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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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Week Ahead in Washington: March 1

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Week Ahead in Washington: March 1


WASHINGTON (Gray DC) – Operation “Epic Fury” — the weekend military operations carried out by the U.S. and Israel against targets in Iran — tops the agenda for Congress as lawmakers return to Washington.

Sunday, President Donald Trump said the new leadership in Iran wants to talk to the Trump Administration.

Democrats in both chambers called for Congress to return as soon as possible for classified briefings on Iran, followed by a move to vote on the War Powers Act. The Constitution gives Congress the power to declare war on another country.

Congress’ return to Washington was originally delayed due to the start of the 2026 midterm elections cycle.

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Tuesday, voters in Arkansas, North Carolina and Texas head to the polls for primary elections.

North Carolina and Texas are drawing significant attention, as both states are facing congressional redistricting and competitive primary races for Senate seats.

In Texas, incumbent Sen. John Cornyn (R) is facing primary challenges from state Attorney General Ken Paxton and Rep. Wesley Hunt. On the Democratic side, Rep. Jasmine Crockett is facing state Rep. James Talarico.

In North Carolina, candidates are vying to replacing retiring Sen. Thom Tillis (R) . They include former Governor Roy Cooper (D) and former Republican National Committee Chair Michael Whatley.

Also this week, the Rev. Jesse Jackson is laid to rest. He will be honored Wednesday in Washington before a final memorial service Saturday. Jackson died Feb. 17.

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Caps Fall in Montreal, 6-2 | Washington Capitals

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Caps Fall in Montreal, 6-2 | Washington Capitals


Cole Caufield scored in the first minute of the first period and added another goal later in the frame, sparking the Montreal Canadiens to a 6-2 win over the Capitals on Saturday night at Bell Centre.

Washington entered the game with a modest three-game winning streak and six wins in its last seven games. Although they were able to briefly draw even with the Habs after Caufield’s opening salvo, Caufield and the Canadiens responded quickly and the Caps found themselves chasing the game for the remainder of the night.

“I didn’t mind some of the things that we did tonight,” says Caps coach Spencer Carbery. “I thought we created enough offensively, we just made way too many catastrophic mistakes to be able to sustain that.”

In the first minute of the game, Caufield blocked a Jakob Chychrun point shot, tore off on the resulting breakaway and beat Charlie Lindgren for a 1-0 lead for the Canadiens, half a minute into the contest. Lindgren was making his first start since Jan. 29, following a short stint on injured reserve for a lower body injury he sustained in that game.

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After the two teams traded unsuccessful power plays, the Caps pulled even in the back half of the first. With traffic in front, Declan Chisholm let a shot fly from the left point. The puck hit Anthony Beauvillier and bounded right to Alex Ovechkin, who had an easy tap-in for career goal No. 920 at 13:16 of the first.

But Montreal came right back to regain the lead 63 seconds later, scoring a goal similar to the one Ovechkin just scored.

From the left point, Canadiens defenseman Jayden Struble put a shot toward the net. It came to Nick Suzuki on the goal line, and the Habs captain pushed it cross crease for Caufield to tap it home from the opposite post at 14:19.

Less than two minutes later, Lindgren made a dazzling glove save to thwart Caufield’s hat trick bid.

Midway through the middle period, Montreal went on the power play again. Although the Caps were able to kill the penalty, the Habs added to their lead seconds after the kill was completed; Mike Matheson skated down  a gaping lane in the middle of the ice and beat Lindgren from the slot to make it a 3-1 game at 12:22.

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Minutes later, Montreal netminder Jakub Dobes made a big stop on Aliaksei Protas from the right circle, and Suzuki grabbed the puck and took off in the opposite direction. From down low on the right side, he fed Kirby Dach in the slot, and Dach’s one-timer made it 4-1 for the Canadiens at 16:34 of the second.

In the waning seconds of the second, Dobes made one of his best stops of the night on Beauvillier, enabling the Canadiens to carry a three-goal lead into the third.

Those two quick goals in the back half of the second took some wind out of the Caps, who were playing their third game in four nights following the three-week Olympic break.

“We kill off a penalty, and then we end up going down 3-1right after the penalty,” says Caps center Nic Dowd. “Those are challenging to give up, right? You do a good job [on the kill], it’s a 2-1 game, and then all of a sudden, before you blink, it’s 4-1 and then the game gets away from you.

“And they defended well tonight; It’s tough to score goals in this League, and you go into the third period, and you’ve got to score three. You saw that [Friday] night when we played Vegas; they were able to score two, but it’s tough to get that third one. I think we have to manage situations a little bit better. It’s a 2-1 game on a back-to-back, we just kill a penalty off, or maybe we just have a power play – whatever it is – we have to manage that, especially in an arena like this, where the crowd gets into it on nothing plays. They can really sway momentum – and in a good way – for their home team.

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“We just have to understand that if we don’t have our legs in certain situations, because of travel, it’s back-to-back or whatever, we really have to key into the details of the game and not let things get away from us quickly.

With 7:28 left in the third, Ovechkin netted his second of the game – and the fifth goal he has scored in this building this season – on a nice feed from Dylan Strome to pull the Caps within two goals of the Habs, who have coughed up some late leads this season.

But Montreal salted the game away with a pair of late empty-net goals from Suzuki and Jake Evans, respectively.

In winning six of their previous seven games, the Caps had been playing with a lead most of the time. But playing from behind virtually all night against a good team in a tough building is a tall task under any circumstances. And it was exactly that for the Caps on this night.

“They score on the first shift,” says Strome. “Obviously, Saturday night in Montreal is as good and as loud as it gets. They just got a fortunate bounce; puck was off Caulfield’s leg, and a perfect bounce for a breakaway. It’s just one of those things where we got down early and now they kind of fed off the momentum of the crowd.

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“But I still think our game is in a good spot, and we’ve just got to keep stacking wins. Obviously, we’ve played more games than everyone so we’re going to need some help, but we’ve just got to keep stacking wins. It’s tough on the back-to-back in Montreal, but we’ll find a way to bounce back on Tuesday [vs. Utah at home] and then go from there.”



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The Fallout From the Epstein Files

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The Fallout From the Epstein Files


The Department of Justice is facing scrutiny this week after it was revealed that records involving President Trump were missing from the public release of the Epstein files. On Washington Week With The Atlantic, panelists joined to discuss the ensuing political fallout for the Trump administration, and more.

“The key thing to remember about the Epstein story is that it is a case that has been mishandled for decades. The reason that we’re hearing about this now and why it’s exploding into public view is because, for the first time, Republicans in Congress and Democrats in Congress were willing to openly defy their leadership and call for the release of these files,” Sarah Fitzpatrick, a staff writer at The Atlantic, said last night. “That has never been done before, and I think it really is changing the political landscape in ways that we’re still just starting to learn.”

“What’s been so striking is how many of those very same Republicans who were calling for the release of those files, who had promised to get to the bottom of them, are now saying things that are just the opposite,” Stephen Hayes, the editor of The Dispatch, argued.

Joining guest moderator Vivian Salama, a staff writer at The Atlantic, to discuss this and more: Andrew Desiderio, a senior congressional reporter at Punchbowl News; Fitzpatrick; Hayes; and Tarini Parti, a White House reporter at The Wall Street Journal.

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Watch the full episode here.



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