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Missouri health department rejects Planned Parenthood plan to start medication abortions

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missouriindependent.com – Anna Spoerre – 2025-03-28 18:18:00

by Anna Spoerre, Missouri Independent
March 28, 2025

Missouri Planned Parenthood clinics remain unable to offer medication abortions after the state rejected their complication plans this week. 

Planned Parenthood Great Rivers, which operates clinics in the St. Louis region, Rolla and Springfield, and Planned Parenthood Great Plains, which operates clinics in Kansas City and Columbia, received a letter from the Missouri Department of Health and Senior Services on Thursday stating their complication plans did not meet state requirements.

The decision means that almost five months after voters approved a constitutional amendment restoring abortion rights, the most common method to terminate a pregnancy is not available in Missouri.

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This rejection was based on the criteria of an emergency rule published the same day by the Missouri Secretary of State’s Office. 

That rule requires the complication plan for any facility prescribing abortion medication to more than 10 women a month must: 

Have an on-call OB-GYN who lives within 25 miles of the clinic available at all times for seven days after a patient takes the medication. This physician would be required to treat any complications that arise as a result of the medication unless the standard of care requires someone else to treat them. Provide for patients who live further than 25 miles from the clinic, the name of the emergency room and a physician “within a reasonable distance of the location where the patient will complete the abortion.”Submit the full names of all physicians involved in the local complication plans.

While three clinics —Columbia, Kansas City and St. Louis — have resumed some procedural abortions, Planned Parenthood leadership have said they will not begin prescribing medication abortions without an approved complication plan. 

Leadership with Planned Parenthood Great Rivers is still deciding on next steps, a spokesperson said. 

The Department of Health and Senior Services did not immediately respond to a request for comment.

In a statement in February, department spokeswoman Sami Jo Freeman said complication plans are “important to ensure the safety of patients because medication abortions will likely be completed at home without a physician present.” 

When the clinics submitted their complication plans in February, they did not include the names of any physicians involved. The proposals state that patients could contact the clinic at any time with concerns, including an after-hours line staffed by licensed nurses who can refer calls to an on-call physician. 

“If a potentially urgent complication is suspected based on the patient’s symptoms or the patient is not able to return to the health center in a timely way, the nurse will direct them to the emergency department (ED),” the initial plans submitted by Planned Parenthood read. 

With the patient’s consent, the proposal continued, the ER would be told the patient’s medical history if possible. Planned Parenthood would follow up with the patient the next day.

Across the country, abortion medication is the most common method used to end a pregnancy.

In 2023, nearly two-thirds of abortions in the United States took place using medication as opposed to in-clinic procedures, according to the Guttmacher Institute, a reproductive rights research group.   

In states where abortion is legal, medication that induces a miscarriage is available to patients in their first trimester of pregnancy. Patients typically take two doses of medication, the second of which is often taken at home. In recent years, a growing number of women have been ordering abortion medication from online providers in the United States and abroad, including to states where abortion remains illegal. 

According to the FDA, mifepristone is safe to use if taken as directed. Cramping and bleeding are common side effects of the medication. Those prescribed mifepristone are urged to call their doctor if they experience heavy bleeding, abdominal pain or a fever. The same guidance applies to those who recently underwent procedural abortions, experienced miscarriages or delivered a baby.   

Since the medication was approved for use 28 years ago, only 32 deaths have been reported associated with mifepristone, according to the FDA. 

Earlier this month, Missouri Attorney General Andrew Bailey issued a notice of an intent to serve a cease and desist letter to the Planned Parenthood clinics, doubling down on his demand that Planned Parenthood stop performing a type of abortion that its clinics aren’t actually offering patients.

Several Planned Parenthood clinics remained open even after the procedure was outlawed statewide in June 2022. The clinics primarily provide family planning services, cancer screenings and STI testing and treatment, including to patients on Medicaid. 

Shortly after Missourians in November narrowly approved Amendment 3, granting the constitutional right to an abortion, Planned Parenthood sued the state, arguing dozens of regulations on abortion providers were no longer constitutional. 

In mid-February, a Jackson County judge struck down most of the regulations, allowing Planned Parenthood to resume in-clinic procedural abortions for the first time in years. 

Abortion returns to Columbia, opening access for mid-Missouri for first time since 2018

The first abortion to happen in Missouri since the procedure was outlawed statewide in June 2022 took place in February at a Kansas City clinic. In early March, procedural abortions returned to the clinic in Columbia for the first time since 2018. 

And on Thursday, the clinic in St. Louis quietly performed its first two abortions since 2022. 

The clinic plans to take additional abortion patients who are earlier than 12 weeks gestation over the coming weeks, but the number of days abortion is provided in St. Louis will depend on physicians’ schedules, Nick Dunne, a spokesperson for Planned Parenthood, said Friday.

Staff at the St. Louis clinic did not initially indicate they would bring back procedural abortions this soon. 

“Ahead of the December ruling, our staff had been preparing to start providing medication abortion — including staff training, as well as ordering supplies and medications,” Dunne said in a statement. “Recognizing more recently that we were likely to face additional hurdles from state officials on medication abortion, our medical and patient services teams pivoted to allocating staff, equipment, and other necessary resources in order to begin offering procedural abortion again.” 

Planned Parenthood likely won’t be able to begin offering procedural abortions at its clinics in Rolla or Springfield until additional physicians are hired, Dunne said, adding that Planned Parenthood is “working aggressively” to expand their physician numbers.

There are currently two long-term staff physicians and one contracted physician at Planned Parenthood Great Rivers, which also oversees the clinic in Fairview Heights. The two long-term physicians are both based in the St. Louis area. 

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Missouri Independent is part of States Newsroom, a nonprofit news network supported by grants and a coalition of donors as a 501c(3) public charity. Missouri Independent maintains editorial independence. Contact Editor Jason Hancock for questions: info@missouriindependent.com.

The post Missouri health department rejects Planned Parenthood plan to start medication abortions appeared first on missouriindependent.com

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Nutriformance shares how strength training can help your golf game

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www.youtube.com – FOX 2 St. Louis – 2025-04-30 11:50:49

SUMMARY: Nutriformance emphasizes the importance of strength training for golfers to maintain power, endurance, and consistent swing performance throughout the season. Bill Button, a golf fitness trainer, highlights in-season strength training as crucial to prevent loss of distance and stamina, especially for the back nine. Recommended exercises include shoulder rotation and balance drills using medicine balls or bodyweight to enhance power, lower body strength, and balance. Nutriformance also offers golf-specific fitness, personal training, nutrition coaching, physical therapy, and massage. Mobility exercises, like spine rotation with kinetic energy, are key to maintaining flexibility and preventing injury for golfers.

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Nutriformance is located at 1033 Corporate Square in Creve Coeur

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26k+ still powerless: CU talks Wednesday repair plans

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www.ozarksfirst.com – Jesse Inman – 2025-04-30 07:39:00

SUMMARY: Springfield is experiencing its worst power outage event since 2007, caused by storms with winds up to 90 mph that toppled trees and power lines. City Utilities declared a large-scale emergency Tuesday, calling in mutual-aid crews. Approximately 26,500 people remain without power as of early Wednesday, about half the peak outage number. Crews are working around the clock but progress is slow, especially overnight. Priorities include restoring power to critical locations like hospitals and areas where repairs can restore electricity to many customers quickly. Customers with damaged weather heads or service points face longer repair times. The utility warns against approaching downed power lines.

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The post 26k+ still powerless: CU talks Wednesday repair plans appeared first on www.ozarksfirst.com

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Missouri lawmakers should reject fake ‘chaplains’ in schools bill

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missouriindependent.com – Brian Kaylor – 2025-04-30 06:15:00

by Brian Kaylor, Missouri Independent
April 30, 2025

As the 2025 legislative session of the Missouri General Assembly nears the finish line, one bill moving closer to Gov. Mike Kehoe’s desk purports to allow public schools to hire spiritual chaplains.

However, if one reads the text of the legislation, it’s actually just pushing chaplains in name only.

The bill already cleared the Senate and House committees, thus just needing support from the full House. As a Baptist minister and the father of a public school child, I hope lawmakers will recognize the bill remains fundamentally flawed.

A chaplain is not just a pastor or a Sunday School teacher or a street preacher shouting through a bullhorn. This is a unique role, often in a secular setting that requires a chaplain to assist with a variety of religious traditions and oversee a number of administrative tasks.

That’s why the U.S. military, Missouri Department of Corrections, and many other institutions include standards for chaplains like meeting educational requirements, having past experience, and receiving an endorsement from a religious denominational body.

In contrast, the legislation on school “chaplains” originally sponsored by Republican Sens. Rusty Black and Mike Moon includes no requirements for who can be chosen as a paid or volunteer school “chaplain.” Someone chosen to serve must pass a background check and cannot be a registered sex offender, but those are baseline expectations for anyone serving in our schools.

While a good start, simply passing a background check does mean one is qualified to serve as a chaplain.

The only other stipulation in the bill governing who can serve as a school “chaplain” is that they must be a member of a religious group that is eligible to endorse chaplains for the military. Senators added this amendment to prevent atheists or members of the Satanic Temple from qualifying as a school “chaplain.”

Members of the Satanic Temple testified in a Senate Education Committee hearing that they opposed the bill but would seek to fill the positions if created, which apparently spooked lawmakers. That discriminatory amendment, however, does nothing to ensure a chosen “chaplain” is actually qualified. For instance, the Episcopal Church is on the military’s list of endorsing organizations. Just because some Episcopalians meet the military’s requirements for chaplains and can serve does not mean all Episcopalians should be considered for a chaplaincy position.

While rejecting this unnecessary bill is the best option, if lawmakers really want to create a school chaplaincy program, they must significantly alter the bill to create real chaplain standards. Lawmakers could look to other states for inspiration on how to fix it.

For instance, Arizona lawmakers a few weeks ago passed a similar bill — except their legislation includes numerous requirements to limit who can serve as a chaplain. Among the various standards in the Arizona bill is that individuals chosen to serve as a school chaplain must hold a Bachelor’s degree, have at least two years of experience as a chaplain, have a graduate degree in counseling or theology or have at least seven years of chaplaincy experience and have official standing in a local religious group.

Rather than passing a pseudo-chaplaincy bill, Missouri lawmakers should add similar provisions.

The Arizona bill also includes other important guardrails missing in Missouri’s bill that will help protect the rights of students and their parents. Arizona lawmakers created provisions to require written parental consent for students to participate in programs provided by a chaplain. Especially given the lack of standards for who can serve as a school “chaplain,” the absence of parental consent forms remains especially troubling.

Additionally, Missouri’s school “chaplain” bill includes no prohibition against proselytization. This is particularly concerning since the conservative Christian group who helped craft the bill in Missouri and other states — and who sent a representative to Jefferson City to testify for the bill in a committee hearing — has clearly stated their goal is to bring unconstitutional government prayer back into public schools.

To be clear, the U.S. Supreme Court did not kick prayer out of schools. As long as there are math tests, there will be prayer in schools. What the justices did was block the government from writing a prayer and requiring students to listen to it each day. Such government coercion violated the religious liberty rights of students, parents, and houses of worship, so the justices rightly prohibited it. Using “chaplains” to return to such coercion is wrong and should be opposed.

There are many proposals and initiatives lawmakers could focus on in these waning weeks of the session if they really want to improve public education. There are numerous ways they could work to better support our teachers and assist our students. Attempting to turn public schools into Sunday Schools is not the answer.

Missouri Independent is part of States Newsroom, a nonprofit news network supported by grants and a coalition of donors as a 501c(3) public charity. Missouri Independent maintains editorial independence. Contact Editor Jason Hancock for questions: info@missouriindependent.com.

The post Missouri lawmakers should reject fake ‘chaplains’ in schools bill appeared first on missouriindependent.com



Note: The following A.I. based commentary is not part of the original article, reproduced above, but is offered in the hopes that it will promote greater media literacy and critical thinking, by making any potential bias more visible to the reader –Staff Editor.

Political Bias Rating: Center-Left

The article critiques proposed legislation in Missouri that would allow public schools to hire “spiritual chaplains,” arguing that the bill is insufficiently rigorous in defining qualifications and raises concerns about religious proselytization in schools. The author’s perspective is clear in its opposition to the bill, highlighting the lack of standards for chaplain selection and the potential for the legislation to be a vehicle for promoting government-sponsored religion in schools. The tone is critical of the bill’s sponsors, particularly the conservative Christian groups behind it, and references U.S. Supreme Court rulings on school prayer to reinforce the argument against the proposal. The language and framing suggest a liberal-leaning stance on the separation of church and state, and the article advocates for stronger protections to prevent religious coercion in public education. While the author presents factual details, such as comparing Missouri’s bill to Arizona’s more stringent chaplaincy standards, the overall argument pushes for a progressive stance on religious freedom and public school policies, leading to a Center-Left bias.

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