The Washington PostDemocracy Dies in Darkness

Medication abortions can’t be ‘reversed.’ A law forcing doctors to say they can be is headed to court.

A pharmacist holds pills of misoprostol, one of two drugs taken in sequence to induce a medication abortion. (George Frey/Reuters)

One of America’s leading medical organizations has filed a lawsuit to block a North Dakota abortion law requiring doctors to tell women that a medication-induced abortion can be “reversed,” an assertion medical experts say is scientifically unsound.

The American Medical Association has joined the Red River Women’s Clinic, the last abortion facility in the state, and its medical director, Kathryn Eggleston, to argue that the law violates doctors’ constitutional right to free speech by forcing them to lie to patients. The plaintiffs also contest an existing provision in North Dakota law that requires a doctor to tell a woman that the abortion will “terminate the life of a whole, separate, unique, living human being,” a statement they argue is ideologically biased and “forces physicians to act as the mouthpiece of the state.”

The AMA joined with the Center for Reproductive Rights to file the lawsuit.

AMA President Patrice A. Harris told The Washington Post that “we will oppose any law or regulation that restricts our ability to talk to our patients honestly about their health, health care, or treatment alternatives."

“Physicians across this country are greatly concerned” about such measures, she said. “The two North Dakota laws actually compel physicians and other members of the health-care team to provide patients with false or misleading information that’s not based on evidence, that’s not based on science.”

A sponsor of an Ohio abortion bill thinks you can reimplant ectopic pregnancies. You can’t.

North Dakota Attorney General Wayne Stenehjem was reviewing the complaint, according to spokeswoman Liz Brocker.

North Dakota’s legislation is not the only one to include this piece of misinformation about medication abortion; Idaho, Utah, South Dakota, Kentucky, Nebraska, Oklahoma, and Arkansas have passed similar measures. Arizona attempted to enact such a law in 2015, but legislators repealed it after a court challenge.

Supporters of these laws argue that a medication abortion can be reversed with doses of the hormone progesterone or by intervening after the first pill is taken. But Molly Duane, the lead lawyer for the Center for Reproductive Rights on the case, told The Post that forcing doctors to refer women to services that claimed to offer such a treatment amounted to a medical “experiment.”

Medication abortions are conducted early in a pregnancy and consist of taking two drugs in sequence: mifepristone, taken first, stops the growth of the pregnancy by blocking the hormone progesterone; misoprostol, taken next, makes the uterus contract to complete the abortion.

If women only take the first pill, mifepristone, there is a chance the pregnancy could continue, as this medication on its own is not always effective.

However, the American Congress of Obstetricians and Gynecologists is adamant that “claims regarding abortion ‘reversal’ treatment are not based on science and do not meet clinical standards.”

Everything you need to know about the state abortion ban news

The North Dakota law in question, H.B. 1336, requires health-care providers to tell a woman “that it may be possible to reverse the effects of an abortion-inducing drug if she changes her mind, but time is of the essence” and to provide her with materials that instruct her on resources to do so. It does not specify what those materials would include, or what such a treatment might entail.

The bill was signed into law by Gov. Doug Burgum (R) in March. The next month, he signed another law banning dilation and evacuation abortions, a method that can be used later in a pregnancy.

When asked for comment on the lawsuit, the governor’s office directed The Post toward Burgum’s statement after signing the law in question. “If it gives hope to even one person who has started the process and wants to try to reverse it, it is worth providing that information,” Burgum said.

Duane said that the plaintiffs hoped the court would act before the bill takes effect next month.

“Physicians shouldn’t be forced to say things they don’t want to say,” she said. “Particularly when those things are untrue.”

Read more:

The fate of the last abortion clinic in Missouri rests with a judge after state denies license

Graphic: The widening gap in abortion laws in this country

He said he protected students in a school shooting. Then the truth emerged.

Border agents confiscated lawmakers’ phones. Joaquin Castro captured photo and video anyway.