{"id":2051776,"date":"2025-06-24T05:00:00","date_gmt":"2025-06-24T09:00:00","guid":{"rendered":"https:\/\/kffhealthnews.org\/?post_type=article&#038;p=2051776"},"modified":"2025-07-09T14:02:49","modified_gmt":"2025-07-09T18:02:49","slug":"obgyn-abog-ama-policy-position-certification-exams-abortion-ban-states-aaplog","status":"publish","type":"article","link":"https:\/\/kffhealthnews.org\/news\/article\/obgyn-abog-ama-policy-position-certification-exams-abortion-ban-states-aaplog\/","title":{"rendered":"Push To Move OB-GYN Exam Out of Texas Is Piece of AGs\u2019 Broader Reproductive Rights Campaign"},"content":{"rendered":"\n<p>Democratic state attorneys general led by those from California, New York, and Massachusetts are pressuring medical professional groups to defend reproductive rights, including <a href=\"https:\/\/oag.ca.gov\/system\/files\/attachments\/press-docs\/24-1576_Amicus%20Brief%20Bryant%20v%20Stein_AS-FILED%5B1%5D.pdf\">medication abortion<\/a>, <a href=\"https:\/\/oag.ca.gov\/system\/files\/attachments\/press-docs\/23-726_23-727_Amicus%20Br%20for%20CA%20NY%20et%20al%5B1%5D.pdf\">emergency abortions<\/a>, and <a href=\"https:\/\/oag.ca.gov\/system\/files\/attachments\/press-docs\/Amicus%20Brief%2C%20Fund%20Choice%20Texas%20FINAL.pdf\">travel between states<\/a> for health care in response to recent increases in the number of abortion bans.<\/p>\n\n\n\n<aside class=\"block--sidebar alignright \">\n\t\n\n<div class=\"wp-block-kaiser-health-news-partner block--partner\">\n\t\t\t\t\t\t<a class=\"partner__image--link\" href=\"https:\/\/www.latimes.com\/business\/story\/2025-06-19\/push-to-move-ob-gyn-exam-out-of-texas-is-piece-of-ags-broader-reproductive-rights-campaign\">\n\t\t\t\t<img decoding=\"async\" class=\"partner__image\" src=\"https:\/\/kffhealthnews.org\/wp-content\/uploads\/sites\/2\/2024\/01\/lat-logo.png?w=120\" alt=\"Partner logo\" \/>\n\t\t\t\t\t<\/a>\n\t\t\t\t\t<p class=\"partner__content\">\n\t\tThis story also ran on <a href=\"https:\/\/www.latimes.com\/business\/story\/2025-06-19\/push-to-move-ob-gyn-exam-out-of-texas-is-piece-of-ags-broader-reproductive-rights-campaign\">Los Angeles Times<\/a>. It can be <a href=\"https:\/\/kffhealthnews.org\/news\/article\/obgyn-abog-ama-policy-position-certification-exams-abortion-ban-states-aaplog\/view\/republish\/\">republished for free<\/a>.\t<\/p>\n<\/div>\n\n<\/aside>\n\n\n\n<p>The American Medical Association adopted a <a href=\"https:\/\/www.ama-assn.org\/system\/files\/a25-refcomm-c-report.pdf\">formal position<\/a> June 9 recommending that medical certification exams be moved out of states with restrictive abortion policies or made virtual, after <a href=\"https:\/\/oag.ca.gov\/system\/files\/attachments\/press-docs\/2025-05-22%20AMA%20Testimony%20as%20filed%20with%20exhibits.pdf?utm_medium=email&amp;utm_campaign=WhatMatters&amp;utm_source=31&amp;utm_source=ActiveCampaign&amp;utm_medium=email&amp;utm_content=CA%20continues%20fight%20with%20other%20states%20over%20reproductive%20care&amp;utm_campaign=WhatMatters\">20 attorneys general petitioned<\/a> to protect physicians who fear legal repercussions because of their work. The petition focused on the American Board of Obstetrics and Gynecology\u2019s certification exams in Dallas, and the subsequent AMA recommendation was hailed as a win for Democrats trying to regain ground after the fall of <em>Roe v. Wade<\/em>.<\/p>\n\n\n\n<p>\u201cIt seems incremental, but there are so many things that go into expanding and maintaining access to care,\u201d said Arneta Rogers, executive director of the Center on Reproductive Rights and Justice at the University of California-Berkeley\u2019s law school. \u201cWe see AGs banding together, governors banding together, as advocates work on the ground. That feels somewhat more hopeful \u2014 that people are thinking about a coordinated strategy.\u201d<\/p>\n\n\n\n<p>Since the Supreme Court eliminated the constitutional right to an abortion in 2022, <a href=\"https:\/\/www.nytimes.com\/interactive\/2024\/us\/abortion-laws-roe-v-wade.html\">16 states<\/a>, including Texas, have implemented laws banning abortion almost entirely, and many of them impose criminal penalties on providers as well as options to sue doctors. <a href=\"https:\/\/www.lgbtmap.org\/equality-maps\/healthcare_youth_medical_care_bans\">More than 25 states<\/a> restrict access to gender-affirming care for trans people, and six of them make it a felony to provide such care to youth.<\/p>\n\n\n\n<p>That\u2019s raised concern among some physicians who fear being charged if they go to those states, even if their home state offers protection to provide reproductive and gender-affirming health care.<\/p>\n\n\n\n<p>Pointing to the recent fining and <a href=\"https:\/\/apnews.com\/article\/abortion-doctor-maggie-carpenter-pills-847112cde026e29333c3481310593582\">indictment of a physician<\/a> in New York who allegedly provided abortion pills to a woman in Texas and a teen in Louisiana, a coalition of physicians wrote in a letter to the American Board of Obstetrics and Gynecology that &#8220;the limits of shield laws are tenuous\u201d and that \u201cTexas laws can affect physicians practicing outside of the state as well.\u201d<\/p>\n\n\n<div\n\tclass=\"wp-block block--newsletter  \"\n\tdata-type=\"kaiser-health-news\/newsletter\"\n\tdata-align=\"center\"\n\tstyle=\"\"\n>\n\t<h4 class=\"newsletter__title\">\n\t\t<a href=\"\/email\/\">\n\t\t\tEmail Sign-Up\t\t<\/a>\n\t<\/h4>\n\t<p class=\"newsletter__description\">\n\t\tSubscribe to KFF Health News&#039; free weekly newsletter, &quot;The Week in Brief.&quot;\t<\/p>\n\t\n<form\n\taction=\"\/email-signup\/\"\n\tclass=\"kaiser-hubspot-mini-signup-form\"\n\tmethod=\"post\"\n>\n\t<input type=\"hidden\" id=\"kaiser_hubspot_nonce\" name=\"kaiser_hubspot_nonce\" value=\"00b79a3908\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/wp-json\/wp\/v2\/article\/2051776\" \/>\t\t\t\t<label\n\t\tclass=\"kaiser-hubspot-mini-signup-form__label--email\"\n\t\tfor=\"kaiser-hubspot-mini-signup-form-email\"\n\t>\n\t\t<span class=\"screen-reader-text\">\n\t\t\tYour Email Address\t\t<\/span>\n\t\t<input\n\t\t\tautocomplete=\"email\"\n\t\t\tclass=\"kaiser-hubspot-mini-signup-form__input--email\"\n\t\t\tid=\"kaiser-hubspot-mini-signup-form-email\"\n\t\t\tname=\"kaiser_hubspot_email\"\n\t\t\ttype=\"email\"\n\t\t\t\t\t\t\tplaceholder=\"Your email address\"\n\t\t\t\t\t\/>\n\t<\/label>\n\t<button class=\"kaiser-hubspot-mini-signup-form__submit\">\n\t\tSign Up\t<\/button>\n<\/form>\n<\/div>\n\n\n\n<p>The campaign was launched by several Democratic attorneys general, including Rob Bonta of California, Andrea Joy Campbell of Massachusetts, and Letitia James of New York, who each have established a reproductive rights unit as a bulwark for their state following the <em>Dobbs<\/em> decision.<\/p>\n\n\n\n<p>\u201cReproductive health care and gender-affirming care providers should not have to risk their safety or freedom just to advance in their medical careers,\u201d James said in <a href=\"https:\/\/ag.ny.gov\/press-release\/2025\/attorney-general-james-leads-multistate-effort-protect-abortion-and-gender\">a statement<\/a>. \u201cForcing providers to travel to states that have declared war on reproductive freedom and LGBTQ+ rights is as unnecessary as it is dangerous.\u201d<\/p>\n\n\n\n<p>In their petition, the attorneys general included a letter from Joseph Ottolenghi, medical director at Choices Women\u2019s Medical Center in New York City, who was denied his request to take the test remotely or outside of Texas. To be certified by the American Board of Obstetrics and Gynecology, physicians need to <a href=\"https:\/\/www.abog.org\/about-abog\/news-announcements\/2025\/06\/03\/clarifying-abog-s-mission-and-the-certification-process\">take the in-person exam<\/a> at its testing facility in Dallas. The board <a href=\"https:\/\/www.globenewswire.com\/news-release\/2024\/01\/19\/2812527\/0\/en\/ABOG-Celebrates-Grand-Opening-of-New-National-Center-for-OB-GYNs.html\">completed construction<\/a> of its new testing facility last year.<\/p>\n\n\n\n<p>\u201cAs a New York practitioner, I have made every effort not to violate any other state\u2019s laws, but the outer contours of these draconian laws have not been tested or clarified by the courts,\u201d Ottolenghi wrote.<\/p>\n\n\n\n<p>Rachel Rebouch\u00e9, the dean of Temple University\u2019s law school and a reproductive law scholar, said \u201cputting the heft\u201d of the attorneys general behind this effort helps build awareness and a \u201cpublic reckoning\u201d on behalf of providers. Separately, some doctors have urged medical conferences to <a href=\"https:\/\/kffhealthnews.org\/news\/article\/medical-conference-boycotts-texas-california-abortion-bans\/\">boycott states with abortion bans<\/a>.<\/p>\n\n\n\n<p>Anti-abortion groups, however, see the campaign as forcing providers to conform to abortion-rights views. Donna Harrison, an OB-GYN and the director of research at the American Association of Pro-Life Obstetricians and Gynecologists, described the petition as an \u201cattack not only on pro-life states but also on life-affirming medical professionals.\u201d<\/p>\n\n\n\n<p>Harrison said the \u201cOB-GYN community consists of physicians with values that are as diverse as our nation&#8217;s state abortion laws,\u201d and that this diversity \u201cfosters a medical environment of debate and rigorous thought leading to advancements that ultimately serve our patients.\u201d<\/p>\n\n\n\n<p>The AMA\u2019s new policy urges specialty medical boards to host exams in states without restrictive abortion laws, offer the tests remotely, or provide exemptions for physicians. However, the decision to implement any changes to the administration of these exams is up to those boards. There is no deadline for a decision to be made.<\/p>\n\n\n\n<p>The OB-GYN board did not respond to requests for comment, but after the public petition from the attorneys general criticizing it for refusing exam accommodations, the <a href=\"https:\/\/www.abog.org\/about-abog\/news-announcements\/2025\/06\/03\/clarifying-abog-s-mission-and-the-certification-process\">board said<\/a> that in-person exams conducted at its national center in Dallas \u201cprovide the most equitable, fair, secure, and standardized assessment.\u201d<\/p>\n\n\n\n<p>The OB-GYN board emphasized that Texas\u2019 laws apply to doctors licensed in Texas and to medical care within Texas, specifically. And it noted that its exam dates are kept under wraps, and that there have been \u201cno incidents of harm to candidates or examiners across thousands of in-person examinations.\u201d<\/p>\n\n\n\n<p>Democratic state prosecutors, however, warned in their petition that the \u201cweb of confusing and punitive state-based restrictions creates a legal minefield for medical providers.\u201d Texas is among the states that have <a href=\"https:\/\/gov.texas.gov\/news\/post\/governor-abbott-directs-dfps-to-investigate-gender-transitioning-procedures-as-child-abuse\">banned doctors<\/a> from providing gender-affirming care to transgender youth, and it has <a href=\"https:\/\/apnews.com\/article\/texas-transgender-paxton-seattle-a6af41985e566beaf381c855fd6e0379\">reportedly made efforts<\/a> to get records from medical facilities and professionals in other states who may have provided that type of care to Texans.<\/p>\n\n\n\n<p>The Texas attorney general\u2019s office did not respond to requests for comment.<\/p>\n\n\n\n<p>States such as <a href=\"https:\/\/www.gov.ca.gov\/wp-content\/uploads\/2022\/06\/6.27.22-EO-N-12-22-Reproductive-Freedom.pdf\">California<\/a> and <a href=\"https:\/\/reproductiverights.org\/new-york-shield-law-abortion-medication\/\">New York<\/a> have laws to block doctors from being extradited under other states\u2019 laws and to prevent sharing evidence against them. But instances that require leveraging these laws could still mean lengthy legal proceedings.<\/p>\n\n\n\n<p>\u201cWe live in a moment where we\u2019ve seen actions by executive bodies that don\u2019t necessarily square with what we thought the rules provided,\u201d Rebouch\u00e9 said.<\/p>\n\n\n\n<p><em>This article was produced by <\/em><a rel=\"noreferrer noopener\" href=\"https:\/\/kffhealthnews.org\/about-us\" target=\"_blank\"><em>KFF Health News<\/em><\/a><em>, which publishes <\/em><a rel=\"noreferrer noopener\" href=\"http:\/\/www.californiahealthline.org\/\" target=\"_blank\"><em>California Healthline<\/em><\/a><em>, an editorially independent service of the <\/em><a rel=\"noreferrer noopener\" href=\"http:\/\/www.chcf.org\/\" target=\"_blank\"><em>California Health Care Foundation<\/em><\/a><em>.<\/em>\u00a0<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Following a petition from Democratic state attorneys general, the American Medical Association adopted a position that medical certification exams should not be required in person in states with restrictive abortion policies. The action\u2019s success was hailed as a win for Democrats trying to regain ground after the fall of Roe.<\/p>\n","protected":false},"featured_media":2051778,"template":"","meta":{"_cr_original_post":"","_cr_replace_post_id":"","_cr_replacing_post_id":"","jetpack_post_was_ever_published":false,"kff_featured_video":0,"kff_show_featured_video":false,"kff_show_mute_audio_button":false,"custom_shortlink":"\/MjA1MTc3Ng","kaiser_health_news_byline_override":"","kaiser_health_news_can_republish":true,"kaiser_health_news_featured_image_caption":"","kaiser_health_news_header_overlay_color":"","kaiser_health_news_header_theme_slug":"","kaiser_health_news_hero_image":0,"kaiser_health_news_backdrop_padding":115,"kaiser_health_news_hide_partner":false,"kaiser_health_news_kicker":"","kaiser_health_news_kicker_background_color":"","kaiser_health_news_kicker_text_color":"","kaiser_health_news_kicker_url":"","kaiser_health_news_nav_theme_slug":"compact","kaiser_health_news_nav_transparency":false,"kaiser_health_news_sharing_title":"","kaiser_health_news_show_featured_image":true,"kaiser_health_news_subheadline":"","kaiser_health_news_suppress_kicker":false,"kaiser_health_news_suppress_subheadline":false,"kaiser_health_news_update_time":"","kaiser_health_news_vertical_image":0,"kaiser_health_news_title_align_left":false,"kaiser_health_news_custom_header_image":0,"photo_byline":[],"story_update":"","update_position":"bottom","kaiser_syndication_sites":[],"apple_news_api_created_at":"2025-06-24T09:06:24Z","apple_news_api_id":"4bc06dfb-a71e-410e-b571-90e91bb2faa1","apple_news_api_modified_at":"2025-07-02T18:55:05Z","apple_news_api_revision":"AAAAAAAAAAAAAAAAAAAAAw==","apple_news_api_share_url":"https:\/\/apple.news\/AS8Bt-6ceQQ61cZDpG7L6oQ","apple_news_cover_media_provider":"image","apple_news_coverimage":0,"apple_news_coverimage_caption":"","apple_news_cover_video_id":0,"apple_news_cover_video_url":"","apple_news_cover_embedwebvideo_url":"","apple_news_is_hidden":"","apple_news_is_paid":"","apple_news_is_preview":"","apple_news_is_sponsored":"","apple_news_maturity_rating":"","apple_news_metadata":"\"\"","apple_news_pullquote":"","apple_news_pullquote_position":"","apple_news_slug":"","apple_news_sections":["https:\/\/news-api.apple.com\/sections\/20265c01-23d7-4d15-96e0-0691b89c3772","https:\/\/news-api.apple.com\/sections\/6bb33616-50b4-48d9-9a34-3163cc5779e3"],"apple_news_suppress_video_url":false,"apple_news_use_image_component":false,"footnotes":""},"categories":[1337,303337390,439524206,439528530,31304,36835],"tags":[13538,439528958,58401,22627,345392,4614,439529577,439530184,1575,35359259],"primary-topic":[],"partners":[439524318],"funder":[439528750],"coauthors":[439529174],"class_list":["post-2051776","article","type-article","status-publish","has-post-thumbnail","hentry","category-california","category-california-healthline","category-insight","category-southern-bureau","category-states","category-syndicate","tag-abortion","tag-california","tag-doctors","tag-massachusetts","tag-medical-education","tag-new-york","tag-reproductive-health","tag-state-watch","tag-texas","tag-womens-health","partners-los-angeles-times","funder-robert-wood-johnson-foundation"],"apple_news_notices":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.9 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Push To Move OB-GYN Exam Out of Texas Is Piece of AGs\u2019 Broader Reproductive Rights Campaign - KFF Health News<\/title>\n<meta name=\"description\" content=\"Following a petition from Democratic state attorneys general, the American Medical Association adopted a position that medical certification exams should not be required in person in states with restrictive abortion policies. The action\u2019s success was hailed as a win for Democrats trying to regain ground after the fall of Roe.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/kffhealthnews.org\/news\/article\/obgyn-abog-ama-policy-position-certification-exams-abortion-ban-states-aaplog\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Push To Move OB-GYN Exam Out of Texas Is Piece of AGs\u2019 Broader Reproductive Rights Campaign - KFF Health News\" \/>\n<meta property=\"og:description\" content=\"Following a petition from Democratic state attorneys general, the American Medical Association adopted a position that medical certification exams should not be required in person in states with restrictive abortion policies. The action\u2019s success was hailed as a win for Democrats trying to regain ground after the fall of Roe.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/kffhealthnews.org\/news\/article\/obgyn-abog-ama-policy-position-certification-exams-abortion-ban-states-aaplog\/\" \/>\n<meta property=\"og:site_name\" content=\"KFF Health News\" \/>\n<meta property=\"article:modified_time\" content=\"2025-07-09T18:02:49+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/kffhealthnews.org\/wp-content\/uploads\/sites\/2\/2025\/06\/GettyImages-1959740175.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"3840\" \/>\n\t<meta property=\"og:image:height\" content=\"2560\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/kffhealthnews.org\/news\/article\/obgyn-abog-ama-policy-position-certification-exams-abortion-ban-states-aaplog\/\",\"url\":\"https:\/\/kffhealthnews.org\/news\/article\/obgyn-abog-ama-policy-position-certification-exams-abortion-ban-states-aaplog\/\",\"name\":\"Push To Move OB-GYN Exam Out of Texas Is Piece of AGs\u2019 Broader Reproductive Rights Campaign - KFF Health News\",\"isPartOf\":{\"@id\":\"https:\/\/kffhealthnews.org\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/kffhealthnews.org\/news\/article\/obgyn-abog-ama-policy-position-certification-exams-abortion-ban-states-aaplog\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/kffhealthnews.org\/news\/article\/obgyn-abog-ama-policy-position-certification-exams-abortion-ban-states-aaplog\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/kffhealthnews.org\/wp-content\/uploads\/sites\/2\/2025\/06\/GettyImages-1959740175.jpg\",\"datePublished\":\"2025-06-24T09:00:00+00:00\",\"dateModified\":\"2025-07-09T18:02:49+00:00\",\"description\":\"Following a petition from Democratic state attorneys general, the American Medical Association adopted a position that medical certification exams should not be required in person in states with restrictive abortion policies. 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