The 1st Over-the-Counter Birth Control Pill is Now Available. How Does it Work?
State Governments Look to Protect Health-Related Data as It's Used in Abortion Battle
Newsom Signs Law to Protect Doctors Who Mail Abortion Pills to Other States
California Sues Anti-Abortion Counseling Centers, Says They 'Misled' Women
Some California Planned Parenthood Workers Vote to Unionize, as Demand From Out-of-State Patients Increases
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Prior to that he had extended stints in politics and government\u003cem>.\u003c/em> Using that inside experience, he is now Senior Editor for KQED's Politics and Government Desk where he provides reporting, hosting and analysis while also overseeing the politics desk. Scott co-hosts the weekly show and podcast \u003cem>Political Breakdown a\u003c/em>nd he collaborated on \u003cem>The Political Mind of Jerry Brown, \u003c/em>an eight-part series about the life and extraordinary political career of the former governor. For fun, he plays water polo with the San Francisco Tsunami.","avatar":"https://secure.gravatar.com/avatar/a62ebae45b79d7aed1a39a0e3bf68104?s=600&d=blank&r=g","twitter":"scottshafer","facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"news","roles":["editor"]},{"site":"stateofhealth","roles":["author"]},{"site":"science","roles":["author"]},{"site":"forum","roles":["subscriber"]}],"headData":{"title":"Scott Shafer | KQED","description":"KQED Contributor","ogImgSrc":"https://secure.gravatar.com/avatar/a62ebae45b79d7aed1a39a0e3bf68104?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/a62ebae45b79d7aed1a39a0e3bf68104?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/scottshafer"},"mlagos":{"type":"authors","id":"3239","meta":{"index":"authors_1591205172","id":"3239","found":true},"name":"Marisa Lagos","firstName":"Marisa","lastName":"Lagos","slug":"mlagos","email":"mlagos@kqed.org","display_author_email":false,"staff_mastheads":["news"],"title":"KQED Contributor","bio":"\u003cspan style=\"font-weight: 400;\">Marisa Lagos is a correspondent for KQED’s California Politics and Government Desk and co-hosts a weekly show and podcast, \u003c/span>\u003ci>\u003cspan style=\"font-weight: 400;\">Political Breakdown.\u003c/span>\u003c/i> \u003cspan style=\"font-weight: 400;\">At KQED, Lagos conducts reporting, analysis and investigations into state, local and national politics for radio, TV and online. Every week, she and cohost Scott Shafer sit down with political insiders on \u003c/span>\u003ci>\u003cspan style=\"font-weight: 400;\">Political Breakdown\u003c/span>\u003c/i>\u003cspan style=\"font-weight: 400;\">, where they offer a peek into lives and personalities of those driving politics in California and beyond. \u003c/span>\r\n\r\n\u003cspan style=\"font-weight: 400;\">Previously, she worked for nine years at the San Francisco Chronicle covering San Francisco City Hall and state politics; and at the San Francisco Examiner and Los Angeles Time,. She has won awards for her work investigating the 2017 wildfires and her ongoing coverage of criminal justice issues in California. She lives in San Francisco with her two sons and husband.\u003c/span>","avatar":"https://secure.gravatar.com/avatar/a261a0d3696fc066871ef96b85b5e7d2?s=600&d=blank&r=g","twitter":"@mlagos","facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"news","roles":["editor"]},{"site":"science","roles":["editor"]},{"site":"forum","roles":["author"]}],"headData":{"title":"Marisa Lagos | KQED","description":"KQED Contributor","ogImgSrc":"https://secure.gravatar.com/avatar/a261a0d3696fc066871ef96b85b5e7d2?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/a261a0d3696fc066871ef96b85b5e7d2?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/mlagos"},"sjohnson":{"type":"authors","id":"11840","meta":{"index":"authors_1591205172","id":"11840","found":true},"name":"Sydney Johnson","firstName":"Sydney","lastName":"Johnson","slug":"sjohnson","email":"sjohnson@kqed.org","display_author_email":false,"staff_mastheads":["news"],"title":"KQED Reporter","bio":"Sydney Johnson is a general assignment reporter at KQED. She previously reported on public health and city government at the San Francisco Examiner, and before that, she covered statewide education policy for EdSource. Her reporting has won multiple local, state and national awards. Sydney is a graduate of the University of California, Berkeley and lives in San Francisco.","avatar":"https://secure.gravatar.com/avatar/97855f2719b72ad6190b7c535fe642c8?s=600&d=blank&r=g","twitter":"sydneyfjohnson","facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"news","roles":["editor"]}],"headData":{"title":"Sydney Johnson | KQED","description":"KQED Reporter","ogImgSrc":"https://secure.gravatar.com/avatar/97855f2719b72ad6190b7c535fe642c8?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/97855f2719b72ad6190b7c535fe642c8?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/sjohnson"},"nkhan":{"type":"authors","id":"11867","meta":{"index":"authors_1591205172","id":"11867","found":true},"name":"Nisa Khan","firstName":"Nisa","lastName":"Khan","slug":"nkhan","email":"nkhan@kqed.org","display_author_email":false,"staff_mastheads":[],"title":"KQED Contributor","bio":"Nisa Khan is a reporter for KQED's Audience News Desk. 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She earned a Bachelor of Science in Information from the University of Michigan and a Master of Arts in Communication from Stanford University.","avatar":"https://secure.gravatar.com/avatar/a3bf1efcfbe7658d13a434cc54d0b2e3?s=600&d=blank&r=g","twitter":"mnisakhan","facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"arts","roles":["editor"]},{"site":"news","roles":["editor"]},{"site":"forum","roles":["editor"]}],"headData":{"title":"Nisa Khan | KQED","description":"KQED Contributor","ogImgSrc":"https://secure.gravatar.com/avatar/a3bf1efcfbe7658d13a434cc54d0b2e3?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/a3bf1efcfbe7658d13a434cc54d0b2e3?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/nkhan"}},"breakingNewsReducer":{},"campaignFinanceReducer":{},"firebase":{"requesting":{},"requested":{},"timestamps":{},"data":{},"ordered":{},"auth":{"isLoaded":false,"isEmpty":true},"authError":null,"profile":{"isLoaded":false,"isEmpty":true},"listeners":{"byId":{},"allIds":[]},"isInitializing":false,"errors":[]},"navBarReducer":{"navBarId":"news","fullView":true,"showPlayer":false},"navMenuReducer":{"menus":[{"key":"menu1","items":[{"name":"News","link":"/","type":"title"},{"name":"Politics","link":"/politics"},{"name":"Science","link":"/science"},{"name":"Education","link":"/educationnews"},{"name":"Housing","link":"/housing"},{"name":"Immigration","link":"/immigration"},{"name":"Criminal Justice","link":"/criminaljustice"},{"name":"Silicon Valley","link":"/siliconvalley"},{"name":"Forum","link":"/forum"},{"name":"The California Report","link":"/californiareport"}]},{"key":"menu2","items":[{"name":"Arts & Culture","link":"/arts","type":"title"},{"name":"Critics’ Picks","link":"/thedolist"},{"name":"Cultural Commentary","link":"/artscommentary"},{"name":"Food & Drink","link":"/food"},{"name":"Bay Area Hip-Hop","link":"/bayareahiphop"},{"name":"Rebel Girls","link":"/rebelgirls"},{"name":"Arts Video","link":"/artsvideos"}]},{"key":"menu3","items":[{"name":"Podcasts","link":"/podcasts","type":"title"},{"name":"Bay Curious","link":"/podcasts/baycurious"},{"name":"Rightnowish","link":"/podcasts/rightnowish"},{"name":"The Bay","link":"/podcasts/thebay"},{"name":"On Our Watch","link":"/podcasts/onourwatch"},{"name":"Mindshift","link":"/podcasts/mindshift"},{"name":"Consider This","link":"/podcasts/considerthis"},{"name":"Political Breakdown","link":"/podcasts/politicalbreakdown"}]},{"key":"menu4","items":[{"name":"Live Radio","link":"/radio","type":"title"},{"name":"TV","link":"/tv","type":"title"},{"name":"Events","link":"/events","type":"title"},{"name":"For Educators","link":"/education","type":"title"},{"name":"Support KQED","link":"/support","type":"title"},{"name":"About","link":"/about","type":"title"},{"name":"Help Center","link":"https://kqed-helpcenter.kqed.org/s","type":"title"}]}]},"pagesReducer":{},"postsReducer":{"stream_live":{"type":"live","id":"stream_live","audioUrl":"https://streams.kqed.org/kqedradio","title":"Live Stream","excerpt":"Live Stream information currently unavailable.","link":"/radio","featImg":"","label":{"name":"KQED Live","link":"/"}},"stream_kqedNewscast":{"type":"posts","id":"stream_kqedNewscast","audioUrl":"https://www.kqed.org/.stream/anon/radio/RDnews/newscast.mp3?_=1","title":"KQED Newscast","featImg":"","label":{"name":"88.5 FM","link":"/"}},"news_11982330":{"type":"posts","id":"news_11982330","meta":{"index":"posts_1591205157","site":"news","id":"11982330","score":null,"sort":[1712746849000]},"guestAuthors":[],"slug":"the-first-over-the-counter-birth-control-pill-is-now-available-how-does-it-work","title":"The 1st Over-the-Counter Birth Control Pill is Now Available. How Does it Work?","publishDate":1712746849,"format":"standard","headTitle":"The 1st Over-the-Counter Birth Control Pill is Now Available. How Does it Work? | KQED","labelTerm":{"site":"news"},"content":"\u003cp>Opill — the \u003ca href=\"https://opill.com/\">over-the-counter birth control pill\u003c/a> that was \u003ca href=\"https://apnews.com/article/birth-control-pills-without-prescription-fda-b6728e98af5f1625520e0fa5fbc911c3\">approved by the Food and Drug Administration last year\u003c/a> — is \u003ca href=\"https://apnews.com/article/birth-control-pill-pharmacy-contraceptive-add40fec7589dae8ba26eb29bee36b8b\">now available\u003c/a>.\u003c/p>\n\u003cp>This means people now have access to a birth control pill without needing a prescription from a doctor or requiring health insurance — making it accessible “over-the-counter,” like a painkiller like Tylenol.[pullquote size=\"medium\" align=\"right\" citation=\"Sophia Yen, clinical associate professor, Stanford Medical School\"]‘I think it’s really important for people to know that this is the best, most efficacious method available over the counter.’[/pullquote]\u003c/p>\n\u003cp>“I think it’s really important for people to know that this is the best, most efficacious method available over the counter,” said Sophia Yen, a clinical associate professor at Stanford Medical School and \u003ca href=\"https://www.pandiahealth.com/dr-sophia-yen/\">co-founder of Pandia Health\u003c/a>, an organization specializing in reproductive care.\u003c/p>\n\u003cp>Back in 2019, the American College of Obstetrics and Gynecology recommended that all birth control methods — \u003ca href=\"https://www.usatoday.com/story/news/health/2019/09/26/birth-control-should-sold-over-counter-gynecologists-without-prescription-acog/2439101001/\">including the ring, patch, and the pill\u003c/a> — should become available over-the-counter, as Opill now is. And now, this pill is becoming readily \u003ca href=\"https://apnews.com/article/birth-control-pill-pharmacy-contraceptive-add40fec7589dae8ba26eb29bee36b8b\">available at a time\u003c/a> when reproductive rights — like access to abortion — have been under \u003ca href=\"https://www.kqed.org/news/tag/abortion\">legal attacks throughout the country after the Supreme Court overturned Roe v. Wade\u003c/a>.\u003c/p>\n\u003cp>If you are a person who wants to start taking birth control but may not have health insurance or access to a prescriber, keep reading to find out what to know about the over-the-counter birth control pill.\u003c/p>\n\u003ch3>Who can buy Opill, and where is it available?\u003c/h3>\n\u003cp>You can buy Opill in the following ways in California, with no insurance required:\u003c/p>\n\u003cul>\n\u003cli>Over-the-counter at a pharmacy like Walgreens or CVS.\u003c/li>\n\u003cli>In the family planning aisles of a major retail store (for example, Walmart).\u003c/li>\n\u003cli>Online at \u003ca href=\"http://opill.com\">opill.com\u003c/a>.\u003c/li>\n\u003c/ul>\n\u003cp>There is \u003ca href=\"https://apnews.com/article/birth-control-pill-pharmacy-contraceptive-add40fec7589dae8ba26eb29bee36b8b\">no age restriction on sales\u003c/a>, and the packaging is described by the company as “discreet,” for buyer’s privacy.\u003c/p>\n\u003cp>According to the manufacturer, you \u003ca href=\"https://cdn.shopify.com/s/files/1/0719/3211/7296/files/Opill-CIL.pdf?v=1707506323\">should not use Opill\u003c/a>:\u003c/p>\n\u003cul>\n\u003cli>If you have ever had breast cancer.\u003c/li>\n\u003cli>Together with another birth control pill, vaginal ring, patch, implant, injection or an IUD.\u003c/li>\n\u003cli>If you are allergic to ingredients in Opill (for example, some people allergic to aspirin are also allergic to tartrazine, which is the color additive in Opill).\u003c/li>\n\u003c/ul>\n\u003ch3>How much does Opill cost?\u003c/h3>\n\u003cp>According to Opill’s website, a month’s supply retails for $19.99. A three-pack supply of Opill costs \u003ca href=\"https://opill.com/products/opill?variant=47067484487984\">around $50\u003c/a>, and a six-pack costs $90.\u003c/p>\n\u003cp>As of August 2023, California passed \u003ca href=\"https://www.americanprogress.org/article/the-first-over-the-counter-birth-control-pill-marks-a-pivotal-moment-in-birth-control-access/#:~:text=Is%20Opill%20covered%20by%20insurance,prescription%20and%20without%20cost%20sharing.\">a law requiring state-regulated private health insurers\u003c/a> to cover over-the-counter contraception without a prescription and without cost sharing. But as NPR notes, “\u003ca href=\"https://www.npr.org/sections/health-shots/2024/03/04/1235404522/opill-over-counter-birth-control-pill-contraceptive-shop\">not everyone wants their birth control pill to show up on their insurance\u003c/a>, so they may choose to pay out of pocket” rather than having insurance cover those costs.\u003c/p>\n\u003cp>Opill is also eligible for reimbursement through a \u003ca href=\"https://opill.com/pages/faqs?topic=buying-opill\">Flexible Spending Account or Health Savings Account\u003c/a> — meaning the \u003ca href=\"https://hr.nih.gov/about/news/benefits/difference-between-flexible-spending-account-fsa-and-health-savings-account-hsa\">money people set aside in their employee benefits\u003c/a> can potentially be used to purchase Opill.\u003c/p>\n\u003cp>There is also \u003ca href=\"https://opill.com/pages/cost-assistance-program\">a cost assistance program for low-income folks who want to purchase Opill\u003c/a>. In order to be eligible for the cost assistance program, a person must:\u003c/p>\n\u003cul>\n\u003cli>Reside in the United States or its territories, and\u003c/li>\n\u003cli>Not be covered by commercial or public insurance (like Medicaid/Medi-Cal, Medicare, VA health care), and\u003c/li>\n\u003cli>Have a household income at or below \u003ca href=\"https://www.medicaidplanningassistance.org/federal-poverty-guidelines/\">200% of the Federal Poverty Level\u003c/a> (For one person, that is at or below $30,120. For a household of two people, it is $40,880.)\u003c/li>\n\u003c/ul>\n\u003ch3>How does Opill work to prevent pregnancy?\u003c/h3>\n\u003cp>Opill is a daily progestin-only pill, also known as a “mini-pill.”\u003c/p>\n\u003cp>Progestin-only pills work by \u003ca href=\"https://www.thewomens.org.au/health-information/contraception/contraceptive-pills#:~:text=The%20combined%20pill%20contains%20two,through%20to%20fertilise%20the%20egg.\">thickening the mucus at the entrance of the uterus\u003c/a> so sperm cannot pass through to fertilize an egg and result in pregnancy. \u003ca href=\"https://cdn.shopify.com/s/files/1/0719/3211/7296/files/Opill-CIL.pdf?v=1707506323\">Opill takes 48 hours to become effective\u003c/a>, so extra protection — such as condoms — should be used for those first two days.\u003c/p>\n\u003cp>There are a few things to consider about choosing a progestin-only pill like Opill, Yen said. Other prescription birth control pills typically both include estrogen and progestin, and are known as the “combined pill”, because they contain two hormones that \u003ca href=\"https://www.thewomens.org.au/health-information/contraception/contraceptive-pills#:~:text=The%20combined%20pill%20contains%20two,through%20to%20fertilise%20the%20egg.\">prevent the ovaries from releasing an egg each month\u003c/a>. This means they are \u003ca href=\"https://gynraleigh.com/birth-control-progestin-only-pills-vs-combination-pills/#:~:text=One%20of%20the%20main%20advantages,women%20who%20cannot%20take%20estrogen.\">slightly more effective than the progestin-only counterparts\u003c/a> like Opill.\u003c/p>\n\u003cp>Bleeding patterns on the progestin-only pills can also be unpredictable, Yen said. However, some people — like \u003ca href=\"https://gynraleigh.com/birth-control-progestin-only-pills-vs-combination-pills/#:~:text=One%20of%20the%20main%20advantages,women%20who%20cannot%20take%20estrogen.\">individuals over the age of 35, people breastfeeding, or those who are at higher risk of blood clots\u003c/a> — may want to avoid estrogen and, therefore, seek out a progestin-only pill anyway.\u003c/p>\n\u003cp>Research from \u003ca href=\"https://www.ncbi.nlm.nih.gov/books/NBK430882/\">Louisiana State University Health Sciences Center\u003c/a> has found that when either pill is used perfectly — meaning every day, on time — “less than one woman out of 100 will become pregnant in the first year of use.”\u003c/p>\n\u003cp>But “perfect” use isn’t always realistic. This is why research notes that \u003ca href=\"https://www.ncbi.nlm.nih.gov/books/NBK430882/\">the failure rate for “typical use” of combined oral contraceptive pills\u003c/a> — that is, pills not always used consistently — is 9% “due to human error.\u003c/p>\n\u003cp>That means timing is important. A person using birth control pills needs to take one pill at the same time every day for maximum effectiveness at preventing pregnancy — but “any birth control pill has a window of forgiveness,” Yen said.\u003c/p>\n\u003cp>A combination pill, she explained, has “a 24-hour window of forgiveness, generally.”\u003c/p>\n\u003cp>“Usually we say: ‘You miss one pill? Take it as soon as you remember it. If you miss three pills, [the] game’s up, and you need emergency contraception.'”\u003c/p>\n\u003cp>However, a progestin-only pill like Opill has a smaller window of forgiveness because “you don’t have estrogen as the backup” as you do with the combination pill, Yen said, “so the window of forgiveness is three hours, technically.”\u003c/p>\n\u003cp>But “who hasn’t been late taking their birth control by three hours?” Yen said, acknowledging how unexpected schedule changes or straight-up forgetfulness can impact a person’s pill regimen. If you do find you’re taking your progestin-only pill three hours late or more, “you will need to abstain from sex for at least the next 48 hours,” she recommends, “while the hormone level gets [back] up to a level that can protect you.” \u003ca href=\"https://opill.com/pages/faqs?topic=taking-opill\">Opill’s own FAQs also note that you should “use a condom\u003c/a> each time you have sex for the next two days” if you don’t abstain.\u003c/p>\n\u003cp>What if a person is three or more hours late in taking their pill and they’ve had sex in the past three to five days? Since sperm can live for up to five days, in this case, Yen suggests seeking out emergency contraception as soon as possible.\u003c/p>\n\u003cp>Often, confusion over when to take birth control can arise when a person is traveling and arriving in a new time zone. In this case, the next pill needs to be taken 24 hours after you last took a pill, advised Yen.\u003c/p>\n\u003ch3>What should I do if I miss the ‘window of forgiveness’ with my birth control pill?\u003c/h3>\n\u003cp>Emergency contraception \u003ca href=\"https://www.who.int/news-room/fact-sheets/detail/emergency-contraception#:~:text=Emergency%20contraception%20(EC)%20can%20prevent,assault%20if%20without%20contraception%20coverage.\">can prevent 95% of pregnancies within five days\u003c/a> of unprotected sex, like a broken condom or missing the window of forgiveness. Options include \u003ca href=\"https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception/whats-plan-b-morning-after-pill\">morning-after pills like Plan B\u003c/a>, \u003ca href=\"https://www.plannedparenthood.org/learn/birth-control/iud/non-hormonal-copper-iud\">the copper IUD\u003c/a> and \u003ca href=\"https://www.plannedparenthood.org/learn/birth-control/iud/hormonal-iuds#:~:text=The%20hormonal%20IUD%20releases%20a,while%20you're%20using%20it.\">the hormonal IUD\u003c/a>. You can find a clinic that offers these services \u003ca href=\"https://www.plannedparenthood.org/get-care\">using Planned Parenthood’s search tool\u003c/a>.[aside tag=\"health\" label=\"More Health Stories\"]\u003c/p>\n\u003cp>Yen said emergency contraception that is prescribed “beats any over-the-counter emergency contraception and efficacy at every single time point,” Yen said. “And thanks to the Affordable Care Act, if you have insurance, it’s available with no co-pay, no deductible, aka free.”\u003c/p>\n\u003cp>However, Yen said a person’s body mass index does factor in whether or not the over-the-counter emergency contraception is effective. For example, if a person’s BMI is greater than 26 — a medication like Plan B may not work as well. If it is greater than 30, Yen said, it “doesn’t work at all.”\u003c/p>\n\u003cp>Yen said Ella — a \u003ca href=\"https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception/whats-ella-morning-after-pill\">prescription emergency contraception\u003c/a> (also known as a “morning-after pill”) — is effective with BMIs up to 35. Planned Parenthood has \u003ca href=\"https://www.plannedparenthood.org/online-tools/emergency-contraception\">a quiz for people to see which method of emergency contraception could work for them\u003c/a>.\u003c/p>\n\u003ch3>Can a birth control pill prevent STIs?\u003c/h3>\n\u003cp>No, pills \u003ca href=\"https://cdn.shopify.com/s/files/1/0719/3211/7296/files/Opill-CIL.pdf?v=1707506323\">cannot prevent sexually transmitted infections\u003c/a>.\u003c/p>\n\u003cp>If a person is aged 12 to 19 in California, \u003ca href=\"https://www.teensource.org/condoms/free\">the Condom Access Project has a search tool to find free condoms\u003c/a>.\u003c/p>\n\u003cp>You can \u003ca href=\"https://www.sfcityclinic.org/patient-education-resources/all-about-condoms\">also get condoms\u003c/a> in the \u003ca href=\"https://www.sfcityclinic.org/services/sti-and-hiv-testing\">San Francisco City Clinic\u003c/a>, which provides low-cost STI testing. Free or low-cost condoms are also available at the Public Health Division on Van Ness Avenue.\u003c/p>\n\u003cp>Your county may also provide free condoms as \u003ca href=\"https://publichealth.sccgov.org/services/community-resources#3925188384-263336965\">Santa Clara County does at the Crane Center\u003c/a>.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"Opill, the over-the-counter birth control pill that was approved by the Food and Drug Administration last year, is now available.","status":"publish","parent":0,"modified":1712790176,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":35,"wordCount":1554},"headData":{"title":"The 1st Over-the-Counter Birth Control Pill is Now Available. How Does it Work? | KQED","description":"Opill, the over-the-counter birth control pill that was approved by the Food and Drug Administration last year, is now available.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"sticky":false,"excludeFromSiteSearch":"Include","articleAge":"0","path":"/news/11982330/the-first-over-the-counter-birth-control-pill-is-now-available-how-does-it-work","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Opill — the \u003ca href=\"https://opill.com/\">over-the-counter birth control pill\u003c/a> that was \u003ca href=\"https://apnews.com/article/birth-control-pills-without-prescription-fda-b6728e98af5f1625520e0fa5fbc911c3\">approved by the Food and Drug Administration last year\u003c/a> — is \u003ca href=\"https://apnews.com/article/birth-control-pill-pharmacy-contraceptive-add40fec7589dae8ba26eb29bee36b8b\">now available\u003c/a>.\u003c/p>\n\u003cp>This means people now have access to a birth control pill without needing a prescription from a doctor or requiring health insurance — making it accessible “over-the-counter,” like a painkiller like Tylenol.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘I think it’s really important for people to know that this is the best, most efficacious method available over the counter.’","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Sophia Yen, clinical associate professor, Stanford Medical School","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“I think it’s really important for people to know that this is the best, most efficacious method available over the counter,” said Sophia Yen, a clinical associate professor at Stanford Medical School and \u003ca href=\"https://www.pandiahealth.com/dr-sophia-yen/\">co-founder of Pandia Health\u003c/a>, an organization specializing in reproductive care.\u003c/p>\n\u003cp>Back in 2019, the American College of Obstetrics and Gynecology recommended that all birth control methods — \u003ca href=\"https://www.usatoday.com/story/news/health/2019/09/26/birth-control-should-sold-over-counter-gynecologists-without-prescription-acog/2439101001/\">including the ring, patch, and the pill\u003c/a> — should become available over-the-counter, as Opill now is. And now, this pill is becoming readily \u003ca href=\"https://apnews.com/article/birth-control-pill-pharmacy-contraceptive-add40fec7589dae8ba26eb29bee36b8b\">available at a time\u003c/a> when reproductive rights — like access to abortion — have been under \u003ca href=\"https://www.kqed.org/news/tag/abortion\">legal attacks throughout the country after the Supreme Court overturned Roe v. Wade\u003c/a>.\u003c/p>\n\u003cp>If you are a person who wants to start taking birth control but may not have health insurance or access to a prescriber, keep reading to find out what to know about the over-the-counter birth control pill.\u003c/p>\n\u003ch3>Who can buy Opill, and where is it available?\u003c/h3>\n\u003cp>You can buy Opill in the following ways in California, with no insurance required:\u003c/p>\n\u003cul>\n\u003cli>Over-the-counter at a pharmacy like Walgreens or CVS.\u003c/li>\n\u003cli>In the family planning aisles of a major retail store (for example, Walmart).\u003c/li>\n\u003cli>Online at \u003ca href=\"http://opill.com\">opill.com\u003c/a>.\u003c/li>\n\u003c/ul>\n\u003cp>There is \u003ca href=\"https://apnews.com/article/birth-control-pill-pharmacy-contraceptive-add40fec7589dae8ba26eb29bee36b8b\">no age restriction on sales\u003c/a>, and the packaging is described by the company as “discreet,” for buyer’s privacy.\u003c/p>\n\u003cp>According to the manufacturer, you \u003ca href=\"https://cdn.shopify.com/s/files/1/0719/3211/7296/files/Opill-CIL.pdf?v=1707506323\">should not use Opill\u003c/a>:\u003c/p>\n\u003cul>\n\u003cli>If you have ever had breast cancer.\u003c/li>\n\u003cli>Together with another birth control pill, vaginal ring, patch, implant, injection or an IUD.\u003c/li>\n\u003cli>If you are allergic to ingredients in Opill (for example, some people allergic to aspirin are also allergic to tartrazine, which is the color additive in Opill).\u003c/li>\n\u003c/ul>\n\u003ch3>How much does Opill cost?\u003c/h3>\n\u003cp>According to Opill’s website, a month’s supply retails for $19.99. A three-pack supply of Opill costs \u003ca href=\"https://opill.com/products/opill?variant=47067484487984\">around $50\u003c/a>, and a six-pack costs $90.\u003c/p>\n\u003cp>As of August 2023, California passed \u003ca href=\"https://www.americanprogress.org/article/the-first-over-the-counter-birth-control-pill-marks-a-pivotal-moment-in-birth-control-access/#:~:text=Is%20Opill%20covered%20by%20insurance,prescription%20and%20without%20cost%20sharing.\">a law requiring state-regulated private health insurers\u003c/a> to cover over-the-counter contraception without a prescription and without cost sharing. But as NPR notes, “\u003ca href=\"https://www.npr.org/sections/health-shots/2024/03/04/1235404522/opill-over-counter-birth-control-pill-contraceptive-shop\">not everyone wants their birth control pill to show up on their insurance\u003c/a>, so they may choose to pay out of pocket” rather than having insurance cover those costs.\u003c/p>\n\u003cp>Opill is also eligible for reimbursement through a \u003ca href=\"https://opill.com/pages/faqs?topic=buying-opill\">Flexible Spending Account or Health Savings Account\u003c/a> — meaning the \u003ca href=\"https://hr.nih.gov/about/news/benefits/difference-between-flexible-spending-account-fsa-and-health-savings-account-hsa\">money people set aside in their employee benefits\u003c/a> can potentially be used to purchase Opill.\u003c/p>\n\u003cp>There is also \u003ca href=\"https://opill.com/pages/cost-assistance-program\">a cost assistance program for low-income folks who want to purchase Opill\u003c/a>. In order to be eligible for the cost assistance program, a person must:\u003c/p>\n\u003cul>\n\u003cli>Reside in the United States or its territories, and\u003c/li>\n\u003cli>Not be covered by commercial or public insurance (like Medicaid/Medi-Cal, Medicare, VA health care), and\u003c/li>\n\u003cli>Have a household income at or below \u003ca href=\"https://www.medicaidplanningassistance.org/federal-poverty-guidelines/\">200% of the Federal Poverty Level\u003c/a> (For one person, that is at or below $30,120. For a household of two people, it is $40,880.)\u003c/li>\n\u003c/ul>\n\u003ch3>How does Opill work to prevent pregnancy?\u003c/h3>\n\u003cp>Opill is a daily progestin-only pill, also known as a “mini-pill.”\u003c/p>\n\u003cp>Progestin-only pills work by \u003ca href=\"https://www.thewomens.org.au/health-information/contraception/contraceptive-pills#:~:text=The%20combined%20pill%20contains%20two,through%20to%20fertilise%20the%20egg.\">thickening the mucus at the entrance of the uterus\u003c/a> so sperm cannot pass through to fertilize an egg and result in pregnancy. \u003ca href=\"https://cdn.shopify.com/s/files/1/0719/3211/7296/files/Opill-CIL.pdf?v=1707506323\">Opill takes 48 hours to become effective\u003c/a>, so extra protection — such as condoms — should be used for those first two days.\u003c/p>\n\u003cp>There are a few things to consider about choosing a progestin-only pill like Opill, Yen said. Other prescription birth control pills typically both include estrogen and progestin, and are known as the “combined pill”, because they contain two hormones that \u003ca href=\"https://www.thewomens.org.au/health-information/contraception/contraceptive-pills#:~:text=The%20combined%20pill%20contains%20two,through%20to%20fertilise%20the%20egg.\">prevent the ovaries from releasing an egg each month\u003c/a>. This means they are \u003ca href=\"https://gynraleigh.com/birth-control-progestin-only-pills-vs-combination-pills/#:~:text=One%20of%20the%20main%20advantages,women%20who%20cannot%20take%20estrogen.\">slightly more effective than the progestin-only counterparts\u003c/a> like Opill.\u003c/p>\n\u003cp>Bleeding patterns on the progestin-only pills can also be unpredictable, Yen said. However, some people — like \u003ca href=\"https://gynraleigh.com/birth-control-progestin-only-pills-vs-combination-pills/#:~:text=One%20of%20the%20main%20advantages,women%20who%20cannot%20take%20estrogen.\">individuals over the age of 35, people breastfeeding, or those who are at higher risk of blood clots\u003c/a> — may want to avoid estrogen and, therefore, seek out a progestin-only pill anyway.\u003c/p>\n\u003cp>Research from \u003ca href=\"https://www.ncbi.nlm.nih.gov/books/NBK430882/\">Louisiana State University Health Sciences Center\u003c/a> has found that when either pill is used perfectly — meaning every day, on time — “less than one woman out of 100 will become pregnant in the first year of use.”\u003c/p>\n\u003cp>But “perfect” use isn’t always realistic. This is why research notes that \u003ca href=\"https://www.ncbi.nlm.nih.gov/books/NBK430882/\">the failure rate for “typical use” of combined oral contraceptive pills\u003c/a> — that is, pills not always used consistently — is 9% “due to human error.\u003c/p>\n\u003cp>That means timing is important. A person using birth control pills needs to take one pill at the same time every day for maximum effectiveness at preventing pregnancy — but “any birth control pill has a window of forgiveness,” Yen said.\u003c/p>\n\u003cp>A combination pill, she explained, has “a 24-hour window of forgiveness, generally.”\u003c/p>\n\u003cp>“Usually we say: ‘You miss one pill? Take it as soon as you remember it. If you miss three pills, [the] game’s up, and you need emergency contraception.'”\u003c/p>\n\u003cp>However, a progestin-only pill like Opill has a smaller window of forgiveness because “you don’t have estrogen as the backup” as you do with the combination pill, Yen said, “so the window of forgiveness is three hours, technically.”\u003c/p>\n\u003cp>But “who hasn’t been late taking their birth control by three hours?” Yen said, acknowledging how unexpected schedule changes or straight-up forgetfulness can impact a person’s pill regimen. If you do find you’re taking your progestin-only pill three hours late or more, “you will need to abstain from sex for at least the next 48 hours,” she recommends, “while the hormone level gets [back] up to a level that can protect you.” \u003ca href=\"https://opill.com/pages/faqs?topic=taking-opill\">Opill’s own FAQs also note that you should “use a condom\u003c/a> each time you have sex for the next two days” if you don’t abstain.\u003c/p>\n\u003cp>What if a person is three or more hours late in taking their pill and they’ve had sex in the past three to five days? Since sperm can live for up to five days, in this case, Yen suggests seeking out emergency contraception as soon as possible.\u003c/p>\n\u003cp>Often, confusion over when to take birth control can arise when a person is traveling and arriving in a new time zone. In this case, the next pill needs to be taken 24 hours after you last took a pill, advised Yen.\u003c/p>\n\u003ch3>What should I do if I miss the ‘window of forgiveness’ with my birth control pill?\u003c/h3>\n\u003cp>Emergency contraception \u003ca href=\"https://www.who.int/news-room/fact-sheets/detail/emergency-contraception#:~:text=Emergency%20contraception%20(EC)%20can%20prevent,assault%20if%20without%20contraception%20coverage.\">can prevent 95% of pregnancies within five days\u003c/a> of unprotected sex, like a broken condom or missing the window of forgiveness. Options include \u003ca href=\"https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception/whats-plan-b-morning-after-pill\">morning-after pills like Plan B\u003c/a>, \u003ca href=\"https://www.plannedparenthood.org/learn/birth-control/iud/non-hormonal-copper-iud\">the copper IUD\u003c/a> and \u003ca href=\"https://www.plannedparenthood.org/learn/birth-control/iud/hormonal-iuds#:~:text=The%20hormonal%20IUD%20releases%20a,while%20you're%20using%20it.\">the hormonal IUD\u003c/a>. You can find a clinic that offers these services \u003ca href=\"https://www.plannedparenthood.org/get-care\">using Planned Parenthood’s search tool\u003c/a>.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"tag":"health","label":"More Health Stories "},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Yen said emergency contraception that is prescribed “beats any over-the-counter emergency contraception and efficacy at every single time point,” Yen said. “And thanks to the Affordable Care Act, if you have insurance, it’s available with no co-pay, no deductible, aka free.”\u003c/p>\n\u003cp>However, Yen said a person’s body mass index does factor in whether or not the over-the-counter emergency contraception is effective. For example, if a person’s BMI is greater than 26 — a medication like Plan B may not work as well. If it is greater than 30, Yen said, it “doesn’t work at all.”\u003c/p>\n\u003cp>Yen said Ella — a \u003ca href=\"https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception/whats-ella-morning-after-pill\">prescription emergency contraception\u003c/a> (also known as a “morning-after pill”) — is effective with BMIs up to 35. Planned Parenthood has \u003ca href=\"https://www.plannedparenthood.org/online-tools/emergency-contraception\">a quiz for people to see which method of emergency contraception could work for them\u003c/a>.\u003c/p>\n\u003ch3>Can a birth control pill prevent STIs?\u003c/h3>\n\u003cp>No, pills \u003ca href=\"https://cdn.shopify.com/s/files/1/0719/3211/7296/files/Opill-CIL.pdf?v=1707506323\">cannot prevent sexually transmitted infections\u003c/a>.\u003c/p>\n\u003cp>If a person is aged 12 to 19 in California, \u003ca href=\"https://www.teensource.org/condoms/free\">the Condom Access Project has a search tool to find free condoms\u003c/a>.\u003c/p>\n\u003cp>You can \u003ca href=\"https://www.sfcityclinic.org/patient-education-resources/all-about-condoms\">also get condoms\u003c/a> in the \u003ca href=\"https://www.sfcityclinic.org/services/sti-and-hiv-testing\">San Francisco City Clinic\u003c/a>, which provides low-cost STI testing. Free or low-cost condoms are also available at the Public Health Division on Van Ness Avenue.\u003c/p>\n\u003cp>Your county may also provide free condoms as \u003ca href=\"https://publichealth.sccgov.org/services/community-resources#3925188384-263336965\">Santa Clara County does at the Crane Center\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11982330/the-first-over-the-counter-birth-control-pill-is-now-available-how-does-it-work","authors":["11867"],"categories":["news_31795","news_457","news_28250","news_8"],"tags":["news_866","news_19985","news_19944","news_27626","news_18543"],"featImg":"news_11982372","label":"news"},"news_11976304":{"type":"posts","id":"news_11976304","meta":{"index":"posts_1591205157","site":"news","id":"11976304","score":null,"sort":[1708268418000]},"guestAuthors":[],"slug":"state-governments-look-to-protect-health-related-data-as-its-used-in-abortion-battle","title":"State Governments Look to Protect Health-Related Data as It's Used in Abortion Battle","publishDate":1708268418,"format":"standard","headTitle":"State Governments Look to Protect Health-Related Data as It’s Used in Abortion Battle | KQED","labelTerm":{"site":"news"},"content":"\u003cp>Some state governments and federal regulators were already moving to keep individuals’ reproductive health information private when a U.S. senator’s report last week offered a new jolt, describing how cellphone location data was used to send millions of anti-abortion ads to people who visited Planned Parenthood offices.\u003c/p>\n\u003cp>Federal law bars medical providers from sharing health data without a patient’s consent but doesn’t prevent digital tech companies from tracking menstrual cycles or an individual’s location and selling it to data brokers. Legislation for federal bans have never gained momentum, largely because of opposition from the tech industry.\u003c/p>\n\u003cp>Whether that should change has become another political fault line in a nation where most Republican-controlled states have restricted abortion — including 14 with bans in place at every stage of pregnancy — and most Democratic ones have sought to protect access since the U.S. Supreme Court in 2022 overturned Roe v. Wade.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Abortion rights advocates fear that that if such data is not kept private, it could be used not only in targeted ads but also in law enforcement investigations or by abortion opponents looking to harm those who seek to end pregnancies.\u003c/p>\n\u003cp>“It isn’t just sort of creepy,” said Washington state Rep. Vandana Slatter, the sponsor of a law her state adopted last year to rein in unauthorized use of health information. “It’s actually harmful.”\u003c/p>\n\u003cp>But so far, there’s no evidence of widespread use of this kind of data in law enforcement investigations.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Andrea Frey, lawyer for health care providers and digital health systems, Hooper Lundy Bookman\"]‘We’re really pushing forward with the free-flowing and seamless exchange of health care data with the intent of having information accessible so that providers can treat the whole person. Conversely, these privacy concerns come into play.’[/pullquote]“We’re generally talking about a future risk, not something that’s happening on the ground yet,” said Albert Fox Cahn, executive director of the Surveillance Technology Oversight Project and an advocate of protections.\u003c/p>\n\u003cp>The \u003ca href=\"https://www.wyden.senate.gov/imo/media/doc/signed_near_letter_to_ftc_and_sec.pdf\">report last week from Sen. Ron Wyden\u003c/a>, an Oregon Democrat, showed the biggest known anti-abortion ad campaign directed to people who had been identified as having visited abortion providers.\u003c/p>\n\u003cp>Wyden’s investigation found that the information gathered by a now-defunct data broker called Near Intelligence was used by ads from The Veritas Society, a nonprofit founded by Wisconsin Right to Life. The ads targeted people who visited 600 locations in 48 states from 2019 through 2022. There were more than 14 million ads in Wisconsin alone.\u003c/p>\n\u003cp>Wyden called on the Federal Trade Commission to intervene in the bankruptcy case for Near to make sure the location information collected on Americans is destroyed and not sold to another data broker. He’s also asking the Securities Exchange Commission to investigate whether the company committed securities fraud by making misleading statements to investors about the senator’s investigation.\u003c/p>\n\u003cp>It’s not the first time the issue has come up.\u003c/p>\n\u003cp>\u003ca href=\"https://apnews.com/general-news-33f18b834c104df9b2901ef1bf38ae08\">Massachusetts reached a settlement\u003c/a> in 2017 with an ad agency that ran a similar campaign nearly a decade ago.\u003c/p>\n\u003cp>The \u003ca href=\"https://apnews.com/article/technology-health-idaho-federal-trade-commission-government-and-politics-a9aabfc0d25828bc4951c736aaab617a\">FTC sued one data broker\u003c/a>, Kochava, over similar claims in 2022 in an ongoing case, and settled last month with another, X-Mode Social, and its successor, Outlogic, which the government said sold location data of even users who opted out of such sharing. X-Mode was also found to have sold location data to the U.S. military.\u003c/p>\n\u003cp>In both cases, the FTC relied on a law against unfair or deceptive practices.\u003c/p>\n\u003cp>States are also passing or considering their own laws aimed specifically at protecting sensitive health information.\u003c/p>\n\u003cp>Washington’s Slatter, a Democrat, has worked on digital privacy issues for years, but wasn’t able to get a bill with comprehensive protections adopted in her state.\u003c/p>\n\u003cp>[aside label=\"Related Stories\" postID=\"news_11973441,news_11962088,news_11953205,forum_2010101904752\"]She said things changed when Roe was overturned. She went to a rally in 2022 and heard women talking about deleting period-tracking apps out of fear of how their data could be exploited.\u003c/p>\n\u003cp>When she introduced a health-specific data privacy bill last year, it wasn’t just lawyers and lobbyists testifying; women of all ages and from many walks of life showed up to support it, too.\u003c/p>\n\u003cp>The measure, which bars selling personal health data without a consumer’s consent and prohibits tracking who visits reproductive or sexual health facilities, was adopted with the support of nearly all the state’s Democratic lawmakers and opposition from all the Republicans.\u003c/p>\n\u003cp>Connecticut and Nevada adopted similar laws last year. New York enacted one that bars using tracking around health care facilities.\u003c/p>\n\u003cp>\u003ca href=\"https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?sectionNum=56.10.&lawCode=CIV\">California\u003c/a> and Maryland took another approach, enacting laws that prevent computerized health networks from sharing information about sensitive health care with other providers without consent.\u003c/p>\n\u003cp>“We’re really pushing forward with the free-flowing and seamless exchange of health care data with the intent of having information accessible so that providers can treat the whole person,” said Andrea Frey, a lawyer who represents health care providers and digital health systems. “Conversely, these privacy concerns come into play.”\u003c/p>\n\u003cp>Illinois, which already had a law limiting how health tracking data — measuring heart rates, steps and others — can be shared, adopted a new one last year that took effect Jan. 1 and that bans providing government license plate reading data to law enforcement in states with abortion bans.\u003c/p>\n\u003cp>Bills addressing the issue in some form have been introduced in several states this year, including Hawaii, Illinois, Maine, Maryland, Massachusetts, Missouri, South Carolina and Vermont.\u003c/p>\n\u003cp>In Virginia, legislation that would prohibit the issuance of search warrants, subpoenas or court orders for electronic or digital menstrual health data recently cleared both chambers of the Democratic-controlled General Assembly.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Virginia state Sen. Barbara Favola\"]‘The next step to enforcing an abortion ban could be accessing menstrual health data, which is why I’m trying to protect that data.’[/pullquote]Democratic Sen. Barbara Favola said she saw the bill as a necessary precaution when Republican politicians, including Virginia Gov. Glenn Youngkin, have sought restrictions on abortion.\u003c/p>\n\u003cp>“The next step to enforcing an abortion ban could be accessing menstrual health data, which is why I’m trying to protect that data,” Favola said in a committee hearing.\u003c/p>\n\u003cp>Opponents asked whether such data had ever been sought by law enforcement, and Favola responded that she wasn’t aware of a particular example.\u003c/p>\n\u003cp>“It’s just in search of a problem that does not exist,” said Republican Sen. Mark Peake.\u003c/p>\n\u003cp>Youngkin’s administration made it clear he opposed similar legislation last year, but his press office didn’t respond to a request for comment on where he stands on the current version.\u003c/p>\n\u003cp>Sean O’Brien, founder of the Yale Privacy Lab, says there is a problem with the way health information is being used, but he’s not sure laws will be the answer because companies could choose to ignore the potential consequences and continue scooping up and selling sensitive information.\u003c/p>\n\u003cp>“The software supply chain is extremely polluted with location tracking of individuals,” he said.\u003c/p>\n\u003cp>\u003cem>Mulvihill reported from Cherry Hill, New Jersey. Associated Press reporters Frank Bajak in Boston and Sarah Rankin in Richmond, Virginia, contributed to this article.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"State governments across the US are adopting or considering laws that would block the sale of personal health data or information about who visits sensitive sites such as sexual health facilities. ","status":"publish","parent":0,"modified":1708209537,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":35,"wordCount":1276},"headData":{"title":"State Governments Look to Protect Health-Related Data as It's Used in Abortion Battle | KQED","description":"State governments across the US are adopting or considering laws that would block the sale of personal health data or information about who visits sensitive sites such as sexual health facilities. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"sticky":false,"nprByline":"Geoff Mulvihill\u003cbr>The Associated Press","excludeFromSiteSearch":"Include","showOnAuthorArchivePages":"No","articleAge":"0","path":"/news/11976304/state-governments-look-to-protect-health-related-data-as-its-used-in-abortion-battle","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Some state governments and federal regulators were already moving to keep individuals’ reproductive health information private when a U.S. senator’s report last week offered a new jolt, describing how cellphone location data was used to send millions of anti-abortion ads to people who visited Planned Parenthood offices.\u003c/p>\n\u003cp>Federal law bars medical providers from sharing health data without a patient’s consent but doesn’t prevent digital tech companies from tracking menstrual cycles or an individual’s location and selling it to data brokers. Legislation for federal bans have never gained momentum, largely because of opposition from the tech industry.\u003c/p>\n\u003cp>Whether that should change has become another political fault line in a nation where most Republican-controlled states have restricted abortion — including 14 with bans in place at every stage of pregnancy — and most Democratic ones have sought to protect access since the U.S. Supreme Court in 2022 overturned Roe v. Wade.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Abortion rights advocates fear that that if such data is not kept private, it could be used not only in targeted ads but also in law enforcement investigations or by abortion opponents looking to harm those who seek to end pregnancies.\u003c/p>\n\u003cp>“It isn’t just sort of creepy,” said Washington state Rep. Vandana Slatter, the sponsor of a law her state adopted last year to rein in unauthorized use of health information. “It’s actually harmful.”\u003c/p>\n\u003cp>But so far, there’s no evidence of widespread use of this kind of data in law enforcement investigations.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘We’re really pushing forward with the free-flowing and seamless exchange of health care data with the intent of having information accessible so that providers can treat the whole person. Conversely, these privacy concerns come into play.’","name":"pullquote","attributes":{"named":{"align":"right","size":"medium","citation":"Andrea Frey, lawyer for health care providers and digital health systems, Hooper Lundy Bookman","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>“We’re generally talking about a future risk, not something that’s happening on the ground yet,” said Albert Fox Cahn, executive director of the Surveillance Technology Oversight Project and an advocate of protections.\u003c/p>\n\u003cp>The \u003ca href=\"https://www.wyden.senate.gov/imo/media/doc/signed_near_letter_to_ftc_and_sec.pdf\">report last week from Sen. Ron Wyden\u003c/a>, an Oregon Democrat, showed the biggest known anti-abortion ad campaign directed to people who had been identified as having visited abortion providers.\u003c/p>\n\u003cp>Wyden’s investigation found that the information gathered by a now-defunct data broker called Near Intelligence was used by ads from The Veritas Society, a nonprofit founded by Wisconsin Right to Life. The ads targeted people who visited 600 locations in 48 states from 2019 through 2022. There were more than 14 million ads in Wisconsin alone.\u003c/p>\n\u003cp>Wyden called on the Federal Trade Commission to intervene in the bankruptcy case for Near to make sure the location information collected on Americans is destroyed and not sold to another data broker. He’s also asking the Securities Exchange Commission to investigate whether the company committed securities fraud by making misleading statements to investors about the senator’s investigation.\u003c/p>\n\u003cp>It’s not the first time the issue has come up.\u003c/p>\n\u003cp>\u003ca href=\"https://apnews.com/general-news-33f18b834c104df9b2901ef1bf38ae08\">Massachusetts reached a settlement\u003c/a> in 2017 with an ad agency that ran a similar campaign nearly a decade ago.\u003c/p>\n\u003cp>The \u003ca href=\"https://apnews.com/article/technology-health-idaho-federal-trade-commission-government-and-politics-a9aabfc0d25828bc4951c736aaab617a\">FTC sued one data broker\u003c/a>, Kochava, over similar claims in 2022 in an ongoing case, and settled last month with another, X-Mode Social, and its successor, Outlogic, which the government said sold location data of even users who opted out of such sharing. X-Mode was also found to have sold location data to the U.S. military.\u003c/p>\n\u003cp>In both cases, the FTC relied on a law against unfair or deceptive practices.\u003c/p>\n\u003cp>States are also passing or considering their own laws aimed specifically at protecting sensitive health information.\u003c/p>\n\u003cp>Washington’s Slatter, a Democrat, has worked on digital privacy issues for years, but wasn’t able to get a bill with comprehensive protections adopted in her state.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"Related Stories ","postid":"news_11973441,news_11962088,news_11953205,forum_2010101904752"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>She said things changed when Roe was overturned. She went to a rally in 2022 and heard women talking about deleting period-tracking apps out of fear of how their data could be exploited.\u003c/p>\n\u003cp>When she introduced a health-specific data privacy bill last year, it wasn’t just lawyers and lobbyists testifying; women of all ages and from many walks of life showed up to support it, too.\u003c/p>\n\u003cp>The measure, which bars selling personal health data without a consumer’s consent and prohibits tracking who visits reproductive or sexual health facilities, was adopted with the support of nearly all the state’s Democratic lawmakers and opposition from all the Republicans.\u003c/p>\n\u003cp>Connecticut and Nevada adopted similar laws last year. New York enacted one that bars using tracking around health care facilities.\u003c/p>\n\u003cp>\u003ca href=\"https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?sectionNum=56.10.&lawCode=CIV\">California\u003c/a> and Maryland took another approach, enacting laws that prevent computerized health networks from sharing information about sensitive health care with other providers without consent.\u003c/p>\n\u003cp>“We’re really pushing forward with the free-flowing and seamless exchange of health care data with the intent of having information accessible so that providers can treat the whole person,” said Andrea Frey, a lawyer who represents health care providers and digital health systems. “Conversely, these privacy concerns come into play.”\u003c/p>\n\u003cp>Illinois, which already had a law limiting how health tracking data — measuring heart rates, steps and others — can be shared, adopted a new one last year that took effect Jan. 1 and that bans providing government license plate reading data to law enforcement in states with abortion bans.\u003c/p>\n\u003cp>Bills addressing the issue in some form have been introduced in several states this year, including Hawaii, Illinois, Maine, Maryland, Massachusetts, Missouri, South Carolina and Vermont.\u003c/p>\n\u003cp>In Virginia, legislation that would prohibit the issuance of search warrants, subpoenas or court orders for electronic or digital menstrual health data recently cleared both chambers of the Democratic-controlled General Assembly.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘The next step to enforcing an abortion ban could be accessing menstrual health data, which is why I’m trying to protect that data.’","name":"pullquote","attributes":{"named":{"align":"right","size":"medium","citation":"Virginia state Sen. Barbara Favola","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Democratic Sen. Barbara Favola said she saw the bill as a necessary precaution when Republican politicians, including Virginia Gov. Glenn Youngkin, have sought restrictions on abortion.\u003c/p>\n\u003cp>“The next step to enforcing an abortion ban could be accessing menstrual health data, which is why I’m trying to protect that data,” Favola said in a committee hearing.\u003c/p>\n\u003cp>Opponents asked whether such data had ever been sought by law enforcement, and Favola responded that she wasn’t aware of a particular example.\u003c/p>\n\u003cp>“It’s just in search of a problem that does not exist,” said Republican Sen. Mark Peake.\u003c/p>\n\u003cp>Youngkin’s administration made it clear he opposed similar legislation last year, but his press office didn’t respond to a request for comment on where he stands on the current version.\u003c/p>\n\u003cp>Sean O’Brien, founder of the Yale Privacy Lab, says there is a problem with the way health information is being used, but he’s not sure laws will be the answer because companies could choose to ignore the potential consequences and continue scooping up and selling sensitive information.\u003c/p>\n\u003cp>“The software supply chain is extremely polluted with location tracking of individuals,” he said.\u003c/p>\n\u003cp>\u003cem>Mulvihill reported from Cherry Hill, New Jersey. Associated Press reporters Frank Bajak in Boston and Sarah Rankin in Richmond, Virginia, contributed to this article.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11976304/state-governments-look-to-protect-health-related-data-as-its-used-in-abortion-battle","authors":["byline_news_11976304"],"categories":["news_6188","news_8"],"tags":["news_866","news_683","news_1859"],"featImg":"news_11976310","label":"news"},"news_11962674":{"type":"posts","id":"news_11962674","meta":{"index":"posts_1591205157","site":"news","id":"11962674","score":null,"sort":[1695859970000]},"guestAuthors":[],"slug":"newsom-signs-law-to-protect-doctors-who-mail-abortion-pills-to-other-states","title":"Newsom Signs Law to Protect Doctors Who Mail Abortion Pills to Other States","publishDate":1695859970,"format":"standard","headTitle":"Newsom Signs Law to Protect Doctors Who Mail Abortion Pills to Other States | KQED","labelTerm":{"site":"news"},"content":"\u003cp>Gov. Gavin Newsom signed a new law on Wednesday that aims to stop other states from prosecuting doctors and pharmacists who mail abortion pills to patients in places where the procedure is banned.\u003c/p>\n\u003cp>California already has a law protecting doctors who provide abortions from out-of-state judgements. But that law was designed to protect doctors who treat patients from other states who travel to California.\u003c/p>\n\u003cp>The new law goes further by forbidding authorities from cooperating with out-of-state investigations into doctors who mail abortion pills to patients in other states. It also bans bounty hunters or bail agents from apprehending doctors and pharmacists in California and transporting them to another state to stand trial for providing an abortion.\u003c/p>\n\u003cp>Other states, including New York and Massachusetts, have similar laws. But California’s law also bars state-based social media companies — like Facebook — from complying with out-of-state subpoenas, warrants or other requests for records to discover the identity of patients seeking abortion pills.\u003c/p>\n\u003cp>“Health care providers, physically located in California, will be able to offer a lifeline to people in states that have cut off access to essential care, and be shielded from the draconian laws of those states,” state Sen. Nancy Skinner, a Berkeley Democrat and author of the bill, said in a statement.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The law only protects doctors and pharmacists who reside in California. If a doctor or pharmacist leaves California to provide care to a patient in another state, the law would not protect them.\u003c/p>\n\u003cp>“We will continue to protect women and health care workers who are seeking and providing basic care,” Newsom said in a news release announcing he had signed the law.\u003c/p>\n\u003cp>The California Catholic Conference opposed the law, arguing the state is “engaging in ideological colonization against states and citizens that do not want abortion.”\u003c/p>\n\u003cp>“Denying the legitimate interest of other states to protect unborn children and public health is a dangerous precedent,” the association wrote in a letter to lawmakers earlier this year.\u003c/p>\n\u003cp>Last year, the U.S. Supreme Court \u003ca href=\"https://apnews.com/article/abortion-supreme-court-decision-854f60302f21c2c35129e58cf8d8a7b0\">overturned Roe v. Wade\u003c/a>, the 1973 decision that guaranteed access to abortion nationwide. Since then, half of the states have passed laws either banning or restricting access to abortion.[aside tag=\"abortion, politics\" label=\"More Related Stories\"]\u003c/p>\n\u003cp>In some states, that includes trying to limit access to the abortion pill mifepristone, which has been approved by the U.S. Food and Drug Administration for up to the 10th week of pregnancy. It’s now the most common abortion method in the country.\u003c/p>\n\u003cp>The advocacy group Alliance Defending Freedom has challenged the FDA’s approval of mifepristone. In April, a federal judge revoked the FDA’s approval, a ruling that would have banned the drug in the U.S. But the U.S. Supreme Court decided to let the FDA’s approval \u003ca href=\"https://apnews.com/article/supreme-court-abortion-pill-mifepristone-access-f781488016640bf571faf36096339ea4\">remain in place\u003c/a> while the judge’s ruling \u003ca href=\"https://apnews.com/article/supreme-court-abortion-pill-mifepristone-fda-approval-c673116607517af1e0e0f9ba95d0f9df\">was appealed\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The law is one of eight that Newsom signed on Wednesday aiming to protect access to abortion. The Democrats who control California’s Legislature have made \u003ca href=\"https://apnews.com/article/abortion-us-supreme-court-health-california-df6dd40a7e2af65a1c6a4042e4ffa485\">protecting access to abortion a priority\u003c/a> since the overturning of Roe v. Wade.\u003c/p>\n\n","blocks":[],"excerpt":"The new law goes further by forbidding authorities from cooperating with out-of-state investigations into doctors who mail abortion pills to patients in other states.","status":"publish","parent":0,"modified":1695859970,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":15,"wordCount":538},"headData":{"title":"Newsom Signs Law to Protect Doctors Who Mail Abortion Pills to Other States | KQED","description":"The new law goes further by forbidding authorities from cooperating with out-of-state investigations into doctors who mail abortion pills to patients in other states.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"nprByline":"Adam Beam \u003cbr> The Associated Press","excludeFromSiteSearch":"Include","showOnAuthorArchivePages":"No","articleAge":"0","path":"/news/11962674/newsom-signs-law-to-protect-doctors-who-mail-abortion-pills-to-other-states","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Gov. Gavin Newsom signed a new law on Wednesday that aims to stop other states from prosecuting doctors and pharmacists who mail abortion pills to patients in places where the procedure is banned.\u003c/p>\n\u003cp>California already has a law protecting doctors who provide abortions from out-of-state judgements. But that law was designed to protect doctors who treat patients from other states who travel to California.\u003c/p>\n\u003cp>The new law goes further by forbidding authorities from cooperating with out-of-state investigations into doctors who mail abortion pills to patients in other states. It also bans bounty hunters or bail agents from apprehending doctors and pharmacists in California and transporting them to another state to stand trial for providing an abortion.\u003c/p>\n\u003cp>Other states, including New York and Massachusetts, have similar laws. But California’s law also bars state-based social media companies — like Facebook — from complying with out-of-state subpoenas, warrants or other requests for records to discover the identity of patients seeking abortion pills.\u003c/p>\n\u003cp>“Health care providers, physically located in California, will be able to offer a lifeline to people in states that have cut off access to essential care, and be shielded from the draconian laws of those states,” state Sen. Nancy Skinner, a Berkeley Democrat and author of the bill, said in a statement.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The law only protects doctors and pharmacists who reside in California. If a doctor or pharmacist leaves California to provide care to a patient in another state, the law would not protect them.\u003c/p>\n\u003cp>“We will continue to protect women and health care workers who are seeking and providing basic care,” Newsom said in a news release announcing he had signed the law.\u003c/p>\n\u003cp>The California Catholic Conference opposed the law, arguing the state is “engaging in ideological colonization against states and citizens that do not want abortion.”\u003c/p>\n\u003cp>“Denying the legitimate interest of other states to protect unborn children and public health is a dangerous precedent,” the association wrote in a letter to lawmakers earlier this year.\u003c/p>\n\u003cp>Last year, the U.S. Supreme Court \u003ca href=\"https://apnews.com/article/abortion-supreme-court-decision-854f60302f21c2c35129e58cf8d8a7b0\">overturned Roe v. Wade\u003c/a>, the 1973 decision that guaranteed access to abortion nationwide. Since then, half of the states have passed laws either banning or restricting access to abortion.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"tag":"abortion, politics","label":"More Related Stories "},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In some states, that includes trying to limit access to the abortion pill mifepristone, which has been approved by the U.S. Food and Drug Administration for up to the 10th week of pregnancy. It’s now the most common abortion method in the country.\u003c/p>\n\u003cp>The advocacy group Alliance Defending Freedom has challenged the FDA’s approval of mifepristone. In April, a federal judge revoked the FDA’s approval, a ruling that would have banned the drug in the U.S. But the U.S. Supreme Court decided to let the FDA’s approval \u003ca href=\"https://apnews.com/article/supreme-court-abortion-pill-mifepristone-access-f781488016640bf571faf36096339ea4\">remain in place\u003c/a> while the judge’s ruling \u003ca href=\"https://apnews.com/article/supreme-court-abortion-pill-mifepristone-fda-approval-c673116607517af1e0e0f9ba95d0f9df\">was appealed\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The law is one of eight that Newsom signed on Wednesday aiming to protect access to abortion. The Democrats who control California’s Legislature have made \u003ca href=\"https://apnews.com/article/abortion-us-supreme-court-health-california-df6dd40a7e2af65a1c6a4042e4ffa485\">protecting access to abortion a priority\u003c/a> since the overturning of Roe v. Wade.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11962674/newsom-signs-law-to-protect-doctors-who-mail-abortion-pills-to-other-states","authors":["byline_news_11962674"],"categories":["news_31795","news_6188","news_8","news_13"],"tags":["news_866","news_22572","news_23688"],"featImg":"news_11936510","label":"news"},"news_11962088":{"type":"posts","id":"news_11962088","meta":{"index":"posts_1591205157","site":"news","id":"11962088","score":null,"sort":[1695337810000]},"guestAuthors":[],"slug":"california-sues-anti-abortion-counseling-centers-says-they-misled-women","title":"California Sues Anti-Abortion Counseling Centers, Says They 'Misled' Women","publishDate":1695337810,"format":"standard","headTitle":"California Sues Anti-Abortion Counseling Centers, Says They ‘Misled’ Women | KQED","labelTerm":{"site":"news"},"content":"\u003cp>California Attorney General Rob Bonta on Thursday sued an anti-abortion group and a chain of \u003ca href=\"https://apnews.com/article/abortion-us-supreme-court-health-west-virginia-charleston-c961890f157e8a2299b949177c737707\">anti-abortion counseling centers\u003c/a>, saying the organizations misled women when they offered them unproven treatments to reverse medication abortions.\u003c/p>\n\u003cp>Heartbeat International, a national anti-abortion group, and RealOptions Obria, which has five anti-abortion counseling centers in Northern California, used “fraudulent and misleading claims” to advertise a procedure called “abortion pill reversal,” according to the lawsuit. Abortion pill reversal treatments are unproven, largely experimental and have no scientific backing, Bonta said in the lawsuit.\u003c/p>\n\u003cp>“Those who are struggling with the complex decision to get an abortion deserve support and trustworthy guidance — not lies and misinformation,” Bonta said.\u003c/p>\n\u003cp>Heartbeat International and RealOptions’ deceptive advertising of abortion pill reversal treatments violates California’s False Advertising Law and Unfair Competition Law, the lawsuit said. The suit seeks an injunction to block further dissemination of the claims by the defendants, as well as other remedies and penalties available under state law, according to Bonta’s office.\u003c/p>\n\u003cp>[aside postID=news_11937191,news_11953205 label='More On \"Pregnancy Crisis Centers\"']\u003c/p>\n\u003cp>Despite the lack of scientific evidence and lack of certainty about its safety, Heartbeat International and RealOptions falsely and illegally advertise the treatment as a valid and successful option, and do not alert patients to possible side effects, such as the risk of severe bleeding, the lawsuit further said.\u003c/p>\n\u003cp>In an email to The Associated Press, Heartbeat International said it learned about the lawsuit through interview requests and that it had not been served.\u003c/p>\n\u003cp>“These women deserve the right to try and save their pregnancies. No woman should ever be forced to complete an abortion she no longer wants,” it said.\u003c/p>\n\u003cp>RealOptions did not immediately respond to a phone message from the AP seeking comment.\u003c/p>\n\u003cp>Founded in 1981, RealOptions has clinics in San José, Oakland, Redwood City and Union City. Its website offers pregnancy testing, pre-abortion screening and abortion pill reversal services.\u003c/p>\n\u003cp>Medication abortions involve taking two prescription medicines days apart — at home or in a clinic. The method, which \u003ca href=\"https://apnews.com/article/abortion-covid-science-health-2d52ebf9efc6ef06f03e788fecd13013\">involves mifepristone and misoprostol\u003c/a>, became the preferred way for ending pregnancy in the country even before the U.S. Supreme Court \u003ca href=\"https://apnews.com/article/abortion-supreme-court-decision-854f60302f21c2c35129e58cf8d8a7b0\">overturned Roe v. Wade last year\u003c/a>.\u003c/p>\n\u003cp>Abortion opponents claim that if a pregnant person takes high doses of the hormone progesterone within 72 hours of taking the first drug — mifepristone — it will safely and effectively cancel the mifepristone’s effect.\u003c/p>\n\u003cp>The \u003ca href=\"https://apnews.com/article/supreme-court-abortion-pill-mifepristone-fda-approval-c673116607517af1e0e0f9ba95d0f9df\">drug is facing a legal challenge\u003c/a> that was filed in November and has made it to the Supreme Court, which is expected to agree to hear the case and have the final word, probably by early summer 2024.\u003c/p>\n\u003cp>Colorado this year became the first state to \u003ca href=\"https://apnews.com/article/colorado-abortion-reversal-ban-861eff7f8d7171916f8679f9cbd54331\">ban abortion pill reversal treatments\u003c/a>, but the law won’t take effect until the state’s medical, nursing and pharmacy boards determine whether such treatments are “generally accepted standard of practice” or not. Colorado’s medical regulators have until Oct. 1 to decide and enact rules.\u003c/p>\n\u003cp>Colorado is currently the only state that has banned such procedures, according to the Guttmacher Institute, a research group that supports abortion rights. About a dozen states have passed laws compelling abortion providers to \u003ca href=\"https://apnews.com/article/abortion-kansas-waiting-period-medication-reversal-1f0f5fad64b4180997d0f32a32d047dd\">tell their patients\u003c/a> about abortion reversal treatments.\u003c/p>\n\u003cp>The American College of Obstetricians and Gynecologists says so-called abortion “reversal” procedures are unproven and unethical.\u003c/p>\n\u003cp>“The horrifying reality is that right now there are more crisis pregnancy centers in California than abortion care clinics,” Bonta said. “Crisis pregnancy centers do not provide abortion or abortion referral, though they may want you to believe they do.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n","blocks":[],"excerpt":"Attorney General Rob Bonta has sued an anti-abortion group and a chain of 'pregnancy crisis centers' for offering women unproven treatments to reverse medication abortions. ","status":"publish","parent":0,"modified":1695412584,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":19,"wordCount":628},"headData":{"title":"California Sues Anti-Abortion Counseling Centers, Says They 'Misled' Women | KQED","description":"Attorney General Rob Bonta has sued an anti-abortion group and a chain of 'pregnancy crisis centers' for offering women unproven treatments to reverse medication abortions. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"nprByline":"Olga R. Rodriguez\u003cbr>The Associated Press","excludeFromSiteSearch":"Include","showOnAuthorArchivePages":"No","articleAge":"0","path":"/news/11962088/california-sues-anti-abortion-counseling-centers-says-they-misled-women","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>California Attorney General Rob Bonta on Thursday sued an anti-abortion group and a chain of \u003ca href=\"https://apnews.com/article/abortion-us-supreme-court-health-west-virginia-charleston-c961890f157e8a2299b949177c737707\">anti-abortion counseling centers\u003c/a>, saying the organizations misled women when they offered them unproven treatments to reverse medication abortions.\u003c/p>\n\u003cp>Heartbeat International, a national anti-abortion group, and RealOptions Obria, which has five anti-abortion counseling centers in Northern California, used “fraudulent and misleading claims” to advertise a procedure called “abortion pill reversal,” according to the lawsuit. Abortion pill reversal treatments are unproven, largely experimental and have no scientific backing, Bonta said in the lawsuit.\u003c/p>\n\u003cp>“Those who are struggling with the complex decision to get an abortion deserve support and trustworthy guidance — not lies and misinformation,” Bonta said.\u003c/p>\n\u003cp>Heartbeat International and RealOptions’ deceptive advertising of abortion pill reversal treatments violates California’s False Advertising Law and Unfair Competition Law, the lawsuit said. The suit seeks an injunction to block further dissemination of the claims by the defendants, as well as other remedies and penalties available under state law, according to Bonta’s office.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"postid":"news_11937191,news_11953205","label":"More On \"Pregnancy Crisis Centers\" "},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Despite the lack of scientific evidence and lack of certainty about its safety, Heartbeat International and RealOptions falsely and illegally advertise the treatment as a valid and successful option, and do not alert patients to possible side effects, such as the risk of severe bleeding, the lawsuit further said.\u003c/p>\n\u003cp>In an email to The Associated Press, Heartbeat International said it learned about the lawsuit through interview requests and that it had not been served.\u003c/p>\n\u003cp>“These women deserve the right to try and save their pregnancies. No woman should ever be forced to complete an abortion she no longer wants,” it said.\u003c/p>\n\u003cp>RealOptions did not immediately respond to a phone message from the AP seeking comment.\u003c/p>\n\u003cp>Founded in 1981, RealOptions has clinics in San José, Oakland, Redwood City and Union City. Its website offers pregnancy testing, pre-abortion screening and abortion pill reversal services.\u003c/p>\n\u003cp>Medication abortions involve taking two prescription medicines days apart — at home or in a clinic. The method, which \u003ca href=\"https://apnews.com/article/abortion-covid-science-health-2d52ebf9efc6ef06f03e788fecd13013\">involves mifepristone and misoprostol\u003c/a>, became the preferred way for ending pregnancy in the country even before the U.S. Supreme Court \u003ca href=\"https://apnews.com/article/abortion-supreme-court-decision-854f60302f21c2c35129e58cf8d8a7b0\">overturned Roe v. Wade last year\u003c/a>.\u003c/p>\n\u003cp>Abortion opponents claim that if a pregnant person takes high doses of the hormone progesterone within 72 hours of taking the first drug — mifepristone — it will safely and effectively cancel the mifepristone’s effect.\u003c/p>\n\u003cp>The \u003ca href=\"https://apnews.com/article/supreme-court-abortion-pill-mifepristone-fda-approval-c673116607517af1e0e0f9ba95d0f9df\">drug is facing a legal challenge\u003c/a> that was filed in November and has made it to the Supreme Court, which is expected to agree to hear the case and have the final word, probably by early summer 2024.\u003c/p>\n\u003cp>Colorado this year became the first state to \u003ca href=\"https://apnews.com/article/colorado-abortion-reversal-ban-861eff7f8d7171916f8679f9cbd54331\">ban abortion pill reversal treatments\u003c/a>, but the law won’t take effect until the state’s medical, nursing and pharmacy boards determine whether such treatments are “generally accepted standard of practice” or not. Colorado’s medical regulators have until Oct. 1 to decide and enact rules.\u003c/p>\n\u003cp>Colorado is currently the only state that has banned such procedures, according to the Guttmacher Institute, a research group that supports abortion rights. About a dozen states have passed laws compelling abortion providers to \u003ca href=\"https://apnews.com/article/abortion-kansas-waiting-period-medication-reversal-1f0f5fad64b4180997d0f32a32d047dd\">tell their patients\u003c/a> about abortion reversal treatments.\u003c/p>\n\u003cp>The American College of Obstetricians and Gynecologists says so-called abortion “reversal” procedures are unproven and unethical.\u003c/p>\n\u003cp>“The horrifying reality is that right now there are more crisis pregnancy centers in California than abortion care clinics,” Bonta said. “Crisis pregnancy centers do not provide abortion or abortion referral, though they may want you to believe they do.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11962088/california-sues-anti-abortion-counseling-centers-says-they-misled-women","authors":["byline_news_11962088"],"categories":["news_457","news_8"],"tags":["news_866","news_30251","news_32259","news_3674"],"featImg":"news_11962094","label":"news"},"news_11961743":{"type":"posts","id":"news_11961743","meta":{"index":"posts_1591205157","site":"news","id":"11961743","score":null,"sort":[1695151431000]},"guestAuthors":[],"slug":"some-california-planned-parenthood-workers-vote-to-unionize-as-demand-from-out-of-state-patients-increases","title":"Some California Planned Parenthood Workers Vote to Unionize, as Demand From Out-of-State Patients Increases","publishDate":1695151431,"format":"standard","headTitle":"Some California Planned Parenthood Workers Vote to Unionize, as Demand From Out-of-State Patients Increases | KQED","labelTerm":{"term":18481,"site":"news"},"content":"\u003cp>Mia Neustein calls her work for Planned Parenthood in the Coachella Valley her “dream job.” She believes in the organization’s mission, and wants to be a part of it for years to come.\u003c/p>\n\u003cp>But the pace of that work has increased substantially since last year, when \u003ca href=\"https://www.kqed.org/forum/2010101889641/supreme-court-strikes-down-roe-v-wade\">the Supreme Court ended the nationwide right to abortion\u003c/a>, leading some out-of-state patients to travel to Southern California for care.\u003c/p>\n\u003cp>That trend, coupled with several local decisions that she said exacerbated stresses on her colleagues, led workers at her clinic last week to vote to create a union. They’re joining a labor movement taking root at a number of other Planned Parenthood clinics in states that have protected abortion rights since the Supreme Court struck down Roe v. Wade.\u003c/p>\n\u003cp>“The types of working conditions that we’ve been dealing with, especially in the last year or so, have really pushed people toward realizing how necessary a union is,” said Neustein, who started working for Planned Parenthood as a health center educator two years ago.\u003c/p>\n\u003cp>[aside postID=news_11917111,news_11931183 label='Abortion Rights in California']Her clinic belongs to \u003ca href=\"https://www.plannedparenthood.org/planned-parenthood-pacific-southwest\">Planned Parenthood of the Pacific Southwest\u003c/a>, a group of 26 sites in Imperial, Riverside and San Diego counties that regularly sees patients from states with abortion restrictions. The organization estimates that 10% of its patients since the 2022 Supreme Court decision have come from other states.\u003c/p>\n\u003cp>About 93% of the workers who voted supported joining \u003ca href=\"https://www.seiu-uhw.org/press/550-planned-parenthood-workers-across-southern-ca-vote-to-join-seiu-uhw-in-historic-victory-for-reproductive-health/\">SEIU-United Healthcare Workers West\u003c/a>. After certification by the National Labor Relations Board, the union would represent 550 Planned Parenthood workers ranging from clinicians to registered nurses and licensed social workers.\u003c/p>\n\u003cp>Workers said they hope to get better pay, an improved time-off policy and safer working conditions through this union.\u003c/p>\n\u003cp>California voters \u003ca href=\"https://www.kqed.org/news/11931183/californians-vote-to-protect-abortion-in-constitution\">cemented the right to abortion in the state constitution last year\u003c/a>, and Gov. Gavin Newsom has \u003ca href=\"https://www.kqed.org/news/11924553/california-expands-abortion-protections-including-200-million-for-lower-income-undocumented-and-out-of-state-patients\">signed more than two dozen other laws\u003c/a> that are designed to expand access to reproductive care after the 2022 Supreme Court decision known as Dobbs. He and other Democratic leaders have championed California \u003ca href=\"https://calmatters.org/explainers/abortion-in-california-laws/\">as a safe haven for women seeking abortions\u003c/a>.\u003c/p>\n\u003cp>At the same time, 22 states have introduced or passed legislation to restrict or ban abortion, \u003ca href=\"https://www.axios.com/2022/06/25/abortion-illegal-7-states-more-bans-coming\">according to the news organization Axios\u003c/a>. One of them, Arizona, shares a border with California. \u003ca href=\"https://www.reuters.com/world/us/arizona-governor-signs-15-week-abortion-ban-into-law-2022-03-30/\">Arizona prohibits most abortions after 15 weeks\u003c/a>.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003ch2>More abortions in California\u003c/h2>\n\u003cp>In states where abortion remains legal, reproductive care workers have been complaining about being overworked due to increased demand for care from out-of-state patients. \u003ca href=\"https://www.kcrw.com/news/shows/greater-la/abortion-strikes/planned-parenthood-union\">Planned Parenthood workers\u003c/a> in at least seven states, including Massachusetts and Nebraska, have decided to unionize, according to news reports.\u003c/p>\n\u003cp>“We’ve definitely seen an increase in patients,” said Libby Kusiak, a certified physician associate at a Planned Parenthood in San Diego. “We see a lot of out-of-state patients since we’re kind of really perfectly nestled geographically to serve and accommodate patients from other states like Arizona, but we do see patients from Texas and other states as well.”\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Libby Kusiak, Planned Parenthood\"]‘We’ve definitely seen an increase in patients. We see a lot of out-of-state patients since we’re kind of really perfectly nestled geographically to serve and accommodate patients from other states like Arizona, but we do see patients from Texas and other states as well.’[/pullquote]\u003ca href=\"https://www.guttmacher.org/monthly-abortion-provision-study\">A new study by the Guttmacher Institute\u003c/a>, a research organization that supports reproductive rights, shows that the number of abortions in California has increased by 16% since the end of Roe v. Wade.\u003c/p>\n\u003cp>It found 12,300 more abortions were performed from January to June 2023 compared to a similar time period in 2020. That marked the second-largest numerical increase in abortions among states.\u003c/p>\n\u003cp>Cathren Cohen, staff attorney at the UCLA Center on Reproductive Health, Law and Policy, said \u003ca href=\"https://law.ucla.edu/sites/default/files/PDFs/Center_on_Reproductive_Health/California_Abortion_Estimates.pdf\">some patients seeking abortions may be traveling from states where bans have not yet been legalized or instituted (PDF)\u003c/a>.\u003c/p>\n\u003cp>“When people hear the news about the introduction of bans in states like North Carolina, Florida or even Arizona, there is a significant chilling effect,” she said. “People don’t seek out care because they think it is illegal, even if it is six months before those laws go into effect.”\u003c/p>\n\u003ch2>Planned Parenthood union vote\u003c/h2>\n\u003cp>Reproductive care workers, especially those close to the border, are feeling burdened by the increase in patients. The Planned Parenthood employees who voted to join the union last week said they believe they are underpaid and overworked, contributing to turnover.\u003c/p>\n\u003cp>“I am excited to be able to hopefully repair employee benefits in this organization in a way that truly benefits our employees,” Kusiak said. “Given how hard we work, when we show up to work every day, we really need to have that better balance in our lives.”\u003c/p>\n\u003cp>Alex Scordato was one of the earliest employees of Planned Parenthood Pacific Southwest who advocated to form a union.\u003c/p>\n\u003cp>“It started about a year ago, with actually a conversation between a relatively small group of admin workers and clinical staff,” they said. “We only had about eight people, had an informal session where we’re comparing our pay, talking about various issues.”\u003c/p>\n\u003cfigure id=\"attachment_11961749\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003ca href=\"https://ww2.kqed.org/news/2023/09/19/some-california-planned-parenthood-workers-vote-to-unionize-as-demand-from-out-of-state-patients-increases/09172023_alex_scordato_ah_cm_03/\" rel=\"attachment wp-att-11961749\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-11961749\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/09/09172023_Alex_Scordato_AH_CM_03.jpg\" alt=\"a white male-appearing person stands in a collared shirt in front of a row of offices\" width=\"2000\" height=\"1333\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2023/09/09172023_Alex_Scordato_AH_CM_03.jpg 2000w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/09172023_Alex_Scordato_AH_CM_03-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/09172023_Alex_Scordato_AH_CM_03-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/09172023_Alex_Scordato_AH_CM_03-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/09172023_Alex_Scordato_AH_CM_03-1536x1024.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/09172023_Alex_Scordato_AH_CM_03-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Alex Scordato, who was one of the first Planned Parenthood employees to advocate forming a union, stands in front of the San Diego LGBT Community Center. \u003ccite>(Adriana Heldiz, CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The group soon realized that they were dealing with similar issues and decided that a union would be their best bet.\u003c/p>\n\u003cp>Darrah Johnson, president of Planned Parenthood of the Pacific Southwest, said in a statement to CalMatters, “As an organization that champions everyone’s right to pursue their own path to a healthy and meaningful life, our goal throughout this process was to ensure that every employee had the opportunity to participate in a fair election.”\u003c/p>\n\u003cp>“We are proud of the number of staff who participated in the National Labor Relations Board election and made their voice heard today. We look forward to continuing to work together with our staff and now, SEIU-UHW, to ensure Planned Parenthood of the Pacific Southwest is a compassionate and affirming place to give and get care,” she added.\u003c/p>\n\u003cp>The union could be one of the largest representing Planned Parenthood workers in the country.\u003c/p>\n\u003cp>“I think this sends a ripple to not only other Planned Parenthood affiliates across the country, but other nonprofit health care organizations, that this is possible, this is coming,” he said. “This is the rebirth of the labor movement. It’s not just a hot labor summer. This is here to last.”\u003c/p>\n\u003cp>\u003cem>Supported by the California Health Care Foundation (CHCF), which works to ensure that people have access to the care they need, when they need it, at a price they can afford. Visit \u003ca href=\"https://www.chcf.org/\">www.chcf.org\u003c/a> to learn more.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"Planned Parenthood clinics in southern California saw a sharp increase in abortions after the Supreme Court struck down Roe v. Wade. Now, workers there are creating a union.","status":"publish","parent":0,"modified":1695151550,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":27,"wordCount":1179},"headData":{"title":"Some California Planned Parenthood Workers Vote to Unionize, as Demand From Out-of-State Patients Increases | KQED","description":"Planned Parenthood clinics in southern California saw a sharp increase in abortions after the Supreme Court struck down Roe v. Wade. Now, workers there are creating a union.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"nprByline":"\u003ca href=\"https://calmatters.org/author/shreya-agrawal/\">Shreya Agrawal\u003c/a>","excludeFromSiteSearch":"Include","showOnAuthorArchivePages":"No","articleAge":"0","path":"/news/11961743/some-california-planned-parenthood-workers-vote-to-unionize-as-demand-from-out-of-state-patients-increases","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Mia Neustein calls her work for Planned Parenthood in the Coachella Valley her “dream job.” She believes in the organization’s mission, and wants to be a part of it for years to come.\u003c/p>\n\u003cp>But the pace of that work has increased substantially since last year, when \u003ca href=\"https://www.kqed.org/forum/2010101889641/supreme-court-strikes-down-roe-v-wade\">the Supreme Court ended the nationwide right to abortion\u003c/a>, leading some out-of-state patients to travel to Southern California for care.\u003c/p>\n\u003cp>That trend, coupled with several local decisions that she said exacerbated stresses on her colleagues, led workers at her clinic last week to vote to create a union. They’re joining a labor movement taking root at a number of other Planned Parenthood clinics in states that have protected abortion rights since the Supreme Court struck down Roe v. Wade.\u003c/p>\n\u003cp>“The types of working conditions that we’ve been dealing with, especially in the last year or so, have really pushed people toward realizing how necessary a union is,” said Neustein, who started working for Planned Parenthood as a health center educator two years ago.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"postid":"news_11917111,news_11931183","label":"Abortion Rights in California "},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Her clinic belongs to \u003ca href=\"https://www.plannedparenthood.org/planned-parenthood-pacific-southwest\">Planned Parenthood of the Pacific Southwest\u003c/a>, a group of 26 sites in Imperial, Riverside and San Diego counties that regularly sees patients from states with abortion restrictions. The organization estimates that 10% of its patients since the 2022 Supreme Court decision have come from other states.\u003c/p>\n\u003cp>About 93% of the workers who voted supported joining \u003ca href=\"https://www.seiu-uhw.org/press/550-planned-parenthood-workers-across-southern-ca-vote-to-join-seiu-uhw-in-historic-victory-for-reproductive-health/\">SEIU-United Healthcare Workers West\u003c/a>. After certification by the National Labor Relations Board, the union would represent 550 Planned Parenthood workers ranging from clinicians to registered nurses and licensed social workers.\u003c/p>\n\u003cp>Workers said they hope to get better pay, an improved time-off policy and safer working conditions through this union.\u003c/p>\n\u003cp>California voters \u003ca href=\"https://www.kqed.org/news/11931183/californians-vote-to-protect-abortion-in-constitution\">cemented the right to abortion in the state constitution last year\u003c/a>, and Gov. Gavin Newsom has \u003ca href=\"https://www.kqed.org/news/11924553/california-expands-abortion-protections-including-200-million-for-lower-income-undocumented-and-out-of-state-patients\">signed more than two dozen other laws\u003c/a> that are designed to expand access to reproductive care after the 2022 Supreme Court decision known as Dobbs. He and other Democratic leaders have championed California \u003ca href=\"https://calmatters.org/explainers/abortion-in-california-laws/\">as a safe haven for women seeking abortions\u003c/a>.\u003c/p>\n\u003cp>At the same time, 22 states have introduced or passed legislation to restrict or ban abortion, \u003ca href=\"https://www.axios.com/2022/06/25/abortion-illegal-7-states-more-bans-coming\">according to the news organization Axios\u003c/a>. One of them, Arizona, shares a border with California. \u003ca href=\"https://www.reuters.com/world/us/arizona-governor-signs-15-week-abortion-ban-into-law-2022-03-30/\">Arizona prohibits most abortions after 15 weeks\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch2>More abortions in California\u003c/h2>\n\u003cp>In states where abortion remains legal, reproductive care workers have been complaining about being overworked due to increased demand for care from out-of-state patients. \u003ca href=\"https://www.kcrw.com/news/shows/greater-la/abortion-strikes/planned-parenthood-union\">Planned Parenthood workers\u003c/a> in at least seven states, including Massachusetts and Nebraska, have decided to unionize, according to news reports.\u003c/p>\n\u003cp>“We’ve definitely seen an increase in patients,” said Libby Kusiak, a certified physician associate at a Planned Parenthood in San Diego. “We see a lot of out-of-state patients since we’re kind of really perfectly nestled geographically to serve and accommodate patients from other states like Arizona, but we do see patients from Texas and other states as well.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘We’ve definitely seen an increase in patients. We see a lot of out-of-state patients since we’re kind of really perfectly nestled geographically to serve and accommodate patients from other states like Arizona, but we do see patients from Texas and other states as well.’","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Libby Kusiak, Planned Parenthood","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003ca href=\"https://www.guttmacher.org/monthly-abortion-provision-study\">A new study by the Guttmacher Institute\u003c/a>, a research organization that supports reproductive rights, shows that the number of abortions in California has increased by 16% since the end of Roe v. Wade.\u003c/p>\n\u003cp>It found 12,300 more abortions were performed from January to June 2023 compared to a similar time period in 2020. That marked the second-largest numerical increase in abortions among states.\u003c/p>\n\u003cp>Cathren Cohen, staff attorney at the UCLA Center on Reproductive Health, Law and Policy, said \u003ca href=\"https://law.ucla.edu/sites/default/files/PDFs/Center_on_Reproductive_Health/California_Abortion_Estimates.pdf\">some patients seeking abortions may be traveling from states where bans have not yet been legalized or instituted (PDF)\u003c/a>.\u003c/p>\n\u003cp>“When people hear the news about the introduction of bans in states like North Carolina, Florida or even Arizona, there is a significant chilling effect,” she said. “People don’t seek out care because they think it is illegal, even if it is six months before those laws go into effect.”\u003c/p>\n\u003ch2>Planned Parenthood union vote\u003c/h2>\n\u003cp>Reproductive care workers, especially those close to the border, are feeling burdened by the increase in patients. The Planned Parenthood employees who voted to join the union last week said they believe they are underpaid and overworked, contributing to turnover.\u003c/p>\n\u003cp>“I am excited to be able to hopefully repair employee benefits in this organization in a way that truly benefits our employees,” Kusiak said. “Given how hard we work, when we show up to work every day, we really need to have that better balance in our lives.”\u003c/p>\n\u003cp>Alex Scordato was one of the earliest employees of Planned Parenthood Pacific Southwest who advocated to form a union.\u003c/p>\n\u003cp>“It started about a year ago, with actually a conversation between a relatively small group of admin workers and clinical staff,” they said. “We only had about eight people, had an informal session where we’re comparing our pay, talking about various issues.”\u003c/p>\n\u003cfigure id=\"attachment_11961749\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003ca href=\"https://ww2.kqed.org/news/2023/09/19/some-california-planned-parenthood-workers-vote-to-unionize-as-demand-from-out-of-state-patients-increases/09172023_alex_scordato_ah_cm_03/\" rel=\"attachment wp-att-11961749\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-11961749\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/09/09172023_Alex_Scordato_AH_CM_03.jpg\" alt=\"a white male-appearing person stands in a collared shirt in front of a row of offices\" width=\"2000\" height=\"1333\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2023/09/09172023_Alex_Scordato_AH_CM_03.jpg 2000w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/09172023_Alex_Scordato_AH_CM_03-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/09172023_Alex_Scordato_AH_CM_03-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/09172023_Alex_Scordato_AH_CM_03-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/09172023_Alex_Scordato_AH_CM_03-1536x1024.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/09172023_Alex_Scordato_AH_CM_03-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Alex Scordato, who was one of the first Planned Parenthood employees to advocate forming a union, stands in front of the San Diego LGBT Community Center. \u003ccite>(Adriana Heldiz, CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The group soon realized that they were dealing with similar issues and decided that a union would be their best bet.\u003c/p>\n\u003cp>Darrah Johnson, president of Planned Parenthood of the Pacific Southwest, said in a statement to CalMatters, “As an organization that champions everyone’s right to pursue their own path to a healthy and meaningful life, our goal throughout this process was to ensure that every employee had the opportunity to participate in a fair election.”\u003c/p>\n\u003cp>“We are proud of the number of staff who participated in the National Labor Relations Board election and made their voice heard today. We look forward to continuing to work together with our staff and now, SEIU-UHW, to ensure Planned Parenthood of the Pacific Southwest is a compassionate and affirming place to give and get care,” she added.\u003c/p>\n\u003cp>The union could be one of the largest representing Planned Parenthood workers in the country.\u003c/p>\n\u003cp>“I think this sends a ripple to not only other Planned Parenthood affiliates across the country, but other nonprofit health care organizations, that this is possible, this is coming,” he said. “This is the rebirth of the labor movement. It’s not just a hot labor summer. This is here to last.”\u003c/p>\n\u003cp>\u003cem>Supported by the California Health Care Foundation (CHCF), which works to ensure that people have access to the care they need, when they need it, at a price they can afford. Visit \u003ca href=\"https://www.chcf.org/\">www.chcf.org\u003c/a> to learn more.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11961743/some-california-planned-parenthood-workers-vote-to-unionize-as-demand-from-out-of-state-patients-increases","authors":["byline_news_11961743"],"categories":["news_457","news_8"],"tags":["news_866","news_30251","news_31238","news_20296"],"affiliates":["news_18481"],"featImg":"news_11961750","label":"news_18481"},"news_11953205":{"type":"posts","id":"news_11953205","meta":{"index":"posts_1591205157","site":"news","id":"11953205","score":null,"sort":[1687179642000]},"guestAuthors":[],"slug":"why-crisis-pregnancy-centers-will-be-californias-next-abortion-battleground","title":"Why 'Crisis Pregnancy Centers' Will Be California's Next Abortion Battleground","publishDate":1687179642,"format":"standard","headTitle":"Why ‘Crisis Pregnancy Centers’ Will Be California’s Next Abortion Battleground | KQED","labelTerm":{"term":18481,"site":"news"},"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 decoding=\"async\" loading=\"lazy\" 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://ww2.kqed.org/app/uploads/sites/10/2023/06/060123-Alternatives-Pregnancy-Center-MG-CM-11-copy.jpg 1568w, https://ww2.kqed.org/app/uploads/sites/10/2023/06/060123-Alternatives-Pregnancy-Center-MG-CM-11-copy-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2023/06/060123-Alternatives-Pregnancy-Center-MG-CM-11-copy-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2023/06/060123-Alternatives-Pregnancy-Center-MG-CM-11-copy-160x107.jpg 160w, https://ww2.kqed.org/app/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","blocks":[],"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.","status":"publish","parent":0,"modified":1686950104,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":56,"wordCount":2973},"headData":{"title":"Why 'Crisis Pregnancy Centers' Will Be California's Next Abortion Battleground | KQED","description":"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.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"nprByline":"\u003ca href=\"https://calmatters.org/author/kristen-hwang/\">Kristen Hwang\u003c/a>","excludeFromSiteSearch":"Include","showOnAuthorArchivePages":"No","articleAge":"0","path":"/news/11953205/why-crisis-pregnancy-centers-will-be-californias-next-abortion-battleground","audioTrackLength":null,"parsedContent":[{"type":"contentString","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>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘They’re the next way in which the anti-abortion movement will try to stop people from getting access to abortion here.’","name":"pullquote","attributes":{"named":{"align":"right","size":"medium","citation":"Assemblymember Rebecca Bauer-Kahan (D-San Ramon)","label":""},"numeric":[]}},{"type":"contentString","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>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"Related Stories ","postid":"news_11937191,news_11934819"},"numeric":[]}},{"type":"contentString","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>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘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?’","name":"pullquote","attributes":{"named":{"align":"right","size":"medium","citation":"Margaret Russell, associate constitutional law professor, Santa Clara University","label":""},"numeric":[]}},{"type":"contentString","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>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","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 decoding=\"async\" loading=\"lazy\" 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://ww2.kqed.org/app/uploads/sites/10/2023/06/060123-Alternatives-Pregnancy-Center-MG-CM-11-copy.jpg 1568w, https://ww2.kqed.org/app/uploads/sites/10/2023/06/060123-Alternatives-Pregnancy-Center-MG-CM-11-copy-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2023/06/060123-Alternatives-Pregnancy-Center-MG-CM-11-copy-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2023/06/060123-Alternatives-Pregnancy-Center-MG-CM-11-copy-160x107.jpg 160w, https://ww2.kqed.org/app/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>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘The anti-choice movement is very litigious. They know the federal courts are on their side.’","name":"pullquote","attributes":{"named":{"align":"right","size":"medium","citation":"Cathren Cohen, staff attorney, Williams Institute and the Center on Reproductive Health, Law and Policy, UCLA","label":""},"numeric":[]}},{"type":"contentString","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>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11953205/why-crisis-pregnancy-centers-will-be-californias-next-abortion-battleground","authors":["byline_news_11953205"],"categories":["news_31795","news_457","news_6188","news_8","news_13"],"tags":["news_866","news_22880","news_30275","news_32259","news_23688"],"affiliates":["news_18481"],"featImg":"news_11953213","label":"news_18481"},"news_11952673":{"type":"posts","id":"news_11952673","meta":{"index":"posts_1591205157","site":"news","id":"11952673","score":null,"sort":[1686348062000]},"guestAuthors":[],"slug":"to-get-abortion-training-some-medical-students-must-leave-their-states-and-come-to-california","title":"To Get Abortion Training, Some Medical Students Must Leave Their States — and Come to California","publishDate":1686348062,"format":"standard","headTitle":"To Get Abortion Training, Some Medical Students Must Leave Their States — and Come to California | KQED","labelTerm":{"site":"news"},"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","blocks":[],"excerpt":"One year after the Dobbs decision, doctors highlight the cost to patients as providers struggle to find training and deliver care.","status":"publish","parent":0,"modified":1686357286,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":20,"wordCount":1095},"headData":{"title":"To Get Abortion Training, Some Medical Students Must Leave Their States — and Come to California | KQED","description":"One year after the Dobbs decision, doctors highlight the cost to patients as providers struggle to find training and deliver care.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"excludeFromSiteSearch":"Include","articleAge":"0","path":"/news/11952673/to-get-abortion-training-some-medical-students-must-leave-their-states-and-come-to-california","audioTrackLength":null,"parsedContent":[{"type":"contentString","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>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"postid":"news_11951879,news_11934819,science_1982345,news_11941250","label":"Abortion in California "},"numeric":[]}},{"type":"contentString","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>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","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>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘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.’","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Dr. Jody Steinauer, director, UCSF Bixby Center","label":""},"numeric":[]}},{"type":"contentString","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>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11952673/to-get-abortion-training-some-medical-students-must-leave-their-states-and-come-to-california","authors":["11840"],"categories":["news_457","news_8"],"tags":["news_866","news_27626"],"featImg":"news_11952676","label":"news"},"news_11948396":{"type":"posts","id":"news_11948396","meta":{"index":"posts_1591205157","site":"news","id":"11948396","score":null,"sort":[1683145390000]},"guestAuthors":[],"slug":"were-here-california-coalition-to-offer-pro-bono-legal-hotline-on-abortion","title":"'We're Here': California Coalition to Offer Pro Bono Legal Hotline on Abortion","publishDate":1683145390,"format":"standard","headTitle":"‘We’re Here’: California Coalition to Offer Pro Bono Legal Hotline on Abortion | KQED","labelTerm":{"site":"news"},"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","blocks":[],"excerpt":"California is joining 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.","status":"publish","parent":0,"modified":1683145390,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":13,"wordCount":528},"headData":{"title":"'We're Here': California Coalition to Offer Pro Bono Legal Hotline on Abortion | KQED","description":"California is joining 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.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"nprByline":"Christopher Weber\u003cbr>The Associated Press","excludeFromSiteSearch":"Include","showOnAuthorArchivePages":"No","articleAge":"0","path":"/news/11948396/were-here-california-coalition-to-offer-pro-bono-legal-hotline-on-abortion","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\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.”\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"postid":"science_1982345","hero":"https://ww2.kqed.org/app/uploads/sites/35/2023/04/RS64651_GettyImages-1481952226-qut-1020x680.jpg","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>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.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘They aren’t alone. We’re here. We have support. We have resources. We have guidance, we have counsel for you.’","name":"pullquote","attributes":{"named":{"align":"right","size":"medium","citation":"Attorney General Rob Bonta","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>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>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11948396/were-here-california-coalition-to-offer-pro-bono-legal-hotline-on-abortion","authors":["byline_news_11948396"],"categories":["news_31795","news_457","news_6188","news_8"],"tags":["news_866","news_22880","news_18538","news_31046","news_3674","news_32701"],"featImg":"news_11948400","label":"news"},"news_11947889":{"type":"posts","id":"news_11947889","meta":{"index":"posts_1591205157","site":"news","id":"11947889","score":null,"sort":[1682645405000]},"guestAuthors":[],"slug":"history-of-the-anti-abortion-movement-with-professor-mary-ziegler","title":"History of the Anti-Abortion Movement with Professor Mary Ziegler","publishDate":1682645405,"format":"audio","headTitle":"History of the Anti-Abortion Movement with Professor Mary Ziegler | KQED","labelTerm":{},"content":"\u003cp>Scott and Marisa talk about the booming business of \u003ca href=\"https://www.kqed.org/news/11947691/we-were-surrounded-fighting-to-curb-the-warehouse-boom-in-californias-inland-empire\">massive warehouses sprouting up in Riverside\u003c/a> as lawmakers seek to curb their climate impacts on neighbors, and President Joe Biden’s 2024 re-election bid. Then, abortion historian and UC Davis School of Law professor Mary Ziegler joins the show to discuss how early concepts of “fetal personhood” influenced decades of arguments from abortion access opponents, and the future of the abortion pill Mifepristone, which is facing a legal threat.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n","blocks":[],"excerpt":"Plus, the new massive warehouses that may sprout up in Riverside and President Joe Biden's 2024 re-election bid.","status":"publish","parent":0,"modified":1700874637,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":3,"wordCount":84},"headData":{"title":"History of the Anti-Abortion Movement with Professor Mary Ziegler | KQED","description":"Plus, the new massive warehouses that may sprout up in Riverside and President Joe Biden's 2024 re-election bid.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"source":"Political Breakdown","audioUrl":"https://www.podtrac.com/pts/redirect.mp3/traffic.megaphone.fm/KQINC3411076843.mp3","excludeFromSiteSearch":"Include","articleAge":"0","path":"/news/11947889/history-of-the-anti-abortion-movement-with-professor-mary-ziegler","audioDuration":1771000,"audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Scott and Marisa talk about the booming business of \u003ca href=\"https://www.kqed.org/news/11947691/we-were-surrounded-fighting-to-curb-the-warehouse-boom-in-californias-inland-empire\">massive warehouses sprouting up in Riverside\u003c/a> as lawmakers seek to curb their climate impacts on neighbors, and President Joe Biden’s 2024 re-election bid. Then, abortion historian and UC Davis School of Law professor Mary Ziegler joins the show to discuss how early concepts of “fetal personhood” influenced decades of arguments from abortion access opponents, and the future of the abortion pill Mifepristone, which is facing a legal threat.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11947889/history-of-the-anti-abortion-movement-with-professor-mary-ziegler","authors":["255","3239"],"programs":["news_33544"],"categories":["news_8","news_33520"],"tags":["news_866","news_32680","news_22235"],"featImg":"news_11947927","label":"source_news_11947889"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? 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