Nearly 300,000 Kentucky women live in counties lacking a health center providing contraceptive methods such as the birth-control pill.

Advocates in eastern Kentucky say proposed legislation would boost access to the full variety of birth-control methods in rural counties and help lower the number of unintended pregnancies.

Mimi Pickering, team leader for All Access EKY, a project working to increase the availability of comprehensive reproductive-health services in Appalachia, said cost and the need to make frequent trips to health clinics or pharmacies to get and refill prescriptions are major barriers.

"And this can mean having to leave work or having to find and pay for child care," Pickering explained. "Or, for many, locating transportation. So these are real obstacles to getting long-term and consistent access to birth control."

Rep. Josie Raymond, D-Louisville, Rep. Attica Scott, D-Louisville, Rep. Kelly Flood, D-Lexington, and Rep. Susan Westrom, D-Lexington, sponsored House Bill 300, which would require insurance coverage of all FDA-approved contraceptive methods, with no cost-sharing and without the requirement for a prescription. Under the legislation, insurance companies also would have to cover a 12-month supply of contraceptives at one time.

Pickering pointed out when contraceptives are widely available and easier to acquire, pregnancy rates go down.

"It should be the goal of all Kentuckians, including members of the General Assembly, to reduce the number of unintended pregnancies in Kentucky," Pickering asserted. "And the best way to do that is to increase access and affordability of birth control for all who desire to use it. "

A study by researchers at Washington University found providing birth control to women at no cost substantially reduces unplanned pregnancies and cuts abortion rates by 62% to 78%.

Tamara Weider, state director of Planned Parenthood Alliance Advocates, said another bill known as House Bill 3, would add onerous requirements for abortion providers and patients.

"It's going to require patients to complete an in-person visit, effectively prohibiting safe telemedicine abortion," Weider noted. "So these restrictions that are in House Bill 3 fly in the face of the current medical, scientific guidance."

The bill is currently being considered by the Veteran's, Military Affairs, and Public Protection committee.

A Florida judge plans to put a hold on the state's new, 15-week abortion ban, set to take effect today. He said it is unconstitutional and will issue a temporary injunction.

Groups including Planned Parenthood of America, the Center for Reproductive Rights and the American Civil Liberties Union sued the state over the law passed by Republican lawmakers, claiming it violates the right to privacy in the state constitution.

Circuit Judge John Cooper agreed, just days after the U.S. Supreme Court overturned federal protections for abortions.

Rep. Yvonne Hinson, D-Gainesville, predicted despite the new Florida ruling, Gov. Ron DeSantis will follow through on his promise to fight to keep the ban.

"He not only will appeal, but come back full force with the full weight of his office, to try and do a full ban," Hinson stressed. "We can expect that if we don't go to the polls with that understanding."

The Florida abortion ban includes no exceptions for cases of rape or incest. In response to the ruling, DeSantis said he expected it, and does not think the state constitution mandates things like, in the governor's words, "dismemberment abortions." Judge Cooper plans to issue the injunction Tuesday.

Hinson urged anyone concerned about a possible outright ban on abortions in Florida to make their voices heard at the polls, because in her view, DeSantis has been able to get what he wants, so far.

"I mean, he has followed through on everything that he has said," Hinson pointed out. "We have to believe him and, we need to vote like we believe him, because everything he does is intentional."

Judge Cooper cited Section 23 of the Florida Constitution, which states: "Every natural person has the right to be let alone and free from governmental intrusion into the person's private life except as otherwise provided herein." Republicans have long struggled to restrict abortions in the state because of the privacy clause.

Wisconsin's 173-year-old abortion ban faces a legal test, as the state's Democratic leaders announced Tuesday they are suing to overturn it.

The measure, enacted decades before women had the right to vote, bans abortions in nearly all cases.

Gov. Tony Evers called a special session of the Legislature earlier this month to attempt to overturn the ban, but the Republican-controlled Senate and Assembly quickly gaveled out of the session without taking action.

Now, with the protections of Roe v. Wade fallen, Evers said it is time to take action.

"An overwhelming majority of Wisconsinites supported Roe and making sure abortions remain safe and legal in Wisconsin," Evers asserted. "And if Republicans won't do their part and help the people of the state, then we will."

Evers previously stated he would grant clemency to any doctors who are charged under the 1849 law, which carries a maximum sentence of six years in prison and a $10,000 fine. Similarly, Attorney General Josh Kaul indicated his office will not actively investigate or prosecute doctors who violate the measure.

The 1849 law was rendered unenforceable by Roe. Then, in 1985, Wisconsin passed a law banning abortions only after a fetus could theoretically survive outside the womb, anywhere from 20 to 28 weeks, an exact point in time which is a matter of medical dispute.

Kaul argued the 1985 law overrides the 1849 law.

"We've also argued that Wisconsin's abortion ban has fallen into disuse and can no longer be enforced under Wisconsin law," Kaul explained. "There's a legal doctrine known as 'desuetude' that we argue applies here."

Kathy King, medical director of Planned Parenthood of Wisconsin, said restricting abortion access would have serious impacts on maternal health.

"When compared to similar wealthy countries, the United States ranks last, with the highest maternal mortality rate," King reported. "In Wisconsin, you are five times more likely to die from a pregnancy-related cause if you are Black, versus if you are white."

Even before Roe was struck down, Wisconsin already had numerous provisions in place limiting abortion access, including mandatory counseling policies, waiting periods and other restrictions. According to the state's Department of Human Services, there were about 6,400 abortions in 2020, down from more than 17,000 in 1987.

With Roe v. Wade gone, Illinois is one of the few Midwestern states where abortions are still legal. Now the state's abortion clinics are bracing for a surge in out-of-state patients.

Yamelsie Rodriguez, president and CEO of Planned Parenthood of the St. Louis Region and Southwest Missouri, said its focus is on making sure folks have the resources they need to access abortions across state lines, as nearly all abortions in Missouri are now illegal.

"We are working together with the Pritzker administration to ensure nurse practitioners and physician assistants can practice to the full extent of their training," Rodriguez explained. "Including providing aspiration abortions, commonly known as in-clinic abortions."

St. Louis alders on Friday introduced legislation to start a $1 million abortion fund to provide financial resources to those who need to cross state lines to seek reproductive health care. The measure was referred to the city's Health and Human Services Committee for further deliberation.

Illinois is not only facing a surge on its western border. Kentucky's abortion ban triggered Friday, the Indiana General Assembly is holding a special session next week when lawmakers will likely pass a ban, and an 1849 Wisconsin law outlaws abortions in the state, although the policy will likely face lawsuits.

Qudsiyyah Shariyf, deputy director of the Chicago Abortion Fund, said even before Roe fell, the group was on track to support a record number of people this year, 80% of whom have been from out-of-state.

"The increase in numbers that we've seen is due to many factors," Shariyf pointed out. "It's in response to increased need that we've seen due to more restrictions and bans, as well as the strain of the ongoing global pandemic and economic crisis."

The share of abortions in Illinois provided for out-of-state residents has grown steadily in recent years, according to the state's Department of Public Health. In 2020, about a fifth of all abortions performed in Illinois were for out-of-state residents, most of whom were from Missouri.