Washington
Washington pharmacists prescribe abortion pills through new pilot program • Oklahoma Voice
A Washington state-based nonprofit has launched a program training pharmacists to prescribe abortion medications via telehealth, a model that organizers hope other states will adopt to expand abortion access.
Abortion is broadly legal in Washington state up to the point of fetal viability, which is generally considered to be between 24 and 26 weeks of pregnancy. But Dr. Beth Rivin, president and CEO of nonprofit Uplift International, said there are still many individuals who face barriers to abortion access in Washington because of where they live, how much money they make and other factors. Those people can benefit most from having access to telehealth, Rivin said, and having pharmacists available helps increase that availability.
The nonprofit partnered with an online pharmacy called Honeybee Health to launch what they’re calling the Pharmacist Abortion Access Project. Ten pharmacists were recruited and trained to prescribe mifepristone and misoprostol, the standard U.S. Food and Drug Administration-approved medication abortion regimen, to patients in Washington up to 10 weeks’ gestation.
Rivin said the team created its training protocol with Dr. Sarah Prager, a professor of obstetrics and gynecology at the University of Washington. The program also has a list of clinics where patients can be referred if any in-person follow-up care is necessary, including ultrasounds, blood tests or other exams.
“If (patients) had questions, the platform allowed for messaging between the pharmacist and the individual, and patients were followed up with at one week and four to five weeks after prescriptions were written,” Rivin said.
Over the past two years, anti-abortion groups have increasingly called for more state legislation targeting abortion drugs, alleging telemedicine for abortion pills is dangerous to a pregnant person’s health. Research has repeatedly shown that telehealth prescriptions are just as safe as in-person treatment, with one recent study showing 99.7% of patients out of a sample of 6,000 did not experience any serious complications. Similarly, 97.7% didn’t need any form of additional follow-up care.
“Research confirms that medication abortion can be prescribed through telehealth just as safely as in person, and it confirms that pharmacists can specifically prescribe medication abortion,” Rivin told States Newsroom. “The training they undergo through (the project) mirrors the training that other providers receive.”
The Heritage Foundation, the conservative group behind a set of policies known as Project 2025, has gathered several examples of abortion pills given to pregnant women without their consent. Using those examples, the organization recommends states ban telemedicine and mail-order abortion pills and strengthen or enact laws targeting abortion coercion. There have also been calls to use a dormant federal law called the Comstock Act to ban abortion pills from being sent by mail altogether.
Proof of residency not required to obtain pills by mail
By the end of the Washington pilot program, which took place between Oct. 31 and Nov. 26, 2024, the pharmacists successfully prescribed medication abortion to 43 people who were deemed eligible. To qualify, aside from the applicable medical protocol, the patient needed to be 18 or older and have a Washington address where the medication could be mailed. The recipient of the medication does not need to prove they are a Washington resident, but a valid Washington address must be provided. Washington has shield laws preventing states where abortion is illegal from investigating medical providers if a resident of that state obtains an abortion in Washington.
Following the success of the pilot, Uplift International said it plans to expand the program across Washington and explore pharmacists prescribing medication abortion in person from brick-and-mortar pharmacies.
Rivin said the hope is that the project paves the way for other states to implement the same model, especially as President-elect Donald Trump takes office and Republicans in Congress may eye more federal abortion restrictions.
“It is the first step toward mainstreaming pharmacists as prescribers of medication abortion in person,” Rivin said.
Don Downing, a clinical pharmacy professor emeritus at the University of Washington and co-director of the project, said Washington has one of the most progressive pharmacy laws in the country. State law has recognized pharmacists as health care providers since 1979, allowing them to prescribe many medications approved by the FDA.
Washington shares that progressive pharmacy law status with one of its border states, Idaho, where pharmacists can also prescribe medications for minor ailments such as cold sores and allergies, as well as drugs for treatment of illnesses such as flu and strep throat. Downing said Idaho’s pharmacy laws are actually even more progressive than Washington’s.
However, Idaho has an abortion policy that could hardly be more different. It is the only state in the Northwest with a near-total abortion ban, a civil enforcement law allowing family members to sue medical providers who perform an abortion, and a so-called “abortion trafficking” law making it a felony to take a minor to a state with legal abortion access without parental permission.
Ironically, Downing said the pilot team announced the project in Idaho during an annual pharmacy meeting held at a resort in Coeur d’Alene with pharmacists from Montana, Oregon, Washington, Idaho and Alaska.
“We presented the idea of pharmacists becoming much more involved in medication abortion access at that meeting, and it was surreal because Idaho at that time was just pouncing on women’s access to abortion,” Downing said.
Providing prescriptions via telehealth first was the priority, he said, because after conducting several listening sessions before launching the pilot, the consensus among women interviewed was that they preferred the privacy of an online experience.
“If you’re in a small town, if you go to the doctor’s office, you go to the school nurse, a pharmacy, there’s a good chance you’re going to see a neighbor, a relative, and someone is for sure going to ask you what you’re doing there today,” Downing said. “Women nationwide are increasingly saying, if I can get it online the same way we buy from Amazon, if I can do this without running into my aunt, so much the better.”
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Washington
Shooting during ICE operation in Maryland leaves 2 injured, officials say
Federal immigration agents shot at a moving vehicle on Wednesday morning during an enforcement and removal action in Glen Burnie, Maryland, striking one person and injuring another, officials said.
A spokesperson for the Anne Arundel County Police Department said neither person had life-threatening injuries, and both were taken to the hospital.
Anne Arundel police responded to a report of a shooting involving federal agents at about 10:50 a.m. The Immigration and Customs Enforcement agents were the only officials involved in the shooting, police said.
Preliminarily, police said the agents approached a white van, but the vehicle attempted to run them over. The agents fired at the van, which accelerated until coming to a stop in a wooded area, police said.
When asked for comment, Department of Homeland Security officials said both civilians involved in the altercation with ICE are in the U.S. illegally. They did not indicate whether either of the men had been arrested.
“Continued efforts to encourage illegal aliens and violent agitators to actively resist ICE will only lead to more violent incidents,” Assistant Secretary Tricia McLaughlin said in a statement.
Anne Arundel police said they will investigate the shooting, while the FBI investigates the alleged assault on the agents and ICE conducts an internal investigation.
Washington
Millionaire tax plans spread as Washington state eyes new levy | Fortune
When Washington Governor Bob Ferguson proposed the state’s first income tax in modern history, he said the word “affordability” five times.
Ferguson on Tuesday asked the legislature to craft a 9.9% tax on personal income over $1 million, which would revolutionize a state revenue system heavily reliant on sales and property tax. Although his fellow Democrats have for decades failed to push through an income tax, Ferguson said it’s “a different time right now.”
“We are facing an affordability crisis,” Ferguson said. “It is time to change our state’s outdated, upside-down tax system. To serve the needs of Washingtonians today, to make our taxes the more fair, millionaires should contribute toward our shared prosperity.”
Democrats across the US are increasingly exploring taxes as a way to capture the populist moment and address the country’s widening wealth gap. If “affordability” was the issue highlighted by Democrats who outperformed expectations in the off-year elections of 2025, the slogan next year could very well be “tax the rich.”
It’s an opening Democrats see as the Trump administration this year paired tax cuts for high earners with reductions in Medicaid and supplemental food assistance. Raising taxes on the wealthy could also help solve a fiscal problem for states dedicating more resources to plug the holes from federal cuts.
“We have a federal government that has gone into super-villain mode, seeming to deliberately take from the poor and middle class to give to the rich,” said Darien Shanske, a tax professor at UC Davis School of Law. “This unnecessary emergency is laying down a gauntlet for states: Will they let this suffering come to pass and, if not, how will they pay for the triage? Taxes on the best-off are not just fair but also efficient.”
Read more: Millionaire Tax That Mamdani Loves Fuels a $5.7 Billion Haul
Progressive tax advocates often point to Massachusetts’ 4% surtax on incomes over $1 million, which brought in roughly $5.7 billion in fiscal 2025, far exceeding revenue projections in its third year of collection.
New York Mayor-elect Zohran Mamdani campaigned on raising the city’s income tax on millionaires by 2 percentage points to 5.9%, which critics said would lead to an exodus of wealthy people.
Colorado voters this year approved a measure to limit deductions for taxpayers earning at least $300,000. The revenue will fund a program providing free meals for all public school students. Colorado officials also advanced a ballot measure to change the state’s 4.41% flat rate to a graduated income tax, potentially raising more than $4 billion. That will likely go before voters in 2026.
Michigan residents could also face a ballot initiative next year to change the state’s flat 4.25% tax rate to add a 5% surcharge on individuals earning more than $500,000 and couples making more than $1 million.
Romney’s Call
Even 2012 Republican Presidential candidate Mitt Romney has joined the call. Last week, the former US senator from Utah penned an essay in the New York Times calling for rich people to pay more, mostly in the form of closing loopholes the wealthy use to minimize tax obligations.
“It would help us avoid the cliff ahead,” Romney said, pointing to government funding shortfalls, “and might tend to quiet some of the anger that will surely grow as unemployed college graduates see tax-advantaged multibillionaires sailing 300-foot yachts.”
Most of the populist proposals coming from the states would raise taxes on income. But the tricky thing about some wealth is that it doesn’t come from a paycheck and thus is harder to tax. Even a levy on capital gains depends on a taxpayer selling assets to realize that increased value.
For example, former Microsoft Chief Executive Officer Steve Ballmer’s net worth increased by $706.5 billion on Monday, according to the Bloomberg Billionaires Index. Even though his mansion sits across the lake from downtown Seattle, those gains wouldn’t be subject to an income tax.
That’s why some Washington state Democrats are still pushing for the US’s first wealth tax on unrealized gains. Under a proposal passed by the state Senate last year, portfolios of some publicly traded asset classes worth at least $50 million would be taxed at 0.5%.
Ferguson panned the wealth tax proposal last year, saying it would be irresponsible to balance the budget on a measure that would certainly face legal challenges.
One of the most common warnings from tax opponents is that once legislators have a new tax mechanism, they’ll either increase the rate or lower the threshold at which it would apply. Ferguson in his income-tax proposal nodded to that concern, saying the $1 million level should increase with inflation and be included in the statute or perhaps even a constitutional amendment.
Read More: Vegas Lures Millionaires Fleeing Wealth Tax in Washington State
State taxes are also easier to avoid than federal taxes, because it’s relatively easy to move a primary residency. Washington used to attract taxpayers fed up with California’s high rates, but that has changed since the Evergreen State started taxing capital gains. Next year could be the year of the millionaire’s tax — in Washington state and across the US.
Washington
Windstorm to hit western Washington on Christmas Eve with gusts up to 70 mph
WASHINGTON STATE — All is calm, all is bright for Christmas Eve-eve…not so much for Christmas Eve itself.
An unusual windstorm will slingshot up the west coast, making for a windy Wednesday in western Washington as we head into the holiday. A pre-emptive HIGH WIND WATCH has been issued by the National Weather Service to account for strong and potentially damaging easterly and then southerly winds, but I expect that to turn over to a HIGH WIND WARNING as we get closer and these gusts look imminent.
ALSO SEE: Mountain snow, gusty winds and heavy showers expected for Christmas Eve
In the short-term, things are quiet enough for now. Mainly cloudy skies will tuck us in, but because the air mass is still seasonably chilly, we’ll drop back into the 30s by dawn. The passes are very passable, but could be icy as lows plunge into the 20s overnight.
On Wednesday, things get interesting quickly. Storms don’t usually move from California right up the coast to Washington, but there has been nothing usual about this December so far, and that’s exactly the odd track this system is going to take on its way into the region.
Remember that lows act like giant vacuums in the sky, pulling air into them as they go by. This is a roughly 980 millibar low on approach–plenty deep enough to suck in air noticeably as it passes.
This howling wind-maker will work its way up toward the Washington coast by Wednesday morning. With its center still over the Pacific, the winds will be easterly.
The ocean beach communities and the foothills of the Cascades (Enumclaw, Issaquah, North Bend, and Monroe) will be subject to these easterly blows, gusting 30 to 50 mph for the first half of the day there. Why not in Seattle? The 8,000′ tall Olympics will initially act as an offensive lineman for the waterfront locations near the Sound, blocking the bulk of the windy weather before the lunch hour.
However, this low will hightail it over Neah Bay, eventually curling in over Vancouver Island by the afternoon. Now, without the shield of the Olympics between Seattle and the storm center, we’ll be subject to strong southerly (remember the wind follows the low’s movement and track, so the direction will change) gusts of 30 to 50 mph over the Sound, including in Tacoma, Olympia, Everett, and the Emerald City.
These strong winds may be enough to give us some tree damage and knock down power lines…not what we want to see on Christmas Eve! A grand finale burst of southerlies of 40 to 60 mph or more (some models suggest gusts to 70 mph) will close down the evening in Port Townsend, Oak Harbor, Friday Harbor, and Ferndale–those of you closer to British Columbia will be subject to the strongest winds right after sunset.
By the time people are heading out to the midnight mass, the windstorm should be a wrap, but it will be a dicey day beforehand. Not only will it deal with the wind, but also rain in the lowlands and bursts of heavy, blowing snow over the Cascade passes. Highs will bump up a bit, ending up closer to 50 in the metro area.
Christmas Day itself should be far easier for travelers and celebrations, with lighter rain at times and temperatures back in the more typical middle 40s. This will keep occasional snow falling over the mountains to about 3,000′ (Snoqualmie Summit level) as well.
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