The Rhode Island House of Representatives has passed a bill that would lift the current three-month supply limit on hormonal contraceptives prescribed by pharmacists, aiming to improve access to birth control amid a growing shortage of primary care providers.
The legislation, introduced by Rep. Edith H. Ajello (D-Providence), amends a 2023 law allowing pharmacists to prescribe contraceptives. The update would enable women to receive a year’s supply at once—an evidence-based move Ajello says will reduce unintended pregnancies.
“Women with yearlong prescriptions are 30% less likely to have an unintended pregnancy than those who need a refill every few months,” Ajello said. “With Rhode Island’s doctor shortage worsening, we need to ensure that contraception is accessible without relying on a doctor’s visit.”
The issue is especially urgent, Ajello noted, as the impending closure of Anchor Medical Associates in June will leave roughly 25,000 patients without primary care providers.
Rhode Island is one of 30 states plus Washington, D.C., where pharmacists can prescribe contraceptives. State law requires that pharmacists receive training, patients complete a risk assessment, and relevant medical information be shared with the patient and, if applicable, her physician.
The legislation now moves to the Senate, where companion legislation is sponsored by Sen. Meghan E. Kallman (D-Pawtucket, Providence).
Supporters include the Rhode Island Coalition for Reproductive Freedom, the ACLU of Rhode Island, the Rhode Island Pharmacists Association, and several women’s advocacy organizations.
The bill’s backers say the change is a common-sense step toward reproductive equity in Rhode Island.
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