch, implant, injection or an IUD.\u003c/li>\n\u003cli>If you are allergic to ingredients in Opill (for example, some people allergic to aspirin are also allergic to tartrazine, which is the color additive in Opill).\u003c/li>\n\u003c/ul>\n\u003ch3>How much does Opill cost?\u003c/h3>\n\u003cp>According to Opill’s website, a month’s supply retails for $19.99. A three-pack supply of Opill costs \u003ca href=\"https://opill.com/products/opill?variant=47067484487984\">around $50\u003c/a>, and a six-pack costs $90.\u003c/p>\n\u003cp>As of August 2023, California passed \u003ca href=\"https://www.americanprogress.org/article/the-first-over-the-counter-birth-control-pill-marks-a-pivotal-moment-in-birth-control-access/#:~:text=Is%20Opill%20covered%20by%20insurance,prescription%20and%20without%20cost%20sharing.\">a law requiring state-regulated private health insurers\u003c/a> to cover over-the-counter contraception without a prescription and without cost sharing. But as NPR notes, “\u003ca href=\"https://www.npr.org/sections/health-shots/2024/03/04/1235404522/opill-over-counter-birth-control-pill-contraceptive-shop\">not everyone wants their birth control pill to show up on their insurance\u003c/a>, so they may choose to pay out of pocket” rather than having insurance cover those costs.\u003c/p>\n\u003cp>Opill is also eligible for reimbursement through a \u003ca href=\"https://opill.com/pages/faqs?topic=buying-opill\">Flexible Spending Account or Health Savings Account\u003c/a> — meaning the \u003ca href=\"https://hr.nih.gov/about/news/benefits/difference-between-flexible-spending-account-fsa-and-health-savings-account-hsa\">money people set aside in their employee benefits\u003c/a> can potentially be used to purchase Opill.\u003c/p>\n\u003cp>There is also \u003ca href=\"https://opill.com/pages/cost-assistance-program\">a cost assistance program for low-income folks who want to purchase Opill\u003c/a>. In order to be eligible for the cost assistance program, a person must:\u003c/p>\n\u003cul>\n\u003cli>Reside in the United States or its territories, and\u003c/li>\n\u003cli>Not be covered by commercial or public insurance (like Medicaid/Medi-Cal, Medicare, VA health care), and\u003c/li>\n\u003cli>Have a household income at or below \u003ca href=\"https://www.medicaidplanningassistance.org/federal-poverty-guidelines/\">200% of the Federal Poverty Level\u003c/a> (For one person, that is at or below $30,120. For a household of two people, it is $40,880.)\u003c/li>\n\u003c/ul>\n\u003ch3>How does Opill work to prevent pregnancy?\u003c/h3>\n\u003cp>Opill is a daily progestin-only pill, also known as a “mini-pill.”\u003c/p>\n\u003cp>Progestin-only pills work by \u003ca href=\"https://www.thewomens.org.au/health-information/contraception/contraceptive-pills#:~:text=The%20combined%20pill%20contains%20two,through%20to%20fertilise%20the%20egg.\">thickening the mucus at the entrance of the uterus\u003c/a> so sperm cannot pass through to fertilize an egg and result in pregnancy. \u003ca href=\"https://cdn.shopify.com/s/files/1/0719/3211/7296/files/Opill-CIL.pdf?v=1707506323\">Opill takes 48 hours to become effective\u003c/a>, so extra protection — such as condoms — should be used for those first two days.\u003c/p>\n\u003cp>There are a few things to consider about choosing a progestin-only pill like Opill, Yen said. Other prescription birth control pills typically both include estrogen and progestin, and are known as the “combined pill”, because they contain two hormones that \u003ca href=\"https://www.thewomens.org.au/health-information/contraception/contraceptive-pills#:~:text=The%20combined%20pill%20contains%20two,through%20to%20fertilise%20the%20egg.\">prevent the ovaries from releasing an egg each month\u003c/a>. This means they are \u003ca href=\"https://gynraleigh.com/birth-control-progestin-only-pills-vs-combination-pills/#:~:text=One%20of%20the%20main%20advantages,women%20who%20cannot%20take%20estrogen.\">slightly more effective than the progestin-only counterparts\u003c/a> like Opill.\u003c/p>\n\u003cp>Bleeding patterns on the progestin-only pills can also be unpredictable, Yen said. However, some people — like \u003ca href=\"https://gynraleigh.com/birth-control-progestin-only-pills-vs-combination-pills/#:~:text=One%20of%20the%20main%20advantages,women%20who%20cannot%20take%20estrogen.\">individuals over the age of 35, people breastfeeding, or those who are at higher risk of blood clots\u003c/a> — may want to avoid estrogen and, therefore, seek out a progestin-only pill anyway.\u003c/p>\n\u003cp>Research from \u003ca href=\"https://www.ncbi.nlm.nih.gov/books/NBK430882/\">Louisiana State University Health Sciences Center\u003c/a> has found that when either pill is used perfectly — meaning every day, on time — “less than one woman out of 100 will become pregnant in the first year of use.”\u003c/p>\n\u003cp>But “perfect” use isn’t always realistic. This is why research notes that \u003ca href=\"https://www.ncbi.nlm.nih.gov/books/NBK430882/\">the failure rate for “typical use” of combined oral contraceptive pills\u003c/a> — that is, pills not always used consistently — is 9% “due to human error.\u003c/p>\n\u003cp>That means timing is important. A person using birth control pills needs to take one pill at the same time every day for maximum effectiveness at preventing pregnancy — but “any birth control pill has a window of forgiveness,” Yen said.\u003c/p>\n\u003cp>A combination pill, she explained, has “a 24-hour window of forgiveness, generally.”\u003c/p>\n\u003cp>“Usually we say: ‘You miss one pill? Take it as soon as you remember it. If you miss three pills, [the] game’s up, and you need emergency contraception.'”\u003c/p>\n\u003cp>However, a progestin-only pill like Opill has a smaller window of forgiveness because “you don’t have estrogen as the backup” as you do with the combination pill, Yen said, “so the window of forgiveness is three hours, technically.”\u003c/p>\n\u003cp>But “who hasn’t been late taking their birth control by three hours?” Yen said, acknowledging how unexpected schedule changes or straight-up forgetfulness can impact a person’s pill regimen. If you do find you’re taking your progestin-only pill three hours late or more, “you will need to abstain from sex for at least the next 48 hours,” she recommends, “while the hormone level gets [back] up to a level that can protect you.” \u003ca href=\"https://opill.com/pages/faqs?topic=taking-opill\">Opill’s own FAQs also note that you should “use a condom\u003c/a> each time you have sex for the next two days” if you don’t abstain.\u003c/p>\n\u003cp>What if a person is three or more hours late in taking their pill and they’ve had sex in the past three to five days? Since sperm can live for up to five days, in this case, Yen suggests seeking out emergency contraception as soon as possible.\u003c/p>\n\u003cp>Often, confusion over when to take birth control can arise when a person is traveling and arriving in a new time zone. In this case, the next pill needs to be taken 24 hours after you last took a pill, advised Yen.\u003c/p>\n\u003ch3>What should I do if I miss the ‘window of forgiveness’ with my birth control pill?\u003c/h3>\n\u003cp>Emergency contraception \u003ca href=\"https://www.who.int/news-room/fact-sheets/detail/emergency-contraception#:~:text=Emergency%20contraception%20(EC)%20can%20prevent,assault%20if%20without%20contraception%20coverage.\">can prevent 95% of pregnancies within five days\u003c/a> of unprotected sex, like a broken condom or missing the window of forgiveness. Options include \u003ca href=\"https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception/whats-plan-b-morning-after-pill\">morning-after pills like Plan B\u003c/a>, \u003ca href=\"https://www.plannedparenthood.org/learn/birth-control/iud/non-hormonal-copper-iud\">the copper IUD\u003c/a> and \u003ca href=\"https://www.plannedparenthood.org/learn/birth-control/iud/hormonal-iuds#:~:text=The%20hormonal%20IUD%20releases%20a,while%20you're%20using%20it.\">the hormonal IUD\u003c/a>. You can find a clinic that offers these services \u003ca href=\"https://www.plannedparenthood.org/get-care\">using Planned Parenthood’s search tool\u003c/a>.[aside tag=\"health\" label=\"More Health Stories\"]\u003c/p>\n\u003cp>Yen said emergency contraception that is prescribed “beats any over-the-counter emergency contraception and efficacy at every single time point,” Yen said. “And thanks to the Affordable Care Act, if you have insurance, it’s available with no co-pay, no deductible, aka free.”\u003c/p>\n\u003cp>However, Yen said a person’s body mass index does factor in whether or not the over-the-counter emergency contraception is effective. For example, if a person’s BMI is greater than 26 — a medication like Plan B may not work as well. If it is greater than 30, Yen said, it “doesn’t work at all.”\u003c/p>\n\u003cp>Yen said Ella — a \u003ca href=\"https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception/whats-ella-morning-after-pill\">prescription emergency contraception\u003c/a> (also known as a “morning-after pill”) — is effective with BMIs up to 35. Planned Parenthood has \u003ca href=\"https://www.plannedparenthood.org/online-tools/emergency-contraception\">a quiz for people to see which method of emergency contraception could work for them\u003c/a>.\u003c/p>\n\u003ch3>Can a birth control pill prevent STIs?\u003c/h3>\n\u003cp>No, pills \u003ca href=\"https://cdn.shopify.com/s/files/1/0719/3211/7296/files/Opill-CIL.pdf?v=1707506323\">cannot prevent sexually transmitted infections\u003c/a>.\u003c/p>\n\u003cp>If a person is aged 12 to 19 in California, \u003ca href=\"https://www.teensource.org/condoms/free\">the Condom Access Project has a search tool to find free condoms\u003c/a>.\u003c/p>\n\u003cp>You can \u003ca href=\"https://www.sfcityclinic.org/patient-education-resources/all-about-condoms\">also get condoms\u003c/a> in the \u003ca href=\"https://www.sfcityclinic.org/services/sti-and-hiv-testing\">San Francisco City Clinic\u003c/a>, which provides low-cost STI testing. Free or low-cost condoms are also available at the Public Health Division on Van Ness Avenue.\u003c/p>\n\u003cp>Your county may also provide free condoms as \u003ca href=\"https://publichealth.sccgov.org/services/community-resources#3925188384-263336965\">Santa Clara County does at the Crane Center\u003c/a>.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "Opill, the over-the-counter birth control pill that was approved by the Food and Drug Administration last year, is now available.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Opill — the \u003ca href=\"https://opill.com/\">over-the-counter birth control pill\u003c/a> that was \u003ca href=\"https://apnews.com/article/birth-control-pills-without-prescription-fda-b6728e98af5f1625520e0fa5fbc911c3\">approved by the Food and Drug Administration last year\u003c/a> — is \u003ca href=\"https://apnews.com/article/birth-control-pill-pharmacy-contraceptive-add40fec7589dae8ba26eb29bee36b8b\">now available\u003c/a>.\u003c/p>\n\u003cp>This means people now have access to a birth control pill without needing a prescription from a doctor or requiring health insurance — making it accessible “over-the-counter,” like a painkiller like Tylenol.\u003c/p>\u003c/div>",
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"content": "‘I think it’s really important for people to know that this is the best, most efficacious method available over the counter.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“I think it’s really important for people to know that this is the best, most efficacious method available over the counter,” said Sophia Yen, a clinical associate professor at Stanford Medical School and \u003ca href=\"https://www.pandiahealth.com/dr-sophia-yen/\">co-founder of Pandia Health\u003c/a>, an organization specializing in reproductive care.\u003c/p>\n\u003cp>Back in 2019, the American College of Obstetrics and Gynecology recommended that all birth control methods — \u003ca href=\"https://www.usatoday.com/story/news/health/2019/09/26/birth-control-should-sold-over-counter-gynecologists-without-prescription-acog/2439101001/\">including the ring, patch, and the pill\u003c/a> — should become available over-the-counter, as Opill now is. And now, this pill is becoming readily \u003ca href=\"https://apnews.com/article/birth-control-pill-pharmacy-contraceptive-add40fec7589dae8ba26eb29bee36b8b\">available at a time\u003c/a> when reproductive rights — like access to abortion — have been under \u003ca href=\"https://www.kqed.org/news/tag/abortion\">legal attacks throughout the country after the Supreme Court overturned Roe v. Wade\u003c/a>.\u003c/p>\n\u003cp>If you are a person who wants to start taking birth control but may not have health insurance or access to a prescriber, keep reading to find out what to know about the over-the-counter birth control pill.\u003c/p>\n\u003ch3>Who can buy Opill, and where is it available?\u003c/h3>\n\u003cp>You can buy Opill in the following ways in California, with no insurance required:\u003c/p>\n\u003cul>\n\u003cli>Over-the-counter at a pharmacy like Walgreens or CVS.\u003c/li>\n\u003cli>In the family planning aisles of a major retail store (for example, Walmart).\u003c/li>\n\u003cli>Online at \u003ca href=\"http://opill.com\">opill.com\u003c/a>.\u003c/li>\n\u003c/ul>\n\u003cp>There is \u003ca href=\"https://apnews.com/article/birth-control-pill-pharmacy-contraceptive-add40fec7589dae8ba26eb29bee36b8b\">no age restriction on sales\u003c/a>, and the packaging is described by the company as “discreet,” for buyer’s privacy.\u003c/p>\n\u003cp>According to the manufacturer, you \u003ca href=\"https://cdn.shopify.com/s/files/1/0719/3211/7296/files/Opill-CIL.pdf?v=1707506323\">should not use Opill\u003c/a>:\u003c/p>\n\u003cul>\n\u003cli>If you have ever had breast cancer.\u003c/li>\n\u003cli>Together with another birth control pill, vaginal ring, patch, implant, injection or an IUD.\u003c/li>\n\u003cli>If you are allergic to ingredients in Opill (for example, some people allergic to aspirin are also allergic to tartrazine, which is the color additive in Opill).\u003c/li>\n\u003c/ul>\n\u003ch3>How much does Opill cost?\u003c/h3>\n\u003cp>According to Opill’s website, a month’s supply retails for $19.99. A three-pack supply of Opill costs \u003ca href=\"https://opill.com/products/opill?variant=47067484487984\">around $50\u003c/a>, and a six-pack costs $90.\u003c/p>\n\u003cp>As of August 2023, California passed \u003ca href=\"https://www.americanprogress.org/article/the-first-over-the-counter-birth-control-pill-marks-a-pivotal-moment-in-birth-control-access/#:~:text=Is%20Opill%20covered%20by%20insurance,prescription%20and%20without%20cost%20sharing.\">a law requiring state-regulated private health insurers\u003c/a> to cover over-the-counter contraception without a prescription and without cost sharing. But as NPR notes, “\u003ca href=\"https://www.npr.org/sections/health-shots/2024/03/04/1235404522/opill-over-counter-birth-control-pill-contraceptive-shop\">not everyone wants their birth control pill to show up on their insurance\u003c/a>, so they may choose to pay out of pocket” rather than having insurance cover those costs.\u003c/p>\n\u003cp>Opill is also eligible for reimbursement through a \u003ca href=\"https://opill.com/pages/faqs?topic=buying-opill\">Flexible Spending Account or Health Savings Account\u003c/a> — meaning the \u003ca href=\"https://hr.nih.gov/about/news/benefits/difference-between-flexible-spending-account-fsa-and-health-savings-account-hsa\">money people set aside in their employee benefits\u003c/a> can potentially be used to purchase Opill.\u003c/p>\n\u003cp>There is also \u003ca href=\"https://opill.com/pages/cost-assistance-program\">a cost assistance program for low-income folks who want to purchase Opill\u003c/a>. In order to be eligible for the cost assistance program, a person must:\u003c/p>\n\u003cul>\n\u003cli>Reside in the United States or its territories, and\u003c/li>\n\u003cli>Not be covered by commercial or public insurance (like Medicaid/Medi-Cal, Medicare, VA health care), and\u003c/li>\n\u003cli>Have a household income at or below \u003ca href=\"https://www.medicaidplanningassistance.org/federal-poverty-guidelines/\">200% of the Federal Poverty Level\u003c/a> (For one person, that is at or below $30,120. For a household of two people, it is $40,880.)\u003c/li>\n\u003c/ul>\n\u003ch3>How does Opill work to prevent pregnancy?\u003c/h3>\n\u003cp>Opill is a daily progestin-only pill, also known as a “mini-pill.”\u003c/p>\n\u003cp>Progestin-only pills work by \u003ca href=\"https://www.thewomens.org.au/health-information/contraception/contraceptive-pills#:~:text=The%20combined%20pill%20contains%20two,through%20to%20fertilise%20the%20egg.\">thickening the mucus at the entrance of the uterus\u003c/a> so sperm cannot pass through to fertilize an egg and result in pregnancy. \u003ca href=\"https://cdn.shopify.com/s/files/1/0719/3211/7296/files/Opill-CIL.pdf?v=1707506323\">Opill takes 48 hours to become effective\u003c/a>, so extra protection — such as condoms — should be used for those first two days.\u003c/p>\n\u003cp>There are a few things to consider about choosing a progestin-only pill like Opill, Yen said. Other prescription birth control pills typically both include estrogen and progestin, and are known as the “combined pill”, because they contain two hormones that \u003ca href=\"https://www.thewomens.org.au/health-information/contraception/contraceptive-pills#:~:text=The%20combined%20pill%20contains%20two,through%20to%20fertilise%20the%20egg.\">prevent the ovaries from releasing an egg each month\u003c/a>. This means they are \u003ca href=\"https://gynraleigh.com/birth-control-progestin-only-pills-vs-combination-pills/#:~:text=One%20of%20the%20main%20advantages,women%20who%20cannot%20take%20estrogen.\">slightly more effective than the progestin-only counterparts\u003c/a> like Opill.\u003c/p>\n\u003cp>Bleeding patterns on the progestin-only pills can also be unpredictable, Yen said. However, some people — like \u003ca href=\"https://gynraleigh.com/birth-control-progestin-only-pills-vs-combination-pills/#:~:text=One%20of%20the%20main%20advantages,women%20who%20cannot%20take%20estrogen.\">individuals over the age of 35, people breastfeeding, or those who are at higher risk of blood clots\u003c/a> — may want to avoid estrogen and, therefore, seek out a progestin-only pill anyway.\u003c/p>\n\u003cp>Research from \u003ca href=\"https://www.ncbi.nlm.nih.gov/books/NBK430882/\">Louisiana State University Health Sciences Center\u003c/a> has found that when either pill is used perfectly — meaning every day, on time — “less than one woman out of 100 will become pregnant in the first year of use.”\u003c/p>\n\u003cp>But “perfect” use isn’t always realistic. This is why research notes that \u003ca href=\"https://www.ncbi.nlm.nih.gov/books/NBK430882/\">the failure rate for “typical use” of combined oral contraceptive pills\u003c/a> — that is, pills not always used consistently — is 9% “due to human error.\u003c/p>\n\u003cp>That means timing is important. A person using birth control pills needs to take one pill at the same time every day for maximum effectiveness at preventing pregnancy — but “any birth control pill has a window of forgiveness,” Yen said.\u003c/p>\n\u003cp>A combination pill, she explained, has “a 24-hour window of forgiveness, generally.”\u003c/p>\n\u003cp>“Usually we say: ‘You miss one pill? Take it as soon as you remember it. If you miss three pills, [the] game’s up, and you need emergency contraception.'”\u003c/p>\n\u003cp>However, a progestin-only pill like Opill has a smaller window of forgiveness because “you don’t have estrogen as the backup” as you do with the combination pill, Yen said, “so the window of forgiveness is three hours, technically.”\u003c/p>\n\u003cp>But “who hasn’t been late taking their birth control by three hours?” Yen said, acknowledging how unexpected schedule changes or straight-up forgetfulness can impact a person’s pill regimen. If you do find you’re taking your progestin-only pill three hours late or more, “you will need to abstain from sex for at least the next 48 hours,” she recommends, “while the hormone level gets [back] up to a level that can protect you.” \u003ca href=\"https://opill.com/pages/faqs?topic=taking-opill\">Opill’s own FAQs also note that you should “use a condom\u003c/a> each time you have sex for the next two days” if you don’t abstain.\u003c/p>\n\u003cp>What if a person is three or more hours late in taking their pill and they’ve had sex in the past three to five days? Since sperm can live for up to five days, in this case, Yen suggests seeking out emergency contraception as soon as possible.\u003c/p>\n\u003cp>Often, confusion over when to take birth control can arise when a person is traveling and arriving in a new time zone. In this case, the next pill needs to be taken 24 hours after you last took a pill, advised Yen.\u003c/p>\n\u003ch3>What should I do if I miss the ‘window of forgiveness’ with my birth control pill?\u003c/h3>\n\u003cp>Emergency contraception \u003ca href=\"https://www.who.int/news-room/fact-sheets/detail/emergency-contraception#:~:text=Emergency%20contraception%20(EC)%20can%20prevent,assault%20if%20without%20contraception%20coverage.\">can prevent 95% of pregnancies within five days\u003c/a> of unprotected sex, like a broken condom or missing the window of forgiveness. Options include \u003ca href=\"https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception/whats-plan-b-morning-after-pill\">morning-after pills like Plan B\u003c/a>, \u003ca href=\"https://www.plannedparenthood.org/learn/birth-control/iud/non-hormonal-copper-iud\">the copper IUD\u003c/a> and \u003ca href=\"https://www.plannedparenthood.org/learn/birth-control/iud/hormonal-iuds#:~:text=The%20hormonal%20IUD%20releases%20a,while%20you're%20using%20it.\">the hormonal IUD\u003c/a>. You can find a clinic that offers these services \u003ca href=\"https://www.plannedparenthood.org/get-care\">using Planned Parenthood’s search tool\u003c/a>.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Yen said emergency contraception that is prescribed “beats any over-the-counter emergency contraception and efficacy at every single time point,” Yen said. “And thanks to the Affordable Care Act, if you have insurance, it’s available with no co-pay, no deductible, aka free.”\u003c/p>\n\u003cp>However, Yen said a person’s body mass index does factor in whether or not the over-the-counter emergency contraception is effective. For example, if a person’s BMI is greater than 26 — a medication like Plan B may not work as well. If it is greater than 30, Yen said, it “doesn’t work at all.”\u003c/p>\n\u003cp>Yen said Ella — a \u003ca href=\"https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception/whats-ella-morning-after-pill\">prescription emergency contraception\u003c/a> (also known as a “morning-after pill”) — is effective with BMIs up to 35. Planned Parenthood has \u003ca href=\"https://www.plannedparenthood.org/online-tools/emergency-contraception\">a quiz for people to see which method of emergency contraception could work for them\u003c/a>.\u003c/p>\n\u003ch3>Can a birth control pill prevent STIs?\u003c/h3>\n\u003cp>No, pills \u003ca href=\"https://cdn.shopify.com/s/files/1/0719/3211/7296/files/Opill-CIL.pdf?v=1707506323\">cannot prevent sexually transmitted infections\u003c/a>.\u003c/p>\n\u003cp>If a person is aged 12 to 19 in California, \u003ca href=\"https://www.teensource.org/condoms/free\">the Condom Access Project has a search tool to find free condoms\u003c/a>.\u003c/p>\n\u003cp>You can \u003ca href=\"https://www.sfcityclinic.org/patient-education-resources/all-about-condoms\">also get condoms\u003c/a> in the \u003ca href=\"https://www.sfcityclinic.org/services/sti-and-hiv-testing\">San Francisco City Clinic\u003c/a>, which provides low-cost STI testing. Free or low-cost condoms are also available at the Public Health Division on Van Ness Avenue.\u003c/p>\n\u003cp>Your county may also provide free condoms as \u003ca href=\"https://publichealth.sccgov.org/services/community-resources#3925188384-263336965\">Santa Clara County does at the Crane Center\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cspan style=\"font-weight: 400\">The Supreme Court took up abortion access this week for the first since overturning Roe v. Wade two years ago. This time, they’re considering whether to restrict access to abortion pill mifepristone. Marisa talks with POLITICO health care reporter Alice Miranda Ollstein about what the conservative-led court might do. \u003c/span>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Just months after the Supreme Court overturned \u003cem>Roe v. Wade \u003c/em>in 2022, a newly formed group called the Alliance for Hippocratic Medicine sued the Food and Drug Administration, challenging its approval of mifepristone, a medication used for abortion.\u003c/p>\n\u003cp>On Tuesday, the same justices who undid constitutional protection for abortion will hear arguments in the next frontier of abortion restriction: tightening access across the country for a medication that’s used in nearly two-thirds of all abortions nationally.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Mary Ziegler, law professor, UC Davis\"]‘This is a reminder that what happens in the federal courts can override what voters decide.’[/pullquote]That is the main issue in \u003cem>FDA v. Alliance for Hippocratic Medicine. \u003c/em>On one side are anti-abortion rights physicians and organizations. \u003ca href=\"https://adfmedialegalfiles.blob.core.windows.net/files/AllianceForHippocraticMedicineComplaint.pdf\">Originally\u003c/a>, they argued that the FDA should not have approved mifepristone in 2000; now, they’re \u003ca href=\"https://adfmedialegalfiles.blob.core.windows.net/files/AHM-OpeningBrief.pdf\">focusing on the argument\u003c/a> that it should not have made it easier to access in 2016 and 2021.\u003c/p>\n\u003cp>On the other side is FDA and the drugmaker, Danco, \u003ca href=\"https://www.kff.org/womens-health-policy/issue-brief/medication-abortion-fda-supreme-court-alliance-hippocratic-medicine/\">who say\u003c/a> that the challengers aren’t actually harmed by the prescribing rules (and thus don’t have standing to bring the case) and that the FDA followed correct procedure and the scientific evidence in making its decisions.\u003c/p>\n\u003cp>It’s a closely-watched case because the stakes are extremely high – not just for abortion access and reproductive health care, but for the drug industry and even the authority of federal agencies. Here is a summary of what’s at stake.\u003c/p>\n\u003ch2>1. It could make medication abortion much harder to get\u003c/h2>\n\u003cp>At least \u003ca href=\"https://www.npr.org/sections/health-shots/2024/03/19/1238293143/abortion-data-how-many-us-2023\">63% of all abortions\u003c/a> last year were medication abortions. They involve taking one dose of mifepristone, which blocks the pregnancy hormone progesterone, and one dose of misoprostol, which causes cramping and empties the uterus. Dozens of studies have found that the combination of these pills is \u003ca href=\"https://www.ncbi.nlm.nih.gov/books/NBK507232/#sec_000054\">safe and effective\u003c/a> for abortion, whether prescribed in a clinic or \u003ca href=\"https://www.npr.org/sections/health-shots/2024/02/15/1231652715/abortion-pill-telehealth-supreme-court-safe-study-mifepristone#:~:text=All%20Things%20Considered-,Abortion%20pills%20prescribed%20via%20telehealth%20are%20safe%20and%20effective%2C%20study,by%20any%20serious%20adverse%20events.\">through telemedicine\u003c/a>.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[aside postID=\"news_11973441,news_11976304,news_11958412\" label=\"Related Stories\"]Last August, the Fifth Circuit Court of Appeals \u003ca href=\"https://www.npr.org/sections/health-shots/2023/08/16/1194280392/ruling-deals-blow-to-access-to-abortion-pill-mifepristone-but-nothing-changes-ye\">ruled\u003c/a> that the FDA should roll back its prescribing rules to what they were in 2011. That would dramatically reduce the number of people able to access this medication for several reasons. It would shut down telemedicine access to the medication and could undo retail pharmacies’ \u003ca href=\"https://www.npr.org/2024/03/01/1235265078/abortion-pill-cvs-walgreens-mifepristone#:~:text=CVS%20and%20Walgreens%2C%20two%20of,companies%20separately%20confirmed%20to%20NPR.\">new ability to dispense it\u003c/a>.\u003c/p>\n\u003cp>It would also make it only available until seven weeks of pregnancy, instead of 10 weeks under the current rules, along with other changes. (Globally, the medication can be used \u003ca href=\"https://www.guttmacher.org/2023/07/mifepristone-abortion-global-context-safe-effective-and-approved-nearly-100-countries#:~:text=The%20World%20Health%20Organization%20(WHO,methods%20of%20ending%20a%20pregnancy.\">as late as 12 weeks\u003c/a>.)\u003c/p>\n\u003cp>Even though the difference between seven and 10 weeks might not sound like much, nearly half of medication abortions happen after seven weeks, \u003ca href=\"https://www.cdc.gov/mmwr/volumes/72/ss/ss7209a1.htm#T13_down\">according to the CDC\u003c/a>. Melissa Grant, COO of \u003ca href=\"https://carafem.org/\">carafem\u003c/a>, which runs abortion clinics and provides telemedicine abortions, explains that’s because the earliest someone might find out they’re pregnant is at four weeks.\u003c/p>\n\u003cp>A seven-week limit gives people three weeks, at most, “to get a positive pregnancy test, determine what option is best for them, potentially involve people that they care about in their lives, find an appointment, look at potential assistance for the finances of it, and then actually go and get the medication and use it,” she says. “That’s a rapid turnaround.”\u003c/p>\n\u003cp>Many abortion providers are prepared to switch to another regimen, using \u003ca href=\"https://www.npr.org/sections/health-shots/2023/04/10/1168857095/misoprostol-only-medical-abortion\">only misoprostol\u003c/a>, but it requires more doses, which come with more side effects. And Grant says that regimen might be the next target if the challengers succeed in restricting mifepristone. “We wouldn’t be surprised if the next move on the political chessboard is to make both of these drugs unavailable,” she says.\u003c/p>\n\u003ch2>2. It would hamper miscarriage care\u003c/h2>\n\u003cp>When someone has a miscarriage, doctors often prescribe the same mifepristone plus misoprostol regimen. The treatment can potentially ward off weeks of waiting, worrying and bleeding.\u003c/p>\n\u003cp>For instance, Michelle Brown \u003ca href=\"https://www.npr.org/sections/health-shots/2023/05/17/1176514276/mifepristone-abortion-miscarriage-pill\">told NPR\u003c/a> that after she learned she was miscarrying, she was nervous she would start bleeding on her long commute to work in Louisiana, where there was no safe place to pull over. Taking mifepristone allowed her to plan ahead so she could be comfortable at home with her then-fiancé.\u003c/p>\n\u003cp>Larissa Adams explained to NPR that taking mifepristone allowed her to get through years of family planning challenges that involved miscarriage after miscarriage after miscarriage.\u003c/p>\n\u003cp>“We use this medication in lots of different ways and for lots of different care,” including for miscarriage and pregnancy loss, says \u003ca href=\"https://prh.org/staff/dr-jamila-perritt-president-ceo/\">Dr. Jamila Perritt\u003c/a>, an OB-GYN in Washington D.C. who’s the President of Physicians for Reproductive Health. “If this medication is restricted or banned completely, no one will be able to get access to it with any ease,” she says.\u003c/p>\n\u003ch2>3. It could affect the whole country, including voters’ preferences in blue states\u003c/h2>\n\u003cp>In the nearly two years since the Supreme Court overturned \u003cem>Roe\u003c/em>, states have moved in two opposing directions – about half of states ban or seriously restrict abortion, and the other half have passed measures to protect access.\u003c/p>\n\u003cp>A Supreme Court decision that restricts access to mifepristone would affect the whole country.\u003c/p>\n\u003cp>“I think there’s been to some degree a false sense of security created by ballot initiatives [protecting abortion access] in some states,” says \u003ca href=\"https://law.ucdavis.edu/people/mary-ziegler\">Mary Ziegler,\u003c/a> a law professor at the University of California-Davis. “People are thinking, ‘What happens in the Supreme Court doesn’t really matter because I live in California or I live in Michigan or I live in Ohio’ – that, essentially, if you voted for a ballot initiative or you live in a blue state, you don’t have to worry about it.”\u003c/p>\n\u003cp>“This is a reminder that what happens in the federal courts can override what voters decide,” she adds.\u003c/p>\n\u003ch2>4. It could interfere with state sovereignty\u003c/h2>\n\u003cp>A ruling to limit access to mifepristone would extend into the states that have attempted to protect access. That’s why a group of 22 Democratic governors \u003ca href=\"https://governor.wa.gov/news/2024/reproductive-freedom-alliance-urges-supreme-court-respect-longstanding-fda-authority-access-safe\">filed an amicus brief\u003c/a> in this case. It argues that, if successful, the challengers’ strategy of using federal courts to override the FDA’s judgment, “would have an enormously disruptive impact on state governance and hamstring governors’ ability to fulfill their mandate of protecting public health and safety in the reproductive health care context and beyond.”\u003c/p>\n\u003cp>Ziegler observes there’s an irony here.\u003c/p>\n\u003cp>“When the Supreme Court overruled \u003cem>Roe\u003c/em>, the takeaway, if you will, from Justice Alito, was, ‘It’s time for this question to be returned to the people and their elected representatives,'” she observes. “And yet, fast forward less than two years later and we have two major abortion cases at the Supreme Court, both of which could very much reconfigure what happens in states.” (The other \u003ca href=\"https://www.npr.org/2024/01/05/1216284896/supreme-court-allows-idaho-abortion-ban-to-be-enacted-first-such-ruling-since-do\">case, from Idaho\u003c/a>, challenges federal rules requiring abortion during a medical emergency, regardless of state restrictions.)\u003c/p>\n\u003ch2>6. The drug industry could face destabilizing uncertainty\u003c/h2>\n\u003cp>Drugmakers are quite concerned about the mifepristone case. Hundreds of drug company executives \u003ca href=\"https://docsend.com/view/2ahvmwy8djzxax3g\">signed a letter\u003c/a> last year in support of the FDA’s authority to regulate medications without judicial interference. Many also submitted \u003ca href=\"https://www.supremecourt.gov/DocketPDF/23/23-235/299230/20240130145318224_23-235%20236%20tsac%20Pharma%20Merits%20Amicus%20FINAL.pdf\">an amicus brief\u003c/a>.\u003c/p>\n\u003cp>“This case is about mifepristone right now – it’s about one medicine, but it really could be any medicine, ” Dr. Amanda Banks, a consultant who signed the amicus brief, says in a press conference this month organized by the ACLU.\u003c/p>\n\u003cp>“The [FDA] regulatory process that we rely upon as an industry is rigorous and long and it’s expensive,” she explained, adding that it’s not a perfect process, but it’s predictable. If it can be undone by plaintiffs who morally object to a medicine and friendly federal courts, that predictability goes out the window, she says.\u003c/p>\n\u003cp>The uncertainty could affect investors and drug companies and “could put innovation for new drugs and much, much-needed therapies for patients, not just in the United States, but globally, at fundamental risk,” Banks says.\u003c/p>\n\u003cp>It could also set a new precedent, Ziegler adds. “Any drug could get a second look from federal judges who are not reviewing as much evidence [as FDA scientists], or are not competent to review as much evidence, because they don’t like the way the FDA handled it,” she says.\u003c/p>\n\u003cp>In \u003ca href=\"https://www.supremecourt.gov/DocketPDF/23/23-235/299512/20240201143618529_23-235%20and%2023-236%20tsac%20Motion%20For%20Leave%20To%20File%20Brief%20And%20Ac%20Former%20Commissioners%20Of%20The%20U.S.%20Food%20And%20Drug%20Administration.pdf\">another amicus brief\u003c/a>, former FDA commissioners argued that drug companies could make use of a precedent set by this case to challenge a competitor’s FDA approval. Or, they write, “Organizations representing patients who experience rare adverse events could challenge FDA’s risk-benefit analyses and attempt to bar access to safe and effective remedies for others who need them.”\u003c/p>\n\u003cp>“I think that’s why the pharmaceutical industry is nervous,” Ziegler says. “They’re saying, if this could happen with mifepristone, which has a very, very low complication rate and which is very, very well studied because it’s been controversial, then what would stop anyone from doing it with every other drug?”\u003c/p>\n\u003ch2>7. A path toward a national abortion ban is embedded in the cas\u003cstrong>e\u003c/strong>\u003c/h2>\n\u003cp>Legal scholars like Ziegler also note that there’s an even bigger way that this case could affect everyone in the country. “You have, lurking in the background, the possibility that the Comstock Act is going to be reinvented as an abortion ban,” she says.\u003c/p>\n\u003cp>\u003ca href=\"https://www.npr.org/2023/04/18/1170371877/abortion-pill-mifepristone-judge-comstock\">The Comstock Act\u003c/a> is a 19th-century law prohibiting the mailing of things for “indecent” or “immoral” use. The plaintiffs in this case use Comstock in one of their arguments, treating it as a straightforward statute and not a defunct law.\u003c/p>\n\u003cp>The rules included in the Comstock Act could encompass not just abortion pills but birth control and any equipment used for any type of abortion, and Ziegler says this could effectively inhibit all abortion care in the U.S.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>Regardless of what the ultimate decision on mifepristone is, “if the court says, ‘your reading of the Comstock Act is right,’ there are any number of anti-abortion groups that will try to find a way to get back to the Supreme Court to explore all those implications,” Ziegler says.\u003c/p>\n\u003cdiv class=\"fullattribution\">\u003cem>Copyright 2024 NPR. To see more, visit https://www.npr.org.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=What%27s+at+stake+in+the+Supreme+Court+mifepristone+case&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/em>\u003c/div>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Just months after the Supreme Court overturned \u003cem>Roe v. Wade \u003c/em>in 2022, a newly formed group called the Alliance for Hippocratic Medicine sued the Food and Drug Administration, challenging its approval of mifepristone, a medication used for abortion.\u003c/p>\n\u003cp>On Tuesday, the same justices who undid constitutional protection for abortion will hear arguments in the next frontier of abortion restriction: tightening access across the country for a medication that’s used in nearly two-thirds of all abortions nationally.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>That is the main issue in \u003cem>FDA v. Alliance for Hippocratic Medicine. \u003c/em>On one side are anti-abortion rights physicians and organizations. \u003ca href=\"https://adfmedialegalfiles.blob.core.windows.net/files/AllianceForHippocraticMedicineComplaint.pdf\">Originally\u003c/a>, they argued that the FDA should not have approved mifepristone in 2000; now, they’re \u003ca href=\"https://adfmedialegalfiles.blob.core.windows.net/files/AHM-OpeningBrief.pdf\">focusing on the argument\u003c/a> that it should not have made it easier to access in 2016 and 2021.\u003c/p>\n\u003cp>On the other side is FDA and the drugmaker, Danco, \u003ca href=\"https://www.kff.org/womens-health-policy/issue-brief/medication-abortion-fda-supreme-court-alliance-hippocratic-medicine/\">who say\u003c/a> that the challengers aren’t actually harmed by the prescribing rules (and thus don’t have standing to bring the case) and that the FDA followed correct procedure and the scientific evidence in making its decisions.\u003c/p>\n\u003cp>It’s a closely-watched case because the stakes are extremely high – not just for abortion access and reproductive health care, but for the drug industry and even the authority of federal agencies. Here is a summary of what’s at stake.\u003c/p>\n\u003ch2>1. It could make medication abortion much harder to get\u003c/h2>\n\u003cp>At least \u003ca href=\"https://www.npr.org/sections/health-shots/2024/03/19/1238293143/abortion-data-how-many-us-2023\">63% of all abortions\u003c/a> last year were medication abortions. They involve taking one dose of mifepristone, which blocks the pregnancy hormone progesterone, and one dose of misoprostol, which causes cramping and empties the uterus. Dozens of studies have found that the combination of these pills is \u003ca href=\"https://www.ncbi.nlm.nih.gov/books/NBK507232/#sec_000054\">safe and effective\u003c/a> for abortion, whether prescribed in a clinic or \u003ca href=\"https://www.npr.org/sections/health-shots/2024/02/15/1231652715/abortion-pill-telehealth-supreme-court-safe-study-mifepristone#:~:text=All%20Things%20Considered-,Abortion%20pills%20prescribed%20via%20telehealth%20are%20safe%20and%20effective%2C%20study,by%20any%20serious%20adverse%20events.\">through telemedicine\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Last August, the Fifth Circuit Court of Appeals \u003ca href=\"https://www.npr.org/sections/health-shots/2023/08/16/1194280392/ruling-deals-blow-to-access-to-abortion-pill-mifepristone-but-nothing-changes-ye\">ruled\u003c/a> that the FDA should roll back its prescribing rules to what they were in 2011. That would dramatically reduce the number of people able to access this medication for several reasons. It would shut down telemedicine access to the medication and could undo retail pharmacies’ \u003ca href=\"https://www.npr.org/2024/03/01/1235265078/abortion-pill-cvs-walgreens-mifepristone#:~:text=CVS%20and%20Walgreens%2C%20two%20of,companies%20separately%20confirmed%20to%20NPR.\">new ability to dispense it\u003c/a>.\u003c/p>\n\u003cp>It would also make it only available until seven weeks of pregnancy, instead of 10 weeks under the current rules, along with other changes. (Globally, the medication can be used \u003ca href=\"https://www.guttmacher.org/2023/07/mifepristone-abortion-global-context-safe-effective-and-approved-nearly-100-countries#:~:text=The%20World%20Health%20Organization%20(WHO,methods%20of%20ending%20a%20pregnancy.\">as late as 12 weeks\u003c/a>.)\u003c/p>\n\u003cp>Even though the difference between seven and 10 weeks might not sound like much, nearly half of medication abortions happen after seven weeks, \u003ca href=\"https://www.cdc.gov/mmwr/volumes/72/ss/ss7209a1.htm#T13_down\">according to the CDC\u003c/a>. Melissa Grant, COO of \u003ca href=\"https://carafem.org/\">carafem\u003c/a>, which runs abortion clinics and provides telemedicine abortions, explains that’s because the earliest someone might find out they’re pregnant is at four weeks.\u003c/p>\n\u003cp>A seven-week limit gives people three weeks, at most, “to get a positive pregnancy test, determine what option is best for them, potentially involve people that they care about in their lives, find an appointment, look at potential assistance for the finances of it, and then actually go and get the medication and use it,” she says. “That’s a rapid turnaround.”\u003c/p>\n\u003cp>Many abortion providers are prepared to switch to another regimen, using \u003ca href=\"https://www.npr.org/sections/health-shots/2023/04/10/1168857095/misoprostol-only-medical-abortion\">only misoprostol\u003c/a>, but it requires more doses, which come with more side effects. And Grant says that regimen might be the next target if the challengers succeed in restricting mifepristone. “We wouldn’t be surprised if the next move on the political chessboard is to make both of these drugs unavailable,” she says.\u003c/p>\n\u003ch2>2. It would hamper miscarriage care\u003c/h2>\n\u003cp>When someone has a miscarriage, doctors often prescribe the same mifepristone plus misoprostol regimen. The treatment can potentially ward off weeks of waiting, worrying and bleeding.\u003c/p>\n\u003cp>For instance, Michelle Brown \u003ca href=\"https://www.npr.org/sections/health-shots/2023/05/17/1176514276/mifepristone-abortion-miscarriage-pill\">told NPR\u003c/a> that after she learned she was miscarrying, she was nervous she would start bleeding on her long commute to work in Louisiana, where there was no safe place to pull over. Taking mifepristone allowed her to plan ahead so she could be comfortable at home with her then-fiancé.\u003c/p>\n\u003cp>Larissa Adams explained to NPR that taking mifepristone allowed her to get through years of family planning challenges that involved miscarriage after miscarriage after miscarriage.\u003c/p>\n\u003cp>“We use this medication in lots of different ways and for lots of different care,” including for miscarriage and pregnancy loss, says \u003ca href=\"https://prh.org/staff/dr-jamila-perritt-president-ceo/\">Dr. Jamila Perritt\u003c/a>, an OB-GYN in Washington D.C. who’s the President of Physicians for Reproductive Health. “If this medication is restricted or banned completely, no one will be able to get access to it with any ease,” she says.\u003c/p>\n\u003ch2>3. It could affect the whole country, including voters’ preferences in blue states\u003c/h2>\n\u003cp>In the nearly two years since the Supreme Court overturned \u003cem>Roe\u003c/em>, states have moved in two opposing directions – about half of states ban or seriously restrict abortion, and the other half have passed measures to protect access.\u003c/p>\n\u003cp>A Supreme Court decision that restricts access to mifepristone would affect the whole country.\u003c/p>\n\u003cp>“I think there’s been to some degree a false sense of security created by ballot initiatives [protecting abortion access] in some states,” says \u003ca href=\"https://law.ucdavis.edu/people/mary-ziegler\">Mary Ziegler,\u003c/a> a law professor at the University of California-Davis. “People are thinking, ‘What happens in the Supreme Court doesn’t really matter because I live in California or I live in Michigan or I live in Ohio’ – that, essentially, if you voted for a ballot initiative or you live in a blue state, you don’t have to worry about it.”\u003c/p>\n\u003cp>“This is a reminder that what happens in the federal courts can override what voters decide,” she adds.\u003c/p>\n\u003ch2>4. It could interfere with state sovereignty\u003c/h2>\n\u003cp>A ruling to limit access to mifepristone would extend into the states that have attempted to protect access. That’s why a group of 22 Democratic governors \u003ca href=\"https://governor.wa.gov/news/2024/reproductive-freedom-alliance-urges-supreme-court-respect-longstanding-fda-authority-access-safe\">filed an amicus brief\u003c/a> in this case. It argues that, if successful, the challengers’ strategy of using federal courts to override the FDA’s judgment, “would have an enormously disruptive impact on state governance and hamstring governors’ ability to fulfill their mandate of protecting public health and safety in the reproductive health care context and beyond.”\u003c/p>\n\u003cp>Ziegler observes there’s an irony here.\u003c/p>\n\u003cp>“When the Supreme Court overruled \u003cem>Roe\u003c/em>, the takeaway, if you will, from Justice Alito, was, ‘It’s time for this question to be returned to the people and their elected representatives,'” she observes. “And yet, fast forward less than two years later and we have two major abortion cases at the Supreme Court, both of which could very much reconfigure what happens in states.” (The other \u003ca href=\"https://www.npr.org/2024/01/05/1216284896/supreme-court-allows-idaho-abortion-ban-to-be-enacted-first-such-ruling-since-do\">case, from Idaho\u003c/a>, challenges federal rules requiring abortion during a medical emergency, regardless of state restrictions.)\u003c/p>\n\u003ch2>6. The drug industry could face destabilizing uncertainty\u003c/h2>\n\u003cp>Drugmakers are quite concerned about the mifepristone case. Hundreds of drug company executives \u003ca href=\"https://docsend.com/view/2ahvmwy8djzxax3g\">signed a letter\u003c/a> last year in support of the FDA’s authority to regulate medications without judicial interference. Many also submitted \u003ca href=\"https://www.supremecourt.gov/DocketPDF/23/23-235/299230/20240130145318224_23-235%20236%20tsac%20Pharma%20Merits%20Amicus%20FINAL.pdf\">an amicus brief\u003c/a>.\u003c/p>\n\u003cp>“This case is about mifepristone right now – it’s about one medicine, but it really could be any medicine, ” Dr. Amanda Banks, a consultant who signed the amicus brief, says in a press conference this month organized by the ACLU.\u003c/p>\n\u003cp>“The [FDA] regulatory process that we rely upon as an industry is rigorous and long and it’s expensive,” she explained, adding that it’s not a perfect process, but it’s predictable. If it can be undone by plaintiffs who morally object to a medicine and friendly federal courts, that predictability goes out the window, she says.\u003c/p>\n\u003cp>The uncertainty could affect investors and drug companies and “could put innovation for new drugs and much, much-needed therapies for patients, not just in the United States, but globally, at fundamental risk,” Banks says.\u003c/p>\n\u003cp>It could also set a new precedent, Ziegler adds. “Any drug could get a second look from federal judges who are not reviewing as much evidence [as FDA scientists], or are not competent to review as much evidence, because they don’t like the way the FDA handled it,” she says.\u003c/p>\n\u003cp>In \u003ca href=\"https://www.supremecourt.gov/DocketPDF/23/23-235/299512/20240201143618529_23-235%20and%2023-236%20tsac%20Motion%20For%20Leave%20To%20File%20Brief%20And%20Ac%20Former%20Commissioners%20Of%20The%20U.S.%20Food%20And%20Drug%20Administration.pdf\">another amicus brief\u003c/a>, former FDA commissioners argued that drug companies could make use of a precedent set by this case to challenge a competitor’s FDA approval. Or, they write, “Organizations representing patients who experience rare adverse events could challenge FDA’s risk-benefit analyses and attempt to bar access to safe and effective remedies for others who need them.”\u003c/p>\n\u003cp>“I think that’s why the pharmaceutical industry is nervous,” Ziegler says. “They’re saying, if this could happen with mifepristone, which has a very, very low complication rate and which is very, very well studied because it’s been controversial, then what would stop anyone from doing it with every other drug?”\u003c/p>\n\u003ch2>7. A path toward a national abortion ban is embedded in the cas\u003cstrong>e\u003c/strong>\u003c/h2>\n\u003cp>Legal scholars like Ziegler also note that there’s an even bigger way that this case could affect everyone in the country. “You have, lurking in the background, the possibility that the Comstock Act is going to be reinvented as an abortion ban,” she says.\u003c/p>\n\u003cp>\u003ca href=\"https://www.npr.org/2023/04/18/1170371877/abortion-pill-mifepristone-judge-comstock\">The Comstock Act\u003c/a> is a 19th-century law prohibiting the mailing of things for “indecent” or “immoral” use. The plaintiffs in this case use Comstock in one of their arguments, treating it as a straightforward statute and not a defunct law.\u003c/p>\n\u003cp>The rules included in the Comstock Act could encompass not just abortion pills but birth control and any equipment used for any type of abortion, and Ziegler says this could effectively inhibit all abortion care in the U.S.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Regardless of what the ultimate decision on mifepristone is, “if the court says, ‘your reading of the Comstock Act is right,’ there are any number of anti-abortion groups that will try to find a way to get back to the Supreme Court to explore all those implications,” Ziegler says.\u003c/p>\n\u003cdiv class=\"fullattribution\">\u003cem>Copyright 2024 NPR. To see more, visit https://www.npr.org.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=What%27s+at+stake+in+the+Supreme+Court+mifepristone+case&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/em>\u003c/div>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Some state governments and federal regulators were already moving to keep individuals’ reproductive health information private when a U.S. senator’s report last week offered a new jolt, describing how cellphone location data was used to send millions of anti-abortion ads to people who visited Planned Parenthood offices.\u003c/p>\n\u003cp>Federal law bars medical providers from sharing health data without a patient’s consent but doesn’t prevent digital tech companies from tracking menstrual cycles or an individual’s location and selling it to data brokers. Legislation for federal bans have never gained momentum, largely because of opposition from the tech industry.\u003c/p>\n\u003cp>Whether that should change has become another political fault line in a nation where most Republican-controlled states have restricted abortion — including 14 with bans in place at every stage of pregnancy — and most Democratic ones have sought to protect access since the U.S. Supreme Court in 2022 overturned Roe v. Wade.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Abortion rights advocates fear that that if such data is not kept private, it could be used not only in targeted ads but also in law enforcement investigations or by abortion opponents looking to harm those who seek to end pregnancies.\u003c/p>\n\u003cp>“It isn’t just sort of creepy,” said Washington state Rep. Vandana Slatter, the sponsor of a law her state adopted last year to rein in unauthorized use of health information. “It’s actually harmful.”\u003c/p>\n\u003cp>But so far, there’s no evidence of widespread use of this kind of data in law enforcement investigations.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Andrea Frey, lawyer for health care providers and digital health systems, Hooper Lundy Bookman\"]‘We’re really pushing forward with the free-flowing and seamless exchange of health care data with the intent of having information accessible so that providers can treat the whole person. Conversely, these privacy concerns come into play.’[/pullquote]“We’re generally talking about a future risk, not something that’s happening on the ground yet,” said Albert Fox Cahn, executive director of the Surveillance Technology Oversight Project and an advocate of protections.\u003c/p>\n\u003cp>The \u003ca href=\"https://www.wyden.senate.gov/imo/media/doc/signed_near_letter_to_ftc_and_sec.pdf\">report last week from Sen. Ron Wyden\u003c/a>, an Oregon Democrat, showed the biggest known anti-abortion ad campaign directed to people who had been identified as having visited abortion providers.\u003c/p>\n\u003cp>Wyden’s investigation found that the information gathered by a now-defunct data broker called Near Intelligence was used by ads from The Veritas Society, a nonprofit founded by Wisconsin Right to Life. The ads targeted people who visited 600 locations in 48 states from 2019 through 2022. There were more than 14 million ads in Wisconsin alone.\u003c/p>\n\u003cp>Wyden called on the Federal Trade Commission to intervene in the bankruptcy case for Near to make sure the location information collected on Americans is destroyed and not sold to another data broker. He’s also asking the Securities Exchange Commission to investigate whether the company committed securities fraud by making misleading statements to investors about the senator’s investigation.\u003c/p>\n\u003cp>It’s not the first time the issue has come up.\u003c/p>\n\u003cp>\u003ca href=\"https://apnews.com/general-news-33f18b834c104df9b2901ef1bf38ae08\">Massachusetts reached a settlement\u003c/a> in 2017 with an ad agency that ran a similar campaign nearly a decade ago.\u003c/p>\n\u003cp>The \u003ca href=\"https://apnews.com/article/technology-health-idaho-federal-trade-commission-government-and-politics-a9aabfc0d25828bc4951c736aaab617a\">FTC sued one data broker\u003c/a>, Kochava, over similar claims in 2022 in an ongoing case, and settled last month with another, X-Mode Social, and its successor, Outlogic, which the government said sold location data of even users who opted out of such sharing. X-Mode was also found to have sold location data to the U.S. military.\u003c/p>\n\u003cp>In both cases, the FTC relied on a law against unfair or deceptive practices.\u003c/p>\n\u003cp>States are also passing or considering their own laws aimed specifically at protecting sensitive health information.\u003c/p>\n\u003cp>Washington’s Slatter, a Democrat, has worked on digital privacy issues for years, but wasn’t able to get a bill with comprehensive protections adopted in her state.\u003c/p>\n\u003cp>[aside label=\"Related Stories\" postID=\"news_11973441,news_11962088,news_11953205,forum_2010101904752\"]She said things changed when Roe was overturned. She went to a rally in 2022 and heard women talking about deleting period-tracking apps out of fear of how their data could be exploited.\u003c/p>\n\u003cp>When she introduced a health-specific data privacy bill last year, it wasn’t just lawyers and lobbyists testifying; women of all ages and from many walks of life showed up to support it, too.\u003c/p>\n\u003cp>The measure, which bars selling personal health data without a consumer’s consent and prohibits tracking who visits reproductive or sexual health facilities, was adopted with the support of nearly all the state’s Democratic lawmakers and opposition from all the Republicans.\u003c/p>\n\u003cp>Connecticut and Nevada adopted similar laws last year. New York enacted one that bars using tracking around health care facilities.\u003c/p>\n\u003cp>\u003ca href=\"https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?sectionNum=56.10.&lawCode=CIV\">California\u003c/a> and Maryland took another approach, enacting laws that prevent computerized health networks from sharing information about sensitive health care with other providers without consent.\u003c/p>\n\u003cp>“We’re really pushing forward with the free-flowing and seamless exchange of health care data with the intent of having information accessible so that providers can treat the whole person,” said Andrea Frey, a lawyer who represents health care providers and digital health systems. “Conversely, these privacy concerns come into play.”\u003c/p>\n\u003cp>Illinois, which already had a law limiting how health tracking data — measuring heart rates, steps and others — can be shared, adopted a new one last year that took effect Jan. 1 and that bans providing government license plate reading data to law enforcement in states with abortion bans.\u003c/p>\n\u003cp>Bills addressing the issue in some form have been introduced in several states this year, including Hawaii, Illinois, Maine, Maryland, Massachusetts, Missouri, South Carolina and Vermont.\u003c/p>\n\u003cp>In Virginia, legislation that would prohibit the issuance of search warrants, subpoenas or court orders for electronic or digital menstrual health data recently cleared both chambers of the Democratic-controlled General Assembly.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Virginia state Sen. Barbara Favola\"]‘The next step to enforcing an abortion ban could be accessing menstrual health data, which is why I’m trying to protect that data.’[/pullquote]Democratic Sen. Barbara Favola said she saw the bill as a necessary precaution when Republican politicians, including Virginia Gov. Glenn Youngkin, have sought restrictions on abortion.\u003c/p>\n\u003cp>“The next step to enforcing an abortion ban could be accessing menstrual health data, which is why I’m trying to protect that data,” Favola said in a committee hearing.\u003c/p>\n\u003cp>Opponents asked whether such data had ever been sought by law enforcement, and Favola responded that she wasn’t aware of a particular example.\u003c/p>\n\u003cp>“It’s just in search of a problem that does not exist,” said Republican Sen. Mark Peake.\u003c/p>\n\u003cp>Youngkin’s administration made it clear he opposed similar legislation last year, but his press office didn’t respond to a request for comment on where he stands on the current version.\u003c/p>\n\u003cp>Sean O’Brien, founder of the Yale Privacy Lab, says there is a problem with the way health information is being used, but he’s not sure laws will be the answer because companies could choose to ignore the potential consequences and continue scooping up and selling sensitive information.\u003c/p>\n\u003cp>“The software supply chain is extremely polluted with location tracking of individuals,” he said.\u003c/p>\n\u003cp>\u003cem>Mulvihill reported from Cherry Hill, New Jersey. Associated Press reporters Frank Bajak in Boston and Sarah Rankin in Richmond, Virginia, contributed to this article.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Some state governments and federal regulators were already moving to keep individuals’ reproductive health information private when a U.S. senator’s report last week offered a new jolt, describing how cellphone location data was used to send millions of anti-abortion ads to people who visited Planned Parenthood offices.\u003c/p>\n\u003cp>Federal law bars medical providers from sharing health data without a patient’s consent but doesn’t prevent digital tech companies from tracking menstrual cycles or an individual’s location and selling it to data brokers. Legislation for federal bans have never gained momentum, largely because of opposition from the tech industry.\u003c/p>\n\u003cp>Whether that should change has become another political fault line in a nation where most Republican-controlled states have restricted abortion — including 14 with bans in place at every stage of pregnancy — and most Democratic ones have sought to protect access since the U.S. Supreme Court in 2022 overturned Roe v. Wade.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Abortion rights advocates fear that that if such data is not kept private, it could be used not only in targeted ads but also in law enforcement investigations or by abortion opponents looking to harm those who seek to end pregnancies.\u003c/p>\n\u003cp>“It isn’t just sort of creepy,” said Washington state Rep. Vandana Slatter, the sponsor of a law her state adopted last year to rein in unauthorized use of health information. “It’s actually harmful.”\u003c/p>\n\u003cp>But so far, there’s no evidence of widespread use of this kind of data in law enforcement investigations.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“We’re generally talking about a future risk, not something that’s happening on the ground yet,” said Albert Fox Cahn, executive director of the Surveillance Technology Oversight Project and an advocate of protections.\u003c/p>\n\u003cp>The \u003ca href=\"https://www.wyden.senate.gov/imo/media/doc/signed_near_letter_to_ftc_and_sec.pdf\">report last week from Sen. Ron Wyden\u003c/a>, an Oregon Democrat, showed the biggest known anti-abortion ad campaign directed to people who had been identified as having visited abortion providers.\u003c/p>\n\u003cp>Wyden’s investigation found that the information gathered by a now-defunct data broker called Near Intelligence was used by ads from The Veritas Society, a nonprofit founded by Wisconsin Right to Life. The ads targeted people who visited 600 locations in 48 states from 2019 through 2022. There were more than 14 million ads in Wisconsin alone.\u003c/p>\n\u003cp>Wyden called on the Federal Trade Commission to intervene in the bankruptcy case for Near to make sure the location information collected on Americans is destroyed and not sold to another data broker. He’s also asking the Securities Exchange Commission to investigate whether the company committed securities fraud by making misleading statements to investors about the senator’s investigation.\u003c/p>\n\u003cp>It’s not the first time the issue has come up.\u003c/p>\n\u003cp>\u003ca href=\"https://apnews.com/general-news-33f18b834c104df9b2901ef1bf38ae08\">Massachusetts reached a settlement\u003c/a> in 2017 with an ad agency that ran a similar campaign nearly a decade ago.\u003c/p>\n\u003cp>The \u003ca href=\"https://apnews.com/article/technology-health-idaho-federal-trade-commission-government-and-politics-a9aabfc0d25828bc4951c736aaab617a\">FTC sued one data broker\u003c/a>, Kochava, over similar claims in 2022 in an ongoing case, and settled last month with another, X-Mode Social, and its successor, Outlogic, which the government said sold location data of even users who opted out of such sharing. X-Mode was also found to have sold location data to the U.S. military.\u003c/p>\n\u003cp>In both cases, the FTC relied on a law against unfair or deceptive practices.\u003c/p>\n\u003cp>States are also passing or considering their own laws aimed specifically at protecting sensitive health information.\u003c/p>\n\u003cp>Washington’s Slatter, a Democrat, has worked on digital privacy issues for years, but wasn’t able to get a bill with comprehensive protections adopted in her state.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>She said things changed when Roe was overturned. She went to a rally in 2022 and heard women talking about deleting period-tracking apps out of fear of how their data could be exploited.\u003c/p>\n\u003cp>When she introduced a health-specific data privacy bill last year, it wasn’t just lawyers and lobbyists testifying; women of all ages and from many walks of life showed up to support it, too.\u003c/p>\n\u003cp>The measure, which bars selling personal health data without a consumer’s consent and prohibits tracking who visits reproductive or sexual health facilities, was adopted with the support of nearly all the state’s Democratic lawmakers and opposition from all the Republicans.\u003c/p>\n\u003cp>Connecticut and Nevada adopted similar laws last year. New York enacted one that bars using tracking around health care facilities.\u003c/p>\n\u003cp>\u003ca href=\"https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?sectionNum=56.10.&lawCode=CIV\">California\u003c/a> and Maryland took another approach, enacting laws that prevent computerized health networks from sharing information about sensitive health care with other providers without consent.\u003c/p>\n\u003cp>“We’re really pushing forward with the free-flowing and seamless exchange of health care data with the intent of having information accessible so that providers can treat the whole person,” said Andrea Frey, a lawyer who represents health care providers and digital health systems. “Conversely, these privacy concerns come into play.”\u003c/p>\n\u003cp>Illinois, which already had a law limiting how health tracking data — measuring heart rates, steps and others — can be shared, adopted a new one last year that took effect Jan. 1 and that bans providing government license plate reading data to law enforcement in states with abortion bans.\u003c/p>\n\u003cp>Bills addressing the issue in some form have been introduced in several states this year, including Hawaii, Illinois, Maine, Maryland, Massachusetts, Missouri, South Carolina and Vermont.\u003c/p>\n\u003cp>In Virginia, legislation that would prohibit the issuance of search warrants, subpoenas or court orders for electronic or digital menstrual health data recently cleared both chambers of the Democratic-controlled General Assembly.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Democratic Sen. Barbara Favola said she saw the bill as a necessary precaution when Republican politicians, including Virginia Gov. Glenn Youngkin, have sought restrictions on abortion.\u003c/p>\n\u003cp>“The next step to enforcing an abortion ban could be accessing menstrual health data, which is why I’m trying to protect that data,” Favola said in a committee hearing.\u003c/p>\n\u003cp>Opponents asked whether such data had ever been sought by law enforcement, and Favola responded that she wasn’t aware of a particular example.\u003c/p>\n\u003cp>“It’s just in search of a problem that does not exist,” said Republican Sen. Mark Peake.\u003c/p>\n\u003cp>Youngkin’s administration made it clear he opposed similar legislation last year, but his press office didn’t respond to a request for comment on where he stands on the current version.\u003c/p>\n\u003cp>Sean O’Brien, founder of the Yale Privacy Lab, says there is a problem with the way health information is being used, but he’s not sure laws will be the answer because companies could choose to ignore the potential consequences and continue scooping up and selling sensitive information.\u003c/p>\n\u003cp>“The software supply chain is extremely polluted with location tracking of individuals,” he said.\u003c/p>\n\u003cp>\u003cem>Mulvihill reported from Cherry Hill, New Jersey. Associated Press reporters Frank Bajak in Boston and Sarah Rankin in Richmond, Virginia, contributed to this article.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp class=\"p1\">\u003ca href=\"#episode-transcript\">\u003ci>View the full episode transcript.\u003c/i>\u003c/a>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Despite California’s reputation as a sanctuary state for abortion rights, it is also home to hundreds of “crisis pregnancy centers” located directly next to abortion clinics like Planned Parenthood. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">These centers are designed to look like community health clinics, but most of them don’t have a medical license. And they have an explicit goal: to persuade people not to have an abortion.\u003c/span>\u003c/p>\n\u003cp>\u003ci>\u003cspan style=\"font-weight: 400\">This episode originally aired on \u003ca href=\"https://www.kqed.org/news/11941250/in-deep-blue-california-anti-abortion-centers-outnumber-abortion-clinics\">Feb. 17, 2023\u003c/a>.\u003c/span>\u003c/i>\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" frameborder=\"0\" height=\"200\" scrolling=\"no\" src=\"https://playlist.megaphone.fm/?e=KQINC7770389010\" width=\"100%\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003ch2 id=\"episode-transcript\">Episode Transcript\u003c/h2>\n\u003cp class=\"p1\">\u003ci>This is a computer-generated transcript. While our team has reviewed it, there may be errors.\u003c/i>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>I’m Ericka Cruz Guevarra, and welcome to the Bay. Local news to keep you rooted. This week would have marked 51 years of Roe versus Wade, the landmark Supreme Court case that declared a constitutional right to abortion until it was overturned in 2022. And even though Californians have since voted to protect abortion access in the state, that doesn’t mean getting one here is always easy.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>It’s not just a question of access, either, but misinformation. California has more so-called crisis pregnancy centers than abortion clinics, many of them front as community health centers. But their main goal is to persuade people not to have an abortion. And for a procedure where time is everything, these centers can be a huge barrier. So today, we’re sharing this episode from February of last year about crisis pregnancy centers in California and the dangers that they pose in a state where abortions are protected. Stay with us.\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>I visited a street. It’s Jefferson Street in in Napa. It’s in the main downtown area.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Emma Silvers is a digital editor and producer for KQED.\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>And it’s one short block. There’s a Planned Parenthood center that has been there for, I want to say, at least 20 years. And in the last few years, a group called Napa Valley Culture of Life purchased the only other building on that street and opened a crisis pregnancy center called the Napa Women’s Center. They’re right next door to each other. They’re connected by a fence. The Napa Women’s Center has a huge banner outside that says free pregnancy tests. It’s designed to look like a yeah, a health center.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Once you got there, what did you see? Who did you encounter?\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>The first thing I saw was a woman sitting outside Planned Parenthood on a folding chair. She was wearing green scrubs. She was intentionally dressed like a nurse, and she was approaching people as they entered the Planned Parenthood or left the Planned Parenthood and asked them if she could talk to them about free resources, read a about their care and contact. They’re afraid to ask because all you do is you learn. She gave them pamphlets. Some of these pamphlets were full of misinformation about abortion, and one of the cards she gave them was for the Napa Women’s Center.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>This volunteer’s name was \u003cem>Teresa Conemac\u003c/em>. She told Emma she was with a group called 40 days for life. I know you later found out she’s actually not a nurse. And. And you actually talked with her yourself? What did she tell you?\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>She saw it as her duty as a Christian to sit outside the Planned Parenthood and try to help people, quote, choose life. This organization is an anti-abortion organization. A few times a year, they have these really intensive periods where for 40 days, they have protesters present nearly around the clock in front of abortion clinics, praying, handing out literature full of misinformation.\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>They call it sidewalk counseling. It’s interesting because there is supposed to be a buffer zone around abortion clinics. She was sitting right next to the sign that informed people of the buffer zone that protesters are not supposed to be that close to the entrance. Some of the abortion rights advocates I spoke with told me that law enforcement have seemed hesitant to enforce that rule.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Did you eventually go inside the building?\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>I did, it was very serene and, you know, soothing colors. It was sort of a converted old craftsman house. And I spoke with Julie Morillo.\u003c/p>\n\u003cp>\u003cstrong>Julie Morillo: \u003c/strong>We’re trying to help people make a decision for life.\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>Who is the executive director of the Napa Women’s Center?\u003c/p>\n\u003cp>\u003cstrong>Julie Morillo: \u003c/strong>We’re not a medical clinic yet. We’re hoping to be one in the future. So the pregnancy tests that we do are of self self-test. So they read them themselves because we’re not medical professionals.\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>She told me that people wind up at that center mistakenly all the time. Yeah. How often would you say that kind of thing happens?\u003c/p>\n\u003cp>\u003cstrong>Julie Morillo: \u003c/strong>Times a week? Probably. Okay. Yeah.\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>And looking for birth control or abortion?\u003c/p>\n\u003cp>\u003cstrong>Julie Morillo: \u003c/strong>All of the above.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>When I kind of zoom out and talk about these centers a little bit more broadly, how many centers like this are there in California, in the Bay area?\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>Yeah, by most accounts, there are between 170 and 180, anti-abortion centers in California. There are more of these centers than there are legitimate clinics that provide abortion care. To be clear, there’s something like 140, I think, abortion clinics in California currently. There’s the one in Napa, Santa Rosa, Novato, San Jose. There’s several in Redwood City. They’re really everywhere. Once you start looking.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra \u003c/strong>Crisis pregnancy centers have been around since Roe v Wade was first decided, but they really started picking up in the 80s as evangelical Christian groups got involved. Republican presidents like George W Bush and Donald Trump have also spent taxpayer dollars on these centers under the banner of abstinence education. The Trump administration gave $5.1 million from the U.S. Department of Health and Human Services to a California network called obra medical clinics, which runs centers like these.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>It’s all part of a wide network across the country and even the world, and they’re very savvy and aggressive at marketing their crisis pregnancy centers. I mean, it seems like the branding and this sort of marketing is a huge part of this entire enterprise. Can you tell me about what that strategy is? For many of these crisis pregnancy centers.\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>The geographical choices are a big one. The vast majority of them are intentionally set up next to legitimate reproductive health clinics in the hopes of diverting people. There are certain communities that they target, without a doubt. We know that in their promotional materials, they are likely to feature black women.\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>They also target Latino women. I spoke with someone from California, Latinas for Reproductive Justice, and she talked about how blatant it is in Los Angeles, where they’re based, that these centers both set up and by advertising in heavily Latino communities.\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>And in some cases, could be targeting undocumented immigrants who might feel fearful of visiting a state or city funded clinic. There are documented efforts that show that some of these networks have initiatives. The quote unquote Urban Initiative attempts to set up in communities of color to buy advertising on like Bet and in a really targeted way, focus their efforts in communities of color.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Coming up, what reproductive rights advocates say about the harm these centers cause.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>I want to talk about the harm that these clinics cause. I mean, it does seem misleading to say that you offer reproductive health services, but actually, you’re an anti-abortion clinic, and I can imagine people getting really confused by that. Is that what makes these clinics so worrisome to advocates of reproductive rights?\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>I reported this story for months, and I am still struggling to come up with the right adjectives for some of these stories that I heard.\u003c/p>\n\u003cp>\u003cstrong>Gloria Martinez: \u003c/strong>It gets a little dicey in Napa.\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>Gloria Martinez is the senior director of operations for a Planned Parenthood of Northern California. I spoke with Gloria after I saw that scene in front of Planned Parenthood and the Napa Women’s Center, and she gave me a little bit of background about how. That crisis pregnancy center has affected their work at that location of Planned Parenthood.\u003c/p>\n\u003cp>\u003cstrong>Gloria Martinez: \u003c/strong>Patients will to sometimes get confused, especially if it’s their first time seeing us.\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>There are facilities that offer what are called non diagnostic ultrasounds. It’s a belief in the anti-abortion movement that ultrasounds are a really powerful tool for convincing someone to continue their pregnancy. There are stories in which someone might visit a crisis pregnancy center, and they say, we need to perform an ultrasound, and then they give that patient a sonogram, a printed out picture with a falsified image of a fetus that’s at a later stage of development.\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>It’s an overwhelming number of tactics. One way they track how successful those anti-abortion activists are at diverting people is no shows at Planned Parenthood. And during those 40 days for life campaigns, when there are protesters outside in large numbers nearly constantly. The no-show rate pretty much doubles. It’s usually around 19%, and it speaks to 40 to 50%.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>You know, I know that as we’ve been talking about the end of Roe v Wade, California is expecting thousands of people to come here from other states for abortions. So there’s going to be a lot of people who may be even less familiar with the lay of the land here, maybe ending up at one of these crisis pregnancy centers. Right. How do these centers actually end up harming people’s health?\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>I think one thing you have to be realistic about, when we talk about potentially 16,000 people a year coming to California for abortions is how much work that takes. You know, you are talking about people who are taking time off work, who are maybe arranging childcare, who are paying for costly and time consuming public transit, who are figuring out a place to stay.\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>When those people get here. If it turns out their appointment is not at a legitimate health clinic, but at a crisis pregnancy center, a number of things happen. For one, they are going to, almost across the board, experience feeling misled and deceived. After that, if you decide, okay, no, I need this abortion, do you then have the time to make another appointment to research where to go to get real health care?\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>Can you stay out of work that long? Does your child care that all of these things. It’s so much work. There are so many barriers to accessing something that is perfectly legal here. If they are successful in at least delaying the procedure, they’ve achieved really what they wanted.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>I just want to go back to Napa because I am curious, how are things going for folks who are actually working next door to this anti-abortion clinic at the Planned Parenthood? Like, what impact has being next door to this crisis pregnancy center had?\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>I mean, it’s it’s terrible. The folks who worked at that Planned Parenthood were not allowed to speak with me on the record, but from what I gathered, it’s a really intense daily experience of dealing with people outside every day, trying to lure people away from the door. They are moving to a new, larger facility somewhere in Napa that they do not want public because they do not want anti-abortion activists to get a jump on planning their activities for that location as well.\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>But they are moving to a new location, and they were very clear that a big reason is how uncomfortable and unpleasant and harmful the experience is for patients at that current location, because of the anti-abortion activists and because of the crisis pregnancy center next door.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>What is being done about these crisis pregnancy centers? Are state lawmakers aware of these centers, and have they tried to do anything about them?\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>Democrats, at least in California, have been trying to regulate these places and mostly failing for a very long time.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>California passed the Reproductive Fact Act in 2015. It required health care facilities to tell people about state programs that provide abortion services. It also forced centers without medical licenses to post notices acknowledging that they were not licensed. But in 2018, the Supreme Court struck it down on the grounds that it violated the First Amendment. And that’s where many attempts to regulate these centers run into trouble.\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>Freedom of religion. And I think in the case of the Fact act, forcing them to give out information that went against what they wanted to do, you can’t force someone, can’t compel a religious organization to distribute information about where to get an abortion. Rebecca Bauer Cohen of Orinda just introduced AB 315, which really focuses on the deceptive advertising element.\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>California Attorney General Bonta issued a consumer alert in June, basically just laying out the differences between crisis pregnancy centers and abortion clinics and basically just directing people to do their research. So, okay, we can’t force these places to tell you where to go to get an abortion. What we can do is say you are not allowed to advertise as offering a full range of reproductive health services, when in fact you do not.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>What do you hope that people take away from this story?\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>I hope people will realize that the rollback of reproductive rights in this country really affects everyone. The volatility of the abortion rights discussion in the US, the the political and financial power that the church and the right wing Christian anti-abortion movement in this country really has, and the way that touches every corner of the country, even even the supposedly very liberal Bay area in the sanctuary state of California.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Emma, I want to thank you reporting on this story and for joining us and sharing your reporting with us. I appreciate it.\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>Thank you so much for for your interest.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>That was Emma Silvers, a digital editor and producer for KQED. This episode originally ran back in February of 2023. Since then, the Planned Parenthood in Napa has moved to a new location. And in September, Attorney General Rob Bonta office filed a lawsuit against two anti-abortion groups, Heartbeat International and Real Options O’Brien, which operates five crisis pregnancy centers in Northern California. Bounty’s office alleges that the groups used misleading and fraudulent claims to promote an unproven experimental procedure called abortion pill reversal.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>This conversation with Emma was cut down and edited by senior editor Alan Montecillo. Maria Esquinca is our producer. She scored this episode and edited all the tape. Our intern is Ellie Prickett-Morgan. The Bay is a production of member supported KQED in San Francisco. I’m Ericka Cruz Guevarra. Thanks for listening. Talk to you next time.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp class=\"p1\">\u003ca href=\"#episode-transcript\">\u003ci>View the full episode transcript.\u003c/i>\u003c/a>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Despite California’s reputation as a sanctuary state for abortion rights, it is also home to hundreds of “crisis pregnancy centers” located directly next to abortion clinics like Planned Parenthood. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">These centers are designed to look like community health clinics, but most of them don’t have a medical license. And they have an explicit goal: to persuade people not to have an abortion.\u003c/span>\u003c/p>\n\u003cp>\u003ci>\u003cspan style=\"font-weight: 400\">This episode originally aired on \u003ca href=\"https://www.kqed.org/news/11941250/in-deep-blue-california-anti-abortion-centers-outnumber-abortion-clinics\">Feb. 17, 2023\u003c/a>.\u003c/span>\u003c/i>\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" frameborder=\"0\" height=\"200\" scrolling=\"no\" src=\"https://playlist.megaphone.fm/?e=KQINC7770389010\" width=\"100%\" class=\"iframe-class\">\u003c/iframe>\u003c/div>",
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"content": "\u003cdiv class=\"post-content post-body\">\u003ch2 id=\"episode-transcript\">Episode Transcript\u003c/h2>\n\u003cp class=\"p1\">\u003ci>This is a computer-generated transcript. While our team has reviewed it, there may be errors.\u003c/i>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>I’m Ericka Cruz Guevarra, and welcome to the Bay. Local news to keep you rooted. This week would have marked 51 years of Roe versus Wade, the landmark Supreme Court case that declared a constitutional right to abortion until it was overturned in 2022. And even though Californians have since voted to protect abortion access in the state, that doesn’t mean getting one here is always easy.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>It’s not just a question of access, either, but misinformation. California has more so-called crisis pregnancy centers than abortion clinics, many of them front as community health centers. But their main goal is to persuade people not to have an abortion. And for a procedure where time is everything, these centers can be a huge barrier. So today, we’re sharing this episode from February of last year about crisis pregnancy centers in California and the dangers that they pose in a state where abortions are protected. Stay with us.\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>I visited a street. It’s Jefferson Street in in Napa. It’s in the main downtown area.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Emma Silvers is a digital editor and producer for KQED.\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>And it’s one short block. There’s a Planned Parenthood center that has been there for, I want to say, at least 20 years. And in the last few years, a group called Napa Valley Culture of Life purchased the only other building on that street and opened a crisis pregnancy center called the Napa Women’s Center. They’re right next door to each other. They’re connected by a fence. The Napa Women’s Center has a huge banner outside that says free pregnancy tests. It’s designed to look like a yeah, a health center.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Once you got there, what did you see? Who did you encounter?\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>The first thing I saw was a woman sitting outside Planned Parenthood on a folding chair. She was wearing green scrubs. She was intentionally dressed like a nurse, and she was approaching people as they entered the Planned Parenthood or left the Planned Parenthood and asked them if she could talk to them about free resources, read a about their care and contact. They’re afraid to ask because all you do is you learn. She gave them pamphlets. Some of these pamphlets were full of misinformation about abortion, and one of the cards she gave them was for the Napa Women’s Center.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>This volunteer’s name was \u003cem>Teresa Conemac\u003c/em>. She told Emma she was with a group called 40 days for life. I know you later found out she’s actually not a nurse. And. And you actually talked with her yourself? What did she tell you?\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>She saw it as her duty as a Christian to sit outside the Planned Parenthood and try to help people, quote, choose life. This organization is an anti-abortion organization. A few times a year, they have these really intensive periods where for 40 days, they have protesters present nearly around the clock in front of abortion clinics, praying, handing out literature full of misinformation.\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>They call it sidewalk counseling. It’s interesting because there is supposed to be a buffer zone around abortion clinics. She was sitting right next to the sign that informed people of the buffer zone that protesters are not supposed to be that close to the entrance. Some of the abortion rights advocates I spoke with told me that law enforcement have seemed hesitant to enforce that rule.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Did you eventually go inside the building?\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>I did, it was very serene and, you know, soothing colors. It was sort of a converted old craftsman house. And I spoke with Julie Morillo.\u003c/p>\n\u003cp>\u003cstrong>Julie Morillo: \u003c/strong>We’re trying to help people make a decision for life.\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>Who is the executive director of the Napa Women’s Center?\u003c/p>\n\u003cp>\u003cstrong>Julie Morillo: \u003c/strong>We’re not a medical clinic yet. We’re hoping to be one in the future. So the pregnancy tests that we do are of self self-test. So they read them themselves because we’re not medical professionals.\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>She told me that people wind up at that center mistakenly all the time. Yeah. How often would you say that kind of thing happens?\u003c/p>\n\u003cp>\u003cstrong>Julie Morillo: \u003c/strong>Times a week? Probably. Okay. Yeah.\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>And looking for birth control or abortion?\u003c/p>\n\u003cp>\u003cstrong>Julie Morillo: \u003c/strong>All of the above.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>When I kind of zoom out and talk about these centers a little bit more broadly, how many centers like this are there in California, in the Bay area?\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>Yeah, by most accounts, there are between 170 and 180, anti-abortion centers in California. There are more of these centers than there are legitimate clinics that provide abortion care. To be clear, there’s something like 140, I think, abortion clinics in California currently. There’s the one in Napa, Santa Rosa, Novato, San Jose. There’s several in Redwood City. They’re really everywhere. Once you start looking.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra \u003c/strong>Crisis pregnancy centers have been around since Roe v Wade was first decided, but they really started picking up in the 80s as evangelical Christian groups got involved. Republican presidents like George W Bush and Donald Trump have also spent taxpayer dollars on these centers under the banner of abstinence education. The Trump administration gave $5.1 million from the U.S. Department of Health and Human Services to a California network called obra medical clinics, which runs centers like these.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>It’s all part of a wide network across the country and even the world, and they’re very savvy and aggressive at marketing their crisis pregnancy centers. I mean, it seems like the branding and this sort of marketing is a huge part of this entire enterprise. Can you tell me about what that strategy is? For many of these crisis pregnancy centers.\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>The geographical choices are a big one. The vast majority of them are intentionally set up next to legitimate reproductive health clinics in the hopes of diverting people. There are certain communities that they target, without a doubt. We know that in their promotional materials, they are likely to feature black women.\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>They also target Latino women. I spoke with someone from California, Latinas for Reproductive Justice, and she talked about how blatant it is in Los Angeles, where they’re based, that these centers both set up and by advertising in heavily Latino communities.\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>And in some cases, could be targeting undocumented immigrants who might feel fearful of visiting a state or city funded clinic. There are documented efforts that show that some of these networks have initiatives. The quote unquote Urban Initiative attempts to set up in communities of color to buy advertising on like Bet and in a really targeted way, focus their efforts in communities of color.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Coming up, what reproductive rights advocates say about the harm these centers cause.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>I want to talk about the harm that these clinics cause. I mean, it does seem misleading to say that you offer reproductive health services, but actually, you’re an anti-abortion clinic, and I can imagine people getting really confused by that. Is that what makes these clinics so worrisome to advocates of reproductive rights?\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>I reported this story for months, and I am still struggling to come up with the right adjectives for some of these stories that I heard.\u003c/p>\n\u003cp>\u003cstrong>Gloria Martinez: \u003c/strong>It gets a little dicey in Napa.\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>Gloria Martinez is the senior director of operations for a Planned Parenthood of Northern California. I spoke with Gloria after I saw that scene in front of Planned Parenthood and the Napa Women’s Center, and she gave me a little bit of background about how. That crisis pregnancy center has affected their work at that location of Planned Parenthood.\u003c/p>\n\u003cp>\u003cstrong>Gloria Martinez: \u003c/strong>Patients will to sometimes get confused, especially if it’s their first time seeing us.\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>There are facilities that offer what are called non diagnostic ultrasounds. It’s a belief in the anti-abortion movement that ultrasounds are a really powerful tool for convincing someone to continue their pregnancy. There are stories in which someone might visit a crisis pregnancy center, and they say, we need to perform an ultrasound, and then they give that patient a sonogram, a printed out picture with a falsified image of a fetus that’s at a later stage of development.\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>It’s an overwhelming number of tactics. One way they track how successful those anti-abortion activists are at diverting people is no shows at Planned Parenthood. And during those 40 days for life campaigns, when there are protesters outside in large numbers nearly constantly. The no-show rate pretty much doubles. It’s usually around 19%, and it speaks to 40 to 50%.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>You know, I know that as we’ve been talking about the end of Roe v Wade, California is expecting thousands of people to come here from other states for abortions. So there’s going to be a lot of people who may be even less familiar with the lay of the land here, maybe ending up at one of these crisis pregnancy centers. Right. How do these centers actually end up harming people’s health?\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>I think one thing you have to be realistic about, when we talk about potentially 16,000 people a year coming to California for abortions is how much work that takes. You know, you are talking about people who are taking time off work, who are maybe arranging childcare, who are paying for costly and time consuming public transit, who are figuring out a place to stay.\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>When those people get here. If it turns out their appointment is not at a legitimate health clinic, but at a crisis pregnancy center, a number of things happen. For one, they are going to, almost across the board, experience feeling misled and deceived. After that, if you decide, okay, no, I need this abortion, do you then have the time to make another appointment to research where to go to get real health care?\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>Can you stay out of work that long? Does your child care that all of these things. It’s so much work. There are so many barriers to accessing something that is perfectly legal here. If they are successful in at least delaying the procedure, they’ve achieved really what they wanted.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>I just want to go back to Napa because I am curious, how are things going for folks who are actually working next door to this anti-abortion clinic at the Planned Parenthood? Like, what impact has being next door to this crisis pregnancy center had?\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>I mean, it’s it’s terrible. The folks who worked at that Planned Parenthood were not allowed to speak with me on the record, but from what I gathered, it’s a really intense daily experience of dealing with people outside every day, trying to lure people away from the door. They are moving to a new, larger facility somewhere in Napa that they do not want public because they do not want anti-abortion activists to get a jump on planning their activities for that location as well.\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>But they are moving to a new location, and they were very clear that a big reason is how uncomfortable and unpleasant and harmful the experience is for patients at that current location, because of the anti-abortion activists and because of the crisis pregnancy center next door.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>What is being done about these crisis pregnancy centers? Are state lawmakers aware of these centers, and have they tried to do anything about them?\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>Democrats, at least in California, have been trying to regulate these places and mostly failing for a very long time.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>California passed the Reproductive Fact Act in 2015. It required health care facilities to tell people about state programs that provide abortion services. It also forced centers without medical licenses to post notices acknowledging that they were not licensed. But in 2018, the Supreme Court struck it down on the grounds that it violated the First Amendment. And that’s where many attempts to regulate these centers run into trouble.\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>Freedom of religion. And I think in the case of the Fact act, forcing them to give out information that went against what they wanted to do, you can’t force someone, can’t compel a religious organization to distribute information about where to get an abortion. Rebecca Bauer Cohen of Orinda just introduced AB 315, which really focuses on the deceptive advertising element.\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>California Attorney General Bonta issued a consumer alert in June, basically just laying out the differences between crisis pregnancy centers and abortion clinics and basically just directing people to do their research. So, okay, we can’t force these places to tell you where to go to get an abortion. What we can do is say you are not allowed to advertise as offering a full range of reproductive health services, when in fact you do not.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>What do you hope that people take away from this story?\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>I hope people will realize that the rollback of reproductive rights in this country really affects everyone. The volatility of the abortion rights discussion in the US, the the political and financial power that the church and the right wing Christian anti-abortion movement in this country really has, and the way that touches every corner of the country, even even the supposedly very liberal Bay area in the sanctuary state of California.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Emma, I want to thank you reporting on this story and for joining us and sharing your reporting with us. I appreciate it.\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>Thank you so much for for your interest.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>That was Emma Silvers, a digital editor and producer for KQED. This episode originally ran back in February of 2023. Since then, the Planned Parenthood in Napa has moved to a new location. And in September, Attorney General Rob Bonta office filed a lawsuit against two anti-abortion groups, Heartbeat International and Real Options O’Brien, which operates five crisis pregnancy centers in Northern California. Bounty’s office alleges that the groups used misleading and fraudulent claims to promote an unproven experimental procedure called abortion pill reversal.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>This conversation with Emma was cut down and edited by senior editor Alan Montecillo. Maria Esquinca is our producer. She scored this episode and edited all the tape. Our intern is Ellie Prickett-Morgan. The Bay is a production of member supported KQED in San Francisco. I’m Ericka Cruz Guevarra. Thanks for listening. Talk to you next time.\u003c/p>\n\n\u003c/div>"
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"content": "\u003cp>Gov. Gavin Newsom signed a new law on Wednesday that aims to stop other states from prosecuting doctors and pharmacists who mail abortion pills to patients in places where the procedure is banned.\u003c/p>\n\u003cp>California already has a law protecting doctors who provide abortions from out-of-state judgements. But that law was designed to protect doctors who treat patients from other states who travel to California.\u003c/p>\n\u003cp>The new law goes further by forbidding authorities from cooperating with out-of-state investigations into doctors who mail abortion pills to patients in other states. It also bans bounty hunters or bail agents from apprehending doctors and pharmacists in California and transporting them to another state to stand trial for providing an abortion.\u003c/p>\n\u003cp>Other states, including New York and Massachusetts, have similar laws. But California’s law also bars state-based social media companies — like Facebook — from complying with out-of-state subpoenas, warrants or other requests for records to discover the identity of patients seeking abortion pills.\u003c/p>\n\u003cp>“Health care providers, physically located in California, will be able to offer a lifeline to people in states that have cut off access to essential care, and be shielded from the draconian laws of those states,” state Sen. Nancy Skinner, a Berkeley Democrat and author of the bill, said in a statement.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The law only protects doctors and pharmacists who reside in California. If a doctor or pharmacist leaves California to provide care to a patient in another state, the law would not protect them.\u003c/p>\n\u003cp>“We will continue to protect women and health care workers who are seeking and providing basic care,” Newsom said in a news release announcing he had signed the law.\u003c/p>\n\u003cp>The California Catholic Conference opposed the law, arguing the state is “engaging in ideological colonization against states and citizens that do not want abortion.”\u003c/p>\n\u003cp>“Denying the legitimate interest of other states to protect unborn children and public health is a dangerous precedent,” the association wrote in a letter to lawmakers earlier this year.\u003c/p>\n\u003cp>Last year, the U.S. Supreme Court \u003ca href=\"https://apnews.com/article/abortion-supreme-court-decision-854f60302f21c2c35129e58cf8d8a7b0\">overturned Roe v. Wade\u003c/a>, the 1973 decision that guaranteed access to abortion nationwide. Since then, half of the states have passed laws either banning or restricting access to abortion.[aside tag=\"abortion, politics\" label=\"More Related Stories\"]\u003c/p>\n\u003cp>In some states, that includes trying to limit access to the abortion pill mifepristone, which has been approved by the U.S. Food and Drug Administration for up to the 10th week of pregnancy. It’s now the most common abortion method in the country.\u003c/p>\n\u003cp>The advocacy group Alliance Defending Freedom has challenged the FDA’s approval of mifepristone. In April, a federal judge revoked the FDA’s approval, a ruling that would have banned the drug in the U.S. But the U.S. Supreme Court decided to let the FDA’s approval \u003ca href=\"https://apnews.com/article/supreme-court-abortion-pill-mifepristone-access-f781488016640bf571faf36096339ea4\">remain in place\u003c/a> while the judge’s ruling \u003ca href=\"https://apnews.com/article/supreme-court-abortion-pill-mifepristone-fda-approval-c673116607517af1e0e0f9ba95d0f9df\">was appealed\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The law is one of eight that Newsom signed on Wednesday aiming to protect access to abortion. The Democrats who control California’s Legislature have made \u003ca href=\"https://apnews.com/article/abortion-us-supreme-court-health-california-df6dd40a7e2af65a1c6a4042e4ffa485\">protecting access to abortion a priority\u003c/a> since the overturning of Roe v. Wade.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Gov. Gavin Newsom signed a new law on Wednesday that aims to stop other states from prosecuting doctors and pharmacists who mail abortion pills to patients in places where the procedure is banned.\u003c/p>\n\u003cp>California already has a law protecting doctors who provide abortions from out-of-state judgements. But that law was designed to protect doctors who treat patients from other states who travel to California.\u003c/p>\n\u003cp>The new law goes further by forbidding authorities from cooperating with out-of-state investigations into doctors who mail abortion pills to patients in other states. It also bans bounty hunters or bail agents from apprehending doctors and pharmacists in California and transporting them to another state to stand trial for providing an abortion.\u003c/p>\n\u003cp>Other states, including New York and Massachusetts, have similar laws. But California’s law also bars state-based social media companies — like Facebook — from complying with out-of-state subpoenas, warrants or other requests for records to discover the identity of patients seeking abortion pills.\u003c/p>\n\u003cp>“Health care providers, physically located in California, will be able to offer a lifeline to people in states that have cut off access to essential care, and be shielded from the draconian laws of those states,” state Sen. Nancy Skinner, a Berkeley Democrat and author of the bill, said in a statement.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The law only protects doctors and pharmacists who reside in California. If a doctor or pharmacist leaves California to provide care to a patient in another state, the law would not protect them.\u003c/p>\n\u003cp>“We will continue to protect women and health care workers who are seeking and providing basic care,” Newsom said in a news release announcing he had signed the law.\u003c/p>\n\u003cp>The California Catholic Conference opposed the law, arguing the state is “engaging in ideological colonization against states and citizens that do not want abortion.”\u003c/p>\n\u003cp>“Denying the legitimate interest of other states to protect unborn children and public health is a dangerous precedent,” the association wrote in a letter to lawmakers earlier this year.\u003c/p>\n\u003cp>Last year, the U.S. Supreme Court \u003ca href=\"https://apnews.com/article/abortion-supreme-court-decision-854f60302f21c2c35129e58cf8d8a7b0\">overturned Roe v. Wade\u003c/a>, the 1973 decision that guaranteed access to abortion nationwide. Since then, half of the states have passed laws either banning or restricting access to abortion.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In some states, that includes trying to limit access to the abortion pill mifepristone, which has been approved by the U.S. Food and Drug Administration for up to the 10th week of pregnancy. It’s now the most common abortion method in the country.\u003c/p>\n\u003cp>The advocacy group Alliance Defending Freedom has challenged the FDA’s approval of mifepristone. In April, a federal judge revoked the FDA’s approval, a ruling that would have banned the drug in the U.S. But the U.S. Supreme Court decided to let the FDA’s approval \u003ca href=\"https://apnews.com/article/supreme-court-abortion-pill-mifepristone-access-f781488016640bf571faf36096339ea4\">remain in place\u003c/a> while the judge’s ruling \u003ca href=\"https://apnews.com/article/supreme-court-abortion-pill-mifepristone-fda-approval-c673116607517af1e0e0f9ba95d0f9df\">was appealed\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The law is one of eight that Newsom signed on Wednesday aiming to protect access to abortion. The Democrats who control California’s Legislature have made \u003ca href=\"https://apnews.com/article/abortion-us-supreme-court-health-california-df6dd40a7e2af65a1c6a4042e4ffa485\">protecting access to abortion a priority\u003c/a> since the overturning of Roe v. Wade.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>California Attorney General Rob Bonta on Thursday sued an anti-abortion group and a chain of \u003ca href=\"https://apnews.com/article/abortion-us-supreme-court-health-west-virginia-charleston-c961890f157e8a2299b949177c737707\">anti-abortion counseling centers\u003c/a>, saying the organizations misled women when they offered them unproven treatments to reverse medication abortions.\u003c/p>\n\u003cp>Heartbeat International, a national anti-abortion group, and RealOptions Obria, which has five anti-abortion counseling centers in Northern California, used “fraudulent and misleading claims” to advertise a procedure called “abortion pill reversal,” according to the lawsuit. Abortion pill reversal treatments are unproven, largely experimental and have no scientific backing, Bonta said in the lawsuit.\u003c/p>\n\u003cp>“Those who are struggling with the complex decision to get an abortion deserve support and trustworthy guidance — not lies and misinformation,” Bonta said.\u003c/p>\n\u003cp>Heartbeat International and RealOptions’ deceptive advertising of abortion pill reversal treatments violates California’s False Advertising Law and Unfair Competition Law, the lawsuit said. The suit seeks an injunction to block further dissemination of the claims by the defendants, as well as other remedies and penalties available under state law, according to Bonta’s office.\u003c/p>\n\u003cp>[aside postID=news_11937191,news_11953205 label='More On \"Pregnancy Crisis Centers\"']\u003c/p>\n\u003cp>Despite the lack of scientific evidence and lack of certainty about its safety, Heartbeat International and RealOptions falsely and illegally advertise the treatment as a valid and successful option, and do not alert patients to possible side effects, such as the risk of severe bleeding, the lawsuit further said.\u003c/p>\n\u003cp>In an email to The Associated Press, Heartbeat International said it learned about the lawsuit through interview requests and that it had not been served.\u003c/p>\n\u003cp>“These women deserve the right to try and save their pregnancies. No woman should ever be forced to complete an abortion she no longer wants,” it said.\u003c/p>\n\u003cp>RealOptions did not immediately respond to a phone message from the AP seeking comment.\u003c/p>\n\u003cp>Founded in 1981, RealOptions has clinics in San José, Oakland, Redwood City and Union City. Its website offers pregnancy testing, pre-abortion screening and abortion pill reversal services.\u003c/p>\n\u003cp>Medication abortions involve taking two prescription medicines days apart — at home or in a clinic. The method, which \u003ca href=\"https://apnews.com/article/abortion-covid-science-health-2d52ebf9efc6ef06f03e788fecd13013\">involves mifepristone and misoprostol\u003c/a>, became the preferred way for ending pregnancy in the country even before the U.S. Supreme Court \u003ca href=\"https://apnews.com/article/abortion-supreme-court-decision-854f60302f21c2c35129e58cf8d8a7b0\">overturned Roe v. Wade last year\u003c/a>.\u003c/p>\n\u003cp>Abortion opponents claim that if a pregnant person takes high doses of the hormone progesterone within 72 hours of taking the first drug — mifepristone — it will safely and effectively cancel the mifepristone’s effect.\u003c/p>\n\u003cp>The \u003ca href=\"https://apnews.com/article/supreme-court-abortion-pill-mifepristone-fda-approval-c673116607517af1e0e0f9ba95d0f9df\">drug is facing a legal challenge\u003c/a> that was filed in November and has made it to the Supreme Court, which is expected to agree to hear the case and have the final word, probably by early summer 2024.\u003c/p>\n\u003cp>Colorado this year became the first state to \u003ca href=\"https://apnews.com/article/colorado-abortion-reversal-ban-861eff7f8d7171916f8679f9cbd54331\">ban abortion pill reversal treatments\u003c/a>, but the law won’t take effect until the state’s medical, nursing and pharmacy boards determine whether such treatments are “generally accepted standard of practice” or not. Colorado’s medical regulators have until Oct. 1 to decide and enact rules.\u003c/p>\n\u003cp>Colorado is currently the only state that has banned such procedures, according to the Guttmacher Institute, a research group that supports abortion rights. About a dozen states have passed laws compelling abortion providers to \u003ca href=\"https://apnews.com/article/abortion-kansas-waiting-period-medication-reversal-1f0f5fad64b4180997d0f32a32d047dd\">tell their patients\u003c/a> about abortion reversal treatments.\u003c/p>\n\u003cp>The American College of Obstetricians and Gynecologists says so-called abortion “reversal” procedures are unproven and unethical.\u003c/p>\n\u003cp>“The horrifying reality is that right now there are more crisis pregnancy centers in California than abortion care clinics,” Bonta said. “Crisis pregnancy centers do not provide abortion or abortion referral, though they may want you to believe they do.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>California Attorney General Rob Bonta on Thursday sued an anti-abortion group and a chain of \u003ca href=\"https://apnews.com/article/abortion-us-supreme-court-health-west-virginia-charleston-c961890f157e8a2299b949177c737707\">anti-abortion counseling centers\u003c/a>, saying the organizations misled women when they offered them unproven treatments to reverse medication abortions.\u003c/p>\n\u003cp>Heartbeat International, a national anti-abortion group, and RealOptions Obria, which has five anti-abortion counseling centers in Northern California, used “fraudulent and misleading claims” to advertise a procedure called “abortion pill reversal,” according to the lawsuit. Abortion pill reversal treatments are unproven, largely experimental and have no scientific backing, Bonta said in the lawsuit.\u003c/p>\n\u003cp>“Those who are struggling with the complex decision to get an abortion deserve support and trustworthy guidance — not lies and misinformation,” Bonta said.\u003c/p>\n\u003cp>Heartbeat International and RealOptions’ deceptive advertising of abortion pill reversal treatments violates California’s False Advertising Law and Unfair Competition Law, the lawsuit said. The suit seeks an injunction to block further dissemination of the claims by the defendants, as well as other remedies and penalties available under state law, according to Bonta’s office.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Despite the lack of scientific evidence and lack of certainty about its safety, Heartbeat International and RealOptions falsely and illegally advertise the treatment as a valid and successful option, and do not alert patients to possible side effects, such as the risk of severe bleeding, the lawsuit further said.\u003c/p>\n\u003cp>In an email to The Associated Press, Heartbeat International said it learned about the lawsuit through interview requests and that it had not been served.\u003c/p>\n\u003cp>“These women deserve the right to try and save their pregnancies. No woman should ever be forced to complete an abortion she no longer wants,” it said.\u003c/p>\n\u003cp>RealOptions did not immediately respond to a phone message from the AP seeking comment.\u003c/p>\n\u003cp>Founded in 1981, RealOptions has clinics in San José, Oakland, Redwood City and Union City. Its website offers pregnancy testing, pre-abortion screening and abortion pill reversal services.\u003c/p>\n\u003cp>Medication abortions involve taking two prescription medicines days apart — at home or in a clinic. The method, which \u003ca href=\"https://apnews.com/article/abortion-covid-science-health-2d52ebf9efc6ef06f03e788fecd13013\">involves mifepristone and misoprostol\u003c/a>, became the preferred way for ending pregnancy in the country even before the U.S. Supreme Court \u003ca href=\"https://apnews.com/article/abortion-supreme-court-decision-854f60302f21c2c35129e58cf8d8a7b0\">overturned Roe v. Wade last year\u003c/a>.\u003c/p>\n\u003cp>Abortion opponents claim that if a pregnant person takes high doses of the hormone progesterone within 72 hours of taking the first drug — mifepristone — it will safely and effectively cancel the mifepristone’s effect.\u003c/p>\n\u003cp>The \u003ca href=\"https://apnews.com/article/supreme-court-abortion-pill-mifepristone-fda-approval-c673116607517af1e0e0f9ba95d0f9df\">drug is facing a legal challenge\u003c/a> that was filed in November and has made it to the Supreme Court, which is expected to agree to hear the case and have the final word, probably by early summer 2024.\u003c/p>\n\u003cp>Colorado this year became the first state to \u003ca href=\"https://apnews.com/article/colorado-abortion-reversal-ban-861eff7f8d7171916f8679f9cbd54331\">ban abortion pill reversal treatments\u003c/a>, but the law won’t take effect until the state’s medical, nursing and pharmacy boards determine whether such treatments are “generally accepted standard of practice” or not. Colorado’s medical regulators have until Oct. 1 to decide and enact rules.\u003c/p>\n\u003cp>Colorado is currently the only state that has banned such procedures, according to the Guttmacher Institute, a research group that supports abortion rights. About a dozen states have passed laws compelling abortion providers to \u003ca href=\"https://apnews.com/article/abortion-kansas-waiting-period-medication-reversal-1f0f5fad64b4180997d0f32a32d047dd\">tell their patients\u003c/a> about abortion reversal treatments.\u003c/p>\n\u003cp>The American College of Obstetricians and Gynecologists says so-called abortion “reversal” procedures are unproven and unethical.\u003c/p>\n\u003cp>“The horrifying reality is that right now there are more crisis pregnancy centers in California than abortion care clinics,” Bonta said. “Crisis pregnancy centers do not provide abortion or abortion referral, though they may want you to believe they do.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "Some California Planned Parenthood Workers Vote to Unionize, as Demand From Out-of-State Patients Increases",
"headTitle": "Some California Planned Parenthood Workers Vote to Unionize, as Demand From Out-of-State Patients Increases | KQED",
"content": "\u003cp>Mia Neustein calls her work for Planned Parenthood in the Coachella Valley her “dream job.” She believes in the organization’s mission, and wants to be a part of it for years to come.\u003c/p>\n\u003cp>But the pace of that work has increased substantially since last year, when \u003ca href=\"https://www.kqed.org/forum/2010101889641/supreme-court-strikes-down-roe-v-wade\">the Supreme Court ended the nationwide right to abortion\u003c/a>, leading some out-of-state patients to travel to Southern California for care.\u003c/p>\n\u003cp>That trend, coupled with several local decisions that she said exacerbated stresses on her colleagues, led workers at her clinic last week to vote to create a union. They’re joining a labor movement taking root at a number of other Planned Parenthood clinics in states that have protected abortion rights since the Supreme Court struck down Roe v. Wade.\u003c/p>\n\u003cp>“The types of working conditions that we’ve been dealing with, especially in the last year or so, have really pushed people toward realizing how necessary a union is,” said Neustein, who started working for Planned Parenthood as a health center educator two years ago.\u003c/p>\n\u003cp>[aside postID=news_11917111,news_11931183 label='Abortion Rights in California']Her clinic belongs to \u003ca href=\"https://www.plannedparenthood.org/planned-parenthood-pacific-southwest\">Planned Parenthood of the Pacific Southwest\u003c/a>, a group of 26 sites in Imperial, Riverside and San Diego counties that regularly sees patients from states with abortion restrictions. The organization estimates that 10% of its patients since the 2022 Supreme Court decision have come from other states.\u003c/p>\n\u003cp>About 93% of the workers who voted supported joining \u003ca href=\"https://www.seiu-uhw.org/press/550-planned-parenthood-workers-across-southern-ca-vote-to-join-seiu-uhw-in-historic-victory-for-reproductive-health/\">SEIU-United Healthcare Workers West\u003c/a>. After certification by the National Labor Relations Board, the union would represent 550 Planned Parenthood workers ranging from clinicians to registered nurses and licensed social workers.\u003c/p>\n\u003cp>Workers said they hope to get better pay, an improved time-off policy and safer working conditions through this union.\u003c/p>\n\u003cp>California voters \u003ca href=\"https://www.kqed.org/news/11931183/californians-vote-to-protect-abortion-in-constitution\">cemented the right to abortion in the state constitution last year\u003c/a>, and Gov. Gavin Newsom has \u003ca href=\"https://www.kqed.org/news/11924553/california-expands-abortion-protections-including-200-million-for-lower-income-undocumented-and-out-of-state-patients\">signed more than two dozen other laws\u003c/a> that are designed to expand access to reproductive care after the 2022 Supreme Court decision known as Dobbs. He and other Democratic leaders have championed California \u003ca href=\"https://calmatters.org/explainers/abortion-in-california-laws/\">as a safe haven for women seeking abortions\u003c/a>.\u003c/p>\n\u003cp>At the same time, 22 states have introduced or passed legislation to restrict or ban abortion, \u003ca href=\"https://www.axios.com/2022/06/25/abortion-illegal-7-states-more-bans-coming\">according to the news organization Axios\u003c/a>. One of them, Arizona, shares a border with California. \u003ca href=\"https://www.reuters.com/world/us/arizona-governor-signs-15-week-abortion-ban-into-law-2022-03-30/\">Arizona prohibits most abortions after 15 weeks\u003c/a>.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003ch2>More abortions in California\u003c/h2>\n\u003cp>In states where abortion remains legal, reproductive care workers have been complaining about being overworked due to increased demand for care from out-of-state patients. \u003ca href=\"https://www.kcrw.com/news/shows/greater-la/abortion-strikes/planned-parenthood-union\">Planned Parenthood workers\u003c/a> in at least seven states, including Massachusetts and Nebraska, have decided to unionize, according to news reports.\u003c/p>\n\u003cp>“We’ve definitely seen an increase in patients,” said Libby Kusiak, a certified physician associate at a Planned Parenthood in San Diego. “We see a lot of out-of-state patients since we’re kind of really perfectly nestled geographically to serve and accommodate patients from other states like Arizona, but we do see patients from Texas and other states as well.”\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Libby Kusiak, Planned Parenthood\"]‘We’ve definitely seen an increase in patients. We see a lot of out-of-state patients since we’re kind of really perfectly nestled geographically to serve and accommodate patients from other states like Arizona, but we do see patients from Texas and other states as well.’[/pullquote]\u003ca href=\"https://www.guttmacher.org/monthly-abortion-provision-study\">A new study by the Guttmacher Institute\u003c/a>, a research organization that supports reproductive rights, shows that the number of abortions in California has increased by 16% since the end of Roe v. Wade.\u003c/p>\n\u003cp>It found 12,300 more abortions were performed from January to June 2023 compared to a similar time period in 2020. That marked the second-largest numerical increase in abortions among states.\u003c/p>\n\u003cp>Cathren Cohen, staff attorney at the UCLA Center on Reproductive Health, Law and Policy, said \u003ca href=\"https://law.ucla.edu/sites/default/files/PDFs/Center_on_Reproductive_Health/California_Abortion_Estimates.pdf\">some patients seeking abortions may be traveling from states where bans have not yet been legalized or instituted (PDF)\u003c/a>.\u003c/p>\n\u003cp>“When people hear the news about the introduction of bans in states like North Carolina, Florida or even Arizona, there is a significant chilling effect,” she said. “People don’t seek out care because they think it is illegal, even if it is six months before those laws go into effect.”\u003c/p>\n\u003ch2>Planned Parenthood union vote\u003c/h2>\n\u003cp>Reproductive care workers, especially those close to the border, are feeling burdened by the increase in patients. The Planned Parenthood employees who voted to join the union last week said they believe they are underpaid and overworked, contributing to turnover.\u003c/p>\n\u003cp>“I am excited to be able to hopefully repair employee benefits in this organization in a way that truly benefits our employees,” Kusiak said. “Given how hard we work, when we show up to work every day, we really need to have that better balance in our lives.”\u003c/p>\n\u003cp>Alex Scordato was one of the earliest employees of Planned Parenthood Pacific Southwest who advocated to form a union.\u003c/p>\n\u003cp>“It started about a year ago, with actually a conversation between a relatively small group of admin workers and clinical staff,” they said. “We only had about eight people, had an informal session where we’re comparing our pay, talking about various issues.”\u003c/p>\n\u003cfigure id=\"attachment_11961749\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003ca href=\"https://ww2.kqed.org/news/2023/09/19/some-california-planned-parenthood-workers-vote-to-unionize-as-demand-from-out-of-state-patients-increases/09172023_alex_scordato_ah_cm_03/\" rel=\"attachment wp-att-11961749\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-11961749\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/09/09172023_Alex_Scordato_AH_CM_03.jpg\" alt=\"a white male-appearing person stands in a collared shirt in front of a row of offices\" width=\"2000\" height=\"1333\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2023/09/09172023_Alex_Scordato_AH_CM_03.jpg 2000w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/09172023_Alex_Scordato_AH_CM_03-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/09172023_Alex_Scordato_AH_CM_03-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/09172023_Alex_Scordato_AH_CM_03-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/09172023_Alex_Scordato_AH_CM_03-1536x1024.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/09172023_Alex_Scordato_AH_CM_03-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Alex Scordato, who was one of the first Planned Parenthood employees to advocate forming a union, stands in front of the San Diego LGBT Community Center. \u003ccite>(Adriana Heldiz, CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The group soon realized that they were dealing with similar issues and decided that a union would be their best bet.\u003c/p>\n\u003cp>Darrah Johnson, president of Planned Parenthood of the Pacific Southwest, said in a statement to CalMatters, “As an organization that champions everyone’s right to pursue their own path to a healthy and meaningful life, our goal throughout this process was to ensure that every employee had the opportunity to participate in a fair election.”\u003c/p>\n\u003cp>“We are proud of the number of staff who participated in the National Labor Relations Board election and made their voice heard today. We look forward to continuing to work together with our staff and now, SEIU-UHW, to ensure Planned Parenthood of the Pacific Southwest is a compassionate and affirming place to give and get care,” she added.\u003c/p>\n\u003cp>The union could be one of the largest representing Planned Parenthood workers in the country.\u003c/p>\n\u003cp>“I think this sends a ripple to not only other Planned Parenthood affiliates across the country, but other nonprofit health care organizations, that this is possible, this is coming,” he said. “This is the rebirth of the labor movement. It’s not just a hot labor summer. This is here to last.”\u003c/p>\n\u003cp>\u003cem>Supported by the California Health Care Foundation (CHCF), which works to ensure that people have access to the care they need, when they need it, at a price they can afford. Visit \u003ca href=\"https://www.chcf.org/\">www.chcf.org\u003c/a> to learn more.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "Planned Parenthood clinics in southern California saw a sharp increase in abortions after the Supreme Court struck down Roe v. Wade. Now, workers there are creating a union.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Mia Neustein calls her work for Planned Parenthood in the Coachella Valley her “dream job.” She believes in the organization’s mission, and wants to be a part of it for years to come.\u003c/p>\n\u003cp>But the pace of that work has increased substantially since last year, when \u003ca href=\"https://www.kqed.org/forum/2010101889641/supreme-court-strikes-down-roe-v-wade\">the Supreme Court ended the nationwide right to abortion\u003c/a>, leading some out-of-state patients to travel to Southern California for care.\u003c/p>\n\u003cp>That trend, coupled with several local decisions that she said exacerbated stresses on her colleagues, led workers at her clinic last week to vote to create a union. They’re joining a labor movement taking root at a number of other Planned Parenthood clinics in states that have protected abortion rights since the Supreme Court struck down Roe v. Wade.\u003c/p>\n\u003cp>“The types of working conditions that we’ve been dealing with, especially in the last year or so, have really pushed people toward realizing how necessary a union is,” said Neustein, who started working for Planned Parenthood as a health center educator two years ago.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Her clinic belongs to \u003ca href=\"https://www.plannedparenthood.org/planned-parenthood-pacific-southwest\">Planned Parenthood of the Pacific Southwest\u003c/a>, a group of 26 sites in Imperial, Riverside and San Diego counties that regularly sees patients from states with abortion restrictions. The organization estimates that 10% of its patients since the 2022 Supreme Court decision have come from other states.\u003c/p>\n\u003cp>About 93% of the workers who voted supported joining \u003ca href=\"https://www.seiu-uhw.org/press/550-planned-parenthood-workers-across-southern-ca-vote-to-join-seiu-uhw-in-historic-victory-for-reproductive-health/\">SEIU-United Healthcare Workers West\u003c/a>. After certification by the National Labor Relations Board, the union would represent 550 Planned Parenthood workers ranging from clinicians to registered nurses and licensed social workers.\u003c/p>\n\u003cp>Workers said they hope to get better pay, an improved time-off policy and safer working conditions through this union.\u003c/p>\n\u003cp>California voters \u003ca href=\"https://www.kqed.org/news/11931183/californians-vote-to-protect-abortion-in-constitution\">cemented the right to abortion in the state constitution last year\u003c/a>, and Gov. Gavin Newsom has \u003ca href=\"https://www.kqed.org/news/11924553/california-expands-abortion-protections-including-200-million-for-lower-income-undocumented-and-out-of-state-patients\">signed more than two dozen other laws\u003c/a> that are designed to expand access to reproductive care after the 2022 Supreme Court decision known as Dobbs. He and other Democratic leaders have championed California \u003ca href=\"https://calmatters.org/explainers/abortion-in-california-laws/\">as a safe haven for women seeking abortions\u003c/a>.\u003c/p>\n\u003cp>At the same time, 22 states have introduced or passed legislation to restrict or ban abortion, \u003ca href=\"https://www.axios.com/2022/06/25/abortion-illegal-7-states-more-bans-coming\">according to the news organization Axios\u003c/a>. One of them, Arizona, shares a border with California. \u003ca href=\"https://www.reuters.com/world/us/arizona-governor-signs-15-week-abortion-ban-into-law-2022-03-30/\">Arizona prohibits most abortions after 15 weeks\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch2>More abortions in California\u003c/h2>\n\u003cp>In states where abortion remains legal, reproductive care workers have been complaining about being overworked due to increased demand for care from out-of-state patients. \u003ca href=\"https://www.kcrw.com/news/shows/greater-la/abortion-strikes/planned-parenthood-union\">Planned Parenthood workers\u003c/a> in at least seven states, including Massachusetts and Nebraska, have decided to unionize, according to news reports.\u003c/p>\n\u003cp>“We’ve definitely seen an increase in patients,” said Libby Kusiak, a certified physician associate at a Planned Parenthood in San Diego. “We see a lot of out-of-state patients since we’re kind of really perfectly nestled geographically to serve and accommodate patients from other states like Arizona, but we do see patients from Texas and other states as well.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003ca href=\"https://www.guttmacher.org/monthly-abortion-provision-study\">A new study by the Guttmacher Institute\u003c/a>, a research organization that supports reproductive rights, shows that the number of abortions in California has increased by 16% since the end of Roe v. Wade.\u003c/p>\n\u003cp>It found 12,300 more abortions were performed from January to June 2023 compared to a similar time period in 2020. That marked the second-largest numerical increase in abortions among states.\u003c/p>\n\u003cp>Cathren Cohen, staff attorney at the UCLA Center on Reproductive Health, Law and Policy, said \u003ca href=\"https://law.ucla.edu/sites/default/files/PDFs/Center_on_Reproductive_Health/California_Abortion_Estimates.pdf\">some patients seeking abortions may be traveling from states where bans have not yet been legalized or instituted (PDF)\u003c/a>.\u003c/p>\n\u003cp>“When people hear the news about the introduction of bans in states like North Carolina, Florida or even Arizona, there is a significant chilling effect,” she said. “People don’t seek out care because they think it is illegal, even if it is six months before those laws go into effect.”\u003c/p>\n\u003ch2>Planned Parenthood union vote\u003c/h2>\n\u003cp>Reproductive care workers, especially those close to the border, are feeling burdened by the increase in patients. The Planned Parenthood employees who voted to join the union last week said they believe they are underpaid and overworked, contributing to turnover.\u003c/p>\n\u003cp>“I am excited to be able to hopefully repair employee benefits in this organization in a way that truly benefits our employees,” Kusiak said. “Given how hard we work, when we show up to work every day, we really need to have that better balance in our lives.”\u003c/p>\n\u003cp>Alex Scordato was one of the earliest employees of Planned Parenthood Pacific Southwest who advocated to form a union.\u003c/p>\n\u003cp>“It started about a year ago, with actually a conversation between a relatively small group of admin workers and clinical staff,” they said. “We only had about eight people, had an informal session where we’re comparing our pay, talking about various issues.”\u003c/p>\n\u003cfigure id=\"attachment_11961749\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003ca href=\"https://ww2.kqed.org/news/2023/09/19/some-california-planned-parenthood-workers-vote-to-unionize-as-demand-from-out-of-state-patients-increases/09172023_alex_scordato_ah_cm_03/\" rel=\"attachment wp-att-11961749\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-11961749\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/09/09172023_Alex_Scordato_AH_CM_03.jpg\" alt=\"a white male-appearing person stands in a collared shirt in front of a row of offices\" width=\"2000\" height=\"1333\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2023/09/09172023_Alex_Scordato_AH_CM_03.jpg 2000w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/09172023_Alex_Scordato_AH_CM_03-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/09172023_Alex_Scordato_AH_CM_03-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/09172023_Alex_Scordato_AH_CM_03-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/09172023_Alex_Scordato_AH_CM_03-1536x1024.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/09172023_Alex_Scordato_AH_CM_03-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Alex Scordato, who was one of the first Planned Parenthood employees to advocate forming a union, stands in front of the San Diego LGBT Community Center. \u003ccite>(Adriana Heldiz, CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The group soon realized that they were dealing with similar issues and decided that a union would be their best bet.\u003c/p>\n\u003cp>Darrah Johnson, president of Planned Parenthood of the Pacific Southwest, said in a statement to CalMatters, “As an organization that champions everyone’s right to pursue their own path to a healthy and meaningful life, our goal throughout this process was to ensure that every employee had the opportunity to participate in a fair election.”\u003c/p>\n\u003cp>“We are proud of the number of staff who participated in the National Labor Relations Board election and made their voice heard today. We look forward to continuing to work together with our staff and now, SEIU-UHW, to ensure Planned Parenthood of the Pacific Southwest is a compassionate and affirming place to give and get care,” she added.\u003c/p>\n\u003cp>The union could be one of the largest representing Planned Parenthood workers in the country.\u003c/p>\n\u003cp>“I think this sends a ripple to not only other Planned Parenthood affiliates across the country, but other nonprofit health care organizations, that this is possible, this is coming,” he said. “This is the rebirth of the labor movement. It’s not just a hot labor summer. This is here to last.”\u003c/p>\n\u003cp>\u003cem>Supported by the California Health Care Foundation (CHCF), which works to ensure that people have access to the care they need, when they need it, at a price they can afford. Visit \u003ca href=\"https://www.chcf.org/\">www.chcf.org\u003c/a> to learn more.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>A federal appeals court ruled Wednesday that mifepristone, one of two pills used in medication abortions, should not be prescribed past seven weeks of pregnancy or via telemedicine. However, a previous stay by the Supreme Court means this won’t go into effect right away.\u003c/p>\n\u003cp>The pills will remain on the market and available by telemedicine and mail for the time being.\u003c/p>\n\u003cp>In a \u003ca href=\"https://adfmedialegalfiles.blob.core.windows.net/files/AHM-5thCircuitRuling.pdf\">93-page ruling (PDF)\u003c/a>, the 5\u003csup>th\u003c/sup> Circuit Court of Appeals in New Orleans sided with \u003ca href=\"https://adfmedia.org/case/alliance-hippocratic-medicine-v-us-food-and-drug-administration\">plaintiffs\u003c/a> that want to restrict use of mifepristone, a pill used in medication abortions.\u003c/p>\n\u003cp>The Alliance Defending Freedom, which brought the case, cheered the opinion.\u003c/p>\n\u003cp>“This is a significant victory for the doctors and medical associations we represent and, more importantly, the health and safety of women,” says Erin Hawley, the senior counsel with the Alliance Defending Freedom.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The federal Department of Justice is defending the Food and Drug Administration in the case. A spokesperson for DOJ said the department strongly disagrees with the ruling and is looking for the Supreme Court to review it.\u003c/p>\n\u003cp>Mary Ziegler, a professor of law at the University of California, Davis who has written books about the history of abortion, said she was not surprised by the decision. “My impression is that this is the Fifth Circuit trying to resurrect what had been a pretty flawed case in the hope that this Supreme Court is conservative enough that there’s no case too weak or extreme, really, for this court on abortion,” says Ziegler.\u003c/p>\n\u003cp>The Supreme Court is likely to hear the case in the fall, possibly with another \u003ca href=\"https://www.npr.org/2023/02/25/1159565357/washington-state-attorney-general-says-fda-rules-on-abortion-drug-are-unreasonab\">case from Washington state\u003c/a> that seeks to expand access to the medicine.\u003c/p>\n\u003cp>The case is an unprecedented challenge to the authority of the Food and Drug Administration to approve medications.\u003c/p>\n\u003cp>A three judge panel of the 5\u003csup>th\u003c/sup> Circuit heard arguments in the case in May. All three judges were appointed by Republicans. Two are Trump appointees, one was appointed by George W. Bush.\u003c/p>\n\u003cp>Mifepristone and misoprostol, the two-drug regimen, is used in about 50% of abortions now. Since its approval by the FDA in 2000, the drug has been used for abortions by more than 5 million women in the U.S. A \u003ca href=\"https://www.kff.org/womens-health-policy/fact-sheet/the-availability-and-use-of-medication-abortion/\">study from KFF, an independent health policy organization\u003c/a>, determined that medication abortion successfully terminates pregnancy 99.6% of the time. The foundation found a 0.4% risk of major complications and a mortality rate of less than 0.001%.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The crux of the plaintiffs’ case concerns those rare complications. Attorney Hawley, who is married to Sen. Josh Hawley, the Republican from Missouri, argued that physicians who oppose abortion would be facing a moral injury if they had to care for a woman after a complication after taking mifepristone.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2023 NPR. To see more, visit https://www.npr.org.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Ruling+deals+blow+to+access+to+abortion+pill+mifepristone+%E2%80%94+but+nothing+changes+yet&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n",
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"excerpt": "A federal appeals court would restrict the use of mifepristone, a pill used in medication abortions. But previous action by the Supreme Court means the status quo holds for now.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>A federal appeals court ruled Wednesday that mifepristone, one of two pills used in medication abortions, should not be prescribed past seven weeks of pregnancy or via telemedicine. However, a previous stay by the Supreme Court means this won’t go into effect right away.\u003c/p>\n\u003cp>The pills will remain on the market and available by telemedicine and mail for the time being.\u003c/p>\n\u003cp>In a \u003ca href=\"https://adfmedialegalfiles.blob.core.windows.net/files/AHM-5thCircuitRuling.pdf\">93-page ruling (PDF)\u003c/a>, the 5\u003csup>th\u003c/sup> Circuit Court of Appeals in New Orleans sided with \u003ca href=\"https://adfmedia.org/case/alliance-hippocratic-medicine-v-us-food-and-drug-administration\">plaintiffs\u003c/a> that want to restrict use of mifepristone, a pill used in medication abortions.\u003c/p>\n\u003cp>The Alliance Defending Freedom, which brought the case, cheered the opinion.\u003c/p>\n\u003cp>“This is a significant victory for the doctors and medical associations we represent and, more importantly, the health and safety of women,” says Erin Hawley, the senior counsel with the Alliance Defending Freedom.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The federal Department of Justice is defending the Food and Drug Administration in the case. A spokesperson for DOJ said the department strongly disagrees with the ruling and is looking for the Supreme Court to review it.\u003c/p>\n\u003cp>Mary Ziegler, a professor of law at the University of California, Davis who has written books about the history of abortion, said she was not surprised by the decision. “My impression is that this is the Fifth Circuit trying to resurrect what had been a pretty flawed case in the hope that this Supreme Court is conservative enough that there’s no case too weak or extreme, really, for this court on abortion,” says Ziegler.\u003c/p>\n\u003cp>The Supreme Court is likely to hear the case in the fall, possibly with another \u003ca href=\"https://www.npr.org/2023/02/25/1159565357/washington-state-attorney-general-says-fda-rules-on-abortion-drug-are-unreasonab\">case from Washington state\u003c/a> that seeks to expand access to the medicine.\u003c/p>\n\u003cp>The case is an unprecedented challenge to the authority of the Food and Drug Administration to approve medications.\u003c/p>\n\u003cp>A three judge panel of the 5\u003csup>th\u003c/sup> Circuit heard arguments in the case in May. All three judges were appointed by Republicans. Two are Trump appointees, one was appointed by George W. Bush.\u003c/p>\n\u003cp>Mifepristone and misoprostol, the two-drug regimen, is used in about 50% of abortions now. Since its approval by the FDA in 2000, the drug has been used for abortions by more than 5 million women in the U.S. A \u003ca href=\"https://www.kff.org/womens-health-policy/fact-sheet/the-availability-and-use-of-medication-abortion/\">study from KFF, an independent health policy organization\u003c/a>, determined that medication abortion successfully terminates pregnancy 99.6% of the time. The foundation found a 0.4% risk of major complications and a mortality rate of less than 0.001%.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The crux of the plaintiffs’ case concerns those rare complications. Attorney Hawley, who is married to Sen. Josh Hawley, the Republican from Missouri, argued that physicians who oppose abortion would be facing a moral injury if they had to care for a woman after a complication after taking mifepristone.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2023 NPR. To see more, visit https://www.npr.org.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Ruling+deals+blow+to+access+to+abortion+pill+mifepristone+%E2%80%94+but+nothing+changes+yet&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>",
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"title": "College-Bound Californians Prepare For Abortion Bans Out of State",
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"content": "\u003cp>\u003ca href=\"#episode-transcript\">\u003ci>\u003cspan style=\"font-weight: 400\">View the full episode transcript.\u003c/span>\u003c/i>\u003c/a>\u003c/p>\n\u003cp>I’laysia Vital is about to leave Oakland to start college in Texas, where she’s excited to attend a historically Black university. But Texas is also one of more than a dozen states that has banned abortion.\u003c/p>\n\u003cp>KQED’s April Dembosky takes us inside a health clinic at Oakland Technical High School, where staff are helping college-bound students prepare for the barriers to reproductive health that await them in other states.\u003c/p>\n\u003cp id=\"embed-code\" class=\"inconsolata\">\n\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" frameborder=\"0\" height=\"200\" scrolling=\"no\" src=\"https://playlist.megaphone.fm/?e=KQINC3124767673&light=true\" width=\"100%\" class=\"iframe-class\">\u003c/iframe>\n\u003c/p>\n\u003cp>\u003cstrong>Links:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.kqed.org/science/1983772/college-bound-californians-prepare-for-rocky-reproductive-health-landscape-away-from-home\" target=\"_blank\" rel=\"noopener\">\u003cspan style=\"font-weight: 400\">College-Bound Californians Navigate Abortion Bans Away From Home\u003c/span>\u003c/a>\u003c/li>\n\u003c/ul>\n\u003ch2 id=\"episode-transcript\">Episode Transcript\u003c/h2>\n\u003cp>\u003ci>\u003cspan style=\"font-weight: 400\">This is a computer-generated transcript. While our team has reviewed it, there may be errors.\u003c/span>\u003c/i>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>I’m Ericka Cruz Guevara, and welcome to The Bay. Local News to Keep You Rooted. Okay, So if you’ve lived in California your whole life, you’re probably used to having a lot of rights when it comes to reproductive health. So moving to another state can be a shock, especially if you’re an incoming college student, especially if it’s to one of the dozen or so states that have banned abortion.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>April Dembosky: \u003c/strong>They’re very focused on what they want to study and the environment they want to study in. And reproductive health care is not always the first thing they’re thinking of.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Today, we’re going inside a health clinic at Oakland Technical High School, and we’re going to meet a student preparing to navigate abortion bans away from home. Stay with us.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>April Dembosky: \u003c/strong>I met I’laysia Vital in June, right after she graduated from Oakland Technical High School.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>April Dembosky is a health correspondent for KQED.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>April Dembosky: \u003c/strong>She had taken classes in computer science there. Then she switched over to health, became very interested in that.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>I’laysia Vital: \u003c/strong>I really like school. I like learning. I feel like my favorite hobby to do is learning something new and especially learning about the body. So I feel like.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>April Dembosky: \u003c/strong>She wants to study kinesiology in college. She’s really into sports and wants to become an athletic trainer.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>I’laysia Vital: \u003c/strong>I plan on starting to like go from high school level sports and then doing like the high school and like the private schools, then working my way up to like minor league. And then hopefully in the future I would be working for the big like NFL. That’s where I really want to go. Is the NFL all the way to the tippy top within like, like ten years?\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>When she was looking at colleges, what what was she looking for?\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>April Dembosky: \u003c/strong>Well, last fall, her school organized a tour of historically black colleges and universities in the South. And she loved.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>I’laysia Vital: \u003c/strong>It. I’ve always wanted to go to a colleges HBCU. I feel like it’s really just motivation and stuff to go see, like all black people thriving there.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>April Dembosky: \u003c/strong>So when she visited TSU, in particular at Texas Southern University, she really fell in love with it.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>I’laysia Vital: \u003c/strong>Toward Grambling I toward Southern Eye, toward Dillard. And I feel like TCU really spoke out because I liked how modern it was was a really big school. I like Houston just period I just like the city. So I feel like that was connected to me more.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>April Dembosky: \u003c/strong>Plus, her grandparents live in Texas and she loved the idea of living near them.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>I’laysia Vital: \u003c/strong>I wanted to go back there and like meet all my cousins and even see my grandma, my grandpa all the time because I’m like really close with them, but they live really far.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>April Dembosky: \u003c/strong>So she applied to TSU and she got accepted and she’s about to move there this month.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>I’laysia Vital: \u003c/strong>It’s like I’m excited for like my first day, really, and me moving all the way and then I get to decorate my dorm and decorate my stuff. So yeah, I’m excited about that.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Yeah. I mean, I feel like when you’re thinking about going to college, you are thinking about those practical things, like, do I have family nearby if I’m going to move far away or can I afford this? What major do I want to I see myself here. But when did I Leisa first start to realize that moving from California to Texas would mean going somewhere with actually fewer reproductive rights?\u003c/p>\n\u003cp style=\"font-weight: 400\">\n\u003c/p>\u003cp style=\"font-weight: 400\">\u003cstrong>April Dembosky: \u003c/strong>Last summer, the Supreme Court overturned Roe v Wade, and that got rid of the constitutional right to abortion that had been in place for 50 years. It left the decision to states. And after that happened, Ilesha started hearing about protests either here in the Bay Area locally or on social media.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>I’laysia Vital: \u003c/strong>And I’ve seen people going to like the Planned Parenthood or to the clinics and being shut out or being like there’s protesters in front.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>Protester \u003c/strong>Of and anybody that tells you your idea to have an abortion. It’s a stand against God.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>I’laysia Vital: \u003c/strong>And they’re honking or like, pushing stuff like pushing people. And there was like, fights and stuff in the streets. I feel like it really brought to my attention that that was happening in a lot of states, like in the South. And that’s where I want to go anyway. So I think I kind of like did more research.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>April Dembosky: \u003c/strong>A lot of us when we are looking for college, sometimes we’re looking for something really different from what we’ve known. I think I leisure was really attracted to those things and then didn’t realize that she was going to have to make some trade offs. Texas is one of the first states to ban abortion after the Supreme Court decision. There are more than a dozen states that ban the procedure now and more that restrict access. And so that’s what got Ilesha thinking. Maybe I need to prepare for this.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>I’laysia Vital: \u003c/strong>Even like I said, I’ll take type before. When I’ve seen that grown ticked up. I feel like it really like show like it was a reality check that I really need to like get on top of it before I go because I know I’m going there first and I already have a lot of resources here in my high school.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>April Dembosky: \u003c/strong>So she went to the clinic at her school for something they’re doing there this year called the senior sendoff appointment.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>When I’laysia and other Oakland Tech students need medical help, they often go to a place called the Technique Clinic. It’s this small purple building right on campus run by a nonprofit called La Clinica de La Raza. Students can go to the clinic between classes for everything from AI appointments to STD tests, and they don’t have to tell their parents or use their insurance plan either. There are about 300 school based clinics like this one all over the state. And April was able to shadow the staff there for a day to see how they helped the students. Can you introduce me to Aaron Cramer and tell me a little bit about what she does?\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>April Dembosky: \u003c/strong>Arin Kramer is a nurse practitioner at the tech clinic.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>Arin Kramer: \u003c/strong>And I’ve been working in adolescent medicine and school based health for about 15 years. And at the clinic.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>April Dembosky: \u003c/strong>You know, when she is doing her job, she’s not just thinking about the medical care she gives or solving the health mysteries that are in front of her. But she’s thinking really holistically about her patients.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>Arin Kramer: \u003c/strong>These are kids that are like on the precipice of the rest of like of a whole new world. They’re about to become adults. They’re learning how they’re learning about their own bodies. They want to be autonomous. They want to be empowered.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>April Dembosky: \u003c/strong>I followed her around for a day and, you know, a couple of patients that she was supposed to see that day canceled in the morning. And so she called them up.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>Arin Kramer: \u003c/strong>This is Arin, the nurse practitioner from the tech clinic. Just came in your call this morning. Sorry to call you so early.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>April Dembosky: \u003c/strong>And it turns out the student really did want to come in for her appointment, that she just couldn’t get a ride. And then she sends an Uber to pick the student up and bring her to the clinic if you want.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>Arin Kramer: \u003c/strong>The other option is we do have a service that like an Uber service that can help you get to clinic if they have insurance. \u003cstrong>April Dembosky: \u003c/strong>So you can see all of these ways in which Nurse Kramer is trying to meet students where they’re at.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>Arin Kramer: \u003c/strong>All right, All right. Talk soon. Bye bye.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>April Dembosky: \u003c/strong>But it seems pretty common for late people to canceled. But then does the follow up actually kind of…is that a helpful nudge?\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>Arin Kramer: \u003c/strong> Yes.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Well, I mean it sounds like Arin has a pretty close eye and ear towards like what students need. So I’m curious how she has started to sort of see the needs of her students shifting since the end of Roe v Wade.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>April Dembosky: \u003c/strong>They have become a lot more proactive. So if you remember Roe v Wade, the decision to overturn it was at the end of June last year. And so, you know, students that year had already graduated. Most had already been moving on. And then, of course, in the wake is when we saw states starting to pass their own state laws banning or restricting access to the procedure.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>Arin Kramer: \u003c/strong>We’ve seen new changes in Georgia and other other states. So a lot of a lot of these things are just changing really dynamically.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>April Dembosky: \u003c/strong>So this is really the first year that the nurses have really been incorporating this new legal landscape into the medical care that they provide.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>Arin Kramer: \u003c/strong>I had a patient recently who moved to Texas and did still it felt really worried about her access to getting prescriptions for the patch. So she we were able to dispense a year’s supply of the patch and she brought that with her to Texas.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>And I know I’laysia is one of these patients, someone who is feeling nervous about going to Texas and, you know, realizing sort of the roadblocks ahead in terms of reproductive health for her. I’m curious, April, if we have a sense of how common that is. This experience is like are there a lot of students going to conservative states for college and then sort of realizing that there will be these serious roadblocks when they get there?\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>April Dembosky: \u003c/strong>The nurses and the staff at the clinic have seen enough students who are headed to southern states that they have set up this senior sendoff appointment.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>Arin Kramer: \u003c/strong>A lot of the students, some of the students we talked to today really want to go to historically black colleges and universities and and have that incredible community experience. And to be in a state where they’re not supported with their reproductive health feels scary.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>April Dembosky: \u003c/strong>They formalized this appointment where they want to talk to patients and make sure that they’re aware of the legal landscapes that they’re moving into. So they are proactively reaching out to seniors who are graduating, finding out where they’re going to college, where you’re thinking of going to college, and then taking the appropriate steps from there.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Let’s talk more about these senior sendoff appointments at the Technic Clinic. I know Erin and I’laysia were actually kind enough to let you sit in on Iglesias appointment. What did they talk about?\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>April Dembosky: \u003c/strong>They talked about life.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>I’laysia Vital: \u003c/strong>So yeah. And I recently got accepted into TSU in Texas. So, yeah, I’m glad we have this one because I’m going straight to Texas. You are? Yeah. I think we start August 27.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>April Dembosky: \u003c/strong>I’laysia Vital had just had a birthday.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>I’laysia Vital: \u003c/strong>Me and my friends, we went to, like, party, like at Airbnb, and then we had, like, food there and they had a hot tub and, like, ping pong tables and stuff. So that’s all we did was. Yeah.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>Arin Kramer: \u003c/strong>Who planned to that thing?\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>I’laysia Vital: \u003c/strong>My mom.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>Arin Kramer: \u003c/strong>Oh, my God. You do have the best mom.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>I’laysia Vital: \u003c/strong>Yeah.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>April Dembosky: \u003c/strong>She asked her about her general health.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>Arin Kramer: \u003c/strong>Um, sleeping okay at night?\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>I’laysia Vital: \u003c/strong>Yeah.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>Arin Kramer: \u003c/strong>Okay.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>April Dembosky: \u003c/strong>But then when it came time to talk about their birth control options, Nurse Kramer asked Alicia, So who are you talking to these days? And that is adolescent speak for who are you having sex with?\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>Arin Kramer: \u003c/strong>All right. And tell me, who are you talking to these days?\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>I’laysia Vital: \u003c/strong>Uh, same person. Yeah.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>Arin Kramer: \u003c/strong>Off and on forever and ever. Can you remind me his name?\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>April Dembosky: \u003c/strong>And Nurse Kramer knows that this is how teenagers talk to each other about this kind of thing. And so for her, it’s a way of building trust and meeting students where they’re at and hopefully having an open, honest conversation. And then they talked a lot about different birth control options.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>Arin Kramer: \u003c/strong>And tell me a little bit about what you’re thinking in terms of birth control.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>I’laysia Vital: \u003c/strong>I was looking at the the multiple choices and I’ve seen the the parent guard, the IUD one. Yeah. And I was like talking about that. I think the other.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>April Dembosky: \u003c/strong>Kramer has a poster on the wall of the exam room that has, you know, little pictures or images of all the different birth control methods. And she would point to them and explain how each one worked. So Alecia was pretty clear that she didn’t want to rely on birth control pills or patches.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>I’laysia Vital: \u003c/strong>Because I’m very forgetful. Even if I set my alarm or write it down, it’s still slipped my mind. So I think that.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>April Dembosky: \u003c/strong>They talked about other long acting options. So they talked a lot about IUDs. These are tiny devices that get inserted into the uterus and they are very effective at preventing pregnancy. I. Liza wasn’t quite down with that. She didn’t quite like the sound of that. But she had had a hormonal implant before. And this is a tiny rod that gets inserted into the upper arm. And she was thinking about getting that again.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>I’laysia Vital: \u003c/strong>I think I want to go back to the implant, the next implant, because it’s more it fits in my age range, I think, and I feel like it’s not like like a drastic change, but I just feel like I’d rather have something like it’s permanent but might not all the way permanent.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>April Dembosky: \u003c/strong>She ultimately decided to go with the implant again, which is good for up to five years, that she would never have to think about it.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>Arin Kramer: \u003c/strong>And after you sign this than I might have, you just step out of the room for a second. We’ll set up the room, and then we’ll do it. Okay. 5 minutes. Okay. Other questions?\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>I’laysia Vital: \u003c/strong>No, I think you covered everything.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>Arin Kramer: \u003c/strong>Awesome.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Well, April, how much can this clinic help students once they’ve actually left the state? Like, would Alysha, for example, be able to, like, call Erin up while she’s in Texas?\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>April Dembosky: \u003c/strong>I’laysia can certainly call Arin up and Arin is very proactive about explaining to students we’re still here. They’re allowed to see their patients up until they’re 21. So any time that I Leisa came back home to visit her parents, for example, if she was there for break or over the summer, she’s more than welcome to come in to the technical clinic and get all the range of services for free. Nurse Cramer can write prescriptions, and if I Leisa comes back and says, you know, I don’t really like the implant, I want something else. Aaron will work with her to come up with something else. What’s less clear is we’re in this very strange time right now with each state codifying different laws. People, as we now know, are not just going to stay in one place. And so how these laws interact with each other when people cross state borders. There’s just so many questions around that. So Nurse Cramer herself wasn’t totally clear on whether she would be allowed to say write a prescription for a birth control method for Aleisha to pick up in Texas. There are just different kinds of rules around health care providers and what they’re allowed to do for people in other states when it comes to abortion services, that’s also unclear. There’s lots of talk right now about someone who’s a resident of Texas coming to a place like California for abortion care. The state of Texas says they have the right to sue the doctor in California who provided care to the Texas resident. California says, no, we have laws that protect doctors. So I think some of these things are it’s going to take time to see how they’re all going to play out.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>In the end, April, I mean, going to college is supposed to be a really exciting time. What is I Leisa looking forward to the most about leaving the nest and also going to her dream school Texas southern.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>April Dembosky: \u003c/strong>Yeah. Like a lot of college bound teenagers, she’s thinking a lot about how she’s going to decorate her dorm room. Her twin sister is coming with her. They plan to bunk together, so they’re working out what kind of color scheme they’re going to go with. But Alisha is also really excited about college things, being independent, you know, moving on her own steam, going to classes, being on her own.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>I’laysia Vital: \u003c/strong>It’s more adult than high school, like high schools like adult. But college is really, though, you’re not with your peers, especially if you like, leave and go to a different school, not in your hometown. So I’m really excited for the growing up part of it.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>April, thank you so much for sharing your reporting with us and joining us on the show. I appreciate it.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>April Dembosky: \u003c/strong>Happy to do it.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>That was April Dembosy, a health correspondent for KQED. This 30 minute conversation with April was cut down and edited by producer Maria Esquinca. Allen Montecillo is our senior editor. He scored this episode and added all the tape. If you liked this episode, consider sharing it with a friend. Word of mouth is one of the best ways to help our show. I’m Ericka Cruz Guevara. Thank you for listening to the bay. Talk to you next time.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp style=\"font-weight: 400\">\n\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003ca href=\"#episode-transcript\">\u003ci>\u003cspan style=\"font-weight: 400\">View the full episode transcript.\u003c/span>\u003c/i>\u003c/a>\u003c/p>\n\u003cp>I’laysia Vital is about to leave Oakland to start college in Texas, where she’s excited to attend a historically Black university. But Texas is also one of more than a dozen states that has banned abortion.\u003c/p>\n\u003cp>KQED’s April Dembosky takes us inside a health clinic at Oakland Technical High School, where staff are helping college-bound students prepare for the barriers to reproductive health that await them in other states.\u003c/p>\n\u003cp id=\"embed-code\" class=\"inconsolata\">\n\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" frameborder=\"0\" height=\"200\" scrolling=\"no\" src=\"https://playlist.megaphone.fm/?e=KQINC3124767673&light=true\" width=\"100%\" class=\"iframe-class\">\u003c/iframe>\n\u003c/p>\n\u003cp>\u003cstrong>Links:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.kqed.org/science/1983772/college-bound-californians-prepare-for-rocky-reproductive-health-landscape-away-from-home\" target=\"_blank\" rel=\"noopener\">\u003cspan style=\"font-weight: 400\">College-Bound Californians Navigate Abortion Bans Away From Home\u003c/span>\u003c/a>\u003c/li>\n\u003c/ul>\u003c/div>",
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"content": "\u003cdiv class=\"post-content post-body\">\u003ch2 id=\"episode-transcript\">Episode Transcript\u003c/h2>\n\u003cp>\u003ci>\u003cspan style=\"font-weight: 400\">This is a computer-generated transcript. While our team has reviewed it, there may be errors.\u003c/span>\u003c/i>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>I’m Ericka Cruz Guevara, and welcome to The Bay. Local News to Keep You Rooted. Okay, So if you’ve lived in California your whole life, you’re probably used to having a lot of rights when it comes to reproductive health. So moving to another state can be a shock, especially if you’re an incoming college student, especially if it’s to one of the dozen or so states that have banned abortion.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>April Dembosky: \u003c/strong>They’re very focused on what they want to study and the environment they want to study in. And reproductive health care is not always the first thing they’re thinking of.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Today, we’re going inside a health clinic at Oakland Technical High School, and we’re going to meet a student preparing to navigate abortion bans away from home. Stay with us.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>April Dembosky: \u003c/strong>I met I’laysia Vital in June, right after she graduated from Oakland Technical High School.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>April Dembosky is a health correspondent for KQED.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>April Dembosky: \u003c/strong>She had taken classes in computer science there. Then she switched over to health, became very interested in that.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>I’laysia Vital: \u003c/strong>I really like school. I like learning. I feel like my favorite hobby to do is learning something new and especially learning about the body. So I feel like.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>April Dembosky: \u003c/strong>She wants to study kinesiology in college. She’s really into sports and wants to become an athletic trainer.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>I’laysia Vital: \u003c/strong>I plan on starting to like go from high school level sports and then doing like the high school and like the private schools, then working my way up to like minor league. And then hopefully in the future I would be working for the big like NFL. That’s where I really want to go. Is the NFL all the way to the tippy top within like, like ten years?\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>When she was looking at colleges, what what was she looking for?\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>April Dembosky: \u003c/strong>Well, last fall, her school organized a tour of historically black colleges and universities in the South. And she loved.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>I’laysia Vital: \u003c/strong>It. I’ve always wanted to go to a colleges HBCU. I feel like it’s really just motivation and stuff to go see, like all black people thriving there.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>April Dembosky: \u003c/strong>So when she visited TSU, in particular at Texas Southern University, she really fell in love with it.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>I’laysia Vital: \u003c/strong>Toward Grambling I toward Southern Eye, toward Dillard. And I feel like TCU really spoke out because I liked how modern it was was a really big school. I like Houston just period I just like the city. So I feel like that was connected to me more.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>April Dembosky: \u003c/strong>Plus, her grandparents live in Texas and she loved the idea of living near them.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>I’laysia Vital: \u003c/strong>I wanted to go back there and like meet all my cousins and even see my grandma, my grandpa all the time because I’m like really close with them, but they live really far.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>April Dembosky: \u003c/strong>So she applied to TSU and she got accepted and she’s about to move there this month.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>I’laysia Vital: \u003c/strong>It’s like I’m excited for like my first day, really, and me moving all the way and then I get to decorate my dorm and decorate my stuff. So yeah, I’m excited about that.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Yeah. I mean, I feel like when you’re thinking about going to college, you are thinking about those practical things, like, do I have family nearby if I’m going to move far away or can I afford this? What major do I want to I see myself here. But when did I Leisa first start to realize that moving from California to Texas would mean going somewhere with actually fewer reproductive rights?\u003c/p>\n\u003cp style=\"font-weight: 400\">\n\u003c/p>\u003cp style=\"font-weight: 400\">\u003cstrong>April Dembosky: \u003c/strong>Last summer, the Supreme Court overturned Roe v Wade, and that got rid of the constitutional right to abortion that had been in place for 50 years. It left the decision to states. And after that happened, Ilesha started hearing about protests either here in the Bay Area locally or on social media.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>I’laysia Vital: \u003c/strong>And I’ve seen people going to like the Planned Parenthood or to the clinics and being shut out or being like there’s protesters in front.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>Protester \u003c/strong>Of and anybody that tells you your idea to have an abortion. It’s a stand against God.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>I’laysia Vital: \u003c/strong>And they’re honking or like, pushing stuff like pushing people. And there was like, fights and stuff in the streets. I feel like it really brought to my attention that that was happening in a lot of states, like in the South. And that’s where I want to go anyway. So I think I kind of like did more research.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>April Dembosky: \u003c/strong>A lot of us when we are looking for college, sometimes we’re looking for something really different from what we’ve known. I think I leisure was really attracted to those things and then didn’t realize that she was going to have to make some trade offs. Texas is one of the first states to ban abortion after the Supreme Court decision. There are more than a dozen states that ban the procedure now and more that restrict access. And so that’s what got Ilesha thinking. Maybe I need to prepare for this.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>I’laysia Vital: \u003c/strong>Even like I said, I’ll take type before. When I’ve seen that grown ticked up. I feel like it really like show like it was a reality check that I really need to like get on top of it before I go because I know I’m going there first and I already have a lot of resources here in my high school.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>April Dembosky: \u003c/strong>So she went to the clinic at her school for something they’re doing there this year called the senior sendoff appointment.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>When I’laysia and other Oakland Tech students need medical help, they often go to a place called the Technique Clinic. It’s this small purple building right on campus run by a nonprofit called La Clinica de La Raza. Students can go to the clinic between classes for everything from AI appointments to STD tests, and they don’t have to tell their parents or use their insurance plan either. There are about 300 school based clinics like this one all over the state. And April was able to shadow the staff there for a day to see how they helped the students. Can you introduce me to Aaron Cramer and tell me a little bit about what she does?\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>April Dembosky: \u003c/strong>Arin Kramer is a nurse practitioner at the tech clinic.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>Arin Kramer: \u003c/strong>And I’ve been working in adolescent medicine and school based health for about 15 years. And at the clinic.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>April Dembosky: \u003c/strong>You know, when she is doing her job, she’s not just thinking about the medical care she gives or solving the health mysteries that are in front of her. But she’s thinking really holistically about her patients.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>Arin Kramer: \u003c/strong>These are kids that are like on the precipice of the rest of like of a whole new world. They’re about to become adults. They’re learning how they’re learning about their own bodies. They want to be autonomous. They want to be empowered.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>April Dembosky: \u003c/strong>I followed her around for a day and, you know, a couple of patients that she was supposed to see that day canceled in the morning. And so she called them up.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>Arin Kramer: \u003c/strong>This is Arin, the nurse practitioner from the tech clinic. Just came in your call this morning. Sorry to call you so early.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>April Dembosky: \u003c/strong>And it turns out the student really did want to come in for her appointment, that she just couldn’t get a ride. And then she sends an Uber to pick the student up and bring her to the clinic if you want.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>Arin Kramer: \u003c/strong>The other option is we do have a service that like an Uber service that can help you get to clinic if they have insurance. \u003cstrong>April Dembosky: \u003c/strong>So you can see all of these ways in which Nurse Kramer is trying to meet students where they’re at.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>Arin Kramer: \u003c/strong>All right, All right. Talk soon. Bye bye.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>April Dembosky: \u003c/strong>But it seems pretty common for late people to canceled. But then does the follow up actually kind of…is that a helpful nudge?\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>Arin Kramer: \u003c/strong> Yes.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Well, I mean it sounds like Arin has a pretty close eye and ear towards like what students need. So I’m curious how she has started to sort of see the needs of her students shifting since the end of Roe v Wade.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>April Dembosky: \u003c/strong>They have become a lot more proactive. So if you remember Roe v Wade, the decision to overturn it was at the end of June last year. And so, you know, students that year had already graduated. Most had already been moving on. And then, of course, in the wake is when we saw states starting to pass their own state laws banning or restricting access to the procedure.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>Arin Kramer: \u003c/strong>We’ve seen new changes in Georgia and other other states. So a lot of a lot of these things are just changing really dynamically.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>April Dembosky: \u003c/strong>So this is really the first year that the nurses have really been incorporating this new legal landscape into the medical care that they provide.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>Arin Kramer: \u003c/strong>I had a patient recently who moved to Texas and did still it felt really worried about her access to getting prescriptions for the patch. So she we were able to dispense a year’s supply of the patch and she brought that with her to Texas.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>And I know I’laysia is one of these patients, someone who is feeling nervous about going to Texas and, you know, realizing sort of the roadblocks ahead in terms of reproductive health for her. I’m curious, April, if we have a sense of how common that is. This experience is like are there a lot of students going to conservative states for college and then sort of realizing that there will be these serious roadblocks when they get there?\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>April Dembosky: \u003c/strong>The nurses and the staff at the clinic have seen enough students who are headed to southern states that they have set up this senior sendoff appointment.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>Arin Kramer: \u003c/strong>A lot of the students, some of the students we talked to today really want to go to historically black colleges and universities and and have that incredible community experience. And to be in a state where they’re not supported with their reproductive health feels scary.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>April Dembosky: \u003c/strong>They formalized this appointment where they want to talk to patients and make sure that they’re aware of the legal landscapes that they’re moving into. So they are proactively reaching out to seniors who are graduating, finding out where they’re going to college, where you’re thinking of going to college, and then taking the appropriate steps from there.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Let’s talk more about these senior sendoff appointments at the Technic Clinic. I know Erin and I’laysia were actually kind enough to let you sit in on Iglesias appointment. What did they talk about?\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>April Dembosky: \u003c/strong>They talked about life.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>I’laysia Vital: \u003c/strong>So yeah. And I recently got accepted into TSU in Texas. So, yeah, I’m glad we have this one because I’m going straight to Texas. You are? Yeah. I think we start August 27.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>April Dembosky: \u003c/strong>I’laysia Vital had just had a birthday.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>I’laysia Vital: \u003c/strong>Me and my friends, we went to, like, party, like at Airbnb, and then we had, like, food there and they had a hot tub and, like, ping pong tables and stuff. So that’s all we did was. Yeah.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>Arin Kramer: \u003c/strong>Who planned to that thing?\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>I’laysia Vital: \u003c/strong>My mom.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>Arin Kramer: \u003c/strong>Oh, my God. You do have the best mom.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>I’laysia Vital: \u003c/strong>Yeah.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>April Dembosky: \u003c/strong>She asked her about her general health.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>Arin Kramer: \u003c/strong>Um, sleeping okay at night?\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>I’laysia Vital: \u003c/strong>Yeah.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>Arin Kramer: \u003c/strong>Okay.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>April Dembosky: \u003c/strong>But then when it came time to talk about their birth control options, Nurse Kramer asked Alicia, So who are you talking to these days? And that is adolescent speak for who are you having sex with?\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>Arin Kramer: \u003c/strong>All right. And tell me, who are you talking to these days?\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>I’laysia Vital: \u003c/strong>Uh, same person. Yeah.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>Arin Kramer: \u003c/strong>Off and on forever and ever. Can you remind me his name?\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>April Dembosky: \u003c/strong>And Nurse Kramer knows that this is how teenagers talk to each other about this kind of thing. And so for her, it’s a way of building trust and meeting students where they’re at and hopefully having an open, honest conversation. And then they talked a lot about different birth control options.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>Arin Kramer: \u003c/strong>And tell me a little bit about what you’re thinking in terms of birth control.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>I’laysia Vital: \u003c/strong>I was looking at the the multiple choices and I’ve seen the the parent guard, the IUD one. Yeah. And I was like talking about that. I think the other.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>April Dembosky: \u003c/strong>Kramer has a poster on the wall of the exam room that has, you know, little pictures or images of all the different birth control methods. And she would point to them and explain how each one worked. So Alecia was pretty clear that she didn’t want to rely on birth control pills or patches.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>I’laysia Vital: \u003c/strong>Because I’m very forgetful. Even if I set my alarm or write it down, it’s still slipped my mind. So I think that.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>April Dembosky: \u003c/strong>They talked about other long acting options. So they talked a lot about IUDs. These are tiny devices that get inserted into the uterus and they are very effective at preventing pregnancy. I. Liza wasn’t quite down with that. She didn’t quite like the sound of that. But she had had a hormonal implant before. And this is a tiny rod that gets inserted into the upper arm. And she was thinking about getting that again.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>I’laysia Vital: \u003c/strong>I think I want to go back to the implant, the next implant, because it’s more it fits in my age range, I think, and I feel like it’s not like like a drastic change, but I just feel like I’d rather have something like it’s permanent but might not all the way permanent.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>April Dembosky: \u003c/strong>She ultimately decided to go with the implant again, which is good for up to five years, that she would never have to think about it.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>Arin Kramer: \u003c/strong>And after you sign this than I might have, you just step out of the room for a second. We’ll set up the room, and then we’ll do it. Okay. 5 minutes. Okay. Other questions?\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>I’laysia Vital: \u003c/strong>No, I think you covered everything.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>Arin Kramer: \u003c/strong>Awesome.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Well, April, how much can this clinic help students once they’ve actually left the state? Like, would Alysha, for example, be able to, like, call Erin up while she’s in Texas?\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>April Dembosky: \u003c/strong>I’laysia can certainly call Arin up and Arin is very proactive about explaining to students we’re still here. They’re allowed to see their patients up until they’re 21. So any time that I Leisa came back home to visit her parents, for example, if she was there for break or over the summer, she’s more than welcome to come in to the technical clinic and get all the range of services for free. Nurse Cramer can write prescriptions, and if I Leisa comes back and says, you know, I don’t really like the implant, I want something else. Aaron will work with her to come up with something else. What’s less clear is we’re in this very strange time right now with each state codifying different laws. People, as we now know, are not just going to stay in one place. And so how these laws interact with each other when people cross state borders. There’s just so many questions around that. So Nurse Cramer herself wasn’t totally clear on whether she would be allowed to say write a prescription for a birth control method for Aleisha to pick up in Texas. There are just different kinds of rules around health care providers and what they’re allowed to do for people in other states when it comes to abortion services, that’s also unclear. There’s lots of talk right now about someone who’s a resident of Texas coming to a place like California for abortion care. The state of Texas says they have the right to sue the doctor in California who provided care to the Texas resident. California says, no, we have laws that protect doctors. So I think some of these things are it’s going to take time to see how they’re all going to play out.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>In the end, April, I mean, going to college is supposed to be a really exciting time. What is I Leisa looking forward to the most about leaving the nest and also going to her dream school Texas southern.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>April Dembosky: \u003c/strong>Yeah. Like a lot of college bound teenagers, she’s thinking a lot about how she’s going to decorate her dorm room. Her twin sister is coming with her. They plan to bunk together, so they’re working out what kind of color scheme they’re going to go with. But Alisha is also really excited about college things, being independent, you know, moving on her own steam, going to classes, being on her own.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>I’laysia Vital: \u003c/strong>It’s more adult than high school, like high schools like adult. But college is really, though, you’re not with your peers, especially if you like, leave and go to a different school, not in your hometown. So I’m really excited for the growing up part of it.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>April, thank you so much for sharing your reporting with us and joining us on the show. I appreciate it.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>April Dembosky: \u003c/strong>Happy to do it.\u003c/p>\n\u003cp style=\"font-weight: 400\">\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>That was April Dembosy, a health correspondent for KQED. This 30 minute conversation with April was cut down and edited by producer Maria Esquinca. Allen Montecillo is our senior editor. He scored this episode and added all the tape. If you liked this episode, consider sharing it with a friend. Word of mouth is one of the best ways to help our show. I’m Ericka Cruz Guevara. Thank you for listening to the bay. Talk to you next time.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp style=\"font-weight: 400\">\n\u003c/p>\n\u003c/div>"
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"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
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"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
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"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
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"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
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"politicalbreakdown": {
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"title": "Political Breakdown",
"tagline": "Politics from a personal perspective",
"info": "Political Breakdown is a new series that explores the political intersection of California and the nation. Each week hosts Scott Shafer and Marisa Lagos are joined with a new special guest to unpack politics -- with personality — and offer an insider’s glimpse at how politics happens.",
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"possible": {
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"title": "Possible",
"info": "Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.",
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"pri-the-world": {
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"title": "PRI's The World: Latest Edition",
"info": "Each weekday, host Marco Werman and his team of producers bring you the world's most interesting stories in an hour of radio that reminds us just how small our planet really is.",
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"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-World-Podcast-Tile-360x360-1.jpg",
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},
"radiolab": {
"id": "radiolab",
"title": "Radiolab",
"info": "A two-time Peabody Award-winner, Radiolab is an investigation told through sounds and stories, and centered around one big idea. In the Radiolab world, information sounds like music and science and culture collide. Hosted by Jad Abumrad and Robert Krulwich, the show is designed for listeners who demand skepticism, but appreciate wonder. WNYC Studios is the producer of other leading podcasts including Freakonomics Radio, Death, Sex & Money, On the Media and many more.",
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},
"reveal": {
"id": "reveal",
"title": "Reveal",
"info": "Created by The Center for Investigative Reporting and PRX, Reveal is public radios first one-hour weekly radio show and podcast dedicated to investigative reporting. Credible, fact based and without a partisan agenda, Reveal combines the power and artistry of driveway moment storytelling with data-rich reporting on critically important issues. The result is stories that inform and inspire, arming our listeners with information to right injustices, hold the powerful accountable and improve lives.Reveal is hosted by Al Letson and showcases the award-winning work of CIR and newsrooms large and small across the nation. In a radio and podcast market crowded with choices, Reveal focuses on important and often surprising stories that illuminate the world for our listeners.",
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"officialWebsiteLink": "https://www.revealnews.org/episodes/",
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},
"rightnowish": {
"id": "rightnowish",
"title": "Rightnowish",
"tagline": "Art is where you find it",
"info": "Rightnowish digs into life in the Bay Area right now… ish. Journalist Pendarvis Harshaw takes us to galleries painted on the sides of liquor stores in West Oakland. We'll dance in warehouses in the Bayview, make smoothies with kids in South Berkeley, and listen to classical music in a 1984 Cutlass Supreme in Richmond. Every week, Pen talks to movers and shakers about how the Bay Area shapes what they create, and how they shape the place we call home.",
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"order": 16
},
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