US 50 State Summary of Emergency Contraception Laws Resources

US 50 State Summary of Emergency Contraception Laws Resources in United States

US 50 State Summary of Emergency Contraception Laws Resources

Updated April 2008

Bills related to emergency contraception (the “morning after pill”) have been debated all over the country and increased significantly in 2005 and 2006. Although emergency contraception is already available through many clinics and hospitals throughout the country, on August 24, 2006, the FDA approved a specific brand of emergency contraception called Plan B as an over-the-counter (OTC) option for women aged 18 and over. However, nine states Washington, California, New Mexico, Alaska, Hawaii, Maine, New Hampshire, Massachusetts and Vermont already allowed women of any age to buy Plan B without a doctor’s prescription from certain pharmacies. Proponents of those pharmacy access programs believe that minors won’t see any change in those states because the pharmacist already technically writes a prescription.

Beginning February 1, 2007, New York Medicaid enrollees ages 18 or older will be able to purchase emergency contraception with their Medicaid card and without a doctor’s prescription. The New York Health Department changed its policy in December to allow coverage of Plan B, and will initially provide full reimbursement to pharmacies that dispense the pills. Clients are limited to 6 courses over a 12-month period. The Empire State has now joined Illinois and Washington in covering Plan B.

Emergency contraception is used to prevent pregnancy, not terminate a pregnancy. “Emergency contraception” is a general term used to describe several different types of birth control pills that are used in increased doses within 72 hours of unprotected intercourse. It is not the same thing as Mifeprex or RU-486. Mifeprex is the brand name of mifepristone in the United States and is sometimes referred to as non-surgical abortion, medical abortion, or RU-486. Mifeprex was approved in 2000 by the Food and Drug Administration (FDA) for termination of early pregnancy, which is defined by forty-nine days or less. It is usually adminstired in pill form but there is also an injection and liquid form (methotrexate).

For more articles pertaining to Emergency Contraception and Early Abortion, visit the following websites: Abortion Incidence and Services in the United States in 2000 and Mifepristone for Early Medical Abortions: Experiences in France, Great Britain, and Sweden.

Eight states have programs designed to increase access to emergency contraception. For more information, visit California’s program, Emergency Contraception Pharmacy Program.

There are 19 states that currently have statutes related to emergency contraception -Alaska, Arkansas, California, Colorado, Connecticut, Hawaii, Illinois, Maine, Massachusetts, Minnesota, New Mexico, New Hampshire, New Jersey, New York, Oregon, South Carolina, Vermont, Washington and Wisconsin. Nine states – Alaska, California, Hawaii, Maine, Massachusetts, New Hampshire, New Mexico, Vermont, and Washington allow pharmacists to initiate emergency contraception drug therapy after they have completed a training program in emergency contraception.

State

Summary of Statutes

Alabama
Alaska Ala. Code 12 AAC § 52.240 Allows a pharmacist to dispense emergency contraception without a physician’s prescription under collaborative practice agreement.
American
Samoa
Arizona
Arkansas Ark. Code § 20-13-1401 et seq. (2007) requires all licensed health care facilities that provide emergency care to sexual assault survivors to amend their evidence-collection protocols for treatment of survivors.  The amendment requires the facility to inform the survivor in a timely manner about the availability of emergency contraception. (SB 847)
California Cal. Business and Professions Code § 4052 (2003-2004) authorizes a pharmacist to administer emergency contraception drug therapy in accordance with a standardized protocol established jointly by the State Board of Pharmacy and the Medical Board of California, in consultation with specified entities. This statute requires the pharmacist to obtain proper training prior to administering emergency contraception drug therapy. (S.B. 490)

Cal. Business and Professions Code § 682 (2003-2004) revises the training requirement that a pharmacist would have to complete prior to being authorized to administer emergency contraception drug therapy. This statute also prohibits the pharmacist from requiring a patient to provide identifiable medical information. Additionally, the statute authorizes the pharmacist to charge an administrative fee, not to exceed $10, for providing the service. (S.B. 545)

Cal. Streets and Highways Code § 2704.13- 2704.16 (2003-2004) authorizes a pharmacist to initiate emergency contraception drug therapy in accordance with standardized protocols developed by the pharmacist and an authorized prescriber acting within his or her scope of practice. The law requires a pharmacist who initiates emergency contraception drug therapy pursuant to these provisions to provide the recipient with a standardized fact sheet. (S.B. 1169)

Cal. Insurance Code § 10604.1 and Health & Safety Code § 1363.02 mandate that every disability insurer that provides coverage for hospital, medical, or surgical benefits, include a paragraph in the provider directory related emergency contraception.

Cal. Welfare & Institutions Code § 14016.8 mandates that all Medi-Cal beneficiaries receive a statement related to emergency contraception.

Cal. Health and Safety Code § 13823.11 (2002) provides a female victim of sexual assault with the option of postcoital contraception by a physician or other health care provider, and postcoital contraception shall be dispensed by a physician or other health care provider upon the request of the victim. (A.B. 1860)

Colorado Col. Rev. Stat. 25-3-110 (2007) requires all licensed health care faciilties that provide emergency carae to sexual assault survivors to ammend their evidence-collection protocols for treatment of survivors.  The ammendment requires the facility to inform the survivor in a timely manner about the availability of emergency contraception. (SB 60)
Connecticut C.T. Public Act No. 24 (2007) requires licensed health care facilities to provide emergency contraception to victims of sexual assault upon the request of such victims. (SB 1343)
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii Hawaii Rev. Stat. § 461-1 allows pharmacists working in collaboration with a physician and with the appropriate training to initiate emergency contraception oral drug therapy. (H.B. 123)
Idaho
Illinois Ill. Public Act No. 95-432 Sexual Assault Survivors Emergency Treatment Act; states that any hospital treating a sexual assault survivor must submit a plan to the Department of Health regarding the services they are equipped to offer, including transfer services, if necessary.  Included in this is a provision that all sexual assault survivors must be provided with medically factual and accurate information (written and oral) about emergency contraception, possible side-effects, and information about how to obtain the drug.

Ill. Rev. Stat. ch. 110, § 1-106 (2002) finds that FDA-approved emergency contraception can significantly reduce the risk of pregnancy if taken within 72 hours after the sexual assault. The law also finds that providing emergency contraception to rape victims in a timely manner, can significantly reduce the trauma of rape. The law requires hospitals providing services to alleged sexual assault survivors to develop a protocol that ensures that each survivor of sexual assault will receive medically and factually accurate and written and oral information about emergency contraception; the risks associated with the use of emergency contraception; and a description of how victims may be provided emergency contraception. The law requires hospitals to submit a plan to provide hospital emergency services to alleged sexual assault survivors. (S.B. 114)

Ill. Comp. Stat. 745 ILCS 70 (2003) The Health Care Right of Conscience Act states that not all people have the same moral or religious beliefs about what actions are medically acceptable and therefore issues state policy that Illinois will protect the right of conscience for any person who refuses to deliver, dispense or pay for, or arrange a medical procedure, device, or other medical services if it conflicts with their personal moral or religious beliefs.

Indiana
Iowa  
Kansas
Kentucky
Louisiana
Maine Me. Rev. Stat. Ann. tit. 32, § 13821-13825 (2003) allows a pharmacist to initiate emergency contraception drug therapy in collaboration with an authorized prescriber, provided that the pharmacist complete an emergency contraception training program.  The pharmacist is also required to provide the recipient of the drug therapy a standardized fact sheet.
Maryland
Massachusetts Mass Gen Laws Ann. ch. 91, § 97B (2005) Provides timely access to emergency contraception.  Provides that every patient who is a female rape victim, who is of childbearing age and who presents at a facility after a sexual assault shall promptly be provided with medically and factually accurate written information about emergency contraception prepared by the commissioner of public health.
Michigan
Minnesota Minn. Stat. §145.4711 (2007) requires emergency rooms to provide emergency contraception, prophylactic antibiotics, and information to sexual assault victims following an assault. (SB1266)
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire N.H. Rev. Stat. Ann. § 318:47-e Establishes the Collaborative Practice for Emergency Contraception Act.  Under this bill, a pharmacist may initiate emergency contraception drug therapy in accordance with procedures developed by the New Hampshire pharmacy board and a physician or other authorized prescriber who is acting within his or her scope of practice (Formerly SB 30–2005).
New Jersey N.J. Stat. Ann. § 1-5 ch. 26:2H-12.6b Requires certain health care facilities providing care to sexual assault victims to provide information about emergency contraception and the contraceptives upon request. (formerly SB 1668)
New Mexico N.M. Stat. Ann. § 16.19.26.9 authorizes a pharmacist to administer emergency contraception drug therapy in accordance with protocols established by the Board of Pharmacy. The statute also requires that the pharmacist complete a course in emergency contraception drug therapy.

N.M. Stat. 24-10 D-3 requires hospitals that treat victims of sexual assult to provide written and oral information about emergency contraception and provide the contraception to patients who request it.

New York N.Y. Public Health Law §2805  Allows information to be provided in emergency rooms and requires emergency rooms to dispense emergency contraception upon request.
North Carolina
North Dakota
Ohio

Oklahoma
Oregon Or. Rev. Stat § 147.225 and 147.231 Oregon authorizes state payment when emergency contraception is dispensed to women who have been assaulted, although it does not mandate treatment or information.

Or. Rev. Stat. 750.055, 750.333 (2007) requires hospitals to inform victims of sexual assault about emergency contraception and to provide emergency contraception upon request by victim.  Also requires insurance policies of student insurance plans to cover to cost of contraception.  Excludes religious employers. (HB 2700)

Pennsylvania
Puerto Rico
Rhode Island
South Carolina S.C. Code Ann. § 16-3-1350 (1997)  Sexual assault victims receive access to emergency contraception (EC) in hospital emergency rooms. Although the law does not explicitly mention EC, the law does require that medical treatment for sexual assault victims include “medication for pregnancy prevention if indicated and if desired.”
South Dakota
Tennessee

Texas
U.S. Virgin Islands
Utah
Vermont Vt. Stat. Ann. tit. 18 § 2077-2079 (2006) authorizes a pharmacist to dispense emergency contaception after following a protocol created by the pharmacist and a physician, which includes education for the woman. (H.B. 237)
Virginia
Washington Wash. Rev Code Ann. §  70.41 (2002) relates to emergency care for victims of sexual assault. The law declares that it is essential that all hospital emergency rooms provide emergency contraception as a treatment option to any woman who seeks treatment as a result of a sexual assault. The law provides definitions. The law requires hospitals providing emergency care to victims of sexual assault to: provide medically and factually accurate information about emergency contraception; orally inform victims of their option to be provided emergency contraception at the hospital; and provide emergency contraception immediately to each victim who requests it. The law directs the secretary to develop, prepare, and produce informational materials relating to emergency contraception for the prevention of pregnancy in rape victims for distribution to and use in all emergency rooms. (S.B. 6537: Chapter No. 116)

Wash. Rev Code Ann. § 18.64.011 under a very broad collaborative practive agreement (which does not specifically mention emergency contraception but includes it in practice), pharmacists may dispense emergency contraception if specially trained and part of a collaborative practice.

West Virginia
Wisconsin Wis. 2008 Acts 102 requires a hospital that provides emergency services to a victim of sexual assault to provide her with written and oral information about emergency contraception, orally inform her of her option to receive emergency contraception and her option to report the sexual assault, and immediately provide emergency contraception to her upon her request.  The act also requires a hospital that provides emergency care to ensure that each hospital employee who provides care to a victim of sexual assault has available information about emergency contraception.  (AB 377, 2007)

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