An Oklahoma County District Court judge on Friday refused to temporarily halt state laws that say only physicians can perform abortions in Oklahoma, and they can’t do so using telemedicine.

Judge Natalie Mai quashed two motions for temporary injunctions challenging longstanding Oklahoma laws.

Oklahoma City’s Trust Women clinic, which was represented in court by attorneys for the New York-based Center for Reproductive Rights, is challenging a 1978 state law that allows only physicians to perform abortions in Oklahoma. They also are challenging a 2012 law that requires abortions be performed in person, as opposed to through telemedicine, which typically involves a live video chat.

Specifically, the clinic wants to allow registered nurse practitioners to be able to perform medication-assisted abortions, in which the patient is given a series of two pills. The clinic, which has to fly in out-of-state doctors to perform abortions, also wants doctors to be able to use telemedicine to see patients for medication abortions.

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