A Year After Fall of Roe, 25 Million Women Live in States With Abortion Bans or Tighter Restrictions

Twenty-five million women of childbearing age now live in states where the law makes abortions harder to get than they were before the ruling.

Davis became one of the women whose stories, told on news sites and network news, in newspapers and blogs, illustrated the shifting ground doctors and their patients tried to navigate. More than 25 million women ages 15 to 44, or about 2 in 5 nationally, now live in states where there are more restrictions on abortion access than there were before Dobbs. More than 5.5 million more live in states where restrictions have been adopted but are on hold pending court challenges. Bans on abortion no later than 12 weeks into pregnancy are on the books in nearly every state in the Southeast — though some are not in effect.

“A mother’s love starts as soon as she knows she’s pregnant. That attachment starts instantly,” she said. “It was days I couldn’t sleep. It was days I couldn’t eat.”As some states restricted abortion, others locked in access. Clinics moved across state lines, added staff and lengthened hours to accommodate women leaving their home states to end their pregnancies.

Dr. Iman Alsaden, the Planned Parenthood medical director based in Kansas, said most patients in the Kansas clinics are now coming from elsewhere. Still, it's the fullest national picture available for now. The federal Centers for Disease Control and Prevention data covering 2022 is not likely to be released until late 2024. Even then, the picture won’t be completely clear: Not every state collects abortion data, and what is collected does not include self-managed abortions provided outside clinics, hospitals and doctor’s offices.

For example, Aid Access works with doctors overseas and in states with shield laws, which are intended to bar abortion-related investigations by other states. Those doctors prescribe the medications and Aid Access ships them. It saw requests in a sample of 30 states more than double from before a draft of the Dobbs ruling was leaked last year until it became official and bans started taking effect.

He also agreed to extend Medicaid health insurance coverage for lower-income women until a year after they give birth, rather than just two months.

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