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  • University of Central Florida students advocate for free emergency contraception on campus

    University of Central Florida students advocate for free emergency contraception on campus

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    Courtesy of YDSA

    UCF students organize for free and accessible emergency contraception on campus.

    Access to abortion care in Florida and across the country remains precarious, and in some states, is no longer accessible at all. Students at the University of Central Florida, eyeing this issue with concern, are advocating for ways to help young people prevent unwanted pregnancy — and no, it’s not through the failed strategy of promoting abstinence only.

    Student organizers at UCF, the state’s largest university by enrollment based in Orlando, have joined young adults on other college campuses in advocating for expanded access to emergency contraception — specifically, what’s known as the “morning after” pill. This can be taken up to five days after having unprotected sex to help prevent pregnancy, although it’s most effective when taken the morning after or within three days.

    The effort to expand access to emergency contraception is being spearheaded by student members of the Young Democratic Socialists of America, the student arm of a national political organization that advocates for social and economic justice.

    Reana Sinani, a recent graduate of UCF and co-chair of UCF’s YDSA chapter, told Orlando Weekly that the group began gathering digital petitions on-campus earlier this semester, with the ultimate goal of making Plan B free and accessible for all students.

    “We got like, I want to say 600 signatures or something in three days, which was really, really cool,” said Sinani, 22, a psychology major.

    The group organized tabling events, where they shared information about emergency contraception and offered free Plan B supplied by groups like Orlando’s Stand With Abortion Now and Emergency Contraception 4 Every Campus, a national project of the American Society for Emergency Contraception.

    Then, in February, students reached a milestone.

    After meeting with the university’s chief public health officer on two separate occasions to discuss the issue, UCF’s Student Health Services switched to a lower-cost supplier of levonorgestrel, the generic version of Plan B, moving the price from $20 down to $6 on the university’s main campus in late February.

    Chief public health officer Dr. Michael Deichen, who also serves as associate vice president of UCF’s Student Health Services, declined an interview with Orlando Weekly, but confirmed the price drop in an emailed statement.

    After YDSA met with the university’s chief public health officer on two separate occasions to discuss the issue, UCF Student Health Services lowered the price of generic Plan B.

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    “Medications are sold at a reduced markup in keeping with ongoing efforts to provide affordable and quality care to students,” Deichen shared, somewhat downplaying the students’ involvement in the decision. “Among the items available is generic emergency contraception, now priced lower due to a new vendor’s reduced purchase cost.”

    A spokesperson for the pharmacy emphasized that brand-name Plan B, the functional equivalent of the generic version, will remain priced at $40 through UCF’s pharmacy.

    It’s only the generic version — available over the counter at the student pharmacy — that is now priced at $5.98.

    Student organizers nonetheless celebrated the decision on social media (and confirmed they were aware it was the generic, not brand-name Plan B, that was now priced at a lower cost).

    click to enlarge An Instagram post from UCF YDSA celebrates the university's plan to reduce the cost of generic Plan B on-campus. - Instagram

    Instagram

    An Instagram post from UCF YDSA celebrates the university’s plan to reduce the cost of generic Plan B on-campus.

    “This is only the start of our campaign as we will continue to look for venues to make Plan B FREE and ACCESSIBLE for all UCF students!” the group wrote in an Instagram post.

    According to Sinani, the group had collected roughly 1,600 petitions in support of the initiative as of March. Most came from students, in addition to some staff and faculty.

    The goal of their campaign, she added, isn’t just to reduce the cost of emergency contraception, but also to make it more accessible through additional pickup locations across campus.

    Currently, emergency contraceptives are only available at the university’s pharmacy through Student Health Services. Not everyone knows where that is, said Sinani, unless they have another prescription to pick up.

    But they’re considering ways to make it easier for people to access. One idea that’s picked up steam across the country is the installation of vending machines on college campuses that distribute emergency contraceptives and other personal or sexual health products. 

    According to Emergency Contraception 4 Every Campus, student activists have successfully advocated for the placement of these vending machines on roughly 60 campuses nationwide, including three in Florida.

    The University of Florida, Florida Gulf Coast University and the University of South Florida all have vending machines that distribute contraceptives and other personal healthcare products on-campus, according to EC4EC.

    So do universities in other states coast to coast, from New York to North Carolina, Ohio, Washington and California.

    “Our campaign slogan is free and accessible Plan B for all students, and that’s truly like what we’re pushing for.”

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    Kelly Cleland, executive director of the American Society for Emergency Contraception, told Orlando Weekly there’s no law that currently prohibits the sale of EC in vending machines in any state. “So that puts student leaders in a great position,” Cleland said.

    Some of the benefits of these vending machines, she said, include product affordability, timely access and privacy — with no questions asked at the pharmacy counter, and the ability for a student to pick up the item when they need it, on their own terms.

    The ideal placement for these machines, advocates say, is in centrally located buildings that are open for extended hours or, better, 24/7. They could also be placed in gender-neutral bathrooms, libraries (like at the University of South Florida in Tampa) or other easily accessible spaces.

    “Unprotected sex doesn’t only happen during business hours!” Cleland pointed out. “And many students experience stigma or embarrassment about needing EC and may not want to have to answer questions about their purchase, so vending machines can provide that anonymity and privacy.”

    click to enlarge UCF students organize for free and accessible emergency contraception on campus. - Courtesy of YDSA

    Courtesy of YDSA

    UCF students organize for free and accessible emergency contraception on campus.

    At the University of Central Florida, Sinani said most people they’ve talked to on the ground about making EC more accessible have been receptive to the idea — even students who self-identified as conservative or anti-abortion.

    “I’ve gotten comments like, ‘Oh, this would decrease abortions, so I will sign it,’” said Sinani, who herself supports abortion access.

    Organizing around abortion access was actually a launching pad for the EC initiative. Before kicking off their Plan B campaign, students with YDSA first began gathering petitions last year for a proposed abortion-rights ballot initiative, spearheaded by the political committee Floridians Protecting Freedom.

    The proposed constitutional amendment, if approved by Florida voters, would guarantee a right to abortion up to roughly 24 weeks of pregnancy.

    After gathering the necessary number of signatures, advocates are now waiting to see whether the initiative will get final Supreme Court approval for placement on the November ballot. Florida’s self-described “pro-choice” State Attorney General Ashley Moody has argued the language of their proposal is too vague and would “hoodwink” voters.

    Since the U.S. Supreme Court effectively overturned the constitutional right to abortion in 2022, a number of states have become statewide abortion deserts, where abortion care is banned and completely inaccessible.

    This is not true for Florida, which is — for now — the most accessible state for abortion care in the U.S. South, despite a 15-week limit on abortion that opponents have challenged in the courts. A six-week ban, approved by the state Legislature’s Republican majority in 2023, is currently on hold pending a state Supreme Court decision.

    As Vox has reported, curtailing access to emergency contraception is still considered a “fringe” view, even among those opposed to abortion — although some anti-abortion activists have reportedly been laying the groundwork for such an initiative for decades.

    One of the most memorable moments Orlando Weekly had in 2021 at the Conservative Political Action Conference (CPAC), held in Orlando that year, was a conversation about abortion with a young woman holding a sizable “Babies Lives Matter” flag.

    The young woman, originally from Venezuela, and her boyfriend said they were anti-abortion, but agreed that access to birth control was important. (They were less decisive on whether birth control should be cost-free — because, yes, we did ask.)

    One advantage the “fringe” anti-abortion activists have is that many Americans don’t understand what EC is, and how it differs from procedures to terminate a pregnancy.

    A 2023 poll by KFF found 93% of U.S. adults were aware of Plan B or “morning-after” pills, but only 62% were aware it was not the same as the abortion pill. Nearly three-quarters (73%) incorrectly believed that emergency contraception is capable of ending a pregnancy in its early stages.

    Students at UCF, organizing around emergency contraception access, also encountered this misinformation or other misunderstandings about how EC works.

    Sinani said their campaign has been an “informative” experience, and it’s been fulfilling to be able to offer informational resources to other young people. To her, accessibility is what’s most important.

    College students aren’t the most financially stable, she said. They may be between jobs. Not everyone can afford to drop $40 on Plan B if they have unprotected sex or are assaulted. “Our campaign slogan is ‘free and accessible Plan B for all students,’ and that’s truly what we’re pushing for.”

    Cleland, with the American Society for Emergency Contraception, stressed that EC isn’t just for people who are sexually active. There are a number of reasons that a person might seek it out, including cases of sexual assault and a lack of access to non-emergency contraception.

    “Making EC accessible and affordable helps keep students achieve their goals and have autonomy over their bodies and futures,” she said.

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  • Iowa Won’t Pay For Rape Victims’ Abortions Or Contraceptives

    Iowa Won’t Pay For Rape Victims’ Abortions Or Contraceptives

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    DES MOINES, Iowa (AP) — The Iowa Attorney General’s Office has paused its practice of paying for emergency contraception — and in rare cases, abortions — for victims of sexual assault, a move that drew criticism from some victim advocates.

    Federal regulations and state law require Iowa to pay many of the expenses for sexual assault victims who seek medical help, such as the costs of forensic exams and treatment for sexually transmitted infections. Under the previous attorney general, Democrat Tom Miller, Iowa’s victim compensation fund also paid for Plan B, the so-called morning after pill, as well as other treatments to prevent pregnancy.

    A spokeswoman for Republican Attorney General Brenna Bird, who defeated Miller’s bid for an 11th term in November, told the Des Moines Register that those payments are now on hold as part of a review of victim services.

    “As a part of her top-down, bottom-up audit of victim assistance, Attorney General Bird is carefully evaluating whether this is an appropriate use of public funds,” Bird Press Secretary Alyssa Brouillet said in a statement. “Until that review is complete, payment of these pending claims will be delayed.”

    Victim advocates were caught off guard by the pause. Ruth Richardson, CEO of Planned Parenthood North Central States, said in a statement that the move was “deplorable and reprehensible.”

    Bird’s decision comes as access to the most commonly used method of abortion in the U.S. plunged into uncertainty following conflicting court rulings on Friday over the legality of the abortion medication mifepristone. For now, the drug the Food and Drug Administration approved in 2000 appeared to remain at least immediately available in the wake of separate rulings issued in quick succession.

    FILE – Iowa Republican Attorney General candidate Brenna Bird speaks during a Republican Party of Iowa election night rally, Tuesday, Nov. 8, 2022, in Des Moines, Iowa. The Iowa Attorney General’s Office has, at least for now, halted its longstanding practice of paying for emergency contraception, and in rare cases abortion, for victims of sexual assault. A spokeswoman for Bird, who was elected in November, told the Des Moines Register that the pause is part of a review of victim services.(AP Photo/Charlie Neibergall, File)

    U.S. District Judge Matthew Kacsmaryk in Texas, an appointee of former President Donald Trump, ordered a hold on federal approval of mifepristone. But that decision came at nearly the same time that U.S. District Judge Thomas O. Rice in Washington, D.C., an appointee of former President Barack Obama, essentially ordered the opposite.

    The extraordinary timing of the competing orders revealed the high stakes surrounding the drug nearly a year after the U.S. Supreme Court overturned Roe v. Wade and curtailed access to abortion across the country. President Joe Biden said his administration would fight the Texas ruling.

    In Iowa, money for the victim compensation fund comes from fines and penalties paid by convicted criminals. For sexual assault victims, state law requires that the fund pay “the cost of a medical examination of a victim for the purpose of gathering evidence and the cost of treatment of a victim for the purpose of preventing venereal disease,” but makes no mention of contraception or pregnancy risk.

    Sandi Tibbetts Murphy, who served as director of the victim assistance division under Miller, said the longtime policy for Iowa has been to include the cost of emergency contraception in the expenses covered by the fund. She said that in rare cases, the fund paid for abortions for rape victims.

    “My concern is for the victims of sexual assault, who, with no real notice, are now finding themselves either unable to access needed treatment and services, or are now being forced to pay out of their own pocket for those services, when this was done at no fault of their own,” she said.

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  • Emergency Contraception

    Emergency Contraception

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    Do you watch the television show “ER”? During an episode in 1997, Nurse Hathaway (Carol) offered the option of emergency contraception pills to a young woman who had just been forced to have sex against her will. It’s possible that between 5 and 6 million people learned about emergency contraception that day.

    According to the Kaiser Family Foundation, almost 3 million unintended pregnancies happen each year in the United States. You can imagine why — a condom tears, a diaphragm slips out of position, a woman misses two birth control pills in a row. Or, a couple has gotten “swept away” in the momentum of lovemaking and has neglected to use birth control. Perhaps a rape has occurred. Without treatment, eight in 100 women who have had one act of unprotected intercourse during the second or third week of their cycle are likely to become pregnant. With emergency contraception, only two women in 100 would be in the same situation.

    What Is Emergency Contraception?

    There are two types of emergency contraception pills (ECPs). One is a combination of estrogen and progestin, and the other is a progestin-only pill. Depending on when they are taken during the menstrual cycle, ECPs can inhibit or delay ovulation; inhibit transport of the egg or sperm; or alter the lining of the uterus to prevent implantation of a fertilized egg.

    Another option, which is actually the most effective, is a copper IUD. This has to be inserted by a medical professional within 5 days of unprotected sex. It can prevent the implantation of a fertilized egg.

    How Does It Work?

    ECPs, sometimes called the morning after pill, must be taken within 72 hours of the unprotected intercourse. The pills are more effective the earlier a woman takes them within the 72-hour time period.

    Pills are taken in two doses, with the second dose taken 12 hours after the first. Each dose is one, two, four or five pills, depending on the brand. You need a prescription to get ECPs, although some medical providers are now writing prescriptions in advance.

    L evonorgestrel/ethinyl estradiol (Preven) is packaged especially for emergency-contraceptive use. It contains both hormones, estrogen and progestin, and reduces the chance of pregnancy by 75 percent. About 50 percent of women who take this feel nauseous and another 20 percent vomit.

    Levonorgestrel ( Plan B ) is progestin-only and has been on the market since July of 1999. It’s more effective than Preven and has fewer side effects associated with it.

    The copper IUD prevents a fertilized egg from being implanted in the uterus. About 80% of women keep the IUD inserted as birth control for up to 10 years. 

    Why Haven’t You Heard about ECPs?

    Although the Food and Drug Administration declared ECPs to be safe and effective in 1997, only 10 percent of health professionals discuss emergency contraception on a routine basis with their patients, according to a survey that same year by the Kaiser Family Foundation.

    Forty-one percent of Americans are still unaware of the existence of ECPs. In fact, only 11 percent of women aged 18 to 44 have both heard of ECPs and know that the pills need to be taken within 72 hours of unprotected intercourse.

    Remember that we all make mistakes. Unintended pregnancy crosses all boundaries — age, race, ethnicity, social class. Experts estimate that as many as 1.7 million of the over 3 million unintended pregnancies that happen each year in the United States could potentially be prevented by the use of ECPs. This includes as many as 800,000 pregnancies that now result in abortions. Wouldn’t you rather keep a supply on hand, just in case? Ask your doctor about emergency contraception at your next visit.

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  • Opponents file lawsuit targeting medication abortions

    Opponents file lawsuit targeting medication abortions

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    AUSTIN, Texas — Abortion opponents who helped challenge Roe v. Wade filed a lawsuit Friday that takes aim at medication abortions, asking a federal judge in Texas to undo decades-old approval of the drugs that have become the preferred method of ending pregnancy in the U.S.

    Even before the Supreme Court struck down the constitutional right to an abortion earlier this year, the use of abortion pills had been increasing in the U.S. and demand is expected to grow as more states seek abortion limits.

    The lawsuit was filed by the Alliance for Defending Freedom, which was also involved in the Mississippi case that led to Roe v. Wade being overturned. The lawsuit argues the U.S. Food and Drug Administration erred in approving the drugs mifepristone and misoprostol and overstepped its authority in doing so.

    Reached for comment, the FDA said it does not comment on pending or ongoing litigation.

    The lawsuit was filed in federal court in Amarillo, Texas. The state banned abortion after the Roe decision and is among the states where GOP lawmakers have banned mail delivery of the pills.

    The number of medication abortions has increased since regulators started allowing them and now account for roughly 40% of U.S. abortions. The medication can cost as little as $110 to get by mail, compared with at least $300 for a surgical abortion. Research has shown the pills are safe.

    However, people seeking abortion pills often must navigate differing state laws, including bans on delivery of the drugs and on telemedicine consultations to discuss the medication with a health care provider. And until Democrat Joe Biden became president, U.S. government policy banned mail delivery nationwide.

    Abortion medication is approved for use up to the 10th week of pregnancy. The pills may be taken in a doctor’s office or clinic, where patients sometimes have an ultrasound or lab tests beforehand.

    Mifepristone is taken first, swallowed by mouth. The drug dilates the cervix and blocks the effects of the hormone progesterone, which is needed to sustain a pregnancy.

    Misoprostol, a drug also used to treat stomach ulcers, is taken 24 to 48 hours later. The pill is designed to dissolve when placed between the gums and teeth or in the vagina. It causes the uterus to cramp and contract, causing bleeding and expelling pregnancy tissue.

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