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Doctors seek more guidance from Louisiana officials as new maternal care drug law takes effect • Louisiana Illuminator

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Doctors seek more guidance from Louisiana officials as new maternal care drug law takes effect • Louisiana Illuminator


NEW ORLEANS — Louisiana’s new law reclassifying pregnancy care pills as controlled dangerous substances took effect Tuesday, creating an outcry from the state’s medical community as doctors, pharmacists and hospital lawyers try to determine how to navigate new protocols. The drugs are being targeted because they can be used to induce abortion.

The law, which Republican Gov. Jeff Landry signed in May, makes misoprostol and mifepristone Schedule IV drugs, adding the requirement that they be locked, securely stored and their use closely documented. Health care providers have shared worries that any delays in access to misoprostol, which has multiple other uses beyond medication abortions, could create life-threatening delays for patients bleeding post delivery. 

The New Orleans health department hosted a learning session for physicians and pharmacists Sept. 19 about the law, Act 246. After the session, city health director Dr. Jennifer Avegno sent a letter to Louisiana Surgeon General Dr. Ralph Abraham and Health Secretary Michael Harrington compiling some of the most pressing questions and seeking guidance. 

“We believe it is imperative that these questions are submitted to LDH for any necessary clarification, guidance, or additional rule-making, so that providers have legally accurate and medically appropriate tools,” Avegno wrote in the letter, a copy of which The Illuminator obtained. 

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Avegno is also in charge of an investigation into the law’s impact and whether it leads to any delay of care issues. The city’s health department created a reporting form health care workers and patients can complete to submit confidential information about any challenges.

Questions from last month’s webinar included asking for photographs of and specific instructions for officially approved and legal “secured areas” where the drugs can be stored for immediate access. The Louisiana Department of Health issued a memo in early September suggesting hospitals store the drugs in a “locked or secured area of an obstetric hemorrhage cart.”

So far, hospitals have not found this to be a feasible option because of the logistics involved with tracking and storing controlled substances. Instead, they are storing misoprostol in passcode-protected storage lockers made by Pyxis Corp. and named after the company. They are located outside of patient rooms.

Another question dealt with the word “abortion.” Medically-speaking and outside of political context, abortion can mean a miscarriage and pregnancy loss. There are several common, legal and medically appropriate diagnosis words that include the word abortion, including missed abortion, incomplete abortion and spontaneous abortion. 

While elective abortions are almost entirely illegal in Louisiana, misoprostol is still safe and legal for use in miscarriage management. But providers are worried that pharmacists, particularly those in rural areas, might be fearful of filling any prescriptions with the word “abortion” in it. 

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The webinar panel encouraged additional education and outreach to make sure pharmacists and patients understood the distinction, and they asked the state health department for additional clarification.

Act 246 has gained nationwide attention, with Louisiana becoming the first state to make these medications controlled substances.

Maternal fetal medicine specialist Dr. Jane Martin of New Orleans wrote a commentary for StatNews, a health and medicine periodical, criticizing the reclassification of the drugs.

A pregnant uterus receives 700 milliliters of blood per minute leading up to delivery, and the same amount can be lost each minute if a postpartum hemorrhage is not adequately treated immediately after being recognized,” Martin wrote. She describes how the original version of the bill criminalized coerced abortion and had wide support, but it took “an unprecedented turn” when amendments were added to reclassify pregnancy care pills as controlled dangerous substances. 

“I didn’t choose this profession to navigate legal obstacles, but to provide compassionate care during some of the most pivotal and vulnerable moments in someone’s life,” Martin added, saying that restricting access to misoprostol puts her patients in “unnecessary danger.’ 

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“The delivery room is a place of healing, not hesitation,” she wrote “The last thing I need to be asking myself during an emergency, while running through my mental checklist that I’ve used in every postpartum hemorrhage I’ve ever attended, is ‘Could I go to jail for this?”

Martin isn’t the only one speaking out forcefully. Dr. Veronica Gillispie-Bell, the state health department’s leading expert on maternal mortality, penned a column for  MSNBC voicing her opposition. She practices medicine in the New Orleans area.

“As an OB-GYN whose patients expect me to give the best care to them (and their babies), I’m convinced that this new law endangers them,” Gillispie-Bell wrote.  “Lawmakers must engage with physicians to craft evidence-based policies that protect our patients, not increase their risk of death.

Republican Attorney General Liz Murrill and anti-abortion group Louisiana Right to Life have accused the news media of fear-mongering and spreading ”disinformation” about the controversial law.

“The appropriate and professional way to obtain answers to questions about the law is to ask them, not to create and perpetuate confusion,” Murrill said Tuesday, when the law took effect, in a video address

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Avegno sent the letter with doctors’ questions Sept. 26 but has yet to hear back, she said.

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This report was published in partnership with the Pulitzer Center’s StoryReach U.S. fellowship. Read more of our coverage.





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Louisiana

Silver Alert: Assistance needed locating missing Monroe woman

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Silver Alert: Assistance needed locating missing Monroe woman


The Louisiana State Police has issued a Silver Alert on behalf of the Monroe Police Department for 67-year-old Blanche Thomas McGhee. She was discovered missing from her residence on Harrison Street today, at approximately 10:11 a.m. The Louisiana State Police received the request to issue a Silver Alert at approximately 1:49 p.m.

McGhee has brown eyes and black hair. She is 5’5” and weighs approximately 199 pounds. Family reports that McGhee has a medical condition that may impair her judgment.

McGhee is believed to be driving a silver 2018 Toyota RAV4 bearing Louisiana license plate 343JVI.

Anyone with information regarding McGhee’s whereabouts is asked to immediately contact the Monroe Police Department at (318) 329-2600 or dial 911. All questions should be directed to the Monroe Police Department.

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Shreveport will soon be official Stuffed Shrimp Capital of Louisiana

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Shreveport will soon be official Stuffed Shrimp Capital of Louisiana


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  • Shreveport soon will be officially designated as the Stuffed Shrimp Capital of Louisiana.
  • The delicacy’s origins are traced to the historic, Black-owned Freeman & Harris Cafe.
  • A bill to grant the designation passed the state Senate with a unanimous vote.
  • The city celebrates the dish with an annual Stuffed Shrimp Festival.

Shreveport soon will officially be known as the Stuffed Shrimp Capital of Louisiana, a city that traces the origins of the delicacy to the historic Freeman & Harris Cafe, which was one of the oldest Black-owned restaurants before it closed permanently in 2006.

House Bill 9 by Democratic Shreveport Rep. Joy Walters cleared the Senate May 26 on a unanimous 36-0 vote and will become law with Gov. Jeff Landry’s signature.

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“We don’t talk enough about the positive things that happen in Shreveport,” Walters said in an interview with USA Today Network. “It’s exciting for me to be able to amplify our culinary and hospitality reputation.”

Though Freeman & Harris closed, its legacy is carried on by family-connected restaurants like Eddie’s Seafood and Soulfood and Orlandeaux’s Cafe. Eddie’s was named one of the “Best Soul Food Restaurants in the South” by Southern Living in 2015.

Walters said her favorites are the Freeman & Harris Cafe legacy restaurants Eddie’s and Orlandeaux’s, but many eateries offer the Shreveport-style stuffed shrimp in the city.

Democratic Shreveport Sen. Sam Jenkins carried the bill for Walters in the Senate on Tuesday, where he told colleagues this was their chance to vote for “the tastiest and most delicious bill of the Session.”

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“It’s a big deal in Shreveport,” Jenkins told USA Today Network.

Like Walters, Jenkins said his top spots for the dish are Eddie’s and Orlandeaux’s.

Shreveport also plays host to the annual Stuffed Shrimp Festival each spring.

Visit Shreveport-Bossier promotes the dish, describing Shreveport-style stuffed shrimp as “large, succulent shrimp are stuffed with fiery Creole dressing, deep-fried and served with a spicy tartar sauce.”

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Greg Hilburn covers state politics for the USA TODAY Network of Louisiana. Follow him on Twitter @GregHilburn1.



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Maryland woman describes ICE detention conditions in Louisiana

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Maryland woman describes ICE detention conditions in Louisiana


A woman from Maryland detained by ICE last year told News4 conditions are challenging inside the detention center where she’s been held since August.

Maryland does not have ICE detention centers, so detained immigrants are sent to detention centers in other states. That includes Richwood Correctional Center in Monroe, Louisiana, which has faced complaints in the past about detainee care and facility conditions.

“Ensuring the safety, security, and well-being of individuals in our custody is a top priority at ICE,” the Department of Homeland Security said in a statement.

“I miss my family,” Damaris Gomez-Laurens said from inside Richwood. “They treat us like a, like a criminal. I feel like that. I feel like that.”

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Gomez-Laurens called her family one day when the News4 I-Team visited them in Maryland. The signal was unstable, going in and out. Those detained have to pay for the calls. This one cost just over $3.

The I-Team’s asked Gomez-Laurens what it has been like being away from her husband and two sons.

“It’s really hard,” she said. “We’ve never been separated. And I have more than seven months without them.”

Gomez-Laurens lived a full life in Prince George’s County for more than 20 years. Pictures provided by the family tell the story of a mom surrounded by her husband, their boys and extended relatives.

“Without her, these past holidays were tough, very difficult – not having her and thinking what she was going through by herself too,” said her niece Heisy Garcia. “She’s the key part of our family. She keep us together too.”

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Garcia said her aunt was detained during her annual ICE probation check-in in Baltimore. She had a work permit and operated an electrical business with her husband, Garcia said. She has no criminal record and has been trying to become a legal citizen since 2014, according to Garcia.

The detention has cost her family both emotionally and financially.

“Just her own attorney that she files for emergency stays, for her appeal to reopen her immigration case, you’re talking about from $5,000 to $6,000,” Garcia said. “Now, going through consultations from attorney to attorney, it’s $500 at each consultation. And then having a different attorney in another state, that’s another $6,000.”

Visiting is hard because the facility is almost 1,000 miles away. The family told News4 their trip to Richwood earlier this year was tough for other reasons too.

“After months of not seeing her, so, we hugged her and one of the officers start yelling ‘Stop! Stop! You can only hug her for 10 seconds!’” Garcia said. “I was like, ‘10 seconds? They told us three minutes.’”

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‘Worst of the worst’

The family told us they visited during the snowstorm that hit in January, leading to problems at the facility.

“It seems like the pipe burst and they were without water for 48 hours,” said Garcia.

A Department of Homeland Security spokesperson told the I-Team in a statement:“Due to the freezing temperatures in January 2026, there was an issue with the water supply for a short period of time and, like always, ICE was prepared for this contingency. Bottled water was immediately issued, and portable water tanks were introduced to enable proper cycling of toilets. Detainees were NOT made to wait 48 hours for water and were given access to water bottles immediately.”

During the video phone call, Gomez-Laurens discussed other challenges. “The bathroom is really bad conditions. They always wet, because they are always leaking. Leaking, leaking. Always is wet,” she said.

“Richwood, I think, is the worst of the worst,” said Vincent Rivas Flores, an immigration attorney with Amica Center for Immigrant Rights.

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He told the I-Team he’s heard complaints about cleanliness and other issues from clients from Maryland who also are detained at Richwood.

“For months, my clients have told me that there has been mold problems in the bathrooms and the toilets and the showers,” he said.

According to a 2023 DHS office of inspector general report, inspectors found health and safety violations, including poor housing conditions and unclean showers. DHS said it addressed these issues with renovations.

“So much can change if Richwood actually listened to the complaints. These complaints are not new,” said Rivas Flores.

The OIG report also noted that Richwood restricted detainees’ access to legal visitation and calls without providing justification.

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ICE said it complies with all standards and logs whether any restrictions have to be made.

“Sometimes I will not be able to talk to my clients for several days, unless they call me. And if they’re calling me, they have to use their own account. They have to use their money in order to make that phone call, and it’s not a private call,” said Rivas Flores.

The I-Team asked him what he thinks Richwood can do to improve things.

“The number one thing that they can do is fix the food,” he said. “That’s probably the first thing that can do, and it almost certainly would be the easiest.”

Gomez-Laurens also talked about the food.

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“The food is not really good. Since I came in I have, I don’t have any fruit, real fruit,” she said. “We stay one week with bologna sandwich. One bologna, two piece of bread, and cookie or chips for a week, lunch and dinner.”

DHS responded via statement, telling the I-Team: “All detainees are provided with 3 meals a day, clean water, clothing, bedding, showers, and toiletries, and have access to phones to communicate with their family members and lawyers. Certified dieticians evaluate meals. It is a longstanding practice to provide comprehensive medical care from the moment an alien enters ICE custody. This includes medical, dental, and mental health services as available, and access to medical appointments and 24-hour emergency care. This is the best healthcare than many aliens have received in their entire lives.”

Gomez-Laurens spoke to the I-Team from the room where she sleeps. The I-Team asked how many people often share the room.

“100. Now it’s 93, I think. Sometimes we have around 108,” said Gomez-Laurens.

Gomez-Laurens told News4 she ended up at Richwood after flying from Baltimore/Washington International Thurgood Marshall Airport in Maryland to Alexandria International Airport in Louisiana. While we don’t know how many others from Maryland are there, according to data collected from the ICE Flights Monitor project almost 60% of all ICE flights from Maryland since January 2025 were bound for Alexandria. That’s 91 flights through April of this year.

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A local father shot by ICE officers during a Christmas Eve arrest in Glen Burnie is now pleading guilty to a federal charge and at risk of deportation.

‘Everything is coming down’

While Gomez-Lauren’s case is still going through the court system, her husband, Kevin Gomez, worries about the impact her absence is having, especially on their two young sons.

“Sometimes they demonstrate rebelliousness or they don’t want to do the things they usually did before,” he told our Telemundo 44 partners in Spanish.

He’s concerned about what happens next, including possible deportation.

“After so many years of living in this country, having many things built together, it’s like everything is coming down, and she has 20 years in this country, practically a life made. You have to return to a country that maybe you don’t know,” said Gomez.

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Meanwhile, Gomez-Laurens’ family said she’s earned a nickname among the women in detention. They call her “Pastor.” She holds Bible studies and spends money sent by her family on higher-quality food from the commissary to feed the women during the holidays.

She said faith and hope are what sustains her.

“I’m preaching in this place. I know God has hope and that I really have hope on God,” she said. “I’m trusting him, and his justice. He will make justice. I know.”

The DHS spokesperson told the I-Team in a written statement: “Nearly every single day, DHS responds to media questions on FALSE allegations about ICE detention facilities. Any allegations of inhumane conditions are false. […] ICE has higher detention standards than most US prisons that hold actual US citizens.”

Richwood is a private facility. News4 also reached out to the company that runs Richwood for ICE, LaSalle Corrections, but has not heard back.

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