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Planned Parenthood

Reproductive Health Services of Planned Parenthood of the St. Louis Region is the last provider of abortion services in Missouri. It could lose its license this week.
File photo | David Kovaluk | St. Louis Public Radio

The Missouri Department of Social Services must pay Planned Parenthood for providing care for Medicaid patients, the state Supreme Court ruled Tuesday.

State lawmakers cut funding for the provider in the 2018 budget by inserting language that barred state funds, including those from the state’s Medicaid program MO HealthNet, from going to any abortion provider.

In a 6-1 decision, the Missouri Supreme Court affirmed a 2019 ruling from a lower court that found the provision was an example of lawmakers using a budget bill to create policy, which is prohibited by the Missouri Constitution.

The U.S. Supreme Court’s ruling on Monday striking down a Louisiana abortion restriction means similar provisions in Missouri and Kansas are no longer enforceable.

In a 5-4 decision, the court found unconstitutional a Louisiana law that requires doctors performing abortions to have admitting privileges at nearby hospitals. Had the court upheld the Louisiana law, the state would have been left with just one abortion clinic.

Supporters rally outside Planned Parenthood on Forest Park Ave. on Friday after a St. Louis Circuit Court judge issued a temporary restraining order that keeps the clinic's license valid.
File photo | Carolina Hidalgo | St. Louis Public Radio

Planned Parenthood has regained its license to perform abortions at its St. Louis clinic.

The Missouri Department of Health and Human Services on Thursday issued the clinic a one-year license, ensuring that the state’s sole abortion provider will remain open.

It caps a yearlong battle between state health officials and Planned Parenthood. Last year, state officials declined to renew Planned Parenthood Reproductive Health Services’ license, setting off a legal battle in which clinic workers accused Gov. Mike Parson and his administration of attempting to limit access to abortion.

Reproductive Health Services of Planned Parenthood of the St. Louis Region is the last provider of abortion services in Missouri. It could lose its license this week.
File photo | David Kovaluk | St. Louis Public Radio

Updated at 6:10 p.m., May 29 with comment from Planned Parenthood officials

The last clinic providing abortions in Missouri can remain open, a state commissioner ruled Friday.

Missouri Administrative Hearing Commissioner Sreenivasa Rao Dandamudi said in a 97-page decision that Gov. Mike Parson's administration was wrong to not renew the license of a Planned Parenthood clinic in St. Louis in spring 2019. The clinic has remained open while the commission considered its appeal.

Reproductive Health Services of Planned Parenthood of the St. Louis Region is the last provider of abortion services in Missouri. It could lose its license this week.
File photo | David Kovaluk | St. Louis Public Radio

Missouri could soon become the first state in the nation without a clinic providing abortions, but Planned Parenthood officials say the last remaining one there has already all but ceased performing the procedure.

The clinic, Reproductive Health Services of Planned Parenthood of the St. Louis Region, is at the center of a licensing dispute between the organization and Missouri Republican Gov. Mike Parson's administration. That clinic's future is in the hands of a state commission that is expected to issue a decision in the coming weeks or months.

Students in the Teen Advocates for Sexual Health group participate in discussion about gender identity, sexual violence and other aspects of sexuality during a meeting on Nov. 6, 2019.
Andrea Smith | St. Louis Public Radio

Twice a month, about 50 high schoolers gather at Planned Parenthood in midtown St. Louis to attend a sort of alternative sex education class. 

The students are volunteer members of Planned Parenthood’s Teen Advocates for Sexual Health program, which hosts evening meetings and retreats to teach teenagers about healthy sexuality. With snacks and worksheets in hand, students participate in interactive activities and discussion about consent, sexual violence and other topics. 

Yet some students in the program say they aren’t learning about consent and sexual violence outside of this program, even after an updated Missouri law called on schools to change their sexual education curriculum.

Reproductive Health Services of Planned Parenthood of the St. Louis Region is the last provider of abortion services in Missouri. It could lose its license this week.
File photo | David Kovaluk | St. Louis Public Radio

The Missouri Supreme Court heard oral arguments on Tuesday to decide whether the state’s 12 Planned Parenthood clinics should receive federal funding. 

John Sauer argued on behalf of the state, asking the court to back the Republican-led Legislature’s 2018 decision to deny funding to all Planned Parenthood facilities but not other providers that care for the state’s Medicaid population. 

Kawanna Shannon, director of surgical services at Reproductive Health Services of Planned Parenthood of the St. Louis Region, answers questions during a press conference Friday.
File Photo| Carolina Hidalgo | St. Louis Public Radio

The top administrator at Missouri’s sole abortion provider testified during the last day of a hearing that state officials had become increasingly combatative in relations with the clinic during the past year.

Kawanna Shannon, director of surgical services at Planned Parenthood Reproductive Health Services, said the change in relationship was proof the clinic’s inspectors were coming to the clinic with an agenda to find problems to prove the clinic was unsafe. 

“It seemed as if they didn’t understand their own regulations, as if they didn’t understand the womens’ anatomy,” she said. “Just asking questions that never made any sense … it was as if they had never inspected us at all.”

Missouri Solicitor General John Sauer gives a statement before Administrative Hearing Commissioner Sreenivasa Rao Dandamudi. Dandamudi will decide if the state was justified in declining to renew the license of the last abortion provider left in Missouri.
Carolina Hidalgo | St. Louis Public Radio

The chief doctor at Planned Parenthood’s St. Louis clinic testified during a high-profile regulatory hearing on Wednesday that the abortions performed there are safe and that the facility has an above-average record of successful procedures.

State health officials earlier this year decided not to renew the license for Planned Parenthood’s abortion clinic, citing concerns about patient safety.

The four instances of patient care that caused state regulators alarm were in line with acceptable legal and medical standards of care, said Dr. Colleen McNicholas, chief medical officer of Planned Parenthood Reproductive Health Services. The clinic performs thousands of procedures a year, she said. 

Missouri Solicitor General John Sauer, left, and Planned Parenthood attorney Chuck Hatfield speak during a break on the first day of a hearing that could determine the fate of Missouri's sole abortion clinic. Oct. 28, 2019
Carolina Hidalgo | St. Louis Public Radio

On the first day of an administrative hearing that could determine the fate of Missouri’s sole abortion clinic, attorneys for the state questioned the safety of Planned Parenthood’s clinic and said state regulators acted with patients in mind when they did not renew its license.

The lawyers spent hours attempting to prove through witness testimony the state’s Department of Health and Human Services acted legally when it did not issue a renewed license to Planned Parenthood Reproductive Health Services in St. Louis last June.

A member of the Administrative Hearing Commission, a nonpartisan state body that resolves regulatory disputes, will decide if the department acted properly.

Supporters rally outside Planned Parenthood on Forest Park Ave. on Friday after a St. Louis Circuit Court judge issued a temporary restraining order that keeps the clinic's license valid.
File photo | Carolina Hidalgo | St. Louis Public Radio

Lawyers from Planned Parenthood and the state of Missouri will face off Monday in a hearing that could decide the fate of the state’s last clinic providing abortions.

A member of the Administrative Hearing Commission, a nonpartisan state tribunal that resolves regulatory disputes, will decide if the state broke the law when it denied the St. Louis Planned Parenthood clinic its license earlier this year.

If Commissioner Sreenivasa Rao Dandamudi rules against the clinic, Missouri could become the first state without an abortion provider since the landmark Roe. v. Wade Supreme Court decision, which legalized abortions in the U.S.

How Planned Parenthood Kept Its New Fairview Heights Clinic A Secret For So Long

Oct 24, 2019
Pro-abortion activists gather in front of a Planned Parenthood clinic in Fairview Heights on Oct. 21. The clinic opened its doors to the region on Oct 23.
Eric Schmid | St. Louis Public Radio

FAIRVIEW HEIGHTS — If the city of Fairview Heights wanted to send the owners of property at 317 Salem Place a copy of the building permit while work was going on the past year, the Land Use and Development Department would have had to send it to a mailbox inside a UPS Store in Dallas.

The permit for the work at what would become a state-of-the-art Planned Parenthood Health Center in Fairview Heights would have gone to Raider Ventures LLC, the company name Planned Parenthood used to keep its identity secret.

Abortion Opponents Want Fairview Heights To Stop Planned Parenthood From Opening Clinic

Oct 9, 2019
Anti-abortion groups rallied Wednesday outside of the new Planned Parenthood clinic in Fairview Heights. The clinic will offer medicinal and surgical abortions when it opens. This comes as St. Louis' clinic may lose its license. 10/9/19
Derik Holtmann | Belleville News-Democrat

Between an iron fence and temporary barricades while holding signs that said “Planned Parenthood hurts women,” “Stop Abortion Now” and “Shut them down,” demonstrators called on Fairview Heights to keep the future Planned Parenthood clinic from opening.

The narrow stretch of public right of away next to a drainage ditch did not deter the crowd of hundreds of people who rallied Wednesday outside the new Planned Parenthood clinic in Fairview Heights that will open later this month.

New Planned Parenthood Abortion Clinic In Fairview Heights Was Built In Secret

Oct 2, 2019
Planned Parenthood announced a new mega center aimed to increase abortion access in Southern Illinois. It will open later this month. Oct. 2, 2019
Planned Parenthood

Planned Parenthood is taking a step to increase access to abortions in the metro-east and the region with a new state-of-the-art center in Fairview Heights.

Reproductive Health Services of Planned Parenthood of the St. Louis Region will expand abortion services in the new facility, providing both surgical and medication abortions. It is expected to begin seeing patients in late October.

A federal judge on Friday blocked a part of Missouri’s newly enacted abortion law banning “Down syndrome abortions” of non-viable fetuses.

Senior U.S. District Judge Howard Sachs had previously blocked the state’s ban of most pre-viability abortions. But he asked for further evidence of the number of women who would be affected by the Down syndrome prohibition.   

The Planned Parenthood clinic in St. Louis, which sued to overturn the law, submitted evidence that the Down syndrome ban would affect a small number of women.

A federal judge’s order blocking Missouri’s 20-week abortion ban from taking effect will remain in place while the state appeals.

Senior U.S. District Judge Howard Sachs on Wednesday denied the state’s request for a partial stay of his order, which he handed down last month.

The Planned Parenthood clinic in St. Louis, Missouri’s only remaining abortion provider, and its medical director, Colleen McNicholas, had challenged the constitutionality of the ban, which the legislature enacted earlier this year.

A volunteer with Coalition for Life St. Louis protests outside Planned Parenthood on Forest Park Avenue.
File photo | Carolina Hidalgo | St. Louis Public Radio

A federal judge has put a hold on Missouri’s eight-week abortion ban, but has left other provisions of the controversial law intact.

The parts of the law that prohibit abortions because of race, sex or Down syndrome diagnosis and updated requirements to pre-abortion counseling went into effect last week. Doctors say those new regulations victimize patients and compromise doctors’ medical ethics. 

A federal judge in Kansas City has blocked Missouri’s eight-week abortion ban from taking effect after midnight Tuesday.

Senior U.S. District Judge Howard Sachs issued a preliminary injunction blocking the law's gestational bans, while declining to block a "non-discrimination" section prohibiting abortions on the basis of race, sex or Down syndrome. 

Although not a decision on the merits, the ruling is a major victory for the Planned Parenthood clinic in St. Louis, the only remaining abortion provider in Missouri, and its medical director, Colleen McNicholas.

Protesters with the advocacy group No Bans On Choice demonstrate against HB 126 in downtown St. Louis on Aug. 2.
Carolina Hidalgo | St. Louis Public Radio

Updated at 12:15 p.m. on Thursday with Secretary of State Jay Ashcroft's comments

The abortion-rights group No Bans on Choice faces an "impossible" task to collect enough signatures on a petition that would allow voters to overturn a Missouri law that bans most abortions after eight weeks of pregnancy, officials from the committee said Wednesday. 

Secretary of State Jay Ashcroft on Wednesday released the wording for the ballot initiative after a months-long legal battle. 

American Civil Liberties Union representatives say it’s unlikely they would collect the 100,000 signatures they need to place a referendum on the ballot before the law goes into effect on Aug. 28.

Maia Hayes joined dozens of abortion rights advocates downtown in protesting the potential shuttering of Missouri's last abortion provider. May 30, 2019
File photo I Carolina Hidalgo | St. Louis Public Radio

Planned Parenthood and the American Civil Liberties Union are asking a federal judge to overturn a Missouri law banning most abortions at eight weeks of pregnancy. 

In a lawsuit filed Tuesday in U.S. District Court in Jefferson City, lawyers for the ACLU and Planned Parenthood Reproductive Health Services, the St. Louis clinic that provides abortion services, asked the court to overturn the law on the grounds that it is unconstitutional.

“Extreme legislators are really pushing to find any way possible to outlaw abortion in the state,” said Colleen McNicholas, chief medical officer of Planned Parenthood of the St. Louis Region and Southwest Missouri.

Planned Parenthood physician, Dr. Colleen McNicholas, stands outside the clinic in St. Louis.
File photo | Durrie Bouscaren | St. Louis Public Radio

Planned Parenthood of the St. Louis Region and Southwest Missouri has hired one of its most visible doctors as its first full-time chief medical officer.

Colleen McNicholas, who’s worked as an OB-GYN at the organization’s St. Louis clinic, started her job on July 1. As chief medical officer, she’ll oversee and coordinate medical care at Planned Parenthood clinics across the region.

Planned Parenthood supporters walked onto the Eads Bridge to drop banners with a message to Missouri Gov. Mike Parson.
Carolina Hidalgo | St. Louis Public Radio

Updated at 3:30 p.m. July 1 with "St. Louis on the Air" audio — Access to abortion in Missouri will continue as a state commission prepares to consider a licensing dispute over a Planned Parenthood abortion clinic in St. Louis.

On Friday, a state administrative hearing commissioner extended the organization’s license until the Administrative Hearing Commission decides how to resolve Planned Parenthood’s complaint against the state Department of Health and Senior Services. The commission set a hearing for Aug. 1.

Reproductive Health Services of Planned Parenthood of the St. Louis Region is the last provider of abortion services in Missouri. It could lose its license this week.
File photo | David Kovaluk | St. Louis Public Radio

Planned Parenthood will lose its license to perform abortions on Friday afternoon unless a state commission grants the clinic’s request to keep the clinic open. 

The St. Louis clinic, the last in the state to provide abortions, earlier this week formally requested that the Administrative Hearing Commission keep its license valid until an Aug. 1 hearing. 

Reproductive Health Services of Planned Parenthood of the St. Louis Region is the last provider of abortion services in Missouri. It could lose its license this week.
File photo | David Kovaluk | St. Louis Public Radio

Updated at 1:55 p.m., June 24 with comments from an attending physician at the Planned Parenthood clinic  — A circuit court judge has allowed Planned Parenthood in St. Louis to continue providing abortions until late Friday afternoon.

A ruling Judge Michael Stelzer made Monday would allow Planned Parenthood to make its case for keeping its license to the state Administrative Hearing Commission, which resolves disputes between state regulators and private entities.

Director of Planned Parenthood Advocates in Missouri M'Evie Mead addresses reporters outside the St. Louis Circuit courthouse on Friday. June 21, 2019
Ryan Delaney | St. Louis Public Radio

Updated at 2:15 p.m., June 21 with comments from Missouri Gov. Mike Parson and the state health department director — The only abortion provider in Missouri has lost its license, but the clinic’s future remains unclear after a court hearing Friday morning in St. Louis.

Citing patient safety concerns, the Missouri Department of Health and Senior Services on Friday declined to renew a St. Louis Planned Parenthood clinic’s license to perform abortions. Officials said some abortions were not performed properly and failed.

Circuit Court Judge Michael Stelzer said the injunction he previously issued keeping the clinic open will remain in effect for now. It’s not known when he will make a final decision.

Current and former elected officials, including St. Louis Alderman Megan Green, former State Rep. Stacey Newman, St. Louis County Councilwoman Lisa Clancy and St. Louis Alderman Christine Ingrassia, left to right, joined a rally outside Planned Parenthood
File photo|Carolina Hidalgo | St. Louis Public Radio

As the deadline nears for the state’s decision on whether to renew the license for Missouri’s last remaining abortion clinic, doctors at Planned Parenthood have announced they have stopped following a state rule that, in effect, makes them conduct two pelvic exams before providing the procedure.

The St. Louis clinic had started conducting the exams several weeks ago as part of a corrective plan between the organization and the Missouri Department of Health and Senior Services. The plan was put in place after the agency found Planned Parenthood wasn’t in compliance with state rules, which include an initial pelvic exam as part of its 72-hour consent law.

A state court judge in St. Louis on Friday ordered Missouri to restore Medicaid funding to Planned Parenthood’s affiliates in that city.

Judge David L. Dowd ruled that the legislature’s fiscal 2019 appropriations bill for the Medicaid program violated the state constitution by barring payments to abortion providers and their affiliates.

He found the bill ran afoul of the constitution’s requirement that appropriations bills can’t refer to other laws when fixing their amount.

Dr. David Eisenberg, medical director of Reproductive Health Services of Planned Parenthood of the St. Louis Region, answers questions during a press conference Friday.
Carolina Hidalgo | St. Louis Public Radio

Abortion rights advocates are concerned the legal dispute over the last existing abortion clinic in Missouri may have already hindered access to abortion.

The license for Reproductive Health Services of Planned Parenthood of the St. Louis Region has been in jeopardy for months as state officials delayed action on its application. To compel the state to act, Planned Parenthood took state officials to court.

Circuit Court Judge Michael Stelzer has kept the license in effect while the arguments play out in court. But abortion rights advocates say the legal process as well as Missouri’s increasingly stringent abortion regulations could discourage doctors from providing the procedure in the future.

Reproductive Health Services of Planned Parenthood of the St. Louis Region is the last provider of abortion services in Missouri. It could lose its license this week.
File photo | David Kovaluk | St. Louis Public Radio

Updated at 9:45 p.m. June 10 with additional comments from Planned Parenthood  — Missouri will continue to have legal access to abortion.

A St. Louis Circuit Court judge on Monday granted Planned Parenthood a preliminary injunction that effectively keeps its license to operate a St. Louis abortion clinic open for at least 11 more days.

Judge Michael Stelzer ordered the state Department of Health and Senior Services to decide whether to renew Planned Parenthood’s annual license by June 21, when attorneys representing the organization and the state appear in court again.

The judge’s decision means Missouri’s only abortion provider will continue operating while he weighs Planned Parenthood’s objections to the way state health officials have handled the organization’s request for a new license.

Reproductive Health Services of Planned Parenthood of the St. Louis Region is the last provider of abortion services in Missouri. It could lose its license this week.
File photo | David Kovaluk | St. Louis Public Radio

Updated at 9:58 p.m. June 7 with information from the College of American Pathologists —Missouri health officials say they are investigating “failed surgical abortions” at Planned Parenthood’s St. Louis clinic.

Department officials said Friday that some women who had received abortions at the clinic remained pregnant after the procedure, according to an analysis of fetal tissue.

The officials say they reported a lab that tests fetal tissue from abortions at the St. Louis clinic to the federal Centers for Medicare and Medicaid Services. Federal officials then temporarily suspended the lab’s accreditation.

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