FIGHTING BACK IN THE COURTS AND STATE CAPITOLS Litigation and Legislative Trends in the US

Overview Legislative Explosion

Abortion Restrictions Enacted By Year 2011: 92 restrictions : 43 restrictions 2013: 68 restrictions Legislative Explosion

Abortion Restrictions Enacted By Year 2011: 92 restrictions : 43 restrictions 2013: 68 restrictions Legislative Explosion: 2013

Overview Targeted Regulations

Intense, Targeted Regulation: 2012 AZ KS LA OK SD WI 44 Other State s 19 restriction s 24 restriction s

Intense, Targeted Regulation: Texas 2003: Abortions past 15 weeks LMP must be performed in an Ambulatory Surgery Center 2005: Third- trimester abortions banned 2003: Women must submit to a 24 hour waiting period 2005: Minors must get written parental consent 2005: State funding rerouted from family planning to crisis pregnancy centers 2010: Planned Parenthood affiliates are defunded, even those that do not perform abortions 2011: Mandatory ultrasounds 2013: All abortions after 22 weeks LMP banned 2013: All doctors performing abortions must have admitting privileges at a hospital within 30 miles of the clinic 2013: Medication abortion restricted to “on-label” regimen 2014: All abortions must be performed in ambulatory surgery centers End Result: Two Providers Left for 60,000 women

Restrictions on Medication Abortion

1996: FDA application -Trials of <3000 women -600 mg mifepristone/400 µg misoprostol (oral) -49 days LMP : Additional clinical trials and use after approval -Studies & trials of 100,000s of women mg mifepristone/800 µg misoprostol (vaginal) -63 days LMP 2000: Approval of original application -FPL based on 1996-era research : Most common current regimen - Studies of 200,000+ women mg mifepristone/800 µg misoprostol (buccal) -63 days LMP Final Printed Label

Restrictions on Medication Abortion Final Printed Label FPL law in effect FPL law enjoined