The Columbus Dispatch

Agency says women can get abortion pill via mail

- Matthew Perrone

WASHINGTON – Women seeking an abortion pill will not be required to visit a doctor’s office or clinic during the COVID-19 pandemic, U.S. health officials said Tuesday in the latest reversal in an ongoing legal battle over the medication.

The Food and Drug Administra­tion announced the policy change a day earlier in a letter to the American College of Obstetrici­ans and Gynecologi­sts, one of several medical groups that has sued over the restrictio­n put in place under the Trump administra­tion.

The FDA’S acting head, Dr. Janet Woodcock, said an agency review of recent studies “do not appear to show increases in serious safety concerns,” when women take the pill without first visiting a health facility and discussing the drug’s potential risks, including internal bleeding.

The change clears the way for women to get a prescripti­on for the pill (mifepristo­ne) via telemedici­ne and receive it through the mail. However, abortion opponents are pushing legislatio­n in several Republican-led states that would head off easier access.

Medication abortion has been available in the U.S. since 2000, when the FDA approved the use of mifepristo­ne. Taken with a hormone blocker called misoprosto­l, it constitute­s the socalled abortion pill. About 40% of all abortions in the U.S. are now done through medication, rather than surgery, and that option has become more pivotal during the COVID-19 pandemic.

Last year, the FDA waived in-person requiremen­ts for virtually all medication­s, including tightly controlled drugs such as methadone. But the FDA and its parent health agency argued the rules were necessary to ensure the pills were used safely. The rule requires patients to pick up the single tablet of mifepristo­ne at a hospital, clinic or medical office and sign a form that includes informatio­n about the medication’s potential risks.

The obstetrici­ans and gynecologi­sts group sued to overturn the rule, setting off a series of conflicting court decisions.

Most recently, in January, the Supreme Court sided with the Trump administra­tion to reinstate the longstandi­ng rule on getting the drug in person.

The obstetrici­ans group said in a statement Tuesday the FDA’S aboutface on the requiremen­t shows “it is arbitrary and does nothing to bolster the safety of an already-safe medicine.”

The move was also hailed by congressio­nal Democrats, some of whom had called on the FDA to reverse its policy in a February letter.

But abortion opponents said the move would jeopardize women’s health.

“With this action, the Biden administra­tion has made it clear that they will prioritize abortion over women’s safety,” said Jeanne Mancini, president of the anti-abortion group March for Life. “Chemical abortions should have more medical oversight, not less.”

The FDA policy only applies during the COVID-19 health emergency. The obstetrici­ans and gynecologi­sts group and several other medical organizati­ons are pushing to make medication abortion permanentl­y available via online prescribin­g and mail-order pharmacies.

 ?? CHARLIE NEIBERGALL/AP FILE ?? Medication abortion has been available in the U.S. since 2000, when the FDA approved the use of mifepristo­ne.
CHARLIE NEIBERGALL/AP FILE Medication abortion has been available in the U.S. since 2000, when the FDA approved the use of mifepristo­ne.

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