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If Roe v. Wade is overturned, there鈥檚 no guarantee that people can get abortions in liberal states, either

If Roe v. Wade is overturned, there鈥檚 no guarantee that people can get abortions in liberal states, either

25 states aren鈥檛 expected to ban abortion if the Supreme Court overturns Roe v. Wade. But limits on abortion in these places, too, make it an uncertain refuge for people seeking abortions elsewhere


Liberal policymakers are quickly positioning their states as abortion havens after  of a U.S. Supreme Court opinion indicating that the court could overturn Roe v. Wade was made public on the evening of May 2, 2022.

Less than an hour after the leak was made public, California Governor Gavin Newsom announced a new state amendment that would legally protect the right to abortion.

鈥淲e can鈥檛 trust SCOTUS,鈥 Newsom , using shorthand for the Supreme Court, 鈥渢o protect the right to abortion, so we鈥檒l do it ourselves. Women will remain protected here.鈥

New York, Connecticut, Oregon and five other states have also proposed or passed new measures  that protect the right to an abortion.

If the landmark 1973 court ruling Roe v. Wade is overturned, abortion would no longer be a protected federal right, and states could individually ban or permit abortion.

However, as  who  and  policies affect people鈥檚 lives, we think it is important to understand that people from states that could ban abortion may not be able to easily get an abortion in more liberal places.

a medical staff looks at a schedule board at the Hope Medical Group for Women in Shreveport, Louisiana.

At the top of the page: Anti-abortion protesters use bullhorns to counter abortion rights advocates outside the Supreme Court on May 3, 2022 (Photo courtesy ). Above: After Texas enacted one of the most restrictive abortion laws in the nation in September 2021, Texas women began seeking abortions at the Hope Medical Group for Women in Shreveport, Louisiana, where a staffer looks at a schedule board on April 19, 2022 (Photo courtesy ).

Abortion laws in liberal states

Thirteen states  abortion if the Supreme Court overturns Roe v. Wade.

But in some of the 25 states that aren鈥檛 expected to ban abortion in this scenario,  that mandate minors involve their parents before they can get an abortion.

There are also laws that limit  and create bans on abortion after a certain point in pregnancy, as well as health  that won鈥檛 pay for one.

Colorado, for example, . But Colorado still has a , a ban on for an abortion, and does not require private insurers to cover abortion.

In March, California  that eliminates out-of-pocket abortion costs for anyone with health insurance. But California still  after fetal viability.

 shows that abortion restrictions like these policies can harm people who need abortions  and sometimes even  them from getting one.

Parental involvement

In 11 of the states that are unlikely to ban abortion, teenagers under the age of 18 are  that require them to notify or obtain consent from one or both parents before getting an abortion.

Most teenagers talk to their parents about , but those who don鈥檛 often feel they cannot for important reasons. They often  to their pregnancy and abortion, and can face physical or emotional abuse.

Some proponents believe parental involvement laws could lead to better care for a pregnant teen. But research shows that forcing young people to involve a parent generally , but instead puts teenagers at risk of harm.

States with parental involvement laws, including Colorado, Delaware and Maryland, allow young people who cannot involve a parent to go to court to request a judicial bypass from a judge.

 
We think it is important to understand that people from states that could ban abortion may not be able to easily get an abortion in more liberal places.鈥

Yet these judicial bypasses . Judges also sometimes  exemptions. In Texas, for example, judges denied .

It can also be  for young people who are pregnant to go before a judge to field personal questions about sex, contraception and their family lives.

Limits on abortion timing

Eighteen of the 25 states that are not expected to ban abortion now , typically in the second or third trimester.

There are  to these regulations if the life or health of the pregnant person is endangered.

Bans like these can  even if they do not want to, or if there is a medical concern that arises late in pregnancy, such as diagnosed fetal abnormalities.

Women who are denied abortion  than women who received desired abortions to suffer economically, stay with abusive partners and experience health problems during and after their pregnancies.

Some liberal states with policies like these in place, including California, Washington, Illinois and New York, are likely to experience an influx of people seeking an abortion if they no longer can get one in their home state.

These people will have had to , travel and wait for appointments because of increased demand. These factors can lead to needing an abortion , and ultimately becoming ineligible to get an abortion.

Maranda Corely, 19, sits in her bedroom with her three children in Ellisville, Mississipi.

Maranda Corely, 19, sits in her bedroom with her three children in Ellisville, Mississipi, in June 2012. Mississippi has one of the highest rates of teen pregnancy (Photo courtesy ).

Insurance limits

Paying out of pocket for an abortion, without health insurance coverage, can  in the first trimester, with costs rising as a pregnancy advances. A 2021 survey found that most people in the U.S. .

But 18 of the 25 states that are not expected to ban abortion if Roe v. Wade is overturned require people who need abortions to pay out of pocket for the procedure.

These states either allow private health insurance providers to exclude abortion from their covered services, or the states do not pay for abortion through Medicaid.

Paying out of pocket for an abortion can also lead people  getting one. These costs  and sometimes  people from getting abortions.

Workforce limitations

Abortion providers in states surrounding Texas haven鈥檛 been able to keep up with demand as  seek abortion services out of state.

This offers a preview of what is likely to occur in states where abortion remains legal once residents of the 25 states expected to ban abortion are forced to travel for care. In short, demand will outstrip supply.

There are eight states that are not expected to ban abortion but only allow physicians to provide all or some types of abortion. They may have difficulty meeting this expected increased demand if they do not allow nurse practitioners or midwives, for example, to also provide care.

Research has shown that these health providers are also trained to provide abortions and .

 to the pool of providers trained to provide abortions could be key in ensuring that there are enough health providers to meet the potential rising demand for abortions.

States that want to be havens for people who need abortions should critically consider their existing policies in light of their real-life impacts.


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