Louisiana Attempts to Tighten Abortion Pill Restrictions

Threatens access to vital healthcare

Dawn Fifer
Fourth Wave
3 min readMay 25, 2024

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Photo by Hal Gatewood on Unsplash

In a recent Associated Press article titled “Louisiana Legislature approves bill classifying abortion pills as controlled dangerous substances,” Sara Cline highlights Louisiana’s push for stricter regulations on mifepristone & misoprostol, two drugs commonly used in medication abortions. The proposed bill aims to categorize these medications as Schedule IV drugs under the state’s Uniform Controlled Dangerous Substances Law, further complicating access to them.

Cline points out that Louisiana law already mandates a prescription for both drugs & criminalizes their use for inducing abortions in most cases. However, the proposed legislation would escalate the barriers by requiring doctors to hold a specific license to prescribe these medications. Such stringent measures could severely limit access for individuals in need of these drugs for medical reasons beyond abortion.

This development is deeply concerning, especially considering the multifaceted medical applications of mifepristone & misoprostol. As I highlighted in a previous article titled “Some Medical Uses of Methotrexate, Mifepristone, & Misoprostol,” these drugs play crucial roles in healthcare beyond terminating pregnancies. They are utilized in managing conditions such as Cushing’s syndrome & uterine lipomas, & softening the cervix for procedures such as endometrial biopsy.

If Louisiana passes this bill, it will only worsen a trend observed immediately in the aftermath of the Dobbs v Jackson ruling, as discussed in a Washington Post article titled “Abortion bans complicate access to drugs for cancer, arthritis, even ulcers.” Authors Katie Shepard & Frances Stead Sellers shed light on the far-reaching consequences of abortion bans on access to essential medications. Patients have already encountered barriers in obtaining vital drugs after Dobbs v Jackson, underscoring the urgent need to safeguard access to healthcare beyond ideological constraints.

Different states have taken varied approaches to regulating these medications. In their article “Map: Where Medication Abortion Is & Isn’t Legal,” Jasmine Cui & Danica Jefferies provide a state-by-state breakdown of stances on medication abortion bans. The article, originally published on February 21, 2023, and updated on March 1, 2024, centers around a map and a list of each state and Washington, D.C., showing each state’s stance on medication abortion. These fall into four categories: clinician prescribed, physician prescribed, physician prescribed with limitations, and banned. To date, Louisiana is the only state that has moved to reclassify mifepristone & misoprostol as more dangerous drugs.

The Louisiana legislature’s move to tighten restrictions on abortion pills underscores the importance of advocating for comprehensive healthcare policies that prioritize patients’ needs & ensure equitable access to essential medications. As debates surrounding reproductive rights continue to unfold, it is imperative to recognize the broader ramifications of legislation on healthcare access & patient well-being.

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