Happy Friday Rulers! I’ve been recovering from an upper respiratory infection for the last week. Did I miss anything important? I’m kidding, even sick, I don’t think I can fully unplug from everything going on. This week, I examined legislation across the country and lawmakers' efforts to further restrict, or protect, abortion access in the states. Let’s get into it: It’s been almost three years since the Supreme Court overturned Roe v. Wade, and the trend to consider legislation restricting and protecting abortion access continues in statehouses across the country. President Donald Trump promised to veto a federal abortion ban and even criticized certain state bans while on the campaign trail last year. And — aside from the removal of the government website that provided resources on reproductive rights — the president has been quiet on abortion federal policy in his first week back in office. In this legislative session, which began in the middle of this month for most states, legislatures that have already passed laws enshrining abortion rights protections have introduced bills to further shield patients and doctors. Meanwhile, states with strict bans have begun floating abortion pill restrictions, fetal personhood bills and other restrictions. Abortion pill access This month, New Jersey Gov. Phil Murphy (D) announced that the state will build up a supply of medications used in abortions. New Jersey joins other blue states, including Massachusetts and California, in stockpiling mifepristone in anticipation of Trump’s new administration. But in conservative states like Texas, Republican lawmakers plan to crack down on abortion drugs. Kimya Forouzan, principal state policy associate for the Guttmacher Institute, tells Women Rule the law is a dangerous one. “That type of legislation is obviously a pretty big concern to us,” Forouzan says. “That type of legislation also just really has a major chilling effect on making people scared to seek out care when they may need it.” In Texas, Republican state Rep. Pat Curry introduced H.B. 1339 late last year, which could classify mifepristone and misoprostol as controlled substances — a category usually reserved for drugs that have potential for abuse or cause addiction, such as opioids. Curry’s legislation is similar to a Louisiana law enacted in 2024. Health care providers have filed lawsuits in Louisiana over the law, arguing the measures could delay lifesaving care for women. “We have seen reports come out of [Louisiana] where health care providers who provide care in emergency situations have actually had to … run drills to see how quickly they can get the medication in a time of an emergency,” Forouzan adds. Indiana lawmakers have proposed similar legislation to Texas and Louisiana. Catie Kelley, policy counsel for anti-abortion law firm and advocacy group Americans United for Life, tells Women Rule in an emailed statement that the group is looking closely at states working to address medication abortions. “States like Texas, Oklahoma and Tennessee are taking steps to ensure women are fully informed of the risks associated with these procedures,” Kelley says. In Oklahoma, where performing an abortion could result in a two-to-five prison sentence, a bill was introduced that would make abortion a felony crime for health care providers. Under H.B. 1008, performing an abortion would be punishable by up to 10 years in prison, fines up to $100,000, or both. While all types of abortion are illegal in Oklahoma, abortion pills are available by mail from providers outside of the state. A bill by Republican state Sen. Dusty Deevers would change that. S.B. 456 would close the “self-managed abortion loophole,” in Oklahoma, according to a statement from the senator. “While clinics may be prohibited from performing abortions, pro-life laws currently being enforced allow mothers to order abortion pills online and administer them herself,” Deevers says in a statement. Maternal health legislation While some states are focused on abortion protections or restrictions, others have turned their attention to maternal health care. In Virginia, bipartisan lawmakers are considering maternal health care bills that would include remote monitoring services for high-risk patients in rural areas. In Kentucky, a state with a complete ban on abortion with limited exceptions, lawmakers are making a bipartisan push to establish insurance coverage periods for women up to two years postpartum and recruiting more people of color to health care positions. Lawmakers in the Michigan state Senate advanced a package of eight bills referred to as the “Momnibus” with bipartisan support, aimed at decreasing racial disparity in maternal health care and improving maternal health outcomes. (Abortion is legal in Michigan.) Forouzan also tells Women Rule that the Guttmacher Institute is tracking Michigan’s proposal to protect reproductive health care data. Ballot measures Voters in seven states passed constitutional amendments to protect abortion access in November. The measures failed in three states — Nebraska, Florida and South Dakota. Reproductive freedom amendments have been proposed for 2026 in two states where Democrats control the legislature: Virginia and Hawaii. In Virginia, the resolution passed the House of Delegates earlier this month, but it still needs approval from the state Senate. Both chambers will also need to approve the resolution again next year. In Idaho — a state with one of the nation’s most strict abortion bans — a coalition filed four ballot initiatives to restore abortion access last spring. The initiative could appear on voters’ ballots in November 2026. Missouri Republican lawmakers are already proposing amendments for voters to roll back abortion protections. The state has been in a legal limbo since November when residents voted to adopt an abortion-rights amendment. Missouri was the only state with a ban on abortion at all stages where voters approved protections. Kelley of Americans United for Life argues the ballot measures are “harmful” and could “eliminate key health and safety protections for women and strip parental involvement in life-altering decisions for minors.”
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