Insights into State Abortion Policy and Clinical Practice in 2021
Explore the intersection of state abortion policy and clinical practice in the United States, including statistics on abortion rates, waiting periods, counseling requirements, and coverage limitations. Stay informed about the latest data and trends shaping access to abortion services.
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Intersection of State Abortion Policy and Clinical Practice, Update 2021 Updated: June 2021
Nine in ten reported abortions in the United States occur in the first trimester. Between 2009 and 2018, the abortion rate decreased by 24% Share of reported abortions by gestation in 2018 Abortion rate per 1,000 women aged 15-44 10-13 weeks 21 weeks 14-17 weeks 9 weeks 18-20 weeks 14.9 1% 2% 5% 11.3 15% 93% 24% 78% 2009 2018 NOTES: Data from 42 reporting areas; excludes 10 areas (California, District of Columbia, Illinois, Maryland, Massachusetts, New Hampshire, Pennsylvania, Rhode Island, Wisconsin, and Wyoming) that did not report, did not report by gestational age, or did not meet reporting standards. Percentages for the individual component categories might not add to 100 because of rounding. SOURCE: Kortsmit K, Jatlaoui TC, Mandel MG, et al. Abortion Surveillance United States, 2018. MMWR Surveill Summ 2020;69(No. SS-7):1 29.
26 States Require Waiting Periods Before a Woman May Obtain an Abortion 13 of these states require two separate visits Waiting Periods Monday Tuesday Wednesday Thursday Friday No Waiting Period 23 States 18-24 Hours 18 States 48 Hours 2 States 72 Hours 6 States SOURCE: Guttmacher Institute. State Laws and Policies, Counseling and Waiting Periods for Abortion. As of June 1, 2021.
Several States Require Women to be Counseled on Topics Lacking Medical Consensus or Evidence State Policy Requires Clinicians or Staff to Tell Women Seeking Abortions That: Abortion raises the risk for breast cancer, when it does not AK, KS, LA, OK, TX Abortion may cause fetal pain AK, AR, GA, IN, KS, LA, MN, MO, OK, SD, TX, UT, WI Personhood begins at conception IN, KS, MO, ND, OK Medication abortion may be reversed AR, ID, KY, NE, SD, UT NOTES: States vary in requirements for counseling to be provided verbally or in written materials. SOURCE: Guttmacher Institute. State Laws and Policies, Counseling and Waiting Periods for Abortion. As of June 1, 2021.
Many States Restrict Abortion Coverage in Private Plans and Medicaid 6 states require Medicaid, Private and ACA Marketplace plans to include abortion coverage Medicaid, Private, and ACA Marketplace Limitations (11 states) Medicaid & ACA Marketplace Limitations (15 states) Medicaid Limitations Only (9 states & DC) No coverage limitations or requirements, state funds pay for Medicaid Abortions (10 states) Requires abortion coverage in Medicaid, Private, and ACA Marketplace Plans (5 states) SOURCE: KFF. Interactive: How State Policies Shape Access to Abortion. As of May 2021.
Many States Have a Jail Sentence for Doctors Who Perform Abortions Past Gestational Limits Gestational limits and exceptions vary by state Jail sentence for abortions past 20-22 weeks LMP (15 states) Jail sentence for abortions past 24 weeks LMP to 3rd trimester (3 states) No jail sentence for abortions past 18 weeks LMP (5 states) Federal and/or State law limits abortion after viability (27 states & DC) : alculated from the beginning of pregnancy from the woman s last menstrual period ( ). SOURCE: KFF 2021 analysis of state statutes and laws; Guttmacher Institute. State Laws and Policies, State Policies on Later Abortions. As of May 2021.
States Have Enacted Specific Requirements for Medication Abortions Of the 556,294 abortions in 2018, 40% were medication abortion Telemedicine for abortion explicitly banned 5 states Clinician must be present while patients takes abortion pill 14 states Licensed physician must dispense abortion pill 32 states SOURCE: Kortsmit K, Jatlaoui TC, Mandel MG, et al. Abortion Surveillance United States, 2018. MMWR Surveill Summ 2020;69(No. SS-7):1 29; KFF. The Availability and Use of Medication Abortion. April 13, 2021.
