The Riverside Press-Enterprise

Shifting laws confuse patients and clinics

- By Anthony Izaguirre and Stephen Groves

TALLAHASSE­E, FLA. » Abortion providers and patients were struggling Friday to navigate the evolving legal landscape around abortion laws and access across the country since the U.S. Supreme Court overturned Roe v. Wade last week.

In Florida, a law banning abortions after 15 weeks went into effect Friday, the day after a judge called it a violation of the state constituti­on and said he would sign an order temporaril­y blocking the law next week. The ban could have broader implicatio­ns in the South, where the state has wider access to the procedure than its neighbors.

Abortion rights have been lost and regained in the span of a few days in Kentucky. A so-called trigger law imposing a neartotal ban on the procedure took effect last Friday, but a judge blocked the law Thursday, meaning the state’s only two abortion providers can resume seeing patients — for now.

In Texas, abortions up to six weeks resumed at some clinics after a Houston judge said patients still had that right, at least until a new ban on virtually all abortions takes effect in the coming weeks. But the state has asked the Texas Supreme Court to block that order and allow prosecutor­s to enforce a ban on abortion now, adding to the uncertaint­y.

The legal wrangling is almost certain to continue to cause chaos for Americans seeking abortions in the near future, with court rulings able to upend access at a moment’s notice and an influx of new patients from out of state overwhelmi­ng providers.

Even when women travel outside states with abortion bans in place, they may have fewer options to end their pregnancie­s as the prospect of prosecutio­n follows them.

Planned Parenthood of Montana this week stopped providing medication abortions to patients who live in states with bans “to minimize potential risk for providers, health center staff, and patients in the face of a rapidly changing landscape.”

Planned Parenthood North Central States, which offers the procedure in Minnesota, Iowa and Nebraska, is telling its patients that they must take both pills in the regimen in a state that allows abortions.

“There’s a lot of confusion and concern that the providers may be at risk, and they are trying to limit their liability so they can provide care to people who need it,” said Dr. Daniel Grossman, who directs the research group Advancing New Standards in Reproducti­ve Health at UC San Francisco.

Emily Bisek, a spokeswoma­n for Planned Parenthood North Central States, said that in an “unknown and murky” legal environmen­t, they decided to tell patients they must be in a state where it is legal to complete the medication abortion — which requires taking two drugs 24 to 48 hours apart.

She said most patients from states with bans are expected to opt for surgical abortions.

The use of abortion pills has been the most common method to end a pregnancy since 2000, when the U.S. Food and Drug Administra­tion approved mifepristo­ne — the main drug used in medication abortions.

 ?? JACQUELYN MARTIN — THE ASSOCIATED PRESS ?? Mahayana Landowne, of Brooklyn, N.Y., wears a “Lady Justice” costume as she marches past the Supreme Court during a protest for abortion-rights Thursday.
JACQUELYN MARTIN — THE ASSOCIATED PRESS Mahayana Landowne, of Brooklyn, N.Y., wears a “Lady Justice” costume as she marches past the Supreme Court during a protest for abortion-rights Thursday.

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