CA governor approves abortion pills for community colleges

Community colleges were left out of Senate Bill 24, a law that was signed in 2019 and took effect in 2023, requiring University of California and California State University campuses to provide on-campus abortion medication at their health centers. The new law, authored by Assemblymember Catherine Stefani, a Democrat from San Francisco, will require abortion pill access at community college campuses with existing health centers. Today, 92 out of 115 community college campuses have health centers.

“We are closing a critical gap by ensuring that community college students, one of the most diverse and economically vulnerable populations in our state, have the same access to care as their peers at four-year institutions,” Stefani said during the Assembly Health Committee hearing in April. 

Students at UC, Cal State and community college campuses on the Pro-Abortion Student Advisory Board supported the bill as part of Unite for Reproductive and Gender Equity, a national advocacy and reproductive justice organization. The student board works to expand education outreach for reproductive healthcare across the state.

“The system is clearly moving towards the better,” said Angelica Campos, a San Francisco City College student and advisory board member, in response to the governor’s signature. 

Implementing the law

Medication abortion can be taken 10 to 11 weeks after the day of a person’s last period. It accounted for more than half of all U.S. abortions in 2023, according to Guttmacher Institute, a research and policy organization committed to advancing sexual and reproductive health. 

Community college health services leaders were initially concerned about implementation due to the locally controlled model of the community college system. For this reason, community college health centers do not operate in the same way as university health centers.

While the law requires community colleges with health centers to start offering abortion medication, it does not require that it happens on campus, unlike the law for UC and Cal State campuses. Instead, community colleges have multiple options. They can prescribe the medication onsite via a licensed provider on staff or telehealth. The health center can utilize partnerships with an offsite provider who can prescribe abortion medication. Or, they can offer a “warm handoff” directing students to resources off campus, with follow-up care on their campus. Implementation cost will depend on the model community colleges choose to adopt. 

Some community colleges, like El Camino College in Torrance, already have a “robust” healthcare system, according to Susan Nilles, faculty coordinator of El Camino College Student Health Services and a nurse practitioner. While the campus doesn’t currently offer abortion medication, Nilles said she does not anticipate challenges to comply with the law. 

“We’re fortunate enough to where we can handle something like this. It’s nice to know that legally, we’re backed,” Nilles said. 

College of the Redwoods, located in the Northern California coast city of Eureka, is one of the 23 community college campuses in the state without an on-campus health center. That campus relies on telehealth services, community partnerships and referrals to local healthcare organizations. Students can currently access medication abortion services through referrals from their telehealth provider, TimelyCare.

Stephanie Freyermuth, manager of Basic Needs, Housing Insecurity & Wellness at the college, said due to campus size, rural location and lack of medical community resources, she does not believe College of the Redwoods will adopt in-person services, including abortion medication, in the immediate future.

Dr. Rosafel A. Nogra, who serves as director of De Anza College’s Student Health Services in Cupertino, said the law is an opportunity to expand their health center’s reproductive healthcare. The campus doesn’t offer abortion medication onsite currently. Instead, it offers services through the Family Planning, Access, Care and Treatment Program provider that offers confidential reproductive health services at no cost to students who meet certain requirements. 

Service costs may vary among colleges

The previous law requiring medication abortion services at public universities established the College Student Health Center Sexual and Reproductive Health Preparation Fund with private funds, which provided a $200,000 grant to each campus student health center to implement services. Community colleges were left out of that law because there was not enough capacity to extend funding to them all, Connie Leyva, a former Democratic state senator from Chino and the author of that bill, told CalMatters in a phone interview.  

The cost for abortion medication at UC and Cal State campuses varies. Some Cal State campuses give it to students for free. For UC students, medication costs are covered by the required on-campus UC Student Health Insurance Plan. 

Cal Poly Humboldt’s costs are free due to grant funding from the California Commission on the Status of Women and Girls, while Sonoma State covers the cost with mandatory student health fees and part of the implementation funding. Cal State San Marcos charges students $20 to $28 for the prescription. 

Sonoma State listed their cost as $50 on their health center website but Tim Grace, director of the student health center, told CalMatters in an email it was free. After CalMatters asked about the cost, the college confirmed the medication is free and the website was updated. 

The cost for abortion medication at community colleges will depend on how much the Legislature appropriates in the state budget for 2029 and may vary among campuses.

Bringing awareness to students

The law will require all campuses, both community colleges and universities, to inform students that abortion medication services are offered at their health centers. This was another component left out of the previous law.

Four years after she left office, Leyva said that she still receives calls from people frustrated by the lack of advertising about reproductive health services on campuses.

“That part of the bill is tangible and I think that can make a big difference for a lot of young women,” said Leyva, who is now the executive director for KVCR public media in San Bernardino.

The new law will require all campuses to post about medication abortion availability on their websites. Currently, all UC campuses have abortion medication listed on their websites. All Cal State campuses have it on their websites except Chico State, which does not explicitly mention abortion medication and instead highlights birth control and “comprehensive care tailored to specific gender-related health needs” for men and women. Chico State Media Relations Coordinator Michael Drummond said the school will comply with the awareness requirements outlined in the law.

Cal Poly Humboldt student Kaylee Luna works as the Sex, Health and Body Educator at the Women’s Resource Center at her university. Luna connects students to sexual health and reproductive resources on campus. While she was aware abortion medication was provided on campus, she didn’t know it was free until she researched it for her job. From her personal perspective, she feels abortion medication and reproductive resources aren’t talked about enough.

“I don’t think that students on campus are really aware of that. I mean, no one’s really talking about it or, you know, making (social media) posts or flyers,” Luna said. “I feel like it is still a touchy subject for some folks but I don’t think there’s much awareness and I think there should be.”

Faith Chinnapong says in her work alongside college students as a California-based organizer for Unite for Reproductive and Gender Equity, she sees the knowledge gap across campuses. 

“It’s common to meet a student who is completely unaware of the services on her own campus,” Chinnapong said. “When campuses especially are in these rural areas, it makes it more difficult for these young people to be able to go and seek these services, especially when they’re working multiple jobs and taking care of their family.”

Students like Campos working on the Pro-Abortion Student Advisory Board have heard student concerns first-hand. According to her, access can make all the difference, and going offsite can be a deterrent for some seeking care.

“Comfort is really important, and I think students sometimes feel more safe going to somewhere they’re more familiar with, and oftentimes that’s campus,” Campos said.

Moving forward 

The new law won’t take effect for more than two years, and only upon appropriation of funds by the state Legislature.

“Even if we’re not gonna see the changes potentially overnight, it’s really good that we’re here doing the foundational work,” Campos said.

Now, groups like Pro-Abortion Student Advisory Board will work towards bringing more awareness about the law to students and campus health centers. 

“Students should have the option to whatever they choose to decide on how to care for their bodies and having that access would just make it all the better on campus,” said Vanetta Godinez, a San Diego City College student and board member.

Noelle Doblado and Skylar Stock are contributors with the College Journalism Network, a collaboration between CalMatters and student journalists from across California. CalMatters higher education coverage is supported by a grant from the College Futures Foundation.