Today the Guttmacher Institute released new data from the Monthly Abortion Provision Study, showing that there were an estimated 1,126,000 clinician-provided abortions in the United States in 2025. For the first time, these estimates include telehealth provision to residents of states with total bans, as well as updates to prior year estimates to include these states.
Topline Findings:
- The number of clinician-provided abortions remains largely unchanged from the estimated 1,124,000 clinician-provided abortions in 2024.
- In states without total bans, abortion provision decreased slightly from 1,049,000 to 1,036,000.
- In states with total bans, telehealth provision increased from 74,000 in 2024 to 91,000 in 2025.
An in-depth look at these findings is available in an accompanying report.
Out-of-state travel continues to decline
In 2025, an estimated 142,000 people crossed state lines to obtain abortion care, a decline from 154,000 in 2024. This decrease was almost entirely driven by reduced travel from residents of states with total bans. In 2024, 74,000 people living in ban states traveled out of state for care; this dropped to 62,000 in 2025.
Despite this decline, travel across state lines remains a major avenue for accessing abortion care for people living in restrictive settings.
“These data indicate major shifts in how people in states with total abortion bans are seeking care, with fewer people traveling out of state and more accessing care via telehealth,” says Isaac Maddow-Zimet, Guttmacher Institute data scientist and lead researcher. “Yet interstate travel for abortion remains a critical option for many, especially for those seeking care later in pregnancy. While travel from total ban states decreased in 2025 as compared to 2024, the number of people who traveled out of these states is still more than double pre-Dobbs numbers.”
Telehealth provision to states with total bans increases
In 2025, 91,000 abortions were provided via telehealth to patients in states with total bans, a significant increase from 74,000 in 2024. This type of care has been facilitated by states’ adoption of shield laws protecting telehealth provision, and by the providers committed to establishing and sustaining these networks.
"Shield laws have become a cornerstone of the US abortion access landscape,” says Kimya Forouzan, Guttmacher principal state policy advisor. “By protecting interstate telehealth care, these policies help ensure that many abortion seekers, regardless of their address, can obtain the care they need and deserve. In an increasingly fragmented environment, strong protections for providers, patients and support networks are more important than ever.”
The complete dataset is available on the Monthly Abortion Provision Dashboard and the accompanying report is available here.
About the Study:
The Monthly Abortion Provision Study estimates the number of clinician-provided abortions that take place every month in each US state and nationally. The study 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. Study respondents are asked to exclude advance provision of medication abortion pills from the data they provide; estimates also exclude the limited number of abortions provided under exceptions to total bans, and abortions provided by non-clinicians (including those provided through community health networks, online pharmacies or other means). These exclusions mean that these findings represent an underestimate of the total number of abortions nationally.
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.