
The United States Supreme Court's decision to overturn Roe v. Wade in June 2022 has had a profound impact on abortion laws across the country. The ruling has effectively left the legality of abortion up to individual states, resulting in a complex and rapidly evolving landscape of abortion policies and reproductive rights. While some states have moved to ban abortion outright, others have taken steps to protect abortion rights, leading to significant variations in access and restrictions across the nation. This has led to a rise in people seeking abortions in states with more permissive laws, as well as an increase in self-managed abortions and the use of abortion pills obtained from other states or online sources. The shift in abortion laws at the state level has also sparked debates around the concept of fetal personhood, with lawmakers in several states proposing legislation that would treat fetuses as legal persons, potentially exposing women who undergo abortions to homicide charges.
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What You'll Learn

The overturning of Roe v. Wade in 2022
In 1973, the U.S. Supreme Court's ruling in Roe v. Wade recognized that the decision to continue or end a pregnancy belonged to the individual, not the government. The ruling held that the guarantee of "liberty" in the Fourteenth Amendment of the U.S. Constitution, which protects individual privacy, includes the right to abortion prior to fetal viability. This placed reproductive decision-making alongside other fundamental rights, such as freedom of speech and religion, by conferring the highest degree of constitutional protection, known as "strict scrutiny."
However, in June 2022, the U.S. Supreme Court overturned Roe v. Wade in a decision called Dobbs v. Jackson Women's Health Organization, eliminating the federal constitutional right to abortion. This decision opened the door for states to ban abortion outright, and as a result, abortion policies and reproductive rights are now determined by each state. Currently, abortion is illegal in 12 states, with 26 US states having multiple bans ready to enact, and 13 of these being trigger laws that automatically took effect when Roe v. Wade was revoked. Eleven states have early gestational age bans, meaning abortion is not allowed past the first trimester or another time point in the pregnancy. There are also 15 states, including Washington, D.C., that have laws protecting abortion.
The overturning of Roe v. Wade has had significant implications for women's health and well-being, particularly for midlife women and those from marginalized communities. It has also impacted medical education and the practice of future physicians. The loss of Roe v. Wade is especially damaging in areas where access to abortion care is already limited. Research shows that abortion bans and restrictions do not reduce unintended pregnancies or the demand for abortion and do not improve women's health. Instead, they create barriers to obtaining care, causing stress and leading to forced pregnancies.
Public opinion on the decision to overturn Roe v. Wade is divided, with a majority disapproving of the decision. A survey by the Pew Research Center found that 52% of adults in the 17 states where abortion is newly largely prohibited or about to be prohibited disapprove of the court's decision, while 46% approve. Among Republican women, 63% approve, while 76% of GOP men approve. In contrast, Democratic and Democratic-leaning men and women overwhelmingly disapprove of the decision, with 83% and 81% disapproval, respectively.
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State abortion policies and litigation
In June 2022, the U.S. Supreme Court overturned Roe v. Wade, which for nearly 50 years protected the federal Constitutional right to abortion. The decision in Dobbs v. Jackson Women's Health Organization gave states the power to impose any regulation on abortion, provided it does not conflict with federal law. As a result, abortion policies and reproductive rights are now determined by each state, and there is significant variation in the legality of abortion across the United States.
Following the overturning of Roe v. Wade, states have been divided into five categories: "Expanded Access", "Protected", "Not Protected", "Hostile", and "Illegal". States with "Expanded Access" have protected the right to abortion through state statutes, constitutions, and other laws, thereby creating additional access to abortion care. In "Protected" states, abortion is legal but with limitations on access. "Not Protected" states do not have legal protections for abortion, and it is unclear whether abortion will be banned in these states. "Hostile" states have expressed a desire to prohibit abortion entirely and are extremely vulnerable to the revival of old abortion bans or the enactment of new ones. Finally, abortion is illegal in "Illegal" states, with 12 states currently banning abortion outright.
State abortion policies vary significantly, with some states prohibiting abortion at all stages of pregnancy, while others permit it up to a certain point or throughout pregnancy. In states where abortion is legal, several restrictions may exist, such as parental consent or notification laws, ultrasound requirements, mandatory waiting periods, and counseling requirements. Some states have also enacted private plan restrictions and banned abortion coverage from ACA Marketplace plans. Additionally, due to the Hyde Amendment, many state health programs that low-income women rely on do not cover abortions, further limiting access.
The shift in abortion policies at the state level has led to increased litigation. Abortion advocacy groups have filed lawsuits to challenge abortion bans and restrictions, particularly in states where abortion is illegal or hostile. There are also legal considerations for physicians providing abortion care, including criminal and professional penalties, as well as the potential for medical malpractice lawsuits. The State and Federal Reproductive Rights Litigation tracker monitors ongoing litigation regarding abortion bans, restrictions, and federal regulations, highlighting the ongoing legal battles over abortion access.
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The impact of abortion laws on federal programs
One notable impact is the Hyde Amendment, which withholds federal Medicaid funding for abortions nationwide, with only very narrow exceptions. This restriction limits insurance coverage for millions of low-income individuals, interfering with their access to safe and legal abortions. The Hyde Amendment has been criticized as an unfair intrusion into reproductive health care decisions, affecting not only patients but also their doctors.
The Turnaway Study, conducted between 2008 and 2016, provides insight into the impact of abortion laws on individuals' health and socio-economic outcomes. The study found that those who were provided abortions experienced better health and socio-economic outcomes compared to those who were denied. This study highlights how restrictive abortion laws can negatively affect individuals' well-being.
Additionally, the abortion laws have implications for employer-sponsored health plans. Some employers are now offering to cover travel expenses for workers who need to travel out of state to access abortion services, leading to legal and political concerns. This development indicates a shift in the role of private entities in facilitating access to abortion services.
The impact of abortion laws also extends to birth control and family planning services. Increased access to birth control has been linked to reductions in the abortion rate, and federal programs such as Title X have played a role in providing family planning services. However, funding for such programs has fluctuated over the years, impacting their ability to reduce unintended pregnancies and, by extension, the need for abortions.
Furthermore, the abortion laws have resulted in a patchwork of varying restrictions and bans across states, creating geographic disparities in access to abortion providers. This variation in state laws and the lack of providers in many counties present significant challenges to federal programs aiming to ensure equitable access to reproductive health care services.
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The role of state legislatures in abortion policy-making
The U.S. Supreme Court's overturning of Roe v. Wade in June 2022 has had a significant impact on abortion policy-making at the state level. With reproductive rights now in the hands of individual states, state legislatures play a crucial role in shaping abortion laws and restrictions.
State legislatures have taken varied approaches to abortion policy-making. Some states have chosen to protect abortion access, with state statutes or constitutions safeguarding reproductive rights. These states may also have policies in place to expand access to abortion care, such as repealing physician-only laws or authorizing additional qualified medical professionals to provide abortion care.
On the other hand, several states have embraced more restrictive approaches. Some have introduced legislation that treats fetuses as people, potentially allowing women who undergo abortions to be charged with homicide. Other states have enacted private plan restrictions, banning abortion coverage from certain health insurance plans. Additionally, states may impose targeted regulation of abortion providers (TRAP) laws, which single out physicians providing abortion care with burdensome legal requirements. These laws often increase costs and create barriers to abortion access without enhancing patient safety.
The absence of a federal-level guarantee for abortion rights has empowered state courts and constitutions to become vital in shaping abortion policies. State courts have played a significant role in protecting abortion rights, with some striking down laws that infringe on decision-making about pregnancies. High courts in several states have also ruled against laws that discriminate against individuals seeking abortions.
While state legislatures primarily drive abortion policy-making, it is worth noting that a minority of states with abortion bans allow for citizen-initiated constitutional amendments. In these states, lawmakers and anti-abortion activists have often worked to prevent abortion-related measures from reaching the ballot, limiting direct voter involvement in abortion policy decisions.
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The constitutionality of shield laws
The US Supreme Court's overturning of Roe v. Wade in June 2022 has had a profound impact on abortion laws across the country, with states now having the power to decide whether to ban or permit abortions. This has led to a complex and varied landscape of abortion laws, with some states enacting bans and restrictions, while others are seeking to protect abortion access through statutes, constitutional amendments, and a new type of legislation known as "shield laws".
Shield laws are designed to protect abortion providers, helpers, and seekers in states where abortion is legal from legal actions taken by anti-abortion states. They address the concern that anti-abortion states might attempt to enforce their abortion bans beyond their borders, targeting those who travel to other states for abortions or those who assist them. These laws vary in their specific provisions, but they generally seek to prevent the extradition of individuals accused of providing or receiving reproductive healthcare that is legal in the shielding state.
However, supporters of shield laws argue that they are necessary to protect the rights and safety of those seeking and providing abortions, particularly in the context of increasing restrictions and bans on abortion across the country. They highlight that shield laws only come into play when anti-abortion states attempt to enforce their laws beyond their borders, and that even with shield laws in place, anti-abortion states can still exercise jurisdiction over individuals who physically enter their state or have close enough ties to it. Additionally, most pro-life laws do not target women and girls seeking abortions or those who help them obtain abortions, unless they are acting coercively or in violation of parental involvement laws.
While the constitutional implications of shield laws are still being debated, they represent a significant development in the post-Roe v. Wade era, reflecting the varying policy goals and objectives of different states. As of January 2023, at least seven states have enacted shield laws, and they continue to be a critical tool for abortion-supportive states to protect abortion access and ensure the safety of providers and seekers.
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Frequently asked questions
The 2022 decision to overturn Roe v. Wade removed the federal constitutional right to abortion and allowed individual states to decide on abortion laws.
Several states have amended their constitutions to remove protections for abortion rights and prohibit the use of public funds for abortions. Meanwhile, some states have passed laws to protect abortion rights, prohibiting state interference with the right to obtain an abortion before viability or when necessary to protect the life or health of the pregnant person.
The number of people crossing state lines to obtain abortions has decreased, with fewer people travelling to states like Florida following the introduction of abortion bans. However, self-managed abortions, such as obtaining abortion pills from community networks or foreign pharmacies, have become more common.











































