HB 195
Pharmacy Abortion Pill Distribution
HB 195 allows pharmacists to prescribe, administer, and dispense abortion pills like mifepristone and misoprostol by forming Collaborative Practice Agreements (CPAs).
– Collaborative Practice Agreements (CPAs) allow abortion doctors to delegate their abortion pill prescribing and dispensing authority to their pharmacist CPA partner(s).
– A CPA is doctor/pharmacist joint practice in which the doctor writes the rules and protocols for the CPA and the pharmacist treats patients, prescribes, administers, and dispenses drugs – abortion pills – within the boundaries set by the doctor – the abortionist.
– Collaborative Practice Agreements are defined by the Agreement itself. CPAs are:
– Self defining.
– Self regulating.
– Self limiting.
– Independent of Medical or Pharmacy Board regulation.
– Since the CPA defines what the abortion doctor will delegate, and what the pharmacist can prescribe, the final limiting factor is the pharmacist’s education, training, and experience.
– The CPA protocols provide the pharmacist’s abortion pill education and training. The pharmacist’s own drug preparation and dispensing education and training, and experience is more than sufficient for handling and dispensing abortion pills.
– HB 195 is written so that it can be broadly interpreted to create independent misoprostol-only abortion prescribing authority, or it can be narrowly interpreted requiring CPAs to create the framework for abortion doctors to delegate their abortion pill prescribing, administering, OR dispensing authority to their pharmacist CPA partner(s).
Regardless of how HB 195 is interpreted, there is a clear pathway to pharmacists prescribing, administering, OR dispensing abortion pills across Alaska with little regard for women’s health and safety, and no regard for the pre-born images of God that will be murdered by those pills.
HB 195 allows pharmacists to prescribe, administer, and dispense abortion pills like mifepristone and misoprostol because the bill allows abortionists and pharmacist to form self defining, regulating, and limiting collaborative practices (CPAs) that allow abortionists to delegate their abortion pill prescribing and dispensing authority to their pharmacist partner(s).
– HB 195 is written so that it can be broadly interpreted to create independent misoprostol-only abortion prescribing authority, or it can be narrowly interpreted to create Collaborative [Abortion] Practice Agreements (CPAs) that are self defining, self regulating, and self limiting abortion/pharmacy-practices. Those CPAs create the framework for abortionists to delegate their abortion pill prescribing, administering, OR dispensing authority to the pharmacist(s) they partner with.
– Because Alaska’s abortion statutes, AS 18.16, do not recognize whether an “abortion is performed” when abortion pills are prescribed, administered, or dispensed, there is further confusion about which action constitutes the abortion – or if all three are considered the single act of ‘an abortion.’
– Additionally, the nature of Collaborative [Abortion] Practice Agreements adds further confusion about who legally performs the abortion, since the pharmacist cannot legally ‘perform’ an abortion, but the abortionist CAN delegate his abortion pill prescribing, administering, OR dispensing authority to the pharmacist(s) he partners with.
– Since the Collaborative [Abortion] Practice Agreements define what the abortionist can delegate, and what the pharmacist can prescribe, the only limiting factor becomes the pharmacists education, training and experience.
– The Collaborative [Abortion] Practice Agreement protocols provide the pharmacist’s abortion pill education and training, and his own drug preparation and dispensing experience is more than sufficient to dispense abortion pills.
Regardless of how HB 195 is interpreted, there is a clear pathway to pharmacist prescribed, administered, OR dispensed abortion pill proliferation across Alaska with little regard for women’s health and safety, and no regard for the pre-born images of God that will be murdered by them.
Below are a few simple, and practical ways of describing how HB 195 turns participating pharmacists into abortionists.
– HB 195 allows pharmacists to prescribe, administer, and dispense abortion pills like mifepristone and misoprostol because the bill allows abortionists and pharmacist to form self defining, regulating, and limiting collaborative practices (CPAs) that allow abortionists to delegate their abortion pill prescribing and dispensing authority to their pharmacist partner(s).
– HB 195’s Collaborative Practice Agreements (CPAs) allow pharmacists to prescribe, administer, and dispense abortion pills like mifepristone and misoprostol.
– Abortionists and pharmacists can form private, self-regulating abortion/pharmacy businesses under HB 195’s Collaborative Practice Agreements (CPAs). The CPAs allow pharmacists to prescribe, administer, and dispense abortion pills like mifepristone and misoprostol.
– HB 195’s Collaborative Practice Agreements are self defining, self regulating, and self limiting medical practices that create the framework for abortionists to delegate their abortion pill prescribing, administering, and dispensing authority to the pharmacist(s) they partner with.
– HB 195 is written so that it can be broadly interpreted to create independent misoprostol-only abortion prescribing authority, or it can be interpreted narrowly to create Collaborative [Abortion] Practice Agreements that are self defining, self regulating, and self limiting abortion/pharmacy-practices that create the framework for abortionists to delegate their abortion pill prescribing, administering, OR dispensing authority to the pharmacist(s) they partner with.
– Because Alaska’s abortion statutes, AS 18.16, do not recognize whether an “abortion is performed” when abortion pills are prescribed, administered, or dispensed, there is further confusion about which action constitutes the abortion – of if all three are considered the single act of ‘an abortion.’
– Additionally, the nature of Collaborative [Abortion] Practice Agreements adds further confusion as to whether the abortion is performed by the abortionist or the pharmacist since the pharmacist cannot legally ‘perform’ an abortion, but the abortionist’s prescription, administering, and dispensing authority can be delegated to the pharmacist within the Collaborative [Abortion] Practice Agreements that are self defining, self regulating, and self limiting under HB 195.
HB 195 allows abortion pills to be prescribed and dispensed by pharmacists when they form a collaborative practice with an abortionist that becomes a private, self-regulating abortion/pharmacy business.
HB 195 allows
Abortionists and pharmacists can form private, self-regulating abortion/pharmacy businesses under HB 195’s Collaborative Practice Agreement (CPA) provisions that allow pharmacists to prescribe, administer, and dispense abortion pills like mifepristone and misoprostol.
HB 195’s Collaborative Practice Agreements (CPAs) allow pharmacists to prescribe, administer, and dispense abortion pills like mifepristone and misoprostol.
HB 195’s CPAs are self defining, self regulating, and self limiting medical practices that create the framework for abortionists to delegate their abortion pill prescribing, administering, and dispensing authority to the pharmacist(s) they partner with.
HB 195’s Collaborative Practice Agreements are self defining, self regulating, and self limiting medical practices that create the framework for abortionists to delegate their abortion pill prescribing, administering, and dispensing authority to the pharmacist(s) they partner with.
HB 195 is written so that it can be broadly interpreted to create independent misoprostol-only abortion prescribing authority, or it can be interpreted narrowly to create Collaborative [Abortion] Practice Agreements that are self defining, self regulating, and self limiting abortion/pharmacy-practices that create the framework for abortionists to delegate their abortion pill prescribing, administering, OR dispensing authority to the pharmacist(s) they partner with.
Because Alaska’s abortion statutes, AS 18.16, do not recognize whether an “abortion is performed” when abortion pills are prescribed, administered, or dispensed, there is further confusion about which action constitutes the abortion – of if all three are considered the single act of ‘an abortion.’
Additionally, the delegatory nature of Collaborative [Abortion] Practice Agreements adds further confusion as to whether the abortion is performed by the abortionist or the pharmacist since in some circumstances, the pharmacist cannot legally ‘perform’ an abortion, but the abortionist’s abortion pill prescription, administering, and dispensing authority can be delegated to the pharmacist within the Collaborative [Abortion] Practice Agreements that is self defining, self regulating, and self limiting under HB 195.
HB 195 extends abortion pill distribution by making four primary changes to Alaska pharmacy law:
1) Authorizing pharmacists to prescribe and administer drugs and devices (Sec. 34, AS 08.80.337).
2) Redefining pharmacists’ practice through Collaborative Practice Agreements (CPAs) (Sec. 33, AS 08.80.337(a)).
3) Removing the State’s authority to regulate Collaborative Practice Agreements (Sec. 4, AS 08.02.150).
4) Creating a loophole for misoprostol-only abortions (Sec. 35 (2)(C), AS 08.80.337(d)).
The CPA establishes an abortion/pharmacy-practice that allows the abortionist to delegate his abortion pill prescribing, administering, and dispensing authority to the pharmacist.
The CPA expands the pharmacist’s scope of practice to include prescribing, administering, and dispensing abortion pills to pregnant women who are deemed to be less than 11 weeks past her last menstrual period (LMP).
The CPA establishes the protocols approved by the abortionist that outlines the tests the pharmacist will administer or evaluate before prescribing, administering, or dispensing abortion pills.
The CPA limits the pharmacist’s scope of practice to his interpretation of his own ‘education, training, and experience.’ In other words, the abortionist ensures the pharmacist is educated and trained to identify key pregnancy factors that contradict an abortion pill prescription, like being too more than 11 weeks LMP, or having an ectopic pregnancy.
The pharmacist is highly educated, trained, and experienced at administering and dispensing pills.
If the abortionist and pharmacist believe that Sec. 35 of the bill restricts mifepristone abortions from use in the CPA, then Sec. 35 ALSO contains a loophole for misoprostol-only abortions.
– Section 35 may prohibit FDA REMS classified and regulated drugs from being prescribed or administered by a pharmacist (dispensing is not mentioned):
– “(d)… patient care services…(2) does not include the prescription or administration of…
– (B) a drug that may only be prescribed or administered after completing a certified education program required by the
– (i) manufacturer; or
– (ii) the United States Food and Drug Administration, including by a risk evaluation and mitigation strategy [REMS]”
What all of this means is that if the abortion pill makers or the FDA require a certified education program, then mifepristone abortions would be prohibited from prescription and administration within the CPA.
However, Sec. 35 ALLOWS pharmacists to dispense mifepristone abortions within the CPA – and they can likely dispense abortion pills independently as well.
Worse yet, Sec. 35 creates a LARGE LOOPHOLE for misoprostol-only abortions:
– “(d)… patient care services…(2) does not include the prescription or administration of…
– “(C) a drug that is not generally available at pharmacies and may only be dispensed at a pharmacy that is (i) authorized by the manufacturer to dispense the drug; or
– (ii) meets a requirement to dispense the drug under federal law.”
This section of the bill says that since misoprostol is already generally available at pharmacies, then no restrictions are placed on pharmacies continuing to carry and dispense the drug.
Section 35 also authorizes pharmacists to prescribe and administer misoprostol-only abortions (possibly without a CPA) because is generally available at pharmacies.
**UNDER CONSTRUCTION**
Abortion activists and Big Pharma lobbyists claim that HB 195 has nothing to do with abortion pills, and does not regulate abortion in any way.
But because the bill is silent on any abortion drug specifically, or an abortion drug’s purpose – killing a baby – the bill may restrict Mifepristone prescriptions (not dispensing) while opening Misoprostol-Only Abortion prescriptions for statewide prescriptions and distributions.
Mifepristone is the most widely known abortion drug in America because it is one of the only drugs to be FDA approved as an abortion drug, and because its approval and use is highly controversial.
The controversy comes from the number of women injured and killed by the drug as opposed to the number of babies killed with the drug.
Mifepristone is one of the few Risk Evaluation Mitigation System (REMS) regulated drugs because has always been known to cause serious and even life-threatening complications.
The FDA requires Mifepristone to be prescribed with Misoprostol – it is not legally prescribed as a standalone abortion drug.
Misoprostol is the most widely used abortion drug – in part because it is step two in the Mifepristone regimen, but also because it is widely used in Misoprostol-Only Abortions.
When Mifepristone is not available, then Misopristol is prescribed as a stand-alone drug.
Misoprostol is a simple, non-scheduled, prescription drug that is used off-label for a wide variety of purposes.
Nearly every pharmacy carries Misoprostol and can quickly fill a Misoprostol-Only Abortion prescription.
Misoprostol is not preferred because it is not designed to kill a baby, but rather to cause contractions – which kill a baby in the process of ‘delivering’ him – alive or dead – up to 10 weeks.
Please take a moment and SIGN the Petition and then CALL Governor Dunleavy.
In just 3 minutes you can call his office leave a brief message urging him to VETO HB 195, and move on with your day.
Call the number for your part of the state or click or dial (907) 465-3500 to call the Governor in Juneau (where he is currently working).
Anchorage: click or dial (907) 269-7450.
Fairbanks: click or dial (907) 451-2920.
Kenai Peninsula: click or dial (907) 420-3999.
Mat-Su: click or dial (907) 761-5691.
Your call is simple: please VETO HB 195 because it allows pharmacists to prescribe, administer, or dispense abortion pills.
Collaborative Practice Agreements
The Collaborative Practice Agreement (CPA) is the hinge on which the pharmacist/abortion-pill door swings.
A CPA is a private medical partnership between a pharmacist and another licensed prescriber, like your family practice doctor, the nurse practitioner at the local urgent care, or a physician assistant working in the emergency room.
Current CPAs are relatively limited. HB 195 changes that.
HB 195 Collaborative Practice Agreements can redefine the pharmacist’s scope of practice, meaning the private contract between abortionist and pharmacist can expand the pharmacist’s practice to include prescription, administration, and dispensing of abortion pills.
At the same time, HB 195 removes the State’s authority to approve, define, or “otherwise regulate Collaborative Practice Agreements.”
ABORTION // PHARMACIST CPA
ABORTION // PHARMACIST CPA
1. REDEFINES the pharmacist’s scope of practice to include prescribing, administering, or dispensing abortion pills.
2. REMOVES the State’s authority to regulate the CPA.
That combination is what makes abortion-pill expansion possible.
Supporters respond by saying “the bill doesn’t mention abortion.”
In reality, the bill is silent on nearly every category of drug except certain high risk or controlled substances. The bill broadly expands pharmacist prescribing and administering authority rather than limiting the expansion to a narrow category of controlled substances.
Under HB 195, many treatments that previously required a visit to a family doctor, urgent care clinic, or emergency room can be prescribed, administered, and dispensed directly through a pharmacy — in some cases without a CPA at all.
That’s likely a good thing. But the veneer of quicker, cheaper prescriptions at the corner drug store is hiding the rot of abortion activism underneath.
HB 195‘s abortion pill expansion rot allows private, unregulated CPAs to redefine the pharmacist’s role in the abortion pill business.
Imagine that an abortionist in Anchorage wants to expand her business into rural Alaska. She could partner with a pharmacist in Bethel, Barrow, or anywhere in between – and establish the necessary protocols, delegate her prescribing and dispensing functions under the CPA to her pharmacist partner(s), and expand her abortion pill business into areas that previously required long drives or multiple plane rides to Anchorage or Fairbanks.
HB 195 goes further than just opening the door to pharmacy-based abortion pill prescriptions, HB 195 prohibits the the State Medical Board or Board of Pharmacy from approving, denying, amending, limiting, or “otherwise regulating collaborative practice agreements.” The agreement itself defines what work is done, by whom, and under what protocols.
The bill’s primary limiting factor is the pharmacist’s “education, training, and experience.” But HB 195 does not define:
• what training is sufficient,
• who determines adequacy,
• what standards apply, or
• who enforces those standards.
In practice, that leaves the pharmacist and abortionist largely in control of how far the pharmacist’s scope of practice expands into the abortion business under the CPA.
HB 195
GOVERNOR'S VETO
Alaska’s Constitution provides very clear processes for what happens to a bill that has passed the Legislature.
The Governor must sign, veto, or allow a bill to become law within a specific amount of time:
- 15 days, not counting Sundays, if the Legislature is in Session.
- 20 days, not counting Sundays, if the Legislature is not in session.
The Legislature is currently is a Special Session, so the 15 day rule applies.
The Legislature has not yet sent HB 195 to the Governor.
Today is . Fifteen days from now, not counting Sundays, is .
This notice is effective as of , and the response deadline is .
MAY 20, 2026
HB 195 Passed From the Senate
Senate Republicans helped BIG ABORTION and Big Pharma PASS Abortion Bill HB 195 from the Senate on May 20th.
After a contentious day in which bill sponsor (the Senate version) Cathy Giessel tried to sneak the bill through twice, she finally got her way.
The Senate Democrat Majority ‘called time-out’, huddled, and even went to their caucus chambers twice before Giessel got her vote, winning passage of HB 195 from the Senate with 14 other Senators voting with her, and just 5 Republicans voting against.
In both key votes of the day, members of the Republican Caucus crossed the aisle to give the democrats the votes the needed to advance and pass the bill.
Key among the Republicans snatching defeat from the jaws of victory were:
- Senate Minority Leader Mike Cronk (R) from Tok – voted yes in the most critical vote – a motion to advance or kill the bill, requiring 3/4 vote to advance HB 195.
- Senator James Kaufman (R) from Anchorage – Kaufman voted with the Democrats twice to pass the bill.
Neither Cronk nor Kaufman are up for re-election in 2026 – and we’ll look for the 30 pieces of silver the Democrats pay next year when they organize the 35th Legislature.
A green YEA was a vote to advance from 2nd to third reading (below), and for Final Passage (above) from the Senate.
MAY 20, 2026
The Vote That Matters Most
REPUBLICANS VOTING WITH BIG ABORTION
SENATE
Tok – Mike Cronk
Anchorage – James Kaufman
Pro-Abortion Democrats had 14 votes – they only needed 11 for Final Passage.
But to GET to Final Passage, they needed 15 votes.
When Republican Minority Leader Cronk and Republican Minority Member Kaufman crossed the aisle, giving them votes 15 and 16, they delivered HB 195 to the Abortion Lobby and Big Pharma on a silver platter.
Other Republicans Voting with the Abortion Lobby
Kenai/Soldotna – Jesse Bjorkman
Eagle River – Kelly Merrick
Sitka – Bert Stedman
Kodiak – Gary Stevens
Anchorage – Cathy Giessel (Senate Sponsor)
Abortionists and pharmacists have an OPEN DOOR to Misoprostol-Only Abortions in nearly every pharmacy in Alaska.
MAY 15, 2026
HB 195 Passed From House To Senate
House Republicans helped BIG ABORTION and Big Pharma PASS Abortion Bill HB 195 from the House to the Senate on May 15th.
A green YEA was a vote for Final Passage from the House to the Senate.
REPUBLICANS VOTING WITH BIG ABORTION
Wasilla – Steve St. Clair
Wasilla – Elexie Moore
Wasilla – Jubilee Underwood
Eagle River – Dan Saddler
Soldotna – Justin Ruffridge
Soldotna – Bill Elam
North Pole – Mike Prax
Anchorage – David Nelson
Anchorage – Chuck Kopp
Anchorage – Coulombe
Ketchikan – Bynum
Each of these Republicans knew exactly what they were voting for – an abortion bill.
Before the final vote, several made speeches about the bill and the abortion pill expansion in the bill.
Eagle River Representative Jamie Allard torched many in the Republican caucus whose votes on the pro-life amendment she offered were inconsistent with their votes on Final Passage.
Many of these Republicans will post a victory lap like Elexie Moore did on May 11th about how this bill is a win for Alaskan healthcare, and that it contains “guardrails” against Mifepristone abortions.
But the bill does NOTHING to prevent pharmacists from prescribing, administering, or dispensing Misoprostol-Only Abortions.
If anything, as you can see HERE and that the de-regulation of pharmacy practices is BROAD and SWEEPING.
Patient Care Services is redefined by newly expanded Collaborative Practice Agreements that expand the limits of a pharmacist’s ability to prescribe, administer, and dispense drugs like Mifepristone and Misoprostol.
Patient Care Services is expanded for pharmacists so that they can independently prescribe, administer, and dispense drugs. As the courts continue to neuter the ‘physician only rule’ in AS 18.16 (abortion law), we should expect to see pharmacists added to the growing list of abortion pill prescribers.
The bill also removes the State’s authority to approve, define, or otherwise regulate collaborative practice agreements.
The practical outcome is that HB 195 authorizes pharmacists to partner with abortionists under a Collaborative Practice Agreement, and start prescribing, administering, and dispensing abortion pills.
While the Mifepristone Abortion prescription authority is debatable given the House Finance amendment below, the Misoprostol-Only Abortions is not.
The bill does not provide any protection against Misoprostol-Only Abortions in pharmacies – whether prescribed, administered, or dispensed by pharmacists.
MAY 15, 2026
Republicans Help Kill
Pro-Life Amendment
Before voting on the Final Passage from the House, Republicans helped BIG ABORTION and Big Pharma KILL Pro-Life Amendment #1 to HB 195 on May 15th.
In this case, a green YEA was a vote to KILL Amendment 1 to HB 195.
Amendment 1:
REPUBLICANS VOTING WITH BIG ABORTION
Eagle River – Dan Saddler
Soldotna – Justin Ruffridge
North Pole – Mike Prax
Anchorage – Coulombe
Ketchikan – Bynum
Other Republicans are highlighted because they spoke against the Amendment, or after voting against killing the Amendment, they voted FOR the Abortion Bill HB 195 to PASS the House.
Each of these Republicans knew exactly what they were voting for – an abortion bill.
Before the final vote, several made speeches about the bill and the abortion pill expansion in the bill.
Eagle River Representative Jamie Allard torched many in the Republican caucus whose votes on the pro-life amendment she offered were inconsistent with their votes on Final Passage.
Many of these Republicans will post a victory lap like Elexie Moore did on May 11th about how this bill is a win for Alaskan healthcare, and that it contains “guardrails” against Mifepristone abortions.
But the bill does NOTHING to prevent pharmacists from prescribing, administering, or dispensing Misoprostol-Only Abortions.
If anything, as you can see HERE and that the de-regulation of pharmacy practices is BROAD and SWEEPING.
Patient Care Services is redefined by newly expanded Collaborative Practice Agreements that expand the limits of a pharmacist’s ability to prescribe, administer, and dispense drugs like Mifepristone and Misoprostol.
Patient Care Services is expanded for pharmacists so that they can independently prescribe, administer, and dispense drugs. As the courts continue to neuter the ‘physician only rule’ in AS 18.16 (abortion law), we should expect to see pharmacists added to the growing list of abortion pill prescribers.
The bill also removes the State’s authority to approve, define, or otherwise regulate collaborative practice agreements.
The practical outcome is that HB 195 authorizes pharmacists to partner with abortionists under a Collaborative Practice Agreement, and start prescribing, administering, and dispensing abortion pills.
While the Mifepristone Abortion prescription authority is debatable given the House Finance amendment below, the Misoprostol-Only Abortions is not.
The bill does not provide any protection against Misoprostol-Only Abortions in pharmacies – whether prescribed, administered, or dispensed by pharmacists.
MAY 11, 2026
HOUSE FINANCE COMMITTEE
House Republicans on the Finance Committee helped BIG ABORTION and Big Pharma neuter amendments that would have prevented pharmacists from prescribing, administering, or dispensing progesterone receptor modulating drugs – Mifepristone – and any other abortion inducing drug.
Led by Representative Justin Ruffridge (R, Soldotna), the architect of HB 195 and Representative Genevieve Mina (D, Anchorage), the bill’s sponsor and champion, House Finance Committee Republicans joined the Democrats in killing the only amendment that would have prohibited pharmacist prescribed and dispensed abortion inducing drugs.
Representative Genevieve Mina
Planned Parenthood Endorsed
Anchorage Democrat
HB 195 Sponsor
Representative Justin Ruffridge
Soldotna Republican
HB 195 “Architect”
Voting AGAINST Pro-Life Amendment #5
Fairbanks Republican Will Stapp
Ketchikan Republican Jeremy Bynum
Wasilla Republican Elexie Moore
BACKGROUND
In 2025, Representative Genevieve Mina (D) partnered with Senate Majority Leader Senator Cathy Giessel (R), in a dangerous “pharmacy modernization” experiment (HB 195 & SB 147) that is so wildly beyond their abilities that it would expand Chemical Abortion (Mifepristone) access from Anchorage and Fairbanks Planned Parenthood sites to virtually every city, town, and village that has a hospital, clinic, or pharmacy.
These bills present at least two significant risks to babies and mothers at risk of committing, or being killed by Chemical Abortions:
1. The number of Chemical Abortions will increase exponentially virtually overnight.
2. The number of women seriously harmed by Chemical Abortions will increase dramatically.
What’s at stake with HB 195 & SB 147?
The RU 486 Chemical Abortion Cocktail of Mifepristone and Misoprostol killed 720 babies and sent 79 women to the hospital with serious or life-threatening complications in 2024.
Planned Parenthood operated three abortion sites in 2024. They have since closed their Juneau office, leaving only Anchorage and Fairbanks as primary abortion hubs.
HB 195 & SB 147 could lead to an exponential increase in abortion pill distribution sites from just two in 2026 to hundreds, all across Alaska.
20 additional abortion pill sites, each distributing just one abortion pill kit per week lead to an additional 1,040 babies killed, and 114 women sent to the hospital – or worse.
How The Bills Expand Abortion Pill Access
Sec. 6. AS 08.80.337(a) is amended to read:
(a) A pharmacist may, under a collaborative practice agreement with a written protocol approved by a practitioner who is not a pharmacist, provide patient care services. The collaborative practice agreement must define the nature and scope of patient care services the pharmacist may provide under the agreement.
Sec. 7. AS 08.80.337(b) is amended to read:
(b) A pharmacist may independently provide patient care services for
(3) a condition that
(C) requires a new diagnosis only if
(i) the pharmacist uses a test to guide the pharmacist’s diagnosis or clinical decision making;
From the bill:
Sec. 8. AS 08.80.337(d) is amended to read:
(d) In this section, “patient care services“
(1) means medical care services, including the prescription or administration of a drug or device to a patient, that are given in exchange for compensation and intended to achieve outcomes related to the cure or prevention of a disease, elimination or reduction of a patient’s symptoms, or arresting or slowing of a disease process;
Senate Republicans helped BIG ABORTION and Big Pharma PASS Abortion Bill HB 195 from the Senate on May 20th.
After a contentious day in which bill sponsor (the Senate version) Cathy Giessel tried to sneak the bill through twice, she finally got her way.
The Senate broke twice before Giessel got her vote, winning passage of HB 195 from the Senate with 14 other Senators voting with her, and 5 Republicans voting against.
In both key votes of the day, Republicans from the Republican Caucus crossed the aisle to give the democrats the votes the needed to advance and pass the bill.
Key among the Republicans snatching defeat from the jaws of victory were:
Senate Minority Leader Mike Cronk (R) from Tok – voted yes in the most critical vote – a motion to advance or kill the bill, requiring 3/4 vote to advance HB 195.
Senator James Kaufman (R) from Anchorage – Kaufman voted with the Democrats twice to pass the bill.
Neither Cronk nor Kaufman are up for re-election in 2026 – and we’ll look for the 30 pieces of silver the Democrats pay next year when they organize the 35th Legislature.
A green YEA was a vote to advance from 2nd to third reading (below), and for Final Passage (above) from the Senate.
(30) “practice of pharmacy” means the interpretation, evaluation, and dispensing of prescription drug orders in the patient’s best interest; participation in drug and device selection, drug administration, drug regimen reviews, and drug or drug-related research; provision of patient counseling and the provision of those acts or services necessary to provide pharmaceutical care; the independent prescribing, dispensing, and administration of drugs in accordance with AS 08.80.168; providing patient care services in accordance with AS 08.80.337; the responsibility for compounding and labeling of drugs and devices except labeling by a manufacturer, repackager, or distributor of nonprescription drugs and commercially packaged legend drugs and devices; proper and safe storage of drugs and devices; and maintenance of proper records for them;
(1) require a pharmacist to pay a fee to enter into, or provide patient care services under, a collaborative practice agreement;
(2) require department or board approval of a collaborative practice agreement;
(3) define the nature and scope of patient care services a pharmacist provides under a collaborative practice agreement; or
(4) otherwise regulate collaborative practice agreements.
You can learn more about “collaborative practice agreements” under AS 08.80.337(a)
4. The FDA Risk Evaluation and Mitigation Strategy (REMS) for mifepristone has already been relaxed to permit pharmacists’ prescribing and dispensing mifepristone and other progesterone receptor modulators without in person examinations.
That means a pharmacist can go into business with a medical practice that commits or wants to commit abortions – chemical abortions through a Collaborative Practice Agreement (CPA).
Through that CPA, the abortion business can easily and inexpensively expand its reach into another part of town – or the state.
And because the pharmacist can prescribe and dispense Mifepristone from the pharmacy (or clinic), the cost of expanding the abortion business is minimal.
The only thing left to do is hang advertisements for Mifepristone next to the birth control and early pregnancy test products in the pharmacy or clinic.
And since the demand for Chemical Abortions – Mifepristone – has doubled in the past five years, Alaska’s pharmacies are perfectly positioned to fill that demand.
Chemical Abortions DOUBLED in 5 years
In 2024, 720 babies were killed with Mifepristone/Misoprostol from just two abortion sites.
- 413 more babies died horrific deaths in 2024 than in 2019.
- 42 more mothers suffered from life-threatening complications in 2024 than in 2019.
Chemical Abortions doubled in five years because the Biden Administration made the pills more accessible, women are testing for pregnancies earlier, and the Chemical Abortion pills are perceived to be more ‘convenient than surgical abortions.
Abortion Pill Expansion Champions
HB 195 & SB 147 Sponsors and Champions: Senator Cathy Giessel (R) and Representative Genevieve Mina.
Co-Sponsors include:
Representative Gray (D)
Representative Prax (R)
Representative Story (D)
Representative Eischeid (D)
Senator Gray-Jackson (D)
Voting to ADVANCE the bill(s):
Representative Schwanke (R)
Representative Ruffridge (R)
Representative Saddler (R)
Representative Mears (D)
Representative Mina (D)
Representative Carrick (D)
Representative Hall (D)
Senator Giessel (R)
Senator Claman (D)
Senator Dunbar (D)
Senator Tobin (D)
Voting to ADVANCE without OPPOSITION:
Senator Yundt (R)
Senator Merrick (R)
Senator Bjorkman (R)
Representative Fields (D)
Voting to ADVANCE with AMENDMENT:
Representative Coulombe (R)
Representative Nelson, D. (R)
A Tsunami of Chemical Abortions
What started as a nightmarish 720 babies killed by Chemical Abortions from just 2 Abortion Sites in 2024 is about to become a tidal wave of abortions across Alaska.
Senate Bill 147 & House Bill 195 are companion bills marketed as pharmacy modernization bills that extend prescription authority to pharmacists that is currently limited to physicians, physician assistants, and some nurses.
The bills also expand pharmacies’ dispensing authority to certain controlled substances.
The RU-486 Mifepristone/Misoprostol Chemical Abortion Cocktail can only be prescribed and dispensed in clinical environments in Alaska.
If HB 195 & SB 147 become law, a pregnant mother anywhere in Alaska can complete a telehealth interview with a Planned Parenthood nurse (a 2024 lawsuit expanded chemical abortion prescriptions to physician assistants and some nurses) and have a prescription for Mifepristone / Misoprostol – a Chemical Abortion – sent to the nearest dispensing clinic or pharmacy.
That means a pregnant mother in Kwigillingok, King Salmon, Tok, and even Adak can perform a Do-It-Yourself / Self-Managed Chemical Abortion without leaving her city, town, or village.
HB 195 / SB 147 could legalize more than 300 Chemical Abortion prescription and distribution sites.
Planned Parenthood’s two abortion sites employ only a handful of doctors and nurses that can prescribe and dispense Mifepristone.
Compare that to more than 1,340 Advanced Practice RNs in Alaska that could prescribe and dispense Mifepristone.
Putting this in plain, black and white numbers: Three Planned Parenthood Abortion Sites prescribed and dispensed 720 Chemical Abortions in Alaska in 2024:
Anchorage Planned Parenthood = 540 Chemical Abortions (estimated).
Fairbanks Planned Parenthood = 180 Chemical Abortions (estimated).
What happens when an abortionist in New York sends a prescription to nearly any pharmacy in Alaska?
What happens when Native Health Consortium doctors and nurses prescribe Mifepristone from an Indian Health Services (IHS) telehealth centers and send the prescription to nearly any village clinic to be picked up.
Planned Parenthood’s two abortion sites employ only a handful of doctors and nurses that can prescribe and dispense Mifepristone.
Compare that to more than 1,340 Advanced Practice RNs in Alaska that could prescribe and dispense Mifepristone.
Worse, there are more than 4,100 pharmacists and pharmacy techs working in more than 300 hospitals, clinics, and pharmacies that could either prescribe or dispense Chemical Abortions according to HB 195 / SB 147.
Worse still, phone and internet abortion prescriptions are already available 24 hours / day.
Instead of going to a Planned Parenthood abortion site that’s open 9-5, Monday-Friday, what happens when a pregnant mother can access a tele-health abortionist 24/7/365, and go to the corner pharmacy or village clinic and pick up the Abortion Pills?
Women outside of Anchorage or Fairbanks can go to a local clinic or pharmacy to pick up their abortion prescriptions – no more long drives to Anchorage or Fairbanks for long appointments “just” to pick up the pills.
Perhaps worst of all, Native women in rural Alaska can walk to the village clinic to pick up abortion prescriptions written by a Tribal Health or Native Hospital via tele-health nurse – no more long Medicaid funded trips to Anchorage, Fairbanks, or Seattle “just” to pick up two pills (Mifepristone & Misoprostol).
And all of this while the demand for access to Mifepristone across Alaska is increasing every year.
The possibilities are chilling:
- 13 Rural Hospitals
- 30(+) Federally Qualified Health Centers (FQHC)
- 50 Community Health Aide Program (CHAPS) Clinics
- 100(+) Sub-Regional Clinics
- 50(+) Corner pharmacies and in nearly every store across the state:
- 18 Carrs/Safeway
- 11 Fred Meyer
- 9 Walmart
- 4 Costco
- 4 Three Bears
- 4 Walgreens
How many babies will die when Chemical Abortion pills can be picked up at hundreds of clinics and pharmacies across Alaska?
Every DIY Abortion Pill kills a baby. But the carnage is not limited to the children that die slow, excruciating deaths.
1 in 10 mothers suffers serious to life-threatening complications. In other words, more than 70* women went to the Hospital with serious and even life-threatening complications after killing their babies with Abortions Pills.
The Ethics and Public Policy Center (EPPC) conducted the largest known study on Mifepristone last year based on six years’ of insurance claims data that includes 865,727 Mifepristone abortions. The EPPC claims data and adverse events applied to Alaska in 2024 would project roughly:
- 34 Emergency room visits or 4.73% of Alaskan women that have Chemical Abortions
- 24 Hemorrhage or 3.31%
- 20 Surgical abortions to complete botched Chemical Abortions or 2.84%
- 10 Infections or 1.34%
- 5 Hospitalizations or 0.66%
41 Other abortion-related complications or 5.68%
While Danco Laboratories markets Mifeprex (the market name) as “the safe and abortion pill,” Planned Parenthood tells the world that “it’s safer than Tylenol,” and the FDA approved it for use with almost no limitations, the EPPC study found that 10.93% women suffer sepsis, hemorrhaging, infection or other serious complications in the 45 days following a Chemical Abortion.
The EPPC Study makes it clear that in addition to claiming the life of a baby, Mifepristone – Abortion Pill – will send nearly 11% of women that take the deadly chemical cocktail to the hospital – or even the morgue.
Every Chemical Abortion kills at least one person – a baby.
1 in 10 Chemical Abortions ends in a serious or life-threatening trip to the Emergency Room – in septic shock, bleeding, infected, or worse.
With the barriers to Mifepristone prescriptions virtually eliminated, the number of women accessing Chemical Abortions will skyrocket.
If the 50 retail pharmacies listed above dispensed just one Chemical Abortion per week, the carnage skyrockets 370% beyond an already unacceptable number of babies killed:
2,600 MORE babies would die horrible deaths.
284 more women would suffer serious to life-threatening complications within 45 days of taking the abortion pills.
- 123 MORE Emergency room visits or 4.73%
- 86 MORE Hemorrhage or 3.31%
- 74 MORE Surgical abortions due to botched Chemical Abortions or 2.84%
- 35 MORE Infections or 1.34%
- 17 MORE Hospitalization or 0.66%
- 148 MORE abortion-related complications or 5.68%
There are also 193 hospitals, clinics and health centers that could prescribe and dispense Abortion Pills across the state.
The number of babies killed by Chemical Abortions alone could reach into the thousands – and the number of women suffering serious and life-threatening adverse events could reach the hundreds!
What happens when a pregnant mother takes the Mifepristone to kill her baby in a remote town or village?
Will a boat, ferry, or plane get her to a distant hospital in time to save her life?
What happens when there is no Emergency Room?
What happens when there is no hospital?
What happens when there is no ambulance?
What happens when there is no help?
If a woman takes an Abortion Pill where boat, ferry, or airplane ride separates her from life-saving treatment, then what happens is she never makes it to the E.R. or hospital?
The EPPC Study does not count deaths – and Big Abortion certainly won’t report abortion related deaths. Without access to hospitals, emergency rooms, blood transfusions, and D&C procedures, how many of those women won’t survive?
I know what you’re thinking: “why haven’t I heard of this before?”
You haven’t heard of this before simply because women in rural Alaska don’t (legally) take Abortion Pills in their towns and villages. That happens in Anchorage and Fairbanks right now.
But if HB 195 / SB 147 become law and they can pick up the Abortion Pills at a rural pharmacy or village clinic, how many more remote abortions will happen, how many more babies will die, and how many more women will suffer serious complications and possibly die because help is too far away?
But remember, this isn’t about “keeping abortion safe,” but about stopping an exponential increase of babies being killed – and the likelihood that many women will die as well.
This is about preventing a radical expansion of Chemical Abortions across Alaska.
This is about protecting desperate mothers and their babies from the predatory lies of Big Abortion and the politicians they employ in our Legislature.
This is about protecting thousands more babies from being murdered by Abortion Pills every year.
Can it get worse?
Big Abortion wants this bill to pass.
Big Pharma really wants this bill to pass.
They have the votes in the House to pass HB 195 / SB 147.
They have the votes in the Senate to pass HB 195 / SB 147.
Without you and thousands like you, HB 195 & SB 147 will become law in 2026.
Pro – Abortion Democrats control the Senate with 6 Planned Parenthood abortion activists, 2 more pro-abortion democrats, at least 6 Republicans supporting the bills – and a binding caucus that commits majority members’ votes to bills they bring to the Senate Floor.
Planned Parenthood abortion activists control 17 seats in the House plus independents and shape shifting Republicans like Stutes – they already have enough to pass the bill without the three Republican votes (Ruffridge, Prax, and Schwanke) already on their side.
Without massive action, HB 195 & SB 147 will sail through the House and Senate.
We can’t do any of this without you.
We’re filling politicians’ inboxes with emails and petitions already – but we need more. A lot more.
We’ve already sent more than 5,000 pressure mailers with phone call and petition QR codes into Anchorage and Eagle River – and we’re preparing more for every Republican that’s on the fence.
But we can’t rely on mail and phone calls alone – online education, outreach, and petition recruiting are key components of encouraging Senator Giessel and her colleagues to abandon these wildly dangerous bills.
Here’s what your gift can do right now:
$25 Delivers petitions and pressure mailers to key voters and lawmakers.
$50 Recruits and deliver more petition signatures.
$100 Funds targeted outreach in key Republican districts.
$250 Powers larger waves of mail, digital pressure, and petition deliveries.
$500 Funds on-the-ground outreach and rapid-response mobilization.
$1,000 Expands a full legislative pressure campaign in Juneau.
Please contribute $25, $50, $125, $250, $500, $1,000 or any amount you can afford to help protect pre-born Alaskans and end abortion in Alaska.
We must fully fund this mobilization before the next committee vote – or BIG Pharma and BIG Abortion will lock in the votes they need.
If we fail, Chemical Abortions will spread across Alaska.
If we act now, we can STOP it.
We can’t do any of this without you.
We’re filling politicians’ inboxes with emails and petitions already – but we need more. A lot more.
We’ve already sent more than 5,000 pressure pieces with phone call and petition QR codes into Anchorage and Eagle River – and we’re preparing more for every Republican that’s supporting the bill(s).
We can’t rely on mail and phone calls alone – online education, outreach, and petition recruiting are key components of encouraging Senator Giessel and her colleagues to abandon these wildly dangerous bills.
Here’s what your gift can do right now:
$25 Delivers petitions and pressure mailers.
$50 Recruits more petition signers.
$100 Funds outreach in key Republican districts.
$250 Widens mail, digital pressure, and petition deliveries.
$500 Funds rapid-response mobilization.
$1,000 Expands the Juneau pressure campaign.
Please contribute $25, $50, $125, $250, $500, $1,000 or any amount you can afford to help protect pre-born Alaskans and end abortion in Alaska.
Please contribute $25, $50, $125, $250, $500, $1,000 or any amount you can afford to help protect pre-born Alaskans and end abortion in Alaska.
We must fully fund this mobilization before the next committee vote – or BIG Pharma and BIG Abortion will lock in the votes they need.
If we fail, Chemical Abortions will spread across Alaska.
If we act now, we can STOP it.
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