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Washington pharmacists prescribe abortion pills through new pilot program • Oklahoma Voice

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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.

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“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.

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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.

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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 Commanders are retiring Hall of Famer John Riggins’ No. 44

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Washington Commanders are retiring Hall of Famer John Riggins’ No. 44


The Washington Commanders are retiring John Riggins’ No. 44 during the upcoming NFL season, the team announced Thursday.

The Hall of Fame running back will be honored in a ceremony at halftime of the team’s game against the Los Angeles Rams on Nov. 8.

“There are certain players whose impact goes far beyond statistics, championships and accolades: They become woven into the identity of a franchise,” controlling owner Josh Harris said in a statement. “John Riggins is one of those players. …Our fans not only admired him, they identified with him. He is authentic, unapologetically himself and deeply connected to the people around him. John has meant so much to this franchise, our fans and the game of football.”

Riggins is the organization’s all-time leading rusher with 7,472 yards and 79 touchdowns on 1,988 carries and helped the team win the Super Bowl in the 1982 season.

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The fan favorite nicknamed “Riggo” was the MVP of that Super Bowl for his performance best known for his memorable 43-yard TD run in the fourth quarter that put Washington ahead of the Miami Dolphins. He was inducted into the Pro Football Hall of Fame in 1992.

Riggins is the seventh player to have his number retired by the team, joining Sammy Baugh, Bobby Mitchell, Sean Taylor, Sonny Jurgensen, Darrell Green and Art Monk. Green, Monk and Riggins have all happened since Harris’ group took over from longtime owner Dan Snyder.



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Future uncertain for site of former Mount Washington church destroyed in massive fire

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Future uncertain for site of former Mount Washington church destroyed in massive fire






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Washington law says to alert the public when doctors are accused of misconduct. It can take months

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Washington law says to alert the public when doctors are accused of misconduct. It can take months


This story describes detailed allegations of sexual violence and other sexual misconduct.

This article was produced for ProPublica’s Local Reporting Network in partnership with KUOW. Sign up for Dispatches to get ProPublica’s stories in your inbox every week.

Experts on laws protecting patient safety give Washington state high marks for the types of information it is willing to disclose about doctors accused of wrongdoing.

Like other states, Washington lets patients look up doctors by name online to read any state allegations against them. But decades ago, Washington lawmakers created a separate pathway that doesn’t leave the homework to patients, mandating that regulators issue a press release whenever an investigation results in formal allegations being filed against a doctor. Washington is alone in legally requiring such proactive outreach to the news media, the Federation of State Medical Boards says.

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Yet an examination of Washington discipline records by KUOW and ProPublica found that regardless of what the law calls for, Washington fails to reliably call the public’s attention to serious misconduct allegations against doctors who have been allowed to keep practicing while their cases proceed.

Announcements can take months to go out — and may not go out at all until after the case is resolved.

Take the case of Brooks Watson, a Richland, Washington, doctor who the state medical board accused of making nonconsensual sexual contact, unwanted sexual advances or inappropriate sexual remarks to five of his coworkers over the course of five years.

During one encounter in 2023, Washington Medical Commission records allege, Watson isolated a subordinate in his office and, without her consent, kissed her, touched her breasts, put his hands down her pants, groped her vagina and exposed his penis.

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The commission sent Watson a “statement of charges” alleging sexual misconduct and unprofessional conduct on Aug. 19, 2025, and it amended the charges in June to include an allegation that Watson had assaulted someone at his home.

Yet the commission issued no public announcement about Watson’s case for more than nine months after first filing allegations.

Watson remains licensed to practice, and an online provider database run by the state shows no final decision on his case has been made as of July 6.

The attorney defending him in the criminal case stemming from the incident at his home said that Watson disputes the allegations and that he pleaded not guilty to the misdemeanor assault charge against him. The attorney referred further questions to another lawyer who he said represented Watson in workplace matters; that person acknowledged a request for comment sent by email but did not answer emailed questions or respond to voicemails.

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Watson did not answer emails or phone messages seeking his response to the medical commission’s claims. Meeting materials on the commission’s website say Watson had a hearing scheduled in April.

KUOW and ProPublica began examining how and when Washington tells the public about doctors facing discipline following the case of Mark Mulholland, an eastern Washington OB-GYN accused last year of conducting irregular pelvic exams and making inappropriate remarks.

A Washington OB-GYN was repeatedly accused of sexual misconduct. The state medical board let him keep practicing

He initially kept seeing patients, and at least one has accused Mulholland in court of abuse and negligence that she says occurred during the time between when the commission filed formal charges and when it announced them. The woman alleges Mulholland “shoved his fingers into her rectum” and “said to her with confidence that she had a nice-looking and tight vagina.”

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More than 80 lawsuits related to Mulholland’s alleged misconduct have been filed against the doctor himself, his former employer Kadlec or its affiliate, the Providence hospital chain.

(Mulholland has not responded to requests for comment, but the doctor or his attorney told the commission previously that he strives to be gentle and respectful with cervical exams and denied conducting them in ways that patients described. In the civil litigation, which remains ongoing, the doctor, Providence and Kadlec all deny wrongdoing. In the state disciplinary case, which remains open, Mulholland signed an interim order agreeing to restrictions on his license.)

As with many announcements of charges against doctors whose licenses remained unrestricted, the commission did not first publish a notice about Mulholland on the press release section of its website, but rather in a subscribers-only email that said nothing about what he was accused of. It came six weeks after charges were filed.

The list is supposed to go out quarterly, a schedule that guarantees many charges stay off the radar for months — or even longer when the board fails to keep to its publication schedule. At least 269 days passed recently without subscribers receiving an email announcing charges being filed against a doctor and without the commission announcing charges in an online press release.

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Some cases still have not been publicized.

Presented by KUOW and ProPublica with questions about how it notifies the public, the commission issued a written statement saying it plans to alter its practices to make allegations against doctors more visible.

Although the commission believes its current practices meet the law’s notification requirement, the statement said, the agency “is always looking for ways to grow.”

“Technology and public accessibility standards continue to evolve since the statute was written,” the statement said. The medical commission “recognizes the value in refining our processes and establishing new best practices to enhance transparency.”

A Seattle doctor was investigated for fertility fraud. The case highlights tension between patient, physician rights

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On May 29, the same day the commission sent its statement, it sent four email notices announcing initial or updated allegations against licensees who were not immediately suspended — the first such emails subscribers received since June 2025.

Washington state Rep. Gerry Pollet, a Seattle Democrat and outspoken advocate for disclosure and accountability, said the medical commission was “absolutely not complying with the law.”

“The Legislature clearly said, ‘You have to inform the public quickly, and you should do that through a news release,’” Pollet said. “That’s one of the mechanisms. And the implication of a news release is you have to put it out while it’s still news. And waiting months to put something on a limited listserv doesn’t meet the spirit, much less the letter, of the law.”

Pollet said he plans to ask other legislators to join him in contacting the medical commission and asking for more prompt and public notifications.

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And if that doesn’t work, he said, “ What we might need is direction in the budget to demand that they follow the law.”

The letter of the law

The Washington Medical Commission has a well established process for looking into the roughly 2,000 allegations of provider misconduct it receives each year.

If an investigation finds evidence that a doctor violated the law, the medical commission issues a statement of charges. The doctor has a right to contest these before a health law judge or the commission issues a final order spelling out any disciplinary action or dropping the case. Months can go by in the interim.

Washington law directs the medical commission to report both statements of charges and final orders to interested parties: the person whose complaint triggered an investigation, certain professional organizations and the public.

Specifically, the law says public notification “shall include press releases to appropriate local news media and the major news wire services.”

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Two legal experts said the availability of the state’s email list notifying subscribers of “legal actions,” which requires journalists and others to opt in, conceivably meets the law’s requirements. But Seth Rosenberg, an administrative and employment law attorney, said by email that the fact that it gives only names, dates and locations — not a description of the charges doctors face — arguably means “it is bereft of meaningful detail.”

Whether or not the emails convey enough information, KUOW and ProPublica’s review found that they often are not issued for a long time.

The review focused on charges against doctors whose licenses remained untouched while they awaited a disciplinary decision. It turned up 13 emails or press releases from May 2024 through July 6 that announced charges while the case was still open, five of which were not sent for more than two months after charges were brought.

In another 12 cases, the commission did not send out public notifications until after it resolved charges against the doctor, often months after the physician was put on notice. Three of these cases were shared by way of the agency’s quarterly newsletter, which doesn’t necessarily go to subscribers on the legal actions list.

Four doctors accused last year or in January still have yet to appear in an email, press release or newsletter noting their charges as of July 6.

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All told, the commission has gone 100, 200 or even 300 days — in the case of Watson, the Richland doctor accused of sexual misconduct with coworkers — without either publicizing charges or taking away a doctor’s license.

It’s unclear how many of the physicians identified in KUOW and ProPublica’s review continued practicing while waiting for their cases to be resolved, but they had the legal ability to do so.

The commission did not respond when asked to verify that it had failed to publicize cases against doctors for whom no email bulletins could be found from early in the disciplinary process. Executive Director Kyle Karinen said the commission has consistently attached charges to doctors’ entries in an online database and listed charged doctors in commission meeting materials online.

The Washington Department of Health, a related agency that handles sexual misconduct allegations against doctors when the investigations do not require medical expertise, acknowledged that it failed to publish any bulletins on 30 enforcement actions since 2016 but said it has recently fixed the problem.

The medical commission’s delayed or or nonexistent notifications encompass a range of alleged doctor misconduct.

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Kareematulai Arogundade was accused in August of failing to undergo a mental examination that the commission required. The physician, who did not respond when contacted by KUOW and ProPublica by email and phone, first appeared more than 120 days later in the commission’s winter newsletter after his license was indefinitely suspended.

Sophie Gomez was accused in October of failing to respond to a request for information about a complaint filed with the board, and her license was indefinitely suspended in February, after which the commission issued a press release. (Gomez declined to comment when contacted by KUOW and ProPublica.)

The commission did announce charges prior to resolving the case against Jonathan Wynn Hemmert, who oversaw clinical operations at three Washington clinics that used a device called Cryoskin, a temperature-controlled wand that manufacturers say can remove unwanted fat cells when it’s rubbed against a patient’s skin.

The state agency said clinic staffers had clients sign a personal injury waiver, which the commission said was unenforceable, against public policy and deceptive and dishonest. The commission said he also failed to ensure the device was approved by the Food and Drug Administration and failed to supervise staff using the device on patients.

Hemmert signed a settlement agreeing to address the concerns, but the commission in November filed formal allegations that he had breached it. (Hemmert did not respond when asked to comment on the allegations, which have not yet been adjudicated.)

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A press release was posted to the commission’s website in March, 112 days after he was charged with breaching the settlement. Two months after that, a listserv notice went out.

‘A right to know’

The 1984 Washington state law that requires public notification was passed as part of the Uniform Disciplinary Act, a set of guidelines for state medical boards and commissions that license providers and investigate complaints.

Among the sponsors was then-state legislator Mike Kreidler, a Democrat and optometrist who served 16 years in the Legislature and 24 as insurance commissioner.

Kreidler said he doesn’t recall the details of how the 1984 law came together. But looking back at it, Kreidler, now 82, said he believes the public notification requirement fulfilled an important function. He said to get to the point where the commission completes an investigation and files charges means a complaint has enough evidence behind it to proceed toward disciplinary action.

“They’re not going to be frivolous in any fashion, and therefore the public certainly does have a right to know,” he said.

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‘Such a violation’: Patients of former UW doctor accused of fertility fraud grapple with uncertainty, tough choices

Presented with KUOW and ProPublica’s findings, people who support policies favoring disclosure to patients said the commission’s interpretation of the 1984 notification law falls short.

Patricia Kelmar, senior director of healthcare campaigns at PIRG, a nonprofit advocacy organization for consumers, said the commission should be expansive in discharging its duty to notify the public as the law requires, contacting not only reporters but also a doctor’s current and former patients.

“ We should not be hoping that we stumble across the information that’s going to protect us from a doctor who’s dangerous,” Kelmar said.

Lisa McGiffert, patient safety activist with the Patient Safety Action Network, said the commission’s frequent delay in notifying the public does not fulfill the spirit of Washington’s law, which in her interpretation necessitates a quick release of information.

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“ There’s nothing preventing Washington state from saying these have to be sent out to the news media within four or five working days,” McGiffert said.

Local media outlets have paid attention in the occasional cases where the medical commission has announced an action via the press release section of its website. A review of news releases about in-state doctors accused of conduct unrelated to their mental health shows that, more often than not, relevant media outlets have published stories afterward.

A news tip to a local journalist, not the commission’s email list, prompted the first media coverage of the case against Mulholland last June — nearly two months after the commission formally charged the gynecologist with misconduct involving three patients.

The woman who later accused Mulholland of performing an uncomfortable rectal exam and saying her vagina looked nice said the actions occurred at an appointment on May 1, 2025, or just days after the commission filed formal allegations.

The woman told KUOW and ProPublica that she was angry that she heard no news about the commission’s existing allegations before she saw Mulholland.

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“I’d never heard anything bad about him,” she said in an interview with KUOW and ProPublica.

Had she known, she wouldn’t have gone, she said.



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