MORE PEOPLE ARE COMING TO THE STATE OF ILLINOIS AND SEARCH OF ABORTION CARE IN THE 2 YEARS SINCE THE SUPREME COURT'S DOBBS DECISION OVERTURNED THE 50 YEAR ROE VERSUS WADE RULING PLANNED PARENTHOOD OF ILLINOIS SAYS 25% OF ITS PATIENTS ARE FROM OUT OF STATE COMPARED TO ABOUT 4%.

PRETTY DOBBS WHILE CLINIC SAY THEY WERE PREPARED FOR THE INFLUX, THE FUTURE OF ALL REPRODUCTIVE CARE IS STILL UNDER THREAT.

JOINING US NOW ARE MICHELLE THE CHIEF OPERATING OFFICER OF HOPE CLINIC IN GRANITE CITY, ILLINOIS JOCELYN GUILD, THE ASSISTANT HEALTH CENTER MANAGER FOR PLANNED PARENTHOOD OF ILLINOIS IN FLOSS MORE AND LESLIE, MORE HICKS, THE ASSOCIATE MEDICAL DIRECTOR FROM PLANNED PARENTHOOD OF ILLINOIS IN WAUKEGAN.

THANKS TO ALL 3 OF YOU FOR JOINING US.

I WANT TO START BY ASKING EACH OF YOU WHAT YOUR CLINICS HAS HAD TO DO OR HAVE HAD TO DO TO IN THESE LAST 2 YEARS.

LESLIE, MORE HICKS OF START WITH YOU.

PLEASE.

I THANK YOU VERY I WOULD LIKE TO SAY THAT WE HAVE ADAPTED VERY WELL INCREASING A LOT OF OUR SERVICES, ESPECIALLY FOR OUR BOARDS AND COMMISSIONS.

PART OF THAT ALSO INCLUDE OPEN OUR CARBONDALE LOCATION.

I'M JUST LOOKING TO SPEAK MORE TO THE EXPENSIVE THAT THE LOST TERMS OF MAKING ACCESS THE NUMBER ONE PRIORITY FOR A LOT OF OUR MORRISON PATIENTS.

JOCELYN, SAME QUESTION TO YOU.

YEAH.

SO HERE'S SPECIFICALLY AT THE LAST LOW.

JOHNSON.

SORRY, I'M AFRAID.

I THINK WE MIGHT HAVE LOST YOUR AUDIO HARD.

ARE TO SO KIND OF LIKE LESLIE MENTIONED, WE HAVE INCREASED OUR SERVICES IN ORDER TO BE ABLE TO ACCOMMODATE THE INCREASE IN PATIENTS THAT WE HAVE SO WE'VE INCREASED FROM 2 ABORTION DAYS TO NOW 4.

AND THAT IS BOTH FOR THE MEDICATION AND THE IM PROCEDURAL ABORTION.

IN ADDITION TO THAT, WE HAVE INCREASED STAFFING TO ALSO BETTER ACCOMMODATE THE INCREASE IN PATIENTS.

AND MICHELLE'S IN QUESTION TO YOU ABOUT WHAT YOUR CLINIC HAS HAD TO DO TO ADAPT TO THIS INFLUX.

I THANK YOU SO MUCH FOR HAVING HEALTH CLINIC PROVIDING ABORTION CARE IN SOUTHERN ILLINOIS SINCE 1974.

FOR THE THE YEARS.

WE'VE DEFINITELY HAD TO ADAPT A LOT OF CHANGES, BUT POST DOGS QUICKLY WE'VE SIMILAR AS POSSIBLE.

LESLIE BOTH SPECIFICALLY WE ADDED ON ENTIRE CLINIC.

SO WE INCREASED CLEAR DAYS FROM TO 6 DAYS A WE DO OFF THE MEDICATION CLINIC ABORTIONS ALL OF DAYS WELL AS INCREASED OUR STAFFING I-40 1%.

JOCELYN GO BACK TO OF COURSE, YOU ALL DID A LOT OF PREP IN ANTICIPATION OF THE DOBBS DECISION LEADING UP TO IT BEFORE THE DECISION ACTUALLY CAME DOWN.

OF COURSE, 2 YEARS AGO.

WAS THAT ENOUGH FOR WAS, YOU KNOW WHAT YOU ANTICIPATED ENOUGH AS IT TURNED OUT THE WAY YOU PLANNED FOR.

I WOULD SAY SO OTHER THAN THE INCREASE IN THE DAYS THAT WE'VE HAD TO ADD ON TO THE ABORTION DAYS, I WOULD SAY SO.

WE HAD WE'VE HAD SUFFICIENT STAFFING TO ALLOW US TO ACCOMMODATE THE INCREASE IN PATIENTS.

AND ALSO WE HAVE A LOVELY IT'S A ABORTION TRAVEL TEAM THAT ASSISTS US IN ALL OF OUR LOCATIONS TO KIND OF FILL IN THOSE GAPS ON THE DAYS THAT WE DON'T NECESSARILY HAVE SUFFICIENT STAFFING.

SO THEY HAVE BEEN GREAT AND A BIG PART OF BEING ABLE TO SUPPORT THIS INCREASE IN PATIENTS.

MICHELLE, WHAT CAN YOU SAY ABOUT SOME OF THE UNINTENDED THAT THIS HAS HAD ON PATIENTS?

WELL, I'M GETTING OVER.

80 1% OF OUR KIDS COME FROM OUT OF WE SEE PATIENTS FROM 28 DIFFERENT STATES AND 4 DIFFERENT 2023.

THAT WAS THAT THAT THAT WAS THE FOR AND THAT DEFINITELY TAKEN A LOT A LOT OF ATTENTION FROM OUR STAFF.

RESULT HAS UP WORKING WITH THESE PATIENTS AS WELL AS WORKING WITH PRACTICAL SUPPORT FUNDS AND ABORTION FUNDS TO ENSURE THAT THERE IS NOT ONLY ACCESS HERE IN GRANITE CITY, BUT EQUITABLE ACCESS IN ORDER TO REMOVE BARRIERS SUCH AS FINANCIAL BARRIERS THAT TRAVEL BARRIERS FOLLOWED.

SEEMS LIKE THAT THAT GO ALONG WITH, YOU KNOW, HAVING TO TRAVEL SO FAR.

I PEOPLE'S STATE TO OBTAIN ABORTION CARE.

LESLIE, MORE HICKS, YOU KNOW, YOU'VE ALSO BEEN TREATING PATIENTS WHO ARE LOOKING TO ACCESS GENDER, AFFIRMING CARE.

WHAT ARE SOME OF THE RISKS THAT THEY FACE BY NOT HAVING EASY ACCESS TO THAT CARE?

THE RISKS THEY FACE A IN AND THE SOME WAY THAT WE CAN SEE THOSE RISKS OF ONTO OUR ABORTION PATIENTS.

WHAT WE KNOW IS PATIENTS INTO ACTION GETTING THE MEDICATIONS THAT THEY NEED TO CONTINUE ON THEIR TRANSFORMATION.

JOURNEY.

IT CAN BE PROBLEMATIC, EVEN EVEN FROM A MENTAL HEALTH STANDPOINT AS WELL FROM A PHYSICAL STANDPOINT.

SO A LOT OF OUR PATIENTS DO RELY ON TABLE TO STAY ON THESE MEDICATIONS IN A TIMELY FASHION AND EVEN OUR NEWER PATIENTS THAT ARE LOOKING TO START IN TRANSITION PROCESS, WOULD LIKE TO ABLE TO DO SO WITHOUT THE RUNNING INTO BARRIERS MAKING THAT ACTING THESE MEDICATIONS IN THEIR HOME STATES.

AND JOCELYN, WHAT ARE SOME OF THE THAT PATIENTS ARE FACING NOW?

POST DOBBS?

I THINK YOU'VE HAD TO AT LEAST ONE PATIENT, BUT SOME WHO HAD TO GET TOO MANY HURDLES.

WHAT ARE SOME OF THOSE?

YEAH, SOME OF EARLY TO WHAT MICHELLE STATED EARLIER TRAVEL.

I'M WORKING ON NOT BEING ABLE TO TAKE THE TIME OFF CHILD CARE ALONG WITH THE ADDITIONAL EXPENSES OF LODGING, TOO.

THOSE ARE ALL OF THAT WE HAVE SEEN.

AND THANKFULLY WE DO HAVE ADDITIONAL RESOURCES PROGRAMS TO HELP THESE PATIENTS.

BUT FOR SURE, I WOULD SAY THOSE ARE THE BIGGEST BARRIERS FOR US.

LESLIE, ARE YOU ALSO ARE YOU SEEING PATIENTS THAT ARE ON FARTHER ALONG IN THEIR PREGNANCIES?

MAYBE IT'S TAKEN THEM A WHILE TO SORT OF GATHER THE RESOURCES THAT THEY NEEDED TO MAKE THE TRIP OR ARE THEY IN MORE, YOU KNOW, SEVERE HEALTH CONDITIONS SOMETIMES.

I DON'T WE ACTUALLY SEE A LOT OF FUN ALONG THE CONTINUUM.

WE SEE THEM IS EARLY AS 6 WEEKS.

FAR YOU'RE GOING TO BE ON THE 22 WEEKS THAT WE OFFER HERE, PLANNED PARENTHOOD OF ILLINOIS.

BUT WE DO HAVE SERVICES IN PLACE TO ASSIST THOSE PATIENTS.

WITH OTHER PARTNERSHIPS, HIGHLIGHT AS WELL AS OTHER PARTNERSHIPS THAT WE HAVE ORGANIZATIONS AND EVEN SOME OUT OF STATE ORGANIZATIONS THAT WILL TAKE PATIENTS EVEN FURTHER ALONG IN THEIR PREGNANCIES.

SO WE DO VERY CLOSELY WITH OUR BEHAVIORAL HEALTH WORSEN.

NAVIGATORS TO HELP OUR PATIENTS THE MINUTE THEY CALL WE TRY TO FIGURE OUT THE BEST WAY FOR THOSE PATIENTS TO BE SEEN.

WHAT ARE SOME OF THE HEALTH IMPACTS ON A PATIENT WHO'S HAD TO TO WAIT?

DOES THAT MAKE THEIR CASE IS A BIT RISKIER?

TAKEN TO A CERTAIN GESTATIONAL AGE.

BECOMES INTO PROCEDURE FOR A LOT OF OUR PATIENTS.

AND SO ALSO KIND OF AND MICHELLE NEWELL SAYING HOW THE DIRECTION THAT THEY LOCATIONS, THOSE KINDS OF THINGS LODGING ARE GOING FIGHT.

CAN DEFINITELY IMPACT FOR JUST STATION THAT THEY SOME OF THE HEALTH CONCERNS SOME PEOPLE HAVE HEALTH CONCERNS THAT MAY NOT THAT MAY BE CONTRA INDICATED TO USING JUST THE HILLS AND THEY MAY HAVE TO GET A PROCESS THEIR TERMINATIONS.

AND SO WE TAKE ALL OF CONSIDERATIONS WITH ALL OF OUR PATIENTS EQUALLY.

OKAY.

THAT'S WHERE WE'LL HAVE TO LEAVE I WANT TO THANK THE 3 OF