Hunter said Madagascar has "a very attentive environmental regulator" but admits: "Requirements to use CCS at some time in the future has not come up in conversation.
Nine other states have local admitting requirements for abortion providers, according to the Guttmacher Institute, a research group focused on sexual and reproductive health and rights.
The admitting-privileges requirement in Texas cut the number of abortion providers by half.
After that, the Center for Reproductive Rights filed a new lawsuit challenging parts of the Texas abortion law, including the admitting privileges requirement.
On the day the admitting privileges requirement took effect, in November 2013, the number of Texas abortion clinics plummeted from 41 to 22. Today, there are 18.
The law had proved difficult and expensive for clinics, and nearly 20 have closed since the admitting-privileges requirement was allowed to go into effect.
The Supreme Court agreed that the Texas admitting privileges requirement constituted an "undue burden" on the right to seek an abortion for those same reasons.
In the hearings, the owners explained why many clinics could not meet the admitting-privilege requirement and described the hardships patients would face, especially in sparsely populated West Texas, if clinics closed.
The admitting-privileges requirement is already in place across most of Texas and has reduced the number of clinics from around 40 to around 20, abortion rights advocates say.
When suit was filed against the Louisiana law, the district court found that despite good-faith efforts put forth by physicians in the state, they were unable to comply with the admitting privileges requirement.
Of the admitting-privilege requirement, Justice Breyer's opinion points out "that, when directly asked at oral argument whether Texas knew of a single instance in which the new requirement would have helped even one woman obtain better treatment, Texas admitted that there was no evidence in the record of such a case".
