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100 Days Post-Roe: At Least 66 Clinics Across 15 US States Have Stopped Offering Abortion Care


October 2, 2022 marked 100 days since the US Supreme Court overturned Roe v. Wade, a decision that has resulted in states across the nation severely restricting access to abortion. New Guttmacher research found that 100 days after the June 24 Dobbs v. Jackson Women’s Health Organization decision, 66 clinics across 15 states have been forced to stop offering abortions.


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


Among the 66 clinics where abortion is no longer available, 40 are still offering services other than abortion, while 26 have shut down entirely.


Our analysis, which builds on research we conducted 30 days after Roe fell, focuses on the 15 states that were enforcing either total or six-week abortion bans as of October 2. While most of these bans include very limited circumstances when an abortion may be allowed, those exceptions are designed to be difficult to navigate and are often unusable in practice.


States Where Clinics Stopped Offering Abortions or Closed Entirely

In the 13 states that had implemented total abortion bans as of October 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 around the state’s pre-Roe total abortion ban, leading providers in that state to stop offering abortions out of fear of future prosecution. In Georgia, which is enforcing a ban on abortion starting at six weeks of pregnancy, clinics have been affected by the shortened timeframe to offer abortion services.


At the 40 clinics that have remained open for services other than abortion, our research did not ask about the scope of activities they are undertaking, but it may include providing other sexual and reproductive health services (e.g., prescribing birth control) or helping patients find abortion care in other states. However, 26 clinics have been forced to close their doors. When clinics close down 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 at clinics in 15 states as of October 2, 2022, compared with the situation right before Roe was overturned.

  • Alabama (previously 5 clinics)

    • 0 clinics offering abortion care

    • 1 clinic closed entirely, 4 open for other services

  • Arizona (previously 8 clinics)

    • 0 clinics offering abortion care

    • 1 clinic closed entirely, 7 open for other services

  • Arkansas (previously 2 clinics)

    • 0 clinics offering abortion care

    • 1 clinic closed entirely, 1 open for other services

  • Georgia (previously 14 clinics)

    • 13 clinics offering abortion care

    • 1 clinic closed entirely

  • Idaho (previously 3 clinics)

    • 0 clinics offering abortion care

    • 1 clinic closed entirely, 2 open for other services

  • Kentucky (previously 2 clinics)

    • 0 clinics offering abortion care

    • 1 clinic closed entirely, 1 open for other services

  • Louisiana (previously 3 clinics)

    • 0 clinics offering abortion care

    • 3 clinics closed entirely, 0 open for other services

  • Mississippi (previously 1 clinic)

    • 0 clinics offering abortion care

    • 1 clinic closed entirely, 0 open for other services

  • Missouri (previously 1 clinic)

    • 0 clinics offering abortion care

    • 0 clinics closed entirely, 1 open for other services

  • Oklahoma (previously 4 clinics)

    • 0 clinics offering abortion care

    • 2 clinics closed entirely, 2 open for other services

  • South Dakota (previously 1 clinic)

    • 0 clinics offering abortion care

    • 0 clinics closed entirely, 1 open for other services

  • Tennessee (previously 7 clinics)

    • 0 clinics offering abortion care

    • 2 clinics closed entirely, 5 open for other services

  • Texas (previously 23 clinics)

    • 0 clinics offering abortion care

    • 12 clinics closed entirely, 11 open for other services

  • West Virginia (previously 1 clinic)

    • 0 clinics offering abortion care

    • 0 clinics closed entirely, 1 open for other services

  • Wisconsin (previously 4 clinics)

    • 0 clinics offering abortion care

    • 0 clinics closed entirely, 4 open for other services


Impact on People Needing Abortions

The new reality of clinics no longer offering abortions or closing down entirely is having a devastating impact in states with abortion bans—and far beyond.

  • The 14 states where abortion is currently unavailable accounted for 125,780 abortions in 2020. Individuals who can no longer obtain an abortion from a clinic in these states are now forced to travel to another state for abortion care (facing additional direct and indirect costs associated with travel logistics, child care and time off work), self-manage their abortion or continue their pregnancy (and accept the significant associated health risks).

  • Likewise, 41,620 abortions were obtained in Georgia in 2020. Under the state’s six-week abortion ban, which prohibits abortion before many people even know they are pregnant, anyone needing an abortion faces an extremely limited time frame for scheduling and obtaining care. This means many people in Georgia will be left with the same options as people in states with total bans.

  • Altogether, these 15 states are home to almost 22 million women of reproductive age (aged 15–49), in addition to other people who may not identify as women but are capable of becoming pregnant and may need an abortion. That means almost one-third (29%) of the total US population of women of reproductive age are living in states where abortion is either unavailable or severely re