U.S. State Advocacy

The Center works in U.S. states to implement reproductive rights policy initiatives and strategies that improve access to abortion care and prevent restrictions.


In the U.S., anti-abortion lawmakers have enacted nearly 500 state laws restricting abortion access over the past decade, leaving 90% of counties without a single abortion provider. Such restrictions disproportionately affect Black, Indigenous, and people of color, young people, people with disabilities, and those with low incomes or living in rural areas.   

In the states, the Center helps advance proactive laws and policies that expand access to abortion care, improve maternal health outcomes, and enhance access to assisted reproduction with in vitro fertilization (IVF) and other reproductive care. The Center supports state-level coalitions and works in partnership to defeat policies restricting access to reproductive health care, including abortion. In all 50 states, the Center’s State Policy and Advocacy Team tracks and analyzes abortion legislation, including bans, TRAP laws, waiting periods, method and reason bans, insurance coverage limits, and many others.  

The policy and advocacy team provides technical assistance such as legislative testimony, messaging, and strategy guidance to legislators, independent abortion providers, independent advocacy organizations, researchers, and other valuable stakeholders.  

The Center’s signature event, the State Leadership Summit, convenes state advocates, legislators and other leaders to share information, strategize, and build skills to promote proactive state policies to improve abortion access and maternal health outcomes. 

Key Facts

1 in 4

Women in the U.S. will end a pregnancy in her lifetime.


States are hostile to abortion rights.


Black and Indigenous women are three times more likely than white women in the U.S. to die from pregnancy-related complications


Explore highlights of the Center’s policy and advocacy work in U.S. states.

Analysis of state abortion laws showing the impact if Roe v. Wade were to be weakened or overturned.

Year-end report on state abortion laws enacted during the year.

Fact sheet on how state COVID-19 orders can impact abortion access.

More Highlights

Evaluating Priorities card link

Evaluating Priorities

An online tool comparing states’ anti-abortion policies with policies supportive of families’ overall health and well-being. Learn more.

North Carolina’s “RBG Act” Would Remove State Barriers to Abortion Care card link

North Carolina’s “RBG Act” Would Remove State Barriers to Abortion Care

The new law, called the Removing Barriers to Gain Access to Abortion Act (“RBG Act”) in honor of Justice Ruth Bader Ginsburg, was introduced in North Carolina that would eliminate medically unnecessary and arbitrary restrictions on abortion care. Read more.

State Leadership Summit card link

State Leadership Summit

These semi-annual meetings bring together state leaders to share information and strategize on pro-reproductive health policies. Here’s a wrap-up of the 2019 event.  Learn more.

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