Over-the-counter birth control pills are available worldwide. The U.S. may be next

A one-month dosage of hormonal birth control pills is displayed in Sacramento, Calif., Aug. 26, 2016. (AP Photo/Rich Pedroncelli, File)

A pharmaceutical company based in Paris, HRA Pharma, is seeking approval from the U.S. Food and Drug Administration for an over-the-counter birth control pill. The pill includes progestin only, not estrogen, and is known as a mini pill. If approved, it would be the first oral contraceptive available in the U.S. without a prescription.

“This could be a really groundbreaking change in access,” says Victoria Nichols of Free the Pill, a coalition of advocates, researchers and health care providers that has helped lay the groundwork and build support for regulatory approval of over-the-counter pill options in the United States.

The coalition’s work began more than a decade ago, but the application for approval — submitted in the wake of the overturning of Roe v. Wade — comes at a time of renewed attention to the importance of contraception access. “I think there’s absolutely greater urgency today to have better contraceptive access across the United States,” says Cynthia Harper, a professor of obstetrics, gynecology and reproductive sciences at the University of California, San Francisco.