This graphic has been updated to reflect changes in the status of bills in Vermont, Tennessee, South Carolina and Alabama.

Alabama has created the nation’s strictest abortion ban, the latest attempt to prompt the Supreme Court to reconsider Roe v. Wade. Gov. Kay Ivey (R) signed the bill that makes performing virtually all abortions a crime.

Many other states have created new laws this year to limit abortion or even try to ban it altogether in the hope that the Supreme Court with President Trump’s two appointees will be more likely to approve them.

Most of the new restrictions are in the South and Midwest. In contrast, New York removed old restrictions and affirmed access to abortion. Vermont approved the first step to amend its constitution to protect abortion rights.

Abortion legislation

enacted or pending in 2019

Restrictions

Pending restrictions

Protections

Pending protections

VT

ND

NY

WI

SD

NV

OH

IN

UT

KY

MO

NC

AR

SC

AL

GA

MS

Abortion legislation enacted or pending in 2019

Pending protections

Restrictions

Pending restrictions

Protections

N.D.

Vt.

Wisc.

S.D.

N.Y.

Nev.

Ohio

Utah

Ind.

Mo.

Ky.

N.C.

Ark.

S.C.

Miss.

Ga.

Ala.

The new laws fit the trend over the past two decades of tightening restrictions where abortions were already most limited. That trend is increasing the gap between abortion rights in different regions of the country.

The map below depicts where abortion is currently most protected and restricted as measured by the Guttmacher Institute, a group working for abortion rights.

State abortion policy landscape

More protections

More restrictions

State abortion policy landscape

More protections

More restrictions

Wash.

Maine

N.D.

Mont.

Vt.

Minn.

Ore.

N.H.

Wis.

Mich.

N.Y.

Mass.

Idaho

S.D.

Wyo.

Conn.

—r.i.

Penn.

Iowa

N.J.

Neb.

Nev.

Ind.

Md.

Ohio

Del.

Ill.

Utah

Colo.

W.Va.

Calif.

Va.

Kan.

Mo.

Ky.

N.C.

Tenn.

Okla.

Ariz.

Ark.

S.C.

N.M.

Miss.

Ala.

Ga.

La.

Texas

Fla.

Alaska

Hawaii

State abortion policy landscape

More protections

More restrictions

Wash.

Maine

N.D.

Mont.

Vt.

Minn.

Ore.

N.H.

Wis.

Mass.

Idaho

S.D.

N.Y.

—r.i.

Wyo.

Mich.

Conn.

Penn.

Iowa

Neb.

N.J.

Nev.

Ind.

Md.

Ohio

Del.

Ill.

Utah

Colo.

W.Va.

Calif.

Va.

Kan.

Mo.

Ky.

N.C.

Tenn.

Okla.

Ariz.

Ark.

S.C.

N.M.

Miss.

Ala.

Ga.

La.

Texas

Fla.

Alaska

Hawaii

Each state’s rating is based on six key abortion restrictions and six protections for access.

A state with all the restrictions and no protections would have the highest restriction value. Seven states have that maximum level.

A state with all of the protections and no restrictions would have the highest protection rating. Only California has all six.

The differences have become more extreme over time. No state had all six protections or restrictions in 2000 or 2010.

State abortion policy since 2000

More protections

More restrictions

2000

2000

2000

2010

2010

2010

2019

2019

2019

Ariz.

Ill.

N.C.

Ark.

Maine

Penn.

Ind.

Mass.

Virg.

La.

Alaska

Wis.

Miss.

Hawaii

Ga.

Mo.

Mich.

Md.

S.D.

R.I.

Minn.

Ala.

W. Va.

Vt.

Ky.

Fla.

Conn.

N.D.

Idaho

Mont.

Ohio

Iowa

N.J.

Okla.

Kan.

N.M.

S.C.

Wyo.

N.Y.

Tenn.

Del.

Ore.

Texas

N.H.

Wash.

Utah

Colo.

Cal.

Neb.

Nev.

State abortion policy since 2000

More protections

More restrictions

Sorted by 2019 scores

Arizona

North Carolina

Illinois

Arkansas

Pennsylvania

Maine

Indiana

Virginia

Massachusetts

Louisiana

Wisconsin

Alaska

Mississippi

Georgia

Hawaii

Missouri

Michigan

Maryland

South Dakota

Rhode Island

Minnesota

Alabama

West Virginia

Vermont

Kentucky

Florida

Connecticut

North Dakota

Idaho

Montana

Ohio

Iowa

New Jersey

Oklahoma

Kansas

New Mexico

South Carolina

Wyoming

New York

Tennessee

Delaware

Oregon

Texas

New Hampshire

Washington

Utah

Colorado

California

Nevada

Nebraska

State abortion policy since 2000

More protections

More restrictions

Sorted by 2019 scores

2000

10

19

2000

10

19

2000

10

19

Arizona

North Carolina

Illinois

Arkansas

Pennsylvania

Maine

Indiana

Virginia

Massachusetts

Louisiana

Wisconsin

Hawaii

Mississippi

Georgia

Alaska

Michigan

Missouri

Maryland

Rhode Island

South Dakota

Minnesota

West Virginia

Alabama

Vermont

Florida

Kentucky

Connecticut

Idaho

North Dakota

Montana

Iowa

Ohio

New Jersey

Kansas

Oklahoma

New Mexico

Wyoming

South Carolina

New York

Delaware

Tennessee

Oregon

New Hampshire

Texas

Washington

Colorado

Utah

California

Nevada

Nebraska

State abortion policy since 2000

More protections

More restrictions

Sorted by 2019 scores

2000

10

19

2000

10

19

2000

10

19

Arizona

North Carolina

Illinois

Arkansas

Pennsylvania

Maine

Indiana

Virginia

Massachusetts

Louisiana

Wisconsin

Hawaii

Mississippi

Georgia

Alaska

Michigan

Missouri

Maryland

Rhode Island

South Dakota

Minnesota

West Virginia

Alabama

Vermont

Florida

Kentucky

Connecticut

Idaho

North Dakota

Montana

Iowa

Ohio

New Jersey

Kansas

Oklahoma

New Mexico

Wyoming

South Carolina

New York

Delaware

Tennessee

Oregon

New Hampshire

Texas

Washington

Colorado

Utah

California

Nevada

Nebraska

Going beyond those specific restrictions and protections, a total of 660 abortion limits or bans have been imposed since 2001 and 33 efforts to improve access.

Protections and restrictions

enacted by year

Protections

Restrictions

15

2001

10

’02

2

21

’03

12

’04

2

31

’05

10

’06

2

In 2011 there were 93

abortion restrictions

enacted in 24 states.

23

’07

4

11

’08

28

’09

36

’10

Indiana (9)

93

’11

Kansas (15)

43

’12

3

69

’13

26

4

’14

Arkansas (16)

57

’15

3

50

’16

63

’17

13

23

’18

5

Oklahoma (15)

39

’19

5

Protections and restrictions enacted by year

Delaware (6)

Protections

2

2

2

4

3

4

3

13

5

5

2001

’02

’03

’04

’05

’06

’07

’08

’09

’10

’11

’12

’13

’14

’15

’16

’17

’18

’19

15

10

21

12

31

10

23

11

28

36

93

43

69

26

57

50

63

23

39

Restrictions

Oklahoma (15)

Arkansas (16)

Indiana (9)

In 2011 there were 93 abortion

restrictions enacted in 24 states.

Kansas (15)

Protections and restrictions enacted by year

Delaware (6)

Protections

2

2

2

4

3

4

3

13

5

5

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

2015

2016

2017

2018

2019

15

10

21

12

31

10

23

11

28

36

93

43

69

26

57

50

63

23

39

Restrictions

Oklahoma (15)

Arkansas (16)

Indiana (9)

In 2011 there were 93 abortion

restrictions enacted in 24 states.

Kansas (15)

Many states have sought to overturn the national protection of abortion established by the Supreme Court more than 45 years ago in Roe v. Wade. Those states have enacted bans on many or most abortions. Supreme Court blessing of a ban would overturn the Roe standard. So far, all of those laws have been blocked by the courts on grounds that they are unconstitutional.

At the supreme court

On the docket

No cases

Fully litigated, lower court rulings upheld

if SCOTUS does not take case

Stay issued by lower courts,

could be sent back for litigation

Indiana reasons and burial

Indiana waiting period

may reach the supreme court

Kentucky six-week ban

Mississippi 15-week ban

Cases pending in lower courts

Georgia six-week ban

Mississippi six-week ban

Not yet in court

At the supreme court

may reach the supreme court

On the docket

Cases pending in lower courts

Fully litigated, lower court rulings upheld

if SCOTUS does not take case

Not yet in court

Stay issued by lower courts,

could be sent back for litigation

Louisiana hospital privileges

A Louisiana law requires abortion providers to have hospital admitting privileges. The law resembles a Texas law struck down by Supreme Court in 2016. The court voted 5-4 in February to impose an emergency block on this law so there is a fair chance the court will take the case. The law had been upheld by an appeals court, so if the Supreme Court does not take it the restriction would go into effect.

Alabama procedure

Alabama banned the type of procedure most often used in cases after about 15 weeks of pregnancy. A trial court and appeals court ruled the ban unconstitutional. The state has appealed to the Supreme Court.

Indiana reasons and burial

An Indiana law forbids abortion for some reasons, such as because of a potential disability. Another law requires fetal tissue to be buried or cremated. An appeals court said both were unconstitutional. The state is asking the Supreme Court to uphold the laws.

Indiana waiting period

In another case stemming from Indiana, a law requires an ultrasound 18 hours before the abortion procedure, essentially requiring a two-day process. The case that stemmed from it was blocked by an appeals court. The state is seeking to let the law go into effect while objections are litigated.

Mississippi 15-week ban

Last year, Mississippi banned all abortions after 15 weeks of pregnancy. A federal court ruled the ban unconstitutional. The state appealed to the Circuit Court. A decision there could be appealed to the Supreme Court.

Kentucky six-week ban

A 2019 Kentucky law that would ban abortions after six weeks of pregnancy was blocked in the courts. The case has not yet been appealed.

Bans passed this year

Several states have passed new bans or restrictions this year, including Georgia and Mississippi bans on abortions after six weeks. Alabama passed a ban on almost all abortions. Those cases have not yet gone to court.

Sources: Guttmacher Institute, ACLU Reproductive Freedom project, Center for Reproductive Rights, Americans United for Life, NARAL Pro-Choice America

About this story: For the assessment of abortion access state-by-state by the Guttmacher Institute, the six key restrictions include bans on many or most abortions, required counseling or waiting periods, restriction on Medicaid funding, prohibition of telemedicine for administering an abortion pill, required parental involvement for patients younger than 18 and specific restrictions on abortion clinics.

The protections include support in the state constitution, legal standards protecting access, Medicaid coverage, permission for physician assistant or other providers, required private insurance coverage and protection for clinics.

For 2019 law changes on abortion restrictions or protections, bills were filed in many more state legislatures. The designation of “pending” refers to states that have passed bills out of at least one chamber. The restrictions include bans, partial bans restrictions, but not “trigger” laws that go into effect only if Roe v. Wade is overturned.