Planned Parenthood changes up in air

Its abortion clinics face building restrictions under legislative requirements
Monday, June 18, 2007 | 12:00 a.m. CDT; updated 10:07 p.m. CDT, Monday, July 21, 2008

JEFFERSON CITY — When lawmakers passed new regulations for some abortion providers last month, Planned Parenthood said the “onerous requirements” would force it to halt abortions in Kansas City and Columbia.

But that may not be the case.

Rather than quitting its Missouri abortion business, Planned Parenthood of Kansas and Mid-Missouri is now studying how it could comply with the new requirements. A preliminary review shows it would cost substantially more than $1 million to make the necessary changes at each of its abortion clinics, said Chief Executive Officer Peter Brownlie.

In contrast to his May 18 assertion that the legislation “will shut down abortion services,” Brownlie now says “our intent is to continue offering that service, if we can.”

At issue is a measure that would require any facility that performs more than five first-trimester abortions a month, or any second- or third-trimester abortions, to meet the state licensure requirements for an “ambulatory surgical center.”

Republican Gov. Matt Blunt supported the bill and is expected to sign it into law, meaning the new requirements would take effect Aug. 28.

The state already requires abortion facilities to be licensed, setting forth specific standards for their staff, operations and buildings. But because of the definition of an abortion facility — requiring abortions to generate half its revenues or patients — a St. Louis Planned Parenthood clinic is the only facility in Missouri regulated as an abortion clinic.

Planned Parenthood confirms the new language about ambulatory surgical centers would affect its offices in Columbia and Kansas City.

Brownlie estimates the Columbia facility performs 600 to 700 abortions a year. The Kansas City office performs about 100 abortions induced only by medication; the area’s surgical abortions are performed a few miles west at a Planned Parenthood facility in Overland Park, Kan.

To comply with the specifications for an ambulatory surgical center, the Columbia and Kansas City clinics would likely have to be remodeled, Brownlie said. For example, state regulations require halls to be at least 8 feet wide leading to operating and recovery rooms and at least 5 feet wide elsewhere. Doors to exits, operating rooms and recovery rooms must be at least 44 inches wide while other doors must be at least 32 inches wide.

Ambulatory surgical centers must also meet requirements for emergency equipment, infection control, medical staffing and numerous other things.

“There’s no question that it imposes considerable expense and considerable difficulty in maintaining access to that service,” Brownlie said.

Following the ambulatory surgical standards at the Kansas City office is particularly “ludicrous,” Brownlie said.

“There is no surgery there,” he said. “It’s literally a matter of doing an exam and giving pills” that later induce an abortion.

Bill sponsor Rep. Therese Sander, R-Moberly, said a lot of first-trimester abortions use a “dilation and curettage” procedure similar to what’s performed in hospitals or ambulatory surgical centers after miscarriages or for other women’s health treatments.

“Because they’re doing the same kinds of procedures, they should have to operate under the same kinds of safety standards, inspection standards, staffing standards (and) keeping adequate medical-record standards,” Sander said.

She added: “We’re simply taking steps that are necessary to protect the safety of the women undergoing these procedures.”

Health department records show almost half of Missourians seeking abortions already travel out of state.

Planned Parenthood said it is still weighing whether to challenge the legislation in court, comply with the ambulatory surgical center standards or simply stop offering abortion services at its Columbia and Kansas City clinics.

Planned Parenthood asserts the result of the bill is to make it more difficult to perform abortions in Missouri. The bill’s backers might not mind that, though they insist the intent is simply to ensure safety.

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