Abortion pills: Where are they legal and illegal?

In a January 8, 2025, article by the Catholic News Agency titled Abortion pills: Where are they legal and illegal?, author Jonah McKeown writes:

“As states continue to legislate on abortion in the post-Roe v. Wade landscape, a major point of contention as a new presidential administration takes office is the two-drug medication abortion regimen, commonly referred to as the abortion pill.

Abortions done via medication, also called chemical abortions, currently account for about half of the abortions that are done in the United States every year. However, many states restrict the use of abortion pills, specifically the first drug in the two-drug regimen, mifepristone. (Emphasis added)”

Take a look at the map below to see where abortion pills are legal, and where they aren’t:

Green is illegal, yellow is limited, and red is legal (go to Abortion pills: Where are they legal and illegal? to click on each state’s specific law)

As the author states:

“At the federal level, mifepristone is approved to abort an unborn child up to 10 weeks’ gestation, having been first approved for such use in 2000. 

The drug kills the child by blocking the hormone progesterone, which cuts off the child’s supply of oxygen and nutrients. A second pill, misoprostol, is taken between 24 to 48 hours after mifepristone to induce contractions and expel the child’s body.

Several states, most of which have some pro-life laws in place, have also passed restrictions on abortion pills designed to protect women, including requirements that only physicians may dispense them. These states include Alaska, Arizona, Florida, Georgia, Iowa, Michigan, Nebraska, Nevada, North Carolina, Ohio, Pennsylvania, South Carolina, and Utah. (Emphasis added)”

and

“A large number of states — most of them concentrated in a contiguous cluster in the South and Midwest — ban abortion in most cases but provide exceptions in cases where the life of the mother is at risk or in cases of rape, incest, or fetal anomaly. In these states, access to abortion pills is likely to be very limited or prohibited entirely. 

States with total bans on abortion pills include Alabama, Arkansas, Idaho, Indiana, Kentucky, Louisiana, Mississippi, Missouri, North Dakota, Oklahoma, South Dakota, Tennessee, and Texas. “

However, as Mr. McKeown. also writes,

” just because these states have bans on abortion pills in place does not mean the drugs are not accessible; women in those states can still receive them in the mail. Under then-President Donald Trump during the COVID-19 pandemic in 2020, the FDA was given the ability to distribute the drug via mail. The administration of President Joe Biden eventually solidified the practice as a norm in 2023. (Emphasis added)

A group of state attorneys general, led by Missouri, is currently suing the Food and Drug Administration (FDA) over its deregulation of the drug, arguing that abortion drugs have been “flooding states like Missouri and Idaho [where abortion is otherwise regulated] and sending women in these states to the emergency room.”

In addition, Texas Attorney General Ken Paxton recently filed a lawsuit against an abortionist in New York, alleging that she illegally provided abortion drugs to a woman in Texas, which killed the unborn child and caused serious health complications for the mother.”

Sadly, as Mr. McKeown writes:

President-elect Trump has committed to keeping abortion pills accessible during his second term — a major disappointment for pro-life advocates, who have urged Trump to use the FDA’s power to enforce a Comstock Act prohibition on the delivery of “obscene” and “vile” products through the mail, which includes the delivery of anything designed to produce an abortion.”

CONCLUSION

As I wrote in my June 16, 2024 blog “The Supreme Court Rejects Challenge by Pro-life Doctors on Abortion Pill“:

“As Life News reported on June 13, 2024:

“The Supreme Court on Thursday rejected a challenge to the abortion pill mifepristone, meaning the abortion drug will be widely available to continue killing babies and injuring doctors nationwide.

The 9-0 decision says the pro-life doctors who brought the case do not have standing – they were not injured, and so the court does not interveneThat’s even though they sued on behalf of women who were injured by the abortion drug by the thousands – including women who have been killed.” (Emphasis added)”

I have a personal interest in this because I had an unwed daughter who became pregnant and started bleeding without telling me because of embarrassment.

She went to a local ER, where the doctors said she was just having a miscarriage and sent her home.

When the pain and bleeding increased, she called me. I took her back to the ER to demand an ultrasound.

As I suspected as a nurse, her pregnancy was ectopic and emergency surgery was performed.

Afterward, the surgeon showed me the picture he had taken (unasked) during the surgery to remove the then-deceased first-trimester baby, my grandchild. The picture was personally so sad to see but I was comforted that the surgeon cared enough to take a picture of this tiny person and show respect.

We need more respect and help for women with an unexpected pregnancy and their babies than a pill without medical safeguards!”

Related

“Safer Than Tylenol” is Deliberate Medical Abortion Disinformation February 26, 2023

Planned Parenthood Sues Kansas to Challenge a New State Law Requiring Abortion Reversal Information to be Provided Before Abortion June 12, 2023

How to Bury Your Baby After a Miscarriage Today

10 years ago, I wrote my blog “How to Bury Your Baby After a Miscarriage” after my miscarriage:

“In 1983, my daughter Karen, who had Down Syndrome, died at 5 1/2 months from a complication of pneumonia just before her open heart surgery. In 1984, we suffered a miscarriage at 10-12 weeks.

My 7-year-old son and 5-year-old daughter were devastated and asked what the name was. Since the doctors could not determine the sex of the baby, I had each of my children select a boy’s or girl’s name. Naming the baby Jeff Candy helped make my children feel better but then they questioned why Jeff Candy did not have a funeral like their sister Karen. Good question!

I brought this up to my mentor Fr. Joe Naumann (now archbishop of Kansas City) when he headed the St. Louis Archdiocesan Pro-Life Committee and the next thing I knew, I wound up on a committee. Now we have “The Order for the Naming and Commendation for an Infant Who Died Before Birth” (copyright 1989)
.
I am so proud of the results of my children’s long-ago question and I am so happy to see the long-term results in this article, which should be shared with everyone, especially if they are Catholic. Here is an excerpt:

How to Bury Your Baby After a Miscarriage

by JoAnna Wahlund • June 10, AD2015

“The loss of a child is a nightmare for every parent. In the first few hours and days of grief and shock, it’s hard to know what to do. It’s especially hard when the loss occurs in early pregnancy, since our culture isn’t accustomed to treating unborn babies as human beings — and this happens even in pro-life circles.

If you are reading this article because you recently lost a baby via miscarriage, there are three things I want you to know:

1. I am so sorry for the loss of your baby.

2. You have the right to bury your baby.

3. If you did not bury your baby, do not not feel ashamed or guilty. We can only do our best in the circumstances we’re in according to the knowledge that we have.”

A MISCARRIAGE AND FUNERAL TODAY

Recently, I was invited to an ultrasound of a close relative.

“Anne” (not her real name) was so excited about her third pregnancy, and since I was a nurse, she thought I might be able to discern the sex of the baby.

I held her hand as the ultrasound began, but tragically, there was no heartbeat.

A second ultrasound showed the same result, and we both cried as a D&C was scheduled to remove the baby.

I had told Anne about the Naming and Commendation Ceremony and she requested the baby’s remains. The hospital was very respectful and put the remains in a small white box.

We met with her pastor, who not only agreed to bury the baby in the church’s graveyard with a short ceremony, but also to have a stone placed!

What a blessing!

.

The Supreme Court Rejects Challenge by Pro-life Doctors on Abortion Pill

As Life News reported on June 13, 2024:

“The Supreme Court on Thursday rejected a challenge to the abortion pill mifepristone, meaning the abortion drug will be widely available to continue killing babies and injuring doctors nationwide.

The 9-0 decision says the pro-life doctors who brought the case do not have standing – they were not injured, and so the court does not intervene. That’s even though they sued on behalf of women who were injured by the abortion drug by the thousands – including women who have been killed.” (Emphasis added)

The US Supreme Court decision acknowledged that the Mifeprex pill was approved in 2000 but also that:

“FDA placed additional restrictions on the drug’s use and distribution, for example requiring doctors to prescribe or to supervise prescription of Mifeprex, and requiring patients to have three in-person visits with
the doctor to receive the drug.
” (Emphasis added)

The Cout also acknowledges that the restrictions were relaxed further by the FDA (Federal Drug Administration) when:

“In 2021, the FDA announced that it would no longer enforce the initial in-person visit requirement. Four pro-life medical associations and several individual doctors moved for a preliminary injunction that would require the FDA either to rescind
approval of mifepristone or to rescind the FDA’s 2016 and 2021 regulatory actions. Danco Laboratories, which sponsors Mifeprex, intervened to defend FDA’s actions.”

Now as the Wall Street Journal reports:

Twenty-six states and D.C. allow telehealth for medication abortion. The remaining states have restrictions that supersede federal guidance: 14 ban abortion throughout pregnancy, and the remaining 10 have various combinations of in-person requirements, such as mandatory ultrasounds and visits to doctors and counselors.” (Emphasis added)

WHAT COULD GO WRONG?

As Dr. Christina Francis, an Ob-Gyn doctor herself, wrote in a May 2021 article titled “The government’s abortion pill policy puts mothers’ lives at risk”:

“One of the most significant reasons why an in-person visit has been required is for proper medical oversight as well as a physical exam and ultrasound. These visits are meant to accurately assess the gestational age of a woman’s pregnancy, as well as rule out ectopic pregnancy, which is life-threatening. The difference in size of an 8-week-old and 12-week-old preborn child is significant”

CONCLUSION

I have a personal interest in this because I had an unwed daughter who became pregnant and started bleeding without telling me because of embarrassment.

She went to a local ER where the doctors said she was just having a miscarriage and sent her home.

When the pain and bleeding increased, she called me. I took her back to the ER to demand an ultrasound.

As I suspected as a nurse, her pregnancy was ectopic and emergency surgery was performed.

Afterward, the surgeon showed me the picture he had taken (unasked) during the surgery to remove the then-deceased first-trimester baby, my grandchild. The picture was personally so sad to see but I was comforted that the surgeon cared enough to take a picture of this tiny person and show respect.

We need more respect and help for women with an unexpected pregnancy and their babies than a pill without medical safeguards!

        New Study on Progesterone to Prevent Miscarriage Supports Use in Abortion Reversal

        Recently, I was talking to a young woman relative who had a miscarriage with her first pregnancy, a successful birth with the second and is now taking progesterone as soon as she found out she was pregnant with her third on the advice of her Natural Family Planning instructor and doctor.

        I was a bit perplexed about this until I read the May 28, 2019 National Catholic Register article “New Study Supports Catholic Research on Progesterone in Pregnancy” .

        Based on a recent study in the New England Journal of Medicine  titled  “A Randomized Trial of Progesterone in Women with Bleeding in Early Pregnancy”, it was found that those  women taking progesterone supplements during pregnancy had a 15% increase in live births.

        This came as no surprise to Teresa Kenney, a women’s health nurse practitioner in Omaha at the Pope Paul VI Institute for the Study of Human Reproduction where being Catholic is not required for services.

        Research there has shown progesterone to be “a significant factor in pregnancies who are at risk for miscarriage or premature labor.” She also noted that progesterone is routinely used during the in-vitro fertilization (IVF) process, a process that the Institute does not offer because of moral and ethical concerns.

        Dr. Hilgers who founded and directs the Pope Paul VI Institute has been studying progesterone and pregnancy for decades and found that pregnancies that were not normal-for example, those ending in miscarriage, premature labor or other complications-often had lower than normal progesterone levels in the mother’s blood.

        Not every miscarriage can be prevented with progesterone in the estimated  10%-25%  of pregnancies that end in miscarriage. Fifty percent of miscarriages happen because the baby has a chromosomal problem and there are other medical problems that can lead to miscarriage.

        Dr. Kathleen Raviele, an OB-GYN and former president of the Catholic Medical Association, said that if a woman has undergone a miscarriage – particularly very early in pregnancy – she recommends that her progesterone levels be tested following ovulation during a normal cycle. If numbers are low, she recommends supplementing progesterone.

        That is why my relative is now taking progesterone for her expected baby.

        According to Nurse Kenney and Dr. Raviele, they use careful timing and only bioidentical progesterone perfectly matching the progesterone made by the woman’s body herself-not the synthetic versions.

        ABORTION REVERSAL

        As I wrote in my 2018 blog “What You Need to Know About Medical Abortion and Abortion Reversal” , medical abortions can often be reversed by taking progesterone if the mother changes her mind after the first abortion pill to block progesterone is given but she hasn’t yet taken the second pill to expel the baby. There is now a website at www.abortionpillreversal.com for information on abortion reversal that includes a hotline phone number at 1-877-558-0333.

        But according to Planned Parenthood :

         “…(only) a handful of states require doctors and nurses to tell their patients about (abortion reversal treatment) before they can provide abortion care. But these claims haven’t been proven in reliable medical studies — nor have they been tested for safety, effectiveness, or the likelihood of side effects — so experts like the American College of Obstetricians and Gynecologists reject these untested supposed treatments.” (Emphasis added)

        Nurse Kenny replies that:

        “It’s frustrating to me that these pro-abortion people are saying that this science is completely bogus, when we have studies like this [Birmingham study] that prove the absolute essential nature of progesterone to support and maintain pregnancy.”

        CONCLUSION

        I have long been a big supporter of Natural Family Planning and NaPro (Natural Procreative Technology) since I met Dr. Hilgers and visited the Pope Paul VI Institute decades ago.

        I have told many women experiencing infertility or multiple miscarriages about these options. I believe it is essential for women to know all the options, risks and benefits when it comes to true reproductive health.

        And thanks to this article, I am constantly learning more myself!