The U.S. Supreme Court on Friday overturned Roe v. Wade, the 1973 decision that had provided a constitutional right to abortion. The ruling is expected to lead to abortion bans in roughly half the states, although the timing of those laws taking effect varies.
Some Republican-led states will ban or severely limit abortion immediately, while other restrictions will take effect later. At least one state, Texas, is waiting until after the Supreme Court issues its formal judgment in the case, which is separate from the opinion issued Friday and could take about a month.
In anticipation of the decision, several states led by Democrats have taken steps to protect abortion access. The decision also sets up the potential for legal fights between the states over whether providers and those who help women obtain abortions can be sued or prosecuted.
Here is an overview of abortion legislation and the expected impact of the court's decision in every state.
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Political control: Alabama has a Republican-controlled legislature and a Republican governor who want to ban or restrict access to abortions.
Background: In 2019, Alabama lawmakers approved what was then the most stringent abortion ban in the country, making it a felony to perform an abortion at any stage of pregnancy with no exceptions for pregnancies resulting from rape or incest. The only exception would be when the woman's health was at serious risk. A federal judge issued an injunction, under the precedent of Roe v. Wade, blocking the state from enforcing the law. In 2018, voters agreed to amend the Alabama Constitution to say the state recognizes the "rights of unborn children" and "does not protect the right to an abortion or require the funding of abortion." A 1951 law made it a crime, punishable by up to 12 months in prison, to induce an abortion, unless it is done to preserve the life or health of the mother.
Effect of Supreme Court ruling: Abortions became almost entirely illegal in Alabama on Friday. A 2019 state abortion ban took effect making it a felony to perform an abortion at any stage of pregnancy, with no exceptions for pregnancies caused by rape or incest. All three clinics stopped providing abortions Friday morning under fear of prosecution under the 1951 state law. U.S. District Judge Myron Thompson hours later granted Alabama's request to lift an injunction and allow the state to enforce the 2019 abortion ban. Alabama Attorney General Steve Marshall said it is now a felony to provide an abortion in Alabama beyond the one exception allowed in the 2019 law, which is for the sake of the mother's health. Doctors who violate the law could face up to 99 years in prison. Marshall said the state would also move to lift other injunctions that blocked previous abortion restrictions, including a requirement for doctors who perform abortions to have hospital admitting privileges.
What's next: Some Republican lawmakers have said they would like to see the state replace the 2019 ban with a slightly less stringent bill that would allow exceptions in cases of rape or incest. Proponents said the 2019 ban was deliberately strict in the hopes of sparking a court challenge to Roe.
Political control: Republicans currently hold a majority of seats in the state Legislature, but the House is controlled by a bipartisan coalition composed largely of Democrats. Fifty-nine of the Legislature's 60 seats are up for election this year. Gov. Mike Dunleavy, a Republican who believes life begins at conception, is seeking reelection.
Background: The Alaska Supreme Court has interpreted the right to privacy in the state constitution as encompassing abortion rights.
Effect of Supreme Court ruling: The U.S. Supreme Court's decision is not expected to immediately affect abortion rights in Alaska, given the existing precedent in the state.
What's next: Voters in the fall will be asked if they want to hold a constitutional convention, a question that comes up every 10 years. Many conservatives who want to overhaul how judges are selected and do away with the interpretation that the constitution's right to privacy clause allows for abortion rights see an opportunity in pushing for a convention. Recent efforts to advance a constitutional amendment through the Legislature have been unsuccessful.
Political control: Both legislative chambers are controlled by Republicans, who regularly pass abortion restrictions that for the past eight sessions have been quickly signed by Republican Gov. Doug Ducey, an abortion opponent.
Background: Arizona law allows abortion through about 22 weeks, but the Legislature passed a 15-week abortion ban in March mirroring the Mississippi law that was contested before the Supreme Court. It was to take effect 90 days after the Legislature adjourned on June 24. Current restrictions include bans on abortions because of gender and a 2021 law that makes it a felony for a doctor to terminate a pregnancy because the child has a survivable genetic abnormality. Arizona also has a pre-statehood law still on the books that would ban all abortions, although it has not been enforced since Roe was decided.
Effect of Supreme Court ruling: Ducey has argued in media interviews that the law he signed in late March takes precedence over the total ban that remains on the books. But the law he signed specifically says it does not overrule the total abortion ban in place for more than 100 years. Ducey is term-limited and leaves office in January. Abortion providers across the state stopped all procedures after the court ruled because of concerns that the pre-Roe ban could put doctors, nurses and other providers at risk of prosecution. Republican state Attorney General Mark Brnovich said on June 30 that the pre-statehood law could be enforced, putting him at odds with the Republican governor. Brnovich said he would seek to remove an injunction in place since shortly after 1973's Roe decision. Also on June 30, the U.S. Supreme Court allowed Arizona to enforce a ban on abortions done solely because the fetus has a genetic abnormality. A federal judge blocked that part of the 2021 Arizona law last year, saying it was unconstitutionally vague, but will now have to reconsider that decision. He's also being asked again to block a "personhood" provision that grants rights to eggs and fetuses, which medical providers worry could be used to bring various charges for harming an unborn child.
What's next: Abortion-rights supporters in Arizona have launched a long-shot bid to enshrine the right to abortion in the state constitution. Rolled out weeks after the draft U.S. Supreme Court decision showing Roe could be overturned was leaked, backers must collect more than 356,000 signatures by July 7 to get the initiative on the November ballot. Voters would then be able to decide.
Political control: Arkansas' legislature is controlled by Republicans who have supported dozens of abortion bans and restrictions in recent years. Republican Gov. Asa Hutchinson also has supported bans on abortion with some exceptions. He's term-limited and leaves office in January. Republican nominee Sarah Sanders, press secretary to former President Donald Trump, is widely favored in the November election to succeed him.
Background: Arkansas already had a law banning most abortions 20 weeks into a woman's pregnancy, with exceptions for rape, incest and the life of the mother. The state has several other bans that have been struck down or blocked by courts in recent years, including an outright abortion ban enacted last year that doesn't include rape or incest exceptions. That ban has been blocked by a federal judge, and the state has appealed.
Effect of Supreme Court ruling: Arkansas has a law it enacted in 2019 that bans nearly all abortions now that Roe is overturned. That ban, along with the outright ban that's been blocked by a federal judge, only allows exceptions to protect the life of the mother in a medical emergency. Hutchinson has said he thinks bans should include rape and incest exceptions, but he has not called on the Legislature to add those to either of the bans.
What's next: Hours after Friday's ruling, Attorney General Leslie Rutledge signed certification that Roe had been overturned. That certification allows the state's "trigger ban" to take effect immediately. The only exception in that ban is to protect the life of the mother in a medical emergency. The Legislature isn't scheduled to meet until January, but Hutchinson is considering calling a special session to take up tax relief proposals. The Republican governor said Friday he does not plan on asking lawmakers to consider adding rape and incest exceptions to the state's ban.
Political control: Democrats who support access to abortion control all statewide elected offices and have large majorities in the state Legislature.
Background: California outlawed abortion in 1850, except when the life of the mother was in danger. The law changed in 1967 to include abortions in the case of rape, incest or if a woman's mental health were in danger. In 1969, the California Supreme Court declared the state's original abortion law to be unconstitutional but left the 1967 law in place. In 1972, California voters added a "right to privacy" to the state constitution. Since then, the state Supreme Court has interpreted that "right to privacy" as a right to access abortion, allow minors to get an abortion without their parents' permission and use public funding for abortions in the state's Medicaid program. California now requires private health insurance plans to cover abortions and does not allow them to charge things such as co-pays or deductibles for the procedure.
Effect of Supreme Court ruling: Abortion will remain legal in California prior to the viability of a fetus. Democratic Gov. Gavin Newsom has vowed to make California a sanctuary for women who live in other states where abortion is outlawed or severely restricted. The number of women who travel to the state for abortions is expected to rise significantly.
What's next: The state Legislature is considering 13 bills that would strengthen or expand access to abortion. The bills are based on a report from the Future of Abortion Council, which Newsom formed last year to study reproductive rights in California. They include proposals that would help pay for women from other states to come to California for abortions, ban enforcement of out-of-state civil judgments on California abortion providers and volunteers, and increase the number of people who can offer abortions by authorizing some nurse practitioners to perform the procedure without the supervision of a doctor. Lawmakers also plan to put a constitutional amendment on the ballot in November that would explicitly guarantee the right to an abortion and contraceptives.
Political control: The Democrats who control the Colorado Legislature support access to abortion, as does the state's Democratic governor.
Background: A 1967 state law legalized abortion up to 16 weeks of pregnancy. Abortion has been accessible ever since, despite repeated legislative attempts and ballot initiatives to restrict or abolish the procedure. Colorado voters have consistently rejected such initiatives, the latest in 2020 that would have banned abortion during the third trimester of pregnancy. In 2022, Colorado Gov. Jared Polis signed a law placing the right to abortion in state statute. The law guarantees access to reproductive care before and after pregnancy and bans local governments from imposing their own restrictions. It also declares that fertilized eggs, embryos and fetuses have no independent rights. Abortion rights advocates plan a 2024 ballot initiative to add abortion rights to the state constitution and repeal a 1980s constitutional amendment that bans public funding for abortion.
Effect of Supreme Court ruling: The decision won't have any immediate impact on Colorado law -- but providers are preparing for a surge of out-of-state patients. Democratic House Majority Leader Daneya Esgar says lawmakers must consider how to invest in a health care workforce to ensure Colorado has the capacity to meet that anticipated demand. Colorado's health department reports there were 11,580 abortions in the state in 2021; of those 14% were for non-residents. More than 900 of those non-residents were from Texas, Wyoming and Nebraska.
What's next: It's impossible to predict how many more patients from states surrounding Colorado will potentially seek care now that Roe v. Wade has been overturned. But the Texas law could induce more people to come. Oklahoma now has an early pregnancy abortion ban; Utah and Wyoming have trigger laws banning abortion now Roe is overturned; the Kansas Constitution protects abortion rights, but Republican lawmakers placed on an August primary ballot an initiative to overturn it.
Political control: Democrats who control the Connecticut General Assembly support access to abortion, as does the state's Democratic governor.
Background: Connecticut passed a law in 1990 giving women the legal right to abortion. Having passed with strong bipartisan support, it was lauded at the time for being a rare compromise between abortion rights advocates and opponents. It affirmed a woman's unqualified right to an abortion "prior to viability of the fetus," as well as later-term abortions "necessary to preserve the life and health of the pregnant woman." It also repealed state laws predating Roe v. Wade that had made it a felony to have an abortion or to perform one and required that patients under 16 receive counseling about their options. This year, Gov. Ned Lamont signed legislation to protect medical providers and patients from out-of-state legal actions. The same law allows advanced practice registered nurses, nurse-midwives or physician assistants to perform aspiration abortions in the first 12 weeks of a pregnancy.
Effect of Supreme Court ruling: Connecticut Attorney General William Tong, a Democrat, has vowed to challenge any attempt to nullify Connecticut's abortion rights law. "Let's not mince words. They will come for us," Tong warned abortion rights supporters during a recent news conference. "We will fight that effort tooth-and-nail. Any court, any place, Connecticut will be there and will fight." The state is already involved in major abortion cases across the country. And while Connecticut is surrounded by mostly pro-abortion states, it's still bracing for out-of-state patients seeking abortions now that Roe has been overturned.
What's next: Connecticut's new law protecting abortion providers from other states' bans takes effect on July 1. It creates a legal cause of action for providers and others sued in another state, enabling them to recover certain legal costs. It also limits the governor's discretion to extradite someone accused of performing an abortion, as well as participation by Connecticut courts and agencies in those lawsuits. There's discussion of possibly amending the state's constitution to enshrine the right to abortion, making it more difficult to overturn, but that would be a multi-year process.
Political control: Democrats control the governor's office and both chambers of the legislature in Delaware and have taken several steps to ensure access to abortion.
Background: In 2017, Delaware became the first state following the election of President Donald Trump to codify the right to an abortion. A bill signed by Gov. John Carney, a Catholic, guarantees the unfettered right to an abortion before a fetus is deemed "viable." The law defines viability as the point in a pregnancy when, in a physician's "good faith medical judgment," there is a reasonable likelihood that the fetus can survive outside the uterus without the application of extraordinary medical measures. The law also allows abortion after fetal viability if, in a doctor's "good faith medical judgment," abortion is necessary for the protection of the woman's life or health, or if there is a reasonable likelihood that the fetus cannot survive without extraordinary medical measures. The law eliminated existing code restrictions on abortions, much of which had already been declared unenforceable by Delaware's attorney general in 1973 following the Supreme Court rulings in Roe v. Wade and Doe v. Bolton. In April of this year, Carney signed a bill allowing physician assistants and advanced practice registered nurses to prescribe abortion-inducing medications including mifepristone and misoprostol.
Effect of Supreme Court ruling: "In Delaware, the privacy protections of Roe v. Wade are codified in state law, guaranteeing residents have access to legal abortion services even if Roe were to be undone at the federal level," Democratic lawmakers noted earlier this month in unveiling legislation further broadening access to abortions. The bill, which is likely to pass before the end of June, allows physician assistants, certified nurse practitioners and nurse midwifes to perform abortions before viability. It also includes various legal protections for abortion providers and patients, including out-of-state residents receiving abortions in Delaware. Those provisions include protections from civil actions in other states relating to the termination of a pregnancy, and protecting individuals from extradition to other states for criminal charges related to terminating a pregnancy.
What's next: According to state health officials, 2,042 abortions were performed in Delaware in 2019, with 1,765 involving Delaware residents and 277 involving nonresidents. Delaware is not likely to see a huge influx of women traveling from out of state to get abortions if Roe v. Wade is overturned, given that neighboring Maryland and New Jersey also have liberal abortion-access laws. In neighboring Pennsylvania, where Republicans control both chambers of the Legislature, future abortion access could hinge on the outcome of this year's gubernatorial contest.
District of Columbia
Political control: The local government in the nation's capital is completely controlled by Democrats, with a Democratic mayor and the D.C. Council split between Democrats and nominal independent politicians, who are all, invariably, Democrats.
Background: Abortion is legal in the District of Columbia at all stages of pregnancy, a status that was upheld in the 1971 Supreme Court case United States v. Vuitch. However, the U.S. Congress has oversight power over D.C. laws and Congress has already banned the city from using local funds to pay for abortions for women on Medicaid.
Effect of Supreme Court ruling: Elected officials in Washington, D.C., fear Congress could move to restrict abortion access, particularly if Republicans recapture the House of Representatives in midterm elections later this year. President Joe Biden could theoretically veto such a move, but that protection is subject to political calculations and is not guaranteed.
What's next: Local officials have pledged defiance against any sort of Congressional move to restrict local abortion access. The D.C. Council is considering legislation that would declare Washington, D.C., a "sanctuary city" for those coming from states where abortion is banned. According to federal data, most of the women getting abortions in Washington already are coming from out of state. Those numbers could increase, particularly if new Republican Gov. Glenn Youngkin moves to restrict abortion access in neighboring Virginia.
Political control: Republicans control both chambers of the Florida Legislature and this year passed a ban on abortions after 15 weeks, which was signed into law by the state's Republican governor.
Background: Abortion was legal in Florida until the 24th week of pregnancy, though lawmakers have been tightening access in recent years with bills requiring a one-day waiting period and requiring parents of a pregnant minor to be notified before an abortion can be provided. This year, in anticipation of the U.S. Supreme Court ruling that overturned Roe v. Wade, the Legislature passed a ban on abortions after the 15th week, except to save the mother's life, prevent serious injury or if the fetus has a fatal abnormality. It does not allow for exemptions in cases where pregnancies were caused by rape or incest. Gov. Ron DeSantis called the legislation "the most significant protections for life that have been enacted in this state in a generation."
Effect of Supreme Court ruling: The decision places Florida's 15-week ban on firm legal ground, at least under federal law. However, the legislation is already being challenged in state court on arguments that it violates a guarantee of the right to privacy under the state constitution.
What's next: Florida's 15-week ban goes into effect on July 1, but challenges to that legislation are pending. Though only about 2% of Florida's abortions take place after 15th week, abortion rights advocates have expressed concern over declining access to the procedure not only for Floridians but for residents from nearby Southern states where restrictions have historically been stricter than in Florida.
Political control: Georgia has a Republican legislature and governor who support abortion restrictions, but all are up for election this November. Republicans are likely to retain legislative control, but there's a possibility a Democrat could become governor.
Background: Georgia lawmakers in 2019 passed a law by one vote that would ban most abortions after about six weeks of pregnancy, when fetal cardiac activity can be detected. The measure is unlike other so-called "heartbeat" bills in that it also contains language designating a fetus as a person for certain state-law purposes such as income tax deductions and child support. A federal judge quickly put the law on hold and in 2020 struck it down, saying it was unconstitutional. The state appealed to the 11th U.S. Circuit Court of Appeals. The 11th Circuit said it would wait to rule on the appeal pending a ruling by the U.S. Supreme Court in the Mississippi case.
Effect of Supreme Court ruling: The day the Supreme Court overturned Roe v. Wade, Georgia's attorney general asked the 11th Circuit to reverse the lower court's ruling and allow the state's abortion law to take effect. That same day, the 11th Circuit directed the parties to file briefs within three weeks addressing what effect, if any, the Supreme Court decision has on the Georgia appeal. If the law takes effect, it would ban the large majority of abortions that currently take place in Georgia – about 87%, according to providers. The change could happen in the middle of tightly contested races in Georgia for governor and U.S. Senate. Democratic U.S. Sen. Raphael Warnock and challenger for governor Stacey Abrams say they want to secure abortion rights. Republican Senate challenger Herschel Walker and incumbent Republican Gov. Brian Kemp support restrictions.
What's next: Some Republican lawmakers and candidates want Georgia to go further and ban abortion entirely, but Kemp is unlikely to call a special session before this November's general election. Lawmakers are likely to consider further action when they return for their annual session in January. The Legislature or courts will have to sort out whether the provisions designating a fetus as a person are workable.
Political control: Hawaii's governor is a Democrat and Democrats control more than 90% of the seats in the state House and Senate.
Background: Hawaii legalized abortion in 1970, when it became the first state in the nation to allow the procedure at a woman's request. The state allows abortion until a fetus would be viable outside the womb. After that, it's legal if a patient's life or health is in danger. For many years, only licensed physicians could perform the procedure. Last year, the state enacted a law allowing advanced practice care nurses to carry out in-clinic abortions during the first trimester. This helps women on more rural islands who have been flying to Honolulu to obtain abortions because of doctor shortages in their communities. The law allows the nurses to prescribe medication to end a pregnancy and to perform aspiration abortion, a type of minor surgery during which a vacuum is used to empty a woman's uterus.
Effect of Supreme Court ruling: Existing Hawaii law allows abortions, but Gary Yamashiroya, a spokesperson for the state attorney general's office, has said the attorney general was carefully considering measures Hawaii might take to protect and strengthen reproductive rights if Roe ended. "No matter the outcome, our state remains committed to reproductive freedom and choice," he said.
What's next: Political support for abortion rights is strong. Anti-abortion bills are rarely heard at the state Legislature. When they have been, they haven't made it out of committee. Gov. David Ige issued a statement supporting abortion rights when the Supreme Court's draft opinion overturning Roe leaked. "No matter what the Supreme Court decides, I will fight to ensure a woman's right to choose in the State of Hawaii," he said. The Hawaii State Commission on the Status of Women earlier this month said 72% of the state Senate and 53% of state House members signed a pledge supporting abortion rights.