The United States Court of Appeals for the Ninth Circuit this week vacated a district court’s preliminary injunction against Guam’s in-person, informed consent law for abortion access, which had allowed Hawaii physicians to prescribe medication abortions through telemedicine.

In an Aug. 1 opinion, the Ninth Circuit vacated the injunction, which reinstated the Guam’s Women’s Reproductive Health Information Act, enacted in 2012, which requires that women seeking abortions have an in-person meeting with a physician, or a qualified agent of the physician, who must disclose certain medical information.