Today the Guttmacher Institute released new data from the Monthly Abortion Provision Study, showing that an estimated 518,940 clinician-provided abortions occurred in the first six months of 2025 in states without total abortion bans. This finding marks a 5% decline from the same period in 2024. The number of patients travelling from out-of-state for abortion care in these states also declined by 8% over this period. These declines are likely driven in part by the availability of medication abortion via shield law provision in states with total abortion bans.
While these preliminary data do not yet provide a basis for full-year findings, they provide timely insights into the current abortion landscape. An in-depth look at these results is available in an accompanying policy analysis.
The continued impact of Florida’s six-week ban
In May 2024, Florida implemented a six-week abortion ban; as a result, the study found there were 27% fewer abortions provided in the state in the first half of 2025 compared to the same period in 2024. Prior to the ban, Florida was one of the last states in the Southeast to permit abortion after the first trimester, and this ban has devastated access for Florida residents, as well as for people across the region who would have traveled to Florida to obtain care.
“Since 2023, data from the Monthly Abortion Provision Study has consistently highlighted the devastating impact of early gestational bans on abortion access. What we see in Florida is a continuation of that trend,” says Isabel DoCampo, Guttmacher Institute senior research associate. “The dramatic change in Florida caseloads between the first halves of 2024 and 2025 was the largest absolute change we observed in any state and accounted for more than two-fifths of the overall decline in states without total bans during this period.”
A decline in out-of-state travel
Previous Monthly Abortion Provision Study data showed that out-of-state travel for abortion care more than doubled following the overturning of Roe. However, the preliminary findings released today demonstrate that this trend may be reversing.
In the first six months of 2025, 74,490 people travelled to states without total bans to obtain abortion care, an 8% decline compared to the same period in 2024 when 80,870 traveled out of state.
These declines in out-of-state travel contributed significantly to state-level declines in abortion provision—particularly in states that border those with total bans. Several factors are likely behind the reduction in out-of-state travel to states without total bans, including, but not limited to:
- Expanded access to medication abortion via shield law provision in states with total bans;
- Resource and capacity strains on abortion funds and practical support networks;
- Recent abortion restrictions that have eliminated nearby travel options for residents of many states.
“While preliminary, these data provide clear insights into the policy solutions states must advance,” says Kelly Baden, the Guttmacher Institute’s vice-president of public policy. “Shield laws and direct financial assistance for patients are necessary to help people living in restrictive states access the abortion care they need. As even more extreme threats to abortion loom, bold and decisive policy responses are more necessary than ever.”
The complete dataset is available on the Monthly Abortion Provision Dashboard. The policy analysis is available here.
About the Study
The Monthly Abortion Provision Study estimates the number of clinician-provided abortions occurring each month in US states without total abortion bans. It collects data on procedural and medication abortions provided at brick-and-mortar health facilities (such as clinics or doctor’s offices), as well as medication abortions provided via telehealth and virtual providers in the United States. Abortions are counted as having been provided in the state in which a patient had a procedure or where pills were dispensed.
Estimates are generated by a statistical model that combines data collected from monthly samples of providers with historical data on the caseload of every provider in the United States; as more data are collected each month, estimates for past months become more precise. In addition to median estimates for each month, we provide a range (uncertainty interval) that describes the precision of the estimates: A bigger range means that the estimate is more uncertain for a specific state and month, while a smaller range indicates that the estimate is more precise.
About the Guttmacher Institute
The Guttmacher Institute is a leading research and policy organization committed to advancing sexual and reproductive health and rights worldwide. The Institute has a long history of tracking abortion incidence in the United States and globally. Every three years since 1974, the Guttmacher Institute has conducted the Abortion Provider Census of all known facilities providing abortion in the United States to collect information about service provision, including total number of abortions.