Missouri's supplemental budget bill signed into law Thursday includes a provision to block patients who rely on Medicaid from accessing Planned Parenthood health centers.

Federal Medicaid law protects patients' rights to choose their providers, including Planned Parenthood.

Michelle Trupiano, executive director of the Missouri Family Health Council, noted because of the Hyde Amendment, Medicaid cannot cover abortions, but Planned Parenthood provides a wide array of family planning and reproductive care, from birth control and STI testing and treatment to cancer screenings and other preventive services.

"The safety net is already at capacity and stretched very thin, it can take weeks for patients to get an appointment, and we need all the providers working together to meet the needs," Trupiano observed. "All this ideological attack does is further the disparities that already exist in Missouri."

Trupiano pointed out family planning and reproductive-health providers saw more than 40,000 patients in Missouri in 2021, and more than half were at Planned Parenthood.

Last year, the Missouri Supreme Court struck down a similar attempt to defund Planned Parenthood in the budget bill, and advocates say litigation will be filed again this time.

Trupiano stressed there are many steps the Legislature could take to improve access to reproductive-health care. She urged them to support and promote Medicaid expansion, so everyone has access to the full range of services they need, including family planning.

However, she added lawmakers have been working to undermine expansion, even though it was passed by voters as a constitutional amendment in 2020.

"And then more specific to ways to improve reproductive and sexual health," Trupiano outlined. "We would love to see the expansion of postpartum coverage for folks who have recently given birth that they don't get kicked off of Medicaid 60 days after they have given birth."

The supplemental budget bill, much of it using federal money, funds Medicaid for the rest of the fiscal year, which ends in June, and includes $1.9 billion for local public school districts, nearly $100 million for nonpublic schools, more than $400 million for child care and more than $200 million for school food programs.

Support for this reporting was provided by The Carnegie Corporation of New York.

Reproductive rights advocates are cheering Minnesota's new law centering around abortion access. Supporters predict it could help in other ways for rural patients.

Yesterday, Gov. Tim Walz signed the Protect Reproductive Options Act, making Minnesota the first state this year to firmly enshrine abortion rights since last summer's U.S. Supreme Court decision, which overturned federal protections.

The state already had legal safeguards from a mid-1990s state Supreme Court ruling.

Becky Twamley, board president of the Reproductive Health Alliance, said women in rural regions still have trouble getting reproductive care, even when meeting with local health providers.

"Women may go to a physician, and they won't even prescribe contraception, much less talk about what their other options are," Twamley pointed out.

She acknowledged some instances are still likely to occur, but added the new law might also quell some of the misinformation floating around reproductive care. The law states Minnesota residents have a fundamental right to options. Republican lawmakers, who are in the minority this session, have argued the law is too extreme.

Anti-abortion groups often cite personal religious beliefs in wanting to implement restrictions. But Twamley suggested the issue has become so divisive, it is often reduced to talking points that do not address the complexities of reproductive care.

"There's a lot of hyperbole around it," Twamley asserted. "I think we need to counter that with facts."

The group Power to Decide said nearly 300,000 women who are at or below the poverty level in Minnesota live in so-called "contraceptive deserts."

Backers of Minnesota's new protections say they are also vital since many other Midwestern states either now have abortion bans in place or are poised to enact them.

The Massachusetts Attorney General's Office has announced the launch of a new hotline for abortion-care providers and people seeking confidential legal advice.

The Abortion Legal Hotline will offer help accessing abortion-care resources for both residents and people traveling to the Commonwealth for abortion services.

Rep. Ayanna Pressley, D-Ma., reminded people there is no shame in having an abortion or seeking information regarding one's own health care.

"The only shame is that there are unrelenting, coordinated legislative efforts and forces at work to deny you that which is your fundamental human right, and that is access to health care," Pressley asserted.

The hotline will be run by Reproductive Equity Now, the Women's Bar Foundation and five law firms offering pro bono services, and can be reached at 1-833-309-6301.

Andrea Campbell, Attorney General, joined Pressley in announcing the new hotline and the Commonwealth's commitment to protecting abortion rights, and both drew attention to the collective grief surrounding Tyre Nichols, a 29-year-old Black man killed by police in Memphis earlier this month.

Campbell noted reproductive justice is about more than access to abortion.

"But it is about the right to parent a child in a safe and healthy community, and police violence interferes with that right," Campbell contended.

Following the Supreme Court's decision to overturn Roe v. Wade last year, more than a dozen states moved to ban or restrict access to legal abortion care.

In Massachusetts, lawmakers passed one of the strongest shield laws protecting abortion providers, as well as access to care for both residents and those who cross state lines to access health care services.

New York pharmacists would be able to dispense abortion medication under newly proposed legislation, and a person could get the prescription from a physician online or by mail.

This comes after the U.S. Food and Drug Administration issued new guidance allowing retail pharmacies to sell abortion pills.

According to the Guttmacher Institute, medication abortions made up 54% of all abortions in the country in 2020.

State Assemblywoman Amy Paulin, D-Scarsdale, the bill's author, said it hasn't been filed yet, but if it passes, it should help people who don't want to visit an abortion clinic.

"If you can walk into a pharmacy and get this medication over the counter, you're much more likely to do it," she said. "Not everybody's going to go to a provider; not everyone feels comfortable. And providers are doing this with telehealth, so it doesn't require an exam."

The bill is part of a larger push by New York elected officials to expand abortion services in the state. In anticipation of the U.S. Supreme Court ruling that ended federal abortion rights last June, Gov. Kathy Hochul signed a far-reaching package of legislation to improve access, as well as $35 million allocated to support abortion providers in New York State's 2022 budget.

While the bill is still in its earliest stages, Paulin said she's ready to meet whatever challenges come when it is filed. Abortion opponents in New York have encouraged such alternatives as better family services and making adoption easier.

Paulin said she knows the work won't end with this bill, adding that she is eager to work on whatever comes next.

"I'm working closely with advocate groups, like Planned Parenthood and ACOG, so if barriers come up, we will immediately address them," she said. "I think right now, we're just exploring some of those barriers and we will be putting legislation in shortly to alleviate them."

Other upcoming legislation would have all SUNY and CUNY colleges and universities offer abortion care, new protections of personal data for anyone seeking an abortion, and increased doctor reimbursement rates for reproductive health-care services.