Legislature approved two major reproductive, gender-affirming care bills

The Legislature passed two major reproductive rights bills this legislative session, one of which went to the governor’s desk in the final days. Both bills increase protections in the state for both reproductive healthcare and gender-affirming care. As of February 1, 2023, there are 17 states that have put some protections in place for abortion since the U.S. Supreme Court’s Dobbs decision, which overturned Roe v. Wade, according to the Guttmacher Institute. Gov. Michelle Lujan Grisham already signed HB 7, the Reproductive and Gender-Affirming Healthcare Act, into law. It prohibits public bodies from discriminating against individuals seeking reproductive and gender-affirming healthcare. 

There are two towns, Clovis and Hobbs, and two counties, Lincoln and Roosevelt, that have passed ordinances that have placed barriers to clinics that provide abortions from obtaining a business license.

U.S. Supreme Court overturns Roe v. Wade, creating public health emergency

The U.S. Supreme Court overturned Roe v. Wade Friday morning, creating what individuals working on the front lines of reproductive access in New Mexico called a “public health emergency” during a press conference Friday afternoon. Farinaz Khan, a healthcare provider, said every abortion clinic in four states closed by Friday morning. “As women and people with uteruses, we are second class citizens in our own country. Our patients will be deeply harmed by this decision,” she said. Many during the press conference stressed that abortion is, and will remain, legal and safe in New Mexico.

Bill that backers say can help healthcare around the state goes to Guv’s desk

The Senate unanimously passed a bill that will enable pharmacists to be paid for time spent prescribing emergency contraception and hormonal contraception. The bill now heads to the governor’s desk, where it is expected to be signed. Backers say HB 42 will particularly help rural pharmacists and rural patients. Senator Liz Stefanics, D-Cerrillos, who carried the bill in the Senate, said it helps pharmacists because they are paid for filling prescriptions, but they are not paid for the time they spend prescribing medications. Because there are doctor shortages in rural areas in New Mexico, this could help rural patients, say backers of the bill.

Contraception access a problem for those in need

Rural, communities of color and low-income New Mexicans in some areas of the state face greater barriers when deciding if, how and when to become parents. According to Power to Decide, a Washington D.C. based reproductive rights organization, 134,850 women between the ages of 13 and 44 live in a contraceptive desert in New Mexico.  The nonprofit defines a contraceptive desert as a place where women lack reasonable access in their counties to a health center that offers the full range of contraceptive methods. Rachel Fey, director of public policy for Power to Decide, told NM Political Report this is important because women usually change contraceptive methods during their reproductive years. “People have the response, ‘What’s the problem? Go buy condoms. It’s no big deal.’ But it doesn’t work for everyone.

TelAbortion could ease access woes

While abortion access at the national level has come under greater assault in recent years, some nonprofit groups on the front lines for reproductive healthcare are providing what is known as “TelAbortions” to New Mexicans through a study. A TelAbortion has the potential to simplify the process of terminating a pregnancy and some advocates say it could be the way of the future. To qualify, the patient needs to be less than 10 weeks pregnant. Through video conferencing over an electronic device, the patient speaks with the study’s health provider. After establishing that the patient is less than 10 weeks pregnant, the patient receives the two pills necessary – mifepristone and misoprostol – through the mail.

Access to abortion limited in NM

When New Mexico women are in a crisis and need to terminate a pregnancy, all too often they must drive hundreds of miles to reach a clinic that provides abortion. Clinics that provide abortions are only located in or around the three largest cities in New Mexico. While some obstetric and gynecological doctors as well as some general practitioners will perform an abortion privately, the vast majority of abortions are provided in specific clinics, Dr. Eve Espey, chair of the Department of Obstetrics and Gynecology at the University of New Mexico School of Medicine, told NM Political Report. 

When women seek an abortion, they are often in a time of crisis, she said. With more than one million women living in New Mexico, such limited resources for abortion services impacts a significant portion of women who are child-bearing age in the state. The problem disproportionately affects low-income women, rural women and women of color, Espey said.