Medication abortion restrictions could worsen delays for Texans at out-of-state clinics

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Medication abortion restrictions could worsen delays for Texans at out-of-state clinics
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Texans are flooding abortion clinics in New Mexico, Kansas and Colorado. A recent court ruling could imperil access in those states.

For more than a year, abortion clinics in New Mexico, Kansas and Colorado have been flooded with Texans seeking care that's largely outlawed in the Lone Star State. Now, those clinics are bracing for another consequence of Texas' anti-abortion animus as an Amarillo court ruling threatens access to medication abortion nationwide.The U.S. Supreme Court has stayed that ruling until Wednesday at midnight and will then decide whether to leave it blocked while the case proceeds.

With the court ruling on hold, the biggest barrier to care at the moment, Wales said, is confusion and fear.is legal. No, it might not be when you get here ... but just get yourself here and we'll get you served.'"Abortion, including medication abortion, has been virtually banned in Texas since the overturn of Roe v. Wade late last June.

These requirements - which are temporarily blocked by the Supreme Court - would further snarl an already overburdened abortion care system, providers and advocates say.On a recent Monday, Trust Women, an abortion clinic in Wichita, Kansas, got 16,000 phone calls to their hotline; many were repeat calls as people desperately tried to get through to book an appointment.

For patients who do opt for a surgical abortion, restrictions on medication abortions will have trickle-down effects, said Amy Hagstrom Miller, president and CEO of Whole Woman's Health, which operates abortion clinics in six states, including New Mexico. If mifepristone becomes further restricted, or moved off the market entirely, clinics that serve Texans say they are preparing to continue to offer misoprostol-only medication abortions. While misoprostol can be taken alone to terminate a pregnancy, it's overall less effective and can cause greater side effects than when it's taken alongside mifepristone.

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