Louisiana
Some Louisiana patients struggle to fill reproductive care prescriptions under new drug law • Louisiana Illuminator
A Lafayette woman needed to get a uterine polyp removed so that she could get pregnant. A woman from northwest Louisiana and another from New Orleans wanted to take long-term birth control measures
What do these three women have in common? They all need misoprostol to soften their cervix before undergoing routine medical procedures, and they all faced challenges trying to fill their prescriptions.
A new law reclassifying misoprostol and mifepristone as controlled dangerous substances took effect Oct. 1 in Louisiana. The medications were reclassified because they can be used in medication abortions, but they have several other prescribed uses. Misoprostol is often used ahead of medical procedures to soften the cervix and when women bleed profusely after delivery.
The new designation requires medical facilities and pharmacies to securely store the drugs and closely record their dispensing and use.
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In May, Gov. Jeff Landry approved a bill from state Sen. Thomas Pressly, a Shreveport Republican, to reclassify the drugs. Since then, doctors have voiced concerns that the law could lead to delays of care for patients, both in hospital settings and for outpatient procedures.
Misoprostol has already been pulled off of postpartum hemorrhage carts in Louisiana and locked away in medical cabinets outside of patient rooms.
A New Orleans-area OB-GYN spoke Friday with the Illuminator about an experience she had with a patient earlier in the day that began the night prior. She asked that her name not be used because her employer did not grant her permission to speak with a reporter.
“I had set her up for an office hysteroscopy to remove [a uterine] polyp. But in preparation for that, she needed to take a medication called misoprostol in order to help open her cervix up so that I could do the procedure more safely and more comfortably,” the doctor said.
The patient was traveling from Lafayette for a minimally invasive medical procedure, and the doctor called in a misoprostol prescription a few days ahead of the procedure. But when the patient went to pick it up Thursday night at her local pharmacy, she was informed her prescription couldn’t be filled.
“She’s just trying to get this procedure done in order to get pregnant,” the doctor said, exasperated. “They told her they do not carry the medication at all anymore. She was very upset.”
An independent pharmacy shifts protocol
Reached for comment Friday, a pharmacist at the Lafayette drug store explained he hasn’t regularly stocked misoprostol for a decade because his small independent drugstore does not see a lot of demand for the drug. When they receive a prescription for misoprostol, they usually get the medication – often just one or two pills – from a larger pharmacy nearby.
But when the pharmacist went to do that in this case, he was told the drug was a controlled substance, and this was no longer an option because of how the medication needs to be counted.
The Louisiana Board of Pharmacy, the profession’s state regulatory body, mentioned the new law in their July newsletter, and the state health department sent guidelines on the new law to pharmacies in early September. The Lafayette pharmacist admitted he had not been aware of them until this week.
The Illuminator is not identifying pharmacists or small businesses in this story for security reasons.
“Sometimes pharmacies may borrow from one another. But it being a controlled substance, you can’t do that,” the Lafayette pharmacist said. “You’d have to replace it with the exact same medication.”
The pharmacist said this means he will no longer fill misoprostol prescriptions, as it does not make sense for him economically because he rarely gets requests for it.
The OB-GYN sent the prescription Friday morning to a New Orleans-area Walmart pharmacist, suspecting it would be easier to access at a chain pharmacy. But when the patient showed up, she was told the medication was not available.
“She was like, ‘This is ridiculous,’”the doctor said. “She had to drive to all these places — she’s chasing it.”
The doctor then called fellow OB-GYNs in the area to find out if there were specific pharmacies they have used recently to fill misoprostol prescriptions. She eventually reached a local CVS that had the medication in stock. The patient’s procedure was delayed until later in the day because the doctor said she was fortunate to have flexibility in her schedule to accommodate the change.
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However, the doctor said she was frustrated that she, her staff and the patient had to dedicate time to hunting down the medication, which is on the World Health Organization’s core list of essential medicines.
Louisiana is the only state to designate misoprostol and mifepristone controlled dangerous substances, a designation most often used for highly addictive painkillers.
“This has such a huge impact on our practice,” she said. She plans to talk to her employer about whether or not they need to adjust their protocols to store the medication onsite.
Major pharmacies insist they haven’t changed policy
A pharmacist at the New Orleans-area Walmart where the patient was unable to get her misoprostol prescription filled told the Illuminator late Friday afternoon the medication was not currently in stock but could be ordered and delivered from another pharmacy with the correct diagnosis code — a process that usually takes a day.
Corporate representatives for Walmart did not respond to requests for comment.
Amy Thibault, a CVS spokeswoman, said Louisiana’s new regulations haven’t affected how the pharmacy chain handles the targeted drugs.
“There’s been no impact to misoprostol supply or how we stock the medication due to the state law,” Thibault said.
A Walgreens spokesman said the company has had no issues with the supply of misoprostol to any of its Louisiana stores.
“There has been no change in policy” since the new law took effect, Fraser Engerman said. “Stock is based on sales at each of our stores. If there is low volume at a store, it can be ordered for next-day delivery to the store.”
‘Women are not safe in Louisiana’: New Orleans leaders want pregnancy care drug law reversed
Dr. Nicole Freehill, New Orleans OB-GYN, said obtaining misoprostol was challenging immediately after the U.S. Supreme Court overturned Roe v. Wade in June 2022, effectively ending elective abortions in the state of Louisiana.
“We did encounter push back immediately after … but that improved over time and working with pharmacists directly to reassure them we were not prescribing it for ‘illegal’ uses,” Freehill said in a text message. “I am fearful this new law will destroy a lot of that work.”
On Sept. 30, Freehill said she encouraged a patient with an upcoming intrauterine device (IUD) insertion to fill her misoprostol prescription that day — before the new law took effect Oct. 1 — in case of any confusion. But when Freehill sent the prescription to a pharmacy, she said the patient’s insurance provider requested prior authorization.
“Prior authorization is another level an insurance company puts in place, often due to the cost of a medication or service, it’s usually for brand-name drugs or imaging like MRIs,” Freehill said. “I have never seen one for misoprostol, neither had the pharmacist that I talked to.”
The patient was able to obtain the prescription but had to pay out of pocket for it in order to avoid waiting for the prior authorization, said Freehill, who reported the issue to the New Orleans Health Department. City health director Dr. Jennifer Avegno is conducting an impact study on the new law to determine if it’s leading to care delays or difficulties.
Avegno described the new state law as a “poorly conceived, medically and scientifically baseless law” and said she’s heard from patients and providers across the state about outpatient access to misoprostol being “delayed and denied.” The reasons behind the barriers they face are varied and include pharmacies no longer carrying the medication as well as prolonged waits for prescriptions to be processed, she said.
“As hundreds of health care professionals have warned for months, this has disrupted women’s ability to have routine procedures, manage miscarriages, and even receive fertility treatments,” Avegno said.
‘It’s really frustrating’
An obstetrician in northwest Louisiana, who requested anonymity because her hospital did not give her permission to speak with a reporter, said she had a patient who faced challenges procuring misoprostol last week.
“I couldn’t get a single pharmacy in [my area] to dispense misoprostol for an IUD insertion,” the doctor said.
The OB explained that prior to May, she hadn’t had issues calling in misoprostol prescriptions the day before a procedure. She submitted the prescription in question Tuesday for a procedure the next day.
Doctors criticize misoprostol guidance from Louisiana Department of Health: ‘It’s not helpful’
“Usually the pharmacies would have the medicine the next day or make adjustments pending dosage availability,” she explained, saying that in her experience pharmacists can often get deliveries secured overnight.
The patient was able to fill her accompanying Valium prescription, according to her doctor, but four area pharmacies the patient called told her they did not have misoprostol in stock. One family-owned pharmacy told the patient they were no longer carrying it, her doctor said The patient ended up getting the procedure without misoprostol.
The doctor said she had her staff follow up with five pharmacies in the area and said none had it readily available. Only two offered to order the medication.
Now the doctor said she is considering steps to keep misoprostol in her office so that she can dispense it to patients herself, hours ahead of a procedure.
“I counsel these patients on the pain they might experience with IUD insertion and offer them ways to mitigate it. So it’s really frustrating when I can’t hold up my end of the bargain,” the physician said.
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If you’ve experienced challenges seeking reproductive health care in Louisiana, particularly if you are in a rural area, we’d love to hear from you. Please fill out this secure form or contact our reporter at lorenaoneil.64 on Signal, an encrypted messaging app.
Louisiana
Louisiana Gov. Jeff Landry calls for amendment for teacher pay raises
VIDEO: Louisiana 2026 Legislative Session Previewed in Lafayette
At One Acadiana’s Lafayette outlook event, business and policy leaders discussed the 2026 session and what it could mean for jobs, schools and voters.
BATON ROUGE — Gov. Jeff Landry advocated for a constitutional amendment that would create a permanent teacher pay raise as well as an eventual elimination of the state income tax in an opening address to the Louisiana Legislature on Monday.
Landry pushed for the passage of Proposed Amendment 3 on the May 2026 ballot to free up money for teacher pay raises.
He said the amendment would pay down longstanding debt within the Teachers’ Retirement System of Louisiana and enable the state to afford a permanent increase in teacher income. The proposed increases are $2,250 for teachers and $1,125 for support staff.
“With a ‘yes’ vote, we can strengthen the retirement system, improve their take-home pay, and guess what? We can do it without raising taxes,” Landry said.
A bill proposing the elimination of the state income tax, which takes in about $4 billion annually, was pre-filed earlier in the year by Rep. Danny McCormick, R-Oil City. Where the money will come from to supplement the loss is currently unclear.
McCormick said in an interview with the LSU Manship School News Service that to encourage more young adults to stay in Louisiana, “we need to do away with the state income tax.”
“This is a conversation piece that hopefully we can figure out where to make cuts in the government so we can get the people their money back,” McCormick said.
But Senate President Cameron Henry, R-Metairie, said at a luncheon at the Baton Rouge Press Club that if the Legislature “can be disciplined” this session, residents could anticipate a 0.5% decrease in state income tax during next year’s session. He also said bigger tax cuts have to be planned over a longer budget cycle.
Within education changes, Landry commended the placing of the Ten Commandments in classrooms, approved by the Louisiana Supreme Court in a decision handed down last week.
“You have staked the flag of morality by recognizing that the Ten Commandments are not a bad way to live your life,” Landry said. “Students who don’t read them will likely read the criminal code.”
Landry’s budget proposed an $82 million increase for corrections services following 2024 tough-on-crime legislation that eliminated parole and probation, increased sentencing and encouraged harsher punishments.
Landry directed his criticism toward the New Orleans criminal justice system, which he feels is lacking accountability, especially in courtrooms.
“Judges hold enormous power, but they are not social workers with a gavel,” he said. “They are the final gatekeepers of public safety.”
The Orleans Parish criminal justice system relies on state and local funding stemming from revenues from fees imposed on those arrested, according to the Vera Institute. Landry said the state spends twice as much on the Orleans system as it does in East Baton Rouge Parish, the largest parish in the state.
“Being special does not mean being exempt from accountability,” Landry said.
Overall, Landry pushed for fewer and different ideas compared to the sweeping agenda he laid out at the start of previous legislative sessions. Henry mentioned at the Baton Rouge Press Club that the governor would like for this session to be a “member-driven session instead of an administrative session.”
Landry spoke only in general terms about his proposal for more funding for LA Gator, his program to let parents use state money to send their children to private schools.
“We must find a path so that the hard-earned money of parents follow their child to the education of their choice,” he said.
He has proposed doubling funding for the LA Gator program from $44 million a year to $88.2 million. The likelihood of this occurring is yet to be seen, as prominent lawmakers such as Sen. Henry are hesitant to approve an increase in funding.
Landry similarly did not mention carbon capture projects, despite the issue gaining traction from affected parish residents and lawmakers.
House Speaker Phillip DeVillier, R-Eunice, told the Baton Rouge Press Club last week that 22 bills have been filed in the House that he would consider “anti-carbon capture.”
Landry also cited data centers and other giant industrial development projects and touted his administration’s success in bringing more jobs to Louisiana and in helping to lower insurance premiums over the past year.
“May we continue to employ courage over comfort, and if we do, there is really no limit to what we can do for Louisiana,” Landry said.
Louisiana
Louisiana’s LNG exports are driving out fishermen and driving up utility bills across the U.S.
Phillip Dyson once tried working a job that wasn’t shrimping. He lasted three days on an oil rig before going right back to his boat.
“The man said, you just tell me you want the job, we’ll fire the other guy,” he said with a laugh. “I said, don’t fire that man, ’cause I ain’t coming back.”
For more than half a century, Dyson has been fishing the coastal waters of Cameron, Louisiana. Forty years ago, Cameron Parish was the top seafood port in the United States. Today, it’s ground zero for America’s LNG export boom, a multibillion-dollar industry — the U.S. is the top exporter in the world — that has reshaped the landscape, the economy, and the daily lives of the people who have lived here for generations.
When Dyson looks out from the shrimp dock now, he doesn’t recognize what he sees: spindly cranes, cylindrical cooling towers and the constant hum of the construction and processing of liquified natural gas (LNG) terminals rising above the marsh.
Ian McKenna
/
More Perfect Union
The terminals run day and night, super-cooling natural gas into liquid form where it’s loaded onto massive tanker ships for export to places like Europe and Asia.
Shrimpers like Dyson are catching about half of what they used to, driving many out of the industry.
“There used to be 200 shrimp boats in this town — down to 15,” Dyson said. “You went from a fishing town to a town that didn’t care less about the fishermen.”
Dyson is stubborn and set in his ways. Shrimping is all he knows. He doesn’t want to leave Cameron. He buried his parents here. Scattered his daughter’s ashes in the water.
“I would never want to leave her behind,” he said. “But I’m gonna have to.”
‘You’re just surrounded’
Ian McKenna
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More Perfect Union
Cameron Parish was an attractive destination for reasons both geographic and financial. It sits close to the Haynesville Shale formation, one of the country’s most productive natural gas fields, has no parish-wide sales tax and LNG companies have secured industrial tax exemptions that, according to community advocates, amount to nearly a billion dollars a year across the three operating terminals — roughly $6 million per permanent job created.
“They don’t only export gas — they export the profits,” said James Hiatt, a former oil and gas worker who founded For a Better Bayou, a southwest Louisiana environmental community organization. “That’s the key.”
The company at the center of the expansion is Venture Global, which operates the Calcasieu Pass terminal, known as CP1, just outside of Cameron. In a March earnings call, the company reported it made more than $6 billion in 2025 alone — tripling its profits from the previous year.
In an interview last year on CNBC, Venture Global’s CEO, Mike Sabel, described the company in terms residents find difficult to square with their daily reality: “Ultimately our business is that we manufacture and operate machines that produce money.”
President Donald Trump’s administration approved a second Venture Global terminal in Cameron — CP2 — just two months after taking office in 2025. Nationally, 17 new export terminals are either under construction or have won approval from the Federal Energy Regulatory Commission (FERC). Six of them are in southwest Louisiana.
Robyn Thigpen, a local resident and executive director of the advocacy group Fishermen Involved in Saving Our Heritage (FISH), described the sense of encirclement many people feel.
“When you turn here,” she said, pointing in different directions from the beach in Cameron, “the cranes off in the distance is the expansion to CP1. 12 miles back into town is Hackberry LNG. Probably about 30 miles this direction is Sabine LNG. So you’re just surrounded.”
‘No shrimper can make it here’
Ian McKenna
/
More Perfect Union
Last August, while Venture Global was dredging a shipping channel at CP1 — pumping out mud and sediment to clear a path for vessels — something went wrong. The company spilled hundreds of acres of sediment into the surrounding marsh.
The mud blanketed the area where Tad Theriot, a shrimper turned oysterman, had been growing his harvest. He pivoted to oyster farming two years ago, after years of declining shrimp catches made the traditional livelihood impossible to sustain.
The dredge spill devastated his oyster operation almost overnight.
“Half of them died,” Theriot said. “We lost 50% on the big ones, even more than that.”
Out on the water, the evidence was plain — oysters pulled from cages bore what his farming partner Sky Leger called “mud blisters,” deposits of silt visible inside the shell.
Ian McKenna
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More Perfect Union
“Before you try, tell me — would you eat it if you knew that that was there?” Leger said, pointing to dark splotches on the iridescent cup of a fresh oyster. “How does that get there?”
Venture Global told More Perfect Union and Gulf States Newsroom in a statement that the “isolated discharge was quickly contained,” and that there were “no significant offsite impacts” as a result of the spill.
The Louisiana Department of Wildlife and Fisheries documented increased oyster mortality near the spill site in September, and fishermen have since requested a more comprehensive government study.
To date, no significant enforcement action has been taken against the company.
But according to documents obtained by More Perfect Union, Venture Global offered some affected fishermen $20,000 — on the condition they could never sue or speak negatively about the company again. When asked about the offer, Venture Global said the company “has communicated directly” with local fishermen “to develop mitigation and remediation plans, and minimize the potential for an event like this again.”
Theriot said he’d never take the money.
“That’s not right,” he said flatly. “I have hundreds of thousands of dollars worth of oysters. I want hundreds of thousands of dollars.”
Advocates like Hiatt called the settlement offers part of a pattern the company is using to sidestep accountability through financial and political power.
“After this spill, more people are understanding that these corporations don’t give a f— about you,” he said. “All they care about is how much money they can make.”
Last month, a pipeline part of an under-construction project operated by Delfin LNG ruptured near Holly Beach in Cameron Parish. The ensuing explosion resulted in “catastrophic injuries” to a contractor working for the company, according to a lawsuit filed in Texas that accused the company of negligence and failing to “ensure the pipeline was free of flammable vapors and materials.”
“It’s a reminder that these things are happening in a community that doesn’t even have a hospital,” Thigpen said, noting that the worker was taken to a hospital in Port Arthur, Texas, roughly 45 minutes away. “It’s another example of why we can’t trust these companies to do the right thing.”
‘You can’t afford this and food’
Ian McKenna
/
More Perfect Union
The impacts of Cameron’s transformation don’t stop at the bayou’s edge. The LNG export boom is being felt in the utility bills of Americans across the country.
Eight LNG export terminals now consume more natural gas each day than all 74 million American households connected to gas utility service combined. The federal government projects the benchmark price of natural gas will average 22% higher in 2026 than in 2025, citing LNG exports as a driving factor.
A Public Citizen analysis found domestic natural gas prices were $12 billion higher for residential customers in just the first nine months of 2025 compared to the same period the year before — roughly $124 per household.
“It’s simple supply and demand,” Slocum said. “You’re forcing Americans to compete with their counterparts in Berlin and Beijing for access to U.S. natural gas. And that pushes the domestic price up. The more we export, the higher the prices the rest of Americans will pay to heat and cool their homes.”
In Hackberry, Louisiana — minutes down the road from Cameron Parish’s other export terminal — fisherman Eddie Lejuine and his wife Michelle have watched their bills climb. Lejuine depends on a refrigerated storage container to keep his catch marketable. Without it, he can’t work.
“You can’t afford this and food,” Michelle Lejuine said. “What are you gonna do? You gonna eat or are you gonna have electricity?”
Eddie Lejuine put it plainly: “We’re catching less fish, [making] less money, paying higher bills.”
Trump’s promise, the industry’s windfall
During the 2024 campaign, Trump pledged to cut Americans’ energy bills in half within 12 months. He repeated it at rallies and put it in writing in a Newsweek op-ed.
On his first day back in the White House, one of his earliest executive orders undid former President Joe Biden’s pause on pending LNG export approvals — a pause that was implemented, in part, because consumer advocates argued the existing review process failed to account for domestic price impacts.
The ties between Venture Global and the Trump administration run deep. According to reporting by the Wall Street Journal and the Washington Post, the company’s CEO was present at a private 2024 meeting at which Trump reportedly asked oil and gas executives to contribute $1 billion to his campaign.
Slocum argued the gap between Trump’s promise and his policy is not an accident.
“What Trump has done is to prioritize the financial interests of the natural gas industry,” he said. “And the natural gas industry’s primary financial directive is to maximize LNG exports.”
Electricity prices jumped 6.9% in 2025 year over year, according to Goldman Sachs.
‘Find somewhere else to build this’
Ian McKenna
/
More Perfect Union
More than 90% of Cameron Parish voted for Trump in 2024. The mood among the fishermen who remain is harder to categorize than partisan politics.
When asked if he’d vote for Trump again, Lejuine said: “No, I’m not. I’m hoping we have a better selection of something.”
Hiatt, a self-described third-generation oil and gas worker, framed it as a matter of basic fairness rather than ideology.
“This is ‘America Last’ policy,” he said, “to export our natural resources to the highest bidder at the expense of every American.”
Dyson, standing at the dock in the late afternoon light, said what he would tell Venture Global and the politicians like Trump and Louisiana Gov. Jeff Landry, who championed the expansion: “Find somewhere else to build this s—. I never thought I’d have seen this place like this. Never in my lifetime.”
His electricity bill runs $350 to $500 a month for a 990-square-foot house, he said. He and his wife receive about $1,300 a month together on Social Security. With what he’s catching, it’s not enough.
He said he won’t stop shrimping, but he can’t do it in Cameron.
“This is what I do. That’s what I’m gonna do till they throw dirt on me. That might not be here, but I will fish till it’s over.”
This story was produced by the Gulf States Newsroom, a collaboration between Mississippi Public Broadcasting, WBHM in Alabama, WWNO and WRKF in Louisiana and NPR. This story was produced in collaboration with More Perfect Union.
Louisiana
More Storms Monday – Severe Storms Possible by Midweek
(KMDL-FM) You might not have realized it, but you’re on a roller coaster. No, not the kind of roller coaster you look forward to riding, but the kind of roller coaster only Mother Nature can devise in the form of Louisiana’s annual up and down weather conditions, also known as spring.
READ MORE: Louisiana Parishes That Have the Most Tornadoes
Much of Louisiana was affected by strong storms with heavy rains and gusty winds during the day on Saturday and extending into Sunday morning. By later afternoon yesterday, conditions had improved, and it looked as though the work and school week would be off to a much calmer start.
Heavy Rain Possible in Louisiana To Start the Work Week
The start of the work and school day will be much calmer; however, the ride home on this first day of “extra sunlight” thanks to Daylight Saving Time will include a decent chance of showers and storms. Oh, and there are already reports of thick fog.
So, after a foggy start this morning, you could be picking up kids from school or driving yourself home from work in a torrential downpour. And you’ll get to do all of this while you’re mentally addled from the twice-a-year time change.
Rain chances are listed at 50% for this afternoon, but they do taper off quickly after the sun goes down. The Weather Prediction Center is forecasting a slight risk of an excessive rain event for portions of Louisiana later today. The area of concern is generally along and well north of US 190.
When Is The Next Threat of Severe Storms in Louisiana?
Tuesday should be a cloudy but breezy and warm day. Then on Wednesday, the rain chances and the next threat of severe storms will move into Louisiana.
weather.gov/lch
The Storm Prediction Center outlook for Wednesday’s severe weather potential suggests that the northern and central sections of the state might be more at risk for stronger storms than the I-10 corridor might be.
READ MORE: Who Is Appearing at Patty in the Parc in Lafayette?
We will know more about that potential later this morning when the SPC updates its forecast. The outlook for the remainder of the week, including the Patty in the Parc Weekend event in Downtown Lafayette, looks to be spectacular.
Patty in the Parc Entertainment 2011-2025
Gallery Credit: Dave Steel
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