Wyoming has pushed to the front of state efforts to prohibit the most common type of abortion by instituting the nation's first explicit ban on pills that terminate pregnancies.
Medication abortions, which usually involve taking two prescription medications days apart at home or in a clinic, became the preferred method for ending pregnancy in the U.S. even before the Supreme Court overturned Roe v. Wade — and now account for more than half of all abortions, according to the Guttmacher Institute, a research group that supports abortion rights.
More than a dozen states now effectively ban abortion pills by prohibiting all forms of abortion, moves made after the U.S. Supreme Court overturned its landmark Roe v. Wade ruling last year.
Fifteen states restrict access to the pills. Of those, six — Arizona, Indiana, Nebraska, North Carolina, North Dakota and South Carolina — require a doctor to administer them in person. Arizona also bans mailing abortion pills.
Wyoming governor signs measure prohibiting abortion pills
The pills are already banned in 13 states with blanket bans on all forms of abortion, and 15 states already have limited access to abortion pills.
But before a law signed Friday by Wyoming Republican Gov. Mark Gordon, no state specifically banned abortion pills. The law passed alongside a new abortion ban that seeks to sidestep issues with an earlier state ban that's been held up in court.
With two new abortion laws, the Wyoming Legislature was "kind of trying to cover all its bases" to prohibit abortions, said Elizabeth Nash with the Guttmacher Institute.
Gordon allowed the new broad abortion ban to take effect Sunday without his signature. Whether the abortion pill ban he signed takes effect July 1 as planned remains to be seen. It could be delayed in the courts if an abortion provider in the state sues over it. Meanwhile, a federal judge in Texas is considering a case with implications for abortion pill access nationwide
Here's a look at where abortion stands in Wyoming and elsewhere:
Is abortion now illegal in Wyoming?
Yes. As of Sunday, abortions in all forms are illegal.
The state's lone clinic providing abortions until the ban was in the tourist mountain town of Jackson. Another clinic in Casper was set to open last year before an arson delayed plans. The clinic, Wellspring Health Access, was hoping to open next month but those plans are now uncertain.
Even before the ban, many women in Wyoming drove to Colorado and elsewhere to get abortions because it was more convenient. There's no prohibition on women in Wyoming continuing to go out of state to seek abortions.
Why did Wyoming take such aggressive action?
Wyoming has long been a deeply conservative state but one that often avoided weighing in on social matters — live and let live is a credo of rural life in the West.
That's changing. With a state Legislature more dominated by Republicans than at any point in a century, leaders are able to delve into culture-war issues with hardly any opposition.
Last year, Gordon signed an abortion ban that took effect a month after the Supreme Court overturned Roe. Within hours, Teton County District Judge Melissa Owens suspended the ban, ruling that a lawsuit's claim it would harm pregnant women and their doctors could have merit.
The two nonprofits and four women, including two obstetricians, who sued also argued that the ban violated a 2012 state constitutional amendment guaranteeing the right to make one's own health care decisions.
Attorneys for the state said that wasn't the intent — the amendment passed in response to the Affordable Care Act seeking to expand health care coverage nationwide.
This year, Wyoming lawmakers did an end-run around the lawsuit with a new, blanket abortion ban that specifies abortion is not health care and therefore not protected by the state constitution.
Hearing set in case that seeks to ban abortion pill nationwide
An anti-abortion rights group questions the safety of mifepristone and is asking for a judge to issue a nationwide injunction.
What are lawmakers in other states doing?
Most Republican-controlled states adopted abortion bans or tighter restrictions in anticipation that Roe v. Wade would be overturned eventually.
And last year, several Democrat-controlled states adopted protections for abortion access.
But that didn't end the legislative battles.
This month, Utah passed a law to ban abortion clinics, making it the first state to take that action. It came as the state's ban on abortions at all stages of pregnancies is held up by a legal challenge.
In Florida, lawmakers are trying to figure out what bans to put into place. Florida previously put into place a ban after 15 weeks of pregnancy, which is much looser than what other GOP-controlled states have done; a new measure to ban them after six weeks has been advancing through the Legislature. Gov. Ron DeSantis, a possible 2024 presidential candidate, is expected to sign it if it gets to him.
In South Carolina, also GOP-dominated, lawmakers are debating what kind of ban to try next after a ban on abortions after six weeks was rejected by the state's top court.
In Minnesota, a state where last year's election gave Democrats full control of the government, the governor this year signed into law additional protections for abortion access.
