- Implementation of Texas House Bill 2 delayed access to care and an increased number of riskier procedures.
Why this matters
- The bill had 4 provisions:
- physicians needed admitting privileges at a hospital within 30 miles;
- provision of medication abortion had to follow FDA-approved label for mifepristone;
- most abortions >20 weeks postfertilization prohibited; and
- abortion facilities had to meet ambulatory surgical center standards (temporarily blocked).
- Mean gestational age increased (7.3 to 8.3 weeks) after bill implementation (P<.001>
- Second-trimester abortions increased (10.5% to 14.5%; P<.001>
- In both periods, women who were age
- Next appointments as long as 26 days from date of initial call after bill implementation.
- Statistics on abortions performed in Texas retrieved from Department of State Health Services, 2011-2014 (before and after bill).
- Monthly mystery client calls to determine if facility was providing abortions and number of days until next available appointment.
- Primary outcome: occurrence of second-trimester abortions.
- Funding: Susan Thompson Buffett Foundation, others.
- Distance from abortion facility, provision of medical abortion may be underestimated.