State Board of Medical Examiners Votes to Propose Rule Changes to Enhance Access to Reproductive Care

The State Board of Medical Examiners (“the Board”) today Thursday to propose amendments to its rules to expand access to reproductive health care and to repeal outdated rules that place medically unwarranted restrictions on abortion in New Jersey.

The Board unanimously agreed to propose several changes to its regulations to remove barriers to care that do not offer corresponding health benefits.

The proposed regulatory changes will be published in the New Jersey Register in the coming months, at which time the public will have an opportunity to comment on the proposal.

Key aspects of the proposed regulatory changes include:

Repealing the Termination of Pregnancy rule that singles out abortion care for targeted regulation by, among other things, requiring that all terminations of pregnancy be performed only by a physician, and barring office-based terminations beyond 14 weeks gestation;

Clearing the path for Advanced Practice Nurses, Physician Assistants, and Certified Nurse Midwives and Certified Midwives to perform early aspiration terminations of pregnancy (in addition to medication-based termination of pregnancy, which is already permitted); and

Updating the regulations to integrate reproductive care within the generally applicable rules designed to ensure the safety of patients who undergo surgery or special procedures in an office setting.

The Board’s vote to propose the changes follows the recommendations of a Board subcommittee empaneled in December 2018 to examine New Jersey’s current regulations in light of both advances in the field of abortion care and recent case law.

Medically unnecessary rules that create barriers and place undue burdens on individuals seeking abortion care have been struck down by the United States Supreme Court.

The Board’s subcommittee reviewed rigorous, nationally-recognized medical and public health studies demonstrating that general rules governing health care procedures are sufficient to secure health and safety and that certain early abortion procedures can safely be performed by non-physician clinicians.

Such studies also note that medically unnecessary over-regulation of abortion itself creates public heath harms through disruptions in access to essential care.

Based on such evidence, other states have moved to similarly expand access to reproductive health services.

In response to the Board’s vote today, Attorney General Gurbir S. Grewal said:

“We applaud the Board for moving to expand access to reproductive health care services, based on its careful consideration and assessment of the medical evidence.

The Board’s evidence-based modernization of its rules will bring New Jersey into line with states across the country that have already taken action to increase access to quality care.”

The Division of Consumer Affairs’ staff supports 51 professional and occupational licensing boards that together license approximately 720,000 professionals working in the State.

The Boards, whose members are appointed by the Governor, are responsible for promulgating and enforcing rules governing professional and occupational standards.