This legislation aims to significantly restrict access to chemical abortions by requiring the physical presence of a healthcare provider. It amends federal law to prohibit providers from knowingly dispensing or prescribing abortion drugs without first conducting a physical examination of the patient and being physically present at the location where the chemical abortion occurs. The bill further mandates that providers schedule a follow-up visit for the patient within 14 days to assess their physical condition. Healthcare providers who violate these requirements face potential fines of up to $1,000, imprisonment for up to two years, or both, though patients themselves are explicitly protected from prosecution. An important exception is made for chemical abortions deemed necessary to save the life of the mother due to a physical disorder, illness, or injury, including conditions arising from the pregnancy itself. The legislation also clarifies that it does not affect the treatment of verified ectopic pregnancies.