Arizona’s abortion rules take hold; appeal quick

Wednesday, April 2, 2014

PHOENIX - Planned Parenthood Arizona filed an appeal Tuesday after a federal judge refused to temporarily block the nation’s most stringent restrictions on the use of abortion drugs.

The organization filed the motion with the 9th Circuit U.S. Court of Appeals the same day Arizona’s regulations took effect.

U.S. District Judge David Bury had considered temporarily blocking the new rules with an injunction Monday, but he decided against such action hours before the regulations went into effect.

That ruling was made in response to an earlier lawsuit by Planned Parenthood Arizona and the private abortion clinic Tucson Women’s Center, which said the rules severely infringe on a woman’s ability to have an abortion.

The abortion rules were released in January by the Arizona Department of Health Services. They ban women from taking the most common abortion-inducing drug - RU-486 - after the seventh week of pregnancy. Women had been allowed to take the abortion pill through nine weeks of pregnancy.

Planned Parenthood estimates that 800 women would have had to get surgical abortions in 2012 if the rules were in effect then.

Planned Parenthood said last week that the new rules could force it to suspend operations at its Flagstaff abortion clinic, which only does medication abortions, because the rules require a doctor to be available more than the one day a week she is now.

A spokesman said Monday, however, that the group is evaluating how it will proceed, and operations at the Flagstaff clinic will continue.

In his ruling, Bury acknowledged that the new rules will make it more difficult for some women in Arizona, especially those in the northern part of the state, to get abortions as they have to travel farther and make more trips to clinics. But he said they aren’t obstacles big enough to show that the rules should be blocked.

“The court finds that the injunction is not in the public interest,” Bury said.

Attorney Mike Tyron, arguing the case for the state, described the rules as a simple shift in abortion regulations that amount to a minor inconvenience for women - and are not the heavy-handed change that opponents make them out to be.

The Arizona Legislature in the past few years has approved a number of aggressive anti-abortion measures.

A House of Representatives-approved bill that is being considered by the Senate would allow for surprise inspections of abortion clinics without requiring a warrant. Proponents of the bill say it protects women from clinics that are not up to health standards. Opponents say it puts women at risk and violates their privacy.

The Arizona rules limit RU-486 to use under the Food and Drug Administration drug label approved in 2000, which uses a much higher dosage. That dosage is no longer routinely followed because doctors have found much lower dosages are just as effective when combined with a second drug.

The rules require that the drug be administered only at the FDA-approved dosage no later than seven weeks into a pregnancy instead of nine weeks, and that both doses be taken at the clinic. The usual dose is lower and now usually taken at home, decreasing the cost and chance of complications.

Ohio and Texas have similar laws requiring the use of only FDA-approved protocols for drug-abortions that have been upheld by federal courts, although those states have exemptions for women whose lives are endangered, who have severe health problems or for whom surgical abortion would not be appropriate. Arizona’s law doesn’t allow for exemptions, making them the most stringent in the country. State courts in Oklahoma and North Dakota have blocked similar rules.

The Center for Arizona Policy, a powerful anti-abortion group that pushed the 2012 law, has pushed a series of anti-abortion bills. Two of those, a ban on Medicaid money for any of Planned Parenthood nonabortion services and a ban on abortion after 20 weeks, have been blocked by federal courts.

“When Planned Parenthood loses, women win,” said Cathi Herrod, president of the Center for Arizona Policy. “It’s common-sense regulations protecting the health and safety of women considering an abortion.”

The Center for Reproductive Rights, which filed the lawsuit on behalf of Planned Parenthood, says it will not drop its fight despite the ruling.

“This law serves no purpose other than to prevent Arizona women from using a safe alternative to surgical abortion and force their doctors to follow an outdated, riskier and less effective method. This is what happens when politicians, not doctors, practice medicine,” attorney David Brown said.

Front Section, Pages 4 on 04/02/2014