SMRs and AMRs

Monday, September 10, 2007

Missouri abortion law under review

Facilities that regularly provide first-trimester terminations — including the pill version — may be regulated as outpatient surgical centers. Two of the state's three clinics would have to close.
By Stephanie Simon
Los Angeles Times

COLUMBIA, Mo. — A first-trimester surgical abortion takes about two minutes. After, patients at the Planned Parenthood clinic here walk down a dimly lighted hall to a small, spare recovery room, where they rest in recliners, a box of tissues by each chair. Most are cleared to go home after 15 minutes.

Thousands of women have safely ended pregnancies at this clinic since it opened in 1987. Conservative lawmakers in Missouri say abortion patients deserve better.

They have enacted the most far-reaching regulations in the nation -- dictating the physical layout, staffing and record-keeping policies of any facility that performs five or more abortions a month, including private doctors' offices that regularly prescribe the abortion pill.

The law, which a federal judge is to review today, would force the immediate closure of at least two of Missouri's three abortion clinics, plus a private medical practice near St. Louis run by a doctor who offers first-trimester terminations in his office. Those facilities would need extensive renovations to comply with the law; the requirements could include widening hallways, raising ceilings, installing locker rooms, rerouting plumbing, and creating surgical suites stocked with emergency resuscitation equipment, even when no surgery is performed on-site.

Several states impose similarly rigorous standards on providers of second- and third-trimester abortions. Missouri is the first to try to extend them to clinics and private offices that only provide the abortion pill, which has been used by nearly 800,000 women nationwide to end early pregnancies.

The law would put providers of five or more abortions a month in the same regulatory category as outpatient surgical centers that perform a wide range of procedures, some under general anesthesia, including tonsillectomies, cardiac catheterization, hernia repair, cataract removal and colonoscopy.

When he signed the bill in July in the sanctuary of a Baptist church, Republican Gov. Matt Blunt called it "one of the strongest pieces of pro-life legislation in Missouri history."

(Continued here.)

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