1. Intersection of State Abortion Policy and Clinical Practice
Women’s Health Policy Henry J. Kaiser Family Foundation
Visualizing Health Policy Infographic October 2016

2. Abortion rate per 1,000 women aged 15-44
9 out of 10 Reported Abortions in the U.S. Occur in the 1st Trimester and the Abortion Rate Has Decreased
Abortion rate per 1,000 women aged 15-44
92%
18%
NOTES: Data are from 38 reporting areas in Excludes 14 areas: CA, CT, D.C., FL, IL, ME, MD, MA, NE, NH, NY, PA, WI, & WY. Percentages may not add up to 100% due to rounding.
SOURCE: Pazol K, Creanga AA, & Jamieson DJ. Abortion Surveillance—United States, MMWR Surveillance Summary 2015; 64 (10).

3. 27 States Require Waiting Periods Before a Woman May Obtain an Abortion of these states require two separate visits
Waiting Periods
Monday
Tuesday
Wednesday
Thursday
Friday
23 States
No Waiting Period
18 States
18-24 Hours
3 States
48 Hours
6 States
72 Hours
SOURCE: Guttmacher Institute. State Laws and Policies, Counseling and Waiting Periods for Abortion. As of July 1, 2016.

4. Many 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—AK, KS, MS, OK, TX
Abortion may cause fetal pain—AK, AR, GA, IN, KS, LA, MN, MO, OK, SD, TX, UT
Personhood begins at conception— IN, KS, MO, ND, OK, SD
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 July 1, 2016.

5. Half of States Limit ACA or Private Insurance Coverage of Abortions
Some states ban coverage in all cases.
Other states allow coverage in cases of rape, incest or life threat. WY WI WV WA VA VT UT TX TN SD SC RI PA OR OK OH ND NC NY NM NJ NH NV NE MT MO MS MN MI MA MD ME LA KY KS IA IN IL ID HI GA FL DC DE CT CO CA AR AZ AK AL
ACA Marketplace Restrictions (15 states)
No Private Insurance Restrictions (25 states & DC)
Private and ACA Marketplace Restrictions (10 states)
NOTES: Private Insurance Coverage Limitations - State has a law that prohibits coverage of abortions from being included in private insurance policies sold in the state (with certain exceptions). Private insurance includes individual, small group, and large group. Some states may allow abortion coverage to be purchased as a rider.
State Marketplace Coverage Limitations - State has a law that prohibits plans sold on state Marketplaces from covering abortion (with certain exceptions).
No Private Insurance Limitations - State does not limit coverage of abortion in private insurance or the state Marketplace.
SOURCE: Kaiser Family Foundation. Interactive: How State Policies Shape Access to Abortion

6. Gestational limits and exceptions vary by state
Many States Impose a Jail Sentence for Doctors Who Perform Abortions Past Gestational Limit
Gestational limits and exceptions vary by state WY WI WV WA VA VT UT TX TN SD SC RI PA OR OK OH ND NC NY NM NJ NH NV NE MT MO MS MN MI MA MD ME LA KY KS IA IN IL ID HI GA FL DC DE CT CO CA AR AZ AK AL
Jail sentence for abortions past weeks LMP (15 states)
Jail sentence for abortions past 24 weeks LMP to 3rd trimester (8 states)
No jail sentence for abortions past weeks LMP (1 state)
Federal and/or State law limits abortion after viability (26 states & DC)
NOTES: Calculated from the beginning of pregnancy from the woman’s last menstrual period (LMP).
SOURCE: Kaiser Family Foundation Analysis. Guttmacher Institute. State Laws and Policies, State Policies on Later Abortions. As of July 1, 2016.

7. Many States Have Enacted Specific Requirements for Medical Abortions
Of the 1.1 million abortions in 2011, 23% were medication abortion
SOURCE: Jones RK & Jerman J. (2014) Abortion Incidence and Service Availability in the United States, Perspectives on Sexual and Reproductive Health; 46(1), pp
Guttmacher Institute. State Laws and Policies, Counseling and Waiting Periods for Abortion. As of July 1, 2016.
Guttmacher Institute. State Laws and Policies, Targeted Regulation of Abortion Providers. As of July 1, 2016.
Guttmacher Institute. State Laws and Policies, Medication Abortion. As of July 1, 2016.