Between 2011 and 2013, politicians in 30 states enacted 205 abortion restrictions, ranging from outright and unconstitutional abortion bans to laws intended to make it impossible for providers to offer abortion. Last year alone, fifteen states adopted 26 new restrictions that limit or impede access to abortion, making it harder and sometimes impossible for women to exercise their constitutionally protected right to abortion. This wave of anti-abortion activity has dramatically changed the country’s landscape for women seeking an abortion. According to the Guttmacher Institute, in 2013, more than half the states had at least four abortion restrictions in effect
These multiple restrictions compound and, for many women, make it impossible to obtain an abortion. In Texas, for example, a woman seeking a medication abortion has to make four separate trips to the provider because of the restrictive laws that exist in that state. She is forced to undergo and view an ultrasound, listen to a description of the fetus' development, wait 24 hours, and then has to make two trips for medication abortion because Texas forces providers to use an outdated protocol rather than following current evidence-based medical practice. And this is if she can actually reach a provider - one out of six women in Texas will have to travel 150 miles or more to reach an abortion provider.
These laws impose unnecessary monetary costs. These costs are particularly devastating to low-income and poor women who already face significant barriers accessing care. The cost of the abortion itself can be prohibitive, especially when politicians force women to pay out of pocket by prohibiting insurance coverage of abortion. Then, women must arrange for and receive time off work, most likely without pay. They might have to pay for childcare, find a place to stay or make multiple roundtrips to distant clinics, and/or find reliable transportation. As one provider aptly noted, “[T]he vast majority of women can’t add those travel costs to the cost of an abortion or they can’t take off work.” These restrictions chip away at women’s right to abortion by creating so many barriers that abortion becomes unobtainable.