Preliminary Injunction Granted – Off-label prescription

On 6/30/2025, the Natrona County District Court GRANTED our motion to preliminarily enjoin the abortion restrictions in HB 164.  The court saw through the legislature’s “semantic hair-splitting” and noted that to read the law as not prohibiting off-label use for abortion purposes was “strained and untenable.” We are grateful Wyomingites will continue to be able to receive the healthcare they need for pregnancies and miscarriages, unrestricted by unconstitutional restrictions unfounded in medicine.

While mifepristone has on-label use listed up to 10 weeks, it is commonly prescribed after 1o weeks or at modified dosages. Abortion purposes are not an on-label use for misoprostol making its use without mifepristone — a common usage — not authorized under this statute. Likewise, misoprostol’s use to soften the cervix prior to a procedural abortion is not authorized.

Legal Action to Protect Abortion Providers & Medication Abortion

On June 4, we asked the Natrona County District Court to stop enforcement of HB 164. See Memo for Preliminary Injunction. HB 164 protects medical providers from adverse action by their licensing boards for prescribing off-label, but specifically NOT for the purpose of abortion. The two abortion medications — mifepristone and misoprostol — are commonly and safely prescribed for off-label use.

As a result, HB 164 indirectly bans abortion medication by threatening physicians and pharmacists with disciplinary actions for prescribing off-label use.

We stressed that abortion medication has a long record of being very safe, including in Wyoming. It is also the most common and accessible  type of abortion in Wyoming, with no travel required.  And of course, abortion is much safer than carrying a pregnancy to term.

Currently, the on-label use for mifepristone is only up to 70 days post last menstrual cycle. However, studies and experience have demonstrated that it can be safely used at least up to 12 weeks.

Misoprostol is the second drug typically used in the abortion medication protocol. While misoprostol appears on the mifepristone label, its own label does not indicate abortion — or miscarriage — use. Additionally, misoprostol has been shown to be effective for abortion used on its own, without mifepristone. In fact, for some individuals, misoprostol alone is the appropriate prescription because for that individual there are contraindications for mifepristone use.

We anticipate a hearing on our motion to stop enforcement of HB 164 late June or early July. HB 164 takes effect on July 1, 2025.

Preliminary Injunction Granted!

Judge Campbell has preliminarily enjoined both the surgical abortion facilities requirements and the ultrasound/48 hour waiting period requirements for medication abortion. See Order. 

Citing Judge Owens’ ruling that the health care amendment of the Wyoming Constitution applied, he Court relied on the “health care amendment” of the Wyoming Constitution. He found that the State’s assertion for the need of the surgical facilities requirements, including the admitting privileges, were without evidence. The State “fail[ed] to link the ASC requirements to women’s safety and general welfare.”  He likewise found no basis for the ultrasound requirement, noting  also that “a period of reflection…serves no legitimate purpose.”

This means that for now, abortion can be provided in Wyoming as it previously was. The case will continue to be litigated, but for now those provisions are enjoined. We still await the Wyoming Supreme Court’s ruling on the constitutionality of the abortion bans following oral arguments at the Court on April 16.

Wyoming Supreme Court Oral Argument – Wed., 4/16, 1:30 pm

This Wednesday, 1:30 pm, 4/16/2025, the Wyoming Supreme Court is hearing oral arguments in our constitutional challenge to the two abortion bans — overall and medication abortion specific — the Wyoming Legislature passed in 2023. Come listen – wear green for hope! The Teton County District Court ruled in our favor in November, finding that  abortion is protected under the health care amendment which protects competent adults’ right to make decisions about their own health care. Additional bases, including equal protection and separation of church and state,  exist under the Wyoming Constitution to find the laws unconstitutional. LIVESTREAM AVAILABLE HERE.

Preliminary Injunction Hearing 4/8/2025

On April 8, 2025, we will finally get a hearing on our motion for preliminary injunction to stop enforcement of the two laws passed this legislature to make getting an abortion in Wyoming more difficult. One law requires an ultrasound and 48 hour delay prior to getting a medication abortion. The other law sets onerous and unnecessary standards for a facility providing “surgical” abortions. Studies have shown doctors accurately assess whether an ultrasound is necessary; requiring one for every person provides no better, safer outcomes and merely establishes financial and logistical barriers. Likewise, a 48 hour delay is demeaning to the person seeking abortion care. They do not need government telling them to take a “time out” before deciding to have an abortion. The surgical facilities requirements set up excessive requirements that offices of private doctors do not need to meet when doing other equally or even more invasive procedures such as vasectomies and hysteroscopies.

We have now re-filed our lawsuit challenging HB 42 (regulation of surgical facilies) and HB 64 (ultrasound requirement & 48 hr delay for medication abortion) in Teton County District Court, having waited for over a week with no hearing date set for a TRO in Natrona County District Court. We are hopeful of getting a TRO hearing soon. Over 70 people have been already been unable to get care at Wellspring. Others are having to jump medically unnecessary hoops to get medication abortion care. Our pleadings are available on our Litigation page.

Abortion still legal, available in Wyoming.

Although Wellspring Health Access is temporarily not providing abortions as HB 42 has taken effect and we await a court hearing, medication abortion is still legal and available in Wyoming. Just The Pill continues to provide Telehealth medication abortion. We believe St. John’s Family Practice in Jackson continues to provide. Medication abortion also remains fully available from reliable online providers like Abuzz, The MAP, and Aid Access, easily found at plancpills.org. Call/text us at 307-438-9272 for help accessing medication or procedural abortion.

Complaint filed to enjoin enforcement of bills intended to hinder abortion in Wyoming.

On February 28, 2025, Chelsea’s Fund, along with Wellspring Health Access, Just the Pill, Dr. Rene Hinkle, Dr. Giovannina Anthony, and Danielle Johnson, filed suit to enjoin and find unconstitutional HB 42 and HB 64, two bills the Wyoming Legislature just passed in an effort to impeded abortion care in Wyoming. Chelsea’s Fund is fully committed to taking every action possible to support Wyomingites’ ability to exercise their reproductive freedom, access the abortion care they (not the government) decide they need, and to value the bodily autonomy and dignity of pregnant (or potentially pregnant) Wyomingites.

District Court: Abortion is health care; bans are unconstitutional

On November 18, 2024, Teton County District Court Judge Melissa Owens issued her order finding both the overall criminal abortion ban (“Life is a Human Right Act”) and the medication abortion ban unconstitutional as violating Wyoming Constitution, article 1, section 38 which provides all individuals with the fundamental right to their own personal autonomy when making medical decisions.

In her 35 page order, Judge Owens ruled as follows:

  • Abortion is essential health care for pregnant women.
  • Abortion decisions are a pregnant woman’s decision. No other person can make that decision for a competent pregnant woman.
  • A zygote cannot trump the fundamental right of a living, breathing pregnant woman to make her own medical decisions.
  • The abortion bans place the health and safety of pregnant Wyoming women in real and present danger.
  • It is unethical and inhumane to force a woman to carry to term a fetus with lethal fetal anomalies.

We are grateful that Wyoming women’s personal autonomy, health and safety have been unequivocally recognized, valued and upheld. This benefits all Wyomingites (and others, too).

Today, abortion remains legal in Wyoming. We will do everything in our power to uphold this ruling in the Wyoming Supreme Court. Our principles of care and justice in Wyoming demand it.

Judge Owens Rules Abortion Bans Unconstitutional

Teton County District Court Judge Melissa Owens entered her order finding the overall criminal abortion ban and the medication abortion ban unconstitutional. Read the order here.

Importantly, in her 35 page opinion, she found that “[O]nly a pregnant woman can make a decision to have an abortion. No other person can make that decision for a competent pregnant woman.”

The Health Care Amendment cannot be interpreted any other way. “The Health Care Amendment does not include the caveat that it only applies to health care decisions ‘that do not affect others’ or that it applies to medical decisions ‘as long as those medical decisions do not involve abortions.”

Undoubtedly, the State will promptly appeal this ruling to the Wyoming Supreme Court. We will defend Judge Owens’ thorough, sound opinion to the full extent.

Thank you for having stood behind us as we defend Wyoming’s Constitution and reproductive freedom in Wyoming!