Young people should have access to comprehensive sexual and reproductive health information that is medically accurate, LGBTQ+ inclusive, and culturally and age appropriate.

Yet just 38 US states and DC require sex education to be taught in schools. Even fewer require instruction on key topics such as contraception and consent or convey medically accurate information.

The federal government spends up to $110 million per year on misleading and harmful abstinence-only-until-marriage programs that deny young people necessary and even lifesaving information about their own bodies, reproductive health and sexuality.

Policymakers must eliminate funding for abstinence-only programs and strengthen evidence-based initiatives like the Teen Pregnancy Prevention and Personal Responsibility Education programs that give young people the accurate information they need.

Learn more in our fact sheet at the link in bio.

#SexEdForAll

Image description: White and green text on a violet background says, Sex education supports young people’s health, well-being and ability to make informed decisions. But only 38 states and DC require it in schools. Everyone deserves comprehensive sex education.

The Missouri Supreme Court just ordered a lower court to reconsider rulings in two cases that allowed abortion care to resume earlier this year. As of now, the state’s total abortion ban is back in effect, along with harsh restrictions like mandatory waiting periods, biased counseling, and TRAP laws that make it hard for clinics to stay open.

This follows a November 2024 vote where Missourians enshrined the right to reproductive freedom in their state constitution.

Litigation in these cases is ongoing, and we expect the status of the total ban and other restrictions to change quickly.

Our interactive map is up to date: Missouri has moved from “Some Restrictions / Some Protections” to “Most Restrictive.”

Tap the link in bio to view abortion policies in effect in every US state.

#AbortionAccess

Image description: Map of United States with color-coding to show how each state is categorized by abortion policies, ranging from most restrictive to most protective. White text on a blue bar at the top says Abortion policies in effect as of May 28, 2025.

#May28 is International Day of Action for Women’s Health, a reminder that health is shaped by more than just access to care.

Our new research shows that undesired pregnancy rates are lower where women have greater education and economic resources.

But access to basic rights remains deeply unequal, and threats to reproductive freedom continue to grow around the world.

This day is a call to action to advocate for systems that enable everyone to make informed decisions about their health and future.

Read the article at the link in our bio.

Image description: White text on a lilac background says, Gender equality is key to reproductive agency & bodily autonomy. Lime text highlights: new research shows higher education levels, income and life expectancy for women are linked to lower undesired pregnancy rates.

Legislation by anti-abortion lawmakers aims to shutter Planned Parenthood health centers by excluding them from public funding streams, including Medicaid. Supporters of these measures claim that federally qualified health centers (FQHCs) could readily step in to replace Planned Parenthood’s provider network. However, our research shows that it is unrealistic to expect FQHCs to serve the millions of people who currently rely on Planned Parenthood for high-quality contraceptive care.

Planned Parenthood and Medicaid are crucial to ensure that those who need essential health care can get it. We urge the Senate to reject all measures that erode our bodily autonomy and access to essential health care.

Learn more at the link in bio.

・・・

#Repost @plannedparenthoodutah

・・・

Republicans in Congress are attacking Planned Parenthood and Medicaid.

Millions of patients may no longer be able to afford pregnancy and postpartum care, lifesaving cancer screenings, STI testing, and birth control.

Image description: Pink, blue and white polka dot graphic that says "Planned Parenthood health centers + Medicaid = access to care for MILLIONS.”

The US House of Representatives just passed a reconciliation bill that would "defund" Planned Parenthood and gut Medicaid.

This reckless and dangerous bill also bans Medicaid coverage of trans health care for patients of all ages and aims to eliminate abortion coverage in ACA marketplace plans.

As conservative lawmakers work to demolish critical programs like Medicaid in favor of tax cuts for the wealthy, the lives and well-being of millions of people hang in the balance.

Tap the link in bio to learn more.

#PlannedParenthood #ProtectMedicaid

Image description: A tweet screenshot on a navy blue background with text about the passage of a US House reconciliation bill, as described in the caption.

As we celebrate Mother’s Day, let’s recognize the critical role Medicaid plays in supporting maternal health and advancing equitable access to care for millions of women and families across the United States.

Medicaid is a major source of health coverage in the US. It advances health equity by ensuring that people living with low incomes can get the care they need.

In 2023, 16.2 million women aged 15-49 were insured by this vital program, accounting for 21.4% of all US women of reproductive age.

Medicaid also covers essential sexual and reproductive health services, eliminating what might otherwise be significant cost barriers to care. For example, pregnant people enrolled in Medicaid receive coverage for prenatal care, birth and at least some post-natal care.

All parents and caregivers deserve access to high-quality SRH care, regardless of where they live or their socioeconomic status.

#MothersDay #ProtectMedicaid

Image description: An image with white and navy blue text on a violet background says, Medicaid covered 16.2 million US women aged 15-49 in 2023. A second image says, All mothers deserve access to high-quality sexual & reproductive health care.

It’s Free The Pill Day! One year ago, the first over-the-counter birth control pill—Opill—became available across the US. This was a landmark achievement for reproductive freedom thanks to 20 years of work from Free The Pill coalition members and many others.

Bringing Opill over the counter has been an important part of efforts to increase contraceptive access for marginalized communities, including Black, Brown and Indigenous people; people living with low incomes; young people; LGBTQ+ folks; people with disabilities; immigrants and more.

But the work isn’t over yet. We must keep fighting to ensure that Opill is accessible. That means fully covered by insurance, with low and no-cost options, and stocked nationwide without barriers.

Everyone deserves affordable access to the contraceptive method that works best for them. Follow @free_the_pill and check out the link in bio to learn more!

#FreeThePill

Image description: White and green text on a navy blue background says, One year ago, the first over-the-counter birth control pill became available in the US. Birth control is basic health care, and it should be easy to access. The hashtag #FreeThePill appears in a green box at the bottom.

It’s Sex Ed For All Month!

All young people have a right to the information, skills and services they need to protect their health and well-being. They deserve age-appropriate and medically accurate info, plus answers to their questions about sex and relationships—all free of shame and stigma.

The research is clear that sex ed works and young people demand it. It’s time to make sex ed for all a reality.

Learn more at the link in bio! 📣

#SexEdForAll

Image description: Graphic with colorful text repeating the phrase, "Sex Ed for All."

The suspension of Title X funding has completely eliminated care provided by this vital program in 7 US states and partially eliminated care in an additional 15 states.

If this withholding of funds becomes permanent, more than 800,000 patients nationwide will lose access to Title X-supported care over the course of a year.

Learn more about the harm of suspending Title X funding at the link in bio.

#TitleX

Image description: Map of United States with color-coding to show which states have lost Title X funding. White text on a blue bar at the top says, States that have lost all or partial Title X funding as of April 8, 2025.

Today marks 100 days since the Trump administration took office, and it has already unleashed a relentless attack on reproductive freedom, endangering lives and rights around the world.

In the first few months of his second term, President Trump swiftly removed Biden-era protections for reproductive rights, issued guidance to reinstate the global gag rule, terminated all US family planning grants, slashed funding to Title X, and more.

In a new policy analysis, Guttmacher experts break down several ways the administration has undermined reproductive freedom in just 100 days.

Head to the link in bio to learn more.

#ReproductiveRights

Image description: Graphic with black text on a bright yellow background that reads, The Trump administration has been in office for 100 days and the impact on SRHR has been devastating.

On April 21, a judge in Wyoming issued a preliminary injunction to block two restrictions that targeted the state’s only procedural abortion clinic and forced it to stop providing care.

Now that these restrictions are blocked, Wyoming’s only procedural abortion clinic @wellspringhealthaccess can resume providing care.

A decision from the state Supreme Court on whether or not these restrictions can be enforced is expected at a later date.

Our interactive map is up to date, and Wyoming remains “Restrictive.”

Check out the link in our bio to explore the abortion policies in effect in every US state.

#AbortionAccess

Image description: Map of United States with color-coding to show how each state is categorized by abortion policies, ranging from most restrictive to most protective. White text on a blue bar at the top says Abortion policies in effect as of April 21, 2025.

Title X was specifically designed to address disparities in access to sexual and reproductive health care and to promote health equity.

This includes serving people living with low incomes, Black, Latinx and other marginalized communities who already encounter systemic barriers to health care.

The suspension of Title X funds will disproportionately impact the very same communities.

Several of the Title X grantees that lost funding are @plannedparenthood affiliates across the nation. It’s clear the anti-abortion movement is once again targeting this critical provider of comprehensive sexual and reproductive health care.

This is unacceptable.

Guttmacher stands with Planned Parenthood because we believe that birth control, STI testing and treatment, and cancer screenings should be accessible for all.

Tap the link in bio for more info.

#TitleX

Image description: Violet text on a white background says, The Title X funding suspension could impact 30% of the patients served by this critical program each year. Consequences of these cuts for more than 800,000 Title X patients are listed in black text.

We are thrilled to announce that Dr. Elizabeth Sully has been appointed Director of International Research at the Guttmacher Institute.

Dr. Sully is a widely respected leader with an outstanding track record of producing innovative and high-impact research in service of evidence-based policies in sexual and reproductive health and rights. Congratulations, Dr. Sully!

Read the full announcement at the link in our bio.

Image description: Dr. Elizabeth Sully speaking at a podium displaying the Guttmacher logo

We’re participating in Black Maternal Health Week led by @blackmamasmatter!

This week will put a spotlight on the reproductive injustices and health inequities that have disproportionately affected Black women and pregnant people in the US. It will also explore the critical role of Black-led organizations and communities in shaping policies that center Black families.

It is essential to continue highlighting the realities and needs of Black women and to advance policies that ensure they have the rights, respect and resources to thrive throughout their lives.

Learn more about advancing maternal health, rights and justice at the link in bio.

#BMHW25 #BlackMamasMatter

Image description: A tweet screenshot on a violet background says, Black women & pregnant people deserve access to full-spectrum pregnancy, family planning & abortion care—without coercive restrictions or other barriers.

A bill moving through the Texas legislature (SB31) would further erode abortion access in the state if allowed to go into effect.

This bill claims to “clarify” exceptions to the state’s total abortion ban, but it could expand the state’s power to prosecute anyone who helps someone get an abortion—including support organizations like abortion funds and possibly even patients.

The current total ban is forcing people to leave their home state for basic abortion care. Guttmacher data show that over 34,000 Texans were forced to travel out of state for an abortion in 2023.

Texans deserve access to abortion care in their communities. This bill is a deceptive measure that would allow for the possible criminalization of patients and support organizations.

Learn more about the bill at the link in bio.

#AbortionIsEssential

Image description: White and green text on a violet background quotes Guttmacher’s Principal State Policy Advisor Kimya Forouzan that says, "Texas bill SB31 is another attempt by anti-abortion policymakers to disguise harmful restrictions as something seemingly benign.” Additional text elaborates on the bill’s harms, including criminalizing abortion patients and support organizations.

On #WorldHealthDay this year, more women and newborns are at risk of preventable deaths than last year, due to US cuts to foreign aid.

Our estimates show that in low- and middle-income countries, meeting all needs for sexual & reproductive health care in one year could prevent 76 million unintended pregnancies and 26 million unsafe abortions, resulting in 186,000 fewer maternal deaths and 1.7 million fewer newborn deaths from averting complications in pregnancy and childbirth.

Investing in sexual and reproductive health care, including critical family planning services, contributes to #HealthForAll. Use our online calculator to explore the impact of investing in family planning, at the link in our bio.

Image description: White text against a navy background highlights three key global health benefits of investing in access to family planning services. The benefits include fewer complications in pregnancy, fewer preventable maternal deaths and healthier families.

Reproductive freedom should be a right for all people.


Image description: Black text on a green background says, We're fighting so that everyone can get essential care in their communities, when they need it & on their own terms.

This moment is a turning point. The actions of the Trump administration are reversing hard-won progress on sexual & reproductive health & rights, public health, gender equality and economic development.

Read more in our new commentary in @thelancetgroup, at the link in our bio.

Image description: Blue and violet text on a white background quotes a new comment authored by Guttmacher experts, published in The Lancet, entitled “Protecting Global SRHR in the Face of Retrograde US Policies and Positions”.

This morning, the US Supreme Court will hear oral arguments in Medina v. Planned Parenthood South Atlantic, the case challenging South Carolina’s efforts to block people enrolled in Medicaid from accessing health care at Planned Parenthood clinics.

Our Co-President & CEO, Destiny Lopez, says it best: Everyone should have the freedom to access high-quality, affordable health care from the provider of their choosing.

Head to the link in bio to learn more about this case.

#PlannedParenthood #ReproductiveRights #BodilyAutonomy

Image description: Dark blue text on a violet background shows a quote from Destiny Lopez, Guttmacher Co-President & CEO that reads: “The anti-abortion movement is once again seeking to control people’s bodily autonomy by attempting to dictate which providers you can and can’t see. Everyone should have the freedom to access high-quality, affordable health care from the provider of their choosing—and the Supreme Court must affirm this critical protection within the Medicaid program.”

The Supreme Court will soon rule in the case US v. Skrmetti and the decision could undermine essential trans health care for young people nationwide.

Guttmacher data show that young people and LGBTQ people already face unique obstacles when seeking sexual and reproductive health care, including abortion. Many of these barriers, such as a lack of financial resources or transportation, extend to gender-affirming care as well.

Young trans people deserve to have their health needs recognized and met. We must keep fighting to ensure access to essential care for all trans youth.

Learn more from @aclu_nationwide at the link in bio.

#TransVisibility

Image description: A tweet screenshot on a violet background says Transgender youth deserve access to essential health services, including gender-affirming care & abortion.

On April 2, the US Supreme Court will hear oral arguments in a case challenging South Carolina’s efforts to block people enrolled in Medicaid from accessing health care at Planned Parenthood clinics .

Our new analysis highlights the vital role Planned Parenthood health centers play in providing reproductive health care and why this case is an attack on people with low incomes.

Head to the link in bio to read the full piece.

#PlannedParenthood #Medicaid #ReproductiveRights

Image description:

A speech bubble with a quote from Guttmacher Director of Federal Policy, Amy Friedrich-Karnik, that reads: “While anti-abortion advocates will try to frame this case in terms of withholding taxpayer dollars from abortion providers, the reality is that the South Carolina policy denies patients access to high-quality care from the providers they trust—all in the name of ideology.”

Fifteen years ago today, the Affordable Care Act was signed into law. Since then, it has improved the health and economic well-being of millions of people across the US in several ways.

Major expansions to Medicaid under the ACA have dramatically reduced uninsured rates among women of reproductive age and increased access to sexual and reproductive health care. Medicaid's robust coverage of contraceptive care is vitally important for marginalized communities nationwide, including people living with low incomes, Black, Brown and other people of color and more.

In addition, the ACA’s contraceptive coverage guarantee requires most private health insurance plans to cover the full range of contraceptive methods, services and counseling without out-of-pocket costs for patients.

This has allowed millions of people to access their birth control method of choice, plan their families and protect their health and well-being! Learn more at the link in our bio.

By expanding access to essential health care, both the contraceptive coverage guarantee and Medicaid have become crucial to reproductive autonomy. Policymakers must take action NOW to uphold the ACA and strengthen its protections.

#AffordableCareAct

Image description: White and green text on purple background says, Everyone deserves contraception without barriers. Blue text says 15 years of the Affordable Care Act.

Everyone deserves access to the full spectrum of reproductive health care, including abortion. Period.

#ReproRights101

Image description: Purple and black text defines comprehensive abortion care as 'services that ensure safe abortion and postabortion care, including counseling, abortion management, postabortion contraceptive services, and connection to other sexual & reproductive healthcare.

LGBTQ+ health and reproductive health care are inextricably linked—both involve individuals’ autonomy in decisions about their lives, bodies and well-being.

LGBTQ+ people deserve inclusive and culturally competent health services, including contraception, abortion and trans health care.

During National LGBTQ Health Awareness Week and every day, we must keep working to ensure tailored and lifesaving reproductive health care for all LGBTQ+ people.

#LGBTQHealth #HealthEquityNow @health_lgbtq

Image description: White text on a rainbow gradient background says, All LGBTQ+ people deserve high-quality sexual & reproductive health care that is affirming & affordable.

The consequences of the Trump administration’s foreign aid shutdown are devastating. Removing US funding for contraception for millions of people could result in 34,000 more maternal deaths in just one year.

📢 Our new op-ed for @ms_magazine explains and calls on policymakers to act. → link in bio

Image description: Blue and violet text on a white background quotes a new editorial published in Ms. Magazine, entitled “Foreign Aid Cuts Will Lead to 34,000 More Pregnancy-Related Deaths in Just One Year”. The article’s authors are Dr. Elizabeth Sully and Amy Friedrich-Karnik, of the Guttmacher Institute.

Medication abortion is a critical part of abortion care provision across the US.

So it’s not surprising that anti-abortion policymakers are using every lever of government to target access to and availability of this safe and effective method.

At the federal level, anti-abortion activists have advocated for rescinding FDA approval of mifepristone and enforcing the antiquated Comstock Act. At the state level, several lawmakers have enacted bans on providing medication abortion via telemedicine and imposed other restrictions that make it harder to get care.

These attacks are grounded in fearmongering and disinformation, not evidence, and they may jeopardize access for all people—even those living in states where abortion is legal.

Everyone deserves access to medication abortion. Lawmakers must protect and expand this access, so that all people can get and use their preferred method of abortion with safety and dignity.

Read our new policy analysis at the link in bio.

#MedicationAbortion

Image Description: White text on a violet background says, It is critical that courts and regulatory agencies follow the science and safeguard mifepristone from political meddling. This quote is by Amy Friedrich-Karnik, Director of Federal Policy at the Guttmacher Institute.

Last month, the Governor of Wyoming signed into law medically unnecessary and burdensome requirements, targeting the only procedural abortion clinic in the state, @wellspringhealthaccess. These restrictions are known as targeted regulation of abortion providers, or TRAP laws. Including Wyoming, 24 states have TRAP laws in effect.

The state also enacted a restriction that requires medication abortion patients to undergo an ultrasound at least 48 hours before their abortion. This will force patients to travel even longer distances for basic reproductive health care, if they can even access abortion in the state anymore.

Wellspring’s clinic has been forced to stop providing procedural abortions and has also paused offering medication abortion.

In other news, an Arizona state court permanently blocked the state's 15-week abortion ban, which was not being enforced following the state's 2024 constitutional amendment and a stipulation from the state’s AG. Congrats to Arizonians who fought hard to protect abortion access in the state!

Our interactive map is up to date with both states remaining in the “Restrictive” category.

Explore all abortion policies currently in effect in US states at the link in our bio.

#AbortionAccess

Image description: Map of United States with color-coding to show how each state is categorized by abortion policies, ranging from most restrictive to most protective. White text on a blue bar at the top says Abortion policies in effect as of March 10, 2025.

Medication abortion accounted for the majority of abortions provided in nearly all US states without total abortion bans in 2023. This ranged from 95% in Wyoming and 84% in Montana to 44% in Washington, DC and 46% in Ohio.

These new estimates from our Monthly Abortion Provision Study expand on Guttmacher’s previous finding that 63% of all US clinician-provided abortions in 2023 were medication abortions.

The latest data are striking because the differences between states aren't based on any single characteristic.

For instance, Wyoming, a large and rural state with low population density and restrictive abortion policies, had a very high proportion of medication abortion. On the other hand, medication abortion use was also high in Delaware (77%), which has high population and clinic density as well as protective abortion policies.

As researcher Isabel DoCampo explains, these findings underscore that medication abortion is widely used across the country. No matter where someone lives, everyone deserves access to their preferred method of care, including abortion pills.

Learn more at the link in bio.

#MedicationAbortion

Image description: On a violet background, a navy blue shape with white text says, People across the United States rely on abortion pills to access essential reproductive health care. This quote is by Isabel DoCampo, a Senior Research Associate at the Guttmacher Institute.

Today is Abortion Provider Appreciation Day!

Abortion providers are essential to protecting reproductive freedom in the US. Their role is especially critical as attacks on abortion access have escalated since the Dobbs decision and new threats are emerging under this administration.

Providers nationwide go above and beyond to ensure that patients can make health care decisions with dignity and autonomy. In the face of coercive policies, stigma and threats, providers still show up to give compassionate and empathetic care.

Guttmacher's data show that many patients are being forced to travel longer distances for care due to abortion bans and restrictions. Policymakers must step up to support abortion providers in local communities, including by ensuring financial support for clinics.

We stand with abortion providers today and every day.

To learn more, follow @abortioncarenetwork and @keepourclinics!

#CelebrateAbortionProviders

Image description: Blue and violet text on a white background says, Providing abortion care means fighting for reproductive freedom every day. Blue text at the bottom says, Celebrate Abortion Providers.

#ForAllWomenAndGirls, access to sexual and reproductive health care supports their ability to determine their own futures.

We know this from the gains achieved in the last 30 years. Progress for all must continue in the next generation. #Beijing30

Image description: White and lime text against a navy background says “The right to sexual and reproductive health is core to advancing the rights of all women. # International Women’s Day”.

We are thrilled to announce that Dr. Onikepe Owolabi has been appointed as Vice President for International Research at the Guttmacher Institute.

In this role, Dr. Owolabi will lead the Institute’s globally recognized team of scientists as they conduct rigorous, innovative and timely research to advance sexual and reproductive health and rights worldwide.

Congratulations Dr. Owolabi!

Read the news release at the link in our bio.

Image description: Portrait of Dr. Onikepe Owolabi wearing a striped shirt, set against a blue background, with the Guttmacher Institute logo at the bottom.

President Trump's first administration targeted Title X—a federal program that provides contraception, STI testing and treatment, and preventive health care to underserved populations across the US.

But this vital program also faces chronic threats like underfunding that undercut its mission.

With the Trump administration likely to take aim at Title X again, policymakers must address funding challenges and protect the program from further attacks.

Tap the link in bio for our fact sheet outlining steps policymakers can take to secure Title X.

#TitleX

Image description: A white tweet screenshot on a violet background says Title X is a critical federal program. Chronic underfunding and threats like the domestic gag rule hurt its mission of providing contraception and preventive health care to underserved groups.

Abortion access for everyone, everywhere.

#ReproRights101

Image description: White background with "abortion decriminalization" in purple and the definition in black text "the removal of criminal penalties for those who seek, provide or aid in abortion care." Green circle in the top right corner with blue text "repro rights 101."

Just last week, a Missouri judge temporarily blocked licensing regulations that made it difficult, if not impossible, for abortion clinics in the state to provide care.

With these restrictions blocked, abortion care can resume in the state for the first time since Roe was overturned, nearly three years ago.

Our map is up to date with Missouri’s category shifting from “Restrictive” to “Some Restrictions/Protections.”

Explore all abortion policies currently in effect in US states at the link in our bio.

#AbortionAccess #Missouri

Image description: Map of United States with color-coding to show how each state is categorized by abortion policies, ranging from most restrictive to most protective. White text on a blue bar at the top says Abortion policies in effect as of February 19, 2025.

Sign up for our newsletter, A Matter of Facts, and get access to our newest publications, resources and exclusive insights into the latest research and policies shaping reproductive health and rights!

Subscribe now at the link in our bio or visit guttmacher.org/updates 🔗📧

Image description: Blue background with text that reads "get the latest in reproductive health and rights - Matter of Facts - Sign up for our newsletter at guttmacher.org/updates.

Medication abortion is safe, effective, essential and must be available to all.

Alt text: The phrase 'medication abortion' is in purple, followed by black text: 'A safe and effective way to end a pregnancy using pills. Common regimens include the combined use of mifepristone and misoprostol, or misoprostol alone.'

#MedicationAbortion #ReproRights101

Thank you to @iwpresearch for having us at the first Federal Policy Agenda, where our Co-President and CEO, Destiny Lopez, joined a powerful discussion on bold federal policy solutions for women and families.

We are grateful to participate in this conversation and to work together toward a more equitable future.

Alt text: “Group of eight individuals smiling, standing in front of a banner that reads "Institute for Women's Research."

#FederalPolicy #ReproductiveRights #Equity

Our interactive map includes a new protective category after an update to our methodology. Now, you can see states whose shield law protections extend to telehealth.

This policy aims to protect abortion providers from legal action—no matter where their patients are located.

-8 states (CA, CO, MA, ME, NY, RI, VT, WA) have this protection.

-As a result, CA, RI & WA have moved up in our protection rankings!

-We also reviewed our category around data privacy protections for patients seeking repro health care and Virginia has also moved up!

Explore abortion policies in every US state and see the full methodology at the link in bio.

#AbortionIsEssential

Image Description: Map of the US with color-coding to show how each state is categorized by abortion policies, ranging from most restrictive to most protective. White text on a blue bar at the top says Abortion policies in effect as of February 5, 2025.

President Trump has unleashed several executive actions targeting trans rights and health care.

These moves send a clear message: the US government is doubling down on restricting trans rights and access to basic health care. These orders aim to intimidate trans youth, their families and providers of gender-affirming care.

If allowed to stand, the orders could:

-Restrict access to gender-affirming care for transgender young people

-Erase recognition of diverse gender identities

-Bar trans people from military service

Trans youth are already facing bans on gender-affirming care in 26 states. Now, the federal government is escalating its attacks. Organizations are fighting back against these harmful executive orders, but we know that they are causing chaos, confusion and fear and already impacting trans people’s access to health care.

These policies are an affront to our rights, values and evidence-based health care.

Trans people deserve access to the health care they need. Full stop.

#TransHealthCare #TransRights

Image description: Blue, pink and white text says Transgender youth deserve access to essential health services, including gender-affirming care and abortion.

These actions by Trump and his administration are reckless and dangerous. Abortion patients and providers deserve better.

#AbortionIsEssential

Image description: Violet text against a white background says President Trump has emboldened anti-abortion extremists and increased the risk of violence against patients and providers. Blue text explains the harmful impact of pardoning 23 anti-abortion activists and stopping enforcement of the FACE Act.

Following successful ballot measure campaigns in the 2024 election by organizers in New York and Colorado, abortion rights are protected in both state constitutions!

In Colorado, Medicaid coverage for abortion care is also no longer restricted due to these protections.

Colorado’s category on our interactive map now shifts from “Protective” to “Very Protective” and New York’s category remains at “Very Protective.”

As we face attacks on reproductive freedom from the Trump administration, protecting abortion rights and access at the state level is even more essential.

Explore all abortion policies currently in effect in US states at the link in bio.

#AbortionIsEssential

Image description: Map of United States with color-coding to show how each state is categorized by abortion policies, ranging from most restrictive to most protective. White text on a blue bar at the top says Abortion policies in effect as of January 30, 2025.

We are thrilled to announce that Destiny Lopez and Jonathan Wittenberg are now co-CEOs of the Guttmacher Institute! With their extensive experience and shared vision, the Institute is prepared to continue its vital work during this crucial time for sexual and reproductive health rights. Congratulations to both!

Read the news release at the link in our bio.

Image description: Headshot of Destiny Lopez and headshot of Jonathan Wittenberg against a navy backdrop with white Guttmacher logo in the bottom right.

President Trump has moved to reinstate the harmful global gag rule.

As our Acting Co-CEO Destiny Lopez explains, the sole purpose of this policy is to export US anti-abortion ideology to the rest of the world.

Abortion is essential health care and should be accessible to everyone, regardless of where one lives.

Read the full statement at the link in bio.

#GlobalGagRule

Image description: Blue and violet text against a white background says President Trump just issued guidance to reinstate the global gag rule and women and girls around the world will pay the price. White text in a violet box says Guttmacher Statement on Global Gag Rule Reinstatement, and a blue Guttmacher logo appears in the bottom right.

The Trump administration has issued several executive orders aimed at LGBTQ+ people that pose real dangers, especially for transgender and nonbinary individuals.

These policies will not be in effect immediately and will almost certainly be challenged in court.

#BodilyAutonomy

52 years have passed since the landmark decision of Roe v. Wade. While it was crucial for securing abortion rights, Roe was not enough; it did not guarantee abortion access for everyone who needed it.

Today, more than two years after Roe was overturned, state-level abortion bans and restrictions have caused significant harm to individuals across the United States.

Our Monthly Abortion Provision Study monitors the impact of these state bans on access to abortion services in the US. Stay updated at the link in our bio.

#RoeVWade #AbortionIsEssential

Image description: Map of United States with color-coding to show how each state is categorized by abortion policies, ranging from most restrictive to most protective. White text on a blue bar at the top says Abortion policies in effect as of January 22, 2025, and a blue Guttmacher logo appears in the bottom right.

Our thoughts are with the family of Cecile Richards as we mourn the loss of a trailblazer in the fight for reproductive freedom. We will forever be grateful for her indomitable presence, fearless leadership, and unwavering commitment to realizing a world in which everyone can exercise their reproductive rights. Today, we honor her legacy by reaffirming our commitment to continuing her vital work.
・・・
#Repost @plannedparenthood
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As the reproductive freedom movement navigates unchartered territory, we know Cecile would tell us the best way to honor her memory is to suit up (in pink!), link arms, and fight like hell for the health and rights of all people.

The fight for health, rights and justice must continue.

We aren’t going anywhere.

In 2023, voters in Ohio enshrined protections for abortion rights in their state constitution.

There were additional wins to expand access in 2024, and organizations like the @ohiowomensalliance continue to provide crucial practical support for abortion seekers in Ohio and across the Midwest.

Learn more in our latest policy analysis featuring insights from Rhiannon Carnes, Founder and Executive Director of Ohio Women’s Alliance. Link in bio.

#AbortionRights

You can always rely on us for the facts.

To start off 2025, we’re celebrating two major wins for abortion access: Delaware and Minnesota expanded insurance coverage for abortion under public and private insurance plans.

Expanding insurance coverage of abortion is essential to ensure care is accessible and affordable, especially given that people with few financial resources represent the large majority of abortion patients.

Our interactive map is up to date. Delaware moves up to “Protective” and Minnesota remains at “Very Protective."

Visit the link in bio to explore all of the major abortion policies in effect in every state.

#AbortionIsHealthCare

Medication abortion is a critical part of expanding abortion access. It accounted for 63% of all US abortions in 2023.

But the incoming Trump-Vance administration will likely target medication abortion in several ways.

This likely includes directing the FDA to restrict and or even eliminate access to mifepristone, used in the most common medication abortion regimen in the US. More on these threats at the link in bio.

Medication abortion is essential health care. Protecting access to this method is crucial to upholding bodily autonomy for all.

#AbortionIsHealthCare

Abortion providers put themselves on the line to ensure access for their patients. US states can support providers by enacting shield laws and other protections.

Explore our US Abortion Policy Map to see which US states have specific abortion bans, restrictions or protections, or combinations of policies, in effect. See the link in bio 🔗

In 2024, our experts saw more states try to enact “abortion support bans”—harmful policies that prohibit adults from helping minors travel out of state for abortion care.

These bans are partially blocked in Idaho and Tennessee but still impact how abortion funds and practical support organizations support young people seeking abortion care out of state.

In our new state trends policy analysis, our partners, Briana Perry and Nina Gurak from @healthyfreetn, emphasize the detrimental impact of these bans on young Tennesseans.

More at the link in bio.

#AbortionIsEssential

Abortion research often requires years of data collection, a process that wasn’t realistic in the chaotic aftermath of Dobbs.

Our experts are innovating this work to put actionable evidence in the hands of policymakers, advocates and anyone fighting to protect US abortion access.

Tap the link in bio to learn more!

In 2024, our experts saw continued attacks on health care for transgender youth. And today, almost half of US states are enforcing bans on gender-affirming care for minors.

In our new state trends analysis, Logan Casey from @lgbtmap breaks down the harmful impact of these policies on transgender people and their families.

Head to the link in bio to learn more.

#GenderAffirmingCare #TransgenderHealth

In 2023, over 34,000 Texans traveled out of state for abortion care, forced to overcome the state's total abortion ban. Young people especially face steep barriers to traveling out of state.

@janesdueprocess provides critical support to teens in need of abortion access and other types of repro health care. In our 2024 analysis, Executive Director Lucie Arvallo highlights the increase in targeted attacks on youth and how these restrictive policies directly impact young people.

Learn more at the link in bio.

#AbortionIsHealthCare

On December 20, a Missouri judge ruled that the state’s total abortion ban is unenforceable and blocked enforcement of several other abortion restrictions.

Our interactive map is up to date with Missouri’s category moving from “Most Restrictive” to “Restrictive.”

This is a huge step forward for state advocates, but the reality is that abortion care remains unavailable in Missouri for the time being due to licensing restrictions that make it extremely difficult for clinics to operate.

The path forward will be challenging, but advocates are determined to fight for what Missourians want and deserve. These wins were possible because Missourians voted to protect abortion access in the state constitution!

We will be closely monitoring MO's state policy landscape and will share updates as they occur. If you need abortion care, @Abortion_Finder and @i_need_an_a are incredible resources.

You can explore abortion policies in effect in every state at the link in bio.

#AbortionIsHealthCare

In 2024, anti-abortion policymakers doubled down on attacking reproductive freedom.

Our latest analysis highlights partners across the United States who are working tirelessly to safeguard abortion access and more.

Bree Wallace from @tbafund told us how these continued attacks have impacted Floridian abortion seekers.

Read the analysis at the link in bio.

#AbortionIsHealthCare

Our research partnerships around the world prioritize local expertise and local impact.

Read the conversation at the link in our bio, exploring equitable partnership principles in practice with our long-standing partner, the African Population and Health Research Center.

Abortion is an essential health care service and should be accessible for everyone, regardless of where one lives.

But for 51 years, the Helms Amendment has interfered with access to safe abortion access in many countries. Helms prohibits all US-funded organizations from using US foreign assistance funding for abortion services.

Helms is often conflated with another US policy, the global gag rule, which prevents foreign NGOs that receive US funding (or their subgrantees) from using their own, non-US funds for any abortion-related activities.

These unjust policies threaten bodily autonomy worldwide and must end once and for all.

Learn more at the link in bio 🔗

#RepealHelms

In 2024, the gap between US states working to protect or restrict reproductive health and rights got wider. Our new analysis breaks down this year’s major state policy trends.

While some states worked to protect and expand abortion, gender-affirming care, and access to contraception, others ramped up restrictions, fear, and criminalization.

Our map shows abortion policies in effect in every US state. Here are the key stats as of December 13, 2024:

-13 states are enforcing total abortion bans

-7 states restricting abortion access at 18 weeks or earlier

-23 states are enforcing bans on gender-affirming care

-21 provisions were enacted to restrict abortion care access, while 39 provisions were enacted to protect or expand it.

Learn more about all of this year’s state SRHR policy trends at our link in bio.

Did you know independent clinics provide the majority of abortions in the US?

But the overall number of brick-and mortar indie clinics has decreased by nearly a third in the last decade, and 76 indies have been forced to close or stop providing abortions since Dobbs.

Everyone deserves abortion care in their communities and indie clinics are critical to ensuring this for as many people as possible.

Indies are also vital to Guttmacher’s research efforts and help us produce the evidence needed to protect and expand abortion access!

Read more in @abortioncarenetwork’s report at the link in bio 🔗

#IndiesProvide #CommunitiesNeedClinics

The right to sexual and reproductive health is an integral part of the right to health for everyone. Governments must invest in universal access to #SRH services and information that support everyone's ability to make decisions about their bodies, health and lives.

#HealthForAll

Everyone has the right to make decisions about their own body and their sexual and reproductive health.

#HumanRightsDay #SRHR4All

Abortion criminalization disproportionately affects marginalized communities.

#ReproRights101

Voters in 7 US states made history in November 2024 by enshrining abortion rights in their state constitutions—and policies are already shifting. Here’s the latest:

Arizona: The state’s 15-week ban is not being enforced after a legal challenge brought by abortion rights groups and a stipulation signed by the Attorney General that the ban will remain blocked until 30 days after a final decision in the case. Some providers are offering care past 15 weeks, but restrictions remain, keeping AZ in the "Restrictive" category on our interactive map.

Missouri: Constitutional protections are now in effect. While MO still has a total abortion ban and many other restrictions, advocates are working to expand access. The state remains at “Most Restrictive.”

Maryland: Already a leader in protecting abortion rights, MD’s new constitutional protections move it to the "Most Protective" category!

Tap the link in bio to see abortion policies in effect in every US state.

#AbortionIsHealthCare

Iowa is the latest US state to demonstrate the harm that early gestational bans have on abortion access.

After a 6-week ban went into effect on July 29, 2024, clinician-provided abortions in Iowa dropped 38% from the average in the first half of the year.

Access to abortion pills via telemedicine in US states with shield law protections has likely softened an even steeper decline in abortions following the 6-week ban in Iowa and other states with similar bans.

As our expert Amy Friedrich-Karnik explains, if access to this care is undermined at the federal level, the abortion access crisis would become even worse. Guttmacher experts will be closely monitoring as the Trump-Vance administration takes office in 2025.

Tap the link in bio for more.

#AbortionIsEssential

Abortion rights and access are on the line. And we aren’t backing down.

This Giving Tuesday, your support will fuel our groundbreaking research and evidence-based advocacy in the fight for reproductive freedom.

Donate now at the link in bio and your gift will be doubled!

#GivingTuesday

One in three women experiences intimate partner violence or non-partner sexual violence in her lifetime. This violence can take many different forms, all of which violate a person’s bodily autonomy.

Gender-based violence prevention & services are an essential part of comprehensive SRHR.

Read more about the Guttmacher-Lancet Commission’s recommended package of SRHR services at the link in bio.

#NoExcuse #16Days #ReproRights101

Arizona is 1 of 7 states that voted to enshrine abortion rights in their state constitution. As of today, these protections are in place.

Our interactive map is up to date, with Arizona moving up to ‘Restrictive.’

This constitutional protection is a critical step towards expanding access in AZ, but the fight is not over. The state’s 15-week ban and many other restrictions are still on the books. The newly enacted amendment gives advocates a legal avenue to challenge the ban and further expand access to care.

Huge shoutout to the Arizona organizers who worked so hard to mobilize voters to protect abortion rights in the state constitution!

Donating to abortion funds is still critically important at this time, here are just a few that support people in AZ:

@abortionfundofarizona
@abortionintucson
@brigidalliance
@indigenouswomenrising

We'll be closely monitoring Arizona’s state policies as this protection is implemented. Visit the link in our bio to learn more about abortion policies in every state.

#AbortionRights