Without his signature, Missouri Governor Jay Nixon has allowed legislation to pass that will require doctors to be present in the room for the first dose of a drug used in medication abortions.
Nixon announced Friday he would not sign the bill that effectively prohibits the use of telemedicine to provide medication abortions in the show-me state.
Without Nixon's signature, the bill becomes law.
The Guttmacher Institute that supports abortion rights said 10 states require a prescribing doctor to be present. Enforcement of the requirement has been temporarily blocked in North Dakota and Wisconsin because of litigation.
Planned Parenthood for the St. Louis region and southwest Missouri said it has not used telemedicine for medication abortions. But that option has been available since 2008 in Iowa.