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"content": "\u003cp>In California, less than two-thirds of counties have an abortion clinic. But nearly 80% have at least one “crisis pregnancy center,” according to a database compiled by CalMatters.\u003c/p>\n\u003cp>Abortion rights advocates and lawmakers have long accused these centers — also known as anti-abortion centers — of coercing vulnerable people into remaining pregnant by misleading them about abortion procedures and contraceptive methods. In rural areas with acute primary care shortages, “crisis pregnancy centers” outnumber abortion clinics 11 to 2, a CalMatters analysis shows.\u003c/p>\n\u003cp>While center supporters vehemently deny the accusations about misleading pregnant people, they’ve become the next battleground for California lawmakers bent on protecting abortion rights and offering services for people who live in states where abortion is banned.\u003c/p>\n\u003cp>“They’re the next way in which the anti-abortion movement will try to stop people from getting access to abortion here,” said Assemblymember Rebecca Bauer-Kahan, a Democrat from San Ramon and member of the Women’s Legislative Caucus, which has spearheaded the state’s legislative push for enhanced abortion protections.\u003c/p>\n\u003cp>Regulating “crisis pregnancy centers,” however, has proven to be exceptionally challenging even in the nation’s self-proclaimed “\u003ca href=\"https://calmatters.org/explainers/abortion-in-california-laws/\">abortion safe haven\u003c/a>.”[pullquote align=\"right\" size=\"medium\" citation=\"Assemblymember Rebecca Bauer-Kahan (D-San Ramon)\"]‘They’re the next way in which the anti-abortion movement will try to stop people from getting access to abortion here.’[/pullquote]This legislative session, two bills attempting to regulate the centers died quietly in the Assembly Appropriations Committee, including one authored by Bauer-Kahan. Officially, no one knows why the bills were killed in \u003ca href=\"https://calmatters.org/politics/2023/05/california-bills-suspense-file-2/\">the Legislature’s opaque suspense file maneuvers\u003c/a>, in which votes are not public, but it’s no secret that Democratic lawmakers are fearful of passing laws that might spur litigation from abortion opponents. Even before the U.S. Supreme Court’s conservative majority \u003ca href=\"https://calmatters.org/politics/2022/06/california-abortion-roe-ruling/\">overturned Roe v. Wade\u003c/a>, abortion opponents had used the \u003ca href=\"https://www.oyez.org/issues/423\">courts\u003c/a> to steadily chip away at abortion protections.\u003c/p>\n\u003cp>“Even a state like California is treading very carefully,” said \u003ca href=\"https://law.scu.edu/faculty/profile/russell-margaret/\">Margaret Russell\u003c/a>, an associate constitutional law professor at Santa Clara University. “Who wants to waste public resources on a lawsuit going up to the Supreme Court with the risk that the law would become even worse?”\u003c/p>\n\u003cp>Alexandra Snyder, CEO of Life Legal Defense Foundation and former director of a pregnancy center in Santa Clarita, said the bills had clear “legal problems (and) constitutional problems” and would be “tied up in the courts at tremendous expense for the next five years.”\u003c/p>\n\u003ch2>A ‘chilling effect’\u003c/h2>\n\u003cp>At \u003ca href=\"https://www.assembly.ca.gov/media/assembly-health-committee-20230425\">an Assembly Health Committee hearing in April\u003c/a>, staff from the Alternatives Pregnancy Center in Sacramento dressed in hot pink — a color also frequently donned by the state’s abortion rights advocates — and lined up in opposition to \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202320240AB710\">a bill requiring the state Public Health Department to conduct an “awareness campaign” about reproductive health and abortion options\u003c/a>.\u003c/p>\n\u003cp>The measure made no mention of pregnancy centers opposed to abortion, but public testimony accused them of manipulating women by advertising “abortion education” or counseling services that are a means to scare them away from abortion and of falsely claiming “abortion pill reversal” is scientifically tested. Abortion pill reversal — which involves giving patients high doses of the pregnancy hormone progesterone — is \u003ca href=\"https://www.npr.org/sections/health-shots/2019/03/22/688783130/controversial-abortion-reversal-regimen-is-put-to-the-test\">not supported by most doctors\u003c/a>, including the nation’s leading association of pregnancy and women’s health specialists. The American College of Obstetricians and Gynecologists states the procedure is “\u003ca href=\"https://www.acog.org/advocacy/facts-are-important/medication-abortion-reversal-is-not-supported-by-science\">unproven and unethical\u003c/a>” because it has not been backed by \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/26057457/\">clinical studies\u003c/a>.\u003c/p>\n\u003cp>Three weeks later the measure was dead — a rare win for the anti-abortion movement in California.\u003c/p>\n\u003cp>“We didn’t go there to necessarily stop the bill. We live in California, we know that. We didn’t think that was possible, but it’s clearly possible,” said Heidi Matzke, executive director of Alternatives Pregnancy Center.[aside label=\"Related Stories\" postID=\"news_11937191,news_11934819\"]Even the measure’s author, Santa Clarita Democrat Pilar Schiavo, was surprised.\u003c/p>\n\u003cp>“I was disappointed,” Schiavo said. “It literally didn’t say anything about crisis pregnancy centers. That’s as safe a bill as you can get.”\u003c/p>\n\u003cp>California legislators have struggled to regulate these centers since 2018, when \u003ca href=\"https://www.healthaffairs.org/content/forefront/us-supreme-court-strikes-down-california-fact-act\">the U.S. Supreme Court struck down a state law\u003c/a> known as the \u003ca href=\"https://calmatters.org/health/2018/03/supreme-court-challenge-to-california-law-could-hand-abortion-foes-a-victory-or-backfire-on-them/\">FACT Act\u003c/a>, which required reproductive health centers to notify clients about abortion and birth control options. It also required unlicensed centers to tell clients they were not medical facilities. Anti-abortion groups opposed it, arguing “crisis pregnancy centers” should not be compelled to say something that conflicts with their religious beliefs. The justices agreed in a 5–4 vote, dealing a bruising blow to abortion rights nationwide.\u003c/p>\n\u003cp>California’s use of a “government-drafted script” violated the First Amendment’s freedom of speech protections, \u003ca href=\"https://www.supremecourt.gov/opinions/17pdf/16-1140_5368.pdf\">Justice Clarence Thomas wrote in the majority opinion (PDF)\u003c/a>.\u003c/p>\n\u003cp>“By requiring petitioners to inform women how they can obtain state-subsidized abortions — at the same time petitioners try to dissuade women from choosing that option — the licensed notice plainly ‘alters the content’ of petitioners’ speech,” Thomas wrote.\u003c/p>\n\u003cp>“Because we have this history of the reproductive FACT Act, I think people are really worried about creating bad precedent,” said Cathren Cohen, a staff attorney at the Williams Institute and the Center on Reproductive Health, Law and Policy at UCLA. “The anti-choice movement is very litigious. They know the federal courts are on their side.”\u003c/p>\n\u003cp>What has resulted is a “chilling effect,” even in states like California, Cohen said.\u003c/p>\n\u003cp>At least one lawsuit has been filed in reaction to the flurry of abortion protections California passed last year. \u003ca href=\"https://nimbus.kern.courts.ca.gov/case-file/Complaint?documentId=kRzQGE\">The claim, filed “on behalf of pro-life pregnancy care centers”\u003c/a> by the Life Legal Defense Foundation, seeks to block the state’s requirement that health insurers cover abortion services with no out-of-pocket charges.\u003c/p>\n\u003cp>Cohen testified in support of \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202320240AB315\">Bauer-Kahan’s “crisis pregnancy center” bill\u003c/a> during an \u003ca href=\"https://www.assembly.ca.gov/media/assembly-judiciary-committee-20230321\">Assembly Judiciary Committee hearing in March\u003c/a>. That measure would have reinforced the state’s false advertising law to prevent facilities that provide pregnancy-related services from making false or misleading claims about abortion. It also allowed people who sought services and were harmed to later sue for damages.\u003c/p>\n\u003cp>The measure was carefully crafted to avoid the previous issue of compelled speech that prompted the Supreme Court to rebuke California, Cohen said, “but that doesn’t mean that it wouldn’t be challenged.”\u003c/p>\n\u003cp>Bauer-Kahan, who successfully passed two abortion protection bills last session, told CalMatters it’s unlikely she’ll reintroduce this measure but remains committed to exploring future options.\u003c/p>\n\u003cp>“It’s really important that we get our arms around it,” Bauer-Kahan said.\u003c/p>\n\u003ch2>Conflicting narratives\u003c/h2>\n\u003cp>So what happens inside a “crisis pregnancy center”? It depends on who you ask.\u003c/p>\n\u003cp>At the national level, abortion opponents don’t mince words when it comes to the goals of the centers: They exist to stop women from getting abortions. \u003ca href=\"https://www.cosmopolitan.com/politics/a38642/heartbeat-international-conference-crisis-pregnancy-centers-abortion/\">Convention trainings\u003c/a>, e-books, and online courses from the largest anti-abortion center networks in the country offer strategies on how to talk to women who call asking about abortion.\u003c/p>\n\u003cp>At least three-fourths of California centers are affiliated with national organizations.[pullquote align=\"right\" size=\"medium\" citation=\"Margaret Russell, associate constitutional law professor, Santa Clara University\"]‘Who wants to waste public resources on a lawsuit going up to the Supreme Court with the risk that the law would become even worse?’[/pullquote]Proponents of the primarily faith-based nonprofits disagree with the characterization that their work is underhanded. Training materials from one of the largest networks in the country, Care Net, specifically say “manipulation is never an option,” though it recommends “speaking persuasively” as a “life advocate.”\u003c/p>\n\u003cp>Centers say they give women with unplanned pregnancies alternatives to abortion by providing material support: free diapers, parenting classes and sometimes housing.\u003c/p>\n\u003cp>“We are a safety net for women that want to carry,” said Marie Leatherby, president of the California Alliance of Pregnancy Care and executive director of Sacramento Life Center. “(For) most women, it’s just a great place to start your pregnancy.”\u003c/p>\n\u003cp>Leatherby said after the Supreme Court’s ruling, the organization worked hard to root out any “bad actors” that used deceptive practices. It requires members to state whether they are medically licensed facilities, and many disclose online that they do not provide or refer for abortions.\u003c/p>\n\u003cp>“We set the bar so high because we’re always scrutinized,” Leatherby said. “If they want to have the abortion, they are free to come and go. We let people know we don’t do that here but they can come in and sit and figure out what they want to do.”\u003c/p>\n\u003cp>Despite safeguards that Leatherby and other California center proponents say are in place to ensure women aren’t misled, it still sometimes happens.\u003c/p>\n\u003cp>Numerous journalism investigations across the country have detailed instances in other states in which women were \u003ca href=\"https://revealnews.org/article/how-anti-abortion-pregnancy-centers-can-claim-to-be-medical-clinics/\">tricked into walking into a center\u003c/a> rather than a Planned Parenthood site, shown an altered ultrasound image, or more recently \u003ca href=\"https://time.com/6189528/anti-abortion-pregnancy-centers-collect-data-investigation/\">had their data tracked\u003c/a>. Many make assertions about the risks of abortion, side effects of contraceptives, and efficacy of “abortion pill reversal” that may be grounded in research but are taken out of context.\u003c/p>\n\u003cp>For instance, many centers’ websites say emergency contraceptives like Plan B or ella cause early abortions of a fertilized egg, which has been debunked by \u003ca href=\"https://www.scientificamerican.com/article/how-abortion-medications-differ-from-plan-b-and-other-emergency-contraceptives/\">multiple research studies\u003c/a>. They also emphasize the potential for abortion to cause depression or other negative mental health impacts when decades of research indicate a wanted abortion “does not cause significant psychological problems,” \u003ca href=\"https://www.apa.org/monitor/2022/09/news-facts-abortion-mental-health\">according to the American Psychological Association\u003c/a>.\u003c/p>\n\u003cp>Gabriel, a Sacramento-area resident, said she visited a pregnancy center in 2016 seeking an abortion. She was about six weeks pregnant with a minimum-wage job and no health insurance. She and her boyfriend struggled to provide for their toddler and knew they weren’t ready for a second kid, Gabriel said. She had already visited a Planned Parenthood but couldn’t afford its $450 out-of-pocket fee. Her boyfriend saw a pregnancy center advertisement and hoped it could do the procedure for free.\u003c/p>\n\u003cp>CalMatters agreed to use only Gabriel’s middle name to protect her privacy. Her family doesn’t know she sought an abortion.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The center worker promised to help over the phone and never indicated that it did not perform abortions, she said. Gabriel didn’t realize it was a religious organization until halfway through the 45-minute appointment, she said. The staff member gave her “random scary statistics like 80% of couples who go through abortion together break up” and told stories of people who regretted the decision — and waited until the end of the appointment to tell her the center did not do abortions.\u003c/p>\n\u003cp>Gabriel was so uncomfortable with her experience that she left a review on Yelp warning other women to be cautious.\u003c/p>\n\u003cp>“I was definitely stressed and embarrassed. The rational part of my brain told me this was part of their fear tactic, but at the same time he and I were only like 22 or something still trying to figure our lives out,” Gabriel said. “Naturally part of me was wondering if they were right about everything.”\u003c/p>\n\u003cp>The center “was kind of our last resort … and them not being able to help us in the way we needed, and on top of that being talked into something I know I didn’t want, was a lot of emotional pressure,” Gabriel said.\u003c/p>\n\u003ch2>Reproductive health deserts\u003c/h2>\n\u003cp>Increasingly, \u003ca href=\"https://www.vox.com/policy-and-politics/2019/8/29/20828866/obria-medical-clinics-birth-control-planned-parenthood\">“crisis pregnancy centers” across the country are seeking to be licensed by state health departments\u003c/a>. Approximately half of the centers in California are medically licensed facilities, according to the California Alliance of Pregnancy Care. Proponents say it helps fill a community need, while opponents say it gives women in reproductive health deserts even fewer choices.\u003c/p>\n\u003cp>“We have a looming primary care provider shortage in California,” Cohen said. “It’s apt to note that they’re filling a gap because we do need more reproductive health care providers, particularly in rural areas, low income areas, (and for) people of color.”\u003c/p>\n\u003cfigure id=\"attachment_11953211\" class=\"wp-caption alignnone\" style=\"max-width: 1568px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11953211 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/06/060123-Alternatives-Pregnancy-Center-MG-CM-11-copy.jpg\" alt=\"A view of a one-story brick building with white columns holding up a front awning, taken from behind bushes, which are blurry in the foreground.\" width=\"1568\" height=\"1045\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/060123-Alternatives-Pregnancy-Center-MG-CM-11-copy.jpg 1568w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/060123-Alternatives-Pregnancy-Center-MG-CM-11-copy-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/060123-Alternatives-Pregnancy-Center-MG-CM-11-copy-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/060123-Alternatives-Pregnancy-Center-MG-CM-11-copy-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/060123-Alternatives-Pregnancy-Center-MG-CM-11-copy-1536x1024.jpg 1536w\" sizes=\"(max-width: 1568px) 100vw, 1568px\">\u003cfigcaption class=\"wp-caption-text\">The Alternatives Pregnancy Center in Sacramento on June 1, 2023. \u003ccite>(Miguel Gutierrez Jr./CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The breadth of medical services offered at centers opposed to abortion varies widely, with most performing only pregnancy testing and ultrasounds. The state does not set a minimum service requirement for licensing.\u003c/p>\n\u003cp>\u003ca href=\"https://www.cwlc.org/download/cwlc-report-designed-to-deceive-a-study-of-the-crisis-pregnancy-center-industry-in-nine-states-2021/?wpdmdl=9854&refresh=647e0e89bd7b81685982857&ind=1666832971487&filename=CA-Alliance_CPC_Report_California-Oct-2022.pdf\">Only 10% of the California centers provide prenatal care and none offer contraceptives (PDF)\u003c/a>, according to a 2022 report by The Alliance, a national coalition of organizations supporting abortion rights. Last year, State Attorney General Rob Bonta issued \u003ca href=\"https://oag.ca.gov/system/files/attachments/press-docs/Crisis%20Pregnancy%20Center%20Bulletin.pdf\">a consumer alert warning that the centers do not offer comprehensive reproductive health care (PDF)\u003c/a>.\u003c/p>\n\u003cp>There are at least 176 “crisis pregnancy centers” in California, according to a CalMatters analysis. That compares to 166 abortion clinics, according to state data. At face value, the difference of 10 seems negligible, but pregnancy centers are more likely to be located in areas where there are primary care shortages. Abortion clinics, on the other hand, tend to be located in urban areas where primary care shortages are less likely. Clinics like Planned Parenthood also offer services like cervical cancer screenings, HIV treatment, gynecological care and annual exams.\u003c/p>\n\u003cp>In rural areas of the state where primary care is insufficient, people have a 25% chance of living near a “crisis pregnancy center” compared to a less than 5% chance of living near an abortion clinic, according to a CalMatters analysis.\u003c/p>\n\u003cp>More than 13.1 million state residents — roughly one third-of the state’s population — live in a primary care shortage area, according to the federal Health Resources and Services Administration.\u003c/p>\n\u003cp>Matzke, with Alternatives Pregnancy Center in Sacramento, takes particular issue with the claim that she runs a fake medical clinic.\u003c/p>\n\u003cp>“From the moment they walk in the door, I want them met with medical professionals,” Matzke said. “The moment they leave, I want them being walked out by medical professionals. And that’s who we are.”\u003c/p>\n\u003cp>Alternatives is licensed as a free clinic by the California Department of Public Health. The staff includes three doctors, five nurses, a nurse practitioner, a phlebotomist to draw blood and several medical assistants, Matzke said. In addition to pregnancy tests and ultrasounds, Alternatives offers sexually transmitted disease tests, gynecological care and prenatal care up to 25 weeks. The clinic does not conduct or refer for abortion: It says so on the front door.[pullquote align=\"right\" size=\"medium\" citation=\"Cathren Cohen, staff attorney, Williams Institute and the Center on Reproductive Health, Law and Policy, UCLA\"]‘The anti-choice movement is very litigious. They know the federal courts are on their side.’[/pullquote]“Every woman knows where to go to get an abortion. You know, you can go to Planned Parenthood … but most women don’t know that free resources like ours exist,” Matzke said.\u003c/p>\n\u003cp>In some ways Alternatives is an outlier among centers in California, offering more medical services than most. In other ways, it’s not. It does not provide contraceptives. It also advertises “abortion pill reversal.”\u003c/p>\n\u003cp>Although most doctors reject abortion reversal, plenty of pregnancy center advocates claim it worked for them. Atoria Foley, a patient of Alternatives who testified against Assemblymember Schiavo’s bill, took the abortion pill mifepristone, which blocks absorption of progesterone, on two separate occasions, she said. She felt pressured into getting an abortion by her child’s father, she said, and immediately regretted it. The clinic staff got her a prescription for progesterone, she said, and her daughter was born roughly seven months later.\u003c/p>\n\u003cp>“There’s not any sort of condemnation or shame around that. It’s just, let’s take care of you and love on you and guide you through this,” Foley said.\u003c/p>\n\u003cp>According to a scientific review, \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/26057457/\">between 8% and 46% of medication abortions are unsuccessful if the pregnant person does not take the second pill\u003c/a>, which causes the uterus to contract and expel its contents, similar to a miscarriage. The first randomized \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/31809439/\">control study of abortion pill reversal in the U.S. was stopped in 2020 after several participants were hospitalized for uncontrolled bleeding\u003c/a>, according to study authors.\u003c/p>\n\u003cp>Abortion rights advocates are adamant: Pregnancy centers have no place in California. They are a “physical manifestation of the anti-abortion movement,” Schiavo said. Betsy Butler, a former state senator and executive director of the Women’s Law Center at UCLA, which contributed to The Alliance report, agreed.\u003c/p>\n\u003cp>“How do we reign them in? Why are they allowed to impact women like this? What can the state do about that? We have to answer this question,” Butler said.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "California legislators have passed a slew of laws to protect abortion rights. But after the Supreme Court overturned Roe v. Wade, many fear attempting to regulate 'crisis pregnancy centers' is legally risky.",
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"title": "Why 'Crisis Pregnancy Centers' Will Be California's Next Abortion Battleground | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>In California, less than two-thirds of counties have an abortion clinic. But nearly 80% have at least one “crisis pregnancy center,” according to a database compiled by CalMatters.\u003c/p>\n\u003cp>Abortion rights advocates and lawmakers have long accused these centers — also known as anti-abortion centers — of coercing vulnerable people into remaining pregnant by misleading them about abortion procedures and contraceptive methods. In rural areas with acute primary care shortages, “crisis pregnancy centers” outnumber abortion clinics 11 to 2, a CalMatters analysis shows.\u003c/p>\n\u003cp>While center supporters vehemently deny the accusations about misleading pregnant people, they’ve become the next battleground for California lawmakers bent on protecting abortion rights and offering services for people who live in states where abortion is banned.\u003c/p>\n\u003cp>“They’re the next way in which the anti-abortion movement will try to stop people from getting access to abortion here,” said Assemblymember Rebecca Bauer-Kahan, a Democrat from San Ramon and member of the Women’s Legislative Caucus, which has spearheaded the state’s legislative push for enhanced abortion protections.\u003c/p>\n\u003cp>Regulating “crisis pregnancy centers,” however, has proven to be exceptionally challenging even in the nation’s self-proclaimed “\u003ca href=\"https://calmatters.org/explainers/abortion-in-california-laws/\">abortion safe haven\u003c/a>.”\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>This legislative session, two bills attempting to regulate the centers died quietly in the Assembly Appropriations Committee, including one authored by Bauer-Kahan. Officially, no one knows why the bills were killed in \u003ca href=\"https://calmatters.org/politics/2023/05/california-bills-suspense-file-2/\">the Legislature’s opaque suspense file maneuvers\u003c/a>, in which votes are not public, but it’s no secret that Democratic lawmakers are fearful of passing laws that might spur litigation from abortion opponents. Even before the U.S. Supreme Court’s conservative majority \u003ca href=\"https://calmatters.org/politics/2022/06/california-abortion-roe-ruling/\">overturned Roe v. Wade\u003c/a>, abortion opponents had used the \u003ca href=\"https://www.oyez.org/issues/423\">courts\u003c/a> to steadily chip away at abortion protections.\u003c/p>\n\u003cp>“Even a state like California is treading very carefully,” said \u003ca href=\"https://law.scu.edu/faculty/profile/russell-margaret/\">Margaret Russell\u003c/a>, an associate constitutional law professor at Santa Clara University. “Who wants to waste public resources on a lawsuit going up to the Supreme Court with the risk that the law would become even worse?”\u003c/p>\n\u003cp>Alexandra Snyder, CEO of Life Legal Defense Foundation and former director of a pregnancy center in Santa Clarita, said the bills had clear “legal problems (and) constitutional problems” and would be “tied up in the courts at tremendous expense for the next five years.”\u003c/p>\n\u003ch2>A ‘chilling effect’\u003c/h2>\n\u003cp>At \u003ca href=\"https://www.assembly.ca.gov/media/assembly-health-committee-20230425\">an Assembly Health Committee hearing in April\u003c/a>, staff from the Alternatives Pregnancy Center in Sacramento dressed in hot pink — a color also frequently donned by the state’s abortion rights advocates — and lined up in opposition to \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202320240AB710\">a bill requiring the state Public Health Department to conduct an “awareness campaign” about reproductive health and abortion options\u003c/a>.\u003c/p>\n\u003cp>The measure made no mention of pregnancy centers opposed to abortion, but public testimony accused them of manipulating women by advertising “abortion education” or counseling services that are a means to scare them away from abortion and of falsely claiming “abortion pill reversal” is scientifically tested. Abortion pill reversal — which involves giving patients high doses of the pregnancy hormone progesterone — is \u003ca href=\"https://www.npr.org/sections/health-shots/2019/03/22/688783130/controversial-abortion-reversal-regimen-is-put-to-the-test\">not supported by most doctors\u003c/a>, including the nation’s leading association of pregnancy and women’s health specialists. The American College of Obstetricians and Gynecologists states the procedure is “\u003ca href=\"https://www.acog.org/advocacy/facts-are-important/medication-abortion-reversal-is-not-supported-by-science\">unproven and unethical\u003c/a>” because it has not been backed by \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/26057457/\">clinical studies\u003c/a>.\u003c/p>\n\u003cp>Three weeks later the measure was dead — a rare win for the anti-abortion movement in California.\u003c/p>\n\u003cp>“We didn’t go there to necessarily stop the bill. We live in California, we know that. We didn’t think that was possible, but it’s clearly possible,” said Heidi Matzke, executive director of Alternatives Pregnancy Center.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Even the measure’s author, Santa Clarita Democrat Pilar Schiavo, was surprised.\u003c/p>\n\u003cp>“I was disappointed,” Schiavo said. “It literally didn’t say anything about crisis pregnancy centers. That’s as safe a bill as you can get.”\u003c/p>\n\u003cp>California legislators have struggled to regulate these centers since 2018, when \u003ca href=\"https://www.healthaffairs.org/content/forefront/us-supreme-court-strikes-down-california-fact-act\">the U.S. Supreme Court struck down a state law\u003c/a> known as the \u003ca href=\"https://calmatters.org/health/2018/03/supreme-court-challenge-to-california-law-could-hand-abortion-foes-a-victory-or-backfire-on-them/\">FACT Act\u003c/a>, which required reproductive health centers to notify clients about abortion and birth control options. It also required unlicensed centers to tell clients they were not medical facilities. Anti-abortion groups opposed it, arguing “crisis pregnancy centers” should not be compelled to say something that conflicts with their religious beliefs. The justices agreed in a 5–4 vote, dealing a bruising blow to abortion rights nationwide.\u003c/p>\n\u003cp>California’s use of a “government-drafted script” violated the First Amendment’s freedom of speech protections, \u003ca href=\"https://www.supremecourt.gov/opinions/17pdf/16-1140_5368.pdf\">Justice Clarence Thomas wrote in the majority opinion (PDF)\u003c/a>.\u003c/p>\n\u003cp>“By requiring petitioners to inform women how they can obtain state-subsidized abortions — at the same time petitioners try to dissuade women from choosing that option — the licensed notice plainly ‘alters the content’ of petitioners’ speech,” Thomas wrote.\u003c/p>\n\u003cp>“Because we have this history of the reproductive FACT Act, I think people are really worried about creating bad precedent,” said Cathren Cohen, a staff attorney at the Williams Institute and the Center on Reproductive Health, Law and Policy at UCLA. “The anti-choice movement is very litigious. They know the federal courts are on their side.”\u003c/p>\n\u003cp>What has resulted is a “chilling effect,” even in states like California, Cohen said.\u003c/p>\n\u003cp>At least one lawsuit has been filed in reaction to the flurry of abortion protections California passed last year. \u003ca href=\"https://nimbus.kern.courts.ca.gov/case-file/Complaint?documentId=kRzQGE\">The claim, filed “on behalf of pro-life pregnancy care centers”\u003c/a> by the Life Legal Defense Foundation, seeks to block the state’s requirement that health insurers cover abortion services with no out-of-pocket charges.\u003c/p>\n\u003cp>Cohen testified in support of \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202320240AB315\">Bauer-Kahan’s “crisis pregnancy center” bill\u003c/a> during an \u003ca href=\"https://www.assembly.ca.gov/media/assembly-judiciary-committee-20230321\">Assembly Judiciary Committee hearing in March\u003c/a>. That measure would have reinforced the state’s false advertising law to prevent facilities that provide pregnancy-related services from making false or misleading claims about abortion. It also allowed people who sought services and were harmed to later sue for damages.\u003c/p>\n\u003cp>The measure was carefully crafted to avoid the previous issue of compelled speech that prompted the Supreme Court to rebuke California, Cohen said, “but that doesn’t mean that it wouldn’t be challenged.”\u003c/p>\n\u003cp>Bauer-Kahan, who successfully passed two abortion protection bills last session, told CalMatters it’s unlikely she’ll reintroduce this measure but remains committed to exploring future options.\u003c/p>\n\u003cp>“It’s really important that we get our arms around it,” Bauer-Kahan said.\u003c/p>\n\u003ch2>Conflicting narratives\u003c/h2>\n\u003cp>So what happens inside a “crisis pregnancy center”? It depends on who you ask.\u003c/p>\n\u003cp>At the national level, abortion opponents don’t mince words when it comes to the goals of the centers: They exist to stop women from getting abortions. \u003ca href=\"https://www.cosmopolitan.com/politics/a38642/heartbeat-international-conference-crisis-pregnancy-centers-abortion/\">Convention trainings\u003c/a>, e-books, and online courses from the largest anti-abortion center networks in the country offer strategies on how to talk to women who call asking about abortion.\u003c/p>\n\u003cp>At least three-fourths of California centers are affiliated with national organizations.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Proponents of the primarily faith-based nonprofits disagree with the characterization that their work is underhanded. Training materials from one of the largest networks in the country, Care Net, specifically say “manipulation is never an option,” though it recommends “speaking persuasively” as a “life advocate.”\u003c/p>\n\u003cp>Centers say they give women with unplanned pregnancies alternatives to abortion by providing material support: free diapers, parenting classes and sometimes housing.\u003c/p>\n\u003cp>“We are a safety net for women that want to carry,” said Marie Leatherby, president of the California Alliance of Pregnancy Care and executive director of Sacramento Life Center. “(For) most women, it’s just a great place to start your pregnancy.”\u003c/p>\n\u003cp>Leatherby said after the Supreme Court’s ruling, the organization worked hard to root out any “bad actors” that used deceptive practices. It requires members to state whether they are medically licensed facilities, and many disclose online that they do not provide or refer for abortions.\u003c/p>\n\u003cp>“We set the bar so high because we’re always scrutinized,” Leatherby said. “If they want to have the abortion, they are free to come and go. We let people know we don’t do that here but they can come in and sit and figure out what they want to do.”\u003c/p>\n\u003cp>Despite safeguards that Leatherby and other California center proponents say are in place to ensure women aren’t misled, it still sometimes happens.\u003c/p>\n\u003cp>Numerous journalism investigations across the country have detailed instances in other states in which women were \u003ca href=\"https://revealnews.org/article/how-anti-abortion-pregnancy-centers-can-claim-to-be-medical-clinics/\">tricked into walking into a center\u003c/a> rather than a Planned Parenthood site, shown an altered ultrasound image, or more recently \u003ca href=\"https://time.com/6189528/anti-abortion-pregnancy-centers-collect-data-investigation/\">had their data tracked\u003c/a>. Many make assertions about the risks of abortion, side effects of contraceptives, and efficacy of “abortion pill reversal” that may be grounded in research but are taken out of context.\u003c/p>\n\u003cp>For instance, many centers’ websites say emergency contraceptives like Plan B or ella cause early abortions of a fertilized egg, which has been debunked by \u003ca href=\"https://www.scientificamerican.com/article/how-abortion-medications-differ-from-plan-b-and-other-emergency-contraceptives/\">multiple research studies\u003c/a>. They also emphasize the potential for abortion to cause depression or other negative mental health impacts when decades of research indicate a wanted abortion “does not cause significant psychological problems,” \u003ca href=\"https://www.apa.org/monitor/2022/09/news-facts-abortion-mental-health\">according to the American Psychological Association\u003c/a>.\u003c/p>\n\u003cp>Gabriel, a Sacramento-area resident, said she visited a pregnancy center in 2016 seeking an abortion. She was about six weeks pregnant with a minimum-wage job and no health insurance. She and her boyfriend struggled to provide for their toddler and knew they weren’t ready for a second kid, Gabriel said. She had already visited a Planned Parenthood but couldn’t afford its $450 out-of-pocket fee. Her boyfriend saw a pregnancy center advertisement and hoped it could do the procedure for free.\u003c/p>\n\u003cp>CalMatters agreed to use only Gabriel’s middle name to protect her privacy. Her family doesn’t know she sought an abortion.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The center worker promised to help over the phone and never indicated that it did not perform abortions, she said. Gabriel didn’t realize it was a religious organization until halfway through the 45-minute appointment, she said. The staff member gave her “random scary statistics like 80% of couples who go through abortion together break up” and told stories of people who regretted the decision — and waited until the end of the appointment to tell her the center did not do abortions.\u003c/p>\n\u003cp>Gabriel was so uncomfortable with her experience that she left a review on Yelp warning other women to be cautious.\u003c/p>\n\u003cp>“I was definitely stressed and embarrassed. The rational part of my brain told me this was part of their fear tactic, but at the same time he and I were only like 22 or something still trying to figure our lives out,” Gabriel said. “Naturally part of me was wondering if they were right about everything.”\u003c/p>\n\u003cp>The center “was kind of our last resort … and them not being able to help us in the way we needed, and on top of that being talked into something I know I didn’t want, was a lot of emotional pressure,” Gabriel said.\u003c/p>\n\u003ch2>Reproductive health deserts\u003c/h2>\n\u003cp>Increasingly, \u003ca href=\"https://www.vox.com/policy-and-politics/2019/8/29/20828866/obria-medical-clinics-birth-control-planned-parenthood\">“crisis pregnancy centers” across the country are seeking to be licensed by state health departments\u003c/a>. Approximately half of the centers in California are medically licensed facilities, according to the California Alliance of Pregnancy Care. Proponents say it helps fill a community need, while opponents say it gives women in reproductive health deserts even fewer choices.\u003c/p>\n\u003cp>“We have a looming primary care provider shortage in California,” Cohen said. “It’s apt to note that they’re filling a gap because we do need more reproductive health care providers, particularly in rural areas, low income areas, (and for) people of color.”\u003c/p>\n\u003cfigure id=\"attachment_11953211\" class=\"wp-caption alignnone\" style=\"max-width: 1568px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11953211 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/06/060123-Alternatives-Pregnancy-Center-MG-CM-11-copy.jpg\" alt=\"A view of a one-story brick building with white columns holding up a front awning, taken from behind bushes, which are blurry in the foreground.\" width=\"1568\" height=\"1045\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/060123-Alternatives-Pregnancy-Center-MG-CM-11-copy.jpg 1568w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/060123-Alternatives-Pregnancy-Center-MG-CM-11-copy-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/060123-Alternatives-Pregnancy-Center-MG-CM-11-copy-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/060123-Alternatives-Pregnancy-Center-MG-CM-11-copy-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/060123-Alternatives-Pregnancy-Center-MG-CM-11-copy-1536x1024.jpg 1536w\" sizes=\"(max-width: 1568px) 100vw, 1568px\">\u003cfigcaption class=\"wp-caption-text\">The Alternatives Pregnancy Center in Sacramento on June 1, 2023. \u003ccite>(Miguel Gutierrez Jr./CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The breadth of medical services offered at centers opposed to abortion varies widely, with most performing only pregnancy testing and ultrasounds. The state does not set a minimum service requirement for licensing.\u003c/p>\n\u003cp>\u003ca href=\"https://www.cwlc.org/download/cwlc-report-designed-to-deceive-a-study-of-the-crisis-pregnancy-center-industry-in-nine-states-2021/?wpdmdl=9854&refresh=647e0e89bd7b81685982857&ind=1666832971487&filename=CA-Alliance_CPC_Report_California-Oct-2022.pdf\">Only 10% of the California centers provide prenatal care and none offer contraceptives (PDF)\u003c/a>, according to a 2022 report by The Alliance, a national coalition of organizations supporting abortion rights. Last year, State Attorney General Rob Bonta issued \u003ca href=\"https://oag.ca.gov/system/files/attachments/press-docs/Crisis%20Pregnancy%20Center%20Bulletin.pdf\">a consumer alert warning that the centers do not offer comprehensive reproductive health care (PDF)\u003c/a>.\u003c/p>\n\u003cp>There are at least 176 “crisis pregnancy centers” in California, according to a CalMatters analysis. That compares to 166 abortion clinics, according to state data. At face value, the difference of 10 seems negligible, but pregnancy centers are more likely to be located in areas where there are primary care shortages. Abortion clinics, on the other hand, tend to be located in urban areas where primary care shortages are less likely. Clinics like Planned Parenthood also offer services like cervical cancer screenings, HIV treatment, gynecological care and annual exams.\u003c/p>\n\u003cp>In rural areas of the state where primary care is insufficient, people have a 25% chance of living near a “crisis pregnancy center” compared to a less than 5% chance of living near an abortion clinic, according to a CalMatters analysis.\u003c/p>\n\u003cp>More than 13.1 million state residents — roughly one third-of the state’s population — live in a primary care shortage area, according to the federal Health Resources and Services Administration.\u003c/p>\n\u003cp>Matzke, with Alternatives Pregnancy Center in Sacramento, takes particular issue with the claim that she runs a fake medical clinic.\u003c/p>\n\u003cp>“From the moment they walk in the door, I want them met with medical professionals,” Matzke said. “The moment they leave, I want them being walked out by medical professionals. And that’s who we are.”\u003c/p>\n\u003cp>Alternatives is licensed as a free clinic by the California Department of Public Health. The staff includes three doctors, five nurses, a nurse practitioner, a phlebotomist to draw blood and several medical assistants, Matzke said. In addition to pregnancy tests and ultrasounds, Alternatives offers sexually transmitted disease tests, gynecological care and prenatal care up to 25 weeks. The clinic does not conduct or refer for abortion: It says so on the front door.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“Every woman knows where to go to get an abortion. You know, you can go to Planned Parenthood … but most women don’t know that free resources like ours exist,” Matzke said.\u003c/p>\n\u003cp>In some ways Alternatives is an outlier among centers in California, offering more medical services than most. In other ways, it’s not. It does not provide contraceptives. It also advertises “abortion pill reversal.”\u003c/p>\n\u003cp>Although most doctors reject abortion reversal, plenty of pregnancy center advocates claim it worked for them. Atoria Foley, a patient of Alternatives who testified against Assemblymember Schiavo’s bill, took the abortion pill mifepristone, which blocks absorption of progesterone, on two separate occasions, she said. She felt pressured into getting an abortion by her child’s father, she said, and immediately regretted it. The clinic staff got her a prescription for progesterone, she said, and her daughter was born roughly seven months later.\u003c/p>\n\u003cp>“There’s not any sort of condemnation or shame around that. It’s just, let’s take care of you and love on you and guide you through this,” Foley said.\u003c/p>\n\u003cp>According to a scientific review, \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/26057457/\">between 8% and 46% of medication abortions are unsuccessful if the pregnant person does not take the second pill\u003c/a>, which causes the uterus to contract and expel its contents, similar to a miscarriage. The first randomized \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/31809439/\">control study of abortion pill reversal in the U.S. was stopped in 2020 after several participants were hospitalized for uncontrolled bleeding\u003c/a>, according to study authors.\u003c/p>\n\u003cp>Abortion rights advocates are adamant: Pregnancy centers have no place in California. They are a “physical manifestation of the anti-abortion movement,” Schiavo said. Betsy Butler, a former state senator and executive director of the Women’s Law Center at UCLA, which contributed to The Alliance report, agreed.\u003c/p>\n\u003cp>“How do we reign them in? Why are they allowed to impact women like this? What can the state do about that? We have to answer this question,” Butler said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"headTitle": "To Get Abortion Training, Some Medical Students Must Leave Their States — and Come to California | KQED",
"content": "\u003cp>Kelly Mamelson has spent most of her life in Florida, including the last two years as a medical resident specializing in obstetrics and gynecology. But because of the state’s attempts to restrict abortion care, she’ll have to travel out of state to complete her training as an OB-GYN doctor. Like many in her position, she’s not planning to practice in Florida once she finishes — but hasn’t ruled out returning to her home state altogether.\u003c/p>\n\u003cp>“We feel we are abandoning our patients, but we feel we have no option other than to go out of state to get this training,” Mamelson said Friday at a panel discussion hosted by UCSF’s Bixby Center for Global Reproductive Health.\u003c/p>\n\u003cp>[aside postID=news_11951879,news_11934819,science_1982345,news_11941250 label='Abortion in California']Doctors on the front lines of reproductive rights debates say these challenges are already having a devastating impact on the profession and on people who seek care. Experts on Friday’s panel said that many medical students are traveling to California, which has been investing in building its abortion training programs, or to other states that support abortion rights, like Maryland and New York, where Mamelson is heading to continue her education.\u003c/p>\n\u003cp>“Many learners that we support don’t find that the amount of abortion training they’re getting is enough” in states with bans and restrictions, said Flor Hunt, executive director of TEACH (Training in Early Abortion for Comprehensive Healthcare), a program that promotes abortion training for family physicians. Unlike OB-GYN doctors, family physicians are not mandated to learn how to empty a uterus. But reproductive rights advocates say that increasing understanding and training across family medicine is necessary to provide a fuller spectrum of health services. “That means oftentimes traveling to another state or perhaps to another city where there is a higher volume of abortion cases and where they can do a rotation and get a lot more abortion experience.”\u003c/p>\n\u003cp>In June 2022, \u003ca href=\"https://www.npr.org/2022/06/24/1102305878/supreme-court-abortion-roe-v-wade-decision-overturn\">the U.S. Supreme Court overturned the historic Roe v. Wade decision\u003c/a> that previously upheld the constitutional right to abortion.\u003c/p>\n\u003cp>Today, abortions are mostly banned in 14 states, including Idaho, Texas, Oklahoma, Alabama, Tennessee, Kentucky, Wisconsin, North Dakota and South Dakota. Other states, like Arizona and Montana, have moved to ban abortion outright but those attempts have been either blocked or limited to a specific gestation period.\u003c/p>\n\u003cp>Across the rest of the country, abortion remains legal. California, in particular, has \u003ca href=\"https://www.kqed.org/news/11926949/newsom-signs-slate-of-abortion-protection-bills\">positioned itself as a so-called abortion sanctuary\u003c/a>. The state enshrined the right to an abortion in the state’s constitution, and has set up resources like \u003ca href=\"https://abortion.ca.gov/\">a state website for people seeking abortions\u003c/a> to find travel and medical support. Hunt’s organization also helped shepherd a package of 16 bills through the California state Legislature last year that aim to create more opportunities for abortion education by increasing funding for training programs and other life-saving reproductive procedures.\u003c/p>\n\u003cp>But for prospective OB-GYN doctors in states that have restricted access, education and training have become much more difficult.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>About a quarter of all medical degree-granting institutions are in states with the most restrictive policies around abortion, and 18.5% of accredited OB-GYN programs are in those states, according to data from the Accreditation Council for Graduate Medical Education.\u003c/p>\n\u003cp>“Around 30,000 students are being educated to become doctors in those states,” said Dr. Jody Steinauer, director of the Bixby Center as well as the Ryan Residency Training Program, which helps send OB-GYN residents out of anti-abortion states for training and which hosted the panel in San Francisco. “We are worried these doctors will finish their training without abortion care training.”\u003c/p>\n\u003cp>An estimated \u003ca href=\"https://ucsf.app.box.com/s/x1hjkxgw9xxdudrehex8ajmpacqlbb3q/file/1234510233781\">43.9% of current OB-GYN residents are now expected to lack access to in-state abortion training\u003c/a>, according to an August 2022 paper Steinauer co-authored.\u003c/p>\n\u003cp>Dr. Tony Ogburn, a general OB-GYN in South Texas, said that even before Roe was overturned, there were barriers to accessing abortion in Texas and Florida, where he previously lived and studied medicine, but things “dramatically changed with the trigger law that outlawed abortions in Texas,” he said.\u003c/p>\n\u003cp>“For patients that need a higher level of care, it has caused increased challenges to accomplish that care and for some patients it’s just not available,” he said. “Sometimes they are not able to travel. There is a moral distress around care.”\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Dr. Jody Steinauer, director, UCSF Bixby Center\"]‘Around 30,000 students are being educated to become doctors in those states. We are worried these doctors will finish their training without abortion care training.’[/pullquote]Mamelson echoed many of the challenges Ogburn cited. In Florida, an attempt to ban abortions after six weeks of pregnancy was signed into law — but \u003ca href=\"https://www.npr.org/2023/04/14/1169933395/florida-gov-desantis-signs-6-week-abortion-ban-bill\">can’t go into effect unless the state’s existing 15-week ban is upheld by the courts\u003c/a>, which is currently making its way through legal challenges. The two policies have created confusion among both practitioners and patients. In most cases, the only exceptions are if doctors can prove that the pregnancy is life-threatening.\u003c/p>\n\u003cp>“There is still a lot of hesitation among colleagues when we make that call, and I’ve seen in practice delays in care because of this,” she said. “I received a transfer of someone with a cervical ectopic pregnancy, which is considered life-threatening, but the hospital couldn’t treat them because there was a heartbeat on that pregnancy, which is a ticking time bomb for that patient.”\u003c/p>\n\u003cp>While education and training on abortion care was not easy in some places even before Roe was overturned, the changing landscape has fueled fear and confusion among patients and practitioners, Mamelson said.\u003c/p>\n\u003cp>“There are many, many, many people out there who don’t know that they have that choice [to get an abortion] here in the state of Florida,” she said. “We take an oath in medical school that we won’t cause any harm, but I think this change in the law has caused a lot of harm. It is extremely distressing to have patients come in and request services that we cannot provide them.”\u003c/p>\n\u003cp>But, “we aren’t giving up,” said Mamelson. “That’s for certain.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Kelly Mamelson has spent most of her life in Florida, including the last two years as a medical resident specializing in obstetrics and gynecology. But because of the state’s attempts to restrict abortion care, she’ll have to travel out of state to complete her training as an OB-GYN doctor. Like many in her position, she’s not planning to practice in Florida once she finishes — but hasn’t ruled out returning to her home state altogether.\u003c/p>\n\u003cp>“We feel we are abandoning our patients, but we feel we have no option other than to go out of state to get this training,” Mamelson said Friday at a panel discussion hosted by UCSF’s Bixby Center for Global Reproductive Health.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Doctors on the front lines of reproductive rights debates say these challenges are already having a devastating impact on the profession and on people who seek care. Experts on Friday’s panel said that many medical students are traveling to California, which has been investing in building its abortion training programs, or to other states that support abortion rights, like Maryland and New York, where Mamelson is heading to continue her education.\u003c/p>\n\u003cp>“Many learners that we support don’t find that the amount of abortion training they’re getting is enough” in states with bans and restrictions, said Flor Hunt, executive director of TEACH (Training in Early Abortion for Comprehensive Healthcare), a program that promotes abortion training for family physicians. Unlike OB-GYN doctors, family physicians are not mandated to learn how to empty a uterus. But reproductive rights advocates say that increasing understanding and training across family medicine is necessary to provide a fuller spectrum of health services. “That means oftentimes traveling to another state or perhaps to another city where there is a higher volume of abortion cases and where they can do a rotation and get a lot more abortion experience.”\u003c/p>\n\u003cp>In June 2022, \u003ca href=\"https://www.npr.org/2022/06/24/1102305878/supreme-court-abortion-roe-v-wade-decision-overturn\">the U.S. Supreme Court overturned the historic Roe v. Wade decision\u003c/a> that previously upheld the constitutional right to abortion.\u003c/p>\n\u003cp>Today, abortions are mostly banned in 14 states, including Idaho, Texas, Oklahoma, Alabama, Tennessee, Kentucky, Wisconsin, North Dakota and South Dakota. Other states, like Arizona and Montana, have moved to ban abortion outright but those attempts have been either blocked or limited to a specific gestation period.\u003c/p>\n\u003cp>Across the rest of the country, abortion remains legal. California, in particular, has \u003ca href=\"https://www.kqed.org/news/11926949/newsom-signs-slate-of-abortion-protection-bills\">positioned itself as a so-called abortion sanctuary\u003c/a>. The state enshrined the right to an abortion in the state’s constitution, and has set up resources like \u003ca href=\"https://abortion.ca.gov/\">a state website for people seeking abortions\u003c/a> to find travel and medical support. Hunt’s organization also helped shepherd a package of 16 bills through the California state Legislature last year that aim to create more opportunities for abortion education by increasing funding for training programs and other life-saving reproductive procedures.\u003c/p>\n\u003cp>But for prospective OB-GYN doctors in states that have restricted access, education and training have become much more difficult.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>About a quarter of all medical degree-granting institutions are in states with the most restrictive policies around abortion, and 18.5% of accredited OB-GYN programs are in those states, according to data from the Accreditation Council for Graduate Medical Education.\u003c/p>\n\u003cp>“Around 30,000 students are being educated to become doctors in those states,” said Dr. Jody Steinauer, director of the Bixby Center as well as the Ryan Residency Training Program, which helps send OB-GYN residents out of anti-abortion states for training and which hosted the panel in San Francisco. “We are worried these doctors will finish their training without abortion care training.”\u003c/p>\n\u003cp>An estimated \u003ca href=\"https://ucsf.app.box.com/s/x1hjkxgw9xxdudrehex8ajmpacqlbb3q/file/1234510233781\">43.9% of current OB-GYN residents are now expected to lack access to in-state abortion training\u003c/a>, according to an August 2022 paper Steinauer co-authored.\u003c/p>\n\u003cp>Dr. Tony Ogburn, a general OB-GYN in South Texas, said that even before Roe was overturned, there were barriers to accessing abortion in Texas and Florida, where he previously lived and studied medicine, but things “dramatically changed with the trigger law that outlawed abortions in Texas,” he said.\u003c/p>\n\u003cp>“For patients that need a higher level of care, it has caused increased challenges to accomplish that care and for some patients it’s just not available,” he said. “Sometimes they are not able to travel. There is a moral distress around care.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Mamelson echoed many of the challenges Ogburn cited. In Florida, an attempt to ban abortions after six weeks of pregnancy was signed into law — but \u003ca href=\"https://www.npr.org/2023/04/14/1169933395/florida-gov-desantis-signs-6-week-abortion-ban-bill\">can’t go into effect unless the state’s existing 15-week ban is upheld by the courts\u003c/a>, which is currently making its way through legal challenges. The two policies have created confusion among both practitioners and patients. In most cases, the only exceptions are if doctors can prove that the pregnancy is life-threatening.\u003c/p>\n\u003cp>“There is still a lot of hesitation among colleagues when we make that call, and I’ve seen in practice delays in care because of this,” she said. “I received a transfer of someone with a cervical ectopic pregnancy, which is considered life-threatening, but the hospital couldn’t treat them because there was a heartbeat on that pregnancy, which is a ticking time bomb for that patient.”\u003c/p>\n\u003cp>While education and training on abortion care was not easy in some places even before Roe was overturned, the changing landscape has fueled fear and confusion among patients and practitioners, Mamelson said.\u003c/p>\n\u003cp>“There are many, many, many people out there who don’t know that they have that choice [to get an abortion] here in the state of Florida,” she said. “We take an oath in medical school that we won’t cause any harm, but I think this change in the law has caused a lot of harm. It is extremely distressing to have patients come in and request services that we cannot provide them.”\u003c/p>\n\u003cp>But, “we aren’t giving up,” said Mamelson. “That’s for certain.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>California has joined law firms and advocacy groups to create a hotline that provides access to information and pro bono services for people who need legal help related to abortion, as the state seeks to become a safe haven for reproductive rights since Roe v. Wade was overturned.\u003c/p>\n\u003cp>State Attorney General Rob Bonta and officials with the Southern California Legal Alliance for Reproductive Justice made the announcement Tuesday, one year since the U.S. Supreme Court draft decision reversing Roe was leaked.\u003c/p>\n\u003cp>Calling it a “dark anniversary,” Bonta said that in the ensuing year the national legal landscape surrounding abortion has become “confusing and, frankly, scary.”[aside postID=science_1982345 hero='https://ww2.kqed.org/app/uploads/sites/35/2023/04/RS64651_GettyImages-1481952226-qut-1020x680.jpg']He said the new coalition seeks to put patients and care providers at ease by providing a wide range of legal services to people in places where abortion is restricted — including pro bono representation for anyone facing civil or criminal penalties for seeking, providing or assisting in reproductive care.\u003c/p>\n\u003cp>“They aren’t alone. We’re here. We have support. We have resources. We have guidance, we have counsel for you,” Bonta said at a news conference.\u003c/p>\n\u003cp>In addition, legal experts will offer guidance about compliance amid shifting restrictions in various states, advice about protecting sensitive health data and support for amicus briefs to advance reproductive rights.\u003c/p>\n\u003cp>“Unforgiving abortion bans and the devastating health consequences that follow are galvanizing advocates, providers and law firms,” said Lara Stemple, director of the Legal Alliance for Reproductive Justice.\u003c/p>\n\u003cp>Threats of jail time, fines or protracted legal battles have already caused providers to deny critical care and forced patients to turn to unsafe measures, officials said.\u003c/p>\n\u003cp>The state and the legal alliance will get support from groups including Planned Parenthood, Access Reproductive Justice, the National Women’s Law Center and the UCLA Law Center on Reproductive Health, Law and Policy.[pullquote align=\"right\" size=\"medium\" citation=\"Attorney General Rob Bonta\"]‘They aren’t alone. We’re here. We have support. We have resources. We have guidance, we have counsel for you.’[/pullquote]The California coalition will align with the Abortion Defense Network, a national nonprofit that provides similar advice, representation and funding to help pay legal expenses related to abortion care, Stemple said.\u003c/p>\n\u003cp>“So the network is vast and growing,” she said. “I’m confident that we would be able to connect any abortion provider in any place in the United States with lawyers who would be willing to help.”\u003c/p>\n\u003cp>Last June, the Supreme Court overturned Roe v. Wade, the 1973 decision that had provided a constitutional right to abortion. The ruling has led to \u003ca href=\"https://apnews.com/article/supreme-court-abortion-ruling-states-a767801145ad01617100e57410a0a21d\">abortion bans\u003c/a> in roughly half the states.\u003c/p>\n\u003cp>In anticipation of the decision, California and other states led by Democrats have taken steps to protect abortion access. The high court’s decision also set up the potential for legal fights among the states over whether providers and those who help people obtain abortions can be sued or prosecuted.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cp>The Supreme Court issued an order Friday that temporarily stays any changes to federal rules for use of an abortion drug, while it takes time to more fully consider the issues raised in a court challenge.\u003c/p>\n\u003cp>The order, signed by Justice Samuel Alito, put a five-day pause on the fast-moving case so the justices can decide whether lower court rulings restricting the Food and Drug Administration’s approval of the drug, mifepristone, should be allowed to take effect in the short term.\u003c/p>\n\u003cp>The justices are being asked at this point only to determine what parts of an April 7 ruling by U.S. District Judge Matthew Kacsmaryk in Texas, as modified by \u003ca href=\"https://apnews.com/article/texas-abortion-pill-appeal-fe13d36218f1fb43590aff29b5ba4e9c\">an appellate ruling Wednesday\u003c/a>, can be enforced while the case continues. The order expires late Wednesday, suggesting the court will decide that issue by then.\u003c/p>\n\u003cp>The legal saga that has unfolded over mifepristone — one of two drugs commonly used for medication abortions in the U.S. — has caused concern in California, where access to abortion is\u003ca href=\"https://www.kqed.org/news/11931183/californians-vote-to-protect-abortion-in-constitution\"> a constitutional right\u003c/a> under state law. Gov. Gavin Newsom announced last week the \u003ca href=\"https://www.kqed.org/news/11946207/california-strikes-deal-to-stockpile-abortion-pill-in-wake-of-texas-judge-ruling\">state would begin stockpiling abortion medications\u003c/a> in the event that restrictions come into effect. \u003ca href=\"https://www.gov.ca.gov/2023/04/07/governor-newsom-statement-on-texas-judge-restricting-access-to-medication-abortion/\">The governor reiterated that abortion is still legal and accessible\u003c/a> in California as “a fundamental freedom.”\u003c/p>\n\u003cp>In a statement to KQED on Friday, the California Department of Public Health said it was assessing the implications of recent rulings and evaluating various options on how to ensure access to reproductive services and medications, saying it was working with “multiple departments across the California Health and Human Services Agency to ensure that individuals in California are not adversely impacted by the recent court rulings regarding the use of Mifepristone.”\u003c/p>\n\u003cfigure id=\"attachment_11946807\" class=\"wp-caption alignright\" style=\"max-width: 1024px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11946807\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/GettyImages-1475601495.jpg\" alt='An African American woman with short hair speaks into a microphone surrounded by people holding signs that say \"Abortion Is Health Care\"' width=\"1024\" height=\"683\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/GettyImages-1475601495.jpg 1024w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/GettyImages-1475601495-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/GettyImages-1475601495-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/GettyImages-1475601495-160x107.jpg 160w\" sizes=\"(max-width: 1024px) 100vw, 1024px\">\u003cfigcaption class=\"wp-caption-text\">Rep. Barbara Lee (D-Calif.) speaks at a news conference to reintroduce the Abortion Is Health Care Everywhere Act outside the US Capitol on March 23, 2023, in Washington, DC. The bill authorizes the use of certain foreign assistance funds to provide comprehensive reproductive health care services in developing countries, including abortion services, training and equipment. \u003ccite>(Tasos Katopodis/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>U.S. Rep. Barbara Lee (D-Calif.), who is co-chair of the Pro-Choice Caucus, said that while Alito’s decision Friday meant that mifepristone is still accessible, she warned that this access is still “under threat” pending the high court’s decision, and urged continued vigilance.\u003c/p>\n\u003cp>“I think we need to realize that this is another step toward Republicans trying to put into law a national ban on abortion,” said Lee in an interview with KQED. “My constituents are saying they’re worried, because some of these broad, really backwards types of decisions could turn the clock back on scientifically approved drugs nationwide.”\u003c/p>\n\u003cp>The East Bay Congressmember added that she and her colleagues were prepared to act if legislation was needed to strengthen the FDA’s authority and prevent court decisions from undermining that authority, warning of the implications such decisions may have down the line.\u003c/p>\n\u003cp>“[The] FDA approves the safety and efficacy of drugs for all types of medical conditions, including Alzheimer’s,” Lee said. “So what does this say about a process that could hinder other kinds of scientific research for other types of medical conditions? That is very dangerous and people are concerned about that, in terms of the precedent setting with these decisions.”\u003c/p>\n\u003cp>The Supreme Court finds itself immersed in a new fight involving abortion less than a year after\u003ca href=\"https://apnews.com/article/abortion-supreme-court-decision-854f60302f21c2c35129e58cf8d8a7b0\"> conservative justices reversed Roe v. Wade\u003c/a> and allowed more than a dozen states to effectively ban abortion outright.\u003c/p>\n\u003cp>President Joe Biden’s administration and New York-based Danco Laboratories, maker of the pill, asked the justices to intervene.\u003c/p>\n\u003cp>White House Press Secretary Karine Jean-Pierre said in a statement Friday evening that the administration continues “to stand by FDA’s evidence-based approval of mifepristone, and we will continue to support the FDA’s independent, expert authority to review, approve, and regulate a wide range of prescription drugs.”[pullquote align=\"right\" size=\"medium\" citation=\"Rep. Barbara Lee (D-Calif.)\"]‘I think we need to realize that this is another step toward Republicans trying to put into law a national ban on abortion.’[/pullquote]She added, “The stakes of this fight could not be higher in the face of ongoing attacks on women’s health, and we will continue to fight to restore the protections of Roe v. Wade.”\u003c/p>\n\u003cp>A lawyer for the anti-abortion doctors and medical organizations suing over mifepristone said the court’s action Friday was “standard operating procedure” and urged the justices to allow the appeals court-ordered changes to take effect by the middle of next week.\u003c/p>\n\u003cp>The type of order issued by the court Friday, an administrative stay, ordinarily is not an indication of what the justices will do going forward. It was signed by Alito because he handles emergency filings from Texas. Alito also is the author of last year’s opinion overturning Roe v. Wade.\u003c/p>\n\u003cp>The Justice Department and Danco both warned of “regulatory chaos” and harm to women if the high court doesn’t block the lower-court rulings that had the effect of tightening FDA rules under which the drug, mifepristone, can be prescribed and dispensed.\u003c/p>\n\u003cfigure id=\"attachment_11946813\" class=\"wp-caption alignnone\" style=\"max-width: 1024px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11946813\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/GettyImages-1251856353.jpg\" alt='Protesters march holding signs that read \"Abortion Is Health Care\" with the U.S. Capitol in the backdrop.' width=\"1024\" height=\"684\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/GettyImages-1251856353.jpg 1024w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/GettyImages-1251856353-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/GettyImages-1251856353-1020x681.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/GettyImages-1251856353-160x107.jpg 160w\" sizes=\"(max-width: 1024px) 100vw, 1024px\">\u003cfigcaption class=\"wp-caption-text\">Demonstrators rally in support of abortion rights at the US Supreme Court in Washington, DC, April 15, 2023. \u003ccite>(Andrew Caballero-Reynolds/AFP via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The new limits would have taken effect Saturday if the court hadn’t acted.\u003c/p>\n\u003cp>“This application concerns unprecedented lower court orders countermanding FDA’s scientific judgment and unleashing regulatory chaos by suspending the existing FDA-approved conditions of use for mifepristone,” Solicitor General Elizabeth Prelogar, the Biden administration’s top Supreme Court lawyer, wrote Friday, less than two days after the appellate ruling.\u003c/p>\n\u003cp>The Biden administration and Danco now want a more lasting order that would keep the current rules in place as long as the legal fight over mifepristone continues. As a fallback, they asked the court to take up the issue, hear arguments and decide by early summer a legal challenge to mifepristone that anti-abortion doctors and medical organizations filed last year.\u003c/p>\n\u003cp>The court rarely acts so quickly to grant full review of cases before at least one appeals court has thoroughly examined the legal issues involved.[aside label=\"Related Stories\" postID=\"news_11946073,news_11946193,news_11938516\"]A ruling from the 5th U.S. Circuit Court of Appeals late Wednesday would prevent the pill, used in the most common abortion method, from being mailed or prescribed without an in-person visit to a doctor. It also would withdraw the Food and Drug Administration’s approval of mifepristone for use beyond the seventh week of pregnancy. The FDA says it’s safe through 10 weeks.\u003c/p>\n\u003cp>Still, the appeals court did not entirely withdraw FDA approval of mifepristone \u003ca href=\"https://apnews.com/article/abortion-telehealth-mifepristone-9ba8f3ce130fae246e1d87ce428b74a0\">while the fight over it continues\u003c/a>. The 5th Circuit narrowed an April 7 ruling by \u003ca href=\"https://apnews.com/article/texas-judge-matthew-kacsmaryk-abortion-pill-fda-75964b777ef09593a1ad948c6cfc0237\">U.S. District Judge Matthew Kacsmaryk\u003c/a>, whose far-reaching and virtually unprecedented order would have blocked FDA approval of the pill. He gave the administration a week to appeal.\u003c/p>\n\u003cp>“To the government’s knowledge, this is the first time any court has abrogated FDA’s conditions on a drug’s approval based on a disagreement with the agency’s judgment about safety — much less done so after those conditions have been in effect for years,” Prelogar wrote.\u003c/p>\n\u003cp>Erin Hawley, lawyer for the challengers, said in a statement that the FDA has put politics ahead of health concerns in its actions on medication abortion.\u003c/p>\n\u003cp>“The 5th Circuit rightly required the agency to prioritize women’s health by restoring critical safeguards, and we’ll urge the Supreme Court to keep that accountability in place,” said Hawley, senior counsel with Alliance Defending Freedom, a conservative legal group that also argued to overturn Roe v. Wade.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Mifepristone was approved by the FDA more than two decades ago and is used in combination with a second drug, misoprostol.\u003c/p>\n\u003cp>Adding to the uncertainty, a separate federal judge in Washington on Thursday clarified his own order from last week to make clear that the FDA is not to do anything that might block mifepristone’s availability in 17 Democrat-led states suing to keep it on the market.\u003c/p>\n\u003cp>It’s unclear how the FDA can comply with court orders in both cases, a situation that Prelogar described Friday as untenable.\u003c/p>\n\u003cp>Health and Human Services Secretary Xavier Becerra, in a statement Friday night, said the April 7 ruling out of Texas poses “an existential threat to the FDA’s authority to review and approve a wide range of drugs. If it stands, no medicine approved by the FDA would be safe from these attacks.”[pullquote align=\"right\" size=\"medium\" citation=\"Elizabeth Prelogar, US solicitor general\"]‘[T]his is the first time any court has abrogated FDA’s conditions on a drug’s approval based on a disagreement with the agency’s judgment about safety — much less done so after those conditions have been in effect for years.’[/pullquote]Use of medication abortion jumped significantly after the FDA’s 2016 rule expansion, according to data gathered by the Guttmacher Institute, a research group that supports abortion rights. In 2017, medication abortion accounted for 39% percent of abortions, but by 2020 it had increased to become the most common method, accounting for 53% of all abortions.\u003c/p>\n\u003cp>Experts have said the use of medication abortion has increased since the court overturned Roe.\u003c/p>\n\u003cp>When the drug was initially approved, the FDA limited its use to up to seven weeks of pregnancy. It also required three in-person office visits: the first to administer mifepristone, the next to administer the second drug, misoprostol, and the third to address any complications. It also required a doctor’s supervision and a reporting system for any serious consequences of the drug.\u003c/p>\n\u003cp>If the appeals court’s action stands, those would again be the terms under which mifepristone could be dispensed for now.\u003c/p>\n\u003cp>At the core of the Texas lawsuit is the allegation that the FDA’s initial approval of mifepristone was flawed because the agency did not adequately review safety risks.\u003c/p>\n\u003cp>Mifepristone has been used by millions of women over the past 23 years. While less drastic than completely overturning the drug’s approval, the latest ruling still represents a stark challenge to the FDA’s authority overseeing how prescription drugs are used in the U.S. The ruling late Wednesday overturned multiple decisions made by FDA regulators after years of scientific review.\u003c/p>\n\u003cp>Common side effects with mifepristone include cramping, bleeding, nausea, headache and diarrhea. In rare cases, patients can experience excess bleeding that requires surgery to stop.\u003c/p>\n\u003cp>Still, in loosening restrictions on mifepristone, FDA regulators cited “exceedingly low rates of serious adverse events.”\u003c/p>\n\u003cp>More than 5.6 million women in the U.S. had used the drug as of June 2022, according to the FDA. In that period, the agency received 4,200 reports of complications in women, or less than one-tenth of 1% of women who took the drug.\u003c/p>\n\u003cp>\u003cem>This story includes reporting by Mark Sherman and Jessica Gresko of The Associated Press and by KQED’s Attila Pelit and Azul Dahlstrom-Eckman.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "The Supreme Court temporarily keeps in place federal rules for the use of the abortion drug mifepristone while it takes time to more fully consider the issues raised in a court challenge, with a decision expected Wednesday, April 19, as California waits and prepares for what happens next.",
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"title": "With Supreme Court Decision Pending, California Braces for What Comes Next in Abortion Pill Legal Saga | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The Supreme Court issued an order Friday that temporarily stays any changes to federal rules for use of an abortion drug, while it takes time to more fully consider the issues raised in a court challenge.\u003c/p>\n\u003cp>The order, signed by Justice Samuel Alito, put a five-day pause on the fast-moving case so the justices can decide whether lower court rulings restricting the Food and Drug Administration’s approval of the drug, mifepristone, should be allowed to take effect in the short term.\u003c/p>\n\u003cp>The justices are being asked at this point only to determine what parts of an April 7 ruling by U.S. District Judge Matthew Kacsmaryk in Texas, as modified by \u003ca href=\"https://apnews.com/article/texas-abortion-pill-appeal-fe13d36218f1fb43590aff29b5ba4e9c\">an appellate ruling Wednesday\u003c/a>, can be enforced while the case continues. The order expires late Wednesday, suggesting the court will decide that issue by then.\u003c/p>\n\u003cp>The legal saga that has unfolded over mifepristone — one of two drugs commonly used for medication abortions in the U.S. — has caused concern in California, where access to abortion is\u003ca href=\"https://www.kqed.org/news/11931183/californians-vote-to-protect-abortion-in-constitution\"> a constitutional right\u003c/a> under state law. Gov. Gavin Newsom announced last week the \u003ca href=\"https://www.kqed.org/news/11946207/california-strikes-deal-to-stockpile-abortion-pill-in-wake-of-texas-judge-ruling\">state would begin stockpiling abortion medications\u003c/a> in the event that restrictions come into effect. \u003ca href=\"https://www.gov.ca.gov/2023/04/07/governor-newsom-statement-on-texas-judge-restricting-access-to-medication-abortion/\">The governor reiterated that abortion is still legal and accessible\u003c/a> in California as “a fundamental freedom.”\u003c/p>\n\u003cp>In a statement to KQED on Friday, the California Department of Public Health said it was assessing the implications of recent rulings and evaluating various options on how to ensure access to reproductive services and medications, saying it was working with “multiple departments across the California Health and Human Services Agency to ensure that individuals in California are not adversely impacted by the recent court rulings regarding the use of Mifepristone.”\u003c/p>\n\u003cfigure id=\"attachment_11946807\" class=\"wp-caption alignright\" style=\"max-width: 1024px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11946807\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/GettyImages-1475601495.jpg\" alt='An African American woman with short hair speaks into a microphone surrounded by people holding signs that say \"Abortion Is Health Care\"' width=\"1024\" height=\"683\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/GettyImages-1475601495.jpg 1024w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/GettyImages-1475601495-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/GettyImages-1475601495-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/GettyImages-1475601495-160x107.jpg 160w\" sizes=\"(max-width: 1024px) 100vw, 1024px\">\u003cfigcaption class=\"wp-caption-text\">Rep. Barbara Lee (D-Calif.) speaks at a news conference to reintroduce the Abortion Is Health Care Everywhere Act outside the US Capitol on March 23, 2023, in Washington, DC. The bill authorizes the use of certain foreign assistance funds to provide comprehensive reproductive health care services in developing countries, including abortion services, training and equipment. \u003ccite>(Tasos Katopodis/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>U.S. Rep. Barbara Lee (D-Calif.), who is co-chair of the Pro-Choice Caucus, said that while Alito’s decision Friday meant that mifepristone is still accessible, she warned that this access is still “under threat” pending the high court’s decision, and urged continued vigilance.\u003c/p>\n\u003cp>“I think we need to realize that this is another step toward Republicans trying to put into law a national ban on abortion,” said Lee in an interview with KQED. “My constituents are saying they’re worried, because some of these broad, really backwards types of decisions could turn the clock back on scientifically approved drugs nationwide.”\u003c/p>\n\u003cp>The East Bay Congressmember added that she and her colleagues were prepared to act if legislation was needed to strengthen the FDA’s authority and prevent court decisions from undermining that authority, warning of the implications such decisions may have down the line.\u003c/p>\n\u003cp>“[The] FDA approves the safety and efficacy of drugs for all types of medical conditions, including Alzheimer’s,” Lee said. “So what does this say about a process that could hinder other kinds of scientific research for other types of medical conditions? That is very dangerous and people are concerned about that, in terms of the precedent setting with these decisions.”\u003c/p>\n\u003cp>The Supreme Court finds itself immersed in a new fight involving abortion less than a year after\u003ca href=\"https://apnews.com/article/abortion-supreme-court-decision-854f60302f21c2c35129e58cf8d8a7b0\"> conservative justices reversed Roe v. Wade\u003c/a> and allowed more than a dozen states to effectively ban abortion outright.\u003c/p>\n\u003cp>President Joe Biden’s administration and New York-based Danco Laboratories, maker of the pill, asked the justices to intervene.\u003c/p>\n\u003cp>White House Press Secretary Karine Jean-Pierre said in a statement Friday evening that the administration continues “to stand by FDA’s evidence-based approval of mifepristone, and we will continue to support the FDA’s independent, expert authority to review, approve, and regulate a wide range of prescription drugs.”\u003c/p>\u003c/div>",
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"content": "‘I think we need to realize that this is another step toward Republicans trying to put into law a national ban on abortion.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>She added, “The stakes of this fight could not be higher in the face of ongoing attacks on women’s health, and we will continue to fight to restore the protections of Roe v. Wade.”\u003c/p>\n\u003cp>A lawyer for the anti-abortion doctors and medical organizations suing over mifepristone said the court’s action Friday was “standard operating procedure” and urged the justices to allow the appeals court-ordered changes to take effect by the middle of next week.\u003c/p>\n\u003cp>The type of order issued by the court Friday, an administrative stay, ordinarily is not an indication of what the justices will do going forward. It was signed by Alito because he handles emergency filings from Texas. Alito also is the author of last year’s opinion overturning Roe v. Wade.\u003c/p>\n\u003cp>The Justice Department and Danco both warned of “regulatory chaos” and harm to women if the high court doesn’t block the lower-court rulings that had the effect of tightening FDA rules under which the drug, mifepristone, can be prescribed and dispensed.\u003c/p>\n\u003cfigure id=\"attachment_11946813\" class=\"wp-caption alignnone\" style=\"max-width: 1024px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11946813\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/GettyImages-1251856353.jpg\" alt='Protesters march holding signs that read \"Abortion Is Health Care\" with the U.S. Capitol in the backdrop.' width=\"1024\" height=\"684\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/GettyImages-1251856353.jpg 1024w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/GettyImages-1251856353-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/GettyImages-1251856353-1020x681.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/GettyImages-1251856353-160x107.jpg 160w\" sizes=\"(max-width: 1024px) 100vw, 1024px\">\u003cfigcaption class=\"wp-caption-text\">Demonstrators rally in support of abortion rights at the US Supreme Court in Washington, DC, April 15, 2023. \u003ccite>(Andrew Caballero-Reynolds/AFP via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The new limits would have taken effect Saturday if the court hadn’t acted.\u003c/p>\n\u003cp>“This application concerns unprecedented lower court orders countermanding FDA’s scientific judgment and unleashing regulatory chaos by suspending the existing FDA-approved conditions of use for mifepristone,” Solicitor General Elizabeth Prelogar, the Biden administration’s top Supreme Court lawyer, wrote Friday, less than two days after the appellate ruling.\u003c/p>\n\u003cp>The Biden administration and Danco now want a more lasting order that would keep the current rules in place as long as the legal fight over mifepristone continues. As a fallback, they asked the court to take up the issue, hear arguments and decide by early summer a legal challenge to mifepristone that anti-abortion doctors and medical organizations filed last year.\u003c/p>\n\u003cp>The court rarely acts so quickly to grant full review of cases before at least one appeals court has thoroughly examined the legal issues involved.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>A ruling from the 5th U.S. Circuit Court of Appeals late Wednesday would prevent the pill, used in the most common abortion method, from being mailed or prescribed without an in-person visit to a doctor. It also would withdraw the Food and Drug Administration’s approval of mifepristone for use beyond the seventh week of pregnancy. The FDA says it’s safe through 10 weeks.\u003c/p>\n\u003cp>Still, the appeals court did not entirely withdraw FDA approval of mifepristone \u003ca href=\"https://apnews.com/article/abortion-telehealth-mifepristone-9ba8f3ce130fae246e1d87ce428b74a0\">while the fight over it continues\u003c/a>. The 5th Circuit narrowed an April 7 ruling by \u003ca href=\"https://apnews.com/article/texas-judge-matthew-kacsmaryk-abortion-pill-fda-75964b777ef09593a1ad948c6cfc0237\">U.S. District Judge Matthew Kacsmaryk\u003c/a>, whose far-reaching and virtually unprecedented order would have blocked FDA approval of the pill. He gave the administration a week to appeal.\u003c/p>\n\u003cp>“To the government’s knowledge, this is the first time any court has abrogated FDA’s conditions on a drug’s approval based on a disagreement with the agency’s judgment about safety — much less done so after those conditions have been in effect for years,” Prelogar wrote.\u003c/p>\n\u003cp>Erin Hawley, lawyer for the challengers, said in a statement that the FDA has put politics ahead of health concerns in its actions on medication abortion.\u003c/p>\n\u003cp>“The 5th Circuit rightly required the agency to prioritize women’s health by restoring critical safeguards, and we’ll urge the Supreme Court to keep that accountability in place,” said Hawley, senior counsel with Alliance Defending Freedom, a conservative legal group that also argued to overturn 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>Mifepristone was approved by the FDA more than two decades ago and is used in combination with a second drug, misoprostol.\u003c/p>\n\u003cp>Adding to the uncertainty, a separate federal judge in Washington on Thursday clarified his own order from last week to make clear that the FDA is not to do anything that might block mifepristone’s availability in 17 Democrat-led states suing to keep it on the market.\u003c/p>\n\u003cp>It’s unclear how the FDA can comply with court orders in both cases, a situation that Prelogar described Friday as untenable.\u003c/p>\n\u003cp>Health and Human Services Secretary Xavier Becerra, in a statement Friday night, said the April 7 ruling out of Texas poses “an existential threat to the FDA’s authority to review and approve a wide range of drugs. If it stands, no medicine approved by the FDA would be safe from these attacks.”\u003c/p>\u003c/div>",
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"content": "‘[T]his is the first time any court has abrogated FDA’s conditions on a drug’s approval based on a disagreement with the agency’s judgment about safety — much less done so after those conditions have been in effect for years.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Use of medication abortion jumped significantly after the FDA’s 2016 rule expansion, according to data gathered by the Guttmacher Institute, a research group that supports abortion rights. In 2017, medication abortion accounted for 39% percent of abortions, but by 2020 it had increased to become the most common method, accounting for 53% of all abortions.\u003c/p>\n\u003cp>Experts have said the use of medication abortion has increased since the court overturned Roe.\u003c/p>\n\u003cp>When the drug was initially approved, the FDA limited its use to up to seven weeks of pregnancy. It also required three in-person office visits: the first to administer mifepristone, the next to administer the second drug, misoprostol, and the third to address any complications. It also required a doctor’s supervision and a reporting system for any serious consequences of the drug.\u003c/p>\n\u003cp>If the appeals court’s action stands, those would again be the terms under which mifepristone could be dispensed for now.\u003c/p>\n\u003cp>At the core of the Texas lawsuit is the allegation that the FDA’s initial approval of mifepristone was flawed because the agency did not adequately review safety risks.\u003c/p>\n\u003cp>Mifepristone has been used by millions of women over the past 23 years. While less drastic than completely overturning the drug’s approval, the latest ruling still represents a stark challenge to the FDA’s authority overseeing how prescription drugs are used in the U.S. The ruling late Wednesday overturned multiple decisions made by FDA regulators after years of scientific review.\u003c/p>\n\u003cp>Common side effects with mifepristone include cramping, bleeding, nausea, headache and diarrhea. In rare cases, patients can experience excess bleeding that requires surgery to stop.\u003c/p>\n\u003cp>Still, in loosening restrictions on mifepristone, FDA regulators cited “exceedingly low rates of serious adverse events.”\u003c/p>\n\u003cp>More than 5.6 million women in the U.S. had used the drug as of June 2022, according to the FDA. In that period, the agency received 4,200 reports of complications in women, or less than one-tenth of 1% of women who took the drug.\u003c/p>\n\u003cp>\u003cem>This story includes reporting by Mark Sherman and Jessica Gresko of The Associated Press and by KQED’s Attila Pelit and Azul Dahlstrom-Eckman.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>On Friday, a federal \u003ca href=\"https://www.npr.org/2023/04/07/1159220452/abortion-pill-drug-mifepristone-judge-texas-amarillo\">judge in Texas ruled\u003c/a> that the Food and Drug Administration didn’t properly approve a drug which has been on the market for more than 20 years in the U.S. for medical abortions. The drug in question, mifepristone, is used along with one other drug in most medication abortions in the U.S.\u003c/p>\n\u003cp>The fallout of the ruling could mean that mifepristone becomes unavailable in the U.S. in the near future, though the ruling is being challenged in court. Depending how legal battles play out and how the FDA responds, the effects of this ruling may apply only in certain states, or may indeed curtail mifepristone use around the country.\u003c/p>\n\u003cp>If this happens, doctors say they will continue to offer medication abortions without mifepristone, using only the other drug, misoprostol. Here’s what to know about how misoprostol-only abortions work, how safe they are and how patients would access them.\u003c/p>\n\u003ch2>How does the single-drug protocol differ from the current standard of care which uses two drugs?\u003c/h2>\n\u003cp>Most medication abortions in the U.S. currently use both mifepristone and misoprostol because patients experience fewer side effects when the medications are combined. A regimen involving both medications is also used for miscarriages.\u003c/p>\n\u003cp>But misoprostol alone can be used effectively for abortions — and is commonly prescribed in some countries.\u003c/p>\n\u003cp>“This regimen is still incredibly safe and effective,” says \u003ca href=\"https://www.acog.org/about/leadership-and-governance/get-involved/darney-landy-fellows\">Dr. Kristyn Brandi\u003c/a>, a New Jersey family planning specialist and spokesperson for the American College of Obstetricians and Gynecologists. “Medication abortion and miscarriage management will not go away with the loss of mifepristone, but it may look a little different.”\u003c/p>\n\u003cp>With the two-drug regimen, patients first take mifepristone — which blocks the hormone progesterone — to end the pregnancy. Patients then take misoprostol 24–48 hours later, which causes the uterus to expel the pregnancy tissue. Patients experience bleeding and cramping, and usually pass the pregnancy within four to six hours after taking the misoprostol.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003ca href=\"https://societyfp.org/wp-content/uploads/2023/03/Medication-abortion-with-misoprostol-only_A-sample-protocol_2023.pdf\">In a misoprostol-alone abortion (PDF)\u003c/a>, patients start the process with misoprostol, using the same amount as is used in the two-drug regimen. Three hours later, they take misoprostol again, causing the uterus to contract. They repeat this for three to four doses until the pregnancy passes, which usually takes between nine and 12 hours.\u003c/p>\n\u003cp>In both cases, patients typically see a doctor or nurse, either in person or online, and then take the drugs at home.\u003c/p>\n\u003ch2>Is the misoprostol-alone regime safe? What can patients expect to experience?\u003c/h2>\n\u003cp>There’s lots of research that shows the misoprostol-only protocol \u003ca href=\"https://journals.lww.com/greenjournal/Abstract/2019/01000/Efficacy_of_Misoprostol_Alone_for_First_Trimester.19.aspx\">is as safe \u003c/a>as the two-medication protocol — but it does tend to cause more side effects.\u003c/p>\n\u003cp>Even though the two-drug protocol is still preferred when possible, there’s ample evidence that misoprostol alone is a very effective alternative, \u003ca href=\"https://societyfp.org/wp-content/uploads/2023/02/SFP_ScienceSays_misoprostol.pdf\">according to the Society of Family Planning (PDF)\u003c/a>, an abortion research organization.\u003c/p>\n\u003cp>Multiple organizations, like the \u003ca href=\"https://www.acog.org/clinical/clinical-guidance/practice-bulletin/articles/2020/10/medication-abortion-up-to-70-days-of-gestation\">American College of Obstetricians and Gynecologists\u003c/a> and the \u003ca href=\"https://srhr.org/abortioncare/chapter-3/abortion-3-4/medical-management-of-induced-abortion-recommendations-27-30-3-4-2/\">World Health Organization\u003c/a>, say the one-medication protocol is an acceptable choice, particularly when mifepristone isn’t available.\u003c/p>\n\u003cp>Patients using misoprostol alone, however, tend to experience more nausea, vomiting, and diarrhea, and a longer duration of cramping and bleeding. That’s why it’s usually the second choice regimen.\u003c/p>\n\u003cp>The misoprostol-only protocol is actually faster than the two-medication protocol, which takes about 30 hours total since patients take the second drug at least 24-hours after the first. In the misoprostol-alone regimen, the process usually only takes 9-12 hours, but patients typically experience cramping and bleeding for longer.\u003c/p>\n\u003ch2>When might a patient need to seek further medical help for a medication abortion?\u003c/h2>\n\u003cp>With either regimen, the reasons to seek follow up care are the same.[pullquote align=\"right\" size=\"medium\" citation=\"Dr. Kristyn Brandi, spokesperson, American College of Obstetricians and Gynecologists\"]‘This regimen is still incredibly safe and effective … Medication abortion and miscarriage management will not go away with the loss of mifepristone, but it may look a little different.’[/pullquote]If patients experience heavy or prolonged bleeding – spotting that persists for over 2 weeks, for example, or bleeding so heavy they soak through more than two pads an hour for over two hours – they might need a procedure to complete the abortion.\u003c/p>\n\u003cp>A prolonged fever above 100.4 degrees Fahrenheit is also a reason to seek medical care. While low-grade fevers and chills are an expected side effect of misoprostol and aren’t life threatening, if a fever persists for more than 24 hours after taking misoprostol, it could be a sign of infection.\u003c/p>\n\u003cp>Also, if a patient does not experience \u003cem>any \u003c/em>bleeding or cramping, the medication may not have worked to end the pregnancy, and she might need more misoprostol or a procedure to have a complete abortion.\u003c/p>\n\u003ch2>How far along into the pregnancy does medication abortion work?\u003c/h2>\n\u003cp>The Food and Drug Administration has approved the two-drug regimen to \u003ca href=\"https://www.fda.gov/drugs/postmarket-drug-safety-information-patients-and-providers/information-about-mifepristone-medical-termination-pregnancy-through-ten-weeks-gestation\">end pregnancies up to 10 weeks\u003c/a> gestational age, but the World Health Organization \u003ca href=\"https://srhr.org/abortioncare/chapter-3/abortion-3-4/medical-management-of-induced-abortion-recommendations-27-30-3-4-2/\">endorses it up to 12 weeks\u003c/a>. After that, they’re less likely to be effective and may cause more bleeding and cramping.\u003c/p>\n\u003cp>For misoprostol-only abortion, it’s less clear cut. There’s some data showing that the regimen can be effective in ending pregnancies up to 22 weeks. That’s \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9359894/\">according to one study\u003c/a> that looked at patients having self-managed abortions, without the direct involvement of a doctor in countries that have had restrictive abortion laws.\u003c/p>\n\u003cp>But in U.S. states where second trimester abortion is allowed, Brandi says, doctors will typically recommend a procedural abortion in a hospital rather than a medication-based abortion to end pregnancies after 12 weeks. That’s because second trimester misoprostol-only abortions can involve more bleeding and prolonged cramping. Doctors would probably only recommend misoprostol-alone in the second trimester in states where patients don’t have other legal options.\u003c/p>\n\u003ch2>How do patients get prescriptions for medication abortions? Would they be able to get them for the one-drug regimen?\u003c/h2>\n\u003cp>In states where abortion is legal in the first trimester, patients can speak to a health care provider and get a prescription for medication abortion via \u003ca href=\"https://www.npr.org/sections/health-shots/2022/05/20/1099179361/telehealth-abortions-are-simple-and-private-but-restricted-in-many-states\">telehealth abortion companies\u003c/a>, in-person at clinics that provide abortion like Planned Parenthood, and at many general OB/GYN and family medicine clinics.\u003c/p>\n\u003cp>As long as mifepristone is still available, providers will usually give the two-drug regimen. If it becomes unavailable, many providers have indicated they’d start prescribing misoprostol alone.[aside label=\"Related Stories\" postID=\"news_11946193,news_11946073,news_11938516\"]Dr. Jamie Phifer, the medical director of \u003ca href=\"https://abortionondemand.org/\">Abortion on Demand\u003c/a>, says her team is waiting to see how the courts ultimately rule on mifepristone. They will continue to provide mifepristone and misoprostol combination abortions to their patients unless it becomes illegal.\u003c/p>\n\u003cp>“But we’re ready,” she adds. “We can make the switch [to misoprostol-only protocols] within hours.”\u003c/p>\n\u003cp>In fact, misoprostol is easier to access than mifepristone. Even before the Texas judge’s ruling, mifepristone was subject to \u003ca href=\"https://www.fda.gov/drugs/postmarket-drug-safety-information-patients-and-providers/information-about-mifepristone-medical-termination-pregnancy-through-ten-weeks-gestation\">special FDA regulations\u003c/a> that meant that most commercial pharmacies did not carry it, and patients could only get it at clinics that provide abortions or via pharmacies that had specially registered with the FDA.\u003c/p>\n\u003cp>Misoprostol, however, isn’t subject to these regulations, so it’s stocked in almost all pharmacies and hospitals.\u003c/p>\n\u003ch2>Are patients able to get the medication in states where abortion is banned?\u003c/h2>\n\u003cp>Neither the two-drug regime, nor misoprostol-alone medication abortions are available legally in these states. Misoprostol itself remains legal when used for other purposes, like treating ulcers or inducing labor.\u003c/p>\n\u003cp>However, there are a number of services that help patients in these states access abortion pills.\u003c/p>\n\u003cp>For instance, \u003ca href=\"https://www.mayday.health/\">Mayday.Health\u003c/a> offers step-by-step instructions for setting up a mail-forwarding address, so patients can list an address in a permissive state on their intake forms for a telehealth abortion, then get the pills sent along to an additional address somewhere else. \u003ca href=\"https://www.plancpills.org/\">Plan C\u003c/a> is a website that provides up-to-date information about how to get abortion pills at home.\u003c/p>\n\u003cp>\u003ca href=\"https://www.mahotline.org/\">The Miscarriage and Abortion Hotline\u003c/a> offers free consultations with clinicians if a patient has questions about a medication abortion, even if she had the abortion in a state where it’s illegal.\u003c/p>\n\u003cp>Other organizations openly flout the law to provide abortion medications in all 50 states.\u003c/p>\n\u003cp>\u003ca href=\"https://aidaccess.org/en/\">Aid Access\u003c/a>, for example, is based in the Netherlands and will mail mifepristone and misoprostol to patients in states where abortion is banned. Pills sent from abroad are not subject to FDA approval and safety regulations. The organization also employs U.S.-based health care providers, who prescribe FDA-regulated abortion pills via telehealth in states where it’s allowed.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "While the fate of mifepristone hangs in the balance following a Texas federal judge's ruling last week, and with a legal challenge to the ruling underway, experts explain that the other abortion drug it is used with — misoprostol — will still be available and is still effective for abortion treatment.",
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"description": "While the fate of mifepristone hangs in the balance following a Texas federal judge's ruling last week, and with a legal challenge to the ruling underway, experts explain that the other abortion drug it is used with — misoprostol — will still be available and is still effective for abortion treatment.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>On Friday, a federal \u003ca href=\"https://www.npr.org/2023/04/07/1159220452/abortion-pill-drug-mifepristone-judge-texas-amarillo\">judge in Texas ruled\u003c/a> that the Food and Drug Administration didn’t properly approve a drug which has been on the market for more than 20 years in the U.S. for medical abortions. The drug in question, mifepristone, is used along with one other drug in most medication abortions in the U.S.\u003c/p>\n\u003cp>The fallout of the ruling could mean that mifepristone becomes unavailable in the U.S. in the near future, though the ruling is being challenged in court. Depending how legal battles play out and how the FDA responds, the effects of this ruling may apply only in certain states, or may indeed curtail mifepristone use around the country.\u003c/p>\n\u003cp>If this happens, doctors say they will continue to offer medication abortions without mifepristone, using only the other drug, misoprostol. Here’s what to know about how misoprostol-only abortions work, how safe they are and how patients would access them.\u003c/p>\n\u003ch2>How does the single-drug protocol differ from the current standard of care which uses two drugs?\u003c/h2>\n\u003cp>Most medication abortions in the U.S. currently use both mifepristone and misoprostol because patients experience fewer side effects when the medications are combined. A regimen involving both medications is also used for miscarriages.\u003c/p>\n\u003cp>But misoprostol alone can be used effectively for abortions — and is commonly prescribed in some countries.\u003c/p>\n\u003cp>“This regimen is still incredibly safe and effective,” says \u003ca href=\"https://www.acog.org/about/leadership-and-governance/get-involved/darney-landy-fellows\">Dr. Kristyn Brandi\u003c/a>, a New Jersey family planning specialist and spokesperson for the American College of Obstetricians and Gynecologists. “Medication abortion and miscarriage management will not go away with the loss of mifepristone, but it may look a little different.”\u003c/p>\n\u003cp>With the two-drug regimen, patients first take mifepristone — which blocks the hormone progesterone — to end the pregnancy. Patients then take misoprostol 24–48 hours later, which causes the uterus to expel the pregnancy tissue. Patients experience bleeding and cramping, and usually pass the pregnancy within four to six hours after taking the misoprostol.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"https://societyfp.org/wp-content/uploads/2023/03/Medication-abortion-with-misoprostol-only_A-sample-protocol_2023.pdf\">In a misoprostol-alone abortion (PDF)\u003c/a>, patients start the process with misoprostol, using the same amount as is used in the two-drug regimen. Three hours later, they take misoprostol again, causing the uterus to contract. They repeat this for three to four doses until the pregnancy passes, which usually takes between nine and 12 hours.\u003c/p>\n\u003cp>In both cases, patients typically see a doctor or nurse, either in person or online, and then take the drugs at home.\u003c/p>\n\u003ch2>Is the misoprostol-alone regime safe? What can patients expect to experience?\u003c/h2>\n\u003cp>There’s lots of research that shows the misoprostol-only protocol \u003ca href=\"https://journals.lww.com/greenjournal/Abstract/2019/01000/Efficacy_of_Misoprostol_Alone_for_First_Trimester.19.aspx\">is as safe \u003c/a>as the two-medication protocol — but it does tend to cause more side effects.\u003c/p>\n\u003cp>Even though the two-drug protocol is still preferred when possible, there’s ample evidence that misoprostol alone is a very effective alternative, \u003ca href=\"https://societyfp.org/wp-content/uploads/2023/02/SFP_ScienceSays_misoprostol.pdf\">according to the Society of Family Planning (PDF)\u003c/a>, an abortion research organization.\u003c/p>\n\u003cp>Multiple organizations, like the \u003ca href=\"https://www.acog.org/clinical/clinical-guidance/practice-bulletin/articles/2020/10/medication-abortion-up-to-70-days-of-gestation\">American College of Obstetricians and Gynecologists\u003c/a> and the \u003ca href=\"https://srhr.org/abortioncare/chapter-3/abortion-3-4/medical-management-of-induced-abortion-recommendations-27-30-3-4-2/\">World Health Organization\u003c/a>, say the one-medication protocol is an acceptable choice, particularly when mifepristone isn’t available.\u003c/p>\n\u003cp>Patients using misoprostol alone, however, tend to experience more nausea, vomiting, and diarrhea, and a longer duration of cramping and bleeding. That’s why it’s usually the second choice regimen.\u003c/p>\n\u003cp>The misoprostol-only protocol is actually faster than the two-medication protocol, which takes about 30 hours total since patients take the second drug at least 24-hours after the first. In the misoprostol-alone regimen, the process usually only takes 9-12 hours, but patients typically experience cramping and bleeding for longer.\u003c/p>\n\u003ch2>When might a patient need to seek further medical help for a medication abortion?\u003c/h2>\n\u003cp>With either regimen, the reasons to seek follow up care are the same.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>If patients experience heavy or prolonged bleeding – spotting that persists for over 2 weeks, for example, or bleeding so heavy they soak through more than two pads an hour for over two hours – they might need a procedure to complete the abortion.\u003c/p>\n\u003cp>A prolonged fever above 100.4 degrees Fahrenheit is also a reason to seek medical care. While low-grade fevers and chills are an expected side effect of misoprostol and aren’t life threatening, if a fever persists for more than 24 hours after taking misoprostol, it could be a sign of infection.\u003c/p>\n\u003cp>Also, if a patient does not experience \u003cem>any \u003c/em>bleeding or cramping, the medication may not have worked to end the pregnancy, and she might need more misoprostol or a procedure to have a complete abortion.\u003c/p>\n\u003ch2>How far along into the pregnancy does medication abortion work?\u003c/h2>\n\u003cp>The Food and Drug Administration has approved the two-drug regimen to \u003ca href=\"https://www.fda.gov/drugs/postmarket-drug-safety-information-patients-and-providers/information-about-mifepristone-medical-termination-pregnancy-through-ten-weeks-gestation\">end pregnancies up to 10 weeks\u003c/a> gestational age, but the World Health Organization \u003ca href=\"https://srhr.org/abortioncare/chapter-3/abortion-3-4/medical-management-of-induced-abortion-recommendations-27-30-3-4-2/\">endorses it up to 12 weeks\u003c/a>. After that, they’re less likely to be effective and may cause more bleeding and cramping.\u003c/p>\n\u003cp>For misoprostol-only abortion, it’s less clear cut. There’s some data showing that the regimen can be effective in ending pregnancies up to 22 weeks. That’s \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9359894/\">according to one study\u003c/a> that looked at patients having self-managed abortions, without the direct involvement of a doctor in countries that have had restrictive abortion laws.\u003c/p>\n\u003cp>But in U.S. states where second trimester abortion is allowed, Brandi says, doctors will typically recommend a procedural abortion in a hospital rather than a medication-based abortion to end pregnancies after 12 weeks. That’s because second trimester misoprostol-only abortions can involve more bleeding and prolonged cramping. Doctors would probably only recommend misoprostol-alone in the second trimester in states where patients don’t have other legal options.\u003c/p>\n\u003ch2>How do patients get prescriptions for medication abortions? Would they be able to get them for the one-drug regimen?\u003c/h2>\n\u003cp>In states where abortion is legal in the first trimester, patients can speak to a health care provider and get a prescription for medication abortion via \u003ca href=\"https://www.npr.org/sections/health-shots/2022/05/20/1099179361/telehealth-abortions-are-simple-and-private-but-restricted-in-many-states\">telehealth abortion companies\u003c/a>, in-person at clinics that provide abortion like Planned Parenthood, and at many general OB/GYN and family medicine clinics.\u003c/p>\n\u003cp>As long as mifepristone is still available, providers will usually give the two-drug regimen. If it becomes unavailable, many providers have indicated they’d start prescribing misoprostol alone.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Dr. Jamie Phifer, the medical director of \u003ca href=\"https://abortionondemand.org/\">Abortion on Demand\u003c/a>, says her team is waiting to see how the courts ultimately rule on mifepristone. They will continue to provide mifepristone and misoprostol combination abortions to their patients unless it becomes illegal.\u003c/p>\n\u003cp>“But we’re ready,” she adds. “We can make the switch [to misoprostol-only protocols] within hours.”\u003c/p>\n\u003cp>In fact, misoprostol is easier to access than mifepristone. Even before the Texas judge’s ruling, mifepristone was subject to \u003ca href=\"https://www.fda.gov/drugs/postmarket-drug-safety-information-patients-and-providers/information-about-mifepristone-medical-termination-pregnancy-through-ten-weeks-gestation\">special FDA regulations\u003c/a> that meant that most commercial pharmacies did not carry it, and patients could only get it at clinics that provide abortions or via pharmacies that had specially registered with the FDA.\u003c/p>\n\u003cp>Misoprostol, however, isn’t subject to these regulations, so it’s stocked in almost all pharmacies and hospitals.\u003c/p>\n\u003ch2>Are patients able to get the medication in states where abortion is banned?\u003c/h2>\n\u003cp>Neither the two-drug regime, nor misoprostol-alone medication abortions are available legally in these states. Misoprostol itself remains legal when used for other purposes, like treating ulcers or inducing labor.\u003c/p>\n\u003cp>However, there are a number of services that help patients in these states access abortion pills.\u003c/p>\n\u003cp>For instance, \u003ca href=\"https://www.mayday.health/\">Mayday.Health\u003c/a> offers step-by-step instructions for setting up a mail-forwarding address, so patients can list an address in a permissive state on their intake forms for a telehealth abortion, then get the pills sent along to an additional address somewhere else. \u003ca href=\"https://www.plancpills.org/\">Plan C\u003c/a> is a website that provides up-to-date information about how to get abortion pills at home.\u003c/p>\n\u003cp>\u003ca href=\"https://www.mahotline.org/\">The Miscarriage and Abortion Hotline\u003c/a> offers free consultations with clinicians if a patient has questions about a medication abortion, even if she had the abortion in a state where it’s illegal.\u003c/p>\n\u003cp>Other organizations openly flout the law to provide abortion medications in all 50 states.\u003c/p>\n\u003cp>\u003ca href=\"https://aidaccess.org/en/\">Aid Access\u003c/a>, for example, is based in the Netherlands and will mail mifepristone and misoprostol to patients in states where abortion is banned. Pills sent from abroad are not subject to FDA approval and safety regulations. The organization also employs U.S.-based health care providers, who prescribe FDA-regulated abortion pills via telehealth in states where it’s allowed.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"slug": "texas-ruling-suspends-abortion-pill-leaving-little-room-for-states-like-california-to-mitigate-the-fallout",
"title": "California’s Options Limited on Abortion Pill Following Texas Judge Ruling",
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"content": "\u003cp>California’s Democratic lawmakers have spent the past year \u003ca href=\"https://calmatters.org/health/2022/09/california-abortion-bills/\">enacting legislation to protect abortion rights\u003c/a> in the wake of Roe v. Wade’s reversal, but a ruling today by a Texas federal judge is one thing they can’t touch.\u003c/p>\n\u003cp>U.S. District Judge Matthew Kacsmaryk suspended \u003ca href=\"https://www.dropbox.com/s/jnm4r233xat6tv4/ND%20Tex%20FDA%20decision.pdf?dl=0\">the U.S. Food and Drug Administration’s two-decades’-old approval (PDF)\u003c/a> of mifepristone, arguing that\u003cstrong> \u003c/strong>it was flawed and invalid.\u003c/p>\n\u003cp>Kacsmaryk \u003ca href=\"https://www.kqed.org/news/11946073/texas-judge-halts-fda-approval-of-abortion-pill-mifepristone-newsom-slams-ruling\">issued a temporary stay on his ruling\u003c/a> for seven days to allow the Biden Justice Department to appeal, which \u003ca href=\"https://www.yahoo.com/news/justice-department-files-immediate-appeal-013017962.html\">it quickly did\u003c/a>. The ruling is likely to pull the drug from pharmacy shelves unless a higher court intervenes while the case moves through the appeal process.\u003c/p>\n\u003cp>But soon after the ruling in Texas, a district judge in Washington state issued a conflicting ruling \u003ca href=\"https://www.nytimes.com/2023/02/24/health/abortion-pills-fda-lawsuit.html\">in a separate case\u003c/a>, prohibiting the FDA from taking the drug off the market in 17 Democratic-led states (not including California). Despite the confusion caused by these \u003ca href=\"https://www.cnbc.com/2023/03/29/abortion-pill-dueling-court-cases-could-determine-legality-of-mifepristone.html\">dueling decisions\u003c/a>, legal experts say even the threat of a legal gray area is likely to cause providers to stop distributing the drug.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Mifepristone is the first of a two-drug regimen that makes up the majority of abortions in the U.S., according to the Guttmacher Institute, a reproductive health research and policy center. It \u003ca href=\"https://www.fda.gov/drugs/postmarket-drug-safety-information-patients-and-providers/questions-and-answers-mifepristone-medical-termination-pregnancy-through-ten-weeks-gestation\">blocks the pregnancy hormone progesterone\u003c/a> and is also used to manage miscarriages.\u003c/p>\n\u003cp>While the \u003ca href=\"https://calmatters.org/abortion-rights/2022/06/california-abortion-roe-ruling/\">U.S. Supreme Court’s Dobbs decision\u003c/a> last June rescinded federal abortion protections, it left intact states’ ability to set their own abortion laws. California legislators and Gov. Gavin Newsom jumped at the chance to make the state \u003ca href=\"https://calmatters.org/explainers/abortion-in-california-laws/\">a beacon for progressive politics\u003c/a>, even approving financial assistance for people in other states seeking abortions in California.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Lisa Matsubara, attorney, Planned Parenthood Affiliates of California\"]‘We’re in uncharted territory. It will take some time to understand how this will play out in California.’[/pullquote]\u003c/p>\n\u003cp>But Kacsmaryk’s ruling addresses the FDA’s authority nationally, and leaves little room for states to mitigate the fallout.\u003c/p>\n\u003cp>“We’re in uncharted territory,” Lisa Matsubara, an attorney for Planned Parenthood Affiliates of California and vice president of policy, told CalMatters a day after Kacsmaryk heard arguments in the case in mid-March. “It will take some time to understand how this will play out in California.”\u003c/p>\n\u003cp>But Newsom quickly fired back at the ruling. “Today’s ruling, by an extremist judge pursuing a radical political agenda, ignores facts, science, and the law — putting the health of millions of women and girls at risk,” the \u003ca href=\"https://twitter.com/CAgovernor/status/1644486997648736256?s=20\">governor said in a statement\u003c/a>. “Abortion is still legal and accessible here in California and we won’t stand by as fundamental freedoms are stripped away.”\u003c/p>\n\u003cp>The ruling comes less than a month after the Legislative Women’s Caucus and Future of Abortion Council announced a \u003ca href=\"https://womenscaucus.legislature.ca.gov/news/2023-03-13-ca-legislative-women%E2%80%99s-caucus-fab-council-announce-2023-bill-package-reproductive\">package of 17 bills\u003c/a> building on last session’s work and primarily focusing on privacy and legal protections for patients and providers. State Sen. \u003ca href=\"https://calmatters.org/legislator-tracker/nancy-skinner-1954/\">Nancy Skinner\u003c/a>, a Democrat from Oakland and chair of the caucus, said during a press conference unveiling the legislation that lawmakers were “not done, not by a long shot” in their efforts to preserve abortion rights.\u003c/p>\n\u003cfigure id=\"attachment_11946294\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11946294 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/RS25463_20170515_StateCapitol_Sen_NancySkinner_credit_BertJohnson-2-qut.jpg\" alt=\"A white woman in business attire, eyeglasses and short, graying brown hair talks from a lectern inside a California government building.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS25463_20170515_StateCapitol_Sen_NancySkinner_credit_BertJohnson-2-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS25463_20170515_StateCapitol_Sen_NancySkinner_credit_BertJohnson-2-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS25463_20170515_StateCapitol_Sen_NancySkinner_credit_BertJohnson-2-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS25463_20170515_StateCapitol_Sen_NancySkinner_credit_BertJohnson-2-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS25463_20170515_StateCapitol_Sen_NancySkinner_credit_BertJohnson-2-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">State Senator Nancy Skinner in Sacramento on May 15, 2017. Skinner is also chair of the Legislative Women’s Caucus, which co-authored a package of 17 bills that primarily focus on privacy and legal protections for patients and providers. At a press conference unveiling the legislation, she said lawmakers were “not done, not by a long shot” in their efforts to preserve abortion rights. \u003ccite>(Bert Johnson/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The \u003ca href=\"https://twitter.com/NancySkinnerCA/status/1644483170350559232?s=20\">women’s caucus issued a statement\u003c/a> blasting the “abominable” and “deplorable” ruling: “When will the assault on women’s health and dignity stop? That one anti-abortion judge has the power to block access to a safe and medically proven treatment is an outrage.”\u003c/p>\n\u003cp>The caucus vowed again: “California will not back down.”\u003c/p>\n\u003cp>Ahead of the district court’s ruling, 20 Republican-led states threatened retail pharmacies with legal action should they distribute abortion pills. In \u003ca href=\"https://twitter.com/GavinNewsom/status/1632811406344192000?s=20\">an attention-grabbing tweet\u003c/a>, Newsom made the sweeping announcement that California would no longer do business with Walgreens, which had announced it would not stock the medication in states where attorneys general were opposed. Newsom has since had to \u003ca href=\"https://calmatters.org/newsletters/whatmatters/2023/04/gavin-newsom-walgreens/\">significantly walk back the statement\u003c/a>, which ran afoul of federal regulations.\u003c/p>\n\u003cp>Despite political assurances, the state can’t take any direct action to keep mifepristone available.\u003c/p>\n\u003cp>“There’s nothing to be done at the state level to make it newly legal so to speak,” said Cat Duffy, policy analyst specializing in reproductive rights with the National Health Law Program. “It’ll be in the hands of the (U.S. Department of Justice) to appeal the ruling.”[aside postID=news_11942999 hero='https://ww2.kqed.org/app/uploads/sites/10/2021/10/GettyImages-1346412977-1020x680.jpg']Though Kacsmaryk’s ruling does not entirely revoke the FDA’s approval of mifepristone, leaving that decision up to a higher court, this type of challenge to the agency’s authority to regulate pharmaceuticals is unprecedented, Duffy said.\u003c/p>\n\u003cp>Misoprostol, the second drug used typically in conjunction with mifepristone, remains legal.\u003c/p>\n\u003cp>Planned Parenthood Affiliates of California CEO Jodi Hicks said in March the organization’s clinics will move to a misoprostol-only treatment should the district court’s decision tie their hands. Misoprostol causes contractions and forces the body to empty the uterus. Studies show it is safe and effective when used alone, but \u003ca href=\"https://www.aafp.org/pubs/afp/issues/2021/0415/p473.html\">there are fewer side effects like prolonged bleeding when used in conjunction with mifepristone\u003c/a>, according to the American Academy of Family Physicians.\u003c/p>\n\u003cp>Although misoprostol remains available, the inability to use mifepristone stretches an “already strapped network,” Duffy said.\u003c/p>\n\u003cp>“It [will] really gut a lot of advances made in improving access that disproportionately impact people in rural areas and the folks that face structural barriers to care like Black and Indigenous communities,” Duffy said.[pullquote size=\"medium\" align=\"right\" citation=\"Lisa Matsubara, attorney, Planned Parenthood Affiliates of California\"]‘We’re going to do whatever we can to make sure that folks are protected and that we are really, truly a haven state.’[/pullquote]\u003ca href=\"https://www.guttmacher.org/article/2022/02/medication-abortion-now-accounts-more-half-all-us-abortions\">More than half of abortions are completed by medication nationally\u003c/a>, according to the Guttmacher Institute. Though \u003ca href=\"https://calmatters.org/health/2022/06/abortion-data-california/\">California does not track detailed abortion data\u003c/a>, advocates say COVID-19 pandemic rules allowing abortion medication to be prescribed through telehealth and delivered via mail improved access in rural areas of the state where there are no abortion clinics. Kacsmaryk’s ruling states, in part, that the FDA inappropriately relaxed in-person prescribing and distribution rules.\u003c/p>\n\u003cp>Legislation introduced this year by the Women’s Caucus and Future of Abortion Council primarily focuses on tightening privacy protections for patients and providers.\u003c/p>\n\u003cp>“We’re going to do whatever we can to make sure that folks are protected and that we are really, truly a haven state,” Planned Parenthood attorney Matsubara said. “As things come up this year we may have to change course. That’s certainly what we did last year and we’re prepared to do that again this year.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "A ruling that suspends federal approval for medication abortion will not be easy for California abortion access advocates to overcome. Unless it's reversed on appeal, the drug will likely be pulled from pharmacy shelves.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>California’s Democratic lawmakers have spent the past year \u003ca href=\"https://calmatters.org/health/2022/09/california-abortion-bills/\">enacting legislation to protect abortion rights\u003c/a> in the wake of Roe v. Wade’s reversal, but a ruling today by a Texas federal judge is one thing they can’t touch.\u003c/p>\n\u003cp>U.S. District Judge Matthew Kacsmaryk suspended \u003ca href=\"https://www.dropbox.com/s/jnm4r233xat6tv4/ND%20Tex%20FDA%20decision.pdf?dl=0\">the U.S. Food and Drug Administration’s two-decades’-old approval (PDF)\u003c/a> of mifepristone, arguing that\u003cstrong> \u003c/strong>it was flawed and invalid.\u003c/p>\n\u003cp>Kacsmaryk \u003ca href=\"https://www.kqed.org/news/11946073/texas-judge-halts-fda-approval-of-abortion-pill-mifepristone-newsom-slams-ruling\">issued a temporary stay on his ruling\u003c/a> for seven days to allow the Biden Justice Department to appeal, which \u003ca href=\"https://www.yahoo.com/news/justice-department-files-immediate-appeal-013017962.html\">it quickly did\u003c/a>. The ruling is likely to pull the drug from pharmacy shelves unless a higher court intervenes while the case moves through the appeal process.\u003c/p>\n\u003cp>But soon after the ruling in Texas, a district judge in Washington state issued a conflicting ruling \u003ca href=\"https://www.nytimes.com/2023/02/24/health/abortion-pills-fda-lawsuit.html\">in a separate case\u003c/a>, prohibiting the FDA from taking the drug off the market in 17 Democratic-led states (not including California). Despite the confusion caused by these \u003ca href=\"https://www.cnbc.com/2023/03/29/abortion-pill-dueling-court-cases-could-determine-legality-of-mifepristone.html\">dueling decisions\u003c/a>, legal experts say even the threat of a legal gray area is likely to cause providers to stop distributing the drug.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Mifepristone is the first of a two-drug regimen that makes up the majority of abortions in the U.S., according to the Guttmacher Institute, a reproductive health research and policy center. It \u003ca href=\"https://www.fda.gov/drugs/postmarket-drug-safety-information-patients-and-providers/questions-and-answers-mifepristone-medical-termination-pregnancy-through-ten-weeks-gestation\">blocks the pregnancy hormone progesterone\u003c/a> and is also used to manage miscarriages.\u003c/p>\n\u003cp>While the \u003ca href=\"https://calmatters.org/abortion-rights/2022/06/california-abortion-roe-ruling/\">U.S. Supreme Court’s Dobbs decision\u003c/a> last June rescinded federal abortion protections, it left intact states’ ability to set their own abortion laws. California legislators and Gov. Gavin Newsom jumped at the chance to make the state \u003ca href=\"https://calmatters.org/explainers/abortion-in-california-laws/\">a beacon for progressive politics\u003c/a>, even approving financial assistance for people in other states seeking abortions in California.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>But Kacsmaryk’s ruling addresses the FDA’s authority nationally, and leaves little room for states to mitigate the fallout.\u003c/p>\n\u003cp>“We’re in uncharted territory,” Lisa Matsubara, an attorney for Planned Parenthood Affiliates of California and vice president of policy, told CalMatters a day after Kacsmaryk heard arguments in the case in mid-March. “It will take some time to understand how this will play out in California.”\u003c/p>\n\u003cp>But Newsom quickly fired back at the ruling. “Today’s ruling, by an extremist judge pursuing a radical political agenda, ignores facts, science, and the law — putting the health of millions of women and girls at risk,” the \u003ca href=\"https://twitter.com/CAgovernor/status/1644486997648736256?s=20\">governor said in a statement\u003c/a>. “Abortion is still legal and accessible here in California and we won’t stand by as fundamental freedoms are stripped away.”\u003c/p>\n\u003cp>The ruling comes less than a month after the Legislative Women’s Caucus and Future of Abortion Council announced a \u003ca href=\"https://womenscaucus.legislature.ca.gov/news/2023-03-13-ca-legislative-women%E2%80%99s-caucus-fab-council-announce-2023-bill-package-reproductive\">package of 17 bills\u003c/a> building on last session’s work and primarily focusing on privacy and legal protections for patients and providers. State Sen. \u003ca href=\"https://calmatters.org/legislator-tracker/nancy-skinner-1954/\">Nancy Skinner\u003c/a>, a Democrat from Oakland and chair of the caucus, said during a press conference unveiling the legislation that lawmakers were “not done, not by a long shot” in their efforts to preserve abortion rights.\u003c/p>\n\u003cfigure id=\"attachment_11946294\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11946294 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/RS25463_20170515_StateCapitol_Sen_NancySkinner_credit_BertJohnson-2-qut.jpg\" alt=\"A white woman in business attire, eyeglasses and short, graying brown hair talks from a lectern inside a California government building.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS25463_20170515_StateCapitol_Sen_NancySkinner_credit_BertJohnson-2-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS25463_20170515_StateCapitol_Sen_NancySkinner_credit_BertJohnson-2-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS25463_20170515_StateCapitol_Sen_NancySkinner_credit_BertJohnson-2-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS25463_20170515_StateCapitol_Sen_NancySkinner_credit_BertJohnson-2-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS25463_20170515_StateCapitol_Sen_NancySkinner_credit_BertJohnson-2-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">State Senator Nancy Skinner in Sacramento on May 15, 2017. Skinner is also chair of the Legislative Women’s Caucus, which co-authored a package of 17 bills that primarily focus on privacy and legal protections for patients and providers. At a press conference unveiling the legislation, she said lawmakers were “not done, not by a long shot” in their efforts to preserve abortion rights. \u003ccite>(Bert Johnson/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The \u003ca href=\"https://twitter.com/NancySkinnerCA/status/1644483170350559232?s=20\">women’s caucus issued a statement\u003c/a> blasting the “abominable” and “deplorable” ruling: “When will the assault on women’s health and dignity stop? That one anti-abortion judge has the power to block access to a safe and medically proven treatment is an outrage.”\u003c/p>\n\u003cp>The caucus vowed again: “California will not back down.”\u003c/p>\n\u003cp>Ahead of the district court’s ruling, 20 Republican-led states threatened retail pharmacies with legal action should they distribute abortion pills. In \u003ca href=\"https://twitter.com/GavinNewsom/status/1632811406344192000?s=20\">an attention-grabbing tweet\u003c/a>, Newsom made the sweeping announcement that California would no longer do business with Walgreens, which had announced it would not stock the medication in states where attorneys general were opposed. Newsom has since had to \u003ca href=\"https://calmatters.org/newsletters/whatmatters/2023/04/gavin-newsom-walgreens/\">significantly walk back the statement\u003c/a>, which ran afoul of federal regulations.\u003c/p>\n\u003cp>Despite political assurances, the state can’t take any direct action to keep mifepristone available.\u003c/p>\n\u003cp>“There’s nothing to be done at the state level to make it newly legal so to speak,” said Cat Duffy, policy analyst specializing in reproductive rights with the National Health Law Program. “It’ll be in the hands of the (U.S. Department of Justice) to appeal the ruling.”\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Though Kacsmaryk’s ruling does not entirely revoke the FDA’s approval of mifepristone, leaving that decision up to a higher court, this type of challenge to the agency’s authority to regulate pharmaceuticals is unprecedented, Duffy said.\u003c/p>\n\u003cp>Misoprostol, the second drug used typically in conjunction with mifepristone, remains legal.\u003c/p>\n\u003cp>Planned Parenthood Affiliates of California CEO Jodi Hicks said in March the organization’s clinics will move to a misoprostol-only treatment should the district court’s decision tie their hands. Misoprostol causes contractions and forces the body to empty the uterus. Studies show it is safe and effective when used alone, but \u003ca href=\"https://www.aafp.org/pubs/afp/issues/2021/0415/p473.html\">there are fewer side effects like prolonged bleeding when used in conjunction with mifepristone\u003c/a>, according to the American Academy of Family Physicians.\u003c/p>\n\u003cp>Although misoprostol remains available, the inability to use mifepristone stretches an “already strapped network,” Duffy said.\u003c/p>\n\u003cp>“It [will] really gut a lot of advances made in improving access that disproportionately impact people in rural areas and the folks that face structural barriers to care like Black and Indigenous communities,” Duffy said.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003ca href=\"https://www.guttmacher.org/article/2022/02/medication-abortion-now-accounts-more-half-all-us-abortions\">More than half of abortions are completed by medication nationally\u003c/a>, according to the Guttmacher Institute. Though \u003ca href=\"https://calmatters.org/health/2022/06/abortion-data-california/\">California does not track detailed abortion data\u003c/a>, advocates say COVID-19 pandemic rules allowing abortion medication to be prescribed through telehealth and delivered via mail improved access in rural areas of the state where there are no abortion clinics. Kacsmaryk’s ruling states, in part, that the FDA inappropriately relaxed in-person prescribing and distribution rules.\u003c/p>\n\u003cp>Legislation introduced this year by the Women’s Caucus and Future of Abortion Council primarily focuses on tightening privacy protections for patients and providers.\u003c/p>\n\u003cp>“We’re going to do whatever we can to make sure that folks are protected and that we are really, truly a haven state,” Planned Parenthood attorney Matsubara said. “As things come up this year we may have to change course. That’s certainly what we did last year and we’re prepared to do that again this year.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Several states say they are stocking up on medications used to induce abortions as a major abortion pill appears poised to potentially become unavailable in the U.S.\u003c/p>\n\u003cp>Gov. Gavin Newsom’s office says it’s made plans to secure an emergency stockpile of up to 2 million pills of misoprostol, a drug used in combination with another pill that is now the subject of legal battles in federal courts. Officials say the state currently has more than 250,000 of the pills already on hand, which were purchased for about $100,000.[aside label=\"Related Stories\" postID=\"news_11946073,news_11938516,news_11931860\"]“While California still believes Mifepristone is central to the preferred regimen for medication abortion, the State negotiated and purchased an emergency stockpile of Misoprostol in anticipation of Friday’s ruling by far-right federal judge Matthew Kacsmaryk to ensure that California remains a safe haven for safe, affordable, and accessible reproductive care,” Newsom’s office said in a statement provided to NPR.\u003c/p>\n\u003cp>Meanwhile, Massachusetts Gov. Maura Healy said Monday afternoon that her state has stockpiled some 15,000 mifepristone pills or more than a year’s worth of doses. Last week, Washington Gov. Jay Inslee announced his state had \u003ca href=\"https://www.npr.org/2023/04/04/1167867948/washington-state-stockpiles-thousands-of-abortion-pills\">prepared a stockpile\u003c/a> of about three years’ worth of mifepristone.\u003c/p>\n\u003cp>In the United States, most medication abortions involve two drugs: mifepristone followed by misoprostol, a protocol approved by the Food and Drug Administration in 2000. A coalition of anti-abortion-rights groups are \u003ca href=\"https://www.npr.org/2023/02/01/1153593174/mifepristone-abortion-pill-federal-texas-lawsuit-restrict-access-nationwide\">suing the FDA\u003c/a>, seeking to force mifepristone to be pulled from the market.\u003c/p>\n\u003cp>Last Friday, Kaczmaryk, a Trump-appointed federal judge in Texas with a long history of ties with conservative activists, ruled that the FDA should halt its approval. His nationwide order is scheduled to go into effect this Friday unless the 5th Circuit Court of Appeals intervenes.[pullquote align=\"right\" size=\"medium\" citation=\"Gov. Gavin Newsom\"]‘While California still believes Mifepristone is central to the preferred regimen for medication abortion, the State negotiated and purchased an emergency stockpile of Misoprostol in anticipation of Friday’s ruling by far-right federal judge Matthew Kacsmaryk to ensure that California remains a safe haven for safe, affordable, and accessible reproductive care.’[/pullquote]More than half of abortions in the U.S. are now medication abortions, and the vast majority of those involve the two-drug protocol, which is considered the gold standard here. But the second medication in that regimen, misoprostol, also can be used alone to induce abortion.\u003c/p>\n\u003cp>Researchers say the \u003ca href=\"https://www.npr.org/2023/02/24/1159075709/abortion-drug-mifepristone-misoprotol-texas-case\">single-drug approach\u003c/a> is slightly less effective and can be more painful for patients, but misoprostol alone is endorsed by the World Health Organization as an effective option.\u003c/p>\n\u003cp>Newsom’s office says the pills were secured through the state’s CalRx prescription drug program, and California is providing information about its purchase agreement to other states that may be interested in taking similar action.\u003c/p>\n\u003cp>Pharmacies facing shortages will be directed to a state website where they can find information about how to request pills from the misoprostol supply.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n",
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"excerpt": "As mifepristone remains a subject of legal battles in federal courts, California joins several other states in stockpiling misoprostol, with Gov. Newsom's office saying they plan to secure an emergency stockpile of up to 2 million pills.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Several states say they are stocking up on medications used to induce abortions as a major abortion pill appears poised to potentially become unavailable in the U.S.\u003c/p>\n\u003cp>Gov. Gavin Newsom’s office says it’s made plans to secure an emergency stockpile of up to 2 million pills of misoprostol, a drug used in combination with another pill that is now the subject of legal battles in federal courts. Officials say the state currently has more than 250,000 of the pills already on hand, which were purchased for about $100,000.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“While California still believes Mifepristone is central to the preferred regimen for medication abortion, the State negotiated and purchased an emergency stockpile of Misoprostol in anticipation of Friday’s ruling by far-right federal judge Matthew Kacsmaryk to ensure that California remains a safe haven for safe, affordable, and accessible reproductive care,” Newsom’s office said in a statement provided to NPR.\u003c/p>\n\u003cp>Meanwhile, Massachusetts Gov. Maura Healy said Monday afternoon that her state has stockpiled some 15,000 mifepristone pills or more than a year’s worth of doses. Last week, Washington Gov. Jay Inslee announced his state had \u003ca href=\"https://www.npr.org/2023/04/04/1167867948/washington-state-stockpiles-thousands-of-abortion-pills\">prepared a stockpile\u003c/a> of about three years’ worth of mifepristone.\u003c/p>\n\u003cp>In the United States, most medication abortions involve two drugs: mifepristone followed by misoprostol, a protocol approved by the Food and Drug Administration in 2000. A coalition of anti-abortion-rights groups are \u003ca href=\"https://www.npr.org/2023/02/01/1153593174/mifepristone-abortion-pill-federal-texas-lawsuit-restrict-access-nationwide\">suing the FDA\u003c/a>, seeking to force mifepristone to be pulled from the market.\u003c/p>\n\u003cp>Last Friday, Kaczmaryk, a Trump-appointed federal judge in Texas with a long history of ties with conservative activists, ruled that the FDA should halt its approval. His nationwide order is scheduled to go into effect this Friday unless the 5th Circuit Court of Appeals intervenes.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>More than half of abortions in the U.S. are now medication abortions, and the vast majority of those involve the two-drug protocol, which is considered the gold standard here. But the second medication in that regimen, misoprostol, also can be used alone to induce abortion.\u003c/p>\n\u003cp>Researchers say the \u003ca href=\"https://www.npr.org/2023/02/24/1159075709/abortion-drug-mifepristone-misoprotol-texas-case\">single-drug approach\u003c/a> is slightly less effective and can be more painful for patients, but misoprostol alone is endorsed by the World Health Organization as an effective option.\u003c/p>\n\u003cp>Newsom’s office says the pills were secured through the state’s CalRx prescription drug program, and California is providing information about its purchase agreement to other states that may be interested in taking similar action.\u003c/p>\n\u003cp>Pharmacies facing shortages will be directed to a state website where they can find information about how to request pills from the misoprostol supply.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "Access to Abortion Pill in Limbo After Competing Rulings as Biden, Newsom Slam Texas Judge",
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"content": "\u003cp>\u003cem>Updated 2 p.m. Saturday\u003c/em>\u003c/p>\n\u003cp>Access to the most commonly used method of abortion in the U.S. plunged into uncertainty Friday following conflicting court rulings over the legality of the abortion medication mifepristone, which has been widely available for more than 20 years.\u003c/p>\n\u003cp>For now, the drug that the Food and Drug Administration approved in 2000 remains at least immediately available in the wake of the separate rulings that were issued just minutes apart by federal judges in Texas and Washington.\u003c/p>\n\u003cp>U.S. District Judge Matthew Kacsmaryk, a Trump appointee and formerly an attorney for a religious liberty legal group with a long history of pushing conservative causes, ordered a hold on federal approval of mifepristone in a decision that overruled decades of scientific approval. But that decision was quickly followed by U.S. District Judge Thomas O. Rice, an Obama appointee, essentially ordering the opposite and directing U.S. authorities to not make any changes that would restrict access to the drug.\u003c/p>\n\u003cp>“FDA is under one order that says you can do nothing and another that says in seven days I’m going to require you to vacate the approval of mifepristone,” said Glenn Cohen of Harvard Law School.\u003c/p>\n\u003cp>The extraordinary timing of the competing orders revealed the high stakes that surround the drug a year after the U.S. Supreme Court overturned Roe v. Wade and curtailed access to abortion across the country. President Joe Biden said his administration would fight the Texas ruling.[pullquote align=\"right\" size=\"medium\" citation=\"Gov. Gavin Newsom\"]‘Today’s ruling, by an extremist judge pursuing a radical political agenda, ignores facts, science, and the law.’[/pullquote]“The Court in this case has substituted its judgment for FDA, the expert agency that approves drugs,” Biden said. “If this ruling were to stand, then there will be virtually no prescription, approved by the FDA, that would be safe from these kinds of political, ideological attacks.”\u003c/p>\n\u003cp>Gov. Gavin Newsom’s office \u003ca href=\"https://www.gov.ca.gov/2023/04/07/governor-newsom-statement-on-texas-judge-restricting-access-to-medication-abortion/\">issued a statement Friday\u003c/a> condemning the decision by the “far-right federal judge.”\u003c/p>\n\u003cp>“Today’s ruling, by an extremist judge pursuing a radical political agenda, ignores facts, science, and the law — putting the health of millions of women and girls at risk,” said Newsom. “Abortion is still legal and accessible here in California and we won’t stand by as fundamental freedoms are stripped away.”\u003c/p>\n\u003cp>In \u003ca href=\"https://oag.ca.gov/news/press-releases/attorney-general-bonta-denounces-texas-court-decision-suspending-approval\">a press release Friday\u003c/a>, Attorney General Rob Bonta called the ruling in Texas “unconscionable” and “another chapter in a very dark period of American history,” saying, “I will continue doing everything in my power to ensure that our state remains a safe haven for all those seeking, supporting, and providing reproductive care,” and reminding Californians of their \u003ca href=\"https://oag.ca.gov/reprorights\">reproductive rights\u003c/a>.\u003c/p>\n\u003cp>U.S. Rep. Barbara Lee (CA-12), co-chair of the Pro-Choice Caucus, issued a \u003ca href=\"https://lee.house.gov/news/press-releases/congresswoman-barbara-lee-condemns-ruling-by-trump-appointed-judge-undermining-fda-approval-of-abortion-medication-\">press statement\u003c/a> in which she called the Texas judge’s decision part of a coordinated and decades-long attack on abortion rights in the country.[aside label=\"Related Stories\" postID=\"news_11945838,news_11938516,news_11943903\"]“If the Supreme Court upholds this extreme and dangerous ruling, it will be the greatest loss for abortion rights since the fall of Roe\u003cem> … \u003c/em>We can’t let that happen,” said Lee. “As Co-Chair of the Pro-Choice Caucus, I am working closely with our partners to respond to this egregious ruling and preserve access to mifepristone nationwide. People — not politicians — should have the freedom to make their own health care decisions, and we won’t stop fighting until they do.”\u003c/p>\n\u003cp>Senator Dianne Feinstein (D-Calif.) \u003ca href=\"https://www.feinstein.senate.gov/public/index.cfm/press-releases?id=76D1DECB-6B1E-4566-B674-8CF33B157D6A\">issued a statement Saturday\u003c/a> saying the ruling in Texas wasn’t about the “safety of the drug or protecting patients” but about “overriding the FDA’s processes and expertise to attack women’s reproductive rights.”\u003c/p>\n\u003cp>Abortion providers also slammed the Texas ruling, including Whole Woman’s Health, which operates six clinics in five states and said it would continue to dispense mifepristone in person and by mail over the next week as they review the rulings.\u003c/p>\n\u003cp>President and CEO Jodi Hicks of Planned Parenthood Affiliates of California said the ruling was in stark contrast to public opinion.\u003c/p>\n\u003cp>“Attacks on reproductive health care, including medication abortion, are all about power and control, and this is no different,” said Hicks in an interview with KQED. “This ruling will create additional barriers to care, and people will be hurt by this. But let’s be clear, despite this ruling and the efforts of extremists, abortion remains legal and accessible in California. Planned Parenthood in California will continue to support Californians and out-of-state patients seeking care they need here.”\u003c/p>\n\u003cp>In a statement Friday, American Medical Association President Dr. Jack Resneck Jr., said “the court’s disregard for well-established scientific facts in favor of speculative allegations and ideological assertions will cause harm.”\u003c/p>\n\u003cp>“By rejecting medical facts, the court has intruded into the exam room and has intervened in decisions that belong to patients and physicians,” said Resneck. “Mifepristone has been studied extensively for over two decades and has been proven to be safe time and time again … We will continue to support access to evidence-based health care, including abortion medication, and oppose intrusions that undermine our patients’ health.”\u003c/p>\n\u003cp>The abortion drug has been widely used in the U.S. since 2000, and there is essentially no precedent for a lone judge overruling the medical decisions of the Food and Drug Administration. Mifepristone is one of two drugs used for medication abortion in the United States, along with misoprostol, which is also used to treat other medical conditions.\u003c/p>\n\u003cp>Kacsmaryk signed an injunction directing the FDA to stay mifepristone’s approval while a lawsuit challenging the safety and approval of the drug continues. His 67-page order gave the government seven days to appeal.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Clinics and doctors that prescribe the two-drug combination have said that if mifepristone were pulled from the market, they would switch to using only the second drug, misoprostol. That single-drug approach has a slightly lower rate of effectiveness in ending pregnancies, but it is widely used in countries where mifepristone is illegal or unavailable.\u003c/p>\n\u003cp>The lawsuit in the Texas case was \u003ca href=\"https://apnews.com/article/abortion-us-food-and-drug-administration-donald-trump-texas-medication-bdd99c39613c71f62d10dfc2f2d1bf07\">filed by the Alliance Defending Freedom\u003c/a>, which was also involved in the Mississippi case that led to Roe v. Wade being overturned. At the core of the lawsuit is the allegation that the FDA’s initial approval of mifepristone was flawed because it did not adequately review its safety risks.\u003c/p>\n\u003cp>Courts have long deferred to the FDA on issues of drug safety and effectiveness. But the agency’s authority faces new challenges in a post-Roe legal environment in which abortions are banned or unavailable in 14 states, while 16 states have laws specifically targeting abortion medications.[pullquote align=\"right\" size=\"medium\" citation=\"Greer Donley, professor specializing in reproductive health care, University of Pittsburgh Law School\"]‘This has never happened before in history — it’s a huge deal … You have a federal judge who has zero scientific background second-guessing every scientific decision that the FDA made.’[/pullquote]Since the Texas lawsuit was filed in November, legal experts have warned of questionable arguments and factual inaccuracies in the Christian group’s filing. Kacsmaryk essentially agreed with the plaintiffs on all of their major points, including that the FDA didn’t adequately review mifepristone’s safety.\u003c/p>\n\u003cp>“The Court does not second-guess FDA’s decision-making lightly.” Kacsmaryk wrote. “But here, FDA acquiesced on its legitimate safety concerns — in violation of its statutory duty — based on plainly unsound reasoning and studies that did not support its conclusions.”\u003c/p>\n\u003cp>Mifepristone has been used by millions of women over the past 23 years, and complications from the drug occur at a lower rate than that seen with wisdom teeth removal, colonoscopies and other routine medical procedures, medical groups have recently noted.\u003c/p>\n\u003cp>Elsewhere, Kacsmaryk sided with plaintiffs in stating that the FDA overstepped its authority in approving mifepristone, in part, by using a specialized review process reserved for drugs to treat “serious or life-threatening illnesses.” The judge brushed aside FDA arguments that its own regulations make clear that pregnancy is a medical condition that can sometimes be serious and life-threatening, instead calling it a “natural process essential to perpetuating human life.”\u003c/p>\n\u003cp>His order also agreed with plaintiffs in invoking a controversial 19th-century law that anti-abortion groups are now trying to revive to block sending abortion medications through the mail. Originally passed in 1873 and named for an “anti-vice crusader,” the Comstock Act was used to prohibit the mailing of contraceptives, “lewd” writings and “instruments” that could be used in an abortion. The law was seldom invoked in the 50 years after Roe established a federal right to abortion.[pullquote align=\"right\" size=\"medium\" citation=\"President Joe Biden\"]‘If this ruling were to stand, then there will be virtually no prescription, approved by the FDA, that would be safe from these kinds of political, ideological attacks.’[/pullquote]Kacsmaryk, though, agreed with plaintiffs that the law — as literally interpreted — prohibits mailing mifepristone.\u003c/p>\n\u003cp>His order, if upheld, would also dismantle a number of recent FDA actions intended to ease access to the drug.\u003c/p>\n\u003cp>In late 2021, the FDA — under the Biden administration — dropped a requirement that patients pick up the drug in person, opening the door to delivery by mail-order pharmacies. In January the agency dropped another requirement that prevented most brick-and-mortar pharmacies from dispensing the pill.\u003c/p>\n\u003cp>Anti-abortion groups, which are newly encouraged about their ability to further restrict abortion and prevail in court since last’s year’s reversal of Roe v. Wade, embraced the Texas ruling.\u003c/p>\n\u003cp>“The court’s decision today is a major step forward for women and girls whose health and safety have been jeopardized for decades by the FDA’s rushed, flawed and politicized approval of these dangerous drugs,” said March for Life President Jeanne Mancini.\u003c/p>\n\u003cp>Legal experts warned that the ruling could upend decades of precedent, setting the stage for political groups to overturn other FDA approvals of controversial drugs and vaccines.\u003c/p>\n\u003cp>“This has never happened before in history — it’s a huge deal,” said Greer Donley, a professor specializing in reproductive health care at the University of Pittsburgh Law School. “You have a federal judge who has zero scientific background second-guessing every scientific decision that the FDA made.”\u003c/p>\n\u003cp>Still, because of the contradictory nature of the rulings, Donley and other experts said there would be little immediate impact.\u003c/p>\n\u003cp>“In the short term, nothing’s going to change,” Donley said. “This is the time to be preparing for the fact that in a week, potentially, mifepristone becomes an unapproved drug in this country.”\u003c/p>\n\u003cp>\u003cem>This story includes reporting by Paul J. Weber, Matthew Perrone and Lindsay Whitehurst of The Associated Press and by Azul Dahlstrom-Eckman and Attila Pelit of KQED.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"title": "Access to Abortion Pill in Limbo After Competing Rulings as Biden, Newsom Slam Texas Judge | KQED",
"description": "A federal judge in Texas has thrown into jeopardy the most common method of abortion in the US, ordering regulators to temporarily halt their approval of the drug mifepristone for abortion, while another federal judge ordered the opposite, directing US authorities not to make any changes that would restrict access to the drug.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>Updated 2 p.m. Saturday\u003c/em>\u003c/p>\n\u003cp>Access to the most commonly used method of abortion in the U.S. plunged into uncertainty Friday following conflicting court rulings over the legality of the abortion medication mifepristone, which has been widely available for more than 20 years.\u003c/p>\n\u003cp>For now, the drug that the Food and Drug Administration approved in 2000 remains at least immediately available in the wake of the separate rulings that were issued just minutes apart by federal judges in Texas and Washington.\u003c/p>\n\u003cp>U.S. District Judge Matthew Kacsmaryk, a Trump appointee and formerly an attorney for a religious liberty legal group with a long history of pushing conservative causes, ordered a hold on federal approval of mifepristone in a decision that overruled decades of scientific approval. But that decision was quickly followed by U.S. District Judge Thomas O. Rice, an Obama appointee, essentially ordering the opposite and directing U.S. authorities to not make any changes that would restrict access to the drug.\u003c/p>\n\u003cp>“FDA is under one order that says you can do nothing and another that says in seven days I’m going to require you to vacate the approval of mifepristone,” said Glenn Cohen of Harvard Law School.\u003c/p>\n\u003cp>The extraordinary timing of the competing orders revealed the high stakes that surround the drug a year after the U.S. Supreme Court overturned Roe v. Wade and curtailed access to abortion across the country. President Joe Biden said his administration would fight the Texas ruling.\u003c/p>\u003c/div>",
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"content": "‘Today’s ruling, by an extremist judge pursuing a radical political agenda, ignores facts, science, and the law.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“The Court in this case has substituted its judgment for FDA, the expert agency that approves drugs,” Biden said. “If this ruling were to stand, then there will be virtually no prescription, approved by the FDA, that would be safe from these kinds of political, ideological attacks.”\u003c/p>\n\u003cp>Gov. Gavin Newsom’s office \u003ca href=\"https://www.gov.ca.gov/2023/04/07/governor-newsom-statement-on-texas-judge-restricting-access-to-medication-abortion/\">issued a statement Friday\u003c/a> condemning the decision by the “far-right federal judge.”\u003c/p>\n\u003cp>“Today’s ruling, by an extremist judge pursuing a radical political agenda, ignores facts, science, and the law — putting the health of millions of women and girls at risk,” said Newsom. “Abortion is still legal and accessible here in California and we won’t stand by as fundamental freedoms are stripped away.”\u003c/p>\n\u003cp>In \u003ca href=\"https://oag.ca.gov/news/press-releases/attorney-general-bonta-denounces-texas-court-decision-suspending-approval\">a press release Friday\u003c/a>, Attorney General Rob Bonta called the ruling in Texas “unconscionable” and “another chapter in a very dark period of American history,” saying, “I will continue doing everything in my power to ensure that our state remains a safe haven for all those seeking, supporting, and providing reproductive care,” and reminding Californians of their \u003ca href=\"https://oag.ca.gov/reprorights\">reproductive rights\u003c/a>.\u003c/p>\n\u003cp>U.S. Rep. Barbara Lee (CA-12), co-chair of the Pro-Choice Caucus, issued a \u003ca href=\"https://lee.house.gov/news/press-releases/congresswoman-barbara-lee-condemns-ruling-by-trump-appointed-judge-undermining-fda-approval-of-abortion-medication-\">press statement\u003c/a> in which she called the Texas judge’s decision part of a coordinated and decades-long attack on abortion rights in the country.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“If the Supreme Court upholds this extreme and dangerous ruling, it will be the greatest loss for abortion rights since the fall of Roe\u003cem> … \u003c/em>We can’t let that happen,” said Lee. “As Co-Chair of the Pro-Choice Caucus, I am working closely with our partners to respond to this egregious ruling and preserve access to mifepristone nationwide. People — not politicians — should have the freedom to make their own health care decisions, and we won’t stop fighting until they do.”\u003c/p>\n\u003cp>Senator Dianne Feinstein (D-Calif.) \u003ca href=\"https://www.feinstein.senate.gov/public/index.cfm/press-releases?id=76D1DECB-6B1E-4566-B674-8CF33B157D6A\">issued a statement Saturday\u003c/a> saying the ruling in Texas wasn’t about the “safety of the drug or protecting patients” but about “overriding the FDA’s processes and expertise to attack women’s reproductive rights.”\u003c/p>\n\u003cp>Abortion providers also slammed the Texas ruling, including Whole Woman’s Health, which operates six clinics in five states and said it would continue to dispense mifepristone in person and by mail over the next week as they review the rulings.\u003c/p>\n\u003cp>President and CEO Jodi Hicks of Planned Parenthood Affiliates of California said the ruling was in stark contrast to public opinion.\u003c/p>\n\u003cp>“Attacks on reproductive health care, including medication abortion, are all about power and control, and this is no different,” said Hicks in an interview with KQED. “This ruling will create additional barriers to care, and people will be hurt by this. But let’s be clear, despite this ruling and the efforts of extremists, abortion remains legal and accessible in California. Planned Parenthood in California will continue to support Californians and out-of-state patients seeking care they need here.”\u003c/p>\n\u003cp>In a statement Friday, American Medical Association President Dr. Jack Resneck Jr., said “the court’s disregard for well-established scientific facts in favor of speculative allegations and ideological assertions will cause harm.”\u003c/p>\n\u003cp>“By rejecting medical facts, the court has intruded into the exam room and has intervened in decisions that belong to patients and physicians,” said Resneck. “Mifepristone has been studied extensively for over two decades and has been proven to be safe time and time again … We will continue to support access to evidence-based health care, including abortion medication, and oppose intrusions that undermine our patients’ health.”\u003c/p>\n\u003cp>The abortion drug has been widely used in the U.S. since 2000, and there is essentially no precedent for a lone judge overruling the medical decisions of the Food and Drug Administration. Mifepristone is one of two drugs used for medication abortion in the United States, along with misoprostol, which is also used to treat other medical conditions.\u003c/p>\n\u003cp>Kacsmaryk signed an injunction directing the FDA to stay mifepristone’s approval while a lawsuit challenging the safety and approval of the drug continues. His 67-page order gave the government seven days to appeal.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Clinics and doctors that prescribe the two-drug combination have said that if mifepristone were pulled from the market, they would switch to using only the second drug, misoprostol. That single-drug approach has a slightly lower rate of effectiveness in ending pregnancies, but it is widely used in countries where mifepristone is illegal or unavailable.\u003c/p>\n\u003cp>The lawsuit in the Texas case was \u003ca href=\"https://apnews.com/article/abortion-us-food-and-drug-administration-donald-trump-texas-medication-bdd99c39613c71f62d10dfc2f2d1bf07\">filed by the Alliance Defending Freedom\u003c/a>, which was also involved in the Mississippi case that led to Roe v. Wade being overturned. At the core of the lawsuit is the allegation that the FDA’s initial approval of mifepristone was flawed because it did not adequately review its safety risks.\u003c/p>\n\u003cp>Courts have long deferred to the FDA on issues of drug safety and effectiveness. But the agency’s authority faces new challenges in a post-Roe legal environment in which abortions are banned or unavailable in 14 states, while 16 states have laws specifically targeting abortion medications.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Since the Texas lawsuit was filed in November, legal experts have warned of questionable arguments and factual inaccuracies in the Christian group’s filing. Kacsmaryk essentially agreed with the plaintiffs on all of their major points, including that the FDA didn’t adequately review mifepristone’s safety.\u003c/p>\n\u003cp>“The Court does not second-guess FDA’s decision-making lightly.” Kacsmaryk wrote. “But here, FDA acquiesced on its legitimate safety concerns — in violation of its statutory duty — based on plainly unsound reasoning and studies that did not support its conclusions.”\u003c/p>\n\u003cp>Mifepristone has been used by millions of women over the past 23 years, and complications from the drug occur at a lower rate than that seen with wisdom teeth removal, colonoscopies and other routine medical procedures, medical groups have recently noted.\u003c/p>\n\u003cp>Elsewhere, Kacsmaryk sided with plaintiffs in stating that the FDA overstepped its authority in approving mifepristone, in part, by using a specialized review process reserved for drugs to treat “serious or life-threatening illnesses.” The judge brushed aside FDA arguments that its own regulations make clear that pregnancy is a medical condition that can sometimes be serious and life-threatening, instead calling it a “natural process essential to perpetuating human life.”\u003c/p>\n\u003cp>His order also agreed with plaintiffs in invoking a controversial 19th-century law that anti-abortion groups are now trying to revive to block sending abortion medications through the mail. Originally passed in 1873 and named for an “anti-vice crusader,” the Comstock Act was used to prohibit the mailing of contraceptives, “lewd” writings and “instruments” that could be used in an abortion. The law was seldom invoked in the 50 years after Roe established a federal right to abortion.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Kacsmaryk, though, agreed with plaintiffs that the law — as literally interpreted — prohibits mailing mifepristone.\u003c/p>\n\u003cp>His order, if upheld, would also dismantle a number of recent FDA actions intended to ease access to the drug.\u003c/p>\n\u003cp>In late 2021, the FDA — under the Biden administration — dropped a requirement that patients pick up the drug in person, opening the door to delivery by mail-order pharmacies. In January the agency dropped another requirement that prevented most brick-and-mortar pharmacies from dispensing the pill.\u003c/p>\n\u003cp>Anti-abortion groups, which are newly encouraged about their ability to further restrict abortion and prevail in court since last’s year’s reversal of Roe v. Wade, embraced the Texas ruling.\u003c/p>\n\u003cp>“The court’s decision today is a major step forward for women and girls whose health and safety have been jeopardized for decades by the FDA’s rushed, flawed and politicized approval of these dangerous drugs,” said March for Life President Jeanne Mancini.\u003c/p>\n\u003cp>Legal experts warned that the ruling could upend decades of precedent, setting the stage for political groups to overturn other FDA approvals of controversial drugs and vaccines.\u003c/p>\n\u003cp>“This has never happened before in history — it’s a huge deal,” said Greer Donley, a professor specializing in reproductive health care at the University of Pittsburgh Law School. “You have a federal judge who has zero scientific background second-guessing every scientific decision that the FDA made.”\u003c/p>\n\u003cp>Still, because of the contradictory nature of the rulings, Donley and other experts said there would be little immediate impact.\u003c/p>\n\u003cp>“In the short term, nothing’s going to change,” Donley said. “This is the time to be preparing for the fact that in a week, potentially, mifepristone becomes an unapproved drug in this country.”\u003c/p>\n\u003cp>\u003cem>This story includes reporting by Paul J. Weber, Matthew Perrone and Lindsay Whitehurst of The Associated Press and by Azul Dahlstrom-Eckman and Attila Pelit of KQED.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "California to End $54 Million Contract With Walgreens After Chain Limits Access to Abortion Pill",
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"content": "\u003cp>\u003cem>Updated 10 a.m. Thursday, to include the response from Walgreens.\u003c/em>\u003c/p>\n\u003cp>California will not renew its $54 million contract with pharmacy giant Walgreens after the company recently decided it would \u003ca href=\"https://www.washingtonpost.com/business/2023/03/03/abortion-pills-walgreens/\">no longer dispense a commonly used abortion medication\u003c/a> in 21 states.\u003c/p>\n\u003cp>“California will not stand by as corporations cave to extremists and cut off critical access to reproductive care and freedom,” Gov. Gavin Newsom said Wednesday in a \u003ca href=\"https://www.gov.ca.gov/2023/03/08/governor-newsom-california-pulls-back-renewal-of-walgreens-contract/\">press release announcing the action\u003c/a>. “California is on track to be the fourth largest economy in the world and we will leverage our market power to defend the right to choose.”\u003c/p>\n\u003cp>The move will sever the contract between Walgreens and the California Department of General Services, through which California procures medications and other health care supplies for people incarcerated in the state’s 34 prisons.\u003c/p>\n\u003cp>On Wednesday, Newsom directed the department to formally notify Walgreens that it would not renew the multimillion-dollar contract, effective May 1, 2023. The state will explore other pharmacy options for the same services, the press release said.\u003c/p>\n\u003cp>Newsom told Politico that terminating the Walgreens contract with California’s expansive prison system is just \u003ca href=\"https://www.politico.com/news/2023/03/08/california-walgreens-abortion-newsom-00086190\">the first step in an “exhaustive review”\u003c/a> of all the state’s ties with the company.[aside label=\"related coverage\" tag=\"abortion\"]Walgreens is the second-largest pharmacy chain in the country. Earlier this month, the Illinois-based company announced it would stop dispensing mifepristone — the first pill used in a two-drug abortion procedure — after \u003ca href=\"https://ago.mo.gov/docs/default-source/press-releases/2023-02-01-fda-rule---walgreens-letter-danielle-gray.pdf?sfvrsn=ff1e6652_2\">Republican attorneys general in the nearly two dozen states signed a letter (PDF)\u003c/a> threatening to take legal action against pharmacies that continue to offer it. In several of those states, abortion in general, and the medication specifically, remains legal, including in Alaska, Iowa, Kansas and Montana.\u003c/p>\n\u003cp>The face-off comes less than a year after the \u003ca href=\"https://www.npr.org/2022/06/24/1102305878/supreme-court-abortion-roe-v-wade-decision-overturn\">U.S. Supreme Court voted to overturn Roe v. Wade\u003c/a>, the landmark 1973 decision that granted the right to an abortion. 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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>Updated 10 a.m. Thursday, to include the response from Walgreens.\u003c/em>\u003c/p>\n\u003cp>California will not renew its $54 million contract with pharmacy giant Walgreens after the company recently decided it would \u003ca href=\"https://www.washingtonpost.com/business/2023/03/03/abortion-pills-walgreens/\">no longer dispense a commonly used abortion medication\u003c/a> in 21 states.\u003c/p>\n\u003cp>“California will not stand by as corporations cave to extremists and cut off critical access to reproductive care and freedom,” Gov. Gavin Newsom said Wednesday in a \u003ca href=\"https://www.gov.ca.gov/2023/03/08/governor-newsom-california-pulls-back-renewal-of-walgreens-contract/\">press release announcing the action\u003c/a>. “California is on track to be the fourth largest economy in the world and we will leverage our market power to defend the right to choose.”\u003c/p>\n\u003cp>The move will sever the contract between Walgreens and the California Department of General Services, through which California procures medications and other health care supplies for people incarcerated in the state’s 34 prisons.\u003c/p>\n\u003cp>On Wednesday, Newsom directed the department to formally notify Walgreens that it would not renew the multimillion-dollar contract, effective May 1, 2023. The state will explore other pharmacy options for the same services, the press release said.\u003c/p>\n\u003cp>Newsom told Politico that terminating the Walgreens contract with California’s expansive prison system is just \u003ca href=\"https://www.politico.com/news/2023/03/08/california-walgreens-abortion-newsom-00086190\">the first step in an “exhaustive review”\u003c/a> of all the state’s ties with the company.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Walgreens is the second-largest pharmacy chain in the country. Earlier this month, the Illinois-based company announced it would stop dispensing mifepristone — the first pill used in a two-drug abortion procedure — after \u003ca href=\"https://ago.mo.gov/docs/default-source/press-releases/2023-02-01-fda-rule---walgreens-letter-danielle-gray.pdf?sfvrsn=ff1e6652_2\">Republican attorneys general in the nearly two dozen states signed a letter (PDF)\u003c/a> threatening to take legal action against pharmacies that continue to offer it. In several of those states, abortion in general, and the medication specifically, remains legal, including in Alaska, Iowa, Kansas and Montana.\u003c/p>\n\u003cp>The face-off comes less than a year after the \u003ca href=\"https://www.npr.org/2022/06/24/1102305878/supreme-court-abortion-roe-v-wade-decision-overturn\">U.S. Supreme Court voted to overturn Roe v. Wade\u003c/a>, the landmark 1973 decision that granted the right to an abortion. Since the court’s ruling last June, 13 states have outlawed abortion procedures, and several others, including Florida, have significantly limited access to them.\u003c/p>\n\u003cp>“We are deeply disappointed by the decision by the state of California not to renew our longstanding contract due to false and misleading information,” Walgreens told KQED in an email, following Wednesday's announcement.\u003c/p>\n\u003cp>The company is “facing the same circumstances as all retail pharmacies,” none of whom have said they would approach the situation any differently, it added.\u003c/p>\n\u003cp>“Once we are certified by the FDA, Walgreens plans to dispense Mifepristone in any jurisdiction where it is legally permissible to do so, including the state of California,” it said. “We will dispense this medication consistent with federal and state laws.”\u003c/p>\n\u003cp>It’s not the first time Walgreens has been at the center of a political and cultural battle in California. Since 2019, \u003ca href=\"https://www.theguardian.com/us-news/2021/nov/15/walgreens-closures-san-francisco-crime-debate\">the chain has closed 11 stores in San Francisco\u003c/a> — among the scores that have been recently shuttered across the state — citing shoplifting as the primary reason for winding back business in the city.\u003c/p>\n\u003cp>But earlier this year, Walgreens’ chief financial officer told investors during an earnings call that the company \u003ca href=\"https://www.fool.com/earnings/call-transcripts/2023/01/05/walgreens-boots-alliance-wba-q1-2023-earnings-call/\">may have overstated some of those concerns\u003c/a>.\u003c/p>\n\u003cp>And in 2022, San Francisco’s city attorney \u003ca href=\"https://www.sfcityattorney.org/2022/08/10/san-francisco-wins-landmark-opioid-trial-against-walgreens/\">won a major case against Walgreens\u003c/a> for over-dispensing opioids and failing to report or investigate suspicious orders from pharmacists, as required by law.\u003c/p>\n\u003cp>Newsom’s jab at Walgreens is the latest in a long-winded effort he has made to position California as an abortion sanctuary. Last year, the governor, who is widely believed to have presidential ambitions, bought billboard and TV ads in Texas and other states where abortion had recently been prohibited, promoting the Golden State as a safe destination for people seeking reproductive services. His administration also \u003ca href=\"https://abortion.ca.gov/find-a-provider/index.html\">created a website\u003c/a> for abortion seekers to locate providers and find related travel and child care resources.\u003c/p>\u003c/div>",
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"rss": "https://podcasts.files.bbci.co.uk/p02nq0gn.rss"
}
},
"californiareport": {
"id": "californiareport",
"title": "The California Report",
"tagline": "California, day by day",
"info": "KQED’s statewide radio news program providing daily coverage of issues, trends and public policy decisions.",
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"officialWebsiteLink": "/californiareport",
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"order": 8
},
"link": "/californiareport",
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}
},
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"id": "californiareportmagazine",
"title": "The California Report Magazine",
"tagline": "Your state, your stories",
"info": "Every week, The California Report Magazine takes you on a road trip for the ears: to visit the places and meet the people who make California unique. The in-depth storytelling podcast from the California Report.",
"airtime": "FRI 4:30pm-5pm, 6:30pm-7pm, 11pm-11:30pm",
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"officialWebsiteLink": "/californiareportmagazine",
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"order": 10
},
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM3NjkwNjk1OTAz",
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},
"city-arts": {
"id": "city-arts",
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"info": "A one-hour radio program to hear celebrated writers, artists and thinkers address contemporary ideas and values, often discussing the creative process. Please note: tapes or transcripts are not available",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/05/cityartsandlecture-300x300.jpg",
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"airtime": "SUN 1pm-2pm, TUE 10pm, WED 1am",
"meta": {
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"source": "City Arts & Lectures"
},
"link": "https://www.cityarts.net",
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"rss": "https://www.cityarts.net/feed/"
}
},
"closealltabs": {
"id": "closealltabs",
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"order": 1
},
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"title": "Code Switch / Life Kit",
"info": "\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />",
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"id": "commonwealth-club",
"title": "Commonwealth Club of California Podcast",
"info": "The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.",
"airtime": "THU 10pm, FRI 1am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg",
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"meta": {
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"source": "Commonwealth Club of California"
},
"link": "/radio/program/commonwealth-club",
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"google": "https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw",
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},
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"id": "forum",
"title": "Forum",
"tagline": "The conversation starts here",
"info": "KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.",
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"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Forum with Mina Kim and Alexis Madrigal",
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"source": "kqed",
"order": 9
},
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5NTU3MzgxNjMz",
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"id": "freakonomics-radio",
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"imageSrc": "https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/freakonomicsRadio.png",
"officialWebsiteLink": "http://freakonomics.com/",
"airtime": "SUN 1am-2am, SAT 3pm-4pm",
"meta": {
"site": "radio",
"source": "WNYC"
},
"link": "/radio/program/freakonomics-radio",
"subscribe": {
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"apple": "https://itunes.apple.com/us/podcast/freakonomics-radio/id354668519",
"tuneIn": "https://tunein.com/podcasts/WNYC-Podcasts/Freakonomics-Radio-p272293/",
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},
"fresh-air": {
"id": "fresh-air",
"title": "Fresh Air",
"info": "Hosted by Terry Gross, \u003cem>Fresh Air from WHYY\u003c/em> is the Peabody Award-winning weekday magazine of contemporary arts and issues. One of public radio's most popular programs, Fresh Air features intimate conversations with today's biggest luminaries.",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=214089682&at=11l79Y&ct=nprdirectory",
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"here-and-now": {
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"info": "A live production of NPR and WBUR Boston, in collaboration with stations across the country, Here & Now reflects the fluid world of news as it's happening in the middle of the day, with timely, in-depth news, interviews and conversation. Hosted by Robin Young, Jeremy Hobson and Tonya Mosley.",
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"rss": "https://feeds.npr.org/510051/podcast.xml"
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},
"hidden-brain": {
"id": "hidden-brain",
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"info": "Shankar Vedantam uses science and storytelling to reveal the unconscious patterns that drive human behavior, shape our choices and direct our relationships.",
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"officialWebsiteLink": "https://www.npr.org/series/423302056/hidden-brain",
"airtime": "SUN 7pm-8pm",
"meta": {
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"source": "NPR"
},
"link": "/radio/program/hidden-brain",
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},
"how-i-built-this": {
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"title": "How I Built This with Guy Raz",
"info": "Guy Raz dives into the stories behind some of the world's best known companies. How I Built This weaves a narrative journey about innovators, entrepreneurs and idealists—and the movements they built.",
"imageSrc": "https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/howIBuiltThis.png",
"officialWebsiteLink": "https://www.npr.org/podcasts/510313/how-i-built-this",
"airtime": "SUN 7:30pm-8pm",
"meta": {
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"source": "npr"
},
"link": "/radio/program/how-i-built-this",
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"npr": "https://rpb3r.app.goo.gl/3zxy",
"apple": "https://itunes.apple.com/us/podcast/how-i-built-this-with-guy-raz/id1150510297?mt=2",
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},
"hyphenacion": {
"id": "hyphenacion",
"title": "Hyphenación",
"tagline": "Where conversation and cultura meet",
"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. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/03/Hyphenacion_FinalAssets_PodcastTile.png",
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"officialWebsiteLink": "/podcasts/hyphenacion",
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"order": 15
},
"link": "/podcasts/hyphenacion",
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},
"jerrybrown": {
"id": "jerrybrown",
"title": "The Political Mind of Jerry Brown",
"tagline": "Lessons from a lifetime in politics",
"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game and Brown has some lessons he'd like to share. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-Political-Mind-of-Jerry-Brown-Podcast-Tile-703x703-1.jpg",
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"officialWebsiteLink": "/podcasts/jerrybrown",
"meta": {
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"order": 18
},
"link": "/podcasts/jerrybrown",
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"apple": "https://itunes.apple.com/us/podcast/id1492194549",
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}
},
"latino-usa": {
"id": "latino-usa",
"title": "Latino USA",
"airtime": "MON 1am-2am, SUN 6pm-7pm",
"info": "Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg",
"officialWebsiteLink": "http://latinousa.org/",
"meta": {
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},
"link": "/radio/program/latino-usa",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=79681317&at=11l79Y&ct=nprdirectory",
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"rss": "https://feeds.npr.org/510016/podcast.xml"
}
},
"marketplace": {
"id": "marketplace",
"title": "Marketplace",
"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.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.marketplace.org/",
"meta": {
"site": "news",
"source": "American Public Media"
},
"link": "/radio/program/marketplace",
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"rss": "https://feeds.publicradio.org/public_feeds/marketplace-pm/rss/rss"
}
},
"masters-of-scale": {
"id": "masters-of-scale",
"title": "Masters of Scale",
"info": "Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.",
"airtime": "Every other Wednesday June 12 through October 16 at 8pm (repeats Thursdays at 2am)",
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"officialWebsiteLink": "https://mastersofscale.com/",
"meta": {
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"source": "WaitWhat"
},
"link": "/radio/program/masters-of-scale",
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"rss": "https://rss.art19.com/masters-of-scale"
}
},
"mindshift": {
"id": "mindshift",
"title": "MindShift",
"tagline": "A podcast about the future of learning and how we raise our kids",
"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>",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED MindShift: How We Will Learn",
"officialWebsiteLink": "/mindshift/",
"meta": {
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"source": "kqed",
"order": 12
},
"link": "/podcasts/mindshift",
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
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}
},
"morning-edition": {
"id": "morning-edition",
"title": "Morning Edition",
"info": "\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.",
"airtime": "MON-FRI 3am-9am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Morning-Edition-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/morning-edition/",
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"link": "/radio/program/morning-edition"
},
"onourwatch": {
"id": "onourwatch",
"title": "On Our Watch",
"tagline": "Deeply-reported investigative journalism",
"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?",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/On-Our-Watch-Podcast-Tile-703x703-1.jpg",
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"officialWebsiteLink": "/podcasts/onourwatch",
"meta": {
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"source": "kqed",
"order": 11
},
"link": "/podcasts/onourwatch",
"subscribe": {
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM2MC9wb2RjYXN0LnhtbD9zYz1nb29nbGVwb2RjYXN0cw",
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"stitcher": "https://www.stitcher.com/show/on-our-watch",
"rss": "https://feeds.npr.org/510360/podcast.xml"
}
},
"on-the-media": {
"id": "on-the-media",
"title": "On The Media",
"info": "Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. For one hour a week, the show tries to lift the veil from the process of \"making media,\" especially news media, because it's through that lens that we see the world and the world sees us",
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"info": "One of public radio's most dynamic voices, Sam Sanders helped launch The NPR Politics Podcast and hosted NPR's hit show It's Been A Minute. Now, the award-winning host returns with something brand new, The Sam Sanders Show. Every week, Sam Sanders and friends dig into the culture that shapes our lives: what's driving the biggest trends, how artists really think, and even the memes you can't stop scrolling past. Sam is beloved for his way of unpacking the world and bringing you up close to fresh currents and engaging conversations. The Sam Sanders Show is smart, funny and always a good time.",
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