The Iowa Board of Medicine has unanimously approved a new version of administrative rules related to a near-total abortion ban Republicans hope to enforce in the future.

The law, known as House File 732, is currently enjoined under a Polk County District Court order, which the state has appealed. If the Iowa Supreme Court eventually allows the ban to go into effect, the administrative rules would provide some guidance to physicians on how to approach the law’s (mostly unworkable) exceptions.

The revisions approved during a February 15 teleconference meeting address some objections physicians raised when the board discussed the rules in November and January. However, they do not change the reality that the rules don’t match how doctors normally interact with patients seeking to terminate a pregnancy.

Iowa’s near-total abortion ban remains blocked by court order. But new details emerged last week about how some provisions might be enforced if the Iowa Supreme Court finds the law constitutional (as the state has requested), or lifts the temporary injunction on the ban while litigation proceeds.

One thing is clear: despite repeated references to “standard medical practice” in the document the Iowa Board of Medicine considered on November 17, the proposed abortion rules bear little resemblance to how physicians actually care for patients seeking an abortion.