Following recommendations from New South Wales Health on abortion as health care, Greens MLC Dr Amanda Cohn has introduced a bill which, if passed, would significantly expand access to abortion services across the state.
According to Family Planning Australia (FPA), almost one in three NSW local government areas do not have a doctor trained to provide medical abortions.
Its December report, Use of Medical Abortion Services in NSW, Australia Between 2018–2022, found that women in regional and rural NSW seek medical abortion at more than double the rate of women living in the city.
“In remote NSW there were 10 medical abortion prescriptions issued for every 1000 women in 2022, and in major cities there were just 4.2 medical abortion prescriptions for every 1000 women.”
FPA’s Dr Emmalee Ford said 37 local government areas have no doctor providing medical abortion scripts. “This represents 28% of all local government areas across NSW and most of them are in rural and regional areas.”
While FPA said it can offer medical abortion to some pregnant people through telehealth, improving access for people in rural and regional areas, more local doctors offering medical abortions in non-metropolitan areas are still needed.
More recently reports that public hospitals in Queanbeyan and Orange refused to provide abortion services have sent shock waves through the community.
The Australian Medical Association NSW has, since 2023, been calling on the government to “adequately resources abortion services at public hospitals”.
“Your postcode should not determine your ability to attain an abortion,” AMA (NSW) Vice President, Dr Kathryn Austin, said four years after the Abortion Law Reform Act 2019 was passed.
The review of the Act recommended the government amend the law to expand the list of practitioners, balance the rights of women to receive timely care and treatment with practitioners' conscientious objections and improve data collection to support better planning, rather than the onerous and unnecessary mandatory reporting in place.
Cohn introduced the bill to the Legislative Council on February 19.
“There’s nothing in the act that says this is health care and it’s a responsibility of NSW Health to provide,” she said. She said this led to people being forced to delay treatment, travel hundreds of kilometres, or pay hundreds, even thousands of dollars, to access private care.
Hospitals, in public ones, are under no obligation to provide this health measure, Cohn told the ABC. “We’ve heard absolutely heart-wrenching stories of people being turned away from public hospitals.”
The Greens’ Abortion Law Reform Amendment (Health Care Access) Bill 2025 would ensure abortion services are provided across NSW, within a reasonable distance of residents’ homes, and information about access to abortion services is made publicly available.
It would expand access by allowing nurse practitioners and endorsed midwives to prescribe medical abortions up to nine weeks gestation, as per Therapeutic Goods Administration guidelines.
It would remove unnecessary mandatory reporting requirements that create barriers for practitioners and require practitioners who object to abortion to refer a patient to someone who will provide the service.
Cohn said the health minister has intervened on a case-by-case basis when hospitals have refused to provide the service, “but that’s not enough”. “It needs to be legislated.”
Research shows that a majority of cities and towns are “abortion deserts”, meaning the nearest service is more than 160km away.
“Abortion services are not something public hospitals with the capability to provide them should be able to opt out of,” Cohn, herself a General Practitioner, said.
The Greens’ bill would make the system work better for both patients and health workers, Cohn said, provided that the state also adequately supports health workers providing the care.