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Judge Strikes Down Most Missouri Abortion Rules, Clearing Way for Medication Pills

The ruling restores in-person access to medication abortion in Missouri pending an expedited appeal to the state supreme court.

Overview

  • Jackson County Judge Jerri Zhang issued a permanent judgment Thursday that found numerous state restrictions conflict with the voter-approved 2024 reproductive-rights amendment.
  • The decision invalidated targeted clinic rules including special licensing, a telemedicine ban that required a doctor to be present when pills were taken, hospital admitting-privilege rules, and the 72-hour waiting period.
  • Planned Parenthood and ACLU plaintiffs said the ruling allows medication abortion to be offered inside Missouri for the first time since 2018, with clinics beginning to schedule in-person medication-abortion appointments next week.
  • Judge Zhang left in place a requirement that patients meet a physician in person before receiving medication and upheld a rule that only physicians may perform abortions, preserving some limits on access.
  • The attorney general has pledged an expedited appeal to the Missouri Supreme Court and the legislature has advanced a competing November ballot measure that could again restrict abortion, so the outcome remains unsettled.