MO HB328

Only physicians may prescribe or administer RU-486 (mifepristone) or other abortion-inducing drugs, with non-physicians prohibited under class C felony penalties.

Physicians must physically examine patients at least 24 hours before prescribing abortion-inducing drugs, document gestational age and rule out ectopic pregnancy, and provide FDA-approved drug labels to patients.

Physicians must provide patients with written and oral warnings when drugs are used off-label (not FDA-approved for abortion or used outside FDA-approved protocols), stating the drugs have not been FDA-approved for this use.

Abortion-inducing drugs may only be administered in hospitals or licensed ambulatory surgical centers, and only by the prescribing physician or another physician under their authority while physically present, or by the patient herself under physician direction.

Physicians prescribing abortion-inducing drugs must have clinical privileges at a nearby hospital with obstetrical/gynecological care within 30 miles and must maintain malpractice insurance of at least $3 million per occurrence and $9 million aggregate annually.