New billing rules boost access to abortion pill in Nova Scotia

HALIFAX — The abortion pill is expected to become more widely available to women in Nova Scotia starting next month, as part of a series of measures adopted by the province aimed at improving abortion access.

A physician’s bulletin issued by Nova Scotia Medical Services Insurance last week announced a new billing code that will pay doctors for overseeing the termination of a pregnancy using the abortion pill.

The fee covers the initial assessment of a patient, counselling, ordering blood tests and diagnostic imaging, prescribing the medication and follow-up.

Dr. Ken Wilson, medical consultant for Doctors Nova Scotia and a member of the provincial fee committee, says the new health service code will improve access to an important service.

The code is now effective, and the province’s only abortion clinic is expected to begin offering the alternative to surgical abortion on June 7.

The Liberal government announced last fall the funding of Mifegymiso, a two-drug combination using mifepristone and misoprostol to terminate an early pregnancy up to 63 days gestation.

But despite public coverage of the drug, most women were unable to obtain a prescription because of the lack of a provincial billing code.

The province’s fee committee, made up of Doctors NS, physicians and the Health Department, hammered out the new billing code to adequately compensate doctors for the time involved overseeing a medical abortion using pills.

Meanwhile, the province has introduced other improvements to abortion access in recent months, including a toll-free number women in Nova Scotia can call to obtain information, arrange testing and set up an appointment.