Dr. William Richardson, an obstetrician-gynecologist in Tucson, Arizona, began offering telehealth abortion services through his clinic, Choices Women’s Center, in May. The services became available following a court ruling earlier this year that cleared the way for remote access to mifepristone, the abortion pill. Richardson reports that approximately 95% of his patients prefer using telemedicine in some form, with many appreciating the convenience of avoiding travel and time away from work or childcare responsibilities.
Medication abortion is approved by the FDA for use before 11 weeks of pregnancy. During a telehealth appointment, Richardson reviews a patient’s medical history and explains the two medications involved: mifepristone, which stops pregnancy development, and misoprostol, which is taken 24 to 48 hours later. Patients who come to the office can receive medications immediately, while those consulting remotely have medications mailed to their homes from a pharmacy within several days. Richardson notes that most appointments take less than 30 minutes, and patients have access to a 24/7 clinic phone line for questions or concerns.
The availability of telehealth abortion access faces a significant legal threat. Louisiana v. FDA, a case being heard this week by the Fifth Circuit Court of Appeals in New Orleans, challenges the FDA’s decision-making process for permitting telehealth access to abortion pills. The state of Louisiana argues that the rules violate states’ rights and contend that in-person medical oversight is safer for patients. Anti-abortion advocates and state officials argue that telehealth access undermines state-level abortion restrictions, as patients in states with strict bans can consult with doctors in other states and receive medications by mail. If the lawsuit succeeds, telehealth abortion access could be restricted across the country.
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