October 2, 2022 marked 100 days since the U.S. Supreme Court overturned Roe vs. Wade, a decision that has led states across the country to severely restrict access to abortion. A new Guttmacher study found that 100 days after June 24 Dobbs v. Jackson Women’s Health Organization decision, 66 clinics in 15 states were forced to stop offering abortions.

Before June 24, these 15 states had a total of 79 clinics that offered abortion care. As of October 2, that number had dropped to 13, and all of them are located in Georgia. That means there are no providers currently offering abortions in 14 of the 15 states.

Of the 66 clinics where abortion is no longer available, 40 still offer non-abortion services, while 26 have closed completely.

Our analysis, which is based on research we conducted 30 days after deer fell, focuses on the 15 states that had full or six-week abortion bans in place as of October 2. Although most of these prohibitions include very limited circumstances in which an abortion may be permitted, these exceptions are designed to be difficult to navigate and are often unworkable in practice.

States where clinics have stopped offering abortions or closed completely

In the 13 states that had total abortion bans in place by Oct. 2, all clinics were forced to stop offering abortions. In the other two states, Wisconsin and Georgia, the situation is precarious. Clinics in Wisconsin have faced legal uncertainty regarding pre-deer a total ban on abortion, leading providers in that state to stop offering abortions for fear of future lawsuits. In Georgia, which enforces a ban on abortion from six weeks of pregnancy, clinics have been affected by the shortening of time limits for offering abortion services.

In the 40 clinics that remained open for services other than abortion, our research did not ask about the extent of the activities they undertake, but this may include the provision of other sexual health services. and reproductive (eg, prescribing birth control) or helping patients find abortion care in other states. However, 26 clinics were forced to close. When clinics close or stop offering abortion care, it represents a lost source of health care for their community.

Changes to Abortion Clinic Services

Our research tracked the following changes to abortion services in clinics in 15 states as of October 2, 2022, compared to the situation just before deer was overthrown.

  • Alabama (previously 5 clinics)
    • 0 clinics offering abortion care
    • 1 clinic fully closed, 4 open for other services
  • Arizona (previously 8 clinics)
    • 0 clinics offering abortion care
    • 1 clinic fully closed, 7 open for other services
  • Arkansas (previously 2 clinics)
    • 0 clinics offering abortion care
    • 1 fully closed clinic, 1 open for other services
  • Georgia (previously 14 clinics)
    • 13 clinics offering abortion care
    • 1 fully closed clinic
  • Idaho (previously 3 clinics)
    • 0 clinics offering abortion care
    • 1 clinic fully closed, 2 open for other services
  • Kentucky (previously 2 clinics)
    • 0 clinics offering abortion care
    • 1 fully closed clinic, 1 open for other services
  • Louisiana (previously 3 clinics)
    • 0 clinics offering abortion care
    • 3 clinics closed entirely, 0 open for other services
  • Mississippi (formerly 1 clinic)
    • 0 clinics offering abortion care
    • 1 clinic fully closed, 0 open for other services
  • Missouri (formerly 1 clinic)
    • 0 clinics offering abortion care
    • 0 clinics fully closed, 1 open for other services
  • Oklahoma (previously 4 clinics)
    • 0 clinics offering abortion care
    • 2 clinics fully closed, 2 open for other services
  • South Dakota (formerly 1 clinic)
    • 0 clinics offering abortion care
    • 0 clinics fully closed, 1 open for other services
  • Tennessee (previously 7 clinics)
    • 0 clinics offering abortion care
    • 2 clinics fully closed, 5 open for other services
  • Texas (previously 23 clinics)
    • 0 clinics offering abortion care
    • 12 clinics fully closed, 11 open for other services
  • West Virginia (formerly 1 clinic)
    • 0 clinics offering abortion care
    • 0 clinics fully closed, 1 open for other services
  • Wisconsin (previously 4 clinics)
    • 0 clinics offering abortion care
    • 0 clinics fully closed, 4 open for other services

Impact on people needing abortions

The new reality of clinics no longer offering abortions or closing completely is having a devastating impact in abortion-banning states, and far beyond.

  • The 14 states where abortion is currently unavailable accounted for 125,780 abortions in 2020. People who can no longer get an abortion at a clinic in those states are now forced to travel to another state for abortion care. abortion (which entails additional direct and indirect costs associated with logistical travel, childcare and work stoppages), self-manage their abortion or continue their pregnancy (and accept the significant health risks associated with it).
  • Similarly, 41,620 abortions were obtained in Georgia in 2020. Under the state’s six-week abortion ban, which prohibits abortions before many people even know they are pregnant, anyone in need of an abortion faces an extremely limited time to plan and obtain care. That means many people in Georgia will end up with the same options as people in states with outright bans.
  • In total, these 15 states are home to nearly 22 million women of childbearing age (ages 15-49), in addition to others who may not identify as women but are able to fall pregnant and may need an abortion. This means that nearly one-third (29%) of the total US population of women of childbearing age live in states where abortion is either unavailable or strictly regulated.

Importantly, the loss of clinics is felt in every state, even those where abortion remains legal. There is ample anecdotal evidence that abortion clinics in these states are inundated with people from abortion-banning states seeking care. These dramatic increases in cases mean clinic capacity and staffing are stretched to their limits, leading to longer wait times for appointments, even for residents of states where abortion remains legal. .

More chaos, confusion and evil to come

Even before deer was canceled, getting an abortion was difficult or outright impossible for many people, especially those who already faced significant barriers to accessing health care, including low-income people, black and brown people, immigrants, young people, people with disabilities and rural populations . These inequalities are likely to worsen as in-clinic abortion care disappears in many states, many of which are clustered in regions like the South.

An already precarious abortion access landscape is likely to continue to deteriorate. Our state legislative tracker predicts that a total of 26 states are certain or likely to ban abortion within the next year. deer being overthrown. Already, several states — including Indiana, Ohio and South Carolina — had total or six-week abortion bans in effect briefly before being temporarily stalled in court. These bans could come into effect again as soon as the court cases are resolved. These interruptions in service delivery, even temporary ones, affect the ability of established providers to quickly resume abortion care. Additionally, rapidly changing laws may make it difficult for some patients to know if they can legally seek an abortion in their state.

Much more research will need to be conducted to capture the full extent of the chaos, confusion and damage the United States Supreme Court has unleashed on people needing abortions, but the picture that is beginning to emerge should alarm anyone who supports reproductive freedom and the right to bodily autonomy.

Methodology

As of September 20, we’ve generated a list of clinics known to have provided abortion care in 2020 in the 17 states that implemented full or early abortion bans as a result of the court ruling. Supreme in June. We checked our 2020 list of facilities against other sources to remove clinics that did not provide abortion care as of June 24, 2022. State counts have been adjusted based on changes in laws of states and their implementation until October 2, including the removal of Indiana and Ohio after legal action temporarily suspended their bans.

Between September 20 and October 2, we used multiple sources, including clinic websites, news, social media, and information from fellow organizations, to track the state of abortion services. For each clinic, we determined whether the facility was open or closed; whether it was open, whether it provided abortions or other sexual and reproductive health care; and, in the case of abortion, whether abortion care was available beyond six weeks’ gestation. In cases where online information was apparently out of date (for example, a clinic indicated that it provided abortion care even though a state ban was in effect), we made one or more mystery calls in using the phone number listed on the clinic’s website. If a phone line went unanswered after two or more calls during business hours, we considered the clinic closed. Data was imported into Stata17 to systematically count the number of clinics that had closed or stopped offering abortions and continued to offer other services.

We analyzed data from the 2020 American Community Survey in Stata17 to calculate the number and percentage of women of childbearing age living in the 15 states we studied.

The authors thank Ava Braccia, Christina Geddes, and Tammy Lever for collecting the data used in this analysis.

SUGGESTED QUOTE

Kirstein M et al., 100 days afterdeer: At least 66 clinics in 15 US states have stopped offering abortion care, Guttmacher Institute, 2022, www.guttmacher.org/2022/10/100-days-post-roe-least-66-clinics-across -15….