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we’ve been waiting for it with bated breath,” said Debbie Nguyen, a Planned Parenthood Northern California clinician in Oakland. “We’ve been going back and forth with them to work on getting recognized for months now.”\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Kim Delhonte, reproductive health specialist, Planned Parenthood Northern California\"]‘We wanted to see meaningful change that protects us and, by protecting us, protects our patients …’[/pullquote]A federal mediator confirmed that a supermajority of Planned Parenthood Northern California workers — 77% — had voted to join SEIU Local 1021 during Friday’s “card check,” in which employees who are part of a bargaining unit sign “cards” that state and authorize their wish for union representation.\u003c/p>\n\u003cp>SEIU Local 1021’s vice president of organizing, Brandon Dawkins, welcomed the move, saying Planned Parenthood Northern California workers’ “values align with union values,” describing it as “a natural fit.”\u003c/p>\n\u003cp>“It’s a new day for the workers of Planned Parenthood in Northern California,” Dawkins said in an interview with KQED. “With them having the solidarity and the ability to come together and become part of the larger labor movement.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Planned Parenthood Northern California has voluntarily recognized the union. In an emailed statement to KQED on Saturday, CEO Gilda Gonzales said:\u003c/p>\n\u003cp>“Planned Parenthood Northern California (PPNorCal) respects our team members’ decision to choose SEIU Local 1021 as their exclusive bargaining representative. We are prepared to work collaboratively to ensure PPNorCal stays strong, centered on our mission, values, and commitment to serving our patients.”\u003c/p>\n\u003cp>Kim Delhonte, a Santa Rosa-based reproductive health specialist who does telehealth for Planned Parenthood Northern California, said her work is seeing an increase in patients from other states who are no longer able to get access to the care they need, with heavy patient loads and often one- to two-hour wait times in many clinics.\u003c/p>\n\u003cp>[aside label=\"Related Stories\" postID=\"news_11961743,news_11980696,news_11973441\"]“It’s really putting us at a place where we are overwhelmed, we’re understaffed, we are unsupported by upper management in a lot of our ideas and things that we have suggested,” Delhonte told KQED. “So this is like a huge move for all of us.”\u003c/p>\n\u003cp>This week, \u003ca href=\"https://apnews.com/article/arizona-abortion-restrictions-1864-9c68866d69dca38c728dd27b80592e8f\">an Arizona Supreme Court ruling\u003c/a> found state officials can enforce a law dating from 1864 that criminalizes all abortions except in cases where a woman’s life is at risk, making it one of \u003ca href=\"https://newsroom.ap.org/detail/Arizonajustrevivedan1864lawcriminalizingabortionHereswhatshappeninginotherstates/73d434f1032fdea016a27064e0d5b9f2/text?Query=states%20banning%20abortion&mediaType=text&sortBy=arrivaldatetime:desc&dateRange=Anytime&totalCount=48¤tItemNo=5\">14 other states\u003c/a> that are already enforcing bans on abortion at all stages of pregnancy, along with two others that ban them after six weeks of pregnancy.\u003c/p>\n\u003cp>Delhonte said that she and her coworkers decided to unionize because it will help them give the best level of care they can to their patients, many of whom, she said, are lower- or middle-income, unhoused or members of the LGBTQ community seeking a safe place to find care.\u003c/p>\n\u003cp>“We love the organization,” Delhonte said. “We wanted to see meaningful change that protects us and, by protecting us, protects our patients and the care that they receive.”\u003c/p>\n\u003cp>\u003cem>KQED’s Attila Pelit, Lakshmi Sarah and Azul Dahlstrom-Eckman contributed to this story.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n","blocks":[],"excerpt":"A supermajority of workers voted to unionize at a card check on Friday to form PP NorCal Workers United. Planned Parenthood Northern California voluntarily recognized the union.","status":"publish","parent":0,"modified":1713211361,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":16,"wordCount":619},"headData":{"title":"Planned Parenthood Northern California Workers Unionize With SEIU Local 1021 | KQED","description":"A supermajority of workers voted to unionize at a card check on Friday to form PP NorCal Workers United. Planned Parenthood Northern California voluntarily recognized the union.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"sticky":false,"excludeFromSiteSearch":"Include","articleAge":"0","path":"/news/11982896/planned-parenthood-northern-california-workers-unionize-with-seiu-local-1021","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Workers for Planned Parenthood Northern California have unionized after more than 75% of workers there voted to join SEIU Local 1021 on Friday.\u003c/p>\n\u003cp>The workers, now known as \u003ca href=\"https://www.instagram.com/ppnorcalunited/?hl=en\">PP NorCal Workers United\u003c/a>, began organizing last December and publicly announced plans to form a union in January.\u003c/p>\n\u003cp>“It’s been really something that has been a long time coming; we’ve been waiting for it with bated breath,” said Debbie Nguyen, a Planned Parenthood Northern California clinician in Oakland. “We’ve been going back and forth with them to work on getting recognized for months now.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘We wanted to see meaningful change that protects us and, by protecting us, protects our patients …’","name":"pullquote","attributes":{"named":{"align":"right","size":"medium","citation":"Kim Delhonte, reproductive health specialist, Planned Parenthood Northern California","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>A federal mediator confirmed that a supermajority of Planned Parenthood Northern California workers — 77% — had voted to join SEIU Local 1021 during Friday’s “card check,” in which employees who are part of a bargaining unit sign “cards” that state and authorize their wish for union representation.\u003c/p>\n\u003cp>SEIU Local 1021’s vice president of organizing, Brandon Dawkins, welcomed the move, saying Planned Parenthood Northern California workers’ “values align with union values,” describing it as “a natural fit.”\u003c/p>\n\u003cp>“It’s a new day for the workers of Planned Parenthood in Northern California,” Dawkins said in an interview with KQED. “With them having the solidarity and the ability to come together and become part of the larger labor movement.”\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>Planned Parenthood Northern California has voluntarily recognized the union. In an emailed statement to KQED on Saturday, CEO Gilda Gonzales said:\u003c/p>\n\u003cp>“Planned Parenthood Northern California (PPNorCal) respects our team members’ decision to choose SEIU Local 1021 as their exclusive bargaining representative. We are prepared to work collaboratively to ensure PPNorCal stays strong, centered on our mission, values, and commitment to serving our patients.”\u003c/p>\n\u003cp>Kim Delhonte, a Santa Rosa-based reproductive health specialist who does telehealth for Planned Parenthood Northern California, said her work is seeing an increase in patients from other states who are no longer able to get access to the care they need, with heavy patient loads and often one- to two-hour wait times in many clinics.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"Related Stories ","postid":"news_11961743,news_11980696,news_11973441"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>“It’s really putting us at a place where we are overwhelmed, we’re understaffed, we are unsupported by upper management in a lot of our ideas and things that we have suggested,” Delhonte told KQED. “So this is like a huge move for all of us.”\u003c/p>\n\u003cp>This week, \u003ca href=\"https://apnews.com/article/arizona-abortion-restrictions-1864-9c68866d69dca38c728dd27b80592e8f\">an Arizona Supreme Court ruling\u003c/a> found state officials can enforce a law dating from 1864 that criminalizes all abortions except in cases where a woman’s life is at risk, making it one of \u003ca href=\"https://newsroom.ap.org/detail/Arizonajustrevivedan1864lawcriminalizingabortionHereswhatshappeninginotherstates/73d434f1032fdea016a27064e0d5b9f2/text?Query=states%20banning%20abortion&mediaType=text&sortBy=arrivaldatetime:desc&dateRange=Anytime&totalCount=48¤tItemNo=5\">14 other states\u003c/a> that are already enforcing bans on abortion at all stages of pregnancy, along with two others that ban them after six weeks of pregnancy.\u003c/p>\n\u003cp>Delhonte said that she and her coworkers decided to unionize because it will help them give the best level of care they can to their patients, many of whom, she said, are lower- or middle-income, unhoused or members of the LGBTQ community seeking a safe place to find care.\u003c/p>\n\u003cp>“We love the organization,” Delhonte said. “We wanted to see meaningful change that protects us and, by protecting us, protects our patients and the care that they receive.”\u003c/p>\n\u003cp>\u003cem>KQED’s Attila Pelit, Lakshmi Sarah and Azul Dahlstrom-Eckman contributed to this story.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11982896/planned-parenthood-northern-california-workers-unionize-with-seiu-local-1021","authors":["236"],"categories":["news_8"],"tags":["news_22880","news_20296","news_23490","news_214","news_2659"],"featImg":"news_11982904","label":"news"},"news_11973441":{"type":"posts","id":"news_11973441","meta":{"index":"posts_1591205157","site":"news","id":"11973441","score":null,"sort":[1706094026000]},"guestAuthors":[],"slug":"in-california-anti-abortion-centers-outnumber-abortion-clinics","title":"In California, Anti-Abortion Centers Outnumber Abortion Clinics","publishDate":1706094026,"format":"audio","headTitle":"In California, Anti-Abortion Centers Outnumber Abortion Clinics | KQED","labelTerm":{},"content":"\u003cp class=\"p1\">\u003ca href=\"#episode-transcript\">\u003ci>View the full episode transcript.\u003c/i>\u003c/a>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Despite California’s reputation as a sanctuary state for abortion rights, it is also home to hundreds of “crisis pregnancy centers” located directly next to abortion clinics like Planned Parenthood. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">These centers are designed to look like community health clinics, but most of them don’t have a medical license. And they have an explicit goal: to persuade people not to have an abortion.\u003c/span>\u003c/p>\n\u003cp>\u003ci>\u003cspan style=\"font-weight: 400\">This episode originally aired on \u003ca href=\"https://www.kqed.org/news/11941250/in-deep-blue-california-anti-abortion-centers-outnumber-abortion-clinics\">Feb. 17, 2023\u003c/a>.\u003c/span>\u003c/i>\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" frameborder=\"0\" height=\"200\" scrolling=\"no\" src=\"https://playlist.megaphone.fm/?e=KQINC7770389010\" width=\"100%\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003ch2 id=\"episode-transcript\">Episode Transcript\u003c/h2>\n\u003cp class=\"p1\">\u003ci>This is a computer-generated transcript. While our team has reviewed it, there may be errors.\u003c/i>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>I’m Ericka Cruz Guevarra, and welcome to the Bay. Local news to keep you rooted. This week would have marked 51 years of Roe versus Wade, the landmark Supreme Court case that declared a constitutional right to abortion until it was overturned in 2022. And even though Californians have since voted to protect abortion access in the state, that doesn’t mean getting one here is always easy.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>It’s not just a question of access, either, but misinformation. California has more so-called crisis pregnancy centers than abortion clinics, many of them front as community health centers. But their main goal is to persuade people not to have an abortion. And for a procedure where time is everything, these centers can be a huge barrier. So today, we’re sharing this episode from February of last year about crisis pregnancy centers in California and the dangers that they pose in a state where abortions are protected. Stay with us.\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>I visited a street. It’s Jefferson Street in in Napa. It’s in the main downtown area.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Emma Silvers is a digital editor and producer for KQED.\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>And it’s one short block. There’s a Planned Parenthood center that has been there for, I want to say, at least 20 years. And in the last few years, a group called Napa Valley Culture of Life purchased the only other building on that street and opened a crisis pregnancy center called the Napa Women’s Center. They’re right next door to each other. They’re connected by a fence. The Napa Women’s Center has a huge banner outside that says free pregnancy tests. It’s designed to look like a yeah, a health center.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Once you got there, what did you see? Who did you encounter?\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>The first thing I saw was a woman sitting outside Planned Parenthood on a folding chair. She was wearing green scrubs. She was intentionally dressed like a nurse, and she was approaching people as they entered the Planned Parenthood or left the Planned Parenthood and asked them if she could talk to them about free resources, read a about their care and contact. They’re afraid to ask because all you do is you learn. She gave them pamphlets. Some of these pamphlets were full of misinformation about abortion, and one of the cards she gave them was for the Napa Women’s Center.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>This volunteer’s name was \u003cem>Teresa Conemac\u003c/em>. She told Emma she was with a group called 40 days for life. I know you later found out she’s actually not a nurse. And. And you actually talked with her yourself? What did she tell you?\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>She saw it as her duty as a Christian to sit outside the Planned Parenthood and try to help people, quote, choose life. This organization is an anti-abortion organization. A few times a year, they have these really intensive periods where for 40 days, they have protesters present nearly around the clock in front of abortion clinics, praying, handing out literature full of misinformation.\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>They call it sidewalk counseling. It’s interesting because there is supposed to be a buffer zone around abortion clinics. She was sitting right next to the sign that informed people of the buffer zone that protesters are not supposed to be that close to the entrance. Some of the abortion rights advocates I spoke with told me that law enforcement have seemed hesitant to enforce that rule.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Did you eventually go inside the building?\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>I did, it was very serene and, you know, soothing colors. It was sort of a converted old craftsman house. And I spoke with Julie Morillo.\u003c/p>\n\u003cp>\u003cstrong>Julie Morillo: \u003c/strong>We’re trying to help people make a decision for life.\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>Who is the executive director of the Napa Women’s Center?\u003c/p>\n\u003cp>\u003cstrong>Julie Morillo: \u003c/strong>We’re not a medical clinic yet. We’re hoping to be one in the future. So the pregnancy tests that we do are of self self-test. So they read them themselves because we’re not medical professionals.\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>She told me that people wind up at that center mistakenly all the time. Yeah. How often would you say that kind of thing happens?\u003c/p>\n\u003cp>\u003cstrong>Julie Morillo: \u003c/strong>Times a week? Probably. Okay. Yeah.\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>And looking for birth control or abortion?\u003c/p>\n\u003cp>\u003cstrong>Julie Morillo: \u003c/strong>All of the above.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>When I kind of zoom out and talk about these centers a little bit more broadly, how many centers like this are there in California, in the Bay area?\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>Yeah, by most accounts, there are between 170 and 180, anti-abortion centers in California. There are more of these centers than there are legitimate clinics that provide abortion care. To be clear, there’s something like 140, I think, abortion clinics in California currently. There’s the one in Napa, Santa Rosa, Novato, San Jose. There’s several in Redwood City. They’re really everywhere. Once you start looking.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra \u003c/strong>Crisis pregnancy centers have been around since Roe v Wade was first decided, but they really started picking up in the 80s as evangelical Christian groups got involved. Republican presidents like George W Bush and Donald Trump have also spent taxpayer dollars on these centers under the banner of abstinence education. The Trump administration gave $5.1 million from the U.S. Department of Health and Human Services to a California network called obra medical clinics, which runs centers like these.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>It’s all part of a wide network across the country and even the world, and they’re very savvy and aggressive at marketing their crisis pregnancy centers. I mean, it seems like the branding and this sort of marketing is a huge part of this entire enterprise. Can you tell me about what that strategy is? For many of these crisis pregnancy centers.\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>The geographical choices are a big one. The vast majority of them are intentionally set up next to legitimate reproductive health clinics in the hopes of diverting people. There are certain communities that they target, without a doubt. We know that in their promotional materials, they are likely to feature black women.\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>They also target Latino women. I spoke with someone from California, Latinas for Reproductive Justice, and she talked about how blatant it is in Los Angeles, where they’re based, that these centers both set up and by advertising in heavily Latino communities.\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>And in some cases, could be targeting undocumented immigrants who might feel fearful of visiting a state or city funded clinic. There are documented efforts that show that some of these networks have initiatives. The quote unquote Urban Initiative attempts to set up in communities of color to buy advertising on like Bet and in a really targeted way, focus their efforts in communities of color.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Coming up, what reproductive rights advocates say about the harm these centers cause.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>I want to talk about the harm that these clinics cause. I mean, it does seem misleading to say that you offer reproductive health services, but actually, you’re an anti-abortion clinic, and I can imagine people getting really confused by that. Is that what makes these clinics so worrisome to advocates of reproductive rights?\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>I reported this story for months, and I am still struggling to come up with the right adjectives for some of these stories that I heard.\u003c/p>\n\u003cp>\u003cstrong>Gloria Martinez: \u003c/strong>It gets a little dicey in Napa.\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>Gloria Martinez is the senior director of operations for a Planned Parenthood of Northern California. I spoke with Gloria after I saw that scene in front of Planned Parenthood and the Napa Women’s Center, and she gave me a little bit of background about how. That crisis pregnancy center has affected their work at that location of Planned Parenthood.\u003c/p>\n\u003cp>\u003cstrong>Gloria Martinez: \u003c/strong>Patients will to sometimes get confused, especially if it’s their first time seeing us.\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>There are facilities that offer what are called non diagnostic ultrasounds. It’s a belief in the anti-abortion movement that ultrasounds are a really powerful tool for convincing someone to continue their pregnancy. There are stories in which someone might visit a crisis pregnancy center, and they say, we need to perform an ultrasound, and then they give that patient a sonogram, a printed out picture with a falsified image of a fetus that’s at a later stage of development.\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>It’s an overwhelming number of tactics. One way they track how successful those anti-abortion activists are at diverting people is no shows at Planned Parenthood. And during those 40 days for life campaigns, when there are protesters outside in large numbers nearly constantly. The no-show rate pretty much doubles. It’s usually around 19%, and it speaks to 40 to 50%.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>You know, I know that as we’ve been talking about the end of Roe v Wade, California is expecting thousands of people to come here from other states for abortions. So there’s going to be a lot of people who may be even less familiar with the lay of the land here, maybe ending up at one of these crisis pregnancy centers. Right. How do these centers actually end up harming people’s health?\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>I think one thing you have to be realistic about, when we talk about potentially 16,000 people a year coming to California for abortions is how much work that takes. You know, you are talking about people who are taking time off work, who are maybe arranging childcare, who are paying for costly and time consuming public transit, who are figuring out a place to stay.\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>When those people get here. If it turns out their appointment is not at a legitimate health clinic, but at a crisis pregnancy center, a number of things happen. For one, they are going to, almost across the board, experience feeling misled and deceived. After that, if you decide, okay, no, I need this abortion, do you then have the time to make another appointment to research where to go to get real health care?\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>Can you stay out of work that long? Does your child care that all of these things. It’s so much work. There are so many barriers to accessing something that is perfectly legal here. If they are successful in at least delaying the procedure, they’ve achieved really what they wanted.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>I just want to go back to Napa because I am curious, how are things going for folks who are actually working next door to this anti-abortion clinic at the Planned Parenthood? Like, what impact has being next door to this crisis pregnancy center had?\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>I mean, it’s it’s terrible. The folks who worked at that Planned Parenthood were not allowed to speak with me on the record, but from what I gathered, it’s a really intense daily experience of dealing with people outside every day, trying to lure people away from the door. They are moving to a new, larger facility somewhere in Napa that they do not want public because they do not want anti-abortion activists to get a jump on planning their activities for that location as well.\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>But they are moving to a new location, and they were very clear that a big reason is how uncomfortable and unpleasant and harmful the experience is for patients at that current location, because of the anti-abortion activists and because of the crisis pregnancy center next door.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>What is being done about these crisis pregnancy centers? Are state lawmakers aware of these centers, and have they tried to do anything about them?\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>Democrats, at least in California, have been trying to regulate these places and mostly failing for a very long time.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>California passed the Reproductive Fact Act in 2015. It required health care facilities to tell people about state programs that provide abortion services. It also forced centers without medical licenses to post notices acknowledging that they were not licensed. But in 2018, the Supreme Court struck it down on the grounds that it violated the First Amendment. And that’s where many attempts to regulate these centers run into trouble.\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>Freedom of religion. And I think in the case of the Fact act, forcing them to give out information that went against what they wanted to do, you can’t force someone, can’t compel a religious organization to distribute information about where to get an abortion. Rebecca Bauer Cohen of Orinda just introduced AB 315, which really focuses on the deceptive advertising element.\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>California Attorney General Bonta issued a consumer alert in June, basically just laying out the differences between crisis pregnancy centers and abortion clinics and basically just directing people to do their research. So, okay, we can’t force these places to tell you where to go to get an abortion. What we can do is say you are not allowed to advertise as offering a full range of reproductive health services, when in fact you do not.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>What do you hope that people take away from this story?\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>I hope people will realize that the rollback of reproductive rights in this country really affects everyone. The volatility of the abortion rights discussion in the US, the the political and financial power that the church and the right wing Christian anti-abortion movement in this country really has, and the way that touches every corner of the country, even even the supposedly very liberal Bay area in the sanctuary state of California.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Emma, I want to thank you reporting on this story and for joining us and sharing your reporting with us. I appreciate it.\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>Thank you so much for for your interest.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>That was Emma Silvers, a digital editor and producer for KQED. This episode originally ran back in February of 2023. Since then, the Planned Parenthood in Napa has moved to a new location. And in September, Attorney General Rob Bonta office filed a lawsuit against two anti-abortion groups, Heartbeat International and Real Options O’Brien, which operates five crisis pregnancy centers in Northern California. Bounty’s office alleges that the groups used misleading and fraudulent claims to promote an unproven experimental procedure called abortion pill reversal.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>This conversation with Emma was cut down and edited by senior editor Alan Montecillo. Maria Esquinca is our producer. She scored this episode and edited all the tape. Our intern is Ellie Prickett-Morgan. The Bay is a production of member supported KQED in San Francisco. I’m Ericka Cruz Guevarra. Thanks for listening. Talk to you next time.\u003c/p>\n\n","blocks":[],"excerpt":"Crisis pregnancy centers have an explicit goal: to persuade people not to have an abortion.","status":"publish","parent":0,"modified":1708040063,"stats":{"hasAudio":true,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":58,"wordCount":2697},"headData":{"title":"In California, Anti-Abortion Centers Outnumber Abortion Clinics | KQED","description":"Crisis pregnancy centers have an explicit goal: to persuade people not to have an abortion.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"source":"The Bay","sourceUrl":"https://www.kqed.org/podcasts/thebay","audioUrl":"https://www.podtrac.com/pts/redirect.mp3/chrt.fm/track/G6C7C3/traffic.megaphone.fm/KQINC7770389010.mp3","sticky":false,"excludeFromSiteSearch":"Include","articleAge":"0","path":"/news/11973441/in-california-anti-abortion-centers-outnumber-abortion-clinics","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp class=\"p1\">\u003ca href=\"#episode-transcript\">\u003ci>View the full episode transcript.\u003c/i>\u003c/a>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Despite California’s reputation as a sanctuary state for abortion rights, it is also home to hundreds of “crisis pregnancy centers” located directly next to abortion clinics like Planned Parenthood. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">These centers are designed to look like community health clinics, but most of them don’t have a medical license. And they have an explicit goal: to persuade people not to have an abortion.\u003c/span>\u003c/p>\n\u003cp>\u003ci>\u003cspan style=\"font-weight: 400\">This episode originally aired on \u003ca href=\"https://www.kqed.org/news/11941250/in-deep-blue-california-anti-abortion-centers-outnumber-abortion-clinics\">Feb. 17, 2023\u003c/a>.\u003c/span>\u003c/i>\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" frameborder=\"0\" height=\"200\" scrolling=\"no\" src=\"https://playlist.megaphone.fm/?e=KQINC7770389010\" width=\"100%\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003ch2 id=\"episode-transcript\">Episode Transcript\u003c/h2>\n\u003cp class=\"p1\">\u003ci>This is a computer-generated transcript. While our team has reviewed it, there may be errors.\u003c/i>\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>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>I’m Ericka Cruz Guevarra, and welcome to the Bay. Local news to keep you rooted. This week would have marked 51 years of Roe versus Wade, the landmark Supreme Court case that declared a constitutional right to abortion until it was overturned in 2022. And even though Californians have since voted to protect abortion access in the state, that doesn’t mean getting one here is always easy.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>It’s not just a question of access, either, but misinformation. California has more so-called crisis pregnancy centers than abortion clinics, many of them front as community health centers. But their main goal is to persuade people not to have an abortion. And for a procedure where time is everything, these centers can be a huge barrier. So today, we’re sharing this episode from February of last year about crisis pregnancy centers in California and the dangers that they pose in a state where abortions are protected. Stay with us.\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>I visited a street. It’s Jefferson Street in in Napa. It’s in the main downtown area.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Emma Silvers is a digital editor and producer for KQED.\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>And it’s one short block. There’s a Planned Parenthood center that has been there for, I want to say, at least 20 years. And in the last few years, a group called Napa Valley Culture of Life purchased the only other building on that street and opened a crisis pregnancy center called the Napa Women’s Center. They’re right next door to each other. They’re connected by a fence. The Napa Women’s Center has a huge banner outside that says free pregnancy tests. It’s designed to look like a yeah, a health center.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Once you got there, what did you see? Who did you encounter?\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>The first thing I saw was a woman sitting outside Planned Parenthood on a folding chair. She was wearing green scrubs. She was intentionally dressed like a nurse, and she was approaching people as they entered the Planned Parenthood or left the Planned Parenthood and asked them if she could talk to them about free resources, read a about their care and contact. They’re afraid to ask because all you do is you learn. She gave them pamphlets. Some of these pamphlets were full of misinformation about abortion, and one of the cards she gave them was for the Napa Women’s Center.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>This volunteer’s name was \u003cem>Teresa Conemac\u003c/em>. She told Emma she was with a group called 40 days for life. I know you later found out she’s actually not a nurse. And. And you actually talked with her yourself? What did she tell you?\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>She saw it as her duty as a Christian to sit outside the Planned Parenthood and try to help people, quote, choose life. This organization is an anti-abortion organization. A few times a year, they have these really intensive periods where for 40 days, they have protesters present nearly around the clock in front of abortion clinics, praying, handing out literature full of misinformation.\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>They call it sidewalk counseling. It’s interesting because there is supposed to be a buffer zone around abortion clinics. She was sitting right next to the sign that informed people of the buffer zone that protesters are not supposed to be that close to the entrance. Some of the abortion rights advocates I spoke with told me that law enforcement have seemed hesitant to enforce that rule.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Did you eventually go inside the building?\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>I did, it was very serene and, you know, soothing colors. It was sort of a converted old craftsman house. And I spoke with Julie Morillo.\u003c/p>\n\u003cp>\u003cstrong>Julie Morillo: \u003c/strong>We’re trying to help people make a decision for life.\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>Who is the executive director of the Napa Women’s Center?\u003c/p>\n\u003cp>\u003cstrong>Julie Morillo: \u003c/strong>We’re not a medical clinic yet. We’re hoping to be one in the future. So the pregnancy tests that we do are of self self-test. So they read them themselves because we’re not medical professionals.\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>She told me that people wind up at that center mistakenly all the time. Yeah. How often would you say that kind of thing happens?\u003c/p>\n\u003cp>\u003cstrong>Julie Morillo: \u003c/strong>Times a week? Probably. Okay. Yeah.\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>And looking for birth control or abortion?\u003c/p>\n\u003cp>\u003cstrong>Julie Morillo: \u003c/strong>All of the above.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>When I kind of zoom out and talk about these centers a little bit more broadly, how many centers like this are there in California, in the Bay area?\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>Yeah, by most accounts, there are between 170 and 180, anti-abortion centers in California. There are more of these centers than there are legitimate clinics that provide abortion care. To be clear, there’s something like 140, I think, abortion clinics in California currently. There’s the one in Napa, Santa Rosa, Novato, San Jose. There’s several in Redwood City. They’re really everywhere. Once you start looking.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra \u003c/strong>Crisis pregnancy centers have been around since Roe v Wade was first decided, but they really started picking up in the 80s as evangelical Christian groups got involved. Republican presidents like George W Bush and Donald Trump have also spent taxpayer dollars on these centers under the banner of abstinence education. The Trump administration gave $5.1 million from the U.S. Department of Health and Human Services to a California network called obra medical clinics, which runs centers like these.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>It’s all part of a wide network across the country and even the world, and they’re very savvy and aggressive at marketing their crisis pregnancy centers. I mean, it seems like the branding and this sort of marketing is a huge part of this entire enterprise. Can you tell me about what that strategy is? For many of these crisis pregnancy centers.\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>The geographical choices are a big one. The vast majority of them are intentionally set up next to legitimate reproductive health clinics in the hopes of diverting people. There are certain communities that they target, without a doubt. We know that in their promotional materials, they are likely to feature black women.\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>They also target Latino women. I spoke with someone from California, Latinas for Reproductive Justice, and she talked about how blatant it is in Los Angeles, where they’re based, that these centers both set up and by advertising in heavily Latino communities.\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>And in some cases, could be targeting undocumented immigrants who might feel fearful of visiting a state or city funded clinic. There are documented efforts that show that some of these networks have initiatives. The quote unquote Urban Initiative attempts to set up in communities of color to buy advertising on like Bet and in a really targeted way, focus their efforts in communities of color.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Coming up, what reproductive rights advocates say about the harm these centers cause.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>I want to talk about the harm that these clinics cause. I mean, it does seem misleading to say that you offer reproductive health services, but actually, you’re an anti-abortion clinic, and I can imagine people getting really confused by that. Is that what makes these clinics so worrisome to advocates of reproductive rights?\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>I reported this story for months, and I am still struggling to come up with the right adjectives for some of these stories that I heard.\u003c/p>\n\u003cp>\u003cstrong>Gloria Martinez: \u003c/strong>It gets a little dicey in Napa.\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>Gloria Martinez is the senior director of operations for a Planned Parenthood of Northern California. I spoke with Gloria after I saw that scene in front of Planned Parenthood and the Napa Women’s Center, and she gave me a little bit of background about how. That crisis pregnancy center has affected their work at that location of Planned Parenthood.\u003c/p>\n\u003cp>\u003cstrong>Gloria Martinez: \u003c/strong>Patients will to sometimes get confused, especially if it’s their first time seeing us.\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>There are facilities that offer what are called non diagnostic ultrasounds. It’s a belief in the anti-abortion movement that ultrasounds are a really powerful tool for convincing someone to continue their pregnancy. There are stories in which someone might visit a crisis pregnancy center, and they say, we need to perform an ultrasound, and then they give that patient a sonogram, a printed out picture with a falsified image of a fetus that’s at a later stage of development.\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>It’s an overwhelming number of tactics. One way they track how successful those anti-abortion activists are at diverting people is no shows at Planned Parenthood. And during those 40 days for life campaigns, when there are protesters outside in large numbers nearly constantly. The no-show rate pretty much doubles. It’s usually around 19%, and it speaks to 40 to 50%.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>You know, I know that as we’ve been talking about the end of Roe v Wade, California is expecting thousands of people to come here from other states for abortions. So there’s going to be a lot of people who may be even less familiar with the lay of the land here, maybe ending up at one of these crisis pregnancy centers. Right. How do these centers actually end up harming people’s health?\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>I think one thing you have to be realistic about, when we talk about potentially 16,000 people a year coming to California for abortions is how much work that takes. You know, you are talking about people who are taking time off work, who are maybe arranging childcare, who are paying for costly and time consuming public transit, who are figuring out a place to stay.\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>When those people get here. If it turns out their appointment is not at a legitimate health clinic, but at a crisis pregnancy center, a number of things happen. For one, they are going to, almost across the board, experience feeling misled and deceived. After that, if you decide, okay, no, I need this abortion, do you then have the time to make another appointment to research where to go to get real health care?\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>Can you stay out of work that long? Does your child care that all of these things. It’s so much work. There are so many barriers to accessing something that is perfectly legal here. If they are successful in at least delaying the procedure, they’ve achieved really what they wanted.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>I just want to go back to Napa because I am curious, how are things going for folks who are actually working next door to this anti-abortion clinic at the Planned Parenthood? Like, what impact has being next door to this crisis pregnancy center had?\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>I mean, it’s it’s terrible. The folks who worked at that Planned Parenthood were not allowed to speak with me on the record, but from what I gathered, it’s a really intense daily experience of dealing with people outside every day, trying to lure people away from the door. They are moving to a new, larger facility somewhere in Napa that they do not want public because they do not want anti-abortion activists to get a jump on planning their activities for that location as well.\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>But they are moving to a new location, and they were very clear that a big reason is how uncomfortable and unpleasant and harmful the experience is for patients at that current location, because of the anti-abortion activists and because of the crisis pregnancy center next door.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>What is being done about these crisis pregnancy centers? Are state lawmakers aware of these centers, and have they tried to do anything about them?\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>Democrats, at least in California, have been trying to regulate these places and mostly failing for a very long time.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>California passed the Reproductive Fact Act in 2015. It required health care facilities to tell people about state programs that provide abortion services. It also forced centers without medical licenses to post notices acknowledging that they were not licensed. But in 2018, the Supreme Court struck it down on the grounds that it violated the First Amendment. And that’s where many attempts to regulate these centers run into trouble.\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>Freedom of religion. And I think in the case of the Fact act, forcing them to give out information that went against what they wanted to do, you can’t force someone, can’t compel a religious organization to distribute information about where to get an abortion. Rebecca Bauer Cohen of Orinda just introduced AB 315, which really focuses on the deceptive advertising element.\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>California Attorney General Bonta issued a consumer alert in June, basically just laying out the differences between crisis pregnancy centers and abortion clinics and basically just directing people to do their research. So, okay, we can’t force these places to tell you where to go to get an abortion. What we can do is say you are not allowed to advertise as offering a full range of reproductive health services, when in fact you do not.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>What do you hope that people take away from this story?\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>I hope people will realize that the rollback of reproductive rights in this country really affects everyone. The volatility of the abortion rights discussion in the US, the the political and financial power that the church and the right wing Christian anti-abortion movement in this country really has, and the way that touches every corner of the country, even even the supposedly very liberal Bay area in the sanctuary state of California.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Emma, I want to thank you reporting on this story and for joining us and sharing your reporting with us. I appreciate it.\u003c/p>\n\u003cp>\u003cstrong>Emma Silvers: \u003c/strong>Thank you so much for for your interest.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>That was Emma Silvers, a digital editor and producer for KQED. This episode originally ran back in February of 2023. Since then, the Planned Parenthood in Napa has moved to a new location. And in September, Attorney General Rob Bonta office filed a lawsuit against two anti-abortion groups, Heartbeat International and Real Options O’Brien, which operates five crisis pregnancy centers in Northern California. Bounty’s office alleges that the groups used misleading and fraudulent claims to promote an unproven experimental procedure called abortion pill reversal.\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\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>This conversation with Emma was cut down and edited by senior editor Alan Montecillo. Maria Esquinca is our producer. She scored this episode and edited all the tape. Our intern is Ellie Prickett-Morgan. The Bay is a production of member supported KQED in San Francisco. I’m Ericka Cruz Guevarra. Thanks for listening. Talk to you next time.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11973441/in-california-anti-abortion-centers-outnumber-abortion-clinics","authors":["8654"],"categories":["news_8"],"tags":["news_30251","news_20296","news_31343","news_22598"],"featImg":"news_11937400","label":"source_news_11973441"},"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_11946193":{"type":"posts","id":"news_11946193","meta":{"index":"posts_1591205157","site":"news","id":"11946193","score":null,"sort":[1681218010000]},"guestAuthors":[],"slug":"texas-ruling-suspends-abortion-pill-leaving-little-room-for-states-like-california-to-mitigate-the-fallout","title":"California’s Options Limited on Abortion Pill Following Texas Judge Ruling","publishDate":1681218010,"format":"standard","headTitle":"California’s Options Limited on Abortion Pill Following Texas Judge Ruling | KQED","labelTerm":{},"content":"\u003cp>California’s Democratic lawmakers have spent the past year \u003ca href=\"https://calmatters.org/health/2022/09/california-abortion-bills/\">enacting legislation to protect abortion rights\u003c/a> in the wake of Roe v. Wade’s reversal, but a ruling today by a Texas federal judge is one thing they can’t touch.\u003c/p>\n\u003cp>U.S. District Judge Matthew Kacsmaryk suspended \u003ca href=\"https://www.dropbox.com/s/jnm4r233xat6tv4/ND%20Tex%20FDA%20decision.pdf?dl=0\">the U.S. Food and Drug Administration’s two-decades’-old approval (PDF)\u003c/a> of mifepristone, arguing that\u003cstrong> \u003c/strong>it was flawed and invalid.\u003c/p>\n\u003cp>Kacsmaryk \u003ca href=\"https://www.kqed.org/news/11946073/texas-judge-halts-fda-approval-of-abortion-pill-mifepristone-newsom-slams-ruling\">issued a temporary stay on his ruling\u003c/a> for seven days to allow the Biden Justice Department to appeal, which \u003ca href=\"https://www.yahoo.com/news/justice-department-files-immediate-appeal-013017962.html\">it quickly did\u003c/a>. The ruling is likely to pull the drug from pharmacy shelves unless a higher court intervenes while the case moves through the appeal process.\u003c/p>\n\u003cp>But soon after the ruling in Texas, a district judge in Washington state issued a conflicting ruling \u003ca href=\"https://www.nytimes.com/2023/02/24/health/abortion-pills-fda-lawsuit.html\">in a separate case\u003c/a>, prohibiting the FDA from taking the drug off the market in 17 Democratic-led states (not including California). Despite the confusion caused by these \u003ca href=\"https://www.cnbc.com/2023/03/29/abortion-pill-dueling-court-cases-could-determine-legality-of-mifepristone.html\">dueling decisions\u003c/a>, legal experts say even the threat of a legal gray area is likely to cause providers to stop distributing the drug.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Mifepristone is the first of a two-drug regimen that makes up the majority of abortions in the U.S., according to the Guttmacher Institute, a reproductive health research and policy center. It \u003ca href=\"https://www.fda.gov/drugs/postmarket-drug-safety-information-patients-and-providers/questions-and-answers-mifepristone-medical-termination-pregnancy-through-ten-weeks-gestation\">blocks the pregnancy hormone progesterone\u003c/a> and is also used to manage miscarriages.\u003c/p>\n\u003cp>While the \u003ca href=\"https://calmatters.org/abortion-rights/2022/06/california-abortion-roe-ruling/\">U.S. Supreme Court’s Dobbs decision\u003c/a> last June rescinded federal abortion protections, it left intact states’ ability to set their own abortion laws. California legislators and Gov. Gavin Newsom jumped at the chance to make the state \u003ca href=\"https://calmatters.org/explainers/abortion-in-california-laws/\">a beacon for progressive politics\u003c/a>, even approving financial assistance for people in other states seeking abortions in California.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Lisa Matsubara, attorney, Planned Parenthood Affiliates of California\"]‘We’re in uncharted territory. It will take some time to understand how this will play out in California.’[/pullquote]\u003c/p>\n\u003cp>But Kacsmaryk’s ruling addresses the FDA’s authority nationally, and leaves little room for states to mitigate the fallout.\u003c/p>\n\u003cp>“We’re in uncharted territory,” Lisa Matsubara, an attorney for Planned Parenthood Affiliates of California and vice president of policy, told CalMatters a day after Kacsmaryk heard arguments in the case in mid-March. “It will take some time to understand how this will play out in California.”\u003c/p>\n\u003cp>But Newsom quickly fired back at the ruling. “Today’s ruling, by an extremist judge pursuing a radical political agenda, ignores facts, science, and the law — putting the health of millions of women and girls at risk,” the \u003ca href=\"https://twitter.com/CAgovernor/status/1644486997648736256?s=20\">governor said in a statement\u003c/a>. “Abortion is still legal and accessible here in California and we won’t stand by as fundamental freedoms are stripped away.”\u003c/p>\n\u003cp>The ruling comes less than a month after the Legislative Women’s Caucus and Future of Abortion Council announced a \u003ca href=\"https://womenscaucus.legislature.ca.gov/news/2023-03-13-ca-legislative-women%E2%80%99s-caucus-fab-council-announce-2023-bill-package-reproductive\">package of 17 bills\u003c/a> building on last session’s work and primarily focusing on privacy and legal protections for patients and providers. State Sen. \u003ca href=\"https://calmatters.org/legislator-tracker/nancy-skinner-1954/\">Nancy Skinner\u003c/a>, a Democrat from Oakland and chair of the caucus, said during a press conference unveiling the legislation that lawmakers were “not done, not by a long shot” in their efforts to preserve abortion rights.\u003c/p>\n\u003cfigure id=\"attachment_11946294\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"wp-image-11946294 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/RS25463_20170515_StateCapitol_Sen_NancySkinner_credit_BertJohnson-2-qut.jpg\" alt=\"A white woman in business attire, eyeglasses and short, graying brown hair talks from a lectern inside a California government building.\" width=\"1920\" height=\"1280\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/RS25463_20170515_StateCapitol_Sen_NancySkinner_credit_BertJohnson-2-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2023/04/RS25463_20170515_StateCapitol_Sen_NancySkinner_credit_BertJohnson-2-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2023/04/RS25463_20170515_StateCapitol_Sen_NancySkinner_credit_BertJohnson-2-qut-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2023/04/RS25463_20170515_StateCapitol_Sen_NancySkinner_credit_BertJohnson-2-qut-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2023/04/RS25463_20170515_StateCapitol_Sen_NancySkinner_credit_BertJohnson-2-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">State Senator Nancy Skinner in Sacramento on May 15, 2017. Skinner is also chair of the Legislative Women’s Caucus, which co-authored a package of 17 bills that primarily focus on privacy and legal protections for patients and providers. At a press conference unveiling the legislation, she said lawmakers were “not done, not by a long shot” in their efforts to preserve abortion rights. \u003ccite>(Bert Johnson/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The \u003ca href=\"https://twitter.com/NancySkinnerCA/status/1644483170350559232?s=20\">women’s caucus issued a statement\u003c/a> blasting the “abominable” and “deplorable” ruling: “When will the assault on women’s health and dignity stop? That one anti-abortion judge has the power to block access to a safe and medically proven treatment is an outrage.”\u003c/p>\n\u003cp>The caucus vowed again: “California will not back down.”\u003c/p>\n\u003cp>Ahead of the district court’s ruling, 20 Republican-led states threatened retail pharmacies with legal action should they distribute abortion pills. In \u003ca href=\"https://twitter.com/GavinNewsom/status/1632811406344192000?s=20\">an attention-grabbing tweet\u003c/a>, Newsom made the sweeping announcement that California would no longer do business with Walgreens, which had announced it would not stock the medication in states where attorneys general were opposed. Newsom has since had to \u003ca href=\"https://calmatters.org/newsletters/whatmatters/2023/04/gavin-newsom-walgreens/\">significantly walk back the statement\u003c/a>, which ran afoul of federal regulations.\u003c/p>\n\u003cp>Despite political assurances, the state can’t take any direct action to keep mifepristone available.\u003c/p>\n\u003cp>“There’s nothing to be done at the state level to make it newly legal so to speak,” said Cat Duffy, policy analyst specializing in reproductive rights with the National Health Law Program. “It’ll be in the hands of the (U.S. Department of Justice) to appeal the ruling.”[aside postID=news_11942999 hero='https://ww2.kqed.org/app/uploads/sites/10/2021/10/GettyImages-1346412977-1020x680.jpg']Though Kacsmaryk’s ruling does not entirely revoke the FDA’s approval of mifepristone, leaving that decision up to a higher court, this type of challenge to the agency’s authority to regulate pharmaceuticals is unprecedented, Duffy said.\u003c/p>\n\u003cp>Misoprostol, the second drug used typically in conjunction with mifepristone, remains legal.\u003c/p>\n\u003cp>Planned Parenthood Affiliates of California CEO Jodi Hicks said in March the organization’s clinics will move to a misoprostol-only treatment should the district court’s decision tie their hands. Misoprostol causes contractions and forces the body to empty the uterus. Studies show it is safe and effective when used alone, but \u003ca href=\"https://www.aafp.org/pubs/afp/issues/2021/0415/p473.html\">there are fewer side effects like prolonged bleeding when used in conjunction with mifepristone\u003c/a>, according to the American Academy of Family Physicians.\u003c/p>\n\u003cp>Although misoprostol remains available, the inability to use mifepristone stretches an “already strapped network,” Duffy said.\u003c/p>\n\u003cp>“It [will] really gut a lot of advances made in improving access that disproportionately impact people in rural areas and the folks that face structural barriers to care like Black and Indigenous communities,” Duffy said.[pullquote size=\"medium\" align=\"right\" citation=\"Lisa Matsubara, attorney, Planned Parenthood Affiliates of California\"]‘We’re going to do whatever we can to make sure that folks are protected and that we are really, truly a haven state.’[/pullquote]\u003ca href=\"https://www.guttmacher.org/article/2022/02/medication-abortion-now-accounts-more-half-all-us-abortions\">More than half of abortions are completed by medication nationally\u003c/a>, according to the Guttmacher Institute. Though \u003ca href=\"https://calmatters.org/health/2022/06/abortion-data-california/\">California does not track detailed abortion data\u003c/a>, advocates say COVID-19 pandemic rules allowing abortion medication to be prescribed through telehealth and delivered via mail improved access in rural areas of the state where there are no abortion clinics. Kacsmaryk’s ruling states, in part, that the FDA inappropriately relaxed in-person prescribing and distribution rules.\u003c/p>\n\u003cp>Legislation introduced this year by the Women’s Caucus and Future of Abortion Council primarily focuses on tightening privacy protections for patients and providers.\u003c/p>\n\u003cp>“We’re going to do whatever we can to make sure that folks are protected and that we are really, truly a haven state,” Planned Parenthood attorney Matsubara said. “As things come up this year we may have to change course. That’s certainly what we did last year and we’re prepared to do that again this year.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"A ruling that suspends federal approval for medication abortion will not be easy for California abortion access advocates to overcome. Unless it's reversed on appeal, the drug will likely be pulled from pharmacy shelves.","status":"publish","parent":0,"modified":1681176936,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":24,"wordCount":1279},"headData":{"title":"California’s Options Limited on Abortion Pill Following Texas Judge Ruling | KQED","description":"A ruling that suspends federal approval for medication abortion will not be easy for California abortion access advocates to overcome. Unless it's reversed on appeal, the drug will likely be pulled from pharmacy shelves.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"source":"CalMatters","sourceUrl":"https://calmatters.org/","nprByline":"\u003ca href=\"https://calmatters.org/author/kristen-hwang/\">Kristen Hwang\u003c/a>","excludeFromSiteSearch":"Include","showOnAuthorArchivePages":"No","articleAge":"0","path":"/news/11946193/texas-ruling-suspends-abortion-pill-leaving-little-room-for-states-like-california-to-mitigate-the-fallout","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>California’s Democratic lawmakers have spent the past year \u003ca href=\"https://calmatters.org/health/2022/09/california-abortion-bills/\">enacting legislation to protect abortion rights\u003c/a> in the wake of Roe v. Wade’s reversal, but a ruling today by a Texas federal judge is one thing they can’t touch.\u003c/p>\n\u003cp>U.S. District Judge Matthew Kacsmaryk suspended \u003ca href=\"https://www.dropbox.com/s/jnm4r233xat6tv4/ND%20Tex%20FDA%20decision.pdf?dl=0\">the U.S. Food and Drug Administration’s two-decades’-old approval (PDF)\u003c/a> of mifepristone, arguing that\u003cstrong> \u003c/strong>it was flawed and invalid.\u003c/p>\n\u003cp>Kacsmaryk \u003ca href=\"https://www.kqed.org/news/11946073/texas-judge-halts-fda-approval-of-abortion-pill-mifepristone-newsom-slams-ruling\">issued a temporary stay on his ruling\u003c/a> for seven days to allow the Biden Justice Department to appeal, which \u003ca href=\"https://www.yahoo.com/news/justice-department-files-immediate-appeal-013017962.html\">it quickly did\u003c/a>. The ruling is likely to pull the drug from pharmacy shelves unless a higher court intervenes while the case moves through the appeal process.\u003c/p>\n\u003cp>But soon after the ruling in Texas, a district judge in Washington state issued a conflicting ruling \u003ca href=\"https://www.nytimes.com/2023/02/24/health/abortion-pills-fda-lawsuit.html\">in a separate case\u003c/a>, prohibiting the FDA from taking the drug off the market in 17 Democratic-led states (not including California). Despite the confusion caused by these \u003ca href=\"https://www.cnbc.com/2023/03/29/abortion-pill-dueling-court-cases-could-determine-legality-of-mifepristone.html\">dueling decisions\u003c/a>, legal experts say even the threat of a legal gray area is likely to cause providers to stop distributing the drug.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","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>Mifepristone is the first of a two-drug regimen that makes up the majority of abortions in the U.S., according to the Guttmacher Institute, a reproductive health research and policy center. It \u003ca href=\"https://www.fda.gov/drugs/postmarket-drug-safety-information-patients-and-providers/questions-and-answers-mifepristone-medical-termination-pregnancy-through-ten-weeks-gestation\">blocks the pregnancy hormone progesterone\u003c/a> and is also used to manage miscarriages.\u003c/p>\n\u003cp>While the \u003ca href=\"https://calmatters.org/abortion-rights/2022/06/california-abortion-roe-ruling/\">U.S. Supreme Court’s Dobbs decision\u003c/a> last June rescinded federal abortion protections, it left intact states’ ability to set their own abortion laws. California legislators and Gov. Gavin Newsom jumped at the chance to make the state \u003ca href=\"https://calmatters.org/explainers/abortion-in-california-laws/\">a beacon for progressive politics\u003c/a>, even approving financial assistance for people in other states seeking abortions in California.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘We’re in uncharted territory. It will take some time to understand how this will play out in California.’","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Lisa Matsubara, attorney, Planned Parenthood Affiliates of California","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>But Kacsmaryk’s ruling addresses the FDA’s authority nationally, and leaves little room for states to mitigate the fallout.\u003c/p>\n\u003cp>“We’re in uncharted territory,” Lisa Matsubara, an attorney for Planned Parenthood Affiliates of California and vice president of policy, told CalMatters a day after Kacsmaryk heard arguments in the case in mid-March. “It will take some time to understand how this will play out in California.”\u003c/p>\n\u003cp>But Newsom quickly fired back at the ruling. “Today’s ruling, by an extremist judge pursuing a radical political agenda, ignores facts, science, and the law — putting the health of millions of women and girls at risk,” the \u003ca href=\"https://twitter.com/CAgovernor/status/1644486997648736256?s=20\">governor said in a statement\u003c/a>. “Abortion is still legal and accessible here in California and we won’t stand by as fundamental freedoms are stripped away.”\u003c/p>\n\u003cp>The ruling comes less than a month after the Legislative Women’s Caucus and Future of Abortion Council announced a \u003ca href=\"https://womenscaucus.legislature.ca.gov/news/2023-03-13-ca-legislative-women%E2%80%99s-caucus-fab-council-announce-2023-bill-package-reproductive\">package of 17 bills\u003c/a> building on last session’s work and primarily focusing on privacy and legal protections for patients and providers. State Sen. \u003ca href=\"https://calmatters.org/legislator-tracker/nancy-skinner-1954/\">Nancy Skinner\u003c/a>, a Democrat from Oakland and chair of the caucus, said during a press conference unveiling the legislation that lawmakers were “not done, not by a long shot” in their efforts to preserve abortion rights.\u003c/p>\n\u003cfigure id=\"attachment_11946294\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"wp-image-11946294 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/RS25463_20170515_StateCapitol_Sen_NancySkinner_credit_BertJohnson-2-qut.jpg\" alt=\"A white woman in business attire, eyeglasses and short, graying brown hair talks from a lectern inside a California government building.\" width=\"1920\" height=\"1280\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/RS25463_20170515_StateCapitol_Sen_NancySkinner_credit_BertJohnson-2-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2023/04/RS25463_20170515_StateCapitol_Sen_NancySkinner_credit_BertJohnson-2-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2023/04/RS25463_20170515_StateCapitol_Sen_NancySkinner_credit_BertJohnson-2-qut-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2023/04/RS25463_20170515_StateCapitol_Sen_NancySkinner_credit_BertJohnson-2-qut-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2023/04/RS25463_20170515_StateCapitol_Sen_NancySkinner_credit_BertJohnson-2-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">State Senator Nancy Skinner in Sacramento on May 15, 2017. Skinner is also chair of the Legislative Women’s Caucus, which co-authored a package of 17 bills that primarily focus on privacy and legal protections for patients and providers. At a press conference unveiling the legislation, she said lawmakers were “not done, not by a long shot” in their efforts to preserve abortion rights. \u003ccite>(Bert Johnson/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The \u003ca href=\"https://twitter.com/NancySkinnerCA/status/1644483170350559232?s=20\">women’s caucus issued a statement\u003c/a> blasting the “abominable” and “deplorable” ruling: “When will the assault on women’s health and dignity stop? That one anti-abortion judge has the power to block access to a safe and medically proven treatment is an outrage.”\u003c/p>\n\u003cp>The caucus vowed again: “California will not back down.”\u003c/p>\n\u003cp>Ahead of the district court’s ruling, 20 Republican-led states threatened retail pharmacies with legal action should they distribute abortion pills. In \u003ca href=\"https://twitter.com/GavinNewsom/status/1632811406344192000?s=20\">an attention-grabbing tweet\u003c/a>, Newsom made the sweeping announcement that California would no longer do business with Walgreens, which had announced it would not stock the medication in states where attorneys general were opposed. Newsom has since had to \u003ca href=\"https://calmatters.org/newsletters/whatmatters/2023/04/gavin-newsom-walgreens/\">significantly walk back the statement\u003c/a>, which ran afoul of federal regulations.\u003c/p>\n\u003cp>Despite political assurances, the state can’t take any direct action to keep mifepristone available.\u003c/p>\n\u003cp>“There’s nothing to be done at the state level to make it newly legal so to speak,” said Cat Duffy, policy analyst specializing in reproductive rights with the National Health Law Program. “It’ll be in the hands of the (U.S. Department of Justice) to appeal the ruling.”\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"postid":"news_11942999","hero":"https://ww2.kqed.org/app/uploads/sites/10/2021/10/GettyImages-1346412977-1020x680.jpg","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Though Kacsmaryk’s ruling does not entirely revoke the FDA’s approval of mifepristone, leaving that decision up to a higher court, this type of challenge to the agency’s authority to regulate pharmaceuticals is unprecedented, Duffy said.\u003c/p>\n\u003cp>Misoprostol, the second drug used typically in conjunction with mifepristone, remains legal.\u003c/p>\n\u003cp>Planned Parenthood Affiliates of California CEO Jodi Hicks said in March the organization’s clinics will move to a misoprostol-only treatment should the district court’s decision tie their hands. Misoprostol causes contractions and forces the body to empty the uterus. Studies show it is safe and effective when used alone, but \u003ca href=\"https://www.aafp.org/pubs/afp/issues/2021/0415/p473.html\">there are fewer side effects like prolonged bleeding when used in conjunction with mifepristone\u003c/a>, according to the American Academy of Family Physicians.\u003c/p>\n\u003cp>Although misoprostol remains available, the inability to use mifepristone stretches an “already strapped network,” Duffy said.\u003c/p>\n\u003cp>“It [will] really gut a lot of advances made in improving access that disproportionately impact people in rural areas and the folks that face structural barriers to care like Black and Indigenous communities,” Duffy said.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘We’re going to do whatever we can to make sure that folks are protected and that we are really, truly a haven state.’","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Lisa Matsubara, attorney, Planned Parenthood Affiliates of California","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003ca href=\"https://www.guttmacher.org/article/2022/02/medication-abortion-now-accounts-more-half-all-us-abortions\">More than half of abortions are completed by medication nationally\u003c/a>, according to the Guttmacher Institute. Though \u003ca href=\"https://calmatters.org/health/2022/06/abortion-data-california/\">California does not track detailed abortion data\u003c/a>, advocates say COVID-19 pandemic rules allowing abortion medication to be prescribed through telehealth and delivered via mail improved access in rural areas of the state where there are no abortion clinics. Kacsmaryk’s ruling states, in part, that the FDA inappropriately relaxed in-person prescribing and distribution rules.\u003c/p>\n\u003cp>Legislation introduced this year by the Women’s Caucus and Future of Abortion Council primarily focuses on tightening privacy protections for patients and providers.\u003c/p>\n\u003cp>“We’re going to do whatever we can to make sure that folks are protected and that we are really, truly a haven state,” Planned Parenthood attorney Matsubara said. “As things come up this year we may have to change course. That’s certainly what we did last year and we’re prepared to do that again this year.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","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/11946193/texas-ruling-suspends-abortion-pill-leaving-little-room-for-states-like-california-to-mitigate-the-fallout","authors":["byline_news_11946193"],"categories":["news_8"],"tags":["news_866","news_30251","news_23790","news_22880","news_18538","news_30275","news_18012","news_26042","news_20296","news_31062","news_31362"],"affiliates":["news_18481"],"featImg":"news_11946283","label":"source_news_11946193"},"news_11941250":{"type":"posts","id":"news_11941250","meta":{"index":"posts_1591205157","site":"news","id":"11941250","score":null,"sort":[1676631650000]},"guestAuthors":[],"slug":"in-deep-blue-california-anti-abortion-centers-outnumber-abortion-clinics","title":"In Deep Blue California, Anti-Abortion Centers Outnumber Abortion Clinics","publishDate":1676631650,"format":"audio","headTitle":"In Deep Blue California, Anti-Abortion Centers Outnumber Abortion Clinics | KQED","labelTerm":{},"content":"\u003cp>\u003cspan style=\"font-weight: 400\">Crisis pregnancy centers, or anti-abortion centers, are designed to look like community health clinics. But the vast majority of them don’t have a medical license, and all of them have an explicit goal: to persuade people to not have an abortion. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">There are thousands of these centers all over the country. They advertise aggressively — especially in lower-income communities of color — and are in many cases located \u003ca href=\"https://www.kqed.org/news/11937191/abortion-crisis-pregnancy-centers-reproductive-rights-california-roe-v-wade\">directly next to abortion clinics\u003c/a>. And despite California’s reputation as a sanctuary state for abortion rights, there are more crisis pregnancy centers than abortion centers in our state.\u003c/span>\u003c/p>\n\u003cp>\u003cb>Guest: \u003c/b>\u003cspan style=\"font-weight: 400\">Emma Silvers, KQED digital editor/producer\u003c/span>\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" frameborder=\"0\" height=\"200\" scrolling=\"no\" src=\"https://playlist.megaphone.fm/?e=KQINC5326785960&light=true\" width=\"100%\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>\u003cstrong>Links: \u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.kqed.org/news/11937191/abortion-crisis-pregnancy-centers-reproductive-rights-california-roe-v-wade\" target=\"_blank\" rel=\"noopener\">The Anti-Abortion Movement Next Door\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.kqed.org/about/17653/help-make-the-bay-even-better\" target=\"_blank\" rel=\"noopener\">The Bay Survey\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n","blocks":[],"excerpt":"Despite California’s reputation as a sanctuary state for abortion rights, there are more crisis pregnancy centers than abortion centers in our state.","status":"publish","parent":0,"modified":1700682843,"stats":{"hasAudio":true,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":7,"wordCount":125},"headData":{"title":"In Deep Blue California, Anti-Abortion Centers Outnumber Abortion Clinics | KQED","description":"Despite California’s reputation as a sanctuary state for abortion rights, there are more crisis pregnancy centers than abortion centers in our state.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"source":"The Bay","sourceUrl":"https://www.kqed.org/podcasts/thebay","audioUrl":"https://www.podtrac.com/pts/redirect.mp3/chrt.fm/track/A511B8/traffic.megaphone.fm/KQINC5326785960.mp3?updated=1676587538","excludeFromSiteSearch":"Include","articleAge":"0","path":"/news/11941250/in-deep-blue-california-anti-abortion-centers-outnumber-abortion-clinics","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cspan style=\"font-weight: 400\">Crisis pregnancy centers, or anti-abortion centers, are designed to look like community health clinics. But the vast majority of them don’t have a medical license, and all of them have an explicit goal: to persuade people to not have an abortion. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">There are thousands of these centers all over the country. They advertise aggressively — especially in lower-income communities of color — and are in many cases located \u003ca href=\"https://www.kqed.org/news/11937191/abortion-crisis-pregnancy-centers-reproductive-rights-california-roe-v-wade\">directly next to abortion clinics\u003c/a>. And despite California’s reputation as a sanctuary state for abortion rights, there are more crisis pregnancy centers than abortion centers in our state.\u003c/span>\u003c/p>\n\u003cp>\u003cb>Guest: \u003c/b>\u003cspan style=\"font-weight: 400\">Emma Silvers, KQED digital editor/producer\u003c/span>\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" frameborder=\"0\" height=\"200\" scrolling=\"no\" src=\"https://playlist.megaphone.fm/?e=KQINC5326785960&light=true\" width=\"100%\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>\u003cstrong>Links: \u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.kqed.org/news/11937191/abortion-crisis-pregnancy-centers-reproductive-rights-california-roe-v-wade\" target=\"_blank\" rel=\"noopener\">The Anti-Abortion Movement Next Door\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.kqed.org/about/17653/help-make-the-bay-even-better\" target=\"_blank\" rel=\"noopener\">The Bay Survey\u003c/a>\u003c/li>\n\u003c/ul>\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/11941250/in-deep-blue-california-anti-abortion-centers-outnumber-abortion-clinics","authors":["8654","7237","11649","11802"],"programs":["news_28779"],"categories":["news_8","news_33520"],"tags":["news_2520","news_20296","news_31062","news_23688","news_22598"],"featImg":"news_11941251","label":"source_news_11941250"},"news_11937191":{"type":"posts","id":"news_11937191","meta":{"index":"posts_1591205157","site":"news","id":"11937191","score":null,"sort":[1674133309000]},"guestAuthors":[],"slug":"abortion-crisis-pregnancy-centers-reproductive-rights-california-roe-v-wade","title":"The Anti-Abortion Movement Next Door","publishDate":1674133309,"format":"standard","headTitle":"The Anti-Abortion Movement Next Door | KQED","labelTerm":{"site":"news"},"content":"\u003cp>[dropcap]O[/dropcap]n a sunny October afternoon, a young woman exits the Planned Parenthood office in Napa carrying a small white paper bag. She hasn’t taken more than five steps toward her car before she’s approached: “Hi, can I give you some information about free resources?”\u003c/p>\n\u003cp>It’s the Friday before Halloween of 2022, four months after the Supreme Court issued its landmark decision that overturned Roe v. Wade, \u003ca href=\"https://www.npr.org/sections/health-shots/2022/06/24/1107126432/abortion-bans-supreme-court-roe-v-wade\">leading to bans on most abortions in about 13 states\u003c/a> (so far). It’s about a week before the midterms, when California voters will decide to \u003ca href=\"https://www.kqed.org/news/11931183/californians-vote-to-protect-abortion-in-constitution\">enshrine the right to an abortion in the state constitution\u003c/a>.\u003c/p>\n\u003cp>But today, here in Napa, the abortion conversation looks like this: A woman named Teresa Conemac sits on a stool steps away from the Planned Parenthood entrance, wearing scrubs and a badge that reads “client advocate,” praying and performing what she and her fellow volunteers with the Christian anti-abortion organization \u003ca href=\"https://www.40daysforlife.com/en/\">40 Days for Life\u003c/a> call “sidewalk counseling.” She talks to people approaching or exiting the clinic, and gives them pamphlets featuring widely debunked claims about the dangers of abortion and birth control.\u003c/p>\n\u003cfigure id=\"attachment_11937384\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2023/01/RS59821_009_KQED_CrisisPregnancyCenter_11042022-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11937384 size-medium\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/01/RS59821_009_KQED_CrisisPregnancyCenter_11042022-qut-800x533.jpg\" alt=\"a older white woman in orange scrubs talks to a Black woman in dark clothing outside a Planned Parenthood health clinic\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS59821_009_KQED_CrisisPregnancyCenter_11042022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS59821_009_KQED_CrisisPregnancyCenter_11042022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS59821_009_KQED_CrisisPregnancyCenter_11042022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS59821_009_KQED_CrisisPregnancyCenter_11042022-qut-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS59821_009_KQED_CrisisPregnancyCenter_11042022-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Conemac talks to a person leaving a Planned Parenthood clinic in Napa. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Conemac also tells them about resources at, and distributes cards for, the facility next door: the \u003ca href=\"https://www.youtube.com/watch?v=3xuUaKU87J8\">Napa Women’s Center\u003c/a>, opened by the Christian nonprofit Napa Valley Culture of Life in 2020. No medical professionals work at this facility, but a visitor can take a free pregnancy test, learn about adoption agencies and pick up pamphlets that inaccurately link abortion to \u003ca href=\"https://www.cancer.org/healthy/cancer-causes/medical-treatments/abortion-and-breast-cancer-risk.html\">breast cancer\u003c/a>, \u003ca href=\"https://www.nytimes.com/2019/05/30/well/can-an-abortion-affect-your-fertility.html\">infertility\u003c/a>, \u003ca href=\"https://www.apa.org/monitor/2022/09/news-facts-abortion-mental-health\">depression\u003c/a> and \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/22270271/\">death\u003c/a>.\u003c/p>\n\u003cp>The Napa Women’s Center is an anti-abortion center — sometimes known as a “crisis pregnancy center.” It’s one of approximately 3,000 such facilities across the country. Established by faith-based organizations, anti-abortion centers exist primarily to dissuade people from having abortions. They often attract clients by opening in close proximity to abortion care clinics and by advertising reproductive health services, despite the vast majority operating without medical licensing.\u003c/p>\n\u003cp>In Napa, it is no accident that an anti-abortion center operates right next to the city’s lone Planned Parenthood, in a state of uneasy tension, on one small city block. Connected by a 6-foot wooden fence, their facades are plain, and notably similar to the casual observer.\u003c/p>\n\u003cp>But behind those doors lie two vastly different worlds. For a pregnant person seeking health care, the choice of which one to enter comes with potentially life-changing consequences. None of the \u003ca href=\"https://www.kqed.org/news/11926949/newsom-signs-slate-of-abortion-protection-bills\">new state laws aimed at strengthening abortion rights\u003c/a> can help a patient who’s standing on the sidewalk outside, deciding between the two, confused about what they’re seeing. And as long as California fails to regulate anti-abortion centers, advocates say, calling itself a sanctuary state won’t change a thing about that.\u003c/p>\n\u003ch2>‘We don’t have a moment to lose’\u003c/h2>\n\u003cp>Anti-abortion centers have existed in some form since the late 1960s, when Catholic activists first sought to counter the growing legalization of abortion in the United States. After the U.S. Supreme Court ruled that the right to an abortion was protected by the Constitution in its 1973 Roe v. Wade decision — which, had it been upheld, would have celebrated a 50th anniversary Jan. 22 — the so-called crisis pregnancy center movement expanded to include evangelical Christians. That expansion led to networks like Heartbeat International, which operates more than 2,000 centers worldwide.\u003c/p>\n\u003cp>Anti-abortion centers proliferated throughout the ’90s and aughts, in part thanks to federal grants for abstinence-only education under President George W. Bush; many received further federal funds due to \u003ca href=\"https://www.kqed.org/news/11730464/california-sues-trump-administration-over-new-abortion-restrictions\">changes made to Title X under the Trump administration\u003c/a>. In 2019, for example, the California-based network of centers calling itself Obria Medical Clinics — which operates in Oakland, Redwood City, Union City and San José — was awarded $5.1 million over three years by the U.S. Department of Health and Human Services.\u003c/p>\n\u003cp>[aside label=\"Related Stories\" postID=\"news_11934819,news_11931183\"]But with the fall of Roe, abortion-rights advocates say these centers have assumed an even more powerful role in the landscape, becoming an increasingly valuable tool in the anti-abortion movement’s arsenal. At the same time, advocates charge, anti-abortion centers only intensify the inequities in abortion access along racial and socioeconomic lines.\u003c/p>\n\u003cp>These centers’ impact might be most dramatic in the \u003ca href=\"https://www.nytimes.com/interactive/2022/us/abortion-laws-roe-v-wade.html\">26 states that either recently banned or plan to heavily restrict abortions\u003c/a>, where even seeking out abortion information could put a pregnant person on the wrong side of the law. But advocates say anti-abortion centers also play a surprisingly significant role in blue states like California, where they \u003ca href=\"https://www.cwlc.org/report-shows-anti-abortion-cpcs-receive-federal-and-state-funding-to-mislead-clients-provide-few-services/#:~:text=The%20number%20of%20CPCs%20in,than%20CPCs%20in%20other%20states\">outnumber clinics that provide abortions by 20%\u003c/a> — and where as many as \u003ca href=\"https://law.ucla.edu/sites/default/files/PDFs/Center_on_Reproductive_Health/California_Abortion_Estimates.pdf?campaign_id=49&emc=edit_ca_20220627&instance_id=65130&nl=california-today®i_id=161520323&segment_id=96906&te=1&user_id=fa2fb80d2a88c6eb21eaedcb8ce6386f\">16,000 people are now expected to travel each year in search of abortion care (PDF)\u003c/a>.\u003c/p>\n\u003cp>“This is one of those issues where time is of the essence to the women who are involved, whose lives are at stake,” says former Los Angeles City Attorney Mike Feuer of the lack of regulation around anti-abortion centers. “And because of what’s happening nationally, we don’t have a moment to lose.”\u003c/p>\n\u003cp>In his last months as city attorney in 2022, Feuer successfully introduced a city ordinance that makes it punishable by up to $10,000 for a facility to “mislead women into believing they offer a full range of reproductive health services, including abortion or abortion referrals” when they do not.\u003c/p>\n\u003cp>“We may already be in a situation where women who are utterly desperate to exercise their full reproductive choices are coming to our city,” says Feuer. “And we need to ensure that when they do, no pregnancy center misleads them about their services and what their options are.”\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Christine Henneberg, Bay Area OB-GYN and author\"]‘Working at medical facilities, we have so many regulations on everything we do. But then these places that are \u003cem>not\u003c/em> medical facilities — that are disguising themselves as medical facilities — are totally unregulated? It makes no sense.’[/pullquote]Going unmentioned in LA’s new ordinance is how difficult it’s proven to regulate these facilities — Democratic lawmakers have been trying, and mostly failing, for years. Most recently, California’s 2015 \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160AB775\">Reproductive FACT Act\u003c/a> required reproductive health care facilities to inform clients about the state’s programs that provide low-cost or free contraception and abortion, and forced unlicensed centers to post notices acknowledging that they were not licensed health care providers.\u003c/p>\n\u003cp>In 2018, after the law was challenged by an anti-abortion legal organization, the \u003ca href=\"https://www.npr.org/2018/06/26/606427673/supreme-court-sides-with-california-anti-abortion-pregnancy-centers\">U.S. Supreme Court voted 5–4 to strike it down\u003c/a> on the grounds that it violated the First Amendment.\u003c/p>\n\u003cp>For \u003ca href=\"https://christinehenneberg.com/\">Christine Henneberg\u003c/a>, a Bay Area OB-GYN and abortion provider — who says “a fair number” of her patients have interacted with an anti-abortion center by the time they land in her office — the \u003ca href=\"https://www.latimes.com/opinion/story/2022-06-22/crisis-pregnancy-centers-abortion-deception-regulation\" target=\"_blank\" rel=\"noopener noreferrer\">continued lack of regulation\u003c/a> is “absurd.”\u003c/p>\n\u003cp>“Working at medical facilities, we have so many regulations on everything we do,” says Henneberg. “But then these places that are \u003cem>not\u003c/em> medical facilities — that are disguising themselves as medical facilities — are totally unregulated? It makes no sense.”\u003c/p>\n\u003cp>Absent meaningful regulation, some agencies have focused on education: In June of 2022, California Attorney General Rob Bonta issued \u003ca href=\"https://oag.ca.gov/news/press-releases/attorney-general-bonta-issues-consumer-alert-warning-californians-crisis\">a consumer alert about anti-abortion centers\u003c/a>. And the state’s new hub for abortion resources, abortion.ca.gov, includes a section on \u003ca href=\"https://abortion.ca.gov/find-a-provider/#fake-abortion-information\">how to spot the differences between such centers and legitimate clinics that offer abortion care\u003c/a>.\u003c/p>\n\u003cp>But to Henneberg, it’s unfair to put the onus of research on the consumer.\u003c/p>\n\u003cp>“When you send a patient to get their tonsils removed, the language is of informed consent: You tell them the risks, benefits and alternatives that you can offer them. That is the physician’s responsibility in an ethical sense, and it’s the law,” she says. “You don’t assume, oh, well, they can find out for themselves … it boggles my mind that anyone would think it’s the responsibility of the consumer seeking a legal service to figure this out on their own.”\u003c/p>\n\u003ch2>‘Patients get confused’\u003c/h2>\n\u003cp>Lynda Metz knew immediately that the building she’d entered wasn’t a health clinic. But it was 1995, she was 17, and the center had been the first thing listed when she looked up “pregnancy test” in the Yellow Pages. Pregnant and terrified in a strict Southern Baptist community north of Little Rock, Arkansas, she was happy to take whatever free services were closest to home.\u003c/p>\n\u003cp>“There was nothing clinical about it,” recalls Metz, who went on to have two children by the age of 20. “I peed on the stick, and then a woman pulled me into a room and took out her Bible … and kind of held me hostage for two hours. She showed me pictures of little plastic babies with arms and legs and said, ‘This is what your baby looks like now.’ There was nothing about how to [take care of myself]. Their focus was just baby, baby, baby.”\u003c/p>\n\u003cfigure id=\"attachment_11937406\" class=\"wp-caption aligncenter\" style=\"max-width: 1534px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11937406\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/01/Screen-Shot-2023-01-08-at-2.46.20-PM.png\" alt=\"a young teen girl with brown hair in a school photo at left, and in a portrait with her infant son on the right\" width=\"1534\" height=\"864\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/Screen-Shot-2023-01-08-at-2.46.20-PM.png 1534w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/Screen-Shot-2023-01-08-at-2.46.20-PM-800x451.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/Screen-Shot-2023-01-08-at-2.46.20-PM-1020x574.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/Screen-Shot-2023-01-08-at-2.46.20-PM-160x90.png 160w\" sizes=\"(max-width: 1534px) 100vw, 1534px\">\u003cfigcaption class=\"wp-caption-text\">On the left, Lynda Metz in a photo from her sophomore year of high school, the year before she became pregnant. On the right, Metz a month before her 18th birthday, with her son Matthew. \u003ccite>(Courtesy Lynda Metz)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Nearly three decades later, search engines have taken the place of the Yellow Pages — with arguably more complicated results. Last August, responding to mounting public pressure, both \u003ca href=\"https://www.cnn.com/2022/08/23/tech/yelp-crisis-pregnancy-centers/index.html\">Yelp\u003c/a> and \u003ca href=\"https://www.washingtonpost.com/technology/2022/08/25/google-maps-abortions/\">Google Maps\u003c/a> announced that their apps would begin labeling so-called crisis pregnancy centers differently from health clinics that provide abortion care.\u003c/p>\n\u003cp>It would appear they’ve followed through, to a point: Up until July, a search for “abortion” on Google Maps returned nearly two dozen anti-abortion centers across the Bay Area’s nine counties, including one in San Francisco, one in Oakland and several in the South Bay. Six months later, that’s no longer the case. However, a search for “pregnancy center” or “women’s clinic” still returns most of these centers. And \u003ca href=\"https://www.bloomberg.com/graphics/2022-google-search-abortion-clinic-crisis-pregnancy-center-ads/\">paid advertisements for anti-abortion centers still regularly appear in Google’s search results\u003c/a> without any disclaimers.\u003c/p>\n\u003cp>Carly Thomsen, assistant professor of gender and sexuality at Middlebury College in Vermont, thinks the algorithm update was a small, overdue step in the right direction — but she doesn’t expect it to put much of a dent in anti-abortion centers’ business model.\u003c/p>\n\u003cp>“I can see how people would think crisis pregnancy centers are using technology to transform their approach, but I actually don’t think that’s true. I think technology has allowed them to make their same strategies more sophisticated and more wide-reaching,” says Thomsen, who recently co-authored a \u003ca href=\"https://www.nytimes.com/interactive/2022/05/12/opinion/crisis-pregnancy-centers-roe.html\">deeply researched opinion piece on these facilities for \u003cem>The New York Times\u003c/em>\u003c/a>. “And that strategy is to use scare tactics and deception to make claims about what they will offer you in terms of support, even though they’re never held accountable for any of these things.”\u003c/p>\n\u003cfigure id=\"attachment_11937631\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2023/01/RS60260_002_KQED_AlphaPregnancyCenter_11172022-qut-1.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11937631\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/01/RS60260_002_KQED_AlphaPregnancyCenter_11172022-qut-1-800x533.jpg\" alt='a mural that says \"live life love\" is seen on the side of a building labeled \"alpha pregnancy center\"' width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS60260_002_KQED_AlphaPregnancyCenter_11172022-qut-1-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS60260_002_KQED_AlphaPregnancyCenter_11172022-qut-1-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS60260_002_KQED_AlphaPregnancyCenter_11172022-qut-1-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS60260_002_KQED_AlphaPregnancyCenter_11172022-qut-1-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS60260_002_KQED_AlphaPregnancyCenter_11172022-qut-1.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The Alpha Pregnancy Center, a faith-based anti-abortion center on Mission Street in the Excelsior neighborhood of San Francisco. After months of public pressure, Google Maps recently updated its algorithm so this center no longer appears when a user searches the word ‘abortion.’ \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>As a graduate student at UC Santa Barbara, Thomsen was part of a successful effort in 2010 to ban anti-abortion centers from advertising on campus. It’s still the only school, to her knowledge, with that restriction.\u003c/p>\n\u003cp>But perhaps the most insidious tactic, says Thomsen, remains simple geography: By design, religious groups open anti-abortion centers in close proximity to clinics that offer abortion care. In Thomsen’s research on these geographic relationships, she found that more than 99% of clinics that offer abortion care nationwide have an anti-abortion center located close by.\u003c/p>\n\u003cp>“Any place there’s an abortion clinic, there’s a crisis pregnancy center,” she says. “And that’s very intentional.”\u003c/p>\n\u003cp>In other words, say experts: these facilities count on vulnerable people making mistakes.\u003c/p>\n\u003cp>That dynamic is especially evident in places like Napa, where anti-abortion activists work blatantly to direct people away from Planned Parenthood and toward the Napa Women’s Center.\u003c/p>\n\u003cp>“Patients get confused,” says Gloria Martinez, senior director of operations for Planned Parenthood Northern California, of the situation at those two facilities. “Especially if it’s their first time with us or visiting that location, and there’s this person out there in scrubs and this person is telling them, ‘Oh, come over here instead.’”\u003c/p>\n\u003cp>While a \u003ca href=\"https://napavalleyregister.com/news/local/napa-council-votes-for-30-foot-buffer-at-planned-parenthood-center-after-years-of-abortion/article_5338519e-c089-5a82-8bcd-562d833ea369.html\">so-called buffer zone\u003c/a> is supposed to render the clinic’s entrance off-limits to protesters, Martinez says local law enforcement seems hesitant to enforce it due to fears “that the opposition will take action against them” with lawsuits that claim the buffer violates their First Amendment rights.\u003c/p>\n\u003cp>The presence of protesters is one major reason this Napa location of Planned Parenthood is scheduled to close in 2023 after more than 20 years. It will reopen in a new, larger facility elsewhere in Napa — staff are hesitant to say exactly where, lest anti-abortion activists begin planning protests there as well — in the hopes of a better patient experience.\u003c/p>\n\u003cp>As for the current patient experience, it’s difficult to quantify exactly how many people who intend to visit Planned Parenthood end up at the anti-abortion center next door. But there are indicators. During the twice-yearly campaigns by 40 Days for Life — in which anti-abortion protesters are present in larger numbers for, yes, 40 days — Martinez says the no-show rate for appointments at that Planned Parenthood doubles: It normally hovers at around 19%, but during campaigns, the number “skyrockets to 40, sometimes 50%.”\u003c/p>\n\u003cfigure id=\"attachment_11937702\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2023/01/RS59835_022_KQED_CrisisPregnancyCenter_11042022-qut-2.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11937702 size-medium\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/01/RS59835_022_KQED_CrisisPregnancyCenter_11042022-qut-2-800x533.jpg\" alt=\"The hand of an older white woman holds a pamphlet describing inaccurate side effects of abortions\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS59835_022_KQED_CrisisPregnancyCenter_11042022-qut-2-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS59835_022_KQED_CrisisPregnancyCenter_11042022-qut-2-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS59835_022_KQED_CrisisPregnancyCenter_11042022-qut-2-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS59835_022_KQED_CrisisPregnancyCenter_11042022-qut-2-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS59835_022_KQED_CrisisPregnancyCenter_11042022-qut-2.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">40 Days for Life volunteer Teresa Conemac holds pamphlets she distributes outside Planned Parenthood in Napa. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“It’s just another barrier [for patients], when there are already so many barriers,” says Martinez. “So many of our patients are low-income, or maybe they’re facing a language barrier or a transportation barrier.\u003c/p>\n\u003cp>“And then this is another layer that they have to face: harassment. Harassment when seeking health care.”\u003c/p>\n\u003ch2>Targeting communities of color\u003c/h2>\n\u003cp>Even if a person mistakenly visits an anti-abortion center, then eventually finds their way to a clinic that offers abortion care, it’s difficult to overstate the trauma that such an experience can inflict, says Susy Chávez Herrera, communications director for California Latinas for Reproductive Justice in Los Angeles (CLRJ).\u003c/p>\n\u003cp>“It can be really intense, and it can really hurt a person’s well-being,” says Chávez Herrera. “Whether physically, by delaying a procedure that might be needed for medical reasons, or mentally, because of the toll it takes on folks who are seeking a medical service and met with this series of misinformation.”\u003c/p>\n\u003cp>That may be especially true considering the already vulnerable communities targeted by anti-abortion centers, according to advocates: immigrants, first-generation Americans, Black and Latinx people, young people and people from lower-income families living in rural areas.\u003c/p>\n\u003cfigure id=\"attachment_11938511\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2024/01/IMG_2166-scaled.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11938511\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2024/01/IMG_2166-800x529.jpg\" alt='pamphlets in English and Spanish on a shelf show a Black woman and a Latina woman who are pregnant. The pamphlet is titled \"the first 9 months\"' width=\"800\" height=\"529\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/IMG_2166-800x529.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/IMG_2166-1020x675.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/IMG_2166-160x106.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/IMG_2166-1536x1016.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/IMG_2166-2048x1355.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/IMG_2166-1920x1270.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Pamphlets available at the Alpha Pregnancy Center in San Francisco. The APC, unlike the majority of anti-abortion centers, has a medical license. \u003ccite>(Emma Silvers/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“We know they target the Latinx community,” says Chávez Herrera. “Just driving down the street here in LA, you see billboards from these groups, with this misinformation, in neighborhoods that we know have largely Latinx communities. And we know these anti-abortion clinics set up shop in our communities.”\u003c/p>\n\u003cp>A study by The Alliance, a consortium of law organizations and policy groups studying reproductive justice, found that \u003ca href=\"https://alliancestateadvocates.org/wp-content/uploads/sites/107/Alliance-CPC-Study-Designed-to-Deceive.pdf\">some anti-abortion centers try to appeal to Black communities (PDF)\u003c/a> — which already face disproportionate maternal mortality rates — by “blackwashing” their websites or pamphlets, prominently featuring images of Black women.\u003c/p>\n\u003cp>In the Latinx community, advocates say anti-abortion centers prey on fears undocumented immigrants might have about visiting a government-funded health clinic, wary that it could lead to deportation; others note that anti-abortion centers make a point of advertising on Spanish-language radio.\u003c/p>\n\u003cfigure id=\"attachment_11937634\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2023/01/Screen-Shot-2022-12-07-at-4.53.34-PM.png\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11937634\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/01/Screen-Shot-2022-12-07-at-4.53.34-PM-800x439.png\" alt=\"a screenshot of a spanish language website of a crisis pregnancy center called real options medical clinics, featuring a woman in scrubs talking to another woman, a patient\" width=\"800\" height=\"439\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/Screen-Shot-2022-12-07-at-4.53.34-PM-800x439.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/Screen-Shot-2022-12-07-at-4.53.34-PM-1020x560.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/Screen-Shot-2022-12-07-at-4.53.34-PM-160x88.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/Screen-Shot-2022-12-07-at-4.53.34-PM-1536x844.png 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/Screen-Shot-2022-12-07-at-4.53.34-PM-2048x1125.png 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/Screen-Shot-2022-12-07-at-4.53.34-PM-1920x1055.png 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A screenshot from the website of Obria Medical Clinics, a network of anti-abortion centers that operates five facilities in the Bay Area, funded partially by federal grants it received under the Trump administration. Obria clinics also advertise that they accept Medi-Cal, which means their clinics receive reimbursements from the taxpayer-funded state program.\u003c/figcaption>\u003c/figure>\n\u003cp>Care Net, one of the two biggest national networks of anti-abortion centers, has had \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9189146/\">a programming arm explicitly devoted to outreach in Black and Latinx communities\u003c/a> since 2003, according to a study in the \u003cem>International Journal of Women’s Health\u003c/em>. Initially dubbed the “Urban Initiative,” tactics include advertising on Black Entertainment Television (BET) and “drawing comparisons between abortion and slavery.”\u003c/p>\n\u003cp>“There’s no question that they target communities of color,” says Thomsen. “So we also need to be talking about crisis pregnancy centers as something that is impeding racial justice.”\u003c/p>\n\u003cfigure id=\"attachment_11937639\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2023/01/Screen-Shot-2022-12-07-at-4.51.42-PM.png\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11937639\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/01/Screen-Shot-2022-12-07-at-4.51.42-PM-800x338.png\" alt=\"a Black woman is seen on a website for the Alpha Pregnancy Center, a Christian anti-abortion center \" width=\"800\" height=\"338\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/Screen-Shot-2022-12-07-at-4.51.42-PM-800x338.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/Screen-Shot-2022-12-07-at-4.51.42-PM-1020x431.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/Screen-Shot-2022-12-07-at-4.51.42-PM-160x68.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/Screen-Shot-2022-12-07-at-4.51.42-PM-1536x650.png 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/Screen-Shot-2022-12-07-at-4.51.42-PM-2048x866.png 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/Screen-Shot-2022-12-07-at-4.51.42-PM-1920x812.png 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A screenshot from the website of the Alpha Pregnancy Center, an anti-abortion center in San Francisco.\u003c/figcaption>\u003c/figure>\n\u003cp>One small step in the right direction, according to abortion rights advocates, is \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202120220AB2586\">Assembly Bill 2586\u003c/a>, which was signed by Gov. Gavin Newsom in September as a means of addressing “the reproductive and sexual health inequities that Black, Indigenous and other communities of color face” by issuing grants to community-based organizations that focus on culturally relevant care.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Carly Thomsen, assistant professor of gender and sexuality, Middlebury College\"]‘There’s no question that they target communities of color. So we also need to be talking about crisis pregnancy centers as something that is impeding racial justice.’[/pullquote]The bill’s text included a pointed section about how the “dissemination of misinformation … particularly at the hands of organizations with a demonstrated interest in limiting choice that often misrepresent themselves as health centers, imposes a harmful barrier to reproductive health care access, especially for communities most impacted by a number of other obstacles to care.”\u003c/p>\n\u003cp>While abortion-rights advocates applaud the bill — CLRJ endorsed it enthusiastically — some also note that funding legitimate reproductive health organizations does little to directly curtail the impact that anti-abortion centers have in communities of color, the result of decades of groundwork by anti-abortion activists.\u003c/p>\n\u003cp>“What we’re talking about is an organized campaign of misinformation,” says Chávez Herrera. “And that has been around since well before the repeal [of Roe v. Wade], even in states that are trying to protect abortion rights.”\u003c/p>\n\u003ch2>‘God works in mysterious ways’\u003c/h2>\n\u003cp>On the street in Napa, as Conemac and a fellow volunteer perform their “sidewalk counseling” next to signs they’ve brought that read “EXPOSE PLANNED PARENTHOOD,” people drive by and honk every few minutes in response. In some cases the honk is followed by a middle finger, or a yelled epithet. They also receive thumbs-up signals, and in one case a shout of “God bless you!”\u003c/p>\n\u003cp>But inside the Napa Women’s Center, it’s quiet; the paint and furniture are all soothing beige and pastels. In a room often used to counsel pregnant people, Julie Murillo, executive director of the center, declines to estimate what percentage of the people entering the center are doing so mistakenly, thinking they will be able to access birth control or abortion care. It happens, she says casually, “all the time.”\u003c/p>\n\u003cfigure id=\"attachment_11937694\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2023/01/RS59827_012_KQED_CrisisPregnancyCenter_11042022-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11937694\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/01/RS59827_012_KQED_CrisisPregnancyCenter_11042022-qut-800x533.jpg\" alt=\"a car with signs that read 'expose planned parenthood' outside a crisis pregnancy center\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS59827_012_KQED_CrisisPregnancyCenter_11042022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS59827_012_KQED_CrisisPregnancyCenter_11042022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS59827_012_KQED_CrisisPregnancyCenter_11042022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS59827_012_KQED_CrisisPregnancyCenter_11042022-qut-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS59827_012_KQED_CrisisPregnancyCenter_11042022-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A car with signs for the organization 40 Days for Life sits outside the Napa Women’s Center, an anti-abortion center opened by faith-based nonprofit Napa Valley Culture of Life. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“I tell them that we’re not Planned Parenthood, we’re the Napa Women’s Center, and then I ask them if we can help them on what they need,” she says. She’s seated by a shelf full of English and Spanish brochures with titles like “Life Before Birth,” “What You Need to Know About Abortion Procedures” and one advertising information about “abortion pill reversal” — an experimental hormonal treatment not approved by the FDA, which the American College of Obstetricians and Gynecologists has said is potentially dangerous and not supported by science.\u003c/p>\n\u003cp>“We’re not here to lie to anybody,” says Murillo. “We are here to try and tell them the truth about what happens to their bodies, and to help them make good decisions for their life.”\u003c/p>\n\u003cfigure id=\"attachment_11937683\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2023/01/RS59850_038_KQED_CrisisPregnancyCenter_11042022-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11937683 size-medium\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/01/RS59850_038_KQED_CrisisPregnancyCenter_11042022-qut-800x533.jpg\" alt=\"Three printed-out signs advertising, among other things, 'abortion pill reversal' in a row of glass panels in a front door.\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS59850_038_KQED_CrisisPregnancyCenter_11042022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS59850_038_KQED_CrisisPregnancyCenter_11042022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS59850_038_KQED_CrisisPregnancyCenter_11042022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS59850_038_KQED_CrisisPregnancyCenter_11042022-qut-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS59850_038_KQED_CrisisPregnancyCenter_11042022-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Signs on the door for the Napa Women’s Center advertise ‘abortion pill reversal’ at the facility in Napa on Nov. 4, 2022. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Like most anti-abortion centers, the Napa Women’s Center has no medical professionals on staff. But the organization is in the process of recruiting a nurse practitioner; then, the center plans to begin offering ultrasounds, which anti-abortion activists consider a powerful tool in dissuading a person from having an abortion.\u003c/p>\n\u003cp>The Alpha Pregnancy Center in San Francisco may be an example of what many anti-abortion centers would like to achieve. The facility — which is not located near an abortion care clinic, and which states clearly on its website that it does not offer abortions — \u003ca href=\"https://www.alphapc.org/our-beginnings\">was founded by a group of pastors in 1983. \u003c/a>But the center completed a two-year process to obtain a medical license in 2015, and now has a full-time registered nurse overseeing its medical services, including ultrasounds.\u003c/p>\n\u003cp>For certified OB-GYNs like Henneberg, ultrasounds are also, notably, often the first indication that a patient has mistakenly been to an anti-abortion center before landing in a legitimate medical office.\u003c/p>\n\u003cp>“They’ll ask me questions like, ‘Do I have to look at the ultrasound?’ And I’ll say, ‘No, of course not.’ And they’ll say, ‘Oh, well, the other place made me look at the ultrasound, and I really don’t wanna see it,’” she says. In some cases, according to several reports, \u003ca href=\"https://19thnews.org/2021/10/crisis-pregnancy-centers-ultrasounds-accuracy-stakes/\">an anti-abortion center might perform an ultrasound, then show patients a falsified image of a fetus at a later stage of development\u003c/a> to dissuade them from seeking an abortion.\u003c/p>\n\u003cp>“If you probe a little, often you’ll hear, ‘Yeah, I went to this place first and they told me not to get [an abortion]. And they’re obviously usually annoyed by that,” says Henneberg. “That’s not why they went there.”\u003c/p>\n\u003cfigure id=\"attachment_11937400\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2023/01/RS59830_014_KQED_CrisisPregnancyCenter_11042022-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11937400\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/01/RS59830_014_KQED_CrisisPregnancyCenter_11042022-qut-800x533.jpg\" alt=\"a gray building with words that say 'free pregnancy tests' and 'Napa Women's Center, health and wellness matter'\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS59830_014_KQED_CrisisPregnancyCenter_11042022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS59830_014_KQED_CrisisPregnancyCenter_11042022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS59830_014_KQED_CrisisPregnancyCenter_11042022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS59830_014_KQED_CrisisPregnancyCenter_11042022-qut-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS59830_014_KQED_CrisisPregnancyCenter_11042022-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The Napa Women’s Center, a facility opened by faith-based nonprofit Napa Valley Culture of Life, advertises free pregnancy tests. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Murillo remains adamant that Napa Women’s Center staff are not out to trick anyone. And she says that while the center and 40 Days for Life share the same beliefs about abortion — they are hoping to “help people choose life” — they are separate organizations. (Technically, the two nonprofits do have separate tax ID numbers. But in a video advertising the Napa Women’s Center, Napa Valley Culture of Life president Gerry Cruz details how the center grew directly out of 40 Days for Life’s 2009 campaign in front of Planned Parenthood. Volunteers and staff are on a first-name basis, many belong to the same church, and so on.)\u003c/p>\n\u003cp>In discussing the center’s offerings, Murillo is especially proud of the center’s “baby boutique”: In exchange for watching videos on relationships, fetal development and parenting, visitors can earn points, which can be exchanged for diapers or formula.\u003c/p>\n\u003cp>As for Murillo, she comes from a wine and hospitality background. “God works in mysterious ways,” she says, by way of explaining how she landed in this profession, which amounts to a combination of unlicensed social work and, ostensibly, distributing medical information. “You never know where you’re going to end up, and sometimes you just say yes.”\u003c/p>\n\u003ch2>‘I felt tricked’\u003c/h2>\n\u003cp>There are encouraging signs, say some abortion-rights advocates, that anti-abortion centers may finally be garnering attention. In June, a group of four Democratic congressmembers including Sen. Elizabeth Warren introduced the \u003ca href=\"https://www.congress.gov/bill/117th-congress/senate-bill/4469/text?r=18&s=1\">Stop Anti-Abortion Disinformation Act\u003c/a>, which would have the Federal Trade Commission issue rules regarding deceptive advertising by anti-abortion centers. And the newly formed \u003ca href=\"https://oag.ca.gov/news/press-releases/attorney-general-bonta-launches-california-reproductive-rights-task-force\">California Reproductive Rights Task Force\u003c/a> lists “enforcing consumer protection laws against deceptive or unlawful conduct concerning reproductive healthcare” as one of its objectives.\u003c/p>\n\u003cp>But the anti-abortion movement may already be adjusting its strategies in response. Anti-abortion activists have explicitly stated that they view the Dobbs decision as a chance to expand their networks, including opening new centers. The National Institute of Family and Life Advocates has led an effort to help existing anti-abortion centers hire trained nurses and obtain medical licensing — potentially shielding them from lawsuits about false advertising. And some facilities have increasingly touted their so-called baby boutiques, branding themselves primarily as charities, though due to lack of oversight there’s very little data on how much they actually give away.\u003c/p>\n\u003cfigure id=\"attachment_11937697\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2023/01/GettyImages-1403119190-scaled.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11937697\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/01/GettyImages-1403119190-800x533.jpg\" alt=\"a white woman with short blond and gray hair in a pink suit speaks in front of the Capitol building\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/GettyImages-1403119190-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/GettyImages-1403119190-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/GettyImages-1403119190-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/GettyImages-1403119190-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/GettyImages-1403119190-2048x1365.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/GettyImages-1403119190-1920x1280.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Sen. Elizabeth Warren (D-MA), seen here speaking about abortion rights at a press conference on June 15, 2022, is one of the members of Congress behind the Stop Anti-Abortion Disinformation Act, which would have the Federal Trade Commission issue rules regarding deceptive advertising by anti-abortion centers. \u003ccite>(Joe Raedle/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In the meantime, according to the Alliance study, as of a 2021 count, anti-abortion centers outnumbered clinics that offer abortion care nationally by an average ratio of 3 to 1.\u003c/p>\n\u003cp>In California, roughly 170 anti-abortion centers continue to operate — and at least 10 have received state funding through Medi-Cal reimbursements, also according to the Alliance study, which noted that “[i]nvestment of public money in CPCs is escalating, especially in the states, with virtually no government oversight, accountability, or transparency.” An untold number of centers also received both federal and state funds during the pandemic through the Paycheck Protection Program.\u003c/p>\n\u003cp>In Napa, as daylight wanes, the 40 Days for Life volunteers pack up their things; Conemac likes to focus on the hours of 10 a.m. to 3 p.m., since that’s when she believes Planned Parenthood pharmacists give out RU-486, otherwise known as the abortion pill. (This location does not perform surgical abortions.) In her place, a group of teenage volunteers from the organization gathers with anti-abortion signs, and stands laughing and talking, flanking the space between the two centers.\u003c/p>\n\u003cfigure id=\"attachment_11937681\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2023/01/RS59814_039_KQED_CrisisPregnancyCenter_11042022-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11937681 size-medium\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/01/RS59814_039_KQED_CrisisPregnancyCenter_11042022-qut-800x600.jpg\" alt=\"a row of young teens holds anti-abortion signs on the sidewalk in between a Planned Parenthood and a crisis pregnancy center. From across the street, they seem to be diverse in terms of ethnicity, age., and gender.\" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS59814_039_KQED_CrisisPregnancyCenter_11042022-qut-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS59814_039_KQED_CrisisPregnancyCenter_11042022-qut-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS59814_039_KQED_CrisisPregnancyCenter_11042022-qut-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS59814_039_KQED_CrisisPregnancyCenter_11042022-qut-1536x1152.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS59814_039_KQED_CrisisPregnancyCenter_11042022-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Young volunteers for 40 Days for Life stand with anti-abortion signs on the sidewalk between Planned Parenthood and the Napa Women’s Center in Napa on Oct. 28, 2022. \u003ccite>(Emma Silvers/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Some of them look to be around 17. That’s the age Lynda Metz was when she first set foot in an anti-abortion center, scared and confused. Some 27 years later, Metz — now a proudly pro-abortion-rights grandmother still living in a conservative area of Arkansas — can’t help but think about her experience. For one, that center is still in operation, and occasionally she has to drive by it. Or she’ll see a sign from a local business announcing they donate to that facility, and she makes a mental note not to shop there.\u003c/p>\n\u003cp>She also makes a point to talk to other young women in her community, and lets them know they have options. However, as Arkansas is now a state where abortion is “completely banned with very limited exceptions,” according to the Guttmacher Institute, those options are severely limited: A person seeking an abortion has to drive \u003ca href=\"https://states.guttmacher.org/policies/arkansas/abortion-statistics\">an average of more than 300 miles one-way to visit a clinic\u003c/a> that offers them.\u003c/p>\n\u003cp>Mostly, when Metz thinks about her experience, it still feels fresh, and she still feels confused. She can place herself in that room, trapped with that woman and the Bible, realizing she was not going to receive any support or information about her health.\u003c/p>\n\u003cp>“I felt tricked,” she says. And nearly three decades later, she says, “I still just don’t understand. It’s not a necessary service. You are literally tricking people into thinking that this is a certified health clinic.\u003c/p>\n\u003cp>“I mean, how is this still legal?”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003ci>This story has been updated to reflect The Associated Press’ new guidance on language to describe anti-abortion centers.\u003c/i>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"In California, a supposed sanctuary state for reproductive rights, Christian anti-abortion centers outnumber abortion care clinics by 20%.","status":"publish","parent":0,"modified":1706210242,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":75,"wordCount":4987},"headData":{"title":"Inside the Anti-Abortion Movement’s Crisis Pregnancy Centers","description":"In California, a supposed sanctuary state for reproductive rights, Christian crisis pregnancy centers outnumber abortion care clinics by 20%.","ogTitle":"The Anti-Abortion Movement Next Door","ogDescription":"In California, a supposed sanctuary state for reproductive rights, Christian crisis pregnancy centers outnumber abortion care clinics by 20%.","ogImgId":"","twTitle":"The Anti-Abortion Movement Next Door","twDescription":"In California, a supposed sanctuary state for reproductive rights, Christian crisis pregnancy centers outnumber abortion care clinics by 20%.","twImgId":"","socialTitle":"Inside the Anti-Abortion Movement’s Crisis Pregnancy Centers","socialDescription":"In California, a supposed sanctuary state for reproductive rights, Christian crisis pregnancy centers outnumber abortion care clinics by 20%."},"audioUrl":"https://traffic.omny.fm/d/clips/0af137ef-751e-4b19-a055-aaef00d2d578/ffca7e9f-6831-41c5-bcaf-aaef00f5a073/96af5a34-f15d-46e0-bcda-af9101058e3d/audio.mp3","sticky":false,"excludeFromSiteSearch":"Include","articleAge":"0","path":"/news/11937191/abortion-crisis-pregnancy-centers-reproductive-rights-california-roe-v-wade","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003c/p>\u003cp>\u003cspan class=\"utils-parseShortcode-shortcodes-__dropcapShortcode__dropcap\">O\u003c/span>\u003c/p>\u003cp>n a sunny October afternoon, a young woman exits the Planned Parenthood office in Napa carrying a small white paper bag. She hasn’t taken more than five steps toward her car before she’s approached: “Hi, can I give you some information about free resources?”\u003c/p>\n\u003cp>It’s the Friday before Halloween of 2022, four months after the Supreme Court issued its landmark decision that overturned Roe v. Wade, \u003ca href=\"https://www.npr.org/sections/health-shots/2022/06/24/1107126432/abortion-bans-supreme-court-roe-v-wade\">leading to bans on most abortions in about 13 states\u003c/a> (so far). It’s about a week before the midterms, when California voters will decide to \u003ca href=\"https://www.kqed.org/news/11931183/californians-vote-to-protect-abortion-in-constitution\">enshrine the right to an abortion in the state constitution\u003c/a>.\u003c/p>\n\u003cp>But today, here in Napa, the abortion conversation looks like this: A woman named Teresa Conemac sits on a stool steps away from the Planned Parenthood entrance, wearing scrubs and a badge that reads “client advocate,” praying and performing what she and her fellow volunteers with the Christian anti-abortion organization \u003ca href=\"https://www.40daysforlife.com/en/\">40 Days for Life\u003c/a> call “sidewalk counseling.” She talks to people approaching or exiting the clinic, and gives them pamphlets featuring widely debunked claims about the dangers of abortion and birth control.\u003c/p>\n\u003cfigure id=\"attachment_11937384\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2023/01/RS59821_009_KQED_CrisisPregnancyCenter_11042022-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11937384 size-medium\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/01/RS59821_009_KQED_CrisisPregnancyCenter_11042022-qut-800x533.jpg\" alt=\"a older white woman in orange scrubs talks to a Black woman in dark clothing outside a Planned Parenthood health clinic\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS59821_009_KQED_CrisisPregnancyCenter_11042022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS59821_009_KQED_CrisisPregnancyCenter_11042022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS59821_009_KQED_CrisisPregnancyCenter_11042022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS59821_009_KQED_CrisisPregnancyCenter_11042022-qut-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS59821_009_KQED_CrisisPregnancyCenter_11042022-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Conemac talks to a person leaving a Planned Parenthood clinic in Napa. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Conemac also tells them about resources at, and distributes cards for, the facility next door: the \u003ca href=\"https://www.youtube.com/watch?v=3xuUaKU87J8\">Napa Women’s Center\u003c/a>, opened by the Christian nonprofit Napa Valley Culture of Life in 2020. No medical professionals work at this facility, but a visitor can take a free pregnancy test, learn about adoption agencies and pick up pamphlets that inaccurately link abortion to \u003ca href=\"https://www.cancer.org/healthy/cancer-causes/medical-treatments/abortion-and-breast-cancer-risk.html\">breast cancer\u003c/a>, \u003ca href=\"https://www.nytimes.com/2019/05/30/well/can-an-abortion-affect-your-fertility.html\">infertility\u003c/a>, \u003ca href=\"https://www.apa.org/monitor/2022/09/news-facts-abortion-mental-health\">depression\u003c/a> and \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/22270271/\">death\u003c/a>.\u003c/p>\n\u003cp>The Napa Women’s Center is an anti-abortion center — sometimes known as a “crisis pregnancy center.” It’s one of approximately 3,000 such facilities across the country. Established by faith-based organizations, anti-abortion centers exist primarily to dissuade people from having abortions. They often attract clients by opening in close proximity to abortion care clinics and by advertising reproductive health services, despite the vast majority operating without medical licensing.\u003c/p>\n\u003cp>In Napa, it is no accident that an anti-abortion center operates right next to the city’s lone Planned Parenthood, in a state of uneasy tension, on one small city block. Connected by a 6-foot wooden fence, their facades are plain, and notably similar to the casual observer.\u003c/p>\n\u003cp>But behind those doors lie two vastly different worlds. For a pregnant person seeking health care, the choice of which one to enter comes with potentially life-changing consequences. None of the \u003ca href=\"https://www.kqed.org/news/11926949/newsom-signs-slate-of-abortion-protection-bills\">new state laws aimed at strengthening abortion rights\u003c/a> can help a patient who’s standing on the sidewalk outside, deciding between the two, confused about what they’re seeing. And as long as California fails to regulate anti-abortion centers, advocates say, calling itself a sanctuary state won’t change a thing about that.\u003c/p>\n\u003ch2>‘We don’t have a moment to lose’\u003c/h2>\n\u003cp>Anti-abortion centers have existed in some form since the late 1960s, when Catholic activists first sought to counter the growing legalization of abortion in the United States. After the U.S. Supreme Court ruled that the right to an abortion was protected by the Constitution in its 1973 Roe v. Wade decision — which, had it been upheld, would have celebrated a 50th anniversary Jan. 22 — the so-called crisis pregnancy center movement expanded to include evangelical Christians. That expansion led to networks like Heartbeat International, which operates more than 2,000 centers worldwide.\u003c/p>\n\u003cp>Anti-abortion centers proliferated throughout the ’90s and aughts, in part thanks to federal grants for abstinence-only education under President George W. Bush; many received further federal funds due to \u003ca href=\"https://www.kqed.org/news/11730464/california-sues-trump-administration-over-new-abortion-restrictions\">changes made to Title X under the Trump administration\u003c/a>. In 2019, for example, the California-based network of centers calling itself Obria Medical Clinics — which operates in Oakland, Redwood City, Union City and San José — was awarded $5.1 million over three years by the U.S. Department of Health and Human Services.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"Related Stories ","postid":"news_11934819,news_11931183"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>But with the fall of Roe, abortion-rights advocates say these centers have assumed an even more powerful role in the landscape, becoming an increasingly valuable tool in the anti-abortion movement’s arsenal. At the same time, advocates charge, anti-abortion centers only intensify the inequities in abortion access along racial and socioeconomic lines.\u003c/p>\n\u003cp>These centers’ impact might be most dramatic in the \u003ca href=\"https://www.nytimes.com/interactive/2022/us/abortion-laws-roe-v-wade.html\">26 states that either recently banned or plan to heavily restrict abortions\u003c/a>, where even seeking out abortion information could put a pregnant person on the wrong side of the law. But advocates say anti-abortion centers also play a surprisingly significant role in blue states like California, where they \u003ca href=\"https://www.cwlc.org/report-shows-anti-abortion-cpcs-receive-federal-and-state-funding-to-mislead-clients-provide-few-services/#:~:text=The%20number%20of%20CPCs%20in,than%20CPCs%20in%20other%20states\">outnumber clinics that provide abortions by 20%\u003c/a> — and where as many as \u003ca href=\"https://law.ucla.edu/sites/default/files/PDFs/Center_on_Reproductive_Health/California_Abortion_Estimates.pdf?campaign_id=49&emc=edit_ca_20220627&instance_id=65130&nl=california-today®i_id=161520323&segment_id=96906&te=1&user_id=fa2fb80d2a88c6eb21eaedcb8ce6386f\">16,000 people are now expected to travel each year in search of abortion care (PDF)\u003c/a>.\u003c/p>\n\u003cp>“This is one of those issues where time is of the essence to the women who are involved, whose lives are at stake,” says former Los Angeles City Attorney Mike Feuer of the lack of regulation around anti-abortion centers. “And because of what’s happening nationally, we don’t have a moment to lose.”\u003c/p>\n\u003cp>In his last months as city attorney in 2022, Feuer successfully introduced a city ordinance that makes it punishable by up to $10,000 for a facility to “mislead women into believing they offer a full range of reproductive health services, including abortion or abortion referrals” when they do not.\u003c/p>\n\u003cp>“We may already be in a situation where women who are utterly desperate to exercise their full reproductive choices are coming to our city,” says Feuer. “And we need to ensure that when they do, no pregnancy center misleads them about their services and what their options are.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘Working at medical facilities, we have so many regulations on everything we do. But then these places that are \u003cem>not\u003c/em> medical facilities — that are disguising themselves as medical facilities — are totally unregulated? It makes no sense.’","name":"pullquote","attributes":{"named":{"align":"right","size":"medium","citation":"Christine Henneberg, Bay Area OB-GYN and author","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Going unmentioned in LA’s new ordinance is how difficult it’s proven to regulate these facilities — Democratic lawmakers have been trying, and mostly failing, for years. Most recently, California’s 2015 \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160AB775\">Reproductive FACT Act\u003c/a> required reproductive health care facilities to inform clients about the state’s programs that provide low-cost or free contraception and abortion, and forced unlicensed centers to post notices acknowledging that they were not licensed health care providers.\u003c/p>\n\u003cp>In 2018, after the law was challenged by an anti-abortion legal organization, the \u003ca href=\"https://www.npr.org/2018/06/26/606427673/supreme-court-sides-with-california-anti-abortion-pregnancy-centers\">U.S. Supreme Court voted 5–4 to strike it down\u003c/a> on the grounds that it violated the First Amendment.\u003c/p>\n\u003cp>For \u003ca href=\"https://christinehenneberg.com/\">Christine Henneberg\u003c/a>, a Bay Area OB-GYN and abortion provider — who says “a fair number” of her patients have interacted with an anti-abortion center by the time they land in her office — the \u003ca href=\"https://www.latimes.com/opinion/story/2022-06-22/crisis-pregnancy-centers-abortion-deception-regulation\" target=\"_blank\" rel=\"noopener noreferrer\">continued lack of regulation\u003c/a> is “absurd.”\u003c/p>\n\u003cp>“Working at medical facilities, we have so many regulations on everything we do,” says Henneberg. “But then these places that are \u003cem>not\u003c/em> medical facilities — that are disguising themselves as medical facilities — are totally unregulated? It makes no sense.”\u003c/p>\n\u003cp>Absent meaningful regulation, some agencies have focused on education: In June of 2022, California Attorney General Rob Bonta issued \u003ca href=\"https://oag.ca.gov/news/press-releases/attorney-general-bonta-issues-consumer-alert-warning-californians-crisis\">a consumer alert about anti-abortion centers\u003c/a>. And the state’s new hub for abortion resources, abortion.ca.gov, includes a section on \u003ca href=\"https://abortion.ca.gov/find-a-provider/#fake-abortion-information\">how to spot the differences between such centers and legitimate clinics that offer abortion care\u003c/a>.\u003c/p>\n\u003cp>But to Henneberg, it’s unfair to put the onus of research on the consumer.\u003c/p>\n\u003cp>“When you send a patient to get their tonsils removed, the language is of informed consent: You tell them the risks, benefits and alternatives that you can offer them. That is the physician’s responsibility in an ethical sense, and it’s the law,” she says. “You don’t assume, oh, well, they can find out for themselves … it boggles my mind that anyone would think it’s the responsibility of the consumer seeking a legal service to figure this out on their own.”\u003c/p>\n\u003ch2>‘Patients get confused’\u003c/h2>\n\u003cp>Lynda Metz knew immediately that the building she’d entered wasn’t a health clinic. But it was 1995, she was 17, and the center had been the first thing listed when she looked up “pregnancy test” in the Yellow Pages. Pregnant and terrified in a strict Southern Baptist community north of Little Rock, Arkansas, she was happy to take whatever free services were closest to home.\u003c/p>\n\u003cp>“There was nothing clinical about it,” recalls Metz, who went on to have two children by the age of 20. “I peed on the stick, and then a woman pulled me into a room and took out her Bible … and kind of held me hostage for two hours. She showed me pictures of little plastic babies with arms and legs and said, ‘This is what your baby looks like now.’ There was nothing about how to [take care of myself]. Their focus was just baby, baby, baby.”\u003c/p>\n\u003cfigure id=\"attachment_11937406\" class=\"wp-caption aligncenter\" style=\"max-width: 1534px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11937406\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/01/Screen-Shot-2023-01-08-at-2.46.20-PM.png\" alt=\"a young teen girl with brown hair in a school photo at left, and in a portrait with her infant son on the right\" width=\"1534\" height=\"864\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/Screen-Shot-2023-01-08-at-2.46.20-PM.png 1534w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/Screen-Shot-2023-01-08-at-2.46.20-PM-800x451.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/Screen-Shot-2023-01-08-at-2.46.20-PM-1020x574.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/Screen-Shot-2023-01-08-at-2.46.20-PM-160x90.png 160w\" sizes=\"(max-width: 1534px) 100vw, 1534px\">\u003cfigcaption class=\"wp-caption-text\">On the left, Lynda Metz in a photo from her sophomore year of high school, the year before she became pregnant. On the right, Metz a month before her 18th birthday, with her son Matthew. \u003ccite>(Courtesy Lynda Metz)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Nearly three decades later, search engines have taken the place of the Yellow Pages — with arguably more complicated results. Last August, responding to mounting public pressure, both \u003ca href=\"https://www.cnn.com/2022/08/23/tech/yelp-crisis-pregnancy-centers/index.html\">Yelp\u003c/a> and \u003ca href=\"https://www.washingtonpost.com/technology/2022/08/25/google-maps-abortions/\">Google Maps\u003c/a> announced that their apps would begin labeling so-called crisis pregnancy centers differently from health clinics that provide abortion care.\u003c/p>\n\u003cp>It would appear they’ve followed through, to a point: Up until July, a search for “abortion” on Google Maps returned nearly two dozen anti-abortion centers across the Bay Area’s nine counties, including one in San Francisco, one in Oakland and several in the South Bay. Six months later, that’s no longer the case. However, a search for “pregnancy center” or “women’s clinic” still returns most of these centers. And \u003ca href=\"https://www.bloomberg.com/graphics/2022-google-search-abortion-clinic-crisis-pregnancy-center-ads/\">paid advertisements for anti-abortion centers still regularly appear in Google’s search results\u003c/a> without any disclaimers.\u003c/p>\n\u003cp>Carly Thomsen, assistant professor of gender and sexuality at Middlebury College in Vermont, thinks the algorithm update was a small, overdue step in the right direction — but she doesn’t expect it to put much of a dent in anti-abortion centers’ business model.\u003c/p>\n\u003cp>“I can see how people would think crisis pregnancy centers are using technology to transform their approach, but I actually don’t think that’s true. I think technology has allowed them to make their same strategies more sophisticated and more wide-reaching,” says Thomsen, who recently co-authored a \u003ca href=\"https://www.nytimes.com/interactive/2022/05/12/opinion/crisis-pregnancy-centers-roe.html\">deeply researched opinion piece on these facilities for \u003cem>The New York Times\u003c/em>\u003c/a>. “And that strategy is to use scare tactics and deception to make claims about what they will offer you in terms of support, even though they’re never held accountable for any of these things.”\u003c/p>\n\u003cfigure id=\"attachment_11937631\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2023/01/RS60260_002_KQED_AlphaPregnancyCenter_11172022-qut-1.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11937631\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/01/RS60260_002_KQED_AlphaPregnancyCenter_11172022-qut-1-800x533.jpg\" alt='a mural that says \"live life love\" is seen on the side of a building labeled \"alpha pregnancy center\"' width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS60260_002_KQED_AlphaPregnancyCenter_11172022-qut-1-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS60260_002_KQED_AlphaPregnancyCenter_11172022-qut-1-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS60260_002_KQED_AlphaPregnancyCenter_11172022-qut-1-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS60260_002_KQED_AlphaPregnancyCenter_11172022-qut-1-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS60260_002_KQED_AlphaPregnancyCenter_11172022-qut-1.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The Alpha Pregnancy Center, a faith-based anti-abortion center on Mission Street in the Excelsior neighborhood of San Francisco. After months of public pressure, Google Maps recently updated its algorithm so this center no longer appears when a user searches the word ‘abortion.’ \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>As a graduate student at UC Santa Barbara, Thomsen was part of a successful effort in 2010 to ban anti-abortion centers from advertising on campus. It’s still the only school, to her knowledge, with that restriction.\u003c/p>\n\u003cp>But perhaps the most insidious tactic, says Thomsen, remains simple geography: By design, religious groups open anti-abortion centers in close proximity to clinics that offer abortion care. In Thomsen’s research on these geographic relationships, she found that more than 99% of clinics that offer abortion care nationwide have an anti-abortion center located close by.\u003c/p>\n\u003cp>“Any place there’s an abortion clinic, there’s a crisis pregnancy center,” she says. “And that’s very intentional.”\u003c/p>\n\u003cp>In other words, say experts: these facilities count on vulnerable people making mistakes.\u003c/p>\n\u003cp>That dynamic is especially evident in places like Napa, where anti-abortion activists work blatantly to direct people away from Planned Parenthood and toward the Napa Women’s Center.\u003c/p>\n\u003cp>“Patients get confused,” says Gloria Martinez, senior director of operations for Planned Parenthood Northern California, of the situation at those two facilities. “Especially if it’s their first time with us or visiting that location, and there’s this person out there in scrubs and this person is telling them, ‘Oh, come over here instead.’”\u003c/p>\n\u003cp>While a \u003ca href=\"https://napavalleyregister.com/news/local/napa-council-votes-for-30-foot-buffer-at-planned-parenthood-center-after-years-of-abortion/article_5338519e-c089-5a82-8bcd-562d833ea369.html\">so-called buffer zone\u003c/a> is supposed to render the clinic’s entrance off-limits to protesters, Martinez says local law enforcement seems hesitant to enforce it due to fears “that the opposition will take action against them” with lawsuits that claim the buffer violates their First Amendment rights.\u003c/p>\n\u003cp>The presence of protesters is one major reason this Napa location of Planned Parenthood is scheduled to close in 2023 after more than 20 years. It will reopen in a new, larger facility elsewhere in Napa — staff are hesitant to say exactly where, lest anti-abortion activists begin planning protests there as well — in the hopes of a better patient experience.\u003c/p>\n\u003cp>As for the current patient experience, it’s difficult to quantify exactly how many people who intend to visit Planned Parenthood end up at the anti-abortion center next door. But there are indicators. During the twice-yearly campaigns by 40 Days for Life — in which anti-abortion protesters are present in larger numbers for, yes, 40 days — Martinez says the no-show rate for appointments at that Planned Parenthood doubles: It normally hovers at around 19%, but during campaigns, the number “skyrockets to 40, sometimes 50%.”\u003c/p>\n\u003cfigure id=\"attachment_11937702\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2023/01/RS59835_022_KQED_CrisisPregnancyCenter_11042022-qut-2.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11937702 size-medium\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/01/RS59835_022_KQED_CrisisPregnancyCenter_11042022-qut-2-800x533.jpg\" alt=\"The hand of an older white woman holds a pamphlet describing inaccurate side effects of abortions\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS59835_022_KQED_CrisisPregnancyCenter_11042022-qut-2-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS59835_022_KQED_CrisisPregnancyCenter_11042022-qut-2-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS59835_022_KQED_CrisisPregnancyCenter_11042022-qut-2-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS59835_022_KQED_CrisisPregnancyCenter_11042022-qut-2-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS59835_022_KQED_CrisisPregnancyCenter_11042022-qut-2.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">40 Days for Life volunteer Teresa Conemac holds pamphlets she distributes outside Planned Parenthood in Napa. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“It’s just another barrier [for patients], when there are already so many barriers,” says Martinez. “So many of our patients are low-income, or maybe they’re facing a language barrier or a transportation barrier.\u003c/p>\n\u003cp>“And then this is another layer that they have to face: harassment. Harassment when seeking health care.”\u003c/p>\n\u003ch2>Targeting communities of color\u003c/h2>\n\u003cp>Even if a person mistakenly visits an anti-abortion center, then eventually finds their way to a clinic that offers abortion care, it’s difficult to overstate the trauma that such an experience can inflict, says Susy Chávez Herrera, communications director for California Latinas for Reproductive Justice in Los Angeles (CLRJ).\u003c/p>\n\u003cp>“It can be really intense, and it can really hurt a person’s well-being,” says Chávez Herrera. “Whether physically, by delaying a procedure that might be needed for medical reasons, or mentally, because of the toll it takes on folks who are seeking a medical service and met with this series of misinformation.”\u003c/p>\n\u003cp>That may be especially true considering the already vulnerable communities targeted by anti-abortion centers, according to advocates: immigrants, first-generation Americans, Black and Latinx people, young people and people from lower-income families living in rural areas.\u003c/p>\n\u003cfigure id=\"attachment_11938511\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2024/01/IMG_2166-scaled.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11938511\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2024/01/IMG_2166-800x529.jpg\" alt='pamphlets in English and Spanish on a shelf show a Black woman and a Latina woman who are pregnant. The pamphlet is titled \"the first 9 months\"' width=\"800\" height=\"529\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/IMG_2166-800x529.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/IMG_2166-1020x675.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/IMG_2166-160x106.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/IMG_2166-1536x1016.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/IMG_2166-2048x1355.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/IMG_2166-1920x1270.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Pamphlets available at the Alpha Pregnancy Center in San Francisco. The APC, unlike the majority of anti-abortion centers, has a medical license. \u003ccite>(Emma Silvers/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“We know they target the Latinx community,” says Chávez Herrera. “Just driving down the street here in LA, you see billboards from these groups, with this misinformation, in neighborhoods that we know have largely Latinx communities. And we know these anti-abortion clinics set up shop in our communities.”\u003c/p>\n\u003cp>A study by The Alliance, a consortium of law organizations and policy groups studying reproductive justice, found that \u003ca href=\"https://alliancestateadvocates.org/wp-content/uploads/sites/107/Alliance-CPC-Study-Designed-to-Deceive.pdf\">some anti-abortion centers try to appeal to Black communities (PDF)\u003c/a> — which already face disproportionate maternal mortality rates — by “blackwashing” their websites or pamphlets, prominently featuring images of Black women.\u003c/p>\n\u003cp>In the Latinx community, advocates say anti-abortion centers prey on fears undocumented immigrants might have about visiting a government-funded health clinic, wary that it could lead to deportation; others note that anti-abortion centers make a point of advertising on Spanish-language radio.\u003c/p>\n\u003cfigure id=\"attachment_11937634\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2023/01/Screen-Shot-2022-12-07-at-4.53.34-PM.png\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11937634\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/01/Screen-Shot-2022-12-07-at-4.53.34-PM-800x439.png\" alt=\"a screenshot of a spanish language website of a crisis pregnancy center called real options medical clinics, featuring a woman in scrubs talking to another woman, a patient\" width=\"800\" height=\"439\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/Screen-Shot-2022-12-07-at-4.53.34-PM-800x439.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/Screen-Shot-2022-12-07-at-4.53.34-PM-1020x560.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/Screen-Shot-2022-12-07-at-4.53.34-PM-160x88.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/Screen-Shot-2022-12-07-at-4.53.34-PM-1536x844.png 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/Screen-Shot-2022-12-07-at-4.53.34-PM-2048x1125.png 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/Screen-Shot-2022-12-07-at-4.53.34-PM-1920x1055.png 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A screenshot from the website of Obria Medical Clinics, a network of anti-abortion centers that operates five facilities in the Bay Area, funded partially by federal grants it received under the Trump administration. Obria clinics also advertise that they accept Medi-Cal, which means their clinics receive reimbursements from the taxpayer-funded state program.\u003c/figcaption>\u003c/figure>\n\u003cp>Care Net, one of the two biggest national networks of anti-abortion centers, has had \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9189146/\">a programming arm explicitly devoted to outreach in Black and Latinx communities\u003c/a> since 2003, according to a study in the \u003cem>International Journal of Women’s Health\u003c/em>. Initially dubbed the “Urban Initiative,” tactics include advertising on Black Entertainment Television (BET) and “drawing comparisons between abortion and slavery.”\u003c/p>\n\u003cp>“There’s no question that they target communities of color,” says Thomsen. “So we also need to be talking about crisis pregnancy centers as something that is impeding racial justice.”\u003c/p>\n\u003cfigure id=\"attachment_11937639\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2023/01/Screen-Shot-2022-12-07-at-4.51.42-PM.png\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11937639\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/01/Screen-Shot-2022-12-07-at-4.51.42-PM-800x338.png\" alt=\"a Black woman is seen on a website for the Alpha Pregnancy Center, a Christian anti-abortion center \" width=\"800\" height=\"338\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/Screen-Shot-2022-12-07-at-4.51.42-PM-800x338.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/Screen-Shot-2022-12-07-at-4.51.42-PM-1020x431.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/Screen-Shot-2022-12-07-at-4.51.42-PM-160x68.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/Screen-Shot-2022-12-07-at-4.51.42-PM-1536x650.png 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/Screen-Shot-2022-12-07-at-4.51.42-PM-2048x866.png 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/Screen-Shot-2022-12-07-at-4.51.42-PM-1920x812.png 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A screenshot from the website of the Alpha Pregnancy Center, an anti-abortion center in San Francisco.\u003c/figcaption>\u003c/figure>\n\u003cp>One small step in the right direction, according to abortion rights advocates, is \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202120220AB2586\">Assembly Bill 2586\u003c/a>, which was signed by Gov. Gavin Newsom in September as a means of addressing “the reproductive and sexual health inequities that Black, Indigenous and other communities of color face” by issuing grants to community-based organizations that focus on culturally relevant care.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘There’s no question that they target communities of color. So we also need to be talking about crisis pregnancy centers as something that is impeding racial justice.’","name":"pullquote","attributes":{"named":{"align":"right","size":"medium","citation":"Carly Thomsen, assistant professor of gender and sexuality, Middlebury College","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>The bill’s text included a pointed section about how the “dissemination of misinformation … particularly at the hands of organizations with a demonstrated interest in limiting choice that often misrepresent themselves as health centers, imposes a harmful barrier to reproductive health care access, especially for communities most impacted by a number of other obstacles to care.”\u003c/p>\n\u003cp>While abortion-rights advocates applaud the bill — CLRJ endorsed it enthusiastically — some also note that funding legitimate reproductive health organizations does little to directly curtail the impact that anti-abortion centers have in communities of color, the result of decades of groundwork by anti-abortion activists.\u003c/p>\n\u003cp>“What we’re talking about is an organized campaign of misinformation,” says Chávez Herrera. “And that has been around since well before the repeal [of Roe v. Wade], even in states that are trying to protect abortion rights.”\u003c/p>\n\u003ch2>‘God works in mysterious ways’\u003c/h2>\n\u003cp>On the street in Napa, as Conemac and a fellow volunteer perform their “sidewalk counseling” next to signs they’ve brought that read “EXPOSE PLANNED PARENTHOOD,” people drive by and honk every few minutes in response. In some cases the honk is followed by a middle finger, or a yelled epithet. They also receive thumbs-up signals, and in one case a shout of “God bless you!”\u003c/p>\n\u003cp>But inside the Napa Women’s Center, it’s quiet; the paint and furniture are all soothing beige and pastels. In a room often used to counsel pregnant people, Julie Murillo, executive director of the center, declines to estimate what percentage of the people entering the center are doing so mistakenly, thinking they will be able to access birth control or abortion care. It happens, she says casually, “all the time.”\u003c/p>\n\u003cfigure id=\"attachment_11937694\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2023/01/RS59827_012_KQED_CrisisPregnancyCenter_11042022-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11937694\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/01/RS59827_012_KQED_CrisisPregnancyCenter_11042022-qut-800x533.jpg\" alt=\"a car with signs that read 'expose planned parenthood' outside a crisis pregnancy center\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS59827_012_KQED_CrisisPregnancyCenter_11042022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS59827_012_KQED_CrisisPregnancyCenter_11042022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS59827_012_KQED_CrisisPregnancyCenter_11042022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS59827_012_KQED_CrisisPregnancyCenter_11042022-qut-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS59827_012_KQED_CrisisPregnancyCenter_11042022-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A car with signs for the organization 40 Days for Life sits outside the Napa Women’s Center, an anti-abortion center opened by faith-based nonprofit Napa Valley Culture of Life. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“I tell them that we’re not Planned Parenthood, we’re the Napa Women’s Center, and then I ask them if we can help them on what they need,” she says. She’s seated by a shelf full of English and Spanish brochures with titles like “Life Before Birth,” “What You Need to Know About Abortion Procedures” and one advertising information about “abortion pill reversal” — an experimental hormonal treatment not approved by the FDA, which the American College of Obstetricians and Gynecologists has said is potentially dangerous and not supported by science.\u003c/p>\n\u003cp>“We’re not here to lie to anybody,” says Murillo. “We are here to try and tell them the truth about what happens to their bodies, and to help them make good decisions for their life.”\u003c/p>\n\u003cfigure id=\"attachment_11937683\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2023/01/RS59850_038_KQED_CrisisPregnancyCenter_11042022-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11937683 size-medium\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/01/RS59850_038_KQED_CrisisPregnancyCenter_11042022-qut-800x533.jpg\" alt=\"Three printed-out signs advertising, among other things, 'abortion pill reversal' in a row of glass panels in a front door.\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS59850_038_KQED_CrisisPregnancyCenter_11042022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS59850_038_KQED_CrisisPregnancyCenter_11042022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS59850_038_KQED_CrisisPregnancyCenter_11042022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS59850_038_KQED_CrisisPregnancyCenter_11042022-qut-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS59850_038_KQED_CrisisPregnancyCenter_11042022-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Signs on the door for the Napa Women’s Center advertise ‘abortion pill reversal’ at the facility in Napa on Nov. 4, 2022. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Like most anti-abortion centers, the Napa Women’s Center has no medical professionals on staff. But the organization is in the process of recruiting a nurse practitioner; then, the center plans to begin offering ultrasounds, which anti-abortion activists consider a powerful tool in dissuading a person from having an abortion.\u003c/p>\n\u003cp>The Alpha Pregnancy Center in San Francisco may be an example of what many anti-abortion centers would like to achieve. The facility — which is not located near an abortion care clinic, and which states clearly on its website that it does not offer abortions — \u003ca href=\"https://www.alphapc.org/our-beginnings\">was founded by a group of pastors in 1983. \u003c/a>But the center completed a two-year process to obtain a medical license in 2015, and now has a full-time registered nurse overseeing its medical services, including ultrasounds.\u003c/p>\n\u003cp>For certified OB-GYNs like Henneberg, ultrasounds are also, notably, often the first indication that a patient has mistakenly been to an anti-abortion center before landing in a legitimate medical office.\u003c/p>\n\u003cp>“They’ll ask me questions like, ‘Do I have to look at the ultrasound?’ And I’ll say, ‘No, of course not.’ And they’ll say, ‘Oh, well, the other place made me look at the ultrasound, and I really don’t wanna see it,’” she says. In some cases, according to several reports, \u003ca href=\"https://19thnews.org/2021/10/crisis-pregnancy-centers-ultrasounds-accuracy-stakes/\">an anti-abortion center might perform an ultrasound, then show patients a falsified image of a fetus at a later stage of development\u003c/a> to dissuade them from seeking an abortion.\u003c/p>\n\u003cp>“If you probe a little, often you’ll hear, ‘Yeah, I went to this place first and they told me not to get [an abortion]. And they’re obviously usually annoyed by that,” says Henneberg. “That’s not why they went there.”\u003c/p>\n\u003cfigure id=\"attachment_11937400\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2023/01/RS59830_014_KQED_CrisisPregnancyCenter_11042022-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11937400\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/01/RS59830_014_KQED_CrisisPregnancyCenter_11042022-qut-800x533.jpg\" alt=\"a gray building with words that say 'free pregnancy tests' and 'Napa Women's Center, health and wellness matter'\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS59830_014_KQED_CrisisPregnancyCenter_11042022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS59830_014_KQED_CrisisPregnancyCenter_11042022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS59830_014_KQED_CrisisPregnancyCenter_11042022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS59830_014_KQED_CrisisPregnancyCenter_11042022-qut-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS59830_014_KQED_CrisisPregnancyCenter_11042022-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The Napa Women’s Center, a facility opened by faith-based nonprofit Napa Valley Culture of Life, advertises free pregnancy tests. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Murillo remains adamant that Napa Women’s Center staff are not out to trick anyone. And she says that while the center and 40 Days for Life share the same beliefs about abortion — they are hoping to “help people choose life” — they are separate organizations. (Technically, the two nonprofits do have separate tax ID numbers. But in a video advertising the Napa Women’s Center, Napa Valley Culture of Life president Gerry Cruz details how the center grew directly out of 40 Days for Life’s 2009 campaign in front of Planned Parenthood. Volunteers and staff are on a first-name basis, many belong to the same church, and so on.)\u003c/p>\n\u003cp>In discussing the center’s offerings, Murillo is especially proud of the center’s “baby boutique”: In exchange for watching videos on relationships, fetal development and parenting, visitors can earn points, which can be exchanged for diapers or formula.\u003c/p>\n\u003cp>As for Murillo, she comes from a wine and hospitality background. “God works in mysterious ways,” she says, by way of explaining how she landed in this profession, which amounts to a combination of unlicensed social work and, ostensibly, distributing medical information. “You never know where you’re going to end up, and sometimes you just say yes.”\u003c/p>\n\u003ch2>‘I felt tricked’\u003c/h2>\n\u003cp>There are encouraging signs, say some abortion-rights advocates, that anti-abortion centers may finally be garnering attention. In June, a group of four Democratic congressmembers including Sen. Elizabeth Warren introduced the \u003ca href=\"https://www.congress.gov/bill/117th-congress/senate-bill/4469/text?r=18&s=1\">Stop Anti-Abortion Disinformation Act\u003c/a>, which would have the Federal Trade Commission issue rules regarding deceptive advertising by anti-abortion centers. And the newly formed \u003ca href=\"https://oag.ca.gov/news/press-releases/attorney-general-bonta-launches-california-reproductive-rights-task-force\">California Reproductive Rights Task Force\u003c/a> lists “enforcing consumer protection laws against deceptive or unlawful conduct concerning reproductive healthcare” as one of its objectives.\u003c/p>\n\u003cp>But the anti-abortion movement may already be adjusting its strategies in response. Anti-abortion activists have explicitly stated that they view the Dobbs decision as a chance to expand their networks, including opening new centers. The National Institute of Family and Life Advocates has led an effort to help existing anti-abortion centers hire trained nurses and obtain medical licensing — potentially shielding them from lawsuits about false advertising. And some facilities have increasingly touted their so-called baby boutiques, branding themselves primarily as charities, though due to lack of oversight there’s very little data on how much they actually give away.\u003c/p>\n\u003cfigure id=\"attachment_11937697\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2023/01/GettyImages-1403119190-scaled.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11937697\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/01/GettyImages-1403119190-800x533.jpg\" alt=\"a white woman with short blond and gray hair in a pink suit speaks in front of the Capitol building\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/GettyImages-1403119190-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/GettyImages-1403119190-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/GettyImages-1403119190-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/GettyImages-1403119190-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/GettyImages-1403119190-2048x1365.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/GettyImages-1403119190-1920x1280.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Sen. Elizabeth Warren (D-MA), seen here speaking about abortion rights at a press conference on June 15, 2022, is one of the members of Congress behind the Stop Anti-Abortion Disinformation Act, which would have the Federal Trade Commission issue rules regarding deceptive advertising by anti-abortion centers. \u003ccite>(Joe Raedle/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In the meantime, according to the Alliance study, as of a 2021 count, anti-abortion centers outnumbered clinics that offer abortion care nationally by an average ratio of 3 to 1.\u003c/p>\n\u003cp>In California, roughly 170 anti-abortion centers continue to operate — and at least 10 have received state funding through Medi-Cal reimbursements, also according to the Alliance study, which noted that “[i]nvestment of public money in CPCs is escalating, especially in the states, with virtually no government oversight, accountability, or transparency.” An untold number of centers also received both federal and state funds during the pandemic through the Paycheck Protection Program.\u003c/p>\n\u003cp>In Napa, as daylight wanes, the 40 Days for Life volunteers pack up their things; Conemac likes to focus on the hours of 10 a.m. to 3 p.m., since that’s when she believes Planned Parenthood pharmacists give out RU-486, otherwise known as the abortion pill. (This location does not perform surgical abortions.) In her place, a group of teenage volunteers from the organization gathers with anti-abortion signs, and stands laughing and talking, flanking the space between the two centers.\u003c/p>\n\u003cfigure id=\"attachment_11937681\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2023/01/RS59814_039_KQED_CrisisPregnancyCenter_11042022-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11937681 size-medium\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/01/RS59814_039_KQED_CrisisPregnancyCenter_11042022-qut-800x600.jpg\" alt=\"a row of young teens holds anti-abortion signs on the sidewalk in between a Planned Parenthood and a crisis pregnancy center. From across the street, they seem to be diverse in terms of ethnicity, age., and gender.\" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS59814_039_KQED_CrisisPregnancyCenter_11042022-qut-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS59814_039_KQED_CrisisPregnancyCenter_11042022-qut-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS59814_039_KQED_CrisisPregnancyCenter_11042022-qut-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS59814_039_KQED_CrisisPregnancyCenter_11042022-qut-1536x1152.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS59814_039_KQED_CrisisPregnancyCenter_11042022-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Young volunteers for 40 Days for Life stand with anti-abortion signs on the sidewalk between Planned Parenthood and the Napa Women’s Center in Napa on Oct. 28, 2022. \u003ccite>(Emma Silvers/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Some of them look to be around 17. That’s the age Lynda Metz was when she first set foot in an anti-abortion center, scared and confused. Some 27 years later, Metz — now a proudly pro-abortion-rights grandmother still living in a conservative area of Arkansas — can’t help but think about her experience. For one, that center is still in operation, and occasionally she has to drive by it. Or she’ll see a sign from a local business announcing they donate to that facility, and she makes a mental note not to shop there.\u003c/p>\n\u003cp>She also makes a point to talk to other young women in her community, and lets them know they have options. However, as Arkansas is now a state where abortion is “completely banned with very limited exceptions,” according to the Guttmacher Institute, those options are severely limited: A person seeking an abortion has to drive \u003ca href=\"https://states.guttmacher.org/policies/arkansas/abortion-statistics\">an average of more than 300 miles one-way to visit a clinic\u003c/a> that offers them.\u003c/p>\n\u003cp>Mostly, when Metz thinks about her experience, it still feels fresh, and she still feels confused. She can place herself in that room, trapped with that woman and the Bible, realizing she was not going to receive any support or information about her health.\u003c/p>\n\u003cp>“I felt tricked,” she says. And nearly three decades later, she says, “I still just don’t understand. It’s not a necessary service. You are literally tricking people into thinking that this is a certified health clinic.\u003c/p>\n\u003cp>“I mean, how is this still legal?”\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>\u003ci>This story has been updated to reflect The Associated Press’ new guidance on language to describe anti-abortion centers.\u003c/i>\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/11937191/abortion-crisis-pregnancy-centers-reproductive-rights-california-roe-v-wade","authors":["7237"],"categories":["news_31795","news_457","news_8"],"tags":["news_866","news_30251","news_22880","news_21979","news_32388","news_30275","news_32309","news_32259","news_27626","news_18543","news_2520","news_20296","news_31062","news_23688"],"featImg":"news_11937385","label":"news"},"news_11913434":{"type":"posts","id":"news_11913434","meta":{"index":"posts_1591205157","site":"news","id":"11913434","score":null,"sort":[1651872740000]},"guestAuthors":[],"slug":"__trashed-14","title":"CA Defends Access to Abortion | Anna Malaika Tubbs and Michael Tubbs","publishDate":1651872740,"format":"video","headTitle":"KQED Newsroom | KQED News","labelTerm":{"term":7052,"site":"news"},"content":"\u003cp>\u003cb>California Defends Access to Abortion\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">A leaked draft opinion written by Judge Samuel Alito for a conservative majority of the U.S. Supreme Court indicates that the court intends to reverse Roe v. Wade, the 1973 ruling that protects the liberty to get an abortion. In response, California leaders and many health care agencies say they want to expand access to abortion services for patients who may travel here from other states. Legislators and advocates also are looking to harden state laws to protect the right to have an abortion in California. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Guests: \u003c/span>\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">U.S. Rep. Jackie Speier, D-Calif.\u003c/span>\u003c/li>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Jodi Hicks, Planned Parenthood Affiliates of California, CEO and president\u003c/span>\u003c/li>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Prof. Margaret M. Russell, Santa Clara University School of Law\u003c/span>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cb>Celebrating Mother's Day: Anna Malaika Tubbs and Michael Tubbs\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">Motherhood has often been undervalued, and multitudes of mother's voices, stories and contributions have been lost to history. \u003c/span>\u003cb>Anna Malaika Tubbs\u003c/b>\u003cspan style=\"font-weight: 400\"> wants to uplift the mothers of some of our best known civil rights leaders in her book \"Three Mothers: \u003c/span>\u003cspan style=\"font-weight: 400\">How the Mothers of Martin Luther King, Jr., Malcolm X, and James Baldwin Shaped a Nation.\"\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Her husband, \u003c/span>\u003cb>Michael Tubbs\u003c/b>\u003cspan style=\"font-weight: 400\">, is an advocate for ending poverty and is the former mayor of Stockton. He's also written a book about three important women, \"The Deeper the Roots,\" which highlights the power of his mother, aunt and grandmother, all of whom raised him. \u003c/span>\u003c/p>\n\u003cp> \u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cb>Something Beautiful: Farmers Markets\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">Apples, asparagus, apricots and more are in season this spring, and this rainbow of produce is this week's Something Beautiful. Farmers markets in Alameda and Berkeley brighten the streets as locals peruse booths bursting with delicious regional flavors. \u003c/span>\u003c/p>\n\n","blocks":[],"excerpt":null,"status":"publish","parent":0,"modified":1651882137,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":7,"wordCount":282},"headData":{"title":"CA Defends Access to Abortion | Anna Malaika Tubbs and Michael Tubbs | KQED","description":"California Defends Access to Abortion A leaked draft opinion written by Judge Samuel Alito for a conservative majority of the U.S. Supreme Court indicates that the court intends to reverse Roe v. Wade, the 1973 ruling that protects the liberty to get an abortion. In response, California leaders and many health care agencies say they","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"11913434 https://ww2.kqed.org/news/?p=11913434","disqusUrl":"https://ww2.kqed.org/news/2022/05/06/__trashed-14/","disqusTitle":"CA Defends Access to Abortion | Anna Malaika Tubbs and Michael Tubbs","videoEmbed":"https://youtu.be/T5nigNFaxdo","excludeFromSiteSearch":"Include","path":"/news/11913434/__trashed-14","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cb>California Defends Access to Abortion\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">A leaked draft opinion written by Judge Samuel Alito for a conservative majority of the U.S. Supreme Court indicates that the court intends to reverse Roe v. Wade, the 1973 ruling that protects the liberty to get an abortion. In response, California leaders and many health care agencies say they want to expand access to abortion services for patients who may travel here from other states. Legislators and advocates also are looking to harden state laws to protect the right to have an abortion in California. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Guests: \u003c/span>\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">U.S. Rep. Jackie Speier, D-Calif.\u003c/span>\u003c/li>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Jodi Hicks, Planned Parenthood Affiliates of California, CEO and president\u003c/span>\u003c/li>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Prof. Margaret M. Russell, Santa Clara University School of Law\u003c/span>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cb>Celebrating Mother's Day: Anna Malaika Tubbs and Michael Tubbs\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">Motherhood has often been undervalued, and multitudes of mother's voices, stories and contributions have been lost to history. \u003c/span>\u003cb>Anna Malaika Tubbs\u003c/b>\u003cspan style=\"font-weight: 400\"> wants to uplift the mothers of some of our best known civil rights leaders in her book \"Three Mothers: \u003c/span>\u003cspan style=\"font-weight: 400\">How the Mothers of Martin Luther King, Jr., Malcolm X, and James Baldwin Shaped a Nation.\"\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Her husband, \u003c/span>\u003cb>Michael Tubbs\u003c/b>\u003cspan style=\"font-weight: 400\">, is an advocate for ending poverty and is the former mayor of Stockton. He's also written a book about three important women, \"The Deeper the Roots,\" which highlights the power of his mother, aunt and grandmother, all of whom raised him. \u003c/span>\u003c/p>\n\u003cp> \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\u003cp>\u003cb>Something Beautiful: Farmers Markets\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">Apples, asparagus, apricots and more are in season this spring, and this rainbow of produce is this week's Something Beautiful. Farmers markets in Alameda and Berkeley brighten the streets as locals peruse booths bursting with delicious regional flavors. \u003c/span>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11913434/__trashed-14","authors":["236"],"programs":["news_7052"],"categories":["news_223","news_457","news_6188"],"tags":["news_18848","news_31068","news_31065","news_129","news_18538","news_602","news_30482","news_31061","news_31067","news_30823","news_31063","news_20755","news_20903","news_20942","news_20296","news_31062","news_23688","news_31059","news_31064","news_30632","news_784","news_30479","news_31066","news_31060"],"featImg":"news_11913502","label":"news_7052"},"news_11912134":{"type":"posts","id":"news_11912134","meta":{"index":"posts_1591205157","site":"news","id":"11912134","score":null,"sort":[1651605855000]},"guestAuthors":[],"slug":"we-fill-the-gaps-california-preps-to-be-a-haven-for-abortion-rights","title":"'We Fill the Gaps': California Preps to Be a Haven for Abortion Rights","publishDate":1651605855,"format":"standard","headTitle":"CALmatters | KQED News","labelTerm":{"term":18481,"site":"news"},"content":"\u003cp>\u003cem>\u003cstrong>Update Friday, June 24: The decision in Dobbs v. Jackson Women’s Health Organization was announced on June 24, overturning Roe v. Wade and eliminating the constitutional right to an abortion.\u003c/strong>\u003c/em>\u003c/p>\n\u003cp>\u003cem>\u003cstrong>California guarantees the right to abortion in statute and the state constitution. Our state’s abortion laws are the strongest in the United States. Both officials and abortion providers have made it very clear that \u003ca href=\"https://www.kqed.org/news/11917111/even-without-roe-v-wade-abortion-is-still-legal-in-california-heres-what-you-need-to-know\">abortion access in California will not change\u003c/a> because of the U.S. Supreme Court’s decision. \u003ca class=\"c-link\" tabindex=\"-1\" href=\"https://www.kqed.org/news/11917776/supreme-court-overturns-roe-v-wade\" target=\"_blank\" rel=\"noopener noreferrer\" data-stringify-link=\"https://www.kqed.org/news/11917776/supreme-court-overturns-roe-v-wade\" data-sk=\"tooltip_parent\" data-remove-tab-index=\"true\">Read more about the overturning of Roe v. Wade\u003c/a>.\u003c/strong>\u003c/em>\u003c/p>\n\u003cp>\u003cem>Original story continues:\u003c/em>\u003c/p>\n\u003cp>California abortion clinics are building new facilities closer to transit hubs and training more staff. A package of a dozen abortion rights bills moving through the Legislature could expand the number of providers, provide financial assistance to patients traveling to California to terminate their pregnancies, and legally protect the doctors who treat them.[pullquote size=\"medium\" align=\"right\" citation=\"Jodi Hicks, president and CEO, Planned Parenthood Affiliates of California\"]'People from across the country are already looking to California as a haven state, as a beacon to provide them the care they need.'[/pullquote]\u003c/p>\n\u003cp>As new restrictions rapidly sweep the country in anticipation of a U.S. Supreme Court ruling this summer that may dramatically scale back or even end the constitutional right to abortion, \u003ca href=\"https://calmatters.org/explainers/abortion-in-california-laws/\">California is preparing to step into the void\u003c/a> — and welcome a possible surge of patients losing access in dozens of other states. Politico released a \u003ca href=\"https://www.politico.com/news/2022/05/02/supreme-court-abortion-draft-opinion-00029473\">draft majority opinion\u003c/a> written by Justice Samuel Alito that calls for overturning Roe v. Wade and the constitutional abortion rights that were maintained under the 1992 decision Planned Parenthood v. Casey.\u003c/p>\n\u003cp>In the draft opinion, Alito wrote, \"We hold that \u003cem>Roe\u003c/em> and \u003cem>Casey\u003c/em> must be overruled. The Constitution makes no reference to abortion, and no such right is implicitly protected by any constitutional provision, including the one on which the defenders of \u003cem>Roe\u003c/em> and \u003cem>Casey\u003c/em> now chiefly rely - the Due Process Clause of the Fourteenth Amendment.\"\u003c/p>\n\u003cp>Historically, justices can change, and have changed, their votes on major decisions where multiple drafts have been created. The Supreme Court's decision will not be final until it is published, more than likely sometime in the next two months.\u003c/p>\n\u003cp>In response to the leaked draft opinion, Chief Justice John Roberts confirmed its authenticity and directed the Supreme Court marshal to investigate how such a leak occurred.\u003c/p>\n\u003cp>\"To the extent this betrayal of the confidences of the court was intended to undermine the integrity of our operations, it will not succeed,\" \u003ca href=\"https://www.npr.org/2022/05/03/1096123185/supreme-court-john-roberts-roe-wade\">said Roberts in a statement\u003c/a>. \"The work of the Court will not be affected in any way.\"\u003c/p>\n\u003cp>“People from across the country are already looking to California as a haven state, as a beacon to provide them the care they need,” Jodi Hicks, president and CEO of Planned Parenthood Affiliates of California, said during a recent online program. “It is our moral imperative that we continue to provide the leadership that people are looking for.”\u003c/p>\n\u003cp>Planned Parenthood, which operates about half of the \u003ca href=\"https://www.ansirh.org/abortion-facility-database\">165 abortion clinics in California\u003c/a>, reports that it has treated at least 80 out-of-state patients per month on average since September, when Texas adopted a law allowing residents to seek civil damages against anyone who aids an abortion after six weeks of pregnancy.\u003c/p>\n\u003cp>That move turbocharged a political and cultural battle that has all but cut off abortion access in the most conservative parts of the country in recent years and sent advocates in liberal states scrambling to build a bulwark for reproductive rights.\u003c/p>\n\u003cp>Unable to secure an injunction against the Texas law while courts consider the legality of the novel attempt to circumvent Roe v. Wade — the landmark 1973 Supreme Court decision that protected the right to an abortion without excessive government restriction — clinics in the state shut down to avoid a deluge of lawsuits. \u003ca href=\"https://spectrumlocalnews.com/tx/south-texas-el-paso/news/2022/03/07/about-1-400-texans-seeking-out-of-state-abortions-per-month--ut-austin-study-says-\">Thousands of patients are now seeking abortions elsewhere\u003c/a>, overwhelming neighboring Oklahoma and New Mexico and pushing some people further afield to more friendly states, including California.[aside postID=\"news_11909017,arts_13911818,forum_2010101888660\" label=\"Related Posts\"]“The need right now of expanding access is pretty clear to all of us,” state Senate President Pro Tem Toni Atkins told reporters last month. The San Diego Democrat is carrying \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220SB1375\">Senate Bill 1375\u003c/a>, which would allow some nurse practitioners to independently perform first-trimester abortions without a doctor’s supervision.\u003c/p>\n\u003ch2>Getting ready for more patients\u003c/h2>\n\u003cp>Sue Dunlap, president and CEO of Planned Parenthood Los Angeles, said she has been preparing for years for the moment when the organization would have to become a haven for patients from all over the country who have nowhere else to turn for an abortion.\u003c/p>\n\u003cp>That has included expanding and reorganizing its network of facilities — so that they are near airports and bus and train stations — and of supportive emergency rooms and medical providers. Dunlap said she worked with UCLA’s law school to establish a \u003ca href=\"https://recruit.apo.ucla.edu/JPF06954\">new center for the study of reproductive health law and policy\u003c/a>. Planned Parenthood Los Angeles also collaborates with medical schools across the country on abortion training, particularly in states where those opportunities might not otherwise exist.\u003c/p>\n\u003cp>Dunlap declined to provide data on how many out-of-state patients the organization serves, arguing that the numbers would not fully reflect the situation because of the secrecy and fear surrounding abortion. But she noted that Los Angeles, as a center of tourism and commerce, has long been a \u003ca href=\"https://online.ucpress.edu/ch/article/99/1/10/120152/Abortion-and-the-Law-in-CaliforniaLessons-for\">destination for people seeking abortions\u003c/a> — even before it was legal, when patients often crossed the border to Mexico for the procedure.\u003c/p>\n\u003cp>“Los Angeles is a place that people identify with ideas of freedoms,” Dunlap said. “Los Angeles is also a place that, when you don’t know where to go, you come here.”\u003c/p>\n\u003cp>The people who do come “are almost always in incredibly desperate situations,” she added, and many have more challenging circumstances and complications than in the past.\u003c/p>\n\u003cp>Dunlap mentioned a pregnant woman from Texas who was diagnosed with breast cancer, necessitating a double mastectomy. Though the woman did not want to terminate her pregnancy, Dunlap said, she had to travel to one of Planned Parenthood Los Angeles’s clinics in recent months because she could not get an abortion in her own state — and could not get the double mastectomy if she were pregnant.\u003c/p>\n\u003cp>Planned Parenthood Mar Monte, which covers Northern and Central California and Northern Nevada, said it treated 66 out-of-state patients at its California clinics between September and March, including 22 patients from Texas. One of them was a college student who was prepared to use her scholarship money to fly to California until it provided her with a voucher, according to an anonymous patient testimony shared by the organization.\u003c/p>\n\u003cp>With Oklahoma and other states on the verge of shutting down abortion access as well, Planned Parenthood Mar Monte President and CEO Stacy Cross said the organization is preparing to take on between 250 and 500 more patients per week in its network of facilities.\u003c/p>\n\u003cp>Medication abortion is now available at all of its sites. Clinics are hiring more staff and making sure any medical providers who are licensed to perform abortions have the necessary training, even if they specialize in one of the other services Planned Parenthood offers, so they can schedule more appointments.\u003c/p>\n\u003cp>Next month, Planned Parenthood Mar Monte plans to break ground on a new, larger facility in Reno that is closer to the airport. Cross wants to add a second site in northern Nevada for what she anticipates will soon be more patients coming from Utah.\u003c/p>\n\u003cp>The work is personal for Cross: Both of her grandmothers died from a lack of access to reproductive care — one from an illegal abortion and the other in childbirth, delivering her ninth child at age 47, she said. She worries that Californians don’t fully understand how quickly and fully abortion access could shut down across the country if the Supreme Court reverses the Roe decision.\u003c/p>\n\u003cp>“Every time I even say those words out loud, it sends a chill down my back. It’s horrific to think about,” Cross said. But California has done an amazing job preparing: “We fill the gaps.”\u003c/p>\n\u003ch2>Divide deepens between red and blue states\u003c/h2>\n\u003cp>Those gaps are almost certain to widen in the months to come. Spurred on by the success of the Texas law, anti-abortion legislators across America are racing to advance new restrictions.\u003c/p>\n\u003cp>In just a one-week stretch this month, Republican Florida Gov. Ron DeSantis signed into law a \u003ca href=\"https://www.cnn.com/2022/04/14/politics/desantis-signs-abortion-ban-florida/index.html\">ban on most abortions after 15 weeks of pregnancy\u003c/a>; GOP Gov. Kevin Stitt of Oklahoma signed a bill making it \u003ca href=\"https://apnews.com/article/abortion-oklahoma-law-87880e9f3c7bde2ae634cb2f02839e6e\">a felony to perform an abortion in the state\u003c/a>, punishable by up to 10 years in prison; and Republican legislators in Kentucky overrode a governor’s veto on a measure to impose \u003ca href=\"https://www.courier-journal.com/story/news/politics/ky-general-assembly/2022/04/15/new-kentucky-abortion-law-ky-only-state-without-abortion-services/7330408001/\">broad new requirements on abortion providers\u003c/a> that they say make it impossible for them to continue operating. A federal judge \u003ca href=\"https://apnews.com/article/abortion-business-health-kentucky-legislature-eda1b6c68c636e753be8032c715bde45?utm_campaign=SocialFlow&utm_source=Twitter&utm_medium=AP\">temporarily blocked the Kentucky law\u003c/a> on Thursday.\u003c/p>\n\u003cp>Though many of the policies are currently unconstitutional, conservative states are laying the groundwork in anticipation that the Supreme Court will soon uphold a \u003ca href=\"https://www.nytimes.com/live/2021/12/01/us/abortion-mississippi-supreme-court\">Mississippi law that bans abortion after 15 weeks of pregnancy\u003c/a>. A decision on that case is expected by June, and some experts believe the justices will take the opportunity to overturn the Roe ruling altogether, which would trigger \u003ca href=\"https://www.guttmacher.org/article/2021/10/26-states-are-certain-or-likely-ban-abortion-without-roe-heres-which-ones-and-why\">near or complete bans on abortion in about half of states\u003c/a>, including Arizona, which neighbors California.\u003c/p>\n\u003cp>Liberal states are responding with their own measures to protect the right to abortion in law, and to increase access to accommodate a potential influx of patients from beyond their borders.\u003c/p>\n\u003cp>In November, Vermont voters will decide whether to \u003ca href=\"https://www.vpr.org/vpr-news/2022-02-08/proposed-constitutional-amendment-protecting-reproductive-liberty-heads-to-vt-voters\">amend the state constitution\u003c/a> to enshrine reproductive autonomy, while Democratic Michigan Gov. Gretchen Whitmer is trying to circumvent her state’s Republican-controlled Legislature by asking the state Supreme Court to \u003ca href=\"https://www.freep.com/story/news/local/michigan/2022/04/07/michigan-abortion-law-ban-gretchen-whitmer-supreme-court/9485031002/\">overturn a pre-Roe abortion ban\u003c/a> that is still on the books.\u003c/p>\n\u003cp>Oregon recently approved a \u003ca href=\"https://www.kgw.com/article/news/local/idaho-abortion-ban-oregon-reproductive-funding/283-4c696054-7b49-48ea-b7e2-a9639d47d47e\">$15 million fund that could provide financial assistance to patients\u003c/a>, including those from outside the state, who need help paying for abortion fees and other costs. Washington adopted \u003ca href=\"https://www.pbs.org/newshour/politics/washington-state-governor-signs-bill-that-prohibits-texas-style-abortion-lawsuits\">legal protections against prosecuting people who aid an abortion or people who experience pregnancy losses\u003c/a>. Democratic legislators in Maryland overrode a veto by the Republican governor to pass \u003ca href=\"https://www.baltimoresun.com/politics/bs-md-pol-sat-hogan-overrides-20220409-pqpje5ocdvaknho7ry62a6nfve-story.html\">a bill that would require health insurance plans to cover abortions\u003c/a> and put $3.5 million toward training providers.\u003c/p>\n\u003cp>Several states have adopted or are pursuing measures to expand who is authorized to perform an abortion to include other advanced medical professionals beyond doctors, such as nurse practitioners and physician assistants, following a move that California made more than a decade ago.\u003c/p>\n\u003cp>“California has been on the forefront for a long time,” said Elizabeth Nash, a state policy analyst for the Guttmacher Institute, which researches and promotes reproductive rights. “It has helped other states see what’s possible.”\u003c/p>\n\u003ch2>Making California an abortion 'sanctuary'\u003c/h2>\n\u003cp>\u003ca href=\"https://calmatters.org/explainers/abortion-in-california-laws/\">California is pushing further still.\u003c/a> In September, after the Texas law took effect, Gov. Gavin Newsom convened the \u003ca href=\"https://www.cafabcouncil.org/\">Future of Abortion Council\u003c/a>, a coalition of reproductive rights, health and justice groups, to explore how to make the state a “sanctuary” for abortion. More than 40 policy recommendations, released in December, formed the basis for the sweeping legislative package now advancing at the Capitol.\u003c/p>\n\u003cp>If approved by the end of session in August and signed by Newsom, the measures would become law next year, though supporters hope some pieces might be incorporated into the state budget that must be approved by June 15. Those could kick in immediately this summer, when the Supreme Court decision on abortion is expected.\u003c/p>\n\u003cp>“There is definitely an urgency to get some of these things in place and get prepared, because this is happening regardless of whatever timeline our Legislature is on,” said Lisa Matsubara, general counsel and vice president of policy for Planned Parenthood Affiliates of California, which is sponsoring or co-sponsoring most of the bills in the package. “We are doing everything we can to make sure we are as ready as we can be.”\u003c/p>\n\u003cp>The centerpiece is \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202120220SB1142\">Senate Bill 1142\u003c/a>, by Democratic Sens. Anna Caballero of Salinas and Nancy Skinner of Berkeley, which would create a state-administered fund to assist patients who face financial barriers to obtaining an abortion and support public research into improving access. Advocates are seeking $20 million from the state to launch the fund.\u003c/p>\n\u003cp>There is also\u003cstrong> \u003c/strong>\u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202120220AB2134\">Assembly Bill 2134\u003c/a> by Assemblymember Akilah Weber, a San Diego Democrat, which would set aside money for clinics that provide uncompensated care to lower-income patients whose insurance does not cover abortion and contraceptive services. Supporters argue the funding is crucial to ensure that not only wealthy patients are able to travel to California for abortions.\u003c/p>\n\u003cp>Jessica Pinckney, executive director of Access Reproductive Justice, the only statewide abortion fund in California, says the bill could expand its grants to people who need help paying for their abortion, travel and lodging, lost wages, a doula or other expenses.\u003c/p>\n\u003cp>Last year, the Oakland-based fund supported 551 patients with an average of about $300, Pinckney said, not enough to meet anybody’s full need. She also would like to do more outreach to let people know the fund exists.\u003c/p>\n\u003cp>About 80 people the fund served were from 18 different states, Pinckney added, but most are lower-income or from one of the dozens of mostly rural counties without an abortion provider, who may need to travel hours and stay overnight for a multi-day abortion procedure in their second trimester.\u003c/p>\n\u003cp>“Even in the state of California, there are quite a few barriers,” Pinckney said. “This is an unmet need for Californians already.”\u003c/p>\n\u003cp>In recognition that conservative states may continue to ramp up legal and financial penalties for abortions, another collection of bills aims to protect doctors who travel to other states to perform the procedure or who treat out-of-state patients: \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220AB1666\">AB 1666\u003c/a> by Assemblymember Rebecca Bauer-Kahan, an Orinda Democrat, would nullify civil judgments from other states related to reproductive care. \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202120220AB2091\">AB 2091\u003c/a> by Assemblymember Mia Bonta, an Alameda Democrat, would prohibit medical providers and health insurers from sharing information in cases that seek to penalize abortion. \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202120220AB2626\">AB 2626\u003c/a> by Assemblymember Lisa Calderon, a Whittier Democrat, would prevent the state medical board from suspending or revoking the license of a physician who is punished in another state for performing an abortion in accordance with California law.\u003c/p>\n\u003cp>Other major legislative efforts include Atkins’s bill to allow abortions by independent nurse practitioners and \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220AB1918\">AB 1918\u003c/a> by Assemblymember Cottie Petrie-Norris, which would create a “reproductive health service corps” for underserved parts of the state.\u003c/p>\n\u003cp>“It’s about strengthening our foundation, our health care foundation, to expand the pool of health care professionals who can provide abortions,” Atkins said.\u003c/p>\n\u003ch2>Last stand for anti-abortion activists?\u003c/h2>\n\u003cp>The \u003ca href=\"https://calmatters.org/explainers/abortion-in-california-laws/#9f19d20d-aa0d-463f-a93f-1f63820093df\">measures are moving through the legislative process\u003c/a> so far with widespread support from the overwhelmingly Democratic lawmakers, and seem likely to be approved if they reach the governor’s desk. Newsom already signed a law last month that \u003ca href=\"https://www.gov.ca.gov/2022/03/22/governor-newsom-signs-legislation-to-eliminate-out-of-pocket-costs-for-abortion-services/\">prohibits health insurers from charging a co-pay or deductible for abortions\u003c/a>, thus eliminating out-of-pocket costs for covered patients. He pledged that California would continue to “protect and advance reproductive freedom for all.”\u003c/p>\n\u003cp>Yet the bills have not been entirely without controversy. Hundreds of \u003ca href=\"https://calmatters.org/newsletters/whatmatters/2022/04/abortion-rights-covid-protests/\">protesters gathered at the Capitol last week\u003c/a> to oppose \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202120220AB2223\">AB 2223\u003c/a> by Assemblymember Buffy Wicks, an Oakland Democrat, which would end a requirement that coroners investigate the cause of fetal deaths resulting from suspected self-induced abortions, clarify that people cannot be held criminally or civilly liable for their own pregnancy losses or abortions, and create an ability to sue prosecutors and others who violate that protection.\u003c/p>\n\u003cp>Protesters holding crosses and “Babies’ Lives Matter” signs packed onto the steps of the building to hear from \u003ca href=\"https://www.christianpost.com/news/christians-rally-against-california-abortion-bill.html\">Pastor Jack Hibbs of the Calvary Chapel Chino Hills megachurch\u003c/a>. Nearby, a Christian band and twirling dancers led a crowd in a worship service.\u003c/p>\n\u003cp>Supporters say the measure is necessary to \u003ca href=\"https://calmatters.org/justice/2022/04/coroner-investigation-stillbirths-anti-abortion/\">protect Californians from overzealous law enforcement\u003c/a> and district attorneys who may be hostile to abortion rights. They point to two Kings County women who were charged with murder and imprisoned in the past five years after \u003ca href=\"https://calmatters.org/justice/criminal-justice/2022/02/stillbirth-prison-manslaughter/\">both delivered stillbirths and tested positive for methamphetamine\u003c/a>, in what Attorney General Rob Bonta has called a misapplication of the state criminal code. Advocates argue that fear of prosecution may deter some patients from seeking necessary care.\u003c/p>\n\u003cfigure id=\"attachment_11912172\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/04/Screen-Shot-2022-04-25-at-2.04.46-PM.png\">\u003cimg class=\"size-medium wp-image-11912172\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/04/Screen-Shot-2022-04-25-at-2.04.46-PM-800x534.png\" alt='A crowd marches forward holding signs that read \"Save lives No AB 2223.\"' width=\"800\" height=\"534\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2022/04/Screen-Shot-2022-04-25-at-2.04.46-PM-800x534.png 800w, https://ww2.kqed.org/app/uploads/sites/10/2022/04/Screen-Shot-2022-04-25-at-2.04.46-PM-1020x680.png 1020w, https://ww2.kqed.org/app/uploads/sites/10/2022/04/Screen-Shot-2022-04-25-at-2.04.46-PM-160x107.png 160w, https://ww2.kqed.org/app/uploads/sites/10/2022/04/Screen-Shot-2022-04-25-at-2.04.46-PM-1536x1025.png 1536w, https://ww2.kqed.org/app/uploads/sites/10/2022/04/Screen-Shot-2022-04-25-at-2.04.46-PM.png 1550w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Protestors gather to rally against Assembly Bill 2223 at the state Capitol in Sacramento on April 19, 2022. \u003ccite>(Rahul Lal/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>But critics of the Wicks bill highlight a provision that states women cannot be penalized for “perinatal death due to a pregnancy-related cause,” referring to a baby who dies in an undefined period immediately after birth, which they contend is so vague as to legalize infanticide.\u003c/p>\n\u003cp>“It is trying to really tear down one of the few restrictions that California does have when it comes to terminating pregnancies, and that is the actual point of delivery,” Jonathan Keller, president of the religious advocacy group \u003ca href=\"https://www.californiafamily.org/\">California Family Council\u003c/a>, said following the Capitol rally.\u003c/p>\n\u003cp>While Wicks has vehemently denied that’s what the measure would or is intended to do, Keller said, “Intentions don’t matter. It’s actual legislative text that matters.” He added that the outrage has helped his group organize broader and more fervent opposition to the abortion legislation than it has managed in the past.\u003c/p>\n\u003cp>“We do think that many of the bills in this package are actually out of step with the state of California,” Keller said, including the fund to help out-of-state patients travel to California for abortion care. He calls it “abortion tourism.”\u003c/p>\n\u003cp>His claims have been picked up by the Republican National Committee, which issued a statement denouncing Wicks’s bill and calling abortion “murder,” but seem unlikely to gain much traction in the Democrat-dominated Legislature.\u003c/p>\n\u003cp>At the first committee hearing for the bill, following the rally, only one legislator questioned Wicks, who slammed her opponents’ tactics: “These same groups that are trying to ban abortion across this country and imprison people for stillbirths have manufactured a disinformation campaign using disturbing and violent imagery that is not grounded in medical science or the text of the bill,” she said.\u003c/p>\n\u003cp>Despite nearly an hour of testimony from opponents, the bill sailed through on an 11-3 vote.\u003c/p>\n\u003cp>\u003cem>The original version of this story was published on April 25, 2022.\u003c/em>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"California abortion-rights groups, health care providers and Democratic lawmakers all are getting ready for a potential influx of out-of-state patients after a leaked majority draft opinion calls for the Supreme Court to overturn the landmark Roe v. Wade decision.","status":"publish","parent":0,"modified":1656092349,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":59,"wordCount":3225},"headData":{"title":"'We Fill the Gaps': California Preps to Be a Haven for Abortion Rights | KQED","description":"California abortion-rights groups, health care providers and Democratic lawmakers all are getting ready for a potential influx of out-of-state patients after a leaked majority draft opinion calls for the Supreme Court to overturn the landmark Roe v. Wade decision.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"11912134 https://ww2.kqed.org/news/?p=11912134","disqusUrl":"https://ww2.kqed.org/news/2022/05/03/we-fill-the-gaps-california-preps-to-be-a-haven-for-abortion-rights/","disqusTitle":"'We Fill the Gaps': California Preps to Be a Haven for Abortion Rights","nprByline":"\u003ca href=\"https://calmatters.org/author/alexei-koseff/\">Alexei Koseff\u003c/a>","excludeFromSiteSearch":"Include","showOnAuthorArchivePages":"No","path":"/news/11912134/we-fill-the-gaps-california-preps-to-be-a-haven-for-abortion-rights","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>\u003cstrong>Update Friday, June 24: The decision in Dobbs v. Jackson Women’s Health Organization was announced on June 24, overturning Roe v. Wade and eliminating the constitutional right to an abortion.\u003c/strong>\u003c/em>\u003c/p>\n\u003cp>\u003cem>\u003cstrong>California guarantees the right to abortion in statute and the state constitution. Our state’s abortion laws are the strongest in the United States. Both officials and abortion providers have made it very clear that \u003ca href=\"https://www.kqed.org/news/11917111/even-without-roe-v-wade-abortion-is-still-legal-in-california-heres-what-you-need-to-know\">abortion access in California will not change\u003c/a> because of the U.S. Supreme Court’s decision. \u003ca class=\"c-link\" tabindex=\"-1\" href=\"https://www.kqed.org/news/11917776/supreme-court-overturns-roe-v-wade\" target=\"_blank\" rel=\"noopener noreferrer\" data-stringify-link=\"https://www.kqed.org/news/11917776/supreme-court-overturns-roe-v-wade\" data-sk=\"tooltip_parent\" data-remove-tab-index=\"true\">Read more about the overturning of Roe v. Wade\u003c/a>.\u003c/strong>\u003c/em>\u003c/p>\n\u003cp>\u003cem>Original story continues:\u003c/em>\u003c/p>\n\u003cp>California abortion clinics are building new facilities closer to transit hubs and training more staff. A package of a dozen abortion rights bills moving through the Legislature could expand the number of providers, provide financial assistance to patients traveling to California to terminate their pregnancies, and legally protect the doctors who treat them.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"'People from across the country are already looking to California as a haven state, as a beacon to provide them the care they need.'","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Jodi Hicks, president and CEO, Planned Parenthood Affiliates of California","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>As new restrictions rapidly sweep the country in anticipation of a U.S. Supreme Court ruling this summer that may dramatically scale back or even end the constitutional right to abortion, \u003ca href=\"https://calmatters.org/explainers/abortion-in-california-laws/\">California is preparing to step into the void\u003c/a> — and welcome a possible surge of patients losing access in dozens of other states. Politico released a \u003ca href=\"https://www.politico.com/news/2022/05/02/supreme-court-abortion-draft-opinion-00029473\">draft majority opinion\u003c/a> written by Justice Samuel Alito that calls for overturning Roe v. Wade and the constitutional abortion rights that were maintained under the 1992 decision Planned Parenthood v. Casey.\u003c/p>\n\u003cp>In the draft opinion, Alito wrote, \"We hold that \u003cem>Roe\u003c/em> and \u003cem>Casey\u003c/em> must be overruled. The Constitution makes no reference to abortion, and no such right is implicitly protected by any constitutional provision, including the one on which the defenders of \u003cem>Roe\u003c/em> and \u003cem>Casey\u003c/em> now chiefly rely - the Due Process Clause of the Fourteenth Amendment.\"\u003c/p>\n\u003cp>Historically, justices can change, and have changed, their votes on major decisions where multiple drafts have been created. The Supreme Court's decision will not be final until it is published, more than likely sometime in the next two months.\u003c/p>\n\u003cp>In response to the leaked draft opinion, Chief Justice John Roberts confirmed its authenticity and directed the Supreme Court marshal to investigate how such a leak occurred.\u003c/p>\n\u003cp>\"To the extent this betrayal of the confidences of the court was intended to undermine the integrity of our operations, it will not succeed,\" \u003ca href=\"https://www.npr.org/2022/05/03/1096123185/supreme-court-john-roberts-roe-wade\">said Roberts in a statement\u003c/a>. \"The work of the Court will not be affected in any way.\"\u003c/p>\n\u003cp>“People from across the country are already looking to California as a haven state, as a beacon to provide them the care they need,” Jodi Hicks, president and CEO of Planned Parenthood Affiliates of California, said during a recent online program. “It is our moral imperative that we continue to provide the leadership that people are looking for.”\u003c/p>\n\u003cp>Planned Parenthood, which operates about half of the \u003ca href=\"https://www.ansirh.org/abortion-facility-database\">165 abortion clinics in California\u003c/a>, reports that it has treated at least 80 out-of-state patients per month on average since September, when Texas adopted a law allowing residents to seek civil damages against anyone who aids an abortion after six weeks of pregnancy.\u003c/p>\n\u003cp>That move turbocharged a political and cultural battle that has all but cut off abortion access in the most conservative parts of the country in recent years and sent advocates in liberal states scrambling to build a bulwark for reproductive rights.\u003c/p>\n\u003cp>Unable to secure an injunction against the Texas law while courts consider the legality of the novel attempt to circumvent Roe v. Wade — the landmark 1973 Supreme Court decision that protected the right to an abortion without excessive government restriction — clinics in the state shut down to avoid a deluge of lawsuits. \u003ca href=\"https://spectrumlocalnews.com/tx/south-texas-el-paso/news/2022/03/07/about-1-400-texans-seeking-out-of-state-abortions-per-month--ut-austin-study-says-\">Thousands of patients are now seeking abortions elsewhere\u003c/a>, overwhelming neighboring Oklahoma and New Mexico and pushing some people further afield to more friendly states, including California.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"postid":"news_11909017,arts_13911818,forum_2010101888660","label":"Related Posts "},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>“The need right now of expanding access is pretty clear to all of us,” state Senate President Pro Tem Toni Atkins told reporters last month. The San Diego Democrat is carrying \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220SB1375\">Senate Bill 1375\u003c/a>, which would allow some nurse practitioners to independently perform first-trimester abortions without a doctor’s supervision.\u003c/p>\n\u003ch2>Getting ready for more patients\u003c/h2>\n\u003cp>Sue Dunlap, president and CEO of Planned Parenthood Los Angeles, said she has been preparing for years for the moment when the organization would have to become a haven for patients from all over the country who have nowhere else to turn for an abortion.\u003c/p>\n\u003cp>That has included expanding and reorganizing its network of facilities — so that they are near airports and bus and train stations — and of supportive emergency rooms and medical providers. Dunlap said she worked with UCLA’s law school to establish a \u003ca href=\"https://recruit.apo.ucla.edu/JPF06954\">new center for the study of reproductive health law and policy\u003c/a>. Planned Parenthood Los Angeles also collaborates with medical schools across the country on abortion training, particularly in states where those opportunities might not otherwise exist.\u003c/p>\n\u003cp>Dunlap declined to provide data on how many out-of-state patients the organization serves, arguing that the numbers would not fully reflect the situation because of the secrecy and fear surrounding abortion. But she noted that Los Angeles, as a center of tourism and commerce, has long been a \u003ca href=\"https://online.ucpress.edu/ch/article/99/1/10/120152/Abortion-and-the-Law-in-CaliforniaLessons-for\">destination for people seeking abortions\u003c/a> — even before it was legal, when patients often crossed the border to Mexico for the procedure.\u003c/p>\n\u003cp>“Los Angeles is a place that people identify with ideas of freedoms,” Dunlap said. “Los Angeles is also a place that, when you don’t know where to go, you come here.”\u003c/p>\n\u003cp>The people who do come “are almost always in incredibly desperate situations,” she added, and many have more challenging circumstances and complications than in the past.\u003c/p>\n\u003cp>Dunlap mentioned a pregnant woman from Texas who was diagnosed with breast cancer, necessitating a double mastectomy. Though the woman did not want to terminate her pregnancy, Dunlap said, she had to travel to one of Planned Parenthood Los Angeles’s clinics in recent months because she could not get an abortion in her own state — and could not get the double mastectomy if she were pregnant.\u003c/p>\n\u003cp>Planned Parenthood Mar Monte, which covers Northern and Central California and Northern Nevada, said it treated 66 out-of-state patients at its California clinics between September and March, including 22 patients from Texas. One of them was a college student who was prepared to use her scholarship money to fly to California until it provided her with a voucher, according to an anonymous patient testimony shared by the organization.\u003c/p>\n\u003cp>With Oklahoma and other states on the verge of shutting down abortion access as well, Planned Parenthood Mar Monte President and CEO Stacy Cross said the organization is preparing to take on between 250 and 500 more patients per week in its network of facilities.\u003c/p>\n\u003cp>Medication abortion is now available at all of its sites. Clinics are hiring more staff and making sure any medical providers who are licensed to perform abortions have the necessary training, even if they specialize in one of the other services Planned Parenthood offers, so they can schedule more appointments.\u003c/p>\n\u003cp>Next month, Planned Parenthood Mar Monte plans to break ground on a new, larger facility in Reno that is closer to the airport. Cross wants to add a second site in northern Nevada for what she anticipates will soon be more patients coming from Utah.\u003c/p>\n\u003cp>The work is personal for Cross: Both of her grandmothers died from a lack of access to reproductive care — one from an illegal abortion and the other in childbirth, delivering her ninth child at age 47, she said. She worries that Californians don’t fully understand how quickly and fully abortion access could shut down across the country if the Supreme Court reverses the Roe decision.\u003c/p>\n\u003cp>“Every time I even say those words out loud, it sends a chill down my back. It’s horrific to think about,” Cross said. But California has done an amazing job preparing: “We fill the gaps.”\u003c/p>\n\u003ch2>Divide deepens between red and blue states\u003c/h2>\n\u003cp>Those gaps are almost certain to widen in the months to come. Spurred on by the success of the Texas law, anti-abortion legislators across America are racing to advance new restrictions.\u003c/p>\n\u003cp>In just a one-week stretch this month, Republican Florida Gov. Ron DeSantis signed into law a \u003ca href=\"https://www.cnn.com/2022/04/14/politics/desantis-signs-abortion-ban-florida/index.html\">ban on most abortions after 15 weeks of pregnancy\u003c/a>; GOP Gov. Kevin Stitt of Oklahoma signed a bill making it \u003ca href=\"https://apnews.com/article/abortion-oklahoma-law-87880e9f3c7bde2ae634cb2f02839e6e\">a felony to perform an abortion in the state\u003c/a>, punishable by up to 10 years in prison; and Republican legislators in Kentucky overrode a governor’s veto on a measure to impose \u003ca href=\"https://www.courier-journal.com/story/news/politics/ky-general-assembly/2022/04/15/new-kentucky-abortion-law-ky-only-state-without-abortion-services/7330408001/\">broad new requirements on abortion providers\u003c/a> that they say make it impossible for them to continue operating. A federal judge \u003ca href=\"https://apnews.com/article/abortion-business-health-kentucky-legislature-eda1b6c68c636e753be8032c715bde45?utm_campaign=SocialFlow&utm_source=Twitter&utm_medium=AP\">temporarily blocked the Kentucky law\u003c/a> on Thursday.\u003c/p>\n\u003cp>Though many of the policies are currently unconstitutional, conservative states are laying the groundwork in anticipation that the Supreme Court will soon uphold a \u003ca href=\"https://www.nytimes.com/live/2021/12/01/us/abortion-mississippi-supreme-court\">Mississippi law that bans abortion after 15 weeks of pregnancy\u003c/a>. A decision on that case is expected by June, and some experts believe the justices will take the opportunity to overturn the Roe ruling altogether, which would trigger \u003ca href=\"https://www.guttmacher.org/article/2021/10/26-states-are-certain-or-likely-ban-abortion-without-roe-heres-which-ones-and-why\">near or complete bans on abortion in about half of states\u003c/a>, including Arizona, which neighbors California.\u003c/p>\n\u003cp>Liberal states are responding with their own measures to protect the right to abortion in law, and to increase access to accommodate a potential influx of patients from beyond their borders.\u003c/p>\n\u003cp>In November, Vermont voters will decide whether to \u003ca href=\"https://www.vpr.org/vpr-news/2022-02-08/proposed-constitutional-amendment-protecting-reproductive-liberty-heads-to-vt-voters\">amend the state constitution\u003c/a> to enshrine reproductive autonomy, while Democratic Michigan Gov. Gretchen Whitmer is trying to circumvent her state’s Republican-controlled Legislature by asking the state Supreme Court to \u003ca href=\"https://www.freep.com/story/news/local/michigan/2022/04/07/michigan-abortion-law-ban-gretchen-whitmer-supreme-court/9485031002/\">overturn a pre-Roe abortion ban\u003c/a> that is still on the books.\u003c/p>\n\u003cp>Oregon recently approved a \u003ca href=\"https://www.kgw.com/article/news/local/idaho-abortion-ban-oregon-reproductive-funding/283-4c696054-7b49-48ea-b7e2-a9639d47d47e\">$15 million fund that could provide financial assistance to patients\u003c/a>, including those from outside the state, who need help paying for abortion fees and other costs. Washington adopted \u003ca href=\"https://www.pbs.org/newshour/politics/washington-state-governor-signs-bill-that-prohibits-texas-style-abortion-lawsuits\">legal protections against prosecuting people who aid an abortion or people who experience pregnancy losses\u003c/a>. Democratic legislators in Maryland overrode a veto by the Republican governor to pass \u003ca href=\"https://www.baltimoresun.com/politics/bs-md-pol-sat-hogan-overrides-20220409-pqpje5ocdvaknho7ry62a6nfve-story.html\">a bill that would require health insurance plans to cover abortions\u003c/a> and put $3.5 million toward training providers.\u003c/p>\n\u003cp>Several states have adopted or are pursuing measures to expand who is authorized to perform an abortion to include other advanced medical professionals beyond doctors, such as nurse practitioners and physician assistants, following a move that California made more than a decade ago.\u003c/p>\n\u003cp>“California has been on the forefront for a long time,” said Elizabeth Nash, a state policy analyst for the Guttmacher Institute, which researches and promotes reproductive rights. “It has helped other states see what’s possible.”\u003c/p>\n\u003ch2>Making California an abortion 'sanctuary'\u003c/h2>\n\u003cp>\u003ca href=\"https://calmatters.org/explainers/abortion-in-california-laws/\">California is pushing further still.\u003c/a> In September, after the Texas law took effect, Gov. Gavin Newsom convened the \u003ca href=\"https://www.cafabcouncil.org/\">Future of Abortion Council\u003c/a>, a coalition of reproductive rights, health and justice groups, to explore how to make the state a “sanctuary” for abortion. More than 40 policy recommendations, released in December, formed the basis for the sweeping legislative package now advancing at the Capitol.\u003c/p>\n\u003cp>If approved by the end of session in August and signed by Newsom, the measures would become law next year, though supporters hope some pieces might be incorporated into the state budget that must be approved by June 15. Those could kick in immediately this summer, when the Supreme Court decision on abortion is expected.\u003c/p>\n\u003cp>“There is definitely an urgency to get some of these things in place and get prepared, because this is happening regardless of whatever timeline our Legislature is on,” said Lisa Matsubara, general counsel and vice president of policy for Planned Parenthood Affiliates of California, which is sponsoring or co-sponsoring most of the bills in the package. “We are doing everything we can to make sure we are as ready as we can be.”\u003c/p>\n\u003cp>The centerpiece is \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202120220SB1142\">Senate Bill 1142\u003c/a>, by Democratic Sens. Anna Caballero of Salinas and Nancy Skinner of Berkeley, which would create a state-administered fund to assist patients who face financial barriers to obtaining an abortion and support public research into improving access. Advocates are seeking $20 million from the state to launch the fund.\u003c/p>\n\u003cp>There is also\u003cstrong> \u003c/strong>\u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202120220AB2134\">Assembly Bill 2134\u003c/a> by Assemblymember Akilah Weber, a San Diego Democrat, which would set aside money for clinics that provide uncompensated care to lower-income patients whose insurance does not cover abortion and contraceptive services. Supporters argue the funding is crucial to ensure that not only wealthy patients are able to travel to California for abortions.\u003c/p>\n\u003cp>Jessica Pinckney, executive director of Access Reproductive Justice, the only statewide abortion fund in California, says the bill could expand its grants to people who need help paying for their abortion, travel and lodging, lost wages, a doula or other expenses.\u003c/p>\n\u003cp>Last year, the Oakland-based fund supported 551 patients with an average of about $300, Pinckney said, not enough to meet anybody’s full need. She also would like to do more outreach to let people know the fund exists.\u003c/p>\n\u003cp>About 80 people the fund served were from 18 different states, Pinckney added, but most are lower-income or from one of the dozens of mostly rural counties without an abortion provider, who may need to travel hours and stay overnight for a multi-day abortion procedure in their second trimester.\u003c/p>\n\u003cp>“Even in the state of California, there are quite a few barriers,” Pinckney said. “This is an unmet need for Californians already.”\u003c/p>\n\u003cp>In recognition that conservative states may continue to ramp up legal and financial penalties for abortions, another collection of bills aims to protect doctors who travel to other states to perform the procedure or who treat out-of-state patients: \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220AB1666\">AB 1666\u003c/a> by Assemblymember Rebecca Bauer-Kahan, an Orinda Democrat, would nullify civil judgments from other states related to reproductive care. \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202120220AB2091\">AB 2091\u003c/a> by Assemblymember Mia Bonta, an Alameda Democrat, would prohibit medical providers and health insurers from sharing information in cases that seek to penalize abortion. \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202120220AB2626\">AB 2626\u003c/a> by Assemblymember Lisa Calderon, a Whittier Democrat, would prevent the state medical board from suspending or revoking the license of a physician who is punished in another state for performing an abortion in accordance with California law.\u003c/p>\n\u003cp>Other major legislative efforts include Atkins’s bill to allow abortions by independent nurse practitioners and \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220AB1918\">AB 1918\u003c/a> by Assemblymember Cottie Petrie-Norris, which would create a “reproductive health service corps” for underserved parts of the state.\u003c/p>\n\u003cp>“It’s about strengthening our foundation, our health care foundation, to expand the pool of health care professionals who can provide abortions,” Atkins said.\u003c/p>\n\u003ch2>Last stand for anti-abortion activists?\u003c/h2>\n\u003cp>The \u003ca href=\"https://calmatters.org/explainers/abortion-in-california-laws/#9f19d20d-aa0d-463f-a93f-1f63820093df\">measures are moving through the legislative process\u003c/a> so far with widespread support from the overwhelmingly Democratic lawmakers, and seem likely to be approved if they reach the governor’s desk. Newsom already signed a law last month that \u003ca href=\"https://www.gov.ca.gov/2022/03/22/governor-newsom-signs-legislation-to-eliminate-out-of-pocket-costs-for-abortion-services/\">prohibits health insurers from charging a co-pay or deductible for abortions\u003c/a>, thus eliminating out-of-pocket costs for covered patients. He pledged that California would continue to “protect and advance reproductive freedom for all.”\u003c/p>\n\u003cp>Yet the bills have not been entirely without controversy. Hundreds of \u003ca href=\"https://calmatters.org/newsletters/whatmatters/2022/04/abortion-rights-covid-protests/\">protesters gathered at the Capitol last week\u003c/a> to oppose \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202120220AB2223\">AB 2223\u003c/a> by Assemblymember Buffy Wicks, an Oakland Democrat, which would end a requirement that coroners investigate the cause of fetal deaths resulting from suspected self-induced abortions, clarify that people cannot be held criminally or civilly liable for their own pregnancy losses or abortions, and create an ability to sue prosecutors and others who violate that protection.\u003c/p>\n\u003cp>Protesters holding crosses and “Babies’ Lives Matter” signs packed onto the steps of the building to hear from \u003ca href=\"https://www.christianpost.com/news/christians-rally-against-california-abortion-bill.html\">Pastor Jack Hibbs of the Calvary Chapel Chino Hills megachurch\u003c/a>. Nearby, a Christian band and twirling dancers led a crowd in a worship service.\u003c/p>\n\u003cp>Supporters say the measure is necessary to \u003ca href=\"https://calmatters.org/justice/2022/04/coroner-investigation-stillbirths-anti-abortion/\">protect Californians from overzealous law enforcement\u003c/a> and district attorneys who may be hostile to abortion rights. They point to two Kings County women who were charged with murder and imprisoned in the past five years after \u003ca href=\"https://calmatters.org/justice/criminal-justice/2022/02/stillbirth-prison-manslaughter/\">both delivered stillbirths and tested positive for methamphetamine\u003c/a>, in what Attorney General Rob Bonta has called a misapplication of the state criminal code. Advocates argue that fear of prosecution may deter some patients from seeking necessary care.\u003c/p>\n\u003cfigure id=\"attachment_11912172\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/04/Screen-Shot-2022-04-25-at-2.04.46-PM.png\">\u003cimg class=\"size-medium wp-image-11912172\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/04/Screen-Shot-2022-04-25-at-2.04.46-PM-800x534.png\" alt='A crowd marches forward holding signs that read \"Save lives No AB 2223.\"' width=\"800\" height=\"534\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2022/04/Screen-Shot-2022-04-25-at-2.04.46-PM-800x534.png 800w, https://ww2.kqed.org/app/uploads/sites/10/2022/04/Screen-Shot-2022-04-25-at-2.04.46-PM-1020x680.png 1020w, https://ww2.kqed.org/app/uploads/sites/10/2022/04/Screen-Shot-2022-04-25-at-2.04.46-PM-160x107.png 160w, https://ww2.kqed.org/app/uploads/sites/10/2022/04/Screen-Shot-2022-04-25-at-2.04.46-PM-1536x1025.png 1536w, https://ww2.kqed.org/app/uploads/sites/10/2022/04/Screen-Shot-2022-04-25-at-2.04.46-PM.png 1550w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Protestors gather to rally against Assembly Bill 2223 at the state Capitol in Sacramento on April 19, 2022. \u003ccite>(Rahul Lal/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>But critics of the Wicks bill highlight a provision that states women cannot be penalized for “perinatal death due to a pregnancy-related cause,” referring to a baby who dies in an undefined period immediately after birth, which they contend is so vague as to legalize infanticide.\u003c/p>\n\u003cp>“It is trying to really tear down one of the few restrictions that California does have when it comes to terminating pregnancies, and that is the actual point of delivery,” Jonathan Keller, president of the religious advocacy group \u003ca href=\"https://www.californiafamily.org/\">California Family Council\u003c/a>, said following the Capitol rally.\u003c/p>\n\u003cp>While Wicks has vehemently denied that’s what the measure would or is intended to do, Keller said, “Intentions don’t matter. It’s actual legislative text that matters.” He added that the outrage has helped his group organize broader and more fervent opposition to the abortion legislation than it has managed in the past.\u003c/p>\n\u003cp>“We do think that many of the bills in this package are actually out of step with the state of California,” Keller said, including the fund to help out-of-state patients travel to California for abortion care. He calls it “abortion tourism.”\u003c/p>\n\u003cp>His claims have been picked up by the Republican National Committee, which issued a statement denouncing Wicks’s bill and calling abortion “murder,” but seem unlikely to gain much traction in the Democrat-dominated Legislature.\u003c/p>\n\u003cp>At the first committee hearing for the bill, following the rally, only one legislator questioned Wicks, who slammed her opponents’ tactics: “These same groups that are trying to ban abortion across this country and imprison people for stillbirths have manufactured a disinformation campaign using disturbing and violent imagery that is not grounded in medical science or the text of the bill,” she said.\u003c/p>\n\u003cp>Despite nearly an hour of testimony from opponents, the bill sailed through on an 11-3 vote.\u003c/p>\n\u003cp>\u003cem>The original version of this story was published on April 25, 2022.\u003c/em>\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/11912134/we-fill-the-gaps-california-preps-to-be-a-haven-for-abortion-rights","authors":["byline_news_11912134"],"categories":["news_18540","news_8"],"tags":["news_866","news_22880","news_27626","news_30994","news_20296"],"affiliates":["news_18481"],"featImg":"news_11912166","label":"news_18481"},"news_11898317":{"type":"posts","id":"news_11898317","meta":{"index":"posts_1591205157","site":"news","id":"11898317","score":null,"sort":[1638982819000]},"guestAuthors":[],"slug":"with-abortion-rights-threatened-45-recommendations-for-improving-access-in-california","title":"State Council Recommends Making California an Abortion 'Sanctuary' if Supreme Court Overturns Roe","publishDate":1638982819,"format":"standard","headTitle":"The California Report | KQED News","labelTerm":{"term":72,"site":"news"},"content":"\u003cp>If people can't access abortion services in their own states, California should help fund their travel here to get the services they need.\u003c/p>\n\u003cp>That's according to \u003ca href=\"https://www.plannedparenthoodaction.org/uploads/filer_public/d8/e1/d8e17825-72e0-4f6f-9c57-7549bb54261e/ca_fab_council_report_.pdf\">a report released Wednesday\u003c/a> by a council convened by Gov. Gavin Newsom, which issued 45 recommendations for expanding abortion access both for California residents and those living elsewhere.\u003c/p>\n\u003cp>With more than two dozen states poised to ban abortion next year if the U.S. Supreme Court overturns Roe v. Wade, California clinics and their allies in the state Legislature are pushing to make the state a \"sanctuary\" for people seeking reproductive care, including possibly paying for travel, lodging and procedures for out-of-state patients.\u003c/p>\n\u003cp>Earlier this month, \u003ca href=\"https://www.nytimes.com/live/2021/12/01/us/abortion-mississippi-supreme-court\">the court heard oral arguments\u003c/a> in a case questioning whether a Mississippi state ban on abortions after 15 weeks of pregnancy is constitutional. The court appears likely to rule in favor of Mississippi, effectively overturning Roe, which allows for abortion procedures up until a fetus is deemed viable — usually around 24 weeks.\u003c/p>\n\u003cp>Recognizing there could soon be an estimated \u003ca href=\"https://states.guttmacher.org/#california\">3,000% increase in people from out of state traveling to California for abortions\u003c/a> — from about 46,000 now to an anticipated 1.4 million, according to one analysis — the report also recommends steeply increasing funding for abortion clinics across the state.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"That will definitely destabilize the abortion provider network,\" said Fabiola Carrión, interim director for reproductive and sexual health at the National Health Law Program.\u003c/p>\n\u003cp>The recommendations from the California Future of Abortion Council, which Newsom convened earlier this year, likely will carry weight in a state with a Democratic supermajority that has already expanded abortion access multiple times.\u003c/p>\n\u003cp>In an interview last week with The Associated Press, Newsom said some of the report's details will be included in his budget proposal in January.\u003c/p>\n\u003cp>\"We'll be a sanctuary,\" he said. \"We are looking at ways to support that inevitability and looking at ways to expand our protections.\"\u003c/p>\n\u003cp>California already pays for abortions for many lower-income residents through Medi-Cal, the state's Medicaid program, and is one of six states that require private insurance companies to cover abortions — although many patients still end up paying high deductibles and co-payments.\u003c/p>\n\u003cp>Jodi Hicks, the president and CEO of Planned Parenthood Affiliates of California, which was involved in the council, said California abortion clinics already have seen an increase in patients from Texas, since that state recently\u003ca href=\"https://www.texastribune.org/2021/05/18/texas-heartbeat-bill-abortions-law/\"> implemented a ban on abortions after six weeks of pregnancy\u003c/a>.\u003c/p>\n\u003cp>\"In September, once SB 8 [in Texas] went into effect, we realized that California was already seeing the impact and the effects of just one state banning access to abortion,\" she said. \"We know at Planned Parenthood, we were receiving an average of one to two patients [from Texas] a day.\"\u003c/p>\n\u003cp>[aside label=\"related coverage\" tag=\"abortion\"]Because of the sheer number of states likely to ban abortions, Hicks said, the council is also recommending stronger legal protections for patients and providers — particularly out of concern that some states may seek to punish patients traveling to California.\u003c/p>\n\u003cp>\"If we're imagining a scenario where 26 states are going to craft abortion bans in very different ways, it was important that our providers had legal protections in place,\" Hicks said, noting that some changes can be implemented as budget requests while others will need to be enacted through legislation.\u003c/p>\n\u003cp>\"We’re looking at how to build capacity and build workforce,\" she added. \"It will take a partnership and investment with the state.\"\u003c/p>\n\u003cp>The council also recommends increasing training opportunities for reproductive health clinics to ensure that more of them can actually perform abortions.\u003c/p>\n\u003cp>Additionally, the report highlights the need to increase abortion training for people of color and those in other marginalized communities who have historically faced barriers in becoming abortion providers, and suggests steps to expand training opportunities.\u003c/p>\n\u003cp>Hicks said the council's recommendations include a mix of immediate actions and longer-term proposals.\u003c/p>\n\u003cp>\"We tried to make this really aspirational, not just to meet an immediate need, but to really look to the future, and [identify] barriers that have existed for quite some time, even within California,\" she said, \"and how we can address all of those.\"\u003c/p>\n\u003cp>Abortion-rights opponents in California, meanwhile, also are preparing for a potential surge of patients from other states seeking the procedure — only they hope to convince them not to do it.\u003c/p>\n\u003cp>Jonathan Keller, president and CEO of the California Family Council, said California has about 160 pregnancy resource centers whose aim is to convince people not to get abortions. He said about half of those centers are medical clinics, while the rest are faith-based counseling centers.\u003c/p>\n\u003cp>Many of the centers are located near abortion clinics as part of a strategy to entice people to seek their counsel before opting to end pregnancies. Keller said many of these centers are already planning on increasing their staffing if there is a sharp increase in patients coming to California.\u003c/p>\n\u003cp>“Even if we are not facing any immediate legislative opportunities or legislative victories, it’s a reminder that the work of changing hearts and minds and also providing real support and resources to women facing unplanned pregnancies — that work will always continue,” he said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This post includes reporting from Adam Beam of The Associated Press.\u003c/em>\u003c/p>\n\n","blocks":[],"excerpt":"The council, convened by Gov. Gavin Newsom, issued 45 recommendations for expanding abortion access both for California residents and those living in states where the procedure may soon be banned or severely limited.","status":"publish","parent":0,"modified":1639017739,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":26,"wordCount":899},"headData":{"title":"State Council Recommends Making California an Abortion 'Sanctuary' if Supreme Court Overturns Roe | KQED","description":"The council, convened by Gov. Gavin Newsom, issued 45 recommendations for expanding abortion access both for California residents and those living in states where the procedure may soon be banned or severely limited.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"11898317 https://ww2.kqed.org/news/?p=11898317","disqusUrl":"https://ww2.kqed.org/news/2021/12/08/with-abortion-rights-threatened-45-recommendations-for-improving-access-in-california/","disqusTitle":"State Council Recommends Making California an Abortion 'Sanctuary' if Supreme Court Overturns Roe","excludeFromSiteSearch":"Include","path":"/news/11898317/with-abortion-rights-threatened-45-recommendations-for-improving-access-in-california","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>If people can't access abortion services in their own states, California should help fund their travel here to get the services they need.\u003c/p>\n\u003cp>That's according to \u003ca href=\"https://www.plannedparenthoodaction.org/uploads/filer_public/d8/e1/d8e17825-72e0-4f6f-9c57-7549bb54261e/ca_fab_council_report_.pdf\">a report released Wednesday\u003c/a> by a council convened by Gov. Gavin Newsom, which issued 45 recommendations for expanding abortion access both for California residents and those living elsewhere.\u003c/p>\n\u003cp>With more than two dozen states poised to ban abortion next year if the U.S. Supreme Court overturns Roe v. Wade, California clinics and their allies in the state Legislature are pushing to make the state a \"sanctuary\" for people seeking reproductive care, including possibly paying for travel, lodging and procedures for out-of-state patients.\u003c/p>\n\u003cp>Earlier this month, \u003ca href=\"https://www.nytimes.com/live/2021/12/01/us/abortion-mississippi-supreme-court\">the court heard oral arguments\u003c/a> in a case questioning whether a Mississippi state ban on abortions after 15 weeks of pregnancy is constitutional. The court appears likely to rule in favor of Mississippi, effectively overturning Roe, which allows for abortion procedures up until a fetus is deemed viable — usually around 24 weeks.\u003c/p>\n\u003cp>Recognizing there could soon be an estimated \u003ca href=\"https://states.guttmacher.org/#california\">3,000% increase in people from out of state traveling to California for abortions\u003c/a> — from about 46,000 now to an anticipated 1.4 million, according to one analysis — the report also recommends steeply increasing funding for abortion clinics across the state.\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>\"That will definitely destabilize the abortion provider network,\" said Fabiola Carrión, interim director for reproductive and sexual health at the National Health Law Program.\u003c/p>\n\u003cp>The recommendations from the California Future of Abortion Council, which Newsom convened earlier this year, likely will carry weight in a state with a Democratic supermajority that has already expanded abortion access multiple times.\u003c/p>\n\u003cp>In an interview last week with The Associated Press, Newsom said some of the report's details will be included in his budget proposal in January.\u003c/p>\n\u003cp>\"We'll be a sanctuary,\" he said. \"We are looking at ways to support that inevitability and looking at ways to expand our protections.\"\u003c/p>\n\u003cp>California already pays for abortions for many lower-income residents through Medi-Cal, the state's Medicaid program, and is one of six states that require private insurance companies to cover abortions — although many patients still end up paying high deductibles and co-payments.\u003c/p>\n\u003cp>Jodi Hicks, the president and CEO of Planned Parenthood Affiliates of California, which was involved in the council, said California abortion clinics already have seen an increase in patients from Texas, since that state recently\u003ca href=\"https://www.texastribune.org/2021/05/18/texas-heartbeat-bill-abortions-law/\"> implemented a ban on abortions after six weeks of pregnancy\u003c/a>.\u003c/p>\n\u003cp>\"In September, once SB 8 [in Texas] went into effect, we realized that California was already seeing the impact and the effects of just one state banning access to abortion,\" she said. \"We know at Planned Parenthood, we were receiving an average of one to two patients [from Texas] a day.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"related coverage ","tag":"abortion"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Because of the sheer number of states likely to ban abortions, Hicks said, the council is also recommending stronger legal protections for patients and providers — particularly out of concern that some states may seek to punish patients traveling to California.\u003c/p>\n\u003cp>\"If we're imagining a scenario where 26 states are going to craft abortion bans in very different ways, it was important that our providers had legal protections in place,\" Hicks said, noting that some changes can be implemented as budget requests while others will need to be enacted through legislation.\u003c/p>\n\u003cp>\"We’re looking at how to build capacity and build workforce,\" she added. \"It will take a partnership and investment with the state.\"\u003c/p>\n\u003cp>The council also recommends increasing training opportunities for reproductive health clinics to ensure that more of them can actually perform abortions.\u003c/p>\n\u003cp>Additionally, the report highlights the need to increase abortion training for people of color and those in other marginalized communities who have historically faced barriers in becoming abortion providers, and suggests steps to expand training opportunities.\u003c/p>\n\u003cp>Hicks said the council's recommendations include a mix of immediate actions and longer-term proposals.\u003c/p>\n\u003cp>\"We tried to make this really aspirational, not just to meet an immediate need, but to really look to the future, and [identify] barriers that have existed for quite some time, even within California,\" she said, \"and how we can address all of those.\"\u003c/p>\n\u003cp>Abortion-rights opponents in California, meanwhile, also are preparing for a potential surge of patients from other states seeking the procedure — only they hope to convince them not to do it.\u003c/p>\n\u003cp>Jonathan Keller, president and CEO of the California Family Council, said California has about 160 pregnancy resource centers whose aim is to convince people not to get abortions. He said about half of those centers are medical clinics, while the rest are faith-based counseling centers.\u003c/p>\n\u003cp>Many of the centers are located near abortion clinics as part of a strategy to entice people to seek their counsel before opting to end pregnancies. Keller said many of these centers are already planning on increasing their staffing if there is a sharp increase in patients coming to California.\u003c/p>\n\u003cp>“Even if we are not facing any immediate legislative opportunities or legislative victories, it’s a reminder that the work of changing hearts and minds and also providing real support and resources to women facing unplanned pregnancies — that work will always continue,” he said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This post includes reporting from Adam Beam of The Associated Press.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11898317/with-abortion-rights-threatened-45-recommendations-for-improving-access-in-california","authors":["11200"],"programs":["news_72"],"categories":["news_8","news_13"],"tags":["news_866","news_30251","news_30275","news_16","news_20296","news_23688","news_30274"],"featImg":"news_11897664","label":"news_72"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. 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Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />","airtime":"SUN 9pm-10pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Code-Switch-Life-Kit-Podcast-Tile-360x360-1.jpg","meta":{"site":"radio","source":"npr"},"link":"/radio/program/code-switch-life-kit","subscribe":{"apple":"https://podcasts.apple.com/podcast/1112190608?mt=2&at=11l79Y&ct=nprdirectory","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93d3cubnByLm9yZy9yc3MvcG9kY2FzdC5waHA_aWQ9NTEwMzEy","spotify":"https://open.spotify.com/show/3bExJ9JQpkwNhoHvaIIuyV","rss":"https://feeds.npr.org/510312/podcast.xml"}},"commonwealth-club":{"id":"commonwealth-club","title":"Commonwealth Club of California Podcast","info":"The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.","airtime":"THU 10pm, FRI 1am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.commonwealthclub.org/podcasts","meta":{"site":"news","source":"Commonwealth Club of California"},"link":"/radio/program/commonwealth-club","subscribe":{"apple":"https://itunes.apple.com/us/podcast/commonwealth-club-of-california-podcast/id976334034?mt=2","google":"https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw","tuneIn":"https://tunein.com/radio/Commonwealth-Club-of-California-p1060/"}},"considerthis":{"id":"considerthis","title":"Consider This","tagline":"Make sense of the day","info":"Make sense of the day. Every weekday afternoon, Consider This helps you consider the major stories of the day in less than 15 minutes, featuring the reporting and storytelling resources of NPR. Plus, KQED’s Bianca Taylor brings you the local KQED news you need to know.","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Consider-This-Podcast-Tile-703x703-1.jpg","imageAlt":"Consider This from NPR and KQED","officialWebsiteLink":"/podcasts/considerthis","meta":{"site":"news","source":"kqed","order":"7"},"link":"/podcasts/considerthis","subscribe":{"apple":"https://podcasts.apple.com/podcast/id1503226625?mt=2&at=11l79Y&ct=nprdirectory","npr":"https://rpb3r.app.goo.gl/coronavirusdaily","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM1NS9wb2RjYXN0LnhtbA","spotify":"https://open.spotify.com/show/3Z6JdCS2d0eFEpXHKI6WqH"}},"forum":{"id":"forum","title":"Forum","tagline":"The conversation starts here","info":"KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.","airtime":"MON-FRI 9am-11am, 10pm-11pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg","imageAlt":"KQED Forum with Mina Kim and Alexis Madrigal","officialWebsiteLink":"/forum","meta":{"site":"news","source":"kqed","order":"8"},"link":"/forum","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/kqeds-forum/id73329719","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5NTU3MzgxNjMz","npr":"https://www.npr.org/podcasts/432307980/forum","stitcher":"https://www.stitcher.com/podcast/kqedfm-kqeds-forum-podcast","rss":"https://feeds.megaphone.fm/KQINC9557381633"}},"freakonomics-radio":{"id":"freakonomics-radio","title":"Freakonomics Radio","info":"Freakonomics Radio is a one-hour award-winning podcast and public-radio project hosted by Stephen Dubner, with co-author Steve Levitt as a regular guest. 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