Tracker Pixel for Entry

​Lawmakers defy science with ‘abortion reversal’ pill bill

News | January 15th, 2019

North Dakota State Capitol Building - photograph by C.S. Hagen

BISMARCK – North Dakota legislators introduced a bill to require physicians to provide information to patients about a questionable “abortion reversal” pill.

House Bill 1336 targets the “informed consent” section of the North Dakota Century Code and seeks to legally bind physicians to tell women planning on having an abortion about the possible effects of a reversal to abortion-inducing drugs. 

“It may be possible to reverse the effects of an abortion-inducing drug if she changes her mind, but time is of the essence, and information and assistance with reversing the effects of an abortion-inducing drug are available in the printed materials given to her as described…” the proposed addition to the law states.

“The materials must include information directing the patient where to obtain further information and assistance in locating a medical professional who can aid in the reversal of abortion-inducing drugs, such as mifepristone and misoprostol.”

The pill or substance that is said to reverse the effects of an unwanted abortion is called progesterone. Progesterone is a natural hormone in a woman’s body necessary to nurture and sustain pregnancy, according to the Hormone Health Network.

Representative Rick Becker, a Republican from Bismarck is also a plastic surgeon. He is listed as a co-sponsor of the bill and supports the bill because progesterone offers a chance – no matter how small – at a successful birth to women undergoing abortions who change their minds.

“What it’s looking at is in the course of anything procedurally that a physician does with a patient we have to give risks, benefits, and alternatives, and if one of the alternatives in this two-step process is to be able to change your mind, then I think that is one of the alternatives that needs to be expressed,” Becker said.

“When you think about it, it’s hard for me to think of any medical procedures that occur in two steps in any reasonable amount of time. I would think that you would want to include amongst those “alternatives” that you could start something and potentially reverse it. I think this is probably pretty unique, I haven’t done an exhaustive search, but I can’t think of hardly anything where you do a procedure and it’s actually two procedures over time.”

Representative Jeff A. Hoverson, a Republican from Minot, responded to an email pertaining to his support of the bill.

“Reversal has already saved many lives,” Hoverson said. “Not sure I see what could possibly be a downside to that.” 

The American Congress of Obstetricians and Gynecologists released a press release in 2017 saying that abortion “reversal” is not supported by science.

“Yet, politicians are pushing legislation to require physicians to recite a script that a medication abortion can be “reversed” with doses of progesterone, and steer women to this care,” the press release stated. “Unfounded legislative mandates represent dangerous political interference and compromise patient care and safety.”

The American Civil Liberties Union of North Dakota strongly condemned the proposed bill saying that those supporting the bill are misinformed.

“Facts are important, especially when discussing the health of women and the American public,” the ACLU of North Dakota said in a press release. “Claims regarding abortion ‘reversal’ treatment are not based on science and do not meet clinical standards, according to the American Congress of Obstetricians and Gynecologists. Yet, North Dakota politicians are pushing legislation to require physicians to tell women undergoing a drug-induced abortion false information.”

The decision to have an abortion is personal and private, and best left to a woman, her family, and doctor, Heather Smith, executive director for the ACLU of North Dakota said.

“It’s clear that this bill is motivated by a desire to coerce and intimidate women who have already made a very private medical decision, one that is protected under the U.S. Constitution, and it’s disappointing that North Dakota politicians continue to try to insert themselves into the patient-doctor relationship.

“Unfounded legislative mandates like House Bill 1336 represent dangerous political interference and compromise patient care and safety. The ACLU of North Dakota works to ensure that every woman can make the best decision for herself and her family about whether and when to start a family without undue political interference.”

Becker signed onto the bill because all the risks, all the benefits, and all the alternatives need to be explained to patients, he said.

“I am not sure what the ACLU is against, but if they’re opposed to the fact that I need to explain alternatives to my patients, I guess, I don’t know,” Becker said.

“It doesn’t need to be FDA approved, but from what I’ve been told there a significant percentage and I’m not suggesting it’s a majority, but there is a significant percentage of women who have second thoughts after they take the first pill.”

The fact that there are no guarantees the progesterone will work successfully doesn’t bother him, he said.

“And if there is that possibility I don’t care if there’s a study that shows it’s only 50 percent successful or 70 percent or even 20 percent, if there is a possibility of a procedure that could change things if a woman has changed her mind, I think it’s very important that they should be aware of that. I don’t think many people are aware of that.”

Since 2015 pro-life legislators in approximately 10 states have introduced bills that would require doctors to inform their patients about the “abortion reversal” pill. As of last summer five states including Idaho, Utah, South Dakota, Arizona, and Arkansas adopted legislation regarding the “abortion reversal” pill.

The “abortion pill” consists of two pills, first mifepristone and then one to two days later called misoprostol, according to The Daily Beast article published in 2016 and entitled “‘Abortion Reversal’ Is Scary, Bogus Science.”

Progesterone, which is deemed relatively safe, must be taken after the first pill and before the second pill in order for the hormone to work, proponents say.

“In recent years, the rise of medical abortion has led some anti-abortion activists and lawmakers to claim that the process can be reversed with an emergency treatment after the first pill,” The Daily Beast article states. “But even if they succeed at turning that myth into law, the truth is that science is not on their side.”

In April 2018, a San Diego doctor named George Delgado and six other co-authors published a paper documenting the success rates of “abortion reversal” pills, saying that nearly half of the 547 women who underwent the therapy had successful pregnancies with live births.

Three months after Delgado’s study was published the pro-life journal, Issues in Law & Medicine, and the University of San Diego, a Catholic university, both of which supported the study’s findings, withdrew support “pending technical corrections,” according to Slate magazine.

Delgado’s research is criticized as being observational case studies and not rigorous clinical trials. Critics also say that flooding a body with progesterone doesn’t counter the first abortion pill as the body during a pregnancy is already pumping out the hormone.

Daniel Grossman, a University of California at San Francisco professor, said that it is too soon to draw conclusions to Delgado’s research, and that legislative bodies should not be passing laws about experiments that may not work, according to The Washington Post.

Delgado’s study is currently available for free online, with a correction caveat.

Republican representatives Sebastian Ertelt, Jeff A. Hoverson, Jim Kasper, Rick Becker, Daniel Johnston, David Monson, Bob Paulson, Kathy Skroch are listed as sponsors of the bill. Republican senators Jordan Kannianen, Oley Larsen, Larry Luick, and Janne Myrdal are also listed as sponsors.

All lawmakers were contacted for comment, but only representative Rick Becker and Jeff A. Hoverson replied. 

Recently in:

By Alicia Underlee NelsonLocal groups will speak out against current and projected federal budget cuts in downtown Fargo this Saturday, April 26. The Red River Valley chapters of Fearless and Indivisible will lead a protest from…

By Prairie Rose Seminolems.prairierose@gmail.com I was a child who walked behind my parents into classrooms and kitchens, spaces of song and prayer, where teachings lived in the air and settled on my shoulders. I didn’t yet have…

Saturday, April 26, 1:30-3:30 p.m.Rourke Art Gallery + Museum, 521 Main Ave., MoorheadThings are coming up rosy at the Rourke in a true feast of the senses during the third annual “Gallery in Bloom” exhibit. The pop-up…

By Sabrina Hornungsabrina@hpr1.com I feel like reading a newspaper is the equivalent of listening to music on vinyl. Not only is it analog, it’s an experience. I might be a little biased, but there's something about the rustling…

By Ed Raymondfargogadly@gmail.comThe wizards and kleagles in whites now wear blue suits and red tiesA hundred years ago, more than 30,000 members of the Ku Klux Klan from virtually every state in the Union wearing their white…

By Rick Gionrickgion@gmail.com Holiday wine shopping shouldn’t have to be complicated. But unfortunately it can cause unneeded anxiety due to an overabundance of choices. Don’t fret my friends, we once again have you covered…

By Rick Gionrickgion@gmail.com After a very inspiring conversation with Kayla Houchin of Sonder Bakehouse a few weeks ago, I decided that it’s an appropriate time to write a column about some of the sweet people who are involved…

Mooncats and Pert Near Sandstone play Empire TheatreBy Sabrina Hornungsabrina@hpr1.comThe MoonCats describe themselves as “Americonscious Campfire Folk.” They have a clear acoustic folk sound with a sense of whimsy — think…

By Greg Carlsongregcarlson1@gmail.comRyan Coogler goes big and bold with “Sinners,” a sweaty, bloody vampire movie set in 1932. The filmmaker stuffs this universe with enough ideas to serve a limited-series season of episodic…

By Raul Gomez Modern Man was a gentle soul. If you were down or just wanted a friend, he’d be there for you. I remember the first day I met Modern Man. It was Jeremiah Fuglseth and me. He wanted to write about this legendary…

By John Showalterjohn.d.showalter@gmail.comHigh Plains Reader had the opportunity to interview two mysterious new game show hosts named Milt and Bradley Barker about an upcoming event they will be putting on at Brewhalla. What…

By Annie Prafckeannieprafcke@gmail.com AUSTIN, Texas – As a Chinese-American, connecting to my culture through food is essential, and no dish brings me back to my mother’s kitchen quite like hotdish. Yes, you heard me right –…

By Sabrina Hornungsabrina@hpr1.comNew Jamestown Brewery Serves up Local FlavorThere’s something delicious brewing out here on the prairie and it just so happens to be the newest brewery west of the Red River and east of the…

By Josette Ciceronunapologeticallyanxiousme@gmail.com What does it mean to truly live in a community —or should I say, among community? It’s a question I have been wrestling with since I moved to Fargo-Moorhead in February 2022.…

By Alicia Underlee NelsonProtests against President Trump’s policies and the cuts made by Elon Musk’s Department of Government Efficiency (DOGE) are planned across North Dakota and western Minnesota Friday, April 4 and…

By Faye Seidlerfayeseidler@gmail.com In 2023, the Superintendent of Fargo Public Schools, Rupak Ghandi, gave a passionate plea to the Fargo School Board to follow federal law, because a recently passed state law would increase…